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16060 SW KING CHARLES AVENUE w.r O O 7 O r. r. 7Q 16000 SW King Charles Maint. 131c1r CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24.Hour inspection Lino: 639-4175 Business Line: 639-4171 - 2 BUP Date Requested ✓ ARI PM BLD Location� (,U 5 Suite — --___ MEC :;ontuct Person Ph l Z !3(��J FLM _— Contractor —__ _ Ph SWR B IU LDING 1t. ,int/Owner _ ELC Z_-- U/G ♦Retaining Wall^ -�— — � ELR Footing Access. Foundation FPS _ Fig Drain --.— — --- SGN crawl Drain Inspection Notes: - Slab ---- ----- ------ SIT Pcst&Beam — Ext Sh, th/Shear _ Int Si-leath/Shear _ — Frdmirg -- - - _ ----- ..�----- --- -- -- — 1,isulaticn I ywall (Jailing Firewall Fire Sprinkler Ala,rr,Fire Susp'd Ceiling _ y -- -----_-_------- - Misc: - ---- --- - ---- — - _.� _.�------- ----- - Final PASS PART' FAIL ---- -----_� .. -- ---- - -- ----- PLUMBIAG Poet&Br:am Under SIi.b -546-- ------ ------ — - --_- ---- ---- — Top Out Water Servic. Sanitary Sewer Rain r•nIns Final PASS PART FAIL MECHANIC AL ------- ----- -� Post& Beom 9 _ ` - ---------- - - - - I?ough ',i GasUri - - - - ---------- -- - _-- -- - - ._. Smoke Dampers Fina; P ? FAIL ELECTRICAL - --- _ --- -- - - - - - --- - Service 'bG /Stab Low Vritage _ r ire Alarm S PART FAIL ______ SITE Backfill/Grading ---- — -- Sanitary Sewer Storm Drain [ J Reinspection fee of$ _required beforb next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ]Please call for reinspection RE: __---- _ [ J Unable to Inspect-no access Fire Supply I Dnp ADA Approach/Sidewalk _;& Other Date -� O _ _In3pprtce, __ — _ Ext Final - PASS PART FAIL 00 NOT REMOVtc this Inspection record from the job Jte. CITY OF T I GA R D ELECTRICAL PERMIT DEVELOPMENTJERVI�CE$ PERMIT#: ELC2002-00109 AIL DATE ISSUED: 3/15/02 13125 SW Hall Blvd., Tirdrd, OR 97223 (503) 639-4171 31TE ADDRESS: 16060 SW KING CHARLES MAINT. PARCE'_: 2S 115BB-03900 SUBDIVISION: BUILDInI('l ZON,NG: BLOCK: LOT : JURISDIf PION: KIN Proiect Description: Installe". n of 2 branch circuits. RESIDENTIAL UNIT TEMP SRVC/rEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 emp: PUMP/IRRIGATION: EACH ADD'L 500SF• 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER — BRANCH CIRCUITS — _ ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR- 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: PI AN REVIEW SECTION _ 1000+ amp/volt: >=4 RF'' UNITS: > (100 VOLT NOM_INA_L: Reconnect only: _ SVC/FDP. >= 225 AMPS: CLAS-3 AREA/SPEC OCC: _ Owner: Contractor: KING CITY NO 4 BROADWAY ELECTRIC;-COCHRAN INC OWNERS OF ALL LOTS 626 SE MAIN PORTLAND, OR 97214 Phone: Phone. 234-6564 Reg#: LIC., 00072942. SUP 3447S _ ELE 37-546C FEES— _ — _ _ Required Inspections _ Type 131' Date Amount Receipt Wall Cover PRMT C7 3/15/02 $53.50 2720020000( ReF Elect'l 5PCT CTR 3/15/02 Q4.28 2720020000( Final ---- Total $57.78 chis Permit is issued subject to the regulations contained in the 1 igard Municipal Code,State of OR. Specialty Codes and all othe! pplicable laws. All work will he done in accordance with approved plans. This permit will expire if work is not started within 180 days f issuance, or if Nork is suspended for more than 180 days. ATTENTIOe n law requires you to follow rules adopted by the Oregon U'inty Notification Center. Those rules