Permit A .
CITY OF TIGARD MASTER PERMIT
/,,, ,, DEVELOPMENT SERVICES PERMIT # • MST97 -0232
"t- l'j DATE ISSUED: 07 /03/97
J. 1 " � .. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 25111CA -00200
SITE ADDRESS...:09650 SW SATTLER ST
SUBDIVISION •ALDERBROOK FARM ZONING: R -7
BLOCK LOT •12 JURISDICTION: TIG
Remarks: Adding a carport to an existing house. .
BUILDING
REISSUE: STORIES • 1 FLOOR AREAS — BASEMENT...: 8 sf REQUIRED SETBACKS— REQUIRED
CLASS OF WORK.:OTR HEIGHT • 12 FIRST 0 sf GARAGE • 248 sf LEFT • 45 SMOKE DETECTRS:
TYPE OF USE...:SF FLOOR LOAD • 58 SECOND...: 0 sf FRONT • 80 PARKING SPACES: 0
TYPE OF CONST.:5N DWELLING UNITS: 8 FINBSMENT: 0 sf RIGHT : 40
OCCUPANCY GRP.:R3 BDRN: 0 BATH: 0 TOTAL 0 sf VALUE..$: REAR : 0
PLUMBING
SINKS : 0 WATER CLOSETS.: 0 FAS(ING MACH..: 0 LAUNDRY TRAYS.: 0 RAIN DRAIN ft: 0 TRAPS • 0
LAVATORIES • 0 DISHWASHERS...: 0 FLOOR DRAINS..: 0 SEWER LINE ft: 0 SF RAIN DRAINS: 1 CATCH BASINS..: 0
TUB /SHOWERS...: 0 GARBAGE DISP..: 0 WATER HEATERS.: 0 WATER LINE ft: 0 BCKFLW PREVNTR: 0 GREASE TRAPS..: 8
OTHER FIXTURES: 0
MECHANICAL
FUEL TYPES ---- FURN ( 180K ..: 0 BOIL /CMP ( 3HP: 0 VENT FANS • 0 CLOTHES DRYERS: 0
FURN ) =100K ..: 0 UNIT HEATERS..: 0 HOODS • 0 OTHER UNITS...: 0
MAX IMP.: 0 BTU FLOOR FURNACES: 0 VENTS • 0 WOODSTOVES • 0 GAS OUTLETS...: 0
— — - ---- -- ELECTRICAL --
- RESIDENTIAL UNIT— — SERVICE /FEEDER -- —TEMP SRVC /FEEDERS— — BRANCH CIRCUITS -- --- MISCELLANEOUS — — ADD'L INSPECTIONS -
1m SF OR LESS: 0 0 - 200 alp..: 0 0 - 280 alp..: 0 W /SVC OR FDR..: 0 PUMP /IRRIGATION: 0 PER INSPECTION: 0
EA ADD'L 500SF.: 0 201 - 480 alp..: 0 201 - 480 alp..: 0 1st W/O SVC /FDR: 0 SIGN /OUT LIN LT: 0 PER HOUR • 8
LIMITED ENERGY.: 0 401 - 600 alp..: 0 401 - 608 alp..: 0 EA ADDL BR CIR: 0 SIGNAL /PANEL...: 0 IN PLANT • 8
NANF HM /SVC /FDR: 0 601 - 1w amp.: 0 601 +amps- 1m v: 0 MINOR LABEL -10: 0
1000+ amp /volt.: 0 PLAN REVIEW SECTION
Reconnect only.: 0 )=4 RES UNITS..: SVC /FDR) =225 A.: ) 680 V NOMINAL: CLS ARER /SPC OCC:
- - - -- ELECTRICAL - RESTRICTED ENERGY — - —
A. SF RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO.: VACUUM SYSTEM..: AUDIO & STEREO.: FIRE ALARM • INTERCOM /PAGING: OUTDOOR LNDSC LT:
BURGLAR ALARM..: 0TH: :: BOILER • HVAC LAPDSCAPE /IRRIG: PROTECTIVE SIGNL:
GARAGE OPENER..: CLOCK INSTRUMENTATION: MEDICAL • OTHR: ..
