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11200 SW ERROL STREET N O O m X m 0 r cn X m m s 11200 SW ERROL STREET CITY OF TIGARD 24-Hour BUILDING Inspection (503)639-4175 INSPECTION DIVISION Busines 24-H/ (503)639-4171 MST _ / /- BUP _ Received DateRequested �_ AM____PM _— BUP Location C-U v Suite— —� MEC _--_ Contact Person __ Ph(__j ___ — PLM Contractor_ Ph( ) v SWR -_- BUILDING Tenant/I!en � '/,�C — �l / ELC a;��`6o� - Footing Foundation Access: ELC Ftg Drain 1p ELR Crawl Drain ------_" -- Slab Inspection Notes: SIT - Post'�Beam Shear Anchors -- Ext Sheath/Shear Int Sheath/Shear Framir g —_ Insulation Drywall Nailing --- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Root Other. - - — - Final ASS PART__FAIL 'PLUMBING Post R Beam- -- —J------A — Under Slab Rough-In Water Service Sanitary Sewer Rain Drains Catch Basin/ elanhole Storm Drain ------ ----- Shower Pan Other. - ----- --- -- -----�_.-� Final _ PASS_PART FAIL MECHANICAL Post&Beam - Rough-In ----`_-_-- Gas Line Smoke Dampers Final PASS PART_ FAIL ---- ELECTRICAL ------------ Service t�y Rough-In ' 1 --- ---- UG/Slab ______-_-------------- Low Voltage Fire m PASS PART FAIL Reinspection fee of - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. _ Please call for reinspection FSE:—_--._-_ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Data Inspe `'or ��% _ j��---- _ x Other: Final - DO NOT REMOVE this inspection record from the job site. PASS PART FAIL T" O� �'���� _--, ELECTRICAL PERMIT T PERMIT#: ELC2004-00372 DEVELOPMENT SERVICES DATE ISSUED: 6/23/2004 13125 SW Hall Blvd.,Ticiard, OR 97223 (503) 639-4171 PARCEL: 2S103AD-00502 SITE ADDRE)b: '1200 SW ERROL ST SUBDIVISION: ZONING: R-45 BI_:it;K: LOT : 010 JURISDICTION: TIG Project Description: Wire for hot tub. RESIDENTIAL UNIT _ TEMP SRVCiFEEDERS MISCELLANEOUS_ 1000 SF OR LESS: - 0 - 200 an:p: PUMP/IRRIGATION: EACH ADD'L 500SF: 20 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+amps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: 1 W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 0 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLAN : 601 - 1000 amp: PLAN RE�,EW_SEC_TION 1000+amp/volt: - >=4 RES UNITS: >600 VOLT NOMINAL: Reconnect only: SVCIFOR—225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: KATHY VIMEELER OREGON ELECTRIC CONST/GROUP 8438 S W 42ND AVE 1010 SE 11 TH AVE PORTLAND, OR 97219 PORTLAND, OR 97214 Phone: 503-598-1004 Phone: 503.•234-9900 Reg #: LIC 203 - SUP 4460S FEES ELE 20-9SC Description Date Amount Required Inspections I I I.PRMTj CLC Pennit 6/23/2004 $80.30 - (TAX]8%State Surcharge 6/23/2004 $6 42 Eleet'I Service _ Elect'I Final Total $86.72 This Permit is issued sub+Rct to the regulations contained in the Tigard Municipal Code,State of OR 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 roves adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503) 2,19-6699 or0-'3 -23 Issued ; 1 Permit Signature: OWNER INSTALL.ArON ONLY The installation is being made on property I own which is not intendeo for sale, lease, or rent. OWNER'S SIGNATURE: _ �___—._ DATE: CONTRACTOR INSTALLATION ONLY y�V SIGNATURE OF SUPR. ELEC'N: __- __ DATE: LICENSE NO: .,------ ---- -- - - - - ------- _ .— - -- Call 639-4175 by 7:00pm for an inspection the ner,t business day JUN-1F 01 :33PM FROM-Oregon Electric Est!matinc 5032313587 T-020 P 00 /002 F-588 Wei Cal AJU LIL• • r'liy xif..Yard il Date/Aea Pc:mitNo., r,/' �DO�sQp.