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Permit 7=17 DAT: ICCUE.E; 104/01nC - CITY OF TIGARD COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503)639.4171 I 7 o 7:A ROE! 2C112Dr• 17 1 21 Ci C:77 Ar,,"=Cf" c TIGA2D INDU3 Pr;RV.. Z3NIN3I-L 2,2scisripti:n. EEcTR:onL o:r1)Iczo 70R NEW OCNSTRUCTIO - IND3TRIAL 12'7E -2:3IDENTIAL -7.717 CRV2/7E2D --MISCELLANEOUS-- — 11,70 flf '2 L1. 203 jp/:r:o(Tio. ADD'L 522SF... 0 201 - .40/0 np. '. SIGN/OUT !IN: LTS..: LIMITED ENERCY—.... :0C amp.......: MANF. HM: SVC/FDR..g 0 501,7ps-1000 vans.: - • nr7.1nr..:Cs..; f7 T ;7.1 • 7. • L.. r77 - 200 amp--; 5 W/CERVICE 02 F pEn iNs27cT:oN..... o o - 402 - El 2 2 2 2 C vo OR Fn2. •; 1 PEr o 401 -- 500 1 En :IDD' L 2RNol! CIRO; 0 IN - _ 7TE" 21777I'7 . • 1C00-: amplyclt...... 2 >=• RES UNITS... ..... 2 > 500 VOLT NONINAL., C ow7./77.m 225 nmrs.,: cLqcs NT= typ2 S4 72ND ! PFMT 20E0.00 04/01/0 96-2771c) PLCK 7,15.00 _Tr-: 04/01P .277410 77 on cr7224 3PCT 0T ..TM:-; •__ C IT2 :LECTRIC CO, INC. 27. 2; TOTAL 12210 N.:. AIRPCRT WAY !.!il PECUIRED INSPECTIONS OflTLMD 72:0 E s cc t c_ 5-25:-)428 Wc flc El I Finsli rcL — 40742 • issd 5 t the regulatic:3 cc7tairied ir, the Ti;L n7.icipa: de, Rea: c Cie. ciany c:; all ether P ,:,..tot Sign t Lir 7.: applicatie f-)2: 1:e dune ir. Lcm apwc ant plas. This perz it epir if 1 ;1; art ei :1ETS :f issuEzce, if s::.spezdcc! f:r CU2 than IssucL: 3 • . - ins is 51.1 p': 1 C, intc C'="C ATURE,: - - INSTALLATION 01' - - — - - 2'7NATUR7 07 SUPR. ELEC'N, DAT , Cc, 1 1 fcsi- ins,sectiGn - :,30-4175 t Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. [r p Tigard, OR 97223 Permit #.L.0 76,--- ©/ T / ,��� l ,� Date Issued 03/.2V 7 / 2 .� �1 Phone (503) 639 -4171 _.41. FAX (503) 684 -7297 CITY OF TIGARD - TDD No. (503) 684 -2772 Inspection (503) 639 -4175 1. Job Address: '/ 4. Complete Fee Schedule Below: Name of Development N 1 k t . / 7:/i f /� /u Number of Inspections per permit allowed Address / 64) -7 _ Aid Service included: Items Cost(ea) Sum City /State /Zip /i f said OR 97 2-1 V 4a. Residential - per unit 1000 sq. ft. or less $110.00 4 Name (or name of business) it 7 p /eels Each additional 500 sq. ft. or portion thereof $25.00 Commercial Er Residential ❑ Limited Energy $25.00 1 Each Manurd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: 4b. Services or Feeders ( dr / �' Installatm, alteration, or relocation Electrical Contractor 1 �f_ � .�' 200 amps 5 or less $60$60.00 � 300 2 Address /2"6/ t:- 19 jonh27 W l4 201 amps to 400 amps v $80.00 i (o u 2 Cit P 4 I State t 2- t ip 9' 0 401 amps to 600 amps $120.00 1 2-6 2 y � � 601 amps to 1000 amps $180.00 Phone No. So 3 - / 2SS 94'88 Over 1000 amps or volts - , ( $340.00 $o 2 Job NO. 96- �W Reconnect only $50.00 2 contractor's license NO. 14- 4'96 C: 4c. Temporary Services or Feeders Contractor's Board Reg. No. 77 Installation, alteration, or relocation 2 Signature of Supr. Elec'n 200 amps or less 2 License No. ,2865 Phone No. ?.,SS -950(1f 201 amps to 400 amps $50.00 401 amps to 600 amps $75.00 2 / Over 600 amps to 1000 volts $100.00 . 2b. For owner installations: see "b" above. 4d. Branch Circuits Print Owner's Name New, alteration or extension per pane Address a) The fee for branch circuits with purchase of service or feeder fee. 2 City State Zip Each branch circuit J /o2- $5.00 febo Phone No. b) The fee for branch circuits without The installation is being made on property I own which is purchase of service or feeder fee. 2 not intended for sale, lease or rent. First branch circuit $35.00 Each additional branch circuit $5.00 Owner's Signature 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or irrigation circle $40.00 2 Each sign or outline lighting $40.00 Signal circuit(s) or a limited energy 2 Please check appropriate item and enter fee in section 5B. panel, alteration or extension $40.00 4 or more residential units in one structure Minor Labels (10) $100.00 j. Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional inspection over Classified area or structure containing special occupancy the allowable in any of the above as described in N.E.C. Chapter 5 Per inspection $35.00 Per hour $55.00 In Plant $55.00 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: 5a. Enter total of above fees $ Z C /Q 0 NOTICE 5% Surcharge (.05 X total fees) $ - 3 PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ 2;1 5b. Enter 25% of line A for AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $ 5/5' A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ 2 7 R COMMENCED. word1comdeNeleo ❑ Trust Account # $ prm.app Balance Due $67 8 CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639 -4175 Business Phone: 639 -4171 Footing Rain Drain Cove Service FINAL: Foundation Water Line Ceiling - Plumb. Post/Beam Mech. Shear /Sheath Framing -Mech. PIbg.Und/FIr /Slab Plbg. Top Out Insulation - Elect. Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg. San. Sewer Gas Line 1 Appr /Sdwlk Reins. 4 Other: 5 S 7.- Date: f7-3 9 A.M. P.M. J try: Address: _ , o 7i ._ Tenant: 1 - Ste: MST: r BUP: Con /Own: ..... FJ ' MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: r fr / c e- e l . / . _,, z_o. r. f �� F/ G7 e1--401 t /� 1 Inspector: -- Ni ( e" lia e/ ` gt.,, j J Date:,' "`2 3 • - APPROVED _ DISAPPROVED /CALL FOR REINSP. CF C • Fi'\-' CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639 -4175 Business Phone: 639 -4171 Footing Rain Drain ov /Service FINAL: Foundation Water Line Ceiling - Plumb. Post/Beam Mech. Shear /Sheath Framing -Mech. PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect. Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr /Sdwlk � Reins. Other: 1 5 & ^/ r / ; Date: J !M L 9 4o A.M. P.M. Entry: Address: 7a-- znd 4-0--e----• Tenant: _ 'AL—A.—A.A.— Ste: MST: Con /Own: • _ C_} MEC: PLM: 9' ` Tcr ELC: � THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: G � V L CQ ( Lc—) cs-1t t C ''C r, ! t. c.... 4.2-er -c-s il 54 - . - ,.. 2 r`es e 7, r - -...ef) Inspector: // f — _ 7 i 4 Date:fr /?' APPROVED _ DISAPPROVED /CALL FOR REINSP. CF CO ft9, /S 7 G CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639 -4175 Business Phone: 639 -4171 Footing Rain Drain ove Service FINAL: Foundation Water Line Ceiling - Plumb. Post/Beam Mech. Shear /Sheath Framing -Mech. PIbg.Und/FIr /Slab Plbg. Top Out Insulation - Elect. Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr /Sdwlk Reins. Other: I Date: 5! 3? G 5 to A.M. X P.M. Entry: Address: `— t – 2 Z Tenant: Ste: MST: BUP: Con /Own: MEC: PLM: ELC. THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: C _'Q // 4 - CM r/ -e i ---- r'� (( r �� ( .. r Inspector , n y t ` _ - 1 I , Al Date: � '�3/� X APPROVED DISAPPROVED /CALL FOR REINSP. CF CO , l\ y VA CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639 -4175 Business Phone: 639 -4171 Footing Rain Drain Cover /Service FINAL: Foundation Water Line Ceiling - Plumb. Post/Beam Mech. Shear /Sheath Framing -Mech. PIbg.Und /FIr /Slab Plbg. Top Out Insulation Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr /Sdwlk Reins. Other: / j ( / Date: Co / / (./ A.M. P.M. Entry: Address: l 5 7 l) S 7 Tenant: Ste: MST: BUP: Con /Own: o-Q ( T ' MEC: PLM: _ ELC: `Z- O L£Si THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: 57 G 7 /c! 'r CJ - r :-P fa Inspector: // i - r At, Date: 6--6 APPROVED DISAPPROVED /CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639 -4175 Business Phone: 639 -4171 Footing Rain Drain Cover /Service FINAL: Foundation Water Line Ceiling - Plumb. Post/Beam Mech. Shear /Sheath Framing -Mech. PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect. Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr /Sdwlk Reins. Other: C� / Date:66 7 [ C— A.M. P.M. Entry: Address: J 5 7 S cJ 7_ Tenant: fl i `(--r Ste: MST: BUP: Con /Own: MEC: ELM: 4/ / ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: ' C ^ r Inspector:/ !, c 447 Q ( /') u 1 APPROVED _ DISAPPROVED/CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639 -4175 Business Phone: 639 -4171 Footing Rain Drain - ove . Service FINAL: Foundation Water Line Ceiling - Plumb. Post/Beam Mech. Shear /Sheath Framing -Mech. PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect. Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr /Sdwlk Reins. Other: / ( T � Date: 51/ (9 A.M. P.M. Entry: Address: 7 U /I .i` Tenant: �y�/ Ste: MST: S c f (4d 0 BUP: Con /Own: .5 MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: 4iC ( / ./ ) 7/ Ld rn a.01 . = - Inspector: d�i"C [ —1 I -Q ( ,C eC ' APPROVED _ DISAPPROVED /CALL FOR REINSP. CF CO F& CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639 -4175 Business Phone: 639 -4171 Footing Rain Drain •over /Service FINAL: Foundation Water Line Ceiling - Plumb. Post/Beam Mech. Shear /Sheath Framing -Mech. PIbg.Und/FIr /Slab Plbg. Top Out Insulation - Elect. Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr /Sdwlk Reins. Other: / Date: /2_'5 (9 A.M. P.M. Ent : Address: 1111 666 ) S7 0 ,j 7 b Tenant: Ste: MST: BU P: Con /Own: er ' MEC: 05 pX PLM: V ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: / /Pc-- ' 6 {� ( 5 rCi c l° ey /a e- j- J IA,c1"n C'elt, ( L ea ff c.e)e,.er- -- C - 20c -fir ozi" -- a / e {__Y yfil Inspector ! _ `aP-e ( A qrf Date: 4 // ' 6 )( APPROVED _ DISAPPROVED /CALL FOR REINSP. CF CO 17)4" CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639 -4175 Business Phone: 639 -4171 Footing Rain Drain Cove , k1W il FINAL: Foundation Water Line Ceiling - Plumb. Post/Beam Mech. Shear /Sheath Framing -Mech. PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect. Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr /Sdwlk Reins. Other: Date: 2,3 L C I ( P A.M. P.M. Entry: Address: / 7) S _ Tenant: Ste: MST: BUP: Con /Own: MEC: gl L PLM: T� ' ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: Inspector: Date: *a_3/�� _APPROVED DISAPPROVED /CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639 -4175 Business Phone: 639 -4171 Footing Rain Drain ov- /Service FINAL: Foundation Water Line Ceiling - Plumb. Post/Beam Mech. Shear /Sheath Framing -Mech. PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect. Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr /Sdwlk Reins. Other: /� 6e9--'0-e/LI 0.4eq, Date: rL A.M. P.M. E Address: __/____ 7 ) . 7 4 Z L -' Tenant: Ste: MST: BUP: Con /Own: ��. ► MEC: PLM: ELC: 4q THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: .z:-/ f j _,c:p /. Z jjet51 (.7....4:::::) C/ 'e (--- yi e r -- 2 - e__, .c-f c A - ' : lc s Inspector. ' .et'1 / /eu n"QI Date:g APPROVED _ DISAPPROVED /CALL FOR REINSP. CF CO .ri CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639 -4175 Business Phone: 639 -4171 Footing Rain Drain Cover /Service FINAL: Foundation Water Line Ceiling - Plumb. Post/Beam Mech. . Shear /Sheath Framing -Mech. PIbg.Und /FIr /Slab Plbg. Top Out Insulation Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr /Sdwlk Reins. • Other: Date: C G 1 Cp A.M. P.M. Entry: Address: / . 7 U j 7 D- 11L(l-, Tenant: •,, Ste: MST: C BUP: Con /Own: ' = MEC: `PLC: � — /MSIESi THE FOLLOWING CORRECTIONS ARE REQUIRED: ELF 0 9 y f e60.4-, �� -0306 42-- R Cf6:1-0( 38 ce- L1-11 'N -( (58 cF Inspector: C ( ` Date:4 ° L % APPROVED DISAPPROVED /CALL FOR REINSP. 4110 CO CZ 55 • 03 � S� - Chic C I L Ma, ifest. 3 gi■ 4 /110 •