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10660 SW 71ST AVENUE-1 ADDRESS: F . h �n c� .,J i\records\microhm\(argets\bi r' c .yr � z \ k \j / \ o • � � - a, �L a a \£ R F U- F- T3 _ 2) � a) p i j j \ \ . a » & LO CF) / U z z z W j / i ) 2 � 2 - 2 n \ L) 2 \ 0 k § § § § \ � v Q \ 2 / 2 Lr / 2 \ / © 2 ) A R $ \ $ \ \ \ \ ] \ / r ) \ 2 § \ J g 2 m G ) u z v rn a a z v aT a < � � d o a') =J r CV r a a N a G- < 00 W d Ccr a n F- M M a� m V a F N y,, N V d io L] H V) 1� F� J C � O WW a J � � z a � J � N G < z 0 LL N O r'• °D 0 u) 000 0 a UJ W CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: . Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk Foundation Plbg. Underslab Mech. Rough-in Fireplace Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL: Post/Beam Mech. San, Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr, Insul. Shear Wall Gyp. Bd. -Elect. Date Requested: Time.--AM PM Address: Builder:_r� Y � ss 7- 71 <?(-)Permit THE FOLLOWING CORRECT QN�ARE REOUIR�� ti J C4 4,94:26, eal 17 Il! Inspector; ( Date!}�"'�� S APPROVED —DISAPPROVED _APPROVED SUBJECT TO ABOVE Call For Reinsp. "C Jam,W 4*f Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # Permit # II1-C Phone (503) 639-4171 Date Issued 77 2-1 1� FAX (503) 684-7297 Issued by CITY OF TIGARD TDD No. (503) 1,84-2772 Inspection (50,3) 639-4171 1. Job Address: Complete Fee Schedule Below: Number of Inspections per permit allowed Name of Development P,ddress 1 C L. ��(� S" LJ I �' Service included. Items Cost(ea) Sum c4a. Residential-per unit 4 l000 sq 11 or lees City/State/Zip/State/Zip "moi r ft>Q o �l 13 $11000 r� ' _ Each adddwrv�l 500 sq If or Name (or name of business) (,)L ( ton thereof $2500 1\ por Limitao Energy 525 00 2 comm...cial❑ Residential Each Manul'd Home or Modular Dwelling Service or Feeder $6800 2a. Contractor installation only: 4b. Services or Feeders I Installation,alietaimn,or relocation Electrical Contractor / et A of lF L 200 ampe or lase $eo uo ccs 201 amps to 400 amps $8000 Address_ 401 amps to 600 amps $12000 l Cityr_,f y, .Ks 14Statee)re Zi601 amps to 1000 amps $18000 Phone N0. / Over 1000 amps or volts $34000 Reconnect only $5000 Contractor's License No. Contractor's Board Reg. N0. _ M.Temporary Services or Feeders Ins allalion,alteration,or relocation Signature of Supr. Elec'n 2)o amps or less 00 2J1 amps to 400 amps $75 E75 00 License No ' '2/ 5 Phone No,5-j ' 401 amps In 900 amps slon o0 Over 600 amps to 1000 volts 2b. For owner installations: see•b•above 4d. Branch Circuits Print Owner's Name _ New,alteration or extension per panel Address a)The lee for branch circuits with purchase of"rvice or feeder fee. City State Zip __ Earh branch cvcu4 $5 00 (_)2_C1 Phone No. _, b)The fee for branch arcuwts without The installation is being made on property I own which is purchase of servlcs or Maier fee. 35 First branch circuit 5$600 riot intended for sale, lease Or rent. Each additional branch circuit 5600 Owner's Signature ^_ 4e. Miscellaneous (Service or feeder not included) 2 Each pump or irrigation circle $4000 2 3. Plan Review section (if required): Each sign or outline lighting $4000 Signal circuit(e)or a limited energy Please check appropriate item end enter fee in section 5B. panel,alteration or extension $10000 4 or more residential units in one structure Minot Labels(10) Service and feeder 225 amps or more 4f. Each additional inspection over System over 600 volts nominal the allowable in any of the above i Classified area or structure containing special occupancy per inspection $3600 as described in N.E.C. Chapter 5 per hour $5600 In Plant $5600 _ Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: 5a. Enter tatal of above fees $ NOTICE 5%Surcharge(05 X total fees) $ Subtoto! E PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enter 25%of line A for AUTHORIZED IS NO t COMMENCED WITHIN 180 DAYS,OR IF Plan Review if required(Sec 31 $ CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOH Subtotal $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. I Trust Account tM $ Balance Due ! ,7,3+r.+ii� .....,.,...r.,,..,.rte