9295 SW ELECTRIC STREET 1
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CITY OF TIGARD BUILDING I?V.SI"FCTION DIVISION
24-1-lour Inspection Linc: 6394175 Efusiness Phonc: 6394171
Date Requested 4 ' 1 p.. ,i. P.M. MST:
Location: � 7 �Y� L K� _ — ----- BUR
Tenant: Suite: Bldg: _ MEC:_
Contractor _Phone: 4�Lr�— 73C�S PLM:
�y
Owner.`— LA I 0 J Phone: EI . / +�
—7.' 39 F.LR: 7
BUILDING BLDG(con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Pc,st/Beam Cover/Service newer/Storm
Footing Roof UndFI/Slab Rough-In Ceiling Water Line
Slat Framing Top Out Gas line Rough-In UG Sprinkler
Foundation Insulation Sewer Hood/Dict Reconnect Vault
Bsmt Damp Drywall Storm Furnar x Temp Service MISC.
Masonry Ceiling ` Rain Drain A/C UG Slab
Shear/Sheath Fire Spkir/AIm Xrawl/Found Dr Heat Pwnptc w Vrrt ? _
approved Approved Approvedppmved Approved
ApprlSdwlk Not Approved Not Approved Not Approved ttoved Not Approved
FINAL FINAL FINAL FINAIFINAL
C]Call for remspectio Reinspection fee of S required before next inspection O Unable to inspect
Inspector. -- — --------- Date; / _ L _ page—--Of
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CITY OF TELECTRICPL PERMIT
,.� DEVELOPMENT SERVICES PERMIT #: EL..C:97-0416
13125 SW Hall Blvd., Tiqard,OR 97223 (503)639.4171 DATE ISSUED: 06/27/97
PARCEL.: 2S 1 O2AR-0,300
SITE ADDRESS. . . :09295 SW ELECTRIC; S'f #B
SUBDIVISION. . . . -ELECTRIC ADD. TO TIGARDVIL;_E 2 ZONING:CBD
BLOCK. . . . . . . . . . . L.CH.. . . . . . . . . . . . . :5-6 JURISDICTION: T I G
,''ro•jert P.eacr•iption : add signal circuit/lioited energy panel, alteration or
e�`ansion
------------------------------------------------------------------------------
--RESIDENTIAL UNI T---- ----TEMP SRVC/F'EEDER S- __-- -.------MISCELLANEOUS--- .. -
1000 SF OR LEMS. . . . : 0 0 - 2:00 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L 5O0SF. . . : 0 201 - 400 amp. . . . . . . . 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401. --- 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 1.
MANF. Fill/ SVC/FDR. . : 0 601+armps-1.000 volt:s. : 0 MINOR LABEL. ( 10) . . . : 0
-------SERV ICE/FEEDER-••--- ----BRANCH CIRCUITS-----. ------AI)D' L INSPECTIONS—-
0
NSPECTIONS•---
0 - 200 amp. . . . . . : 0 W/SERVICE" OR FEEDER: 0 PER INSPEC,rION. . .. . . : 0
201 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADD' I_.. BFRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
C�O1 - 1.400 AM p. : Qr ------------------PLAN REVIEW SECT I
1.000+ amp/v o 1 i. . . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect, only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: __.-__-______.______..__.____.__._ ___._....__..___._....__._--_._--____-- FEES
BTTTERoo-r FOREST PRODUCT type m01.int by date recpt
9295 SW ELECTRIC STREET PRMT $ 40. 00 GEO 06/27/97 97--296547
UNIT B 5F='C T 00 GEO 06/27/97 97-296547
TIGARD OR 97223
Phone #:
CHR I STENSON ELECTRIC INC $ 42. 00 TOTAL_
111 SW COLUMBIA
STF_ 480 ------- REDUIRE:D TNSPEC:TIONS -----
PORTLAND OR 9720t Ceiling Cover Elect' 1 Final
Phone #: 241 -4H1 _' Elect' ) Service
Reg #. . : 000004This pertit is issued subject to the reyulations 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 pewit will expire if work is lot started within 188
days of issuance, or, if work is suspended for tore than 180 days. ATTENTION: Crregon law requires you to follow the rules adopted by
th- Oragon Utility Notification Center. Those rules are set forth in OAR 952481-0019 through OAP 952-881-1987. You say obtain a copy
of these rules or direct questions to OX by calling ( 3)246-1987.
