The URL can be used to link to this page

6900 SW SANDBURG STREET-1 ADDRESS: 1 7 1 i �g 1 i i I i:\records\microflm\targets\building.doc aVord 9)ifMCWVS MS OU � e 04 0 N r� 1 � r s Ul IUL OL At �J a _ cn C� t N � a74 P4 In rr, I to fn I r Y � Y. `J page No. 1 CASH HIST)PY FOR CASH NO. : RUP97-0362 ? J & R PROPERTIES 06900 SW SANI)Y3URG ST 06/19/99 Action Description Reg/ Schd/ Mid/ Action Notes Disp By Update Upd code Sent Done D. Date By 1 k, ------- -- -------- -------- ---- --- -------- "' l3�� BUPCoos Application received / / / / 08/01/97 RECD B 06/06/97 BON tir BUPc00P Permit created / / / / 09/08/97 PASS B 09/09/97 DON BUPC010 Check for prcl. restrict. / / / / 06/08/97 Conditions of approval for CUP97-0003 1+P10 B 09/09/97 WN must be met. 1 BUPC011 DST/mail Land Use Condition Lt / / / / 06/06/97 PASO B 08/08/97 BON { , DUPC013 Plans routed to Plans Examiner / / / / 08/06/97 PASS B 08/08/97 BON RUPCO26 Approved Plans routed to DST■ / / / / 08/12/97 APPR RDP 00/12/97 RDP BUPCO29 DIT Post Review Completed / / / / 06/18/97 PASS JDA 08/16/97 JDA x BUPC090 ,P1 .'..+ady to issue / / / / 09/18/97 PASS JDA 08/19/97 JDA SUPC100 (P) lame permit / / / / 08/18/97 PASS JSD 08/16/9'1 JD SUPC460 Devel review coed. met / / / / 06/18/97 PASS JDA 08/18/97 JDA 'r ' '"`•,r BUP1902 Final Inspection 09/12/97 / / 11/25/97 Approved pending receipt of special PASS TLP 11/26/97 JT 7 inspection final reports from engineer. Report from PSI of 123196 indicates r• approval. I� t ±rq 11/17/97 letter from AGRA. reinforced concrete inspection performed 6 .n accordance BUPC960 Case Pinaled / / / / 11/26/Y7 11/26/97 JT r, t ;p , page No. 1 CASE MIBTORY FOR CASH NO.: BUP94 nJ94 ilESTERN FRREZEP 06900 SN 9ANDBURG YT y. .�t o5/1e/9e h Req/ HchdJ End/ Action Notes Uiap By Updates Up1 Action Deecript:ion Date BY Code sent Done Done !` ----- ----------- -------- ------- — — - - a I o 06/29/94 07/12/94 MAB BUproo7 Application received / / / / 07/12/94 MAB ' DUPCOI0 plan check deposit laid / 1 / / 06/29/94 .. Bupco2o plan check by / / 07/12/94 "PR MB 07/11/94 MAB N'fTF JI67 07/12/9+ MAB BUPC040 Check for prcl. restrict. / / / i 06/29/94 05/12/95 JDA 05/12/95 KB DuPC090 (F) Ready to issue / / / r / / / �' 07/02196 per david ecokt D8 10/70/97 JT RUPC120 Void Permit f 1; F 9 1 R D r, t a �a �i 3J+1. Page No, 1 C"R HISTORY roR C:AyB No.: SLC-97-0338 D9 NBDT IXNMUNICATIONS `w 06900 .Iw DANDBURG ST 'S 05/18/98 echd/ End/ Action Notee Diap By Update Upd d1 pcti.wt Demrriptlan Req/ Date B d Code Dent Dose Dane ---- --_ ,.. -- -------- ------ — '_— PASS TAS 06/19/97 TAT BLCAS00 ("1 Iaaue permit 06/19/97 0G/os/97 TAT IILCC001 Application received 06/05/97 / / 06/05/97 06/OS/97 TAT BLCC003 Permit created 06/05/97 / / 06/05/47 06/05f9T / / 07/0!/97 'ASS KTP 07/14/97 J•H -'•. SLCC730 Blect'l Service 'ASS KKR 10/17/97 J•H KI-cc799 Blect'l Final 06/OS/97 / / 10/06/97 PADA MJR 10/17/97 J•H 8LCCe00 came Fi.naled / / 10/06/97 G: 1 W i Fi. „ Page No. 1 CA9R HISTORY FOR CASR NO.: BLC95-0470 -HPI.TENSON ETZCrRIC 06900 SW SANDBUM ST ' 05/1!/98 Action Description Req/ Schd/ Snd/ Action Notes Diep By Update Vpd ~.' Code Bent Done Dale Date By ! -------- -------- -------- -----------------------' I i RLCC001 Application rertvad / / / / 10/19/95 RECD :.JS 12/04/95 CTR RLCC001 Persit created / / / / 10/19/95 RRCD CJS 12/04/95 CTR RLCC500 M rssus permit / / / / 10/19/95 PASS CJS 12/04/95 CPR 6LCC800 CNee Finaled / / / / 01/02/97 OK MJR. 01/02/9.7 KTP d I 1 I 1 1 1 I ,l 1 Y 'r r e. I� 1 f f f s. urraamnramc»sLbasrmt,sssc�,vm!:mor `1. Page no 1 CA9R HISTORY FOR CASK NO.: PLd97-0011 VRFTRRN FRRR7.RR ' 06900 SW SANDBURO ST OS/1•/ff Action Descilption Req/ Schd/ End/ Action Notes Diep By Update Upd Code Sent Dane Dune Date By I --`--`- ------------------------------- ---`---- -------- -------- -------------------•-----------------"-- -'-- --- ---`-___ _" I 4 PL4C003 Application received / / / / 01/18/97 PASS JDA 01/28/97 TAT PIMC005 Permit Created / / % / 01/28/97 PASS JDA 01/28/97 TAT i PLMC060 (F) Issue permit / / / / 01/18/97 PASS JDA 01/18/97 TAT PIMC799 Final Inspection / / / / 01/19/97 PASS TLP 01/19/97 TLP PLACBOO Case Finaled / / / / 01/10/97 PASS TLP 01/19/97 TLP i t j' y+ i r :n' 12/10/07 WED 13:39 FAX 1411 001 ►GRA Earth & Environmental ENo1NF[IIINfi 6tD@AI SOIuIIONS FACSIMILE TRANSMITTAL IN* trmenieelon is htended only for the eddreeeee. tt "my contOln 7477 SW Tech Center Drive pthAepetl or eerrlldw W kOomnrtlon Any uneuthod»d deeloeure Is•tdrtly Portland, Oregon 97223 . prnhlhlted. If yon neelved tide trenadevion M w 9 error, p'eeee notMy . 'r. Irtened ftfy loowretl,o thet we tnq eernea onr tramrnle+lou. F%see then Phone No. (503) 639-3400 d"trvy the orlphvl. Thank yeu. _ _.. Fax No. (503) 620-7892 E-Mail: agrapdx@fta.com i TO: 'Or. - Pc�fiY_a�. ► t COMPANY: c(-"4 FAX NO., L064 — -1-L`'I --7 SENDER: V J 1L�t.8vs 3 HARD COPY TO FOLLOW: FAX OPERATOR: FILE NO. NO. OF PAGES: 1�5 Oncluaing this page) DATE: . _ 5UBJEC'F: CE.1—L__u t_'AL T'-�>Lr-Itfyi._ AWAS �-�+��-1 � �1._.1_- -T�t= (?