are set forth in L,,,.952-001-0(110 rnugh OAR 952-001-0080. You may obtain copies of Viese rules or dnoct questions to Permit Signatures N sued By: OWNER INSTALLATION ONLY The installation is being made on property I own which is riot intended for sale, 'ease, or rent___. OWNER'S SIGNATURE: DATE:-- -------CONTRACTOR ATE:__-- CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. EIEC N: DATE:--- LICENSE NO: y Call 639-4175 by 7:00pm for an inspection the next business day ElectrieW Permit Al lication Date received: _ °ermit no.: City of Tigard' Projecdappl,it I, Expire date: Ciry ofTigar,i Andress: 13125 SVHall Blvd,Tigard,OR 97223 Date issued: — By: Receipt no.: Phone: (503) 639-4'71 Fax: (503) 598-1960j X UP 1;1 UAFjJ Case file no.: Payment type: Land use approval: 3001NIn DMTOO _ I-- Ll. U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement New construction ❑Ad(lition/alteration/replacemcnt U Other: _ U Partial Job address: - "' Jj't)6 Bldg.too.: Suite no.: Tax map/tax lot/account no.: Lot: I Block: Subdivision: Project name: Ute 1`^4V` &L_DC I Description and location of work nn premises: Estimated date of completion/inspection: i3n _ 2. p M A.�-7. t,t je CA, I Fee Max Bt. rir name: D ,ctiptlon ray. (ea.) Tota! no.lm,r� C- —�- New residmtW-single or mulll-famlly lk - AddrL-s: 2 �'- Mo�� dweaingunh.lnchidesattached garage. City:— s State:b� ZIP. �-2 1 Service included Phonc%:Z$ 234-L-5 Fax:23$ 24 E-mail: 1000 sq.;t.or leas Each additional 500 sq.ft.or portion thereof _ CCB no.: -L�-Z Elec.bus,lie,no:37-SL— Limited energy,residential 2_ City/metro lic.r .: Lirnilei,ruergy,non-usidential 2 Fr:h,manufactured home or modular dwelling Signature of su rvising a ectri,an(required) Date r oc erviceand/or feeder 2 Sup.elect,name(print): — Licrrurno ll Services or feeders-Installation, alteration or relocation: 200 snips or less 2 Name(print): / l 201 amps to 400 amps - 2 P fit=_I��-, II �( V I L ' t-� 401 amps to 600 amps 2 _ Mailing address: 611 amps to 1000 amps 2 City_ State: L ZIP: river 1000 amps or volts _ - 2 Phone: x: E-mail: Reconnectonly 1 Owner installation:The installation is being made on property I own Tempor�rysrlerallrvices m,orror ers- which is not intended for sale,lease,rent,or exchange according to 2 hilar on le.,s (an,orrelocauon: ORS 447,455,479,670,701. 201 amp:or less 2 201 amps,�40'1 amps 2 Owners signature: Date: 401 to 600 an.p.• 2 Branch circuits-new,alteration, or extend •r panel: Name: A. Fee for r, .ch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: Slate: ZIP: A Fee for branch circuits without purchase of service or feeder fee,first branch circuit 2 Phone: Fax: E-mail: -- - Each additional branch circuit Mise.(Servlce or feeder not Inclyded):� U Service over 225 amps-commercial U Health-care facility Each pump or imgatiop circle_ _ 2 U Service over 320 amps-rating of 1 del U Haurdouslocation Each sign or outline lighting 2 family dwellings U Building over 10,000 square feet four or Signal circuit(s)ora limited energy panel, USystem over 600volts nominal more residential units in one structure niteration,orexicusion• _ -_— 2 U Building ever three stories U Feeders,400 amps or more *Description: U occupant load over 99 persons U Manufactured structures or RV park Each additional Inspection