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CITY OF rIGARD B ILDING INSPECTION NOTICE "�
Inspection Line: 639-4175 Business Phone: 639.4171 } rtd
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Footing Rain Drain Cover/Service FINAL:
Foundation Water Line Ceiling Plumb.
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Post/Beam Mech. Shear/Sheath Framing Meeh. j
Plbg.Und/Flr/Slab Plbg,Top Out Insulation �•
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
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San. Sewer Gas Line Appr/Sdwlk RJeins. i
Other:
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Date: 9t �
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Address: _.
iSte:. MST: —
Tenant: __ --
BLIP: —
i Con/Own: --- MEI:: —
FLM:
i ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector: Date:
APPROVED _DISAPPROVED/CALL FOR REINS► CF CO
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y*T' CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Dain Cover/Service FINAL:
Foundation Water Line Ceiling -Plumb.
Post/Beam Mech. Shear/Sheath Framing -Meth.
PIbg.Und/Flr/Slab Plbg.Top Out Insulation Elec ,
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Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: ._ )
I Date: C A. Ry. t
Address:
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Tenant:_ Ste: _ MST:
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BLIP: _
Con/Own: — ' MEC:
PLM:
ELC:W, 16C
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector: Date: '
1. �Et01{Fy,
_APPROVED _DISAPPROVED/CALL-FO-ii REIN CF CO
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Fi--)ne: 639-4171
Footing Rain Drain Cover/Service FINAL:
Foundation
Water Line Ceiling -Plumb.
-Mech.
Post/Beam
Post/Beam Mech. Shear/Sheath Framing
f' PIbg.Und/Flr/Slab Plbg.Top Out Insulation Elec
Post/Beam Struct. Mech. Rough-in Gyp. Bd. Bldg. s
San. Sewer Gas Line Appr/Sdwlk Reins.
Other: OL
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C 1.M. P.M. Entry: _ v
Date:
Addre-S:
Tenant _ Ste: _—. MST:
MEC _
ConlOwn:_ �.,. ` ___— MEC:
e PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: —
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Date: _�_ _✓ �' EaF� eke. s
Inspector: -_
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_APPROVED __ DISAPPROVED/CALL R REINS- CF CO
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CITY OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SEWCES F'E'.RrvIIT #: El_C9in--0760
13125 SW Hall Btvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 12/04/96
PARCEL: 1 S 136AA--01300
SITE ADDRESS. . - : 0691.:x, SW 0AIK 5l
SUBDIVISION. . . . : 7.UNING: R 4. 5
BLOCK. . . LOT. . . . . . . . . . . . .
Pro.jectDescr•iption : Changing service, adding 9 branch circuits.
------M
a ---RESIDENTIAL_
UNIT-......_._. -_. ---TEMP RVC/FEEDERS-- -- ISCELt ANEUIJS -----
1.0041 SF OR LESS. . . . : til 0 200 a.mp. . . . . . . .. 0 PL_INP/IRRIGATTON. . . . : 0
EACH aDD' L 5005F. . . : 0 201 - 400 amp. . . . . . . : 0 S1GN/OUT LINE L-TG. . 0
' D '. 17, 401. �E,00 am . . . . . - 0 SIGNAL/PANEL. . . . . „ . . 0
L. LMTTE�., ���iERGY. . . • p• •
MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL_ ( 10) . . . : 0
SERVTCE/FEEDFn - ITRANCN CIRCUITS---- -------.--.-•ADD' L INSPECT
200 amp. . . . . . : 1. W/SERVICE OR FEEDER: 9 PER INSPECI'1ON. . . . . : 0 ...
x.'01 - 400 ramp. . „ . . . : 0 l st W/0 SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . : 0
40 1 - E.00 amp. . . . . . . 0 EA ADD' L_. BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 1.000 amp. . . . . : __.__.____._..__.___ _..___-__-.-PLAN REVIEW
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR > - t_.G 5 AMPS.. : CLASS AREA/SIDEC CiCC. :
Owner,: --- _._____.___._________._._____._._____._____.__.________._______._ FEES ------------------
HESSEI._ type amotant by date recpt
6913 SW OAK ST PRMT $ 105. 00 DRA 12/0+/96 96-287198
5PCT $ 5. 25 DRA I /04/96 96-28719B
TIGARP OR 9721
Phone #:
C:;ontrac:tor: ----------____________________.______-.-.___________.-..--------------------....
KELSO ELECTRIC INC $ 110. 25 TOTAL.