�r�t�-�r�►� =� Moo� 410: t- I": 1 CITY OF TIG9:: 94175 INSPECTIO DIVISION 24-Hour Inspection Business Phone: 6394171 Date Requested. I I' J ` A.M. P.M. MST: Location: - ,��n/' �— — --- — BUP: 7-(73 1 y I U_ �_�(�� _ ` >c W 1 Bldg: MEC: Contractor: r �, �,14!'— Phone: G '— 5C► PLM: _ Owner: _ Phone: ELC: �}} 9 ' -C' t ELR: _ 1 BUILDING 't) PLUMBING MF.CILANTCAL EI F(AlbICAI SITE SitePost'h3eam Post/Beam PoOlBeam Cover/Service Sewer/storm Footing Roof UndFYSlab Rough-Ip Ceiling Water Line Slab Framing Top Out des Linc Rough-In UG Sprinkler Fotmdation Insulation Sewer Hoo&%Ct P xonnect Vault i Bsmt Damp Drywall Storm Furnace 'temp Service MISC. Masonry Ceiling Rain Thain A/C U0 Slab i jShear/Sheath _ Fire Spklr/Alm .. Crawl/Found Dr I ICA hunp Low Volt _ 1 —prppro�ved Approved Approved Approved Approved Appr/Sdwlk v Not Approved Not App}ovel Not Approved Not Approved FINAL FINAL FINAL FINAL �rtJs 3171 'i Lee F O Call for rein O Reinspection fee of S required before next in..-pection O I Jnable to inspect InVector: Date: 7 Page of f ,.. . MUD 11, 'G. . • IMuA� 7:JA.:cN.5%iRR9�S3'k'Ltz��+ .°.T'sr AW(VJMMZ7-Zu.5FM. '1 �1}tf r y,Y?E,H•I I i r {t•.,r 7,e �, '44 . "�;Mtd�I4Th dfkCMVY''•'rxbM.n ..,...W.i., , ..... ._..w:.k J y G '7� n�' I y'. AGRA Earth & Environmental AGRAEarth& ENGINEERING GLOBAL 501.UTIONS Environmental,Inc. 7477 SW Tech Center Drive Portland,Oregon1. USA 97223-8025 Tel (503)839.3400 Fax (503)820-7892 November 17, 1997 i r;1M-09396-/74 Mr. Perry McNair ' Bechtel Corporation 5950 NE 122nd Avenue I Portland, OR 97230 Dear Mr. McNair: � RE: CELL SITE 8 W. BANDBUF��a-7 POR-074E/BLDG. PERMIT#L�Lb97-0'382 Dear Mr.McNair. This is to certify that in accordance with Section 1701 of the Uniform Building Code we have ' performed special Inspection on the following items: 1) Reinforced Concrete f All inspections and tests were performed and reported according to the requirements of the x project and, to this best of my knowledge, the work was in general accordcnce with the applicable workmanship pravirrions of the State Building Code and Standards. Sincerely, I• ;RArth & Environmental, Inc. ws, E.I.T. Engineering Associate I JJ :i C: Robert Poskin, City of Tigard r '�.k.�b�['1,,fi i;tr'6s .s.. ns+rl`L,:ez"P,`�9fii.'�.Rl�`�.. •a�".TFt"A,�"'�rc „ ,h�;T .,. I 0,'97 WED 13:40 FAC fa1004 AGRA Earth & Erivironment-31 AGRAEarth& ENGINVOING 1LUTAL SOLUT10NS Environmental,Inc. � 7477 SW Tech Center Drive Portiend.Oregon USA 97223-8025 Tel (503)639-3400 Fax (503)820-7892 November 10, 1997 7-61 M-09396-0/82 a Bechtel Corporation 5950 NE 122nd Po•tlend, OR 97230 RE: Cell Site @ 12398 S.W. SCHOLLS FERRY RD. POR-082A, BLD PERMIT NO. 97-0383 SUBJECT: FINAL INSPECTION REPORT Dear Mr. McNair: The following site at the above location was a new tower. The only inspection that was performed was on the placement of concrete caisson foundation. No other inspections were called in to our office. All inspections and tests were performed and reported according to the requirements of Section 1701 and, to the best of my knowledge, the work was in conformance with the applicable workmanship provisions of the State Building I Code and Standards. If you need additional information or have any further questions, please call me at (503) 639-3400. Sincereiy, AOR arth & Environmental, Inc. Sean Willows, Engineering Associate f Attachment: Field Reports C: Robert Poskin, City of Tigard ; 1 I LI v..,....� - ..tL i .,.L. .. ,. c11" R.T.:;. • 11!10/97 Whp 13:41 I,AX 005 /A,k ,A►GRA Earth & EnvironmentalMAILED14GRAEarth ii 1► Environmental, Inc. En;riirn�i ,n�na, tirn„iioH: 1997 7477 SW Tech Center Dnvr OC 1 3 p Portland,O egon USA 97223.6025 Tel (503)639-3400 Fax (503)620.1692 Report of Compression Test Results CLIENT: BcCHTEL Report Data: October 29, 1997 SV50 NE 122ND AVENUE Project N: 7-61N-09396/082 PJRTIAMD, DR D7230 Pr.-ect Nave: 12398 SW SCHOlLS FERRY RD. 1 Project Mgr.: ! ATTN: MR. PERRY MCNAIR Arch!trict: Structural Engineer: SPECIMEN -YPE: •• CONCRETE •• ASTM-09 P•O.