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15900 UPPER BOONES FERRY ROAD-2 ADDRESS: r^ i:\records\microfilm\targets\building.doc i i C (Q N C O N Y N C O d L U cu 0 c N O N d T7 c � N _ 3 � o M Nc U L tU C1 N .C) eh m CG n v� w � Z e4LL a W n p Ill V .) O Z ` m a Q R v o Z - aa vQ' N N Y 0 N Cl) Q N En :, E � - m ,mE N c o OL (n N c c� rn " c 0 t; L � y y �i V '" to -T. '40' O p 7 C: (d ILI J •-- LL F- cn U O fY w l- c 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. Post/Beam Mech. Shear/Sheath Framing -Mach. Plbg.Und/Flr/Slab Pibg.Top Out Insulation e geCID Post/Beam Struct. Mach. Rough-in Gyp. Bd. Bldg. San. Sewer Lias Line Appr/Sdwlk Reins. Other: .__._ p ----- Date: —L 5�._— A.M. _P.M.,— Entry:—_ Address: Tcrant: ___ Ste:_ MST: BLIP: Con/Own ` �'` _--/ MEC: & F-6 -I 1( ELC: THE FJLLOWING CORRECTIONS ARE REQUIRED: ELR: C Inspector: ------------ Uate:.� _APPROVED _DISAPPROVED/CALL FOR REINSP. CO WIN. CI1Y OF T I GARD DATE ISSUED: 02/114/96 02/C95-059614/96 COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: _ 13125 SW Hall Blvd.Tigard,Oregon 97223o8199 (503)639-4171 ;LSD 1V I 5I ON. 0 0NTNG:C-G .LACK. . . , . . . . . . , LOT. . J 11 OT. . . J- 11 . . . . . . . Iiject Description: 6 br'allcf- Cit-cl-lits- -RESIDENTIAL UNIT------ ------TEMP 5RVC/FEEDERS----- )OO SF OR LESS. . . . 0 0 - 200 amp. . . . . . . : 0 PUMP/ IRRIGAIION. . . )CH ADD' L 500SF. . . : 0 21211 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 1MITED ENERGY. . . . . : 0 .4-01 -- 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . C 0 aNf'-_. HM/ SVC/rDR. . : ) S014-amps-1000 volt, . : 0 MINOR LABEL (10) . . . ; 0 -BRANCH C1 RCU 11"']) INGI.-,ECTIONG­ �izlo amp. . . . , . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . . - Ji 400 amp. . . . — 0 Ist by Q SRVC OR FDR. I PER HOUR. . . . . . . . . . . : 0 600 amp. . . . . . 0 EPLANT,A ADD' BPNCH CIRC: 7 IN . . . . . . . . . . : 0 'N-­ 1000 a in p. -PL.(-N REVIEW SECTIL 4 600 VOL-&0\10MINAL. , 10+ Amp/volt. . . . . 171 ) -:--4 RES UNITS. . . . : �(_.onnpct only. . . . . : 0 G V C F D R > 22,25 AMP'S. . : CLr�SS :4REA/VWEC OCC. vnet­. FEES 1" 1 11\1 C type Amol.tnt by date r ccf7t BOX 13731 PRMT $ 70. 00 CTR 02/14/96 96-2759"" 5PCT t 3. 50 C T R 0 14/1 C, 96-c-1:7751-- JRING, 1111 lj704,2 ,erne #.- 503-666-7615 ntv-ac:tor-: 4L INC 73. 50 TOTFL J BOX 781 312-ri-4 REQUIRE INSPEcTIONS ,)RINL OR 970093 Cover- :-.1ert' 1 Final Service` is pqroit is issued subject to the rtgkAations contained in the gard Maticipal Code, State of Ore. Specialty Codes and ali other t h; 1 1. t Z, LJ 11 at$.it- _Pjicable laws. All work will be done in accordance with VV .:proven plans. This perait will expire if work is not started thin 180 dais of issuance, or if work is suspended fur Bore ar 1R. days. 15, -UWNER 1N93TALL.l.-.J.L0N ip installation is beinlj made on property 1 own which is not intetided for lease, or, 1-prit. 4NEr;1S SIGNATURE' : ........... DATE: ...... . . .... INSTALLATIOIN ln!spectlrn 639-4175 Community Development ELECTRICAL PERMIT APPLICATION K 125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # — Permit # f l L Phone (503) 639-4171 Date Issued _ l FAX (503) 684-7297 Issued by CITY OF TIGARD TDD No. (503) 684-2772 Inspection (503) 6394175 -------�- 1. Job Address: j "�v �' - i / Complete Fee Schedule Below: Number of Inspections per permit allowed Name of Development ��7 � � �J� ��I ��- — --- �44rvlr N mclucic,d Items Cost(ea) Sum Address �� � � � �'T.