�7 13"%SW Hull Blvd.,Tigard,OR 97223 flan Rcv(cw Phone: 503.639.4171 Fax: 903.598,1960 Datc/gv OtlatPcrmle Inspection line: 503.639.4175 Date Kcady/By" 1 El See rsgt z for Internet www,ci,ttgard.or.us Nonficd/Method: -T/CA I Supplemental information TYPE OF WORK - --- - PLAN RLVIEW ❑New eonWuetion ®Addition/alteration/replacemcnt Please check all that apply: ❑Demolition C3 tJthcr: [O3ervice over 225 ami ❑Haz amps,eomn urdous location ❑Service over 320 amps-rating ❑Buildng ever 10,000 sq.ft., _ CA,TX(;ORY OF CONSTRUCTION of i-and 2-family dwellings 4 or mom new residential ® I-and 2-family dwelling ❑Commercial/Industrial ❑Accessory building ❑System over 600 volts nominal units in one structure ❑Multi-ramily ©Master builder ❑Other: []Building over three stones []Feeders,400 amps or more ❑Occupant load over 99 persons ❑Manufaciweil sinicaires or JOB SITE INFORMATION AND LOCATION i ❑ESressRl8hnn8 plan RV park Job no.:79408 Job site address: 11200 SW Errol St ❑Health-are facility ❑Othrr:_ Submit.1 sets ofplans with any of the above. City/State/,Z1P:Tigard,Olt 97123 The above are not applicable to temporary construction service. Suite/bldg./apt.no,: Project nein:Kathy Whechr FEE' SCI ILDULE Description 51117, Mea. 1Toul Cross street/dlreerione to job site: New residential singio-lir mull;-family dwelling unit. --- — includes attached garage. _ 1,000 sq,(t,or less 145.15 4 Subdivision: Lot no.: Et.adcI 1500 sq.fl.or punion 33.40 1 limited energy,resider-fel 75,00 2 Ta,c map/parcel no.: Limited energy,non•residennal 75.00 ? DESCRIPTION OF WORK — Each manufactured or modular Wire for hot tub dwelling,service and/or feeder 90,90 2 Services or feeders Installation,alteration,and/or relocation 200 amps or leas 80.30 - 2 ❑ PROPERTY OWNVR ❑ TENANT 201 amps to 400 amps 106.85 2 _�/L 401 amps to 600 umps 160.60 2 Name: �L!/(i 601 ams to 1,000 amps 240.60 Z Address: � � lj(/ L��/?/j Over 1,000 amps or volts 454,65 2 Reconnect only 66.85 1Z CitylStetrJLIP: Tcmpurnry services ur feeders installation,alteration,and/or relocation Phone ( `J ���� Fax:( ) 200 amps or Iess 66.8- 1 Ownur installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 600 amps 133.75 2 Owner signature, Date: _ _ __ !;ranch circuits-now,alttradon,or extension,per panel ❑ APPLICANT [j CONTACT PERSON A Fee(lit branch cimuiu with service or feeder ft,c,each 6,65 2 Business name: branch circuit Contact name: B.I-a fbr branch circuits — without-service or feeder fee, 46,85 2 each branch circuil Address: --_ Each add',branch circuit 6.65 2 City/State/ZiP: Miscellaneous(service ar feeder not included Pu or irrigation circle 53,40 2 Phone'( ) ` _- Fax' '( _ ) Sir or outline li Ming 53.40 i 2 E-mail: Signal circuits)or limited- CONTRAC"rOR energy panel,altcranon,or - - - Busincss name:Oregon Electric Group extension,Describe Page 2 2 AddrCss:10110 SE 11th.Ave Each additional Inspection over allowable in any of the above Per inspection 42.50 Ciry/Srate/ZIP:Portland,OR 97214 r Invrsu Non hour 1 nr nun) 6Z 5U Phone:(503)533-26.12- _ Far.(503)231-3587 Industrial plant pct hour 73.75 ELt t-MICAL PERMIT FEES' CCB Lica 203 Electrical l.ic.: c St . Lic 4460. _ --- subtotal Suprv. Electrician signature,requited: Plan rcvica(25%of prrrnil fee) �( State surcharge(814 of permit feel � � Print name: lY1l�ZK r�1�N _ ate: 6!1 — �_i TOTAL PERMIT FEE Authorized signan:re: �� C�/� This permit application expires it a permit If set obwined nitldn I80 days after It has been acceprca as cornplett Print natnc: /�jV ,e. �f�l�T Datc: 6118/04 i res melhodoloq set by Tri-Cormw Btdlditut industry Service Board ••Number of inspections pct penwt allowed. 1I4uI1dbtetNlms%%LC•ParmkAppdoc :LO Uo."iST(ioffiWCOMAM