#: ".; MIX& FIELD DATA Date Cost: 9/29/1997 Subcontractor: MTS Location of Placearxrt: MONOPOLE FOUNDATION Actual Specs. Specified St-ength (psi): 3000 2 28 DAYS Slump (inches) AS►N C 143: 2.75 4” MAX Mix IDS: P83524 Air Content (X) ASTM 0-231: f Supplier: VIESKO Unit Weight(pef) ASTN C•138: L06CO: 1 truck K: 67 TEMPERATURE Ticket N: 01.038637 Weather: CLEAR/WARM Batch Size: 10.0 YDS "fent('F): 73 Water Added: 3 GAL Concrete('F) ASTN 0-1064: 83 TIME Batch Tine: 13:30 a Sample Tim: 14:30 Finish Time: 15:00 Technician: PHIL LUNDBERG TEST RESULTS Nominal Actual Irrrrr.rrrrrrrrrrrrwrrl Specimen Date Date Age specimen Area Compressive 3trangth trk.Type % of Lob B M Recv'd Tested (days) Size (sq in) (lbs) (pili) /Cure Design 1 BEC9064 A 9/30/1997 10/02/97 3.00 6 X 12 28.51 T7,260 2710 90 { B 9/30/1997 10/06/97 7.00 6 x 12 28.56 100,320 3510 117 C 9/30/1997 10/27/97 28.00 6 x 12 28-46 138,415 4860 162 0 9/30/1997 10/27/97 28.00 6 X 12 28.46 140,195 4930 164 Remarks: Break Types (A) Core, (a) Cone t Split, (C) Cone L Sheer, (n) Shear, (E) Columnar S i Dred _-- Distribution: CLIENT, PRODUCFR, FILE `Od , 1 1 1 4 11/20/97 WED 09:00 FAX 1002 my AGRA Earth & Environmental ,,��►�,rtNB l��a arta roc r,:oan vs �n AILED Environmental,Inc. � MAILED, 7477 SW Tech Center Drive OCT3 O 1991 Portlanrl,Oregon USA 97223.8025 Tel (S03)039.3400 . Report of Compression Test Results rax (503)620-7892 CLIENT: BECHTEL Report Data: October 27, 1997 5950 NE 127ND AVENUE Project N: 7-61N-09396/074 PORTLAND, OR 97230 Project Meese: 6900 SW SANDgINIG ST. Project Mgr.: ATTN: PERRY MCNAIR Architect: y structural Engineer: SPECIMEN TYPE: •• CDNCRFT', •• ASTM-C39 P,0.0: 1X& FIELD f ATA Date Cast: 9/26/1997 Subcontractor: MICROWAVE TD11ER SERVICE Location of Placement: REINFORCED POLE FOOTING Actual Space, Specified strength (psi): 5000 9 28 DAYS Slump (inch4w ASTM C-143: 5 4 Mix EDM: A5021 Air Content (X) ASTM C-1311 - - &.pplier: VIESKO Unit Weight(pcf) ASTM C-138: Load#: 1 Truck N: 34 TEMPERATURE Ticket M: 02.038553 Weather- CODL, RAINY Batch Size: 10 CY Ambi&nt('F): 59 Water Added. - Concrete('F) ASTM C-1064: 75 TIME I Batch Time: Semple Time: 12:20 +, Finish Time: 12:10 Technician: JEFF .ZONES # TEST RE=Ts Nominal Actual la++worawaawrwawwwwwaal I' t , Specimen vat& Date Age Specimen Area Compressive Strength Brk.Type % of Lob N / Recv'd Tested (days) Size (eq in) ((be) (�1) /Curs Design 1 BECO052 A 9/27/1997 10/03/97 7.00 6 K 12 28.51 106,425 3730 v� 75 B 9/27/1997 10/24/97 2.8.00 6 x 12 28.46 145,940 5130 103 C 9/27/1997 10/24/97 28.00 6 K 12 26.46 145,740 5120 102 D 9/27/1997 6 K 12 HOLD Renerks: Break Types -- (A) Cone, (B) Cone L Split, (C) Cone ii Shear, (0) Shear, (E) Colunnar i Signed Distrlbut(on; LIENT, PRODUCER, FILE 'bP' .ti ... ,.. I I�'✓ rQ CITY OF TIGARD BUILDING INSPECTION DIVISION 24-Hour Inspection Line:639-4175 Business Phone: 6394171 � �I Date Requested: A.M. P.M. MST: i Location: BUP: I J P Tenant: Suite: —Bldg: MFC:_ Contractor: Phone: . 1 -- PLM: Owner:. Phone: RLC: �32 ��_ --- BLR:_i i SIT: BUILDING BIAG(con't) PLUMBING MECHANICAL LECTRICAL SITE Site Post/Beam PosUBeam Post/Beam Cover, ice Sewer/Storm Footing Roof UndFUS]ab Rough-In Ceiling Water Line Slab Framing Top Out Gas Line Rough-hr UG Sp.inkler Foundation Insulation Sewer Ilood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain D.-..in A/C UG Slab Shear/Sheath Fire Spklr/Alm Crawl/Found Dr Heat Pump Low Volt Approved Approved Approved ved Approved Appr/Sdwlk Nz)t Approved Not Approve Not Approved of A ved Not Approved FINAL FINAL FINAL INAL FINAI. I _ I — V�_C _ 1� 1 I !3 Call for reinspection Reinspection fee of$ ,� required before next inspection O I)nable to inspect Inspector:l // I �1I)ntr Page-— of s a .I CITY CF TIGARDG DEVELOPMENT SERVICES BUILAING PERMIT PERMIT IF. . . . . . . % BUP9 7-0382 � 13125 SW Hall Blvd.,Tigard,OR 87223 (503)639-4171 DATE :SSUED: 08/18/97 1 PARCEL: 2SIOIDD-00702 SITE ADDRESS. . . : 06900 SW SANDBURG ST SUBDIVISION. . . . : SALEM FREEWAY SUBDIVISION ZONING: I-P SDICTION•TIG BLOCK. . . . . . . . . . LOT. . . . . . . . . . . . . :4 JURI - -AREAS------------- _ REISSUE: FLOOR EXTERIOR WALL CONSTRUCTION- FIRST. . . . : 0 sf N: S: E: W: CONSTRUCTION- CLASS OF WORK. :OTR r TYPE OF USE. . . :COM SECOND. . . : 0 sf PROTECT OPENINGS?----------- TYPE OF CONST. :5N . . . : 0 sf N: s OCCUPANCY GRP. :U2 TOTAL------: 0 sf ROOF CONST: FIRE RET?% OCCUPANCY LOAD: 0 BASEMENT. : 0 sf AREA SEP. RATED: STOR. : 0 HT: 0 ft GARAGE. . . : 0 sf OCCU SEP. RATED: BSMT?: MEZ 2?: READ 5ET'BA�7KS--------- REQUIRED---- FLOOR LOAD• . . . : 0 psf LEFT: 0 ft RGHT: 0 ft FIR SPKL: SMOK DET. . : DWELL-ING UNITS: 0 FRNT: 0 ft REAR: 0 ft FIR ALRM% HNDICP ACC: BEDRMS: 0 BATHS: 0 IhIP SURFACE: 0 PRO CORR: PARKING: 0 VALUE. 1: 39000 Remarks : R ist-foot monopole with equipment cabinets- Owner: -•------- Owner: ------------------------------------------------------ --------------------- --------------•------- FEES ------- J & K PROPERTIES type amount by dr %e recpt 6900 SW SANDBURG RD PLCK f 0. 00 B 08/01/57 97-297868 7I GARD OR 97223 FIRE $ 0. 00 B 08/01/97 97-297868 ` PRMT f 233. 50 JSD 08/18/97 97-295380 Phone M: PLCK $ 151. 73 FIRE $ 93. 40 Contractor: ----------------------------- SPCT f 11. 68 JSD 08/18/97 97-298380 BECHTEI CORPORATION C/O R D MORRIS PO BOX 193965 SAN FRANCISCO CA 941193965 -----------•-------------------------- , Phone #t 291-7247 f 490. 