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15432 SW MAZAMA PL
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CITY OS 1"GARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-417
BUP
—Date Requested Z ---AM PM BLD
Location U 3 z- G it n Suite /' MEC
I� 7-161 7
Contact Person Ph 775-1 (I PLM
Contractor Ph
/ ,�I
BUILDING TenantlOwner ra� f T �G� clk h?lt (J 4 LC �l
Retaining Wall ELR
Footing Access.
Foundation ::1 FPS r
Ftg Drain SGN
Crawl Drain Inspection Notes. - — —
Post ,&Beam l�•� � J -
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall ® /
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof <2
Misc.
Final
PASS PART FAIL -- - — -- — —
PLUMBING
Post&Beam --
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL -----------------__�__ -__-- _ �.� __
MECHANICAL
Post& Beam
Rough In
Gas Line
Smoke Dampers
Final
P RT FAIL
ELECTRIC —
7FF
(L ice
Rough In
UG/Slab
Low Voltage
Fire Alarm -
J i
m S PART FAIL —. - --- --
_j Backfill/Grading
Sanitary Sewer
Storm Drain [ J Reinspecti: i fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin I Please call for reinspection RE: --__� I I Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Date Z J ePZ2 Inspector Ext
Other —
Final
PASS PAR; FAIL no NOT REMOVE this inspection record from the job site.
/
CITY
O� �����D r ELECTRICAL PERMIT
PERMIT M ELC2000-00536
DEVELOPMENT SERVICES DATE ISSUED: 09/11/2000
Aq
13125 SW Hall Blvd.,Tigard,OR 97223 (503) 6394171 PARCEL: 2S110DA-03000
SITE ADDRESS: 15432 SW MAZAMA PL
SUBDIVISION: RENAISSANCE SUMMIT ZONING: R-3.5
BLOCK: LOT : 021 JURISDICTION: TIG
Prosect Description: Installation of one(1)branch circuit.
F�RESIDENTIAL UNIT _ TEMP SRVs/FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMPIIRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL.:
MANF HMI SVC/FDR: 601+amps -1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: WISERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PIANT:
601 1000 amp: PLAN REVIEW SECTION
1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL:
Reconnect only: SVCIFDR >-225 AMPS: CLASS AREAL PEC OG
Owner: Contractor:
WAGNEP, CRAIG DOUGLAS+ ENDERS ELECTRIC
GRINDLAI' CAROL LYNN PO BOX 1661
15432. SW N AZAMA PL BEAVE'RTON, OR ' 1075
TIGARD, OR 97224
Phone: Phone: 62P-4813
Reg#: LIC 00026728
SUP 2028S
ELE 34-265C
FEES _ Required Inspections
Type By Date Amount Receipt Elect'I Final
PRMT CTR 09/11/200( $46.85 2721)000000(
5PCT CTR 09/11/200( $3.75 272.0000000(
Total $50.60 ^!
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will e)q)ire if work is not started within 180 days of issuance,or A work is
suspended for more than 160 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952-001.0010 through OAR 952-001-0080. You may obtain copies of these rules ordirect questions to OUNC at(503)
246-1987.
PERMITTEE'S SIGNATURE O/V F}��� C� -7;;2� ISSUED BY: a
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:__
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: _ DATE:
LICENSE NO: —
Call 6394175 by 7:00pm for an inspection the next business day
08/29/0 UE 09:33 FAX 503 598 1960 CITY OF TIGARD RFCE�VEiD 0002
CITY OF GARD Electrical Permit Applic �nH 1 ?0f1t� Pranchearr�
43126 SV
,PALL BLVD. Recd By Ale/L
COMMUNITY Date Recd P/-3,letTIGARD �R 97223 UtYfl-UPMEtvi
Phone(504839-4171,x304 Print of Type Date to P.E.
Date to DST
Inspection 03)639-4175 Incomplete or illegible will not be accepted permit# ECC 2 e Da
Fax(503)OP-1960 Colied
1. Job fgdzs.. 4. Complete Fee Schedule Below:
Number of Inspections per permit allowed
Name of De1(oapment
Name(or name of business)_ R/ Service Included: Items Cost Total
Address F 1+ ;z S w it
4a. Residential-Per unit
1000 sq, .or loss _ $147.16 4
City/Stateiz J cl 12 7 7_2 Each adtAtional 600 sq.ft.or
portion thereof $33.40 1
Commercial Q Residential Limited Energy - $75.00
Each Manurd Home or Modular
Dwelling Service or Feeder $90.90 2
2a. Contractor Installation only: -
(Prior to pertntt Issuance,applicants must provide contractor license 4h.Services or Feeders
Information ror,DOT data b ). / Installation,alteration,or relocation
Electrical Cortraetor H�d Ci S I�le c- ^-'L 200 amps or less $80.30 2
+� 201 amps to 400 amps $106.85 2
Address lub Y 14` / 401 amps to B00 amps _ $160.60 2
City--L� State ��__Zip` 7b �` 601 amps to 1000 amps $2.40.60� 2
Phone No. �6�_ Over 1000 amps or volts $464.65 _ 2
Job No. " Reconnect only _T $06.86---- 2
Elec,Cont. Lice. No._ EG xp.Date D,I�--p� 4c.Temporary Services or Feeders
OR State CCB Reg. No. !� 6 71• EXp.Date :two Installation,alteration,or relocation -
_ � _ 200 amps or less $66.85 2
COT Bushes Tax or Metr(-,No. !f Exp.Qate_�4 201 amps to 400 amps $100.30_ - 2
0401 amps to 600 amps $133.75 2
Signature Of jypr. Elec'n Over 600 amps to 1000 volts, - -
sae"b"above.
License No.-ry= 20 S Exp.Date- 4( �Olr 4d.Branch Circuits
Phone No._ �`--^-� i.6 c1 d .� New,alteration or extension per panel
a)The fee for branch clrcults
2b. For o ner Installations: with purchase of service or
tbedsr fee.
Print Owner Blame Each brand,circuit $6.65 2
�- - - b)The fee for branch circuits
Address_ _ wl:;iout pur�hasa of service
City _ State_-Zip ! or reader fee. ^/ /�,
First branch circuit (_ $46.85 `1
Phone No, Each additional branch cir ult $6.65
n' The installation Is being r.lade on property I own which Is not 4o.Miscellaneous
(Service or feeder not Included)
H intended for sale,lease or rent.
U) Each pump or Inipatlon circle $53.40
Each sign or outline lighting $53.40
HOwner's Signature Signal circutt(s)or a limited energy
J i panel,alteration or extension $7k,00
M I Plan R view section (if required):* Minor Labels(10) $125.00
WPlease check appropriate item and enter fee in section 58. 4f,Each additional inspection over
Jthe allowable In any of the above
4 or rqgre residential units in one structure Per Inspection $62,50
Servi;,W and feeder 225 amps or more Per hour $62.50
System over 601 volts nominal In Plant i $73.75
Classified area or structure containing special occupancy 39 S. Fees:
described in N.E.C.Chapter 5
8a.Enter total of above tees $
' Submit 2 sets of plans with application whero any of the above apply. 896 Surcharge(,OB X total tees) $
Not required temporary construction services, Subtotal $
db.Enter 2596 of line 6s for
T. NOTICE Plan Review fro uir (Sec.3) $
Subtotal S �t
PERMITS BECOME VOiD IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR LJ Tri 4 Account Ik
WORK IS SUSPENDED OR ABANDONED FORA PERIOD Of 180 DAYS q