HVAC DATA /TELE COMM.: NURSE CALLS TOTAL it SYSTEMS: 0
Owner: -- Contractor: - TOTAL FEES:$ 147.96
MARK FAHEY KRAPER KONSTRUCTION CO This permit is subject to the regulations contained in the
9650 SW SATTLER ST 638 SW CHERRY PK RD Tigard Municipal Code, State of Ore. Specialty Codes and all
TIGARD OR 97224 PORTLAND OR 97060 other applicable laws. All work will be done in accordance
with approved plans. This permit will expire if work is
Phone 0: 624 -1614 Phone 0: 236 -4071 not started within 180 days of issuance, or if the work is
Reg 0..: =+'w suspended for more than 180 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 -0810 through OAR 9 1 -0080. You may obtain copies of these rules or
direct questions to OUNC by calling (503)246 -1987.
--- - -- REQUIRED INSPECTIONS - — —
Erosion Contol
Footing Insp
Framing Insp
Rain drain Insp
Building Final
Issued By: „Abwa _ Permittee Signature:'_,,' -4-_.
+ + + + + + + ++ + 0 ++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 6.,9 -4175 by .00 p.m. for an inspection needed he next business day
Plan Check* 0 , 4 , 1 2
OF T1G ARRD Residential Building Permit Application Recd By A_. •
125 SW HALL BLVD. New Construction Additions or Alterations Date Recd - -/P
.BARD, OR 97223 Single Family Detached or Attached (Duplex) . Date to P.E. (o
503 -639 -4171 Date to DST 6-30- Q 7
603 684 - 7297 Permit S �"1/
. _ _ . Print or Type Called X039 ? 54)$
Incomplete or illegible applications will not be accepted '"s
Name of Proiect .. - _ _ _ Name •
Job FM i P- e51061v6- Bog 5G+i•vr
Address Site Address
Architect Mailing Address
sue. se 1)N15tod'
6 1 1( 0 2 S6.1 5PrT(I.t9c- ST T. City /State - - Zip Phone
Name Po[LTt.AvO 11201. 235
litkV.k f 0424S A NE•4 Name
Owner Mailing Address
9060 s W SA T7t. e S E n r neer Mailing Address
City/State Zip Phone g�
T1644210 OR `I122 ( eel - , l(e14
Name City /State Zip . Phone
General on Kgmegli4zAivaL, lecNstiw tjA) DeScrfbe worts New O Addition X Alteration 0 Repair 0
Contractor Address to be done:
.
(e38 SLJ cot :v- -Y {/4C (i/kio - - : Additional Description of Work:
- - City/State - Zip • Phone -- -- PttT b - T O Si:
T�- o�A(,E 910 leo 1l-'t31 9
Oregon Const Cont. Board Lio.# Exp.. Date •
%t4ach Copy of 3Gb'•71 2 , - 91
Current COT Business Tax ortroi Exp. Date PROJECT •_ .
Licenses 0000 t 3 - Co - `I S VALUATION $ - 8 t oo()
Name
lechanical -- - -- -• • -• -- • ----- -- •--- -- - • :ANEW CONSTRUCTION ONLY:
Sub - Mailing Address Sq. Ft. House Sq. Ft. Garage
•;ontractor - Corner Lot YES NO Flag Lot YES NO
--- City /State Zip - Phone (check one) (check one) .. -
Oregon Const Con. Board Um* Exp. Date Restricted Audio/Stereo Burglar .
coach Copy of Energy ' • "System - Alarm
current COT Business Tax or Metro* Exp. Date Installation Garage Door HVAC
_icenses
Name • Opener _ Systems
(check all that Other.
Numbing apply) •
Sub - Mailing Address Will the electrical subcontractor wire for all ' YES NO
(:ontractor restricted energy installations? .
Has the Subdivision Plat recorded? N/A YES NO
City/State Zip I Phone
Oregon Const Cont. Board Lns I Exp. Date Reissue of MST#: Solar Compliance
mach Copy of (Calculation Attached) .
Current Plumoing Lin is Exp. Date I hearby acknowledge that I have read this application, that the
Licenses - - -- • -
COT Business Tax or Metro Exp. Oate information given is correct, that I am the owner or authorized
agent of the owner, and that plans submitted are in compliance
Name with Oregon State laws.