�J--� , �7�1 /_ !d_ 100 Residential - per unit City/State/Zip / 1 V fl �C 1 --- ,000 Av a 0r ler $11000 � E po additional act it or $2500 t Name (or nam of business) )�L -- pornon thereof limood Energy E25 00 Commercial Residential ElEadr Man urd Home or Modular y g 00 — Dwelling Service or Feeder 2a. Contractor installation only: 4b.Services or Feeders 2 r InslallAtiOn,alteration,or relocation 2 T- 111� 200 amps or less $r'o 00 2 Electrical Con racto 201 amps to 400 amps $0000 2 Address 401 am to 600 am na $12000 $160 00 2 /l ritate Zip �Y 601 amps to 1000 amps 2 City ---P-� _ _•7� l _ $� 00 Over 1000 amps or volts $5000 Phone No. I P,:—nned only Contractor's License No. -L" 4c. Temporary Services or Feeders Contractor's Board Reg. No. installation Alteration or ralcx.Ation 200 amps or less $50 00 Signature of Supr. Elec'n �.� 20,amps to 400 amps -� $75 oo =r _ ) /..I', Phone No. r 401 amps to 600 amps -_ $,0000 License No. r7-,�"'_ OverM W600 Amps to 1000 Vons eAh'1Ve 2b. For owner installations: 4d. Branch Circuits Print Owner's Name New anrraron or exloneion par panel a) the lee for brnnoh arcuds with 2 Address -- purchase of service or feeder he. City State _ Zip Each branr:h racull $500 _ Phone N0. h)The lee for hrsrrh arrutts wlthour i 2 purehran of switircurt a leader►ae•I 1 2 The Installation is being made on property I own which is First nrAnrn arcus --�/+lr-- $9500 L!�_ not intended for sale, lease or rent. Each additional branch arcual $500 r Owner's Signature „__T 4e. Miscellaneous 2 (Service or feeder not incf.lded) 00 2 E ach pump or irrigation arms $40 3. Plan Review section (it required): Each sign at oulnne lighting __ $40 00 2 Signal arcwt)n)or a limited energy nel,alteration or"donsion tido 00 please chock appropriate item and anter lee in secti�m 58. M,n�r Iatwls(to) $too 00 _ 4 or more residential units in one structure Service and feeder 225 amps or more 41. Each additional inspection over _—System over boo volts nominal the allowable in any of the above Classified area or structure containing special occupy^c, per Inspection $3500 as&scribed in N E C Chapter 5 nor hour $55 oc In Plant $55 00 I Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: 5a. Enter total of abovo 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 3) CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $ A PERIOD OF 'GO DAYS AT ANY TIME AFTER WORK IS F1 Trust Account 4 $ COMMENCED Balance Due S J eMd<nrnd�J.WCprn qo EL EUR-A 6 Svc-arc PROJECT NO. WASHINGTON COUNTY INSPECTION CARD DEPARTMENT OF LAND USE AND TRANSPORTATION PERWT NO. �,Ls� FOR INSPECTIONS CALL: 640-3561, 24 HOURS FOR INFORMATION CALL: 640-3470 DATL ADDRESS �5 01) �s.�"`=.� �' PERMITEEj� � DIRECTIONS �_ PHONE NO. BUILDING MISCELLANEOUS PLUMBING �LECTRIf� . ftg post/beam nail mobile home around rain drain temp service fdn frame apron/ wood stove post/beam storm sewer cover 6 service sidewalk slab ins:: FINAL HVAC top-out FINAL FINA gas test sewer USA No. OTHER OT APROVED APPROVED REPPAIR ApNDD RE-INSPECT OAPPROVEDAPPD INSPECTION EVERNOSTOP WORK UNTIL: IF i 'TE INSPECTED BY r � DEPARTMENT OF LAND USE & TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12 155 NORTH FIRST, HILLSBORO, OR 97124 COUNTY, PHONE: 503/640-3470 OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415 P- alit 4 . 4 Y'Ndam':: _l+;: . irk S• �•�� 1 4 •Fli�ed U5/Q' /9 la �ue8 (1"/C1Y',iY�': Ex;-i r i 1./ : )b� ! 4/Safi COME", Pc-rinYit, Title Fid ritVIC:E ; 'I' Ti tv 0TH View :ription • F V1,0L. IIt^III ;t r;}.• Addrea-t " arlt; �',w UP FY W) T. Own+-r Name m I AI�pl .i,^ant. Nama rr Yl o IbV , .. :� ,ay to I 1 , U v DEPARTMENT OF LAND USE & TRANSPORTATION WASHING'T'ON LAND DEVELOPMENT SERVICES DIVISION #350-12 55 NORTH FIRST, HILLSBORO, OR 97124 COUNTY, '55 503/640-3470 OREGON INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415 067354 trc.ject # : I'Uu4u71 :tat ;agr I :)f ppl .lem. 05/05/9"i Irsurr8 U5/{?5/9!'