36 TOTAL Reg IN. . 006519 --------- Ri--QIJ I RED INSPECTIONS - ------ This permit it ,sued subject to the regulations containcl in the Misc. Inspection Tigard NuniciNal Cade, State of Ore, Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started -- within 181 days of issuance, or if work is suspended for more — than 180 days, ATTENTION: Oregon law requires you to follow the -- rules adopted by the Oregon 11tility Notification Cc ter, dose _ -- rules are set forth in OAR 952-01--WO through OAR 952-MC1987, - — You many obtain a copy of these rules or direct questions to Ol1NC M — _ by calling (513)246-1987. _ Permittee Signature- 1 ( Issued BY : -- i•i'•ti•+•F•F...f......... ....t...f,t,*..........-F,F.. ....{•{..},. ......}. ..}.t+ tt+........ Call 639-4175 by 6%00 p. m. for an inspection needed the next business day ....... }}..........+.{......4. ..+.....+...„{'{"}'f',f}.,f.,}."... .{'......4. "} +"}{"f'."1-'f+.+i... Mob?F,C rf eel -1"7 PE V`)` r Commercial BuildingPermit Application City of Tigard 13125 SW Hall Blvd. �) Tigard, OR 97223 vow (503) 639-4171 -� • Jobsite Address: -- – office Use on]V Tenant:— �_ Suite #_ __ ' `._�� ' • Plandc/Rec Valuation: #Permit Owner: 1 r �1� �.� Lf- ICS, r�1' Map&. TL# Adoress: '' Approva;c Requ�jired -- — Planning �1�1` •� �tt� -- Phone. _ Engineering Other t1nc� Contractor: if Address: e r `� f. ��' I , Type of const: t ^�c-'T Occupancy class: " Phone: °7 '''f '7 Sprinklered? Yes No Contractor'r License # (attach copy of current n license) Sq. it of project: n Story (1st, 2nd, etc.) t ArchltectEngineer: 1'r " Proposed use: Address: ,� I :;t�; �T H w11'J _ Previous use: A" ;.r`�_ M;� � Note: Plumbing & mechanical plans must be submitted at time of Phone: building permit application. COMMENTS: �ArJa'r f-;LL-,. L -21;11 ty c tJ ,P(;t C' UA AIZ E IIJ 4 _ a ( Applicant Signature & Phone number Received by: Date Received: L) -.......M,q,Y�1•••.. _ - ...,...,...aux.::..:Y .M.�i��^'..�._..._ ._.. _. .. ..._...,,,,,�,w , .1; FW moire Y � ✓t ■ Permit Account Description Amount Anil. Pd. Dal. Due Bkfq Permit (BUILD) Plumb. Permit (PLUMB) _ Mech. Permit (IAECH) r State Tax (TAX) Bldg: Plumb: Mech-. Plan Check (PLANCK) Bldg: ' Plumb: Mech: Sewer Connection (SWUSA) ti Sewer Inspection (SWINSP) Parks Dev Charge (PKSDC) r Storm Drainage Chg (SDSDC) _ �Y Residential TIF (TIF-Ft) f Mass Transit TIF (TIF-M-n Commercial TIF (TIF-C; _ Industrial TIF (TIF-11) histitutional TIF (TIF-IS) Office TIF (rIF-O) Water Quality (WOUAL)..�,..�... . . _ Water Ouantity (WOUANT) _ }dt, Fire District (FIRE) q� ��1�'L`71b TOTALS: r3_ 7, d r.r.„y+...,.,�ryr>�1r4Nu'.T+hs ,. ..•.J•aTr.,e^i:"J.yiM n+.. ...•.. August 8, 1997 C:I1Y OF TIGARD OREGON Larry Ritchey Planning Design Group 122 SE 27th Ave Portland OR 97214 I i RE: Plans Check Number: This letter is to confirm receipt of your building plans which have been routed to the plans examiner. As a reminder, the associated land use case(s) is/are: CUP97-0003 PI se be aware you are responsible for satisfying the conditions of the land use case(s) ano must submit plans directly to the appropriate staff person(s) indicated on your final order. Your building plans m-nM routed to the planning or engineering departments; you must satisfy the land use permit conditions independent of the building permit plans review process. After the building plan:; review process has been completed, xQur building permit will not be is_u_%d w_A1h9_uLv, _ roy.a -engineed 19_and-planning dents. If you have any questions regarding this notice, please feel free to telephone me and I will be happy to explain further. f' Bonnie MLllhearn Development Services Technician x! Building file ^ + cc: Panning Department cc: Engineering Department I 0SMSUPLUC DOT 13125 SW Nall Blvd., Tigard, OR 97223 (503)639-4171 TDD (503)684-2772 — 4 M' r.n �4 r V rn.....1y+(....::.-,. .._ .. -a r... +r ..1Pu.-s...r.1:iirN-M-4.i•nw'�+�I/M. .MW. A�L CITY G TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC97-0236 . 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 06/19/97 a PARCEL: 2SIOlDD-00702 SITE ADDRESS. . . :06900 SW SANDBIJRG ST aUBDIVISION. . . . :SALEM FREEWAY SUBDTUISION 7(IN ING: I --P BLOCK. . . . . . . . . . . LOT. . . . . . . . . . , :4 JURISDICTION: TIG � Pt-o.j ect Description: instl 2 service/feeders 9 2 branch cirr4its // job 1 11657-39 ------------------ ---RESIDENTIAL_ UNIT------ -----TEMF, SRVC/FEEDERS------ ----------MISCELLANEOUS------ ! 