Permit CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
Location l (SCO TE,� ' 2 i T raA 1S Suite MEC
Contact Person `` Ph PLM
Contractor V PG 2 P_e Ph 65V SWR " ��
BUILDING Tenant/Owner f P al ,Y,v LC J` 2 -c u. / '1
Retaining Wall ELR
Footing
Foundation NOT REQUESTED FPS
Ftg Drain FOUND DURING RESEARCH SGN
Slab
Crawl Drain NO INSPECTION(S) FOUND IN FILE ql - J
Post & Beam 9- O 1 SIT
Ext Sheath /Shear � /7 , lh /� J�
Int Sheath /Shear /
Framing G EC l //,/ /i/ -) �f lr fi GoC7 D,�I hey. 74 ( lS
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling /BMW - • `
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab ����
Top Out RED
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
P P ART FAIL
ECTRICAZ
S erves
Rough In
UG /Slab
Low Voltage
Fire Alarm
,1►
PASS PART FAIL
SITE
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect no access
ADA //
Approach /Sidewalk Date (� -EZ Inspe �ta — Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
f
AA CITY OF TIGARD ELECTRICAL PERMIT
.fidoi 1 DEVELOPMENT SERVICES PERMIT #: ELC98 -0444
" '� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 08 / 03 / 98
PARCEL: 2S103CA -04800
SITE ADDRESS...: 11560 SW TERRACE TRAILS DR
SUBDIVISION •TERRRACE TRAILS ZONING:R -4.5
BLOCK • LOT •004 JURISDICTION: TIG
Project Description : Installation of 200 amp or less service /feeder.
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS • 0 0 — 200 amp • 0 PUMP /IRRIGATION • 0
EACH ADD'L 500SF...: 0 201 — 400 amp • 0 SIGN /OUT LINE LTG..: 0
LIMITED ENERGY • 0 401 — 600 amp • 0 SIGNAL /PANEL : 0
MANE. HM/ SVC /FDR..: 0 601 +amps -1000 volts.: 0 MINOR LABEL (10)...: 0
- - -- SERVICE /FEEDER - - -- - - -- BRANCH CIRCUITS -- -ADD'L INSPECTIONS-- -
0 — 200 amp • 1 W /SERVICE OR FEEDER: 0 PER INSPECTION • 0
201 — 400 amp • 0 1st W/0 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 SVC /FDR >= 225 AMPS..: CLASS AREA /SPEC OCC•:
Owner: FEES
RALPH KNIPE type amount by date recpt
11560 SW TERRACE TRAIL PRMT $ 60.00 DEB 08/03/98 98- 307917
TIGARD OR 97223 5PCT $ 3.00 DEB 08/03/98 98- 307917
Phone #:
Contractor:
JPC ELECTRICAL SERVICES INC $ 63.00 TOTAL
4120 SE INTERNATIONAL WY
STE A -107 REQUIRED INSPECTIONS
MILWAUKIE OR 97222 Elect'l Service
Phone #: 654 -3325 Elect'l Final
Reg #..: 001255
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon 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 180
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 Utility Notification Center. Those.r. es are set forth in OAR 952-001 ',% roug NR 952 -001 -1987. You may obtain a copy
of these rules or direct questions to 11 j/1 g: 1 I ,
Permittee Signature: I i .,i /w� Issued:
.6.04.444_
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 INSTALL TION ONLY
SIGNATURE OF SUPR. ELEC' N : jel,Q -. Je te-rt, DATE:
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + ++ + + + + + ++
503 - 654 -2772 JPC ELECTRIC 888 P02 AUG 03 '98 10:59
CITY OUIGARD Electrical Permit Application Plan Ch
13125 SW HALL BLVD. Recd BILA -
Date Rec'd 3 - X
TIGARD OR 97223 ' Date to P.E. "
Phone (503) 639 -4171, x304 e D ate to DST ' �'
Inspection (503) 639 -4175 Print or Typ
Fax (503) 684 -7297
Incomplete or Illegible will not be tad Per
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
___
Name (or name of business) gam tr-h (2 Service Included: Items Cost Sum
Address I I 5(a o ..," 4a. Residential -per unit •
1000 sq. ft or leas $110.00 4
City/State/Zip tilorAcP 90,0A:23 Each eddtional 500 sq, ft, or
T portion thereof $25. 1
Commercial ❑ Residentialk( Limited Energy $ 25 . 00
Each Manul'd Home or Modular
Dwelling Service or Feeder $06.00 2
2a. Contractor Installation only: 4b. Services or Feeders
(Attach copy of all c rent Ilcen6: s) Installation, alteration, 0�
�• ∎ - t I or relocation
• Electrical Contractor 200 amps or less _i_ $90.00 (00• 2
Address ' _ O • • ' '' ' 201 amps to 400 amps $80.00 2
City ' _ . a. _ ' State OR Zip • 1 l ' 401 amps to 600 arnpe $120.00 2
Phone No. S ' - 334'5 601 amps to 1000 amps $180.00 2
Job No. 1 i 061 Over 1000 amps or volts $340.00 2
Reconnect onry $50.00 2
Elec. Cont. Lice. No. :3- 4.74c. Exp.Date I 0 4 1- S
OR State CCB Reg. No. I .255 9 Exp.Date l 0. 9 8 4c. Temporary Services or Feeders
COT Business Tax or Metro No. 51 9 Q Exp.Date jD' 1-9$ Installation, alteration, or relocation
200 amps or less $50.00 2
Signature of Supr. 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._ 4 I 8 Exp.Date see "b° above.
Phone No. dp S4 " 3:367-5 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.
Each branch circuit $5.00 2
Address b) The lee for branch circuits
City State Zip . without purchase of
Phone No. service or feeder fee.
First branch circuit $35.00 2
The installation Is being made on property I own which is not Each additional branch circuit $5.00 2
intended for sale, lease or rent. 4e. Miscellaneous
(Service or leader 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 circuit(s) or a limited energy
panel, alteration or extension $40.00 , 2
Minor Labels (10) $ 100 . 00
Please check appropriate Item and enter fee In section 5B.
4 or more residential units In one structure 4f. Each additional inspection over
Service end feeder 225 amps or more the allowable In any of the above
System over 600 volts nominal Per Inspection $35.00 .
Classified area or structure containing special occupancy Per hour $55.00
as described in N.E.C. Chapter 5 In Plant $55.00
* Submit 2 seta of plans with application where any of the above apply. 5. Fees: tea"
Not required for temporary construction services. 5e. Enter total of above tees $ 3 tau
5% Surcharge (.05 X total fees) $
NO Subtotal $
56. Enter 25% of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (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 Trust Account If (�. J
TIME AFTER WORK IS COMMENCED. i
Tot balance Due ,
r:\DST5‘ELC9L'APP Rev 59e