8405 SW COLONY CREEK COURT ADDRESS:
i'record s\microflm\targets\building.doc
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in APP r,'Sdwlk
Foundation Plbg. Underslab Mech. lough-in Fireplace
Post/Beam Struct. Plbg. Top out Elec. Rough in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation
-Mech.
Underflr. Insul. Shear Wall Gyp. Bd.
-Elect.
Date Requesteo:_� aZ� � Time: AM
Q (� PM
Address: �J `7 G� j
Builder:
permit :
THE FGLl-OWING CORRECTIONS ARE REOUIREL`.
Inspector:
Dater
_APPROVED —DISAPPROVED APPROVED SUBJECT T
O ABOVE
—Call For Reinsp. �_
d � I � A�7
WASHINGTON COUNTY ELECTRICAL PERMIT
Department of Land Use b Transportation
Electrical inspection Section APPLICATION
155 North first Avenue, !1350-12
Hillsboro, Oregon 57124
Information: (503) 640-3470 Fax: (503) 6934412
Permit
Number LIC--q -[�C1.1 CcC Datr+ '"��' ,Please cqniplete all sectioris, I through 5.
-
4. Complete Fee Schedule below
1. Location of Installation Number of InsE ectlone per permitallowed
Address .?lti 001,DAJ'� L Service Included: Items Cost(ea.) Sum
Building A. Residential-per unit
3ity , !.� J() — Suite No.
1000 sq fl.or loss $110.00 _- _ 4
Tenant Name Each additional 500 sq.ft
(it commercial) —_� or portion thereof ____ $25.00
T Limited Energy —.— $25.00 1
Map No. _..� Tax Lot 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 r� 201 amps to 400 amps $90.00 2
401 amps to 600 amps -- $120.00 —_._ 2
2a. Contractor InsteYation only: 601 amps to 1000 amps $190.00 - 2
Ger 1000 amps or volts $340.40 2
IeCtfIC81 Contractor i Rocrnnocl only 0b0.00 2
Address
City State—_ ZIP C. Temporary Services or Feeders
Date Job Number Installation,alteration or relocation
Property Owner_ 230 amps or less -- $50.00 2
Contractor's License No. 201 amps to 400 limps _ $75.00 —__. 2
Contractor's Board .Re No. 401 amps to 600 amps _—_ $100.00 ��_ 2
Reg. ---- --- — 0%or 600 amps to 1000 volts see W above
Signature of Supr. Elec'n — D. i3ranch Circuits
License No. Phone No. Naw,all, ation or extension par panel
a) Th,fee for branch circuits with
purchase of service or feeder lee.
2bj For ow,�e��r�I.n�(s�tallutlon$II:��jj r' Each branch circuit _.._ $5.00 _�_ 2
���r t�tPh6n N j�> � b) Trio fee for branch cirouits without
Pint Owner's me —PFion
W 1 purchase of service or feeder or.)Addr04°
=--- --•-•= Y�= ---=��`--1-- - First branch circuit $35.0(1 _ L 2
_I ' nEach add'nl branch circuit_-- $5.00 _. 2
city tete — p "— E. Miscellaneous (Service or Feeder not included)
Each pump or Irrigation circle $40.00 2
The installation is be`ng ma on property 1 own Each sign or outline lighting —__ $40.00 2
which is not in"d for sa , lease or rent. signal circuil(s)or a limited
energy panel,alteration
Gwner's Signature _-_ - —�___ �,_ or extension $40.00 2
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 $
�Systanl over 600 volts nominal A. Enter total of above fees
Classified area or structure containing special 5% Surcharge (05 X Iotal 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 (Sect,)n 3) $ — --
above apply. Not required for temporary construction Subtotal $
services. ❑ Trust Account $
Balance DL a $ -3
For Inspections call This permit become*null and void if the work authorized by she permit Is not commenced
640-3561 or 693-4415 within tae days lrodate of lesuenre of n.ch permit a If IM wort authorized is
suspended or•Lm andoned at any time atter work b oommenoed for a period•d 1110 doye.
24-hour recorder, one working .fay In advance of need Electrical Permits are iron-refundable end non tranalwable.
eta
CITY OF TIGARD — RECEIPT OF PAYMENT RECEIPT NO. s95—r—_67135
CHECK AMOUNT t 36. 75
NAME s ATWOOD$ R. E. CASH AMOUNT r 0. 00
ADDRES t L4405 SW COLONY CREEK COURT PAYMENT DATF a e6/22/95
TIGARD, OR SUBDIVISION
97224--
PURPOSE OF PAYMENT AMOUNT PAID PURrORE OF PAYMENT AMOUNT PAID
Ej.7iRICAL. PERWF—, 9:f BLI I.LD PER 1 . 7.5
Aq05 SW COLONY CREEK COURT
-10if-11- AMOUNT PAID 36. 75