1000 SF OR LESS. . . . : 0 0 -- 200 amp. . . . . . . ; 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 5O0SF. . . : ih_ 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 -- 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 ----SERVICE/FEEDER----- -----BRANCH CIRCUITS------- ----ADD' L INSPECTIONS---- 0 — 200 amp. . . . . . : 2' W/SE::RVICE OR FEEDER: PER INSPECTION. . . . . : 0 201 — 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0 401 — 600 amp. . . . . . : 0 EA ADD' L- BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0 601 — 1000 amp. . . . . : 0 ------------------PLAN REVIEW SECTION--------- ------- 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVG./FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner: ---- ___.__.________._._____. ----.---__.___.-----------.__----_-_-- FEES ___-.-------._._.__.___ US WEST COMMUNICATUNS type amount by date r•ecpt 5950 NE 122ND AVE PRMT $ 130,. 00 TAT 06/19/97 97-296190 PORTLAND OR 972'30 5PCT $ 6. 50 TAT 06/19/97 97-296190 Phone #: Contractor.: ----_--------------------------__-------------------•---------------- OREGON ELECT CONSTRCTN/GRP INC 0 136. 50 TOTAL . 1010 SE 11TH — -- -- REQUIRED INSPECTIONS PORTLAND OR 917214 Ceiling Covet- Undergroi-tnd Cove Phone #: 234-9900 Wall Cover Elect' 1 Service Reg #. . : 036359 This persit is issued subject to the regulations contained in the Tigard Municipal Code, State of a-egon Specialty Cndes and all other applicable laws. All Mork will be done in accordance with approved plans. This perp i Mill expire if work is not started within 180 days of issuance, or if work is sus ended for sore than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. 'those eules are set forth in OAR 952-001-0010 through 6:4 952--IMI-1987. You say obtain a copy of these rules ar direct questions to OUNC by calling (503)246-1987. , Permittee Si nature • 9 I s s i.i e d B y ------------------------------OWNER INSTALLATION ONLY-----------------_------------- The installation is being made on pr-nperty I own which is not intended for- sale, orsale, lease, or rent. OWNER' S SIGNATURE: _ __ DATE: ---- - ----------------- CONTRACTOR INSTAI__LATION SIGNATURE OF SUPR. ELEC' N: 07-tJ_��_ - DATE: 9z— L..ICENSE NO: ++ .+++++++++++++++i•++++++++++r}.+++++i.++++++++++++•f++++++++++++++++++.+++++++++•++ Call 639-4175 by 6:00 p. m. for- an inspection needed the next bel +++++-I+++++++4-++++++++++++++++++44'+++++++++++++++++++++++4+++++++++4.+++++F++++ I A CITY OF TIGARD Electrical permit Application Plan Check 8_ 13125 SW HALL BLVD. Dara Dale Rx'd.___ I $IGARD OR 97223 Date to P E._ Prone (503) 639-4171, x304 Print or Type Date to DST� Inspection (503) 639-4175 Permit k ULe� Fax(503)684-7297 Incomplete or illegible will not be accepted _ Called 1. Job Address: 4. Complete Fee Schedule Below: ` Name of Development__ US West Cell Site #74 Number of Inspections per aprmit allowed Name(or name of business) Western Freezer Service Included: Items. Cost Sum Address_ 6900 SW SandburE St. 4a. Residential-per unit Tigard,and OR 1000 sq.ft or less 1110-00 _. _ 4 City/State/Zip g , _ Each additional 500 sq.ft.or Commercial lel Residential ❑ portion thereof _ $25.00 1 Limited Energy � $25.00 Each Manul'd Home or Modular Dwelling Service or Feeder $66.00 2 2a. Contractor installation only: (Attach copy of all current licenses) 4b.Services or Feeders Electrical Contractor_OREGON ELMR IC GROUP _ Installation,alteration,or relocation Address 1010 SE i 1 T� 11 ----- -� 200 amps or less 2_ $60.00 120.00 2 _ 201 amps to 4C0 amps $60.00 __ 2 CityPortland _-_State__OR Zip_97214_ 401 amps to 600 amps -_ $120.00 - 2 Phone No. 23,4-9900 _ 601 amps to 1000 amps $180.00 2 Job No. 71657-39 Over 1000 amps or volts $340.00 _ 2. Elec, Cont. Lice. No. 26-95C _Exp.Date 11/97 Reconnect only $50.00 2 OR State CCB Reg. No. 203 Exp.Date_ 7/97 4c.Temporary Services or Feeders COT Business Tax or Metro No. Exp.Date Installation,alteration,or relocation 200 amps or less $50.00A AA 2 Signature of Su P r. Elec'n__ 201 amps to 400 amps $75.00 _ 2 - - 401 amps to 600 amps $100.00 _ 2 Over 600 amps to 1000 volts, License No.- 213 -Exp.DatP _ see"b"above. Phone No. 7 •Y-9900 -- - 4d.Branch Circuits New,alteration or extension per panel 2b. For owner,installations: a)The fee for branch circuits with purchase of service or Print Owner's Name feeder fee. Address Each branch circuit $5.00 10.00 b)The fee for branch circuits State - Zip__ without purchase c. Phony NO. service or feeder fee. First branch circuit $J5.(x) __-__ 2 The installation is being made on property I own which is not I-ach iddltional branch circuit_ $5.00 --_ 2 intended for sale,lease or i ort. 4e.Miscellaneous (Service or feeder not included) Owner's Signature - - Each pump or Irrigation circle $40.00 _ 2 Each sign or outline lighting $40.00 2 3. Plan Review section (if required):* Signal circult(s)or a limited energy panel,alteration or extension $40.00 2 -- Please check appropriate Item and enter fee In section 5B. Minor Labels(10) $100.00 4 or more residential units In one structure 4f.Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per Inspection $1500 -,--- Classified area or structure containing special occupancy Per hour _ $55 CC -.-_-- as described In N.E C.Chapter 5 In Plant -� $55.00 *Submit 2 sets of plans with application where any of the abnve apply. S. Fees: Not required for temporary construction services. go.Enter total of above fees $ -1-30.000 5%Surcharge(.05 x total fees) $ 136 5- NQT ICS Subtotal $ 5b.Enter 25%of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if rgygirQdd(Sec.3) $ -NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK iS COMMENCED. ❑ Trust Account k $ 136.50 Total balance Due I\D9TSE1 C96 AP:, Ar.q,rM -�--- -----'---__-_.- -� -- --- - - i W V fP A CITY OF TIGARD BUILDING INSPECTION NOTICE • Inspection Line: 639.4175 Business Phone: 639-4171 Footing Rain Drain Cover/Service FINAL Foundation Water Line Ceiling -Plus b� i1 Post/Beam Mech. Shear/Sheath Framing -Me PIbg.Und/Flr/Slab Plbg. Top Out Insulation -Elect Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg • San Sewer Gas Line �Apprr/Sdwlk Reins. l Other: Date: _ A.M. P.M. Entry: Address: tenant:�,� ��k'�`-` Ste: MBU — I Con/Own: MEC: , PLM.� Z ELC: . . .._ THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: _ Y l , I ------------- Inspector. _ ----- - -- Date: ~ �W9 VED -_- DISAPPROVED/CALL FOR REINSP CF CO t A.. r -AWL A� Amok r • "1 ' 1 M1 CITY GF TIGARD DEVELOPMENT SERVICES PLUMBING Pl=RMI 13125 SW Hall Blvd., Tlpard,OR 97223 (503)639-4171 PERMIT SUED: . 1 /_8/97 -01d.: - DATE ISSUED: 01 /28/'77 �r PARCEL: 29101 DD-00702 SITE ADDRESS. . . : 06900 SW 9ANDBURG ST SUBDIVISION. . . . : SALEM FREEWAY SUBD M S T ON ZONING: I—P BL.00K. . . . . . . . . . . LOT. . . . . . . . . . . . . :4 CLASS ALT GARBAGE DISPOSALS. 0 MOBILE HOME SPACES. : 0 TYPE OF USE. . . . :COM WASHING MACH. . . . . . . 0 BACKFLOW PREVNTRS. . : 0 OCCUPANCY GrRP. . :B FLOOR DRAINS. . . . . . : 0 TRAPS. . . . . . . . . . . . . . : er STORIES. . . . . . . . : N WATER HEATERS. . . . . : 1 CATCH BASINS. . . . . . . : 0 ` FIXTURES--_ —_ ------- LAUNDRY TRAYS. . . . . : N SF RAIN DRAINS. . . . . : 0 SINKS. . . . . . . . . . : 0 URINALS. . . . . . . . . . . . 0 GREASE TRAPS. . . . . . . . 2 L..AVATORIES. . . . . : 0 OTHER FIXTURES. . . . : 0 ITUB/SHOWERS. . . . : 0 SEWER LINE (ft ) . . . : 0 WATER CLOSEI S. : 0 WATER L T NE (ft ) . . . : 0 H DISHWASHERS. . . . : 0 RAIN DRAIN (ft) . . . : 0 ,• 1 Remarks . Adding fixture a ' Owner: -------------------------------------------- ------ FEES —___.. __------- I WESTERN FREEZER type amount by date recpt 6991O SW SANDBURG PRMT Is 25. 00 TAT 01/28/97 97—x89605 SPCT $ 1 . 25 TAT 01/28/97 97--289605 TIGARD OR 97223 Phone #: Contractor,; CONTRACTOR NOT ON FILE rhone #: $ 26. 29 TOTAL. Reg #. . . --- --- REQUIRED INSPECTIONS ------- This permit is issued subject to the regulations contained it the Final Inspection Tigard Municipal Code, State of Ore. Specialty Codes and all other applirable laws. All work will be done in accordance with _ approved plans. This permit will empire if Mork is not started within 18@ days of issuance, or if work is suspended for more _ a than 11_IM days. Per-mittee SignatiIre • � I s s li e d B y : Call for, inspection - 639--4175 CITY OF TIIbARD Plumbing Application Recd By_ 13125 SW HALL BLVD. Commercial and Residential Date Recd TI( ARD, OR 97223 Dat"to P F_. — 7- Dale to OST (503) 639-4171 Permit t ,1,(yIQ -0(/,t� j Print Or Type Related SWR t Incomplete or illegible applications will not be accepted called 'A'li1 Name of OevetopmenuProlect FIXTURES URES (Indlvldual) QTY PRICE AMT i fu 1 — Job ,fin l�t,nd �,� f'�v Qrt /t� �QCLM'r' sink — 9.00 Address Street Address Suite Lavatory 9 00 1 1" ,�i (,r Tub or TubiShower Comb ' _ 9.00 3dg t C. State /f Zip Shower Only 9.00 Water Ctosat 9.00 l name / )leen �or-ee�Q y. Dishwasher � I _ 9.00 ' Milner Me"Address Suite Garbage Disposal ( 9.00 dl'J Sad' Washing Machine 9.00 city:8tate Zip—1 Phone Floor Otam Uma q 3 :int-01?1, — 9.ao V 900 r c, ✓V 1 e 9.00 Occupant I Address Suits Water Heater — 9.00 Laundry Room Tray 900 — C,fyralafe Zip Phone Unnal — 9.00 Nano Other FLYtures S 9.00 -- DeufY) or f�,� — -- — 9.00 Contractor Ma Address ��f .�//� suite V — - 9.00 1 S� Ir c.,/ /LJMTr,( l�, -- ---=— ' 9.00 C,tyrSffte Zip -`4''� Ohone -- Orpon:Onst.Cont.Board Lic t Exp.Date 9.00 �a.ar copy 7 34-1 -- 9.00 - Cwteet PhfrtOrnnLic.t Exp D to Sewer-1st 100' Lli:er see OPIs' Sewer•each additional 100' +� - COT"Business Tax or ttlelro t Exp.U e — 25.00 !