Pol'MIttee Si gnatiir'e : Iss,.ied P �"-"-
--_----------------•---__._-_-.._.OWNER INSTALLnTION ONLY-- __---
The installation is being_ made on pr-olierty I own which is not intended for,
sale, lease, at, rent.
OWNF R' S SIGNATURE: _ - DATE:------------- INSTALLATION
INSTALLATION C1NL_Y--------- -- ---- __._
SIGNATURE OF SUPR. EL.EC' N: _ ` _.� DATE: G_ -TT _
LICENSE NO:
-----.--__..__...__.._._._
+++++++++++fi-++++++++++++++++i+++++++++++-I +++++-' i•+++4++++++++++4•++++++++++ + ++++
F,:32-4175
4++++++++++++++++++++++++++++++4++++++++++++4 +++++++++++++++++++++++++++++++++-+
CITY OF TIGARD Electrical Permit Applicat;on Plan Check k
13125 SW HALL BLVD. Recd By _
Date Rec'd___
TIGARD OR 97223
Date to P.E.
Phone (503)639-4171, x304 Print or Type Date to DST
Inspection (503) 639-417.5 Incomplete or illegible will not be accepted Permit t1 i� _-C� 61
Fax (503) 684-7297 Called_
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development____ Number of Inspections per permit allowed
Name(or name of business) SITTEROOT FOREST PRODUCT. Service included: Items Cost Sum
Address 9295B SW ELECTRIC ST 4a. Residential-per unit
City/State/Zip, TIGARD OR 1000 sq.ft.or less $110.00
Each additional 500 sq ft or
CornmerciaK❑ Residential❑ portion thereof $25.00 __ 1
Limited Energy $25.00
Each Manuf'd Home or Modular
2a. Contractor installation only: I Dwelling Service or Feeder $68.00
(Attach copy oftI current')Nc es) 4b.Services or Feeders
Electrical Contractor HRISTLNSXN ELECTRIC, INC. Install Oion,alteration,or relocation
Address
III1 S.W. CUXR -9 200 amps or less $60.00 _ 2
201 amps to 400 amps V $80.00 2
City PORTLAND State OR� _Zip__97201-5886 401 amps to 600 amps $120.00 _ 2
Phone No. 503-241-4812 � 601 amps to 1000 amps � $180.00 _ 2
Job No. 504-4034 Over 1000 amps or volts $040.00 2
Elec.Coni Lice. No. _26-34C Exp.Date__ ___ Reconnect only $50.00 2
_- -- -
OR State CCB Reg. No._ 0045R __Exp Date_ _ 4c.Temporary Services or Feeders
COT Business Tax or Metro No. 5246 Exp.Date _ Installation,alteration,or relocation
c j 200 amps or less $50.00
Signature of Supr:Etec'r. �i-:.`�._ n. t n , 201 amps to 400 amps - $75.00
401 amps to 600 amps $100.00 _
Over 600 amps to 1000 volts,
License No. 873S `Exp.Date _- see"b"above.
Phone No._ 50I-241--4B12 _ 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 Namefeeder lee.
Address_ _ Each branch circuit $5.00 _
City _,• Stale, Zip _ b)The fee for branch circuits
without purchase of
Phone No. I Service or feeder tee.
First branch circuit $35.00
The Installation is being made on property I own which is not I Each additional branch circuit_ $5.00
intended for sale,lease or rent. 4e.Miscellaneous
Owner's Signature Each pump oar Irrigaer tf n circle
included)
$40.00
Each sign or outline lighting $40.00
3. Plan Review section (it required): Signal circult(s)or a itmited energy
panel,alteration or extension 1 $40.00 14n.
_-_
Please check appropriate item and enter fee in section 58. Minor Labels(10) $100.00
4 or more residential units in one structure 4f.Each additional Inspection over
Service and 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 sets of plans with application where Rny of the above apply. 5. Fees: 40.
Not required for temporary construction services. 5a.Enter total of above fees $
bl/.Surcharge(.05 X total fees) $ -2�--_-.
NOTICE Subtotal $ 47 -
5b.Enter 25%of line Be for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan,Review if r •(Sec.d) ---
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Sut-.119 $ -- ---
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Tr, ,Account# _
Total balance Due s -717
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