Sign re Owner A ent Date
Electrical I` 4 1
Sub- Mailing Address Contact Person Name _ . Phone #
•;ontractor . 1 5 + rTL • - 215.8 .F25
C.tyiState Zip Phone }� FOR ,�( O � y F , FIICE ( USE ONLY:
P TI(Gtuxl (QJ 4. rl.1ffw Map/TL#:
Oregon Const Cont. Board Lic.s Exp. Date Z� I /IC A ')
Attach Copy of Seth a s: Zone Sol
Current E!eancal L c_ S Exp. Date 0 - _- 1
Licenses Engineer Approv Planning Approval: T F:
COT Business Tax or Metro $ Exp. Date �J N
PREMDLDOC (DST) 5/97
rermit tt -- Acct. Descri pion COT = �
WACO Amount Amt. Pd. r / Bal. Due —'
MST. Permit (BUILD) (UBUILDD S' 1/ (p�• V '� �'
c t.• / ci...-
Plumb. Permit (PLUMB) (UPLUMB) 36. 30
Mech. Permit (MECH) (UMECH)
ELC/ELR Permit = (ELPRMT) (UELPMT) / -
State Tax . . . / ( T A X ) TAX) • (UTAX) ' ;3 v - 5' ` J - , 57) -'7 BLDG: - g �/ 3 - -�! - -
_ PLUMB: - . /. ,�) V -- -
MECH: .- - .. . . . -
ELC/ELR: - : - - - -- -
-- -Plan Check — -- — -- - _ -- _. _ -- - -
.
MST: . (BUPPLN) (UBUPLN) • ` 1' S • - 54 / - .
Plumb: (PLUMB) • - (UPLUMB) ._.
Mech:
__ -- - - — — (MECPLN) _ .( UMEPLN) - - - -- - - - - - 7-7,-7-- --.----- _ - - ---
COC Review (BUILD) (CDCBLD) -' _ (UCDC)
COC Review (PIN) .tC (CDCPLN) ~') ';"i_N /A
Sewer Cannon (SWUSA) ( U.SWUSA) `-
Reimbur. District ( . ) ___ (._..__ _• )
Sewer Inspection .:,!-'• (SWINSP) (USWINS) _ Parks Dev Charge (PKSDC) N/A
Residential TIF - - - - (TIF -R)- -- - - (UTIF -R) -_- _ _ - . -- .. - -._ _ -.- .. - . -- -- - - - -- --
Mass Transit T1F (TIF-MT)'-r _ (UTIF -M) _ • -
Water Quality (WQUAL) . (UWQUAL) -
.- Water Quantity - -` .-- (WQUANT) (UWQANT) —
Erosion Control Prmt (ERPRMT) (UERPMT)
Erosion Planck/USA (ERPLN) (UERPLN) /
Erosion Planck/COT (EROSN) (UEROSN) •
- - . . 4 i
Fire Life Safety ( UFLS) '
TOTALS: - /`77. Ali //r `' ` 3/ S�
I:SFREMDLDOC (DST) 6/97
•
• DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON . LAND DEVELOPMENT SERVICES DIVISION
® -�/ 155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY, i , INSPECTION REQUESTS: 503/640- 3561/693 -4415
Wr OREGON
XXXXXXXXX - -> 640 -34'70
• Page : 1 �f 1
Date : 05/05/95
Time : 10:37
Permit Type : Residential Electrical Permit Permit # : 05067085
Permit Status : APPROVED • Applied : 05/01/95
Situs Address : 9650 SW SATTLER ST TT Issued : 05/01/95
Permit Title : SFR - ELEC /SERVICE & 6 CKTS • Completed :
Permit Descr.. : WIRE NEW BATHROOM & ADD 60A SUB PANEL. To Expire : 10/28/95
Project Title : SFR -.5 CIRCUITS Project # : P0048127
•
Project Descr. : * EROSION *
•
Parcel Number : 251'1'1 - Land Use District :
Valuation • U
Legal Descr. . • • •
Owner V : INSPECTION - TIGARD - Construction : OTH
Applicant Name : PHOENIX ELECTRIC Classification : 900
Applicant Addr. : PO BOX 1432 _ Occupancy : R3
TUALATIN, OR 97062 Validated by : KKP
Applicant Phone: 692 -5882 inspector Area : D
Fee description Units Fee /Unit Ext fee Data
Service /Feeder:200 amps or-less 1 60.00 60.00
Each Branch W/ Feeder [Enter #1 6 5.•00 30.00
Subtotal Electrical Fees: • V 90.00
State.Surcharge of 5% • 4.50
Total Electrical Fees: 94.50
* ** Fees Required * ** * ** Fees Collected & Credits * **
•
•
Method Check # Receipt No. . Date Payment
'DEP' 05/01/95 94.50
•
Fees: 94.50 •
•
Adjustments: .00 • Total Credits: .00
•
Total Fees:, • 94_.50 Total Payments: 94.50
Balance Due: - .00
•
•
•
•
•
•
•