over the allowable In any of the above: U EgressAighting plan U Other. -- Perinspection Submit sets of plan,,with any of the above. Investigation for _ 71he Above are not applicable to temporary construction service. other Not all lurisdiet„xks areerN credit cards,please cell Jurisdicdkkn for more informPermit fee.................... $utinn. Notice:This permit application i U Visa U M,:sterCard expires if a permit is not obtained Plan review(at __ %) $ 'g Credit card nornber:_- _ / / within IRO days after it has been State surcharge(8%p) ....$ Y Expires accepted as complete. TOTAL ....... $ 7� N uric of cardholder as shown on credit card --- Cardholder siartmurc Amount 4r 41619(GUI COM) j�I.Alfi Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIALY j� Restricted Energy Fee...................................................... $"•.u0 Number of Insprsctlons per permit allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total Check Type of Work Involved: Residential-per unit 1000 sq.ft,or less _ $145.15 4 Audio a.d Stereo Systems Each arddilional 500 sq.ft.or portion thereof $33.40 1 L 1 Burglar Alarm Limited Energy $75.00 Each Manufd Home or Modular Garage Door Opener' Dwelling Service or Feeder _ $9090 _ 2 Services or Feeders ❑ Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocatior 200 amps or less $80.30 2Vacuum Systems' 2.01 amps to 400 amps J_ _ $106.85 2 El 401 amps to 600 anrps _ _ $160.60 _ 2 601 amps to 1000 amps _ $24060 2 Other Over 1000 anrps or volts $454.65 2 Reconnect only � $66.85� '- Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or retocatlon Fee frn each system.......................................................... $75.00 200 amps or less _ $66.85 —_ 2 (SEE OAR 916-260-260) 201 amps to 400 amps $100.30 2 401 amps to 600 amps _ $13375_ 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. Audio and Stereo Systems Branch Circuits ❑ Boiler Controls Now,alteration or extension per panel a)The f-e for branch circuits with,wrchase of service or Clock Systems feeder fee. Each bra ch circuit _ $6 65 _ 2 Data Telecommunication Installation b)the tee for oranch circuits without purchase of service Fire Alarm Installation or feeder fee. First branch circuit _ $4685 _ `�' Each additional branch circuit $6.65 HVAC Miscellaneous F–] Instrumentation (Service or feeder not included) Each pump or Irrigation circle $53.40 _ _ ❑ Intercom and Paging Systems Each sign or outline lighting $53 40 _ Signal circuit(s)or a limited energy panel,alturation or extension $75 ju Landscape Irrigation Control' Minor I abets(10) __ $125.00 Medical Ench additional inspection over the allowable In any of the above ❑ Nurse Cells Per Inspection $62.50 Per hour _ $62.50 In Plant $7375 �� Outdoor Landscape Lighting' Fees: .'rotective Signaling Enter total of above fees $ ? ,S) n Other 8.4 State Surcharge $ G►� __ Number of Systems 2511.'ran Review Fee see-Plan Review"sectior.on $ No licenses are requlrerl Licenses are required for all other Installatn,^­ front of application ��— Fees: 7 u tal Balance Due $ Enter total of above foes $� ❑ Trust Account p_ 8%State Surcharge Total Balance Due $ i:%dsts\forms\etc-fees doc 10/09100 15/2002 09:40 503639377/ CITY OF KING CITY PAGE 02/02 KING CITY 153003.W 116th.lvenue, King