7476 SW 173RD PL.
_.__._..._._. REQUIRED I NSPECT I ON5 ----- -
AI__OHA OR 97007 Ceiling Cover Undergr•oi.rnd Cove '
Phone #: 649-81422 Wall. Cover Elect, 1 Ser^vice
Reg #. . : 116=''e54
This permit is issued subject to the regulations contained ii the /�_✓ "r _
Tigard Municipal Code, State of Ore. Specialty Codes and all other t 1;pe Si gnat�_�rr.
applicable laws, All work will be done in accordance with
approved plans. This permit will expire if work is not started I
within 189 days of issuance, or if work is suspended for more
than 189 days. I s s o.ted By
TN5TAI..I__A1- i 01\1
The installation is being made on property T own which is not intended for-
sale,
orsale, lease, or, i�pnt.
CIWNER' S SIGNATURE: ���� DA'f E:
INSTALLATION ON1-Y-_...-_
r,IGNATURE: OF SLJPR. E=L_EC' N: DF)1F
LICENSE NO: ____._._____
Call for inspection 6.39-4175
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-CITY OF T!:ARD (Electrical Permit Application Plan Check#
13125 SW HALL BLVD. Recd By
Date Recd
T!GARD OR 97223 Date to P.E.
Phone (503)639-4171, x304 Dat_ to DST `IIA_
Inspection (503) 639-4175 Print of Type Permitit RLr'
Fax (503)684-7297 Incomplete or illegib.e will not be accepted Called_
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development-____/ Number of Inspections per permit allowed
Name(or name of business) /yz�,EZ r• Service included: Items Cost Sum
y
Address ,,,C1/ 7 ejj, c214 4a. Residential-per unit -_
1000 sq.11.or less �. $110.00 4
City/31ate/Zip` aAj!213 _ cJ _ Each additional 500 sq.ft.or
nportion thereof $25.00 1
Commercial El Residential I9 Limited Energy - $25.00 i:i,;;•
Each Manul'd Home or Modular
Dwe ling Service or Feeder $66.00 2
2a. Contractor installation only:
(Attach copy of all currerY ,enses) Ins Senlcea or Feeders
Installaticn,alteration,or relocation
Electrical Contractor t.,-& ' i �T .f L. J $6000 6 a -,,2 2
200 amps or loss
Address_ >l/ 7,7 201 amps to 400 amps -_ $60.00 2 I
city_Y�l, �u.4 _State Zip �l-7 -� 401 amps to 600 amps $120.00 _ - 2 t
Phone No. S n1/ - c/�'G S 601 amps to loon amps $180.00 2
Over 1000 amps or volts $340.00 _ 2 S
Job No. RoconneCt only - $50.00 2
Cont. Lice Exp.Date
OR Reg.eg.
.� OR State CCS Reg. No.� -`;1-,•. Exp.DatP �Z `3 7 4c.Temporar y Services or Feeders
COT Busir.ess Tax or D4-irn NO. qtr � F_xp.Date_! Installation,alt ration,or relocation
200 amps or loss $50.00 2
201 amps to 400 amps $75.00 2
Signature of Sr fpr. Eld,,'n_- 401 amps to 600 amps - $100.00 __ 2
Over 600 amps to 1000 volts,
License No. see_Ex Date ' / see^b"above.
Phone No.-
4d.4d.Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a)Too foo for branch circuits with
purchase of service or
loader fee
Print Owner's Name__ . -- _
Each branch circuit ? $5.00
2
Address.- b;The too for branch circuits
City State___ Zip--_ _ without purchase of
Phone No.. _. service or feeder lee.
First branrh circuit
TI to installation is being made on property I own which is not Each additional branch circuit- $5.00 2
intended for sale,lease or rent. 4e.Miscellaneous
(Service or feeder not included)
Owner's Signature __ Each pump or irrigation circle $40.00 _-_ 2
Each sign or outline lighting __ $40.00 2
3. Plan Review section (if required):* Slgnr'1,alteration
or or
(exiled energy-
panel,alteration or extension _ $40,00 2
Minor Labels(10) $100.00 ---
Please check appropriate Item and enter fee In section 5B.
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 $35.00
System over 600 volts nominal Per inspection -
_Classified area or structure containing special occupancy Por hour - $55.00
as described in N.E.C.Chapter 5 In Plant $b5'00 -
*Submit 2 sets of plans with application where nny of the above apply. 5. Fees:
Not required for temporary construction services. 5a.Enter total of above fees $
5°„Surcharge(.05 X total fees) $
NQTIICF Subtotal $
5b.Enter 25%of line be for
PERMITS DECOMF VOID IF WORK OR CONSTRUCTION ALI I HORIZED IS Plan Review ij r' Ir (Sec.3) $
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal 9
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. Trust Account a
Total balance Due #
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