NOTICE: This permit becomes null "and void if the work or construction for which it is issued is not commenced within 180 days. Once construction has started,
' the permit becomes null and void If construction is interrupted for a period of 180 days. I certify that the information presented by the applicant and
his agent or agents in support of this permit is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance
upon false and misleading information may invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use
' of this building or structure will be complied with whether or not specified on the plans or noted on the plans correction sheets. I acknowledge that
the granting of a permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of
the structure or building permitted depends upon my calling for inspections at various times during the process of construction and the building
inspection staff verifying compliance with the various codes. Use or occupancy of the building or structure permitted prior to approval by the
Building Department is solely at the risk of the applicant and such use or occupancy Is revocable until all Inspection requirements are satisfied and
approval is given by the Building Official. I further acknowledge that a lien may be placed on the title of the property upon which the permit is Issued
specifying that the use or occupancy of the building or structure Is provisional and revocable until the satisfaction of all Inspection requirements.
APPUCANT'S SIGNATURE
•
•
. ' WASHINGTON COUNTY
Department of Land Use & Transportation ELECTRICAL PERMIT
Electrical Inspection Section
155 North First Avenue, #350 -12 APPLICATION
1 Hillsboro, Oregon 97124
Information: (503) 640 -3470 Fax: (503) 693 -4412
Permit �� n Sr� //
PLEASE PRINT - .. . Number C (� Date l
Please complete all sections; 1 throu 5.
4. Complete Fee Schedule below
Number of Inspections per permit allowed
1, LOCat�Qn of installation
Address \- 1U) � l O S -J-.Th Sr 4\\ 54- Service included: Items Cost(ea.) Sum
Building A. Residential - per unit
City j • Suite No.
1000 sq. ft. or less $110.00 4
Tenant Name Each additional 500 sq. ft
(if commercial) or portion thereof $25.00
Limited Energy $25.00 1
Map No. Tax Lot Each Manuf d Home or Modular
Dwelling Service or Feeder $68.00 2
Th omas Map Book: Page: Section:
Directions ■ ,...‘1 -e- r-P ) ha. 'c r C .rA B. Services or Feeders
O■c l (t � _A� 'P N\._. Installation, alterations or relocation 1 �, f)
Commercial 200 amps or less $60.00 62 • 2
n Residential 201 amps to 400 amps $80.00 2
401 amps to 600 amps $120.00 2
2a. Contractor • • stallation o : 601 amps to 1000 amps $180.00 2
Over 1000 amps or volts $340.00 2
Electrical C ntractor % A ■ Reconnect only $50.00 2
Address i3. n , t cDNc VA ?)
City Ti \c.A -;- State ')r ZIP a C. Temporary Services or Feeders
Date Job Number '0., \ 1..7 Installation, alteration or relocation
Property Owner N`c-, - \h, c c..1/4\-\ (rJa� - \L\ 200 amps or less $50.00 2
Contractor's License No. 3 - g.C, 201 amps to 400 amps $75.00 2
Contractor's Board Reg. No. �� 401 amps to 600 amps $100.00 2
C Over 600 amps to 1000 volts see 'B' above
Signature of Supr. Elec ' , D. Branch Circuits
License No. Phone No. lo9a Saga.. New, alteration or extension per panel
a) The fee for branch circuits with
2b. For owner installations: purchase of service or feed fee.