City,Oregon 97224-3693 Phone-15031639.4082•FAX(503;639•$771 Notice To Contractors Working In King City Due to an intergovernmental aereement t,ith the City of Tigard, many building rela*.ed permits for projects in King City are issued and inspected by the Cite of Tigard. If your permit application DOES NOT REQ(;IRE PLAN REVIEW. simply complete the appropriate application legibly and submit it to the King City staff. The King Cit1 staff wall collect all fees an,- fax rhe appl-*ration to the Citi of Tigard. Ciro oF Tigard staff%will then create the permit, issu-- the permit. a,:d perfomi inspections. Piease inu'ica:e on the permit application whether you v ould like the Tigard staff to call you w-hen the permit is ready for issuance or %�herher you )refer it to `--e mailed without any notification. Any incomplete or illegib!, application will be retuned fo King Cin staff fer correction and i:o processing will occur imril a conplete. le?iiole application is received. If your pernit application DOES REQUIRE PLAN REVIEW, this form must be signed by a King Cin,staff person. King City staff will simple sign this form inc:icating land use approval. Take this signed form to the City of Tigard Development Services Counter located at 1312; SW Nall Blvd, Tieard, to submit applications and plans. Development Services Technicians am available at 639-4171 h:xt. 304 should you have any questions concerning subtrlittal requirements. All permit fees wall be assessed and collected at the City of Tieard. The Cite of King Citv hereby authorizes applicant to pursue permits at the City of Tigard Building Department for the following project: _ Z 4cc0, located at: King City Representative 3 / — 1 Mrs hCi11stDOC CITY OF TIGARD BUILDING IW-r-CTION DIVISION MST 24-HourInspention Lane: 639-4175 Business Line: 639-4171 — BUP _ ---Date Requested AM_ PM ___ BLD — Location ^.� �' Ste✓ ��- C'11 4 Suite MEC — Contact Person _ / Ph �-Zel �'N�'�'' PLM Contractor X17 ., i� = ten >^G��J _ Ph SWR BUILDING Tenant/Owner rLC Retaining Wall ELR Footing Access: FPS Foundation Ftg Drain SUN Crawl Drain Inspection Notes: --- — Slab ----_ SIT Post&Beam -- ----------------�-- --------------- Ext Sheath/Shear �In',Sheath/Shear rraming - _—- -- -- -- - --- --- -..— - --- --- loc•ilation Drywall Nai';ng Firewall Fire Sprinkler -- Fire Alarm Susp'd Ceiling ---------- -- -- Roof Esc: --------------- - — - Nnal --- — PASS PART FAIL_ ----- --- �' - P[UMBING Post 8 Beam --- ----- — ---i Under Slab Top Out ------- — - --- Water Service — Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post& beam Rough In Gas Line - - - brnoke Dampers Fina! - ------- -- -- -- iART FAIL Service ---- --- -- -- -- - - ---- Rough In UG/Slab Low Voltage Fire --- —� --..- - -- - -...- -- -- SS -OAR1 FAIL -- - - -- - ------ - — --- E .