9355 SW JULIA PLACE-1 w'
x,
..kr
i
it a
i
1
r
r ,
" ���,�.� �� `� � c •
t
t
a ' y. - V �r t�t68 P
a a
Pfa '
CITY OF TIGARD BUILDING INSPECTION NOTICE
r Inspection Line: 639 4175 Business Phone 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb
.
Post/Bear, i, Shear/Sheath Fuming -Meeh,
A �µ
Plbg.Und&;r;o;ab Pibg, Top Out Insulation Elect.
Post/Beam Struct, Mech. Rough-in Gyp. Bd. -Bldy
San. Sewer Gas Line Appr/Sdwlk Reins.
:� �� to•
Other
4a �
Date: =_ — A.M. E_
Address: — 3 W t,..t
�1r
Y NOyfy� .
Tenant:
�1
--- Ste: MST:
BJP:
Con/Own: �:.d-[�x_�-y MEC
_
:
6, - (:o (J �
PLM:
EI_C:fe� ta",r�I�
THE FOLLOWING CORRECTIONS ARE REQUIRED: EI-R:
a• r
y c"
Inspector: ! : '! + r�7 _�L.L�Y Date: �.;
APPROVED —DISAPPROVED/CALL FOR REINSP. (,CF CO
+
e
�r
,-irl,
r ELECTRICAL PERMIT r
CITY CF TIGARD !"'LETT #: EPERM -Q�f,:�1
COM161UNITY DEVELOPMENT DEPARTMENT
DATE ISSUED: 09/30/9, �
13125.3W Hall 81,d.Tigani,Oregon 97223.8199 (503)C 9.4171 PfIPCC L ; ; a1 14Ai3 -1`900
" _"I TE ADDr%`:,5. . . : k a ••::;: _11 ';.._.:i i';
r` GUBDI l IOION. . . . a F,NEELAND ESTATES NO. w ZONING:R
BLOCK LOT. . . . . . . . . . . . . 1108
Pr^ojeut Description: circuits.
_._.._.RESIDENTIAL UNIT..---- ----TEMP ERVC/FEEDERS----W- ------hi TSCELLANEOUS---- k a
1000 SF ON LESS. . , . : 0 0 - 200 am1 . . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L 501Z1SF. . . : 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTC. . : 0
t_IMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : -I 27614AL 'PANLL. . . . . . . .. 0
MANE. HM/ SV.... FDR. . : 0 601+amps--1000 volts. 0 MINOR LABEL ( 10) . . . a 0
_-- -;iERVICE/FEEDER---- .- -_- -..-BR()NCH CIRCUITS-__._.._.- ---ADD' L INSPECTIONS -
0 w00 �-imp. . . . . . : 0 W/SERVIC:E OR FEEDER: 0 PER INSKCTION. . . . . : 0
201 400 amp. . . . . . : 121 1st W/O SRVC OR FDR. : 1 PE rt HOUR. . . . . . . . . . . . 171
40.1 - 600 amp. . . . . . : 0 EA—ADD' LMBRKICH CIRC: 0 IN PLANT. . . . . . . . . . . a 0 r
++ 601 _ 1000 amp. . . . . .. 1ZI --p LAN REVIEW SECT IGN- -_._.___--_._—_..
9 1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
rer_onnect only. . . . . : 0 SVC/!-T)R > - 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: -- _._____._._...._,_____ ___,___.._.__..______.____.._____._.________ FEET
JOHN SHERMAN type amnunt by date recpt
9355 SW JULIA PL PRMT $ 35. 0.10 CJS 01-'_2'0/96 96-284507
5PC,T $ 1. 75 CJS 09/301/13r, 96--2845017
T I CARD OR 972213
Phone #:
Contr-actor
PHOENIX ELECTRIC CO 36. 73 TOTAL
7379 SW TEC.11 CENTCR DR. )
--- -� -_ REQUIRED INSPECTIONS)
_.__....