. F.XT-i ;Itii 01/`.•}'i Tri : (? .: C'i}MELE�" -arrnit Title AIS ^ERVI (:F 11TATION T� --ve-rx tior, .;ERVl+_R/;! BEqu:: . 1. Add r'ei>p !G900 SW UP 1!iOONEw FY RO TT ,prier Hama TN6T'LCTI6N TIGAW Cteriicr� +� -.pli ant Name l•LEZHMAN FLEC'TIO J� m it•n� nurnk;Ex , . - At 3-a Va I:, ,? Appr.ov,sd _ ;ik,p*ctc;r C:c,rnri+c�-,? r k6iectn.d^ ._._.___.. J « . #0 cm."�-Pk4eaC fs-� 0-4,C& �. c�rp„ „t �,`�> . . ; •� of-zC�=1 6.4 J.� rt o 3 -p .rQ ac Q.. C Q_.tt. 0 Kck 2 • _►�+ e E �..0 C Q r 4aj - °�� DEPARTMENT OF LAND USE d TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 155 NORTH FIRST,HILLSBORO,OR 97124 I M^Oat�, — C011UN-TYr INILPECTION REQUESTS: 503/640-3561/693-4415 OREGON NOTICE: This permit becomes null and void If the work or constru Alon for which It Is Issued Is not commenced within 100 days. Once construction has started, the permit becomes null and void If rnnstruction Is Intrrntpted for a period of 180 d9ys. 1 certify that the information presented by the applicant and hie agent or agents In support of lhla permit Is true rad correct to the best of our knowledge. I acknowledge that the Building Department's reliance upon false and misleading Information may Invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use of this building or structure will be compiled with whether or not snecifled on the plans or noted on the plans correction sheets. I acknowledge that the granting of a permit does not grant authority to access priv its property or to use easements. I further acknowledge that the use or occupancy of the structure or building permitted depends upon my calling for Inspections at various times during the process of constriction and the building Inspection staff verifying compliance with the various codes. Use or occupancy of the building or structure permitted prior to approval by the Building Department Is solely at the risk of the applicant and such use or occupancy is revocable until all Inspection requirements are satisfied and approval Is given by the Building Official. I further acknowledge that a Ilan may be placed on the title of the property upon which the permit Is Issueo specifying that the use or occupancy of the building or structure Is provisional and revocable until the satisfaction of all Inspection requl e�: i CANT'f SIGNATURE � DEPARTMENT OF LAND USE&TRANSPORTATION WASHINGTON LAND DEVELOPMENT SERVICES DIVISION 155 NORTH FIRST,HILLSBORO,OR 97124 COUNTY, INSPECTION REQUESTS: 503/640-3561/693-4415 OREGON NOTICE: This permit becomes null and void If the work or construction for which It Is Issued Is not commenced within 180 days. Once construction has started, the permit hecomea null and void if construction is interrupted for a period of 180 days. I certify that the Information presented by the applicant and his agent or agents In support of this permit Is true and correct to the hest of our knowledge. I acknowledge that the Building Department's reliance upon false and mislrading Information may invalidate this permit. All provisions of applirabie laws and ordinances governing the construction and use of this building or structure will be compiled with whether or not specified on the plans nr noted on the pians correction sheets. I acknowledge that the granting of a permit does not grant authority to access prlvatP property or to use easements. !further acknowledge that the use or occupancy of the structure or building permitted depends upon my railing for Inspections at,.arious times during the process of construction and the building Inspection staff verifying compliance with the various code- Ise or occupancy of the building or structure