� _ Backfill/Grading - --- Sanitary Sewer Storm Drain [ ] Reinspectinn fee of$ _--required before naxt Inspection. Pay at City Hell, 13125 SW Hall Blvd Catch Basin [ Please call fof minsrf tion RF Unable to Inspect-no access Fire Supply Line - - - --- T ADA Approach/Sidewalk Date - �'f Inspector Ext Other - Final PASS PART PAIL 00 NOT REMOVE this inspection record from the job site. CITYOF TIGARD ELECTRICAL PERMIT PERMIT 0• ELC2001-00036 DEVELOPM =NT SERVICES DATE ISSIJicD: 1/19/01 13125 SW Hall Blvd , Tigard. OR 97223 (503) 639-4171 PARCEL: 2.S115BB-03900 SITE ADDRESS: 16060 SW KING CHARLES MAINT. SUBDIVISION. BUILDING ZnWING: BLOCK: !OT : JURISDICTION: KIN Proiect Description: Installation of(1) 200 amp service, (1) 125 amp feeder and (2) branch circuits. _RESIDENTIAL UNIT _ _ _ TEMP SRVC/FEEDERS_ MISCELLANEOUS 11000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS_ ADD'L INSPECTIONS 0 - 200 amp: 2 W/SERVICE OR FEEDER: 2 T PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: _ SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: �f Owner: Contractor: KING CITY NO 4 DOUGLAS (-:, CLAPSHAW ELECTRIC OWNERS OF ALL LOTC) 1722 17TH AVE FOREST GROVE, OR 97116 Phone: Phone. Reg#: EI_E 34-4100 LI(; 107185 SU40 3870S FIFES _ Requimd Inspections Type By Date Amount Receipt I -- � p_ Wall Cover MFNU CTR 1/19/01 $173.90 2720010000( Elect'I Service 5PCT CTR 1/19/01 $13.91 2720010000( Elect1 Final Tetal $187.81 This Permit issued subject to the regulations contained in the Tigard Municipal Code, b;?te of OR Specialty Codes and all other applicable laws All work will b�,done iii accordance with ?noroved plans This permit will expire if work is not started within 180 days of issuanc or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Centb- Those rules are set forth in OAk 952-001-0010 through OAR 952-001-008L). Yvu may obtain copier,f these rules ordirect questions to OUNC at(503) 246-1987 �' ) PERMITTEE'S SIGNATURE ��/ i ISSUED BY: OWNER INSTALLATION ONLY The installation is being made on roperty I own which s not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ _ _ DATE: CONTRACTOR INSTALLATION ONLY _ SIGNATURE OF SUPR. ELEC'N: DATE:__ LICENSE NO: Call 63.E-4175 by 7:00pm for an inspection the next business day 01/19/01 FRI 10: 15 FAX 503 598 1960 CITY OF TIGARD Electrical Permit Application i Datercc�!ved: Permit no.: City of Tigard Lhnjccduppl.no.: Ezpiredate: � C.iryu/('igarJ Address: 13125 SW Hall Blvd,Tigard.OR 91223 , Phone: (503)639-4171 Rec:ei tt Date Issued: y:B 1 no,; h „ Fax: (503) 598-19611 Case file no.: 1 Payment type: Land use ippr rival: j U 1 &2 family dwelling or,accessory �?ninm'.I'cinlAndustrial U Multi-family U Tenant improvement U Now construction U Additie n/alteiationh•eplacemepi D Other:—_ U Partial Job address: U Y. � Ll y Fildg.no.: Suite no.: 7'ax map/tau lot/account no.: Lot: 81ock: Subdivision: Project name: ,. CL,.,, Uescri(tion;tn 1;, :,nitan of work oil premises: — Estimated date of c'.)ml)jet ion/inspcctioil: i fie+ n.., 5✓C /- /'9j 'ob nu: �j rrc nrrry usiness nam( - Urgrriplinri 4JIy. (est) I'otnl no ius a - ddrLss: 7 .I He»reddeolial-shigle or muni-feaiilr Iver ---- -.__ � � •_--- -.--_ ... dwrllingruaif.,nrludrrnHmnrdgarage. 'lly. tAUQ SlaA�lnaV :ServiceIncluded: G 1000-r it or IcssJ, -- L ch Nd t�tionat Soo aq,ft..rr portion Ihertof 4 CCB no.:—�Q+�1.� L,c4. Lus.lie.no: _ -- --- Lim.ledenergy,residrn4al 2 it tcl,�t hc.no.: Lhnirrdener y,uca-resiJrntial 2 , ��-•-` _ - _-_ J (y Eac•hitianulectured home ornwdulardwclGng 'iIjjl I❑r it's erws rig el lfi(.1811(•equina) ti.,/' / / Service�ndlor feeder 2 Sup elrr name(printq __ 8cntcesarfecderq-imtnliatlan, r JO alteration or relocation: �I" tF 1 2lNf amps to less Namc( t int): C r' r 201 gulps In 400 am e —� -P►a _C;�_A ssa , . 