7550 SW TECH CENTER DRIVE STE 100 IN I
ADDRESS:
is\records\microfilm\targets\building.doc
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CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639-4175 Business Phone: 639-4171
Footing Rain Drain Cover,/Service FINAL:
Foundation Water Line Ceiling -Plumb.
PosUPeam A4ech. Shear/Sheath Framing -Mech.
Plbg.Und/Flr,'Siab Plbg. Top Out Insulationec
Post/Beam Struct. Mech. Rough-in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr/SdwlkCT-FOM-15
Other -- - ------ -- --
Date: ,,1 A.M`P.M., Entry:
Address:
Tenant: ''1 Ste: MST:
L�Own: c—�-[`--- Q -------�� MEC:
6 D "[ — / ,3� ELC:474 741M
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
Inspector: �_� -_ _ Date:
CF CO
APPROVED ___DISAPPROVED/CALL FOR REINSP.
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CITY" O F T I GARD CLCCTR I CAL LCIK'
i"`C1'1MIT #; CC'9G 4'inw
COMMUNITY DEVELOPMENT DEPARTMENT Dn'C IcCUCn: 04/02/96
13125 BW Hall Blvd,Tigard,Oregon 97223.5199 (503)630.4171 PARCCL. 2 r. 1.01 DC� 04000
,.. !42NTt:R DR 4100
JBDIVIGION. . . . : ZONING. I-,L.
_fICI�,. . . . • „ , . . , e LOT. . . . . . . . . . . . . .
10ject Degcrwiptiar; : Irrs:.t;alk two bran&-, r~ir•wuits.
ZI?CrJTIAI. UNIT TC'�lr° �^,r%"s�.,./r'CCCC.ix
MI- EL_Lf1rJED(_IG
Lel ""00 an;p. . - 11 rUMr','.nr "C17I(;Il. . 0
400 amp. . . , . . . . 0 SIGN/OUT LINE: LTD. . -. +21
'_r D r NERGY. . . . . .. 0 4kZ1. 600 amp. . . . . . . .. d
"d" ?-M/ CVC/r-DR. . : E�tZll�ami�s ' 161+0 a! 1ti . : MINOR LADCL (10) . . . A
rAANCH I RC'J I T^
200t aloe. . . . . . . 0 W/rCRvicr' ON ri"I:DC111. F17R INCFrr CT1ON. . . . . : 0
• I ar.p. . . . . . : 0 1 tt W/O ('.pvc'. or, r r)rI. r t PER I JOUR. . . . . . . . . . . : 0
1 a►�nP• Cr'� AAD L 1�1RNCfl CIRC;
RLWJJ RE'.'ICt,! rRC1L'AN
31 161100 ,reg. . . .. . . . 4� _ .. � T. . . . . . . . . ., . .
O `rlot'1
aylZ+ + a,mIJrVolt. . . . . : 0 ) -4 REO, UNI r',. . ._
. • . ) %.�14? UC. _T �VC7^ANAL. .
4rFliraUt ,1y. . . . . '1C;'I'"JI? 7 _" f�!';!> . . . Ci-.Asx
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OW I 7 r r h n t n p" ��tfi U�.I rf t �'y' C7��.�".S'! i"e IC�"„i'.
OW r CC:! Cr .{ rr nr r r'MT E W.. 610 CC 6114/00/90 71
700,'
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'OENIX i'..LCCTnIr .J
;79 ^W TECH Ci rJTC.N R
i7 r'i�r 1't: �.1 K.�..'i_.Lr 84 0", 1C4,
.s pe-rjit is issued subject to the rFpulations rontaired in t"? "`-
-. 3rd 1!,r,iripal undo, "taste of Dry. Specialty We= and .all of
i'Lable .aws. A,i wort+ Ki,l be dene in a.cardance with `
,,.,-oved plans. this pereit will expire if worli is not sta,,-ta-:
within: blit days of i5auane, c^ if world is euapFnded fcr eorF �/
than 1N days, I s5'_4ej By
fitVE.P IWTALLOTION ONLY
Tf7a hist sll�:ttiarr iL k 1n elciY cr ` r ;.:l,�r : y I owns wt-tict; is; T-iiA i tc;'IJV i f-.-,
Cit,•!'JJ*r 1 D CC,I GN(Yrf X . D A T C
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Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd
Tigard, OR 97223 Permit # -9Z C 96.0/90
Date Issued q-d- 96
Phone (503) 639-4171
FAX (503) 684-7297
CITY OF TIGARD TDD No ;503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
C-
Name of DevelopmentNumber of Inspections per permit ollowed
1�
Adc'�essT[, �_�.�,�LIJ Service included Items Cast(ea) Sum
r 4a. Residential -per unit
aty/stlrzt� C�_-t�°r� --- 110 GO ---
)Q00 sq. ft. Of 1999
e y� Esch additional 500 sq ft or
Name (or name f business) Cs� portion thereof $2500
$25 00
Residential ❑ limned Energy ----
Comm?rC181 `i Each Manurd Home or Modular
rivvelling Service or Feeder —_ $6800
2a. Contractorstallation only: 4b. Services or Feeders
�( Installation,alteration,or relocation 2
Electricial Contractor �_�_- _ 200 amps or less $60 10
201 amps to 400 amps S80 l U 2
Address — $12000 2
State / Zi - � 401 amps to 600 amps 2
City Q--- P e0,amps to 1000 amps 5100 00
$340 no 2
Phone _ 5 _...___ over 1000 amps or volts $5000 2
Job NO. _ —_ Reconnect only —
contractor's license NO. C 4c. Temporary Services or Fneders
Contractor's Board Reg. No._ Installation,atteralwn,or relocation 2
Signature of Supr. Elec�n 200 amps or less 2
N . 201 amps to 40(1 amps $5000
License No. / One o
! 401 amps to 800 amps $75 00
Over 000 amps to 1000 von' $10000
2b. For owner installations: see„b,,above
4d. Branch Circults
Pint Owner's Name _ Jew,alteration or extension par pone
Address9)The fee for branch circuits with
—— - purchase of service or feewf Fee.
City_ __— 3tate—___ Zip_ _ Each branch circ-.d $500
Phone NO. b)The fee for breach circuits without 2
The installation is beingmade on property I own which is purchase of rcuit orfiedarfee. Q� 2
P P y First branch r:IrcuH L $3500
not Intended for sale, lease or rent. I Each additional branch circuit $500
Owner's Signature_ 4e. Miscellaneous
(Service or feeder not included)
Each pump or irrigation circle $4000
3. Plan Heil,iP.w section (it required): Each sign or outline lighting $4000
Signal clrcult(C or a limited energy
Please check appropriate Item and enter fee In section 5B panel,alteration or extension $4000 _
_ 4 or more residential units in one structure M4ror Lebels(10) $10000
Service and feeder 225 amps or more 4f. Each additional Inspection over
System over 600 volts nominal the allowable in any of the above
Classified area or structure containing special occupancy Per inspection �` $3500 _
as described in N E C Chapter 5 Per hour $5500
In Plant _— $55 00 —
Submit 2 sets of plans with application where any of the ibrive
apply. Not required for temporary construction services 5. Fees: o� -
5a. Enter total of above fees $ _
NOTICE 5%Surcharge (05 X total fees) $ –
Subtotal $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enter 25%of line A for
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Plan Review if required (Sec 31 $
CONSTRUCTION OR WORK I5 SUSPENDED OR ABANDONED FOP, Subtotal $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS f�11
COMMENCED, l_! Trust Account N $ — —
-
r\ Balance Due $