— Water Service-1st 100' 30.00 IName 'Nater Service-each additional 200' 25.00 AlichRect Storm d Pain Drain-1st 100' 30 OJ or Mail"Address S, to - Sturm d Rain Drain-each additional 100' �:25,)O Mobile Home Space 2!).00 Engineer Zip Phone Commercial Back Flow Prevention Cevice or Anti- 2 L00 Pattution Cevice Describe work `A-w O Addition O Alteration O Repair O Residential Backflow Prevention 09%ce' 15.1.1) to W dome: Ret+diiNttial O von-residential O Any Trap or Waste Not Connected to a Fixture 900 AAOItipRal desatpuon of work Catch Basin 9.00 Insp.Of Existing Plumbing 40 On _ :or/hr sine"use of Sreciatfy Requested Inspersions — 40.00 xrldkq or IMflfferty _ oerihr Rain Crain.single family dwelling 30.00 I Proposed use of Grease Traps - 9.00 ' txdding a property ------ __ QUANTITY TOTAL T� Are Yoe �PPKq. moving or replaang any flxtures7 Yes❑ No,] Isometrx or riser tiagram a reaursa 4 Quanity Total is !S -- IH es see back of form) "SUBTOTAL I heieb�acknowledge that I ha'.e read this application that the information _ given,s aprrect. that I am rJte nwner or authorized agent of the owner.and 5%SURCHARGE �S that Olaha Submitted are in CpmOtiance with Oregon State Laws 319nature of ownenAyent i Date PLAN REVIEW 25% OF SUBTOTAL , ✓�. Qeeulr d only.1 fbWm my,total,s►_3 _ TCTAL iCovin:Person Name Phone 'Minimum Permit fee is S25•561.surrharge.except Residential Backflow _/ 'r //�s✓� �j�[�- Prevention Cevice.which is S15 5%surcharge ] I i:`,dstslplmspp.doc 8198 1 «.r.r�r..�...:.....--...._.,......«.,.._.. .. -. -Now PLEASE COMPLETE AS APPROPRIATEZ2.P� Fixtures to be capped, moved or replaced City Sink Lavatory Tub or Tub/Shower Combination Shower Only Water Closet Dishwasher Garbage Disposal Washing Machine Floor Drain 2" 301 Nater Heater Laundry Room Tray Urinal _ Other Fixtures ;Specify) - M COMMENTS REGARDING ABOVE: ,.,,,g„.,` r - .., ., p..-y,..�..,.�,,,,.. ,_.. ."M1r. ,,. � .... w., ns .<•� .e w. ..y„,,.ys+w.�r.,�. .."1+"eMP�"w...yr v. M60 m-M■ Professional Service industries, Inc. TESTED FOR: BECHTEL NATIONAL INC. PROJECT: Kruse Way/SW Sandburg Attn: .J. Payne Sprint Spectrum Project 6975 SW Sandburg Rd., Suite XV PO 23244003CS0009 Tigard, OR 97223 Inspection Site:Jobsite CORRECTED COPY DATE: December 31, 1996 OUR REPORT NO.: 703-68226-0005 REMARKS: FINAL SUMMARY On the above date a representative of this laboratory was present at the above referenced jobsite to perform visual. inspection for your Kruse Way/SW Sandburg project. j Inspected repair items noted in FSI report dated 12/05/96. i Repaired areas were found to meet the requirements of AWS D1.1--94. Inspector: David J. Griffit% Respectfully submitted, �- iafassnal Se a tries, Inc. Jose 1. )TO-tnsen;7AG`el NDE Services Department Manager JIR/DJG/ebs i cc: E. Joiner, C. James, J. Weston, D. Scott, SPNINT ; , y: 12812 N.E. Marx Street • Portland,OR 97230 • Phone: 503/254-8418 • Fax: 503/252-5608 ,r �w c d ,Freezev Inc. �,,, P.U. E3oz 23249J-1 8900 S.W.Sandburg St.Tigard, (Portland)Oregon 97223 d 503/624.0712 1.600 228-0930 �J1 s{ / 4J FAX 503/6200100 � (t �iJ►�_/ I ^ �A June 24, 1996 Mr. David Scott, P.E. CITY OF TIGARD 13125 SW Hail. Boulevard Tigard, OR 97223 RE: BUP94-0184 AT 06900 SW SANDBURG STREET Dear Mr. Scott: Please cancel or close-out the above refere,.•-ed permit as we decided not to proceed with our project. r ` I apologize for not informing you earlier of this decision. t Sincerely yours, KAgn��C�louser � C E 0 UO1�I� 4 4 �° ....a,,., �' !r wti .rye fir+ a,s*+r,,l"',n�""'1"�"':k9i" '4,�a.;."•r,. .r,ron .r. ..+•. x+.�►�,w�.. .v v,l .pqr yix .....�, eyr►vr. v '�" t• r r• June: 17, 1996 �► J&K PROPERTIES CORP �FCL� CITY OF TIOARD 6t�0 SW SANDBURG RD r�F t+ TIGARD. OR 97'_"_'3 OREGON �y s FINAL NOTICE RE: B UF94-01,1�', Al 06900 S W S A N D B URG ST Permits and inspections required by the Tigard Municipal Code are an impurmnt part of your project. Permits help to ensure that work is dune in compliance with minuntun co.le requirements. Inspections are intended to orutect the occupants of buildings and building owners. On February 1, 1996.you were mailed a letter stating we had no record of any insp•_ti;tions in the prior 180 days on the project authorized for the above noted address. You were advised to please respond in writing if additional time was needed to complete the project.or call the 24-hour inspection re,:order if you were ready to schedule an inspection. As of this date,we have either had no response or an incomplete response from you. As the current property owner of the above project, you are responsible for obtaining the required inspections. The responsibility is yours even if you were not the owner at the time of the original permit. The City would like to work with you to clocP out this project with steps taken to assure that at least minimum code compliance has been achieved. This documentation will be helpful to you and future owners of the property. As stated in the letter dated February 1, 1996,the City may pursue civil enforcement if work has proceeded without inspections or if an unfinished project is outstanding. Your prompt attention to this matter will avoid such action by