Each branch circuit $5.00 �O 2 J
b) The fee for branch circuits without
Print Owner's Name Phone No. purchase of service or feeder fee.
Address First branch circuit $35.00 2
Each add'nl branch circuit $5.00 2
City State Zip E. Miscellaneous (Service or Feeder not included)
Each pump or irrigation circle $40.00 2 ( )
The installation is being made on property I own Each sign or outline lighting $40.00 2
which is not intended for sale, lease or rent. Signal circuit(s) or a limited
energy panel, alteration
Owner's Signature or extension $40.00 2 'q
F. Each additional inspection over the allowable
in any of the above
3. Plan Review section (if required) Per inspection $35.00
Per hour $55.00
Please check appropriate Item and enter fee In section 5B. In Plant $55.00
4 or more residential units in one structure 5. Fees
Service and feeder, 800 amps or more 90
System over 600 volts nominal A. Enter total of above fees $
Classified area or structure containing special 5% Surcharge (.05 X total fees) $ 1. f-) --_
occupancy as described in N.E.C. Chapter 5 Subtotal $ -J
B. Enter 25% of line A for
c
Submit 2 sets of plans with application where any of the Plan Review if required (Section 3) $
above apply. Not required for temporary construction b : tal $
'services. /2 Trust Account $ Gy.Sa
lance Due $ , _
For inspections call This permit becomes null and void if the work authorized by the permit is not commenced
640 -3561 or 693-4415 within 180 days from date of issuance of such permit or if the work authorized b
suspended or abandoned at any time after work is commenced for a period of 180 days.
24 -hour recorder, one working day in advance of need Electrical Permits are non - refundable and non - transferable.
8/94
•
•
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350 -12
155 NORTH FIRST, HILLSBORO, OR 97124
111 11141p C OUNTY , PHONE: 503/640 -3470
OREGON INSPECTION REQUESTS (24 hours): 503/640 -3561 or 693 -4415
Permit #: 05.0 6 0i5 Project n. P0048127 Status APPROVED Pac;e 1 2
Appiie:'! .05/01/95 Issu•e_? : 05/01/95 Exp.i:res . 10/28/95 06/05/95 0E ClI
W ESELEC
Perrn t, Title SFR - ELEC /SERVICE & 6 C.KTS OT:H
Description WIRE NEW BATHROOM & ADD 60A SUB PANEL Began: CL /(1=x,''93
Jc,b Address 9650 SW SATTLER ST T I •
0wrier Name INSPECTION - TIGARD Region O
Applicant Name : PHOENIX ELECTRIC
Phone Plumber 692 -5882 Valuation: 0 Appr.ov_d _
Inspector Comments:
•
•
REQUEST 2 .ERR(.. !
•
•
Plumbing : _ _..._-_..
M e c h a n i c a l : _
________
-:_ t: ac_• t r a .1 . _ .__,._._ _ _ _ _...__________, _ _ ___ _ . _.. _._._.__ w_.. __- ___
General
Inspected. gay `� ate . 26 r. 9 /4
Ins c,tion Requested:
pa/it
-
* Final Electrical 0499
DN
06/05/95 Y .itlIVf 34-247C .
•
.