permitted prior to approval by the Building Department Is solely at the risk of the applicant amu ouch use or occupancy Is revocable until all Inspection requirements are satisfied and approval IF.given by the Building Official. i further acknowledge that a Ilen may he placed on the title of the property upon which the permit Is iasuod specifying that the use or occupancy of the building or structure Is provisional and revocable until the satisfaction of al;inspection requirements. APPLICANT'S SIGNATURE WASHINGTON COUNTY ELECTRICAL PERMIT Department of Land Use & Transportation o` Electrical Inspection Section APPLICATION N'�-`► 155 North First Avenue, #350-'12 Hillsboro, Oregon 97124 g Project/Perini � .-�,�� Information: (503) 640-3470 Fax: (503) 693-4412 Number _77 ���� �� Date PLEASE PRINT 4, Complete Fee Schedule below Please complete at/ sections,, 1 through 5. Number of Inspections per permit allowed y 1" Location of installation _ Service included: Items Cost(ea.) Sum Address �j�'DO-S tcl l _.— A. Residential-per unit Building a 1000 sq.ft.or less $6s oo Cit __--- y Tl a `n Suite NO. __._.__�—_ Each additional 500 sq.ft Tenant Name - l or portion thereof $15.00 ----._-- (if commercial) $ S QrV 1C-e 1 O i imited Energy -- $20.00 _- Each Manufd Home or Modular Directions r—� C pr n er O S t,� U a 9&2 Dwelling Service or Feeder ______ $4000 ---------- _ — o of-j S ter►+ s S k/ __-_ B. Services or Feeders Installation,-Aerations or relocation op 200 amps I•lass $50.00 2 201 amps tc 400 amps —___ 550.00 — 2 Commercial Residential 401 amps to 600 amps $100.00 2 L 601 amps to 1000 amps $130.()0 2 C Over 1000�'`s`Nvolts 2a. Contractor instal ation onl Reconnect only only $40.W ? J- $ $40 2 00 - Electrical ContractoM _► 3. — - 1r _ 3 O y �' � � ��`� G. Temporary Services or Feeders Address � — , 3 Installation,alteration or relocation Date 5—3— 9 5 Job Nygber _e 200 amps or less $40.00 __ 2 Property Owner CJ t - 201 ivnps to 400 amps $55.o0 _-- 2 Contractor's License No. -�-6p^ I g ____ 401 amps to 600&nips $60.00 —-- 2 Contractor's Board Reg. NO. _4 Over 600 am is to 1 u00 volts a""B'above V. Branch Circuits Signature of Supr. Elec' ��. New,alteration or extension per panel License No/�t S Phone NO. -- - - a) The fee for branch circuits with purchase of auvko or hada�((he. 4 Oro 2b. For owner installations: Each branchcircult _1(— $2.00 — 2 b) The fee for branch circuits without _ purchase of servke or Wider foe. Print nei'n�leme hone First branch circuit -- $35.00 - 2 Each add'nl branch circuit__. $2.00 - 2 KJcTr — E. Miscellaneous (Service or F-3eder not includeo) Each pump or irrigation circle $40.00 2 aty State Zip Eaoh sign or outline righting $40.00 — 2 Signal circuit(s)or a limited The installation is being made on property 1 own energy panel,alteration which is not intended for sale, lease or rent. or extension $�"oo _ z F. Each additional inspection over the allowable CNuner's Signature -------- -- ------ in any of the above, per inspection $3500 3. Plan Review section (if required) 5. Fees A. Enter total of above fees $ 5% Surcharge (05 X total fees) $ L Subtotal $ —-- ______ B. Enter 25% of line A.for For Inspections call Plan Review 0 required (Section 3) $ 649-3561 or 693-44'15 Su $ s� 24-hour recorder, Leessss Bulk Label Fee one working day in advance of need Balance Due $ �—•L— This permit becomes null and void If the work euthorizud by the permit Is not c Nmmenced within 18n days from date of Issuance of such permit or N the work outhorized Is suspended-w abandoned at any time,Her work is commenced for a period of 180 days.✓✓" QQ�� Electrical Permlts are non-refundable and non transferable. /`ij ✓10/91