the City. To correct this situation you have some choices which are noted below. No action on your part to resolve this issue will lead to a NOTICE OF INFRACTION. If you need additional time to complete your project please respond, IN WRITNG,within 15 days. You may request up to 180 days. Please provide the following information: Perndt number,address of property, your name,a day time phone number and the length of additional time you are requesting,including an explanation for the extension. The Citv will notify you ONLY If your extension is NOT granted. It you are ready to schedule your next Inspection please call our 24-hour Inspection Recorder at 6394175 within 15 days. Be orepared to provide the following information! Permit number,address of property,your name, your phone number, and the date you are requesting the inspection(inspection times cannot be guaranteed, but you may request a.m. or p.m.). The City will make every attempt to perform the inspection the same day if J requested by 7:00 a.:r,. However,we are expecting a large increase in inspection requests and cannot guarantee a same day inspection. i IF YOU ARE UNSURE ABOUT WHAT PROJECT THIS LETTER IS REGARDING.OR HAVE ANY QUESTIONS, please contact the Building Division at 639-4171 ext 610(voice mail). To better serve you, i please have the following information: Permit number, address of property, your name and a day time phone number. :6u .` Thank you for your cooperation in this matter. Your prompt attention will avoid the necessity to send you a NOTICE OF INFRACTION. David.Scott- P.E. Building Official § 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 TDD (503) 684-2772 — 1 14 n R :., ... r. r� . J Aim V/ Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # 95-,.A71A7.� Permit # E4c:E-0V70 _ Phone (503) 639.44.71. Date Issued /D /9- ?:b CITY OF TIGARDFAX (503) 684-7297 Issued by TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development NW MEDICAL TEAMS _ _ Number of Inspections per permit allowed — Address 6900 SW SANDBURG RD Service included. horns Cost(On) Sum I City/State/Zip TIGARLI _ 4a. Reeldential•per unit 4 loon wl II or Isas $11000 Name (or name of business) NW MEDICAL TEAMS Each additional 500 aq It or podan Ihere(A _ 9136 00 Commercial E} Residential Limited Energy $2500 11 Each Mam4'd Home or Modular 2 Dwelling Service or Feeder FM 00 _ 2a. Contractor installation only: 4b.!cervices or Feeders Electrical Contractor CHRISTENSON ELECTRIC, INC. Instnuation.aharetan,mrolocaeon 2 tlI 200 amps or lana $8Ll 00 2 Address 1 11 SW COLUMBIA,SUITE 480] 201 amps to 400 amps "o 00 2 Ci PORTLAND c 401 amps to 600 amps $12000 2 City _ State OR Zip 97201-58 F ..01 amps to 1000 amps $18000 2 Phone No. 241-4812 JOB:509-6542 Over 1000 amus orvohs ,.340 011 2 Contractor's License No. 26-34C Reconnect orgy $5000 Contractor's Board Reg. NO- .0045$ 4c. Temporary Services or Feeders FJ \ Installation,aheralron,or relocation 2 Signature of Supr. 200 amps or less $6000 2 License No._U73S PhGt ,3 N o. r — 1 201 amps to 400 amps $7500 2 401 amps to 600 amps $100 n0 Over 600 amps to 1000 Vohs 2b. For owner installations: eais•b•above 4d. Branch Circuits Print Owner's Name _ _ New,aharauon of oxterrsion per penal Address a)The lee for Manch circuits with I City `Y State Zlp purchsse of service or bale,Am, 2 --- Each branch circuit $5 no Phone No. b)The fee for branch circuits wtthoot The installation is being made on property I own which is Purchase of service or boder bo. 2 _ not intended for sale, lease or rent. First branch circuit $9500 2Each addiltonsl branch circuit $6 00 — Owner's Signature 4e. Miscellaneous (Service or feedor not included) 2 t 3. Plan Review section (if required): Fath pump on engation aide $4000 2 i f Fach sign or outline lighting $40 00 ___ Signal circud(s)or a limited energy 2 II Plans*check appropriate item and enter fee in section 5B. pans(alteration or extension 1 $4000 40.00 4 or more residential units in one structure Minor Lamle(10) $10000 Service and feeder 225 ampt or more System over 600 volts nominal 41.Each additional Inspection over Clas:;ified area or stnrcwre containing special occupancy the allowable in any of the above as described in N.E.C. Chapter 5 par inspaotron $3500 Per hour �— $.c5 00 Submit 2 sets of plans with application where any of the above n Plant $5500 apply. Not required for temporary construction services. 5. Fees: So. Enter total of above fees $ NOTICE S 5%Surcharge(05 X total fees) $ Z QIT PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ 7-2.00 AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for � CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(SBC 3) $ A PERIOD OF leo DAYS AT ANY TIME AFTER WORK IS SubroMl $ 42.00 COMMENCED Trust l ccount N $ Balance Due s 42.00 1' ,rm ex+