f .x DEPARTMENT OF LAND USE & TRANSPORTATION
Aim. . W ASHINGTON 15 DIVISION
155 NORTH FIRST, HILLSBORO, OR97 4
COUNT N I . INSPECTION REQUESTS: 503 /640- 3561/693 -4415
, V OREGON xxxxxxxxx - -> 640-3470 -
Page : 1 of 1
. • Date 03/08/95
Time : 13:39
Permit Type : Residential Electrical Permit' Permit # : 05064831
Permit Status : APPROVED Applied : 03/08/95
Situs Address : 9650 SW SATTLER ST TI Issued ': 03/08/95
Permit Title SFR - 5 CIRCUITS' Completed :
Permit Descr. : . • , To Expire : 09/04/95
Project Title : SFR - 5 CIRCUITS Project # : P0048127
Project Descr. : * EROSION *
Parcel Number : 2S1TI - Land Use District :
Valuation 0• •._ ••
Legal Descr. •
• Owner : INSPECTION - TIGARD • ' Construction : OTH
Applicant Name : FAHEY, MARK & CHRIS - Classification : 900
Applicant Addr.: 9650 SW SATTLER ST Occupancy •
• TIGARD, OR 97224 Validated by : JS
Applicant Phone: 624 -1614 Inspector Area
Fee description . Units Fee /Unit:. Ext fee Data
•
1st Branch W /out Feeder [Enter *J. 1 35.00 35.00
•
Addl. Branch W /out Feeder [Enter #J 4 5.00 20,00
Subtotal Electrical Fees: 55.00
-State Surcharge of 5% 2,75
•
Total Electrical Fees: 57.75
* ** , Fees Required * ** * ** Fees Collected & Credits * **
•
Method Cheek # Receipt No. Date Payment
• CK 1634 03/08/95 57.75
TOTAL THIS DATE * * * * * * * ** 57,75
Fees: • 57.75
Adjustments: .00 Total Credits: .00'_
Total Fees: 57.75 Total Payments: .57,75 •
Balance Due: .00
,NOTICE: This permit becomes null and void if the work or construction for which It is issued is not commenced within 180 days. Once construction has started,
the permit becomes null and void if construction is interrupted for a period of 180 days. I certify that the Information presented by the applicant and
his agent or agents in support of this permit is true and correct to the best of our knowledge. I acknowledge that the Building Department's reliance
• upon false and misleading information may invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use
of this building or structure will be complied with whether or not specified on the plans or noted on the plans correction sheets. I acknowledge that
the grantihg of a permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of
. the structure or building permitted depends upon my calling for inspections at various times during the process of construction and the building •
inspection staff verifying compliance with the various codes. Use or occupancy of the building or structure permitted prior to approval by the
Building Department is solely at the risk of the applicant and such use or occupancy Is revocable until all inspection requirements are satisfied and
approval is given by the Building Official. I further acknowledge that a lien may be placed on the title of the property upon which the permit is issued
specifying that the use or occupancy of the building or structure is provisional and revocable unti the satisfaction of all inspection(egpirements.
•
Q , • APPUCANTS SIGNATUR
•
t,,.1 ( 1
ELECTRICAL PER
loink M IT
Department of Land Use & Transportation
Electrical Inspection Section
155 North APPLICATION
155 Nortrt h First Avenue, #350 -12
Hillsboro, Oregon 97124
Information: (503) 640 -3470 Fax: (503) 693 -4412 permit g,
PLEASE PRINT • Number � ' �� Date '3- a c' t
Please complete all sections 1 through 5.
P � 9 4. Complete Fee Schedule below
1: Location of instalion Number of inspections per permit allowed
lat
Address i( '3 ) SgHI 1 S+ Service included: Items Cost(ea.) Sum
.,--- Building • VA
A. Residential - per unit
City 1 jeri,/r 060( Suite No. 1
Tenant Ne ^ 1000 sq. ft. or less $110.00 4
T
T c Each additional 500 sq. ft
(if 7 or portion thereof $25.00
! C7 / f e(✓ Limited Energy $25.00 1
Map No. Tax Li Each Manuf'd Home or Modular
' \ Dwelling Service or Feeder $68.00 2
Thomas Map Book: Page: Section:
Directions B. Services or Feeders
Installation, alterations or relocation
200 amps or less $60.00 2
Commercial ❑ Residential 201 amps to 400 amps $80.00 2
401 amps to 600 amps $120.00 2
2a. Contractor installation only: 601 amps to 1000 amps $180.00 2
y Over 1000 amps or volts $340.00 2
Electrical Contractor Reconnect only $50.00 2
Address
City State ZIP C. Temporary Services or Feeders
Date Job Number Installation, alteration or relocation
Property Owner 200 amps or less $50.00 2
Contractor's License No. 201 amps to 400 amps $75.00 2
Contractor's Board Reg. No. Over 600 amps 000 volts see 'B' above 2
Signature of Supr. Elec'n D. Branch Circuits
License No. Phone No. New, alteration or extension per panel
a) The fee for branch circuits with
2b.. or er installations: purchase of service or feeder fee.
. Each branch circuit $5.00 2
VT bU' 1 S FGt 1/1 .f . 6 3 -( ` /('15t b) The fee for branch circuits without
Pri t SD s rye j c -f ,, , v( hone No, purchase of service or feeder fee.