401 anips it 600 innps 2 Mailing,adcln:ss: -- _(,(li e�ups to 1otlllamps—� 2 City: StafC ZI1' �1-7. hona Over 10'Nlnngisnrvolty Z— Pe: FitK, E-mail: yw— � Recunnrctonly Owner imitallation:The installalietn is being made on lirol>rri „vert Temporary servictaorfeeden- which is not intended for salt„letlae,rent,or exchange acct (fury to Installation,alteration,orrelurntion: 1 ORS 447,455,479,670,7111. im any%o1 Icss - — 2.. 201 snipe, .i4_00&trip% 2 owner"; .41 nature: Dale: _ — -_-- 401 n (,1111 amps 2 l!canaria circuits-Herr,alteraHun, Name: a1 ritteoaor,per panel: A. I er for Iv ancii circuits with purchase el IY Address: scivice m feeder fee,each branch rircvll , City: _ Slate: Z t1": H. Fee fur aran:h circuits without purchase -- of service or feeder ler,first branch circuit-. y unc: Fax: F. nuul: — � _ ligchnddnrnnalhrauchciicuiL - -' Mtic.(.'Ferifeeorfeedernot included): U Setvi,x over 223 snips curoutemild U 1111101-rrrefacihty Lech pumper irrigation circle. 2 O Servitr.over 320 nmparnung nr I&2 U I Iazi.rdi m"locatinr, F.nrb sign m outline Ifghtin - 2 fnnriryd:'tllfng' U Iluildtngover 10,010.0SrgnglurcuH(s)Ora RMI led energypanel, U Syntent met(Mvolts rronunul nKin:Ir,idetalial alteration,or extensinn' •2 U rjuildhig ovtr there eianirs U lretulrrg,1(N1 snips n., 0 occupant load over 9V persc.an O Munufuctumd stru,t nr•.„ rerr I ksrii,tI ion• __.__ -��3�._ - - - - Loch additional Itupucnon ovrr the alinwgWe In ata,of the above: U BNirs/bgluhigplan O Ulher: __- Permspecliun Submit sets of plans with gay of floe It bore Invrstigstinn fee _ ; 111se above are out applicable to feinporay centre etion.,r•ice, Net nil palidlcNnto w,:rl,t rrnhi c:adh,plreur,all Iwirdacaen len maa incur Maim, Nol ice:This permit application Permit fee.....................9i Uvrsq U MastoiCard cyeses if a pernnt is not obtained I'Itttt review(at ___ e%) $ - Credit cud number -�--- �- t L_ u dlntt i Hll.lays gilrt it has been Slate suichalge(8%) ....$ _..-_—. — m cepicd lu complete. TOTAL ...... .......$ Heine o t e tare m 11WM11 411 lK 1 cwt """"' f, mdiwldnr sibngture — Amu it 440 4113(rMICOM) r 01 19;01 FRI IU: 16 FAX 503 5V8 1960 CITY OF TIGARU 10:; Electrical Permit Fees: Limited Energy Fees: Cum fete Fee Schedule Below; JYPE OF WORK INVOLVED- RESIDENTIAL ONLY p Restricted Energy Fee.................... _.— _$70.00 Number of Inspections per permir !:'wed (FOR ALL SYSTEMS) Service included: I.ems Cost total Checti r ype of Work Involved: Rec.'entlal-par unit 1000 sq.ft.or less f $145.15 v Audio and Stereo Systems Cach additional 500 sq.ft.or podir,n thereof $3340 _ L.. Burglar Alarm Limited L•nergy $75 00 `Each Manufd Home or Modular Dwelling Service or Feeder $90.00 _ ❑ Garage Uacr Opener' Services of Feeders L J Heating,Vontllation rind Air Conditioning System' Installation, or less or relocation _/&0 60 200 amps or loss $80.30 201 amps to 400 amps $108.85__ ❑ Vacuum Systems' 401 amps to 600 amps $16260 1 1 601 amps to 1000 amps $240.60 Over 1000 amps or volt. $464.G5_ Reconnect only $66.85 7 , •1 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ON FeeIor each system.................................................. mstalfatcn,alteration,or relocation •••.