71C3AR') OR 97L:23 Wall Cover- Fle t' 1 sinal
i Phone #: 503-684-3600 Eler_t' ] Ser^vice
r21P A
Rc�y i#. . . ��
j
J {
?pis permit is issued subject to the regulations contained in the
Aard Municipal Code, State of Ore. Specialty Cedes and all other Perm i tee Si i it U e
applicable laws. A11 work will be dope in accordance with
i
approved plans. This hermit will exr,ire if work is not started /� �" ►
within 130 days of issuance, or if riork is �-ispsnded for more
than 180 days. I s;s u eft Dy
• OWNER INSTALLATION bIVL_Y-•-------
The• installation is; being made on pr-oper-ty I own which ie, rot intended for
sale, lease, or rent, i
G!4NER' S S I GNATURL: —�_ _ _ __. DATE:
.. -CONTRnCT01.1 INSTALI-ATION ONL_Y__......._...._.._..___.....___.___. _...._... _._
S;UNATURE 01 SUPR. ELEiC' N: A _ — _ DATE:
1_.I L 7-.N5E NO:
Call for inspection - 639--417
FILM
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Permit #
Date Issued . -3C' cls
Phone (503) 639-4171
FAX (503) 664-7297
CITY OF TIOARD TDD No. (503) 684-2772
Inspection (503) 539-417'
7. Jab Address:
4. Complete Fee Schedule Below:
Numbcs of Inspections per permit ailowod
Name of Development--���� �► JOU r7—--
$ervice included Items Cost(eta) Sum
Address— _
4a. Residentle! -per unit 4
City/State/Zip. Lv cQ — $110.00 _
1000 sq. ft or I s
Each additional 500,q N.or
J� <� $25.00 V
Narne (cr name of business)_ _ portion thereof —_ $2500 _ 1
Limited Energy
Commercial ❑ Residential Farh Manurd Floma or Modular
Dwelling Service or Feeder 2
$68,00 _
2a. Contractor installation only: 4b. Services or Feeders
* InstaAation,alteration,or relocation l
I�/ 200 amps or less $60.00 2
Electrical Contractor 201 amps to 400 amps $60.00 2
r O LV +- 7 -��— Amps 5120 U0
tddres- 13� i �w \_ { 401 amps l0 600 a p z
—
State ZIP 601 amps to 1000 amps $160.°0 2
City___ \ A t34�.o0
Phone No.' (6`44- c -• Over 10('0 amps or volts - $5000
2
Reconnect only
Job NO._ �2�'�
contractor's license NO—_ ---- 4c. Temporary Services or Feeders
L"� i Installation,alteration,or relocation y '(
Contractor's t3eard Reg. Na _ 200 amps Or less -- 2 "
Signature of Supr. Elec'n 201 amps to 400 amps —__ $50.00 2
C. /G�oS hone No. (y �?�i 401 am; to 600 amps -_ $75 00
License Na �_ $10000
Over 800 amps to 1000 voNs �
se.'"b"above. ,r
2b. For owner insta►lations:
4d. 13ranch Circuits
Print Owner's Namei_ _ _ New,alteration or extension per pan-
n)The lee fcr branch circuits with 2
Address_- — --- purchase of service or feeder fee.
City_ State Zip Each branch Jrcud $500
Phone NO. _ b)The fee for branch circuhn without 2
1 I {,,vn which is pi rchase of service or feeder'so, $35 00 J a 2
The installation is being made on property First branch circuit -
not i��'ended for sale, lease or rent. IS
Each additlonal branch circuit $5.00
4a. Miscellaneous, 2 c
Owner's Signature T_.— — (Service or feeder not included)
2
Foch pump or irrigation circle -- $4000
_ -
3. Plan Review section (if ►equired): Each sign or outline lighting —_--- 2
Signal C rcuit(s)or a limited energy
Please check appropriate Item and enter fee in section 5B. Minor Label-,
afteratlo or extension $$40000 =--`
00
_4 or mono residential units in one structure
~_Service c nd feeder 225 amps or more 4f. Each additional inspection over
System ever 600 volts nominal the allowable In any of the above
Classified area or structure containing special occupancy per Inspeclio 1 13500
as described in N E C Chapter 5 Pr,hour $`5 00 —
Ir Plant __ $5500
Subm!t 2 sets of plans •vith application where my of the above
apply. Not required for temporary construction services. Sa Fees: )
5a. Enter total of above fees $ _
NOTICE 5% Surcharge (05 X total fees) $ — r
Subtotal $ —
PERMITS BECOME VOID IF WORK C^CONSTRUCTION 5b. Enter 25% of line A for
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Plan Review if required (Sec.3) $
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subfof?! $
A PERIOD OF 11 SO DAYS AT ANY TIME AFTER WORK IS l Trust Account #
COMMENCED w $
Balance Due $ ___
+ I
t`
I
1
f
I
CITY OF 'I TGANr7 _ kFrk it'T CQ raFaY!�IFN1 RL-cu-,Tr,'T NU. f.
NAME c G'!•JiIEi;PV.f X I•:L..I:C"fPli;
04 r3i AIII-A-IN t'
�i.C)1►�aE ,,� s 7:-V/q '6W `r E,CH („;. N7 E:.R DF{ r �a!i PolotJhd r s 0 .ri0
i"r r.ORD OR t'��' MF.nt I i"lF1 I L. � 041 f; lh '� I
PlJFtPf7SL OF PAYMLNi i'ahlt;tt,IPll E'1�X11 N Llfi�r_r ,I r,l� i
I r I r'1�It-•.tJl F�MG!�N'i 1'E�X I7 �
J. 00
1
$W Alt TA
1
1
I
.f I
rt r f r'at. F4MJAIN? t eta?ri
I
I
y„
IN