(Q l ` �" T ' First branch circuit 1_ $35.00 2
Adress
i CL v A K � c 72 . Each add'nl branch circuit_) $5.00 2
City tate ip E. Miscellaneous (Service or Feeder not included)
Each pump or irrigation circle $40.00 2
The installation is being made on property I own Each sign or outline lighting $40.00 2
which is not '- en. -d for sale, lease or rent. Signal circuit(s) or a limited
energy panel, alteration
Owner s Signature ' �� • _ _ _ = or extension $40.00 2
st•� I , irtfr my
• F. Each additional inspection over the allowable
in any of the above
3. Plan Review section (if required) Per inspection $35.00
Per hour $55.00
Please check appropriate item and enter fee In section 5B. In Plant $55.00
4 or more residential units in one structure
Service and feeder, 800 amps or more 5. Fees
System over 600 volts nominal A. Enter total of above fees $
Classified area or structure containing special 5% Surcharge (.05 X total fees) $
occupancy as described in N.E.C. Chapter 5 . Subtotal $
B. Enter 25% of line A for
Submit 2 sets of plans with application where any of the Plan Review if required (Section 3) $
above apply. Not required for temporary construction Subtotal $
'services. ❑ Trust Account $
Balance Due $
For inspections call This permit becomes null and void if the work authorized by the permit is not commenced
640 - 3561 or 693 -4415 within 180 days from date of Issuance of such permit or if the work authorized is
suspended or abandoned at any time after work is commenced for a period of 180 days.
24 -hour recorder, one working day in advance of need Electrical Permits are non - refundable and non- transferable.
8/94
1 4
DEPARTMENT OF LAND USE & TRANSPORTATION
LAND DEVELOPMENT SERVICES DIVISION #350-12
40 WASHINGTON
COUNTY,
OREGON 155 NORTH FIRST, HILLSBORO, OR 97124
PHONE: 503/640-3470
INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
Permit #: 0506708S Project #: P0048127 Status : APPROVED Page 1 of 1
Applied : 05/01/95 Issued : 05/01/95 Expires : 10/28/95 05/04/95 05:01
RESELEC
Permit Title : SFR - ELEC/SERVICE & 6 CKTS 0TH
Description : WIRE NEW BATHROOM & ADD 60A SUB PANEL Begun:03/08/95
Job Address : 9650 SW SATTLER ST ¶'I
Owner Name : INSPECTION - TIGARD Region D
Applicant Name : PHOENIX ELECTRIC
Phone number : 692-5882 Valuation: 0 Approved
Inspector Comments: Rejected .
IVR-RESULT
. _
' REQUEST ERROR!
'LC ,S kL
Plumbing :
Mechanical:
Electrical:
•
Structrual:
•
General :
Inspected by: Date: 5 —
Inspection Requested:
* Final Electrical • _
• AP ON 6i;)
05/04/95 RI. RI IVR 34-247C
T
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TY OF TIGARD BUI DING INSPECTION DIVISION (f .
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1( 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 ms-Fri— O k gge
Date Requested: J (9//4' K A.M. P.M. MST: C T ��
Location: / (p 3 Q f-Q , -) BUP:
Tenant: g : ' - _ Suite: /� Bldg: MEC:
Contractor: ��_`' o ne: ( % �" Q PLM:
Owner: 4 6 C Phone: Co '� 4- 6 6/ ELC:
ELR: _
SIT:
BUILDING 1 o on't) PLUMBING MECHANICAL ELECTRICAL SITE
Site • . ll. • : Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Iii: ej7 UndFl/Slab Rough -In Ceiling Water Line
Slab n aming Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling . i11ffl A/C UG Slab
Shear /Sheath Fire Spklr /Alm Craw Dr Heat Pump Low Volt
Appr v �pp'i°`� Approved Approved Approved
Appr /Sdwlk o oved Not Approved Not Approved Not Approved Not Approved
L� 1 F FINAL FINAL FINAL
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VAST q 0 23 2 C - ..4 b - -2-- v 6" Qa-c
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0 Call for reinspection 0 Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: \\ \' Date: I Page of