•... $75.00 200 on,.:s or lest 1'S' /--&V $61-86 _ 2 (ShE OAK 918.260-260) 201 amps to 400 amps $10030 _ � 2 401 amps to 000 amps $131.75 `_ 2 Check`type of Work Involved Over 600 amps to 11100 vows, see"b"above. Audlu and Stereo Systems Branch Circuits Now,allocation or extension per panel ❑ Boiler Controls a)The feu fnr branch circuits with purohose of servlae of 3o I ❑ Clock systems feeder fee. Each branch circuit til,i-`' I�. ❑ Uatq Telecommunication Installation b)The feu for branch ciremits wlthoof purchase of seryfce f–1 Fire Ah r•.r t nata)IaUon or feecer fee. First branch circuli $46.85 Fach Wdilional brerch cirmit $6.65 HVAC Miscellaneous , E] Instnnnen.ation (Service or feeder not Includod) Each pump or Irrigation circun $83.40 Each sign or oullino lighting $5340 -� - Intercom at.1 Paging Systems Signal circult(s)or a Gmitoc energy panel,alteration or extension $75.00 ` ❑ Landscape Irrigation Control* Minor Labols(10) $125.00_ Each additional inspection over W ❑ Medic-of the allowable in any of the above Per inspection $62.50 C1 Nurse Calls I er hour _ _ $6250 In Plan' eu73.75 _ ❑ Outdoor Landora,.e Lighting' Fees: ❑ F'roinctive Signaling Enter total of above fees 1�3,90 l I Other 8%Stale Surcharge 4 __13- 1 —!/3. Q Number of Systems 2ti%Plan Review Fee ,._Iicensrm are required Llm.-ions 9m required for Nil she,In,t See"Plan Review"seclian on allations _ front of oppfication. — — /� Tots(Balance Due $ Fees: Enh:r total of above fees ❑ Trust Account 0 � I 8%State Surcharge _ Tota!Balance nue S_ i:Wsts`.ronnr.\elc-feea.doc 10/09'00 It& K111`*1TGw CITE' 15300 S.W. 116th Avenue,ging City,Oregon 9712,4•'269:3 Phone:(503)6,39.4082•FAX(503)639-:3771 Notice To Contractors `Vorking In King City Due to an intersovernmental agreement with the Citv of Tigard, many building related permits for projects in King City are issued and inspected by the City of Tigard. If your permit application DOES NOT REQUIRE PLAY REVIEW, simply complete the appropriate application legibly and submit it to the King City staff. The King City staff will collect all fees and fax the application to the City of Tigard. City of Tigard staff will then create the permit, issue the permit, and perform inspections. Please indicate on the permit application whether you would like the Tigard staff to call you when the permit is ready for issuar,c: or whether you prefer it to be mailed without any notification. Any incomplete or illegible f application will be returned to King City staff for correction and no processing will occur ur,•il a d complete, legible application 1. :eceived. If your permit application DOES REQUIRE PLAIN REVIEW,this form mint be signed by a King City staff person. King City staff will simply sign this form indicating land use approval. Take this signed firm to the Citv of';igard Development Services Counter located at 13125 SW Hall Blvd. Tigard, to submit ap;lications and plans. Development Services Technicians are a,?ilable at 639-4171 Ext. 304 st,-)uld you have any questions concerning submittal requirements. All permit fees will be assessed and collected at the City of Tigard. The City of King City hereby authorizes applicant to purst.e permits at the City of Tigard Building Department for the following project: Located at: I b o 6Q SW kn agp'(e5 Cit King City Represe ative I DSTS KCMT DOC