10970 SW 82ND AVENUE ADDRESS:
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CITY OF TIGARD BUILDING INSPtCTION DIVISION MST
24 Hour Inspection Line: 639-4175_ r jl6"ess Line: 639-4171
_ f j j BUP
Date Requested AM �N _PM BLD MEC
Location ` G �� Suite -- --
_ — _
Contact Person `A��—'�f Ph w3`r �� �� _ PLM
Contractor_ �c T"'" _ �- _ Ph 6�'�,3325 SWR
_ —_—- e�
BUILDING Tenant/Owner
Retaining Wall ELR
Footing
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN _
Slab _ r__-_ SIT
Post& Beam —
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alam
Sjsp'd Ceiling _
Roof
Misc:
Final
PASS PART FAIL ----- ,�"
PLUMBING
Post& Bearn r-- -
Under SI jb
Top Out
Water Service `
Sanitary Sewer
Rain Drains
Final
- - - --- ----- TT--rr
PASS PART FAIL
MECHANICAL
Pest& Beam - ----- --- -- _
Rough In „r� �-
Gas LineSmoke Dampers
Fi,,al -- - - -
PASS PART FAIL
LECTRICA --- _ -
a Service
Rough In `\� ----------
N UG/Slab I �• �.
Low Voltage
larm
__j Final
MSS TART FAIL _--
i
Backfil:/Grading
Sankary Sewer
citorm Drain [ ]Reinspection fee of required before next inspection. Pay at City Hall, 13125 SW Hall Bled
Catch Basin �.Please call for reinspection RE:
_ -�S' "rr_�r Unable to Inspect-no access
Fire Supply Line �\ +-- --= ----•-� p
ADA
Approach/Sidewalk
Other _ Date �f <; Inspector_ {.-i��' � Ext
Final
PASS PART FAIL DO NnT REMOVE this inspec Jon record from the job site.
CITY OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC98-0647
13125 SW Haii Blvd. Tigard,OR 97223(503)639-4171 DATE ISSUED: 10/27/98
PARCEL : 1SI36CB-00221
SITE ADDRESS. . . : 10970 SW 82114D AVE
SUBDIVTSI13N. . . . :SHANNONDOW ZONING: R--4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . .020 JURISDICTION: TIG
P,ro.ject Description : JC#11597
--------------------------------------------------------------------------------------------
- -RESIDENTIAL
UNIT—- ----TEMP SRVC/F*EEDERS---.- ---------i1ISCELLp1qEOUS-------
1000 SF OR LESS. . . . 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATiON. . . . : 0
EACH ADD' L 500SF. . . 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LIN=_' LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 -- 600 amp. . . . . . . : 0 SIGNkL/PANEL.. . . . . . . . 0
MANF. HM/ SVC/FDR. . : 0 601-1-amps--1000 Volts. : 0 MINOR LABEL 0
-----SERVICE/FEEDER----- ----BRANCH CIRCUITS------- ----ADD' L INbPECTIONS------
0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPEr-rIDN. . . . . . 0
201 - 400 amp. . . . . . : 0 Ist W/O SRVC OR FDR. : 1 PER HO"'.. . . . . . . . . . .... . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 t--A ADDIL BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . : 0 REVIEW SECT I ON-------------------
1000+
N-------------------
1000+ amp/volt. . . . . : 0 >=4 RES UNITS. . . . . . . . : ) 600 VOLT KJM I NAL. . :
Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: FEES
OWNER type amol-Int by date reept
10970 SW 82ND AVE PRMT $ 35. 00 JSD 10/27/98 98-31031t
TIGARD OR 9722,3 5PCT $ 1. 75 JSD 10/27/98 98--310311
Phone #:
Contractor.: -------------------------------
JPC ELECTRICAL SERVICES INC $ 36. 75 TOTAL
4120 SE INTERNATIONAL- WY
STE A-407 REQUIRED INSPECTIONS
MILWAUKIE OR 97222 Rot.tgh-in Elert' l Final.
Phone #: 654-3325 Elect' l Service
Req it. . - 001255
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
a-olicable laws. All work will be done in accordance with appro%ed plans. This permit will expire if wcrk is not started within 180
days of issuance, or if work is suspended for more than 181 days. ATTENTIONt Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules,are.g/pt fo it, OAR 952-001-0010 through DAR 952-* -1987. You my-4Utip a copy
'P
of these rules or direct questions to OUNCby ca(i 1,q 1&3)2 -,00 8 7.
Issi-ted By-_
P r m i t t e e 5 i gnat�,
C
IER INSTfiLLATION
The installation is being made on property I own which is not intended for,
sale, lease, or rent.
OWNER' S SIGNATURE- DATE-
cc
Ln ---------_------_-----_.---CONTRACTOR INSTALLATION ONLY------------------------------
E31GNATURE OF SUPR. ELECIN: DATE:
1. 1 CENSE NO:
................r.....................................4................. .I-+4+++4 4
Cal 1 639-4175 by 7:00 p. M. for an inspection needed the next bi-isiness (Jay
...................................................4....................4-4.
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.PECEIVED
Tigard, OR 97223 S Planck/Rec. #
l/�� Permit # r=LC
Phone (503) 639-410fT 2 7 1998 Date Issued
CITY OF TIGARDFAX (503) 684-7297 Issued by %71
TDD No. (503) 68'4-2772TY OEVELOPP,ENt
Inspection (503) 639-4175
1. Job Address: 4. Cor :plete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Address IDIQ r`,0 Suj R)o(•l f 1 -c Service included Items Cost(ea) Sum 11
City/State/Zip a r d C) 4a. Residential- per unit 4
1000 sq It or lase $11000
Name (or name of business) Each additional 500 sq if or �— 1
prnion thereof $2500
Commercial ❑ Residential Limited Energy $2500
✓ Each Manufd Home or Modular 2
Dwelling Service or Feeder EBe 00 _
2a. Contractor Installation only: 4b.Services or Feeders
Electrical Contractor✓ p t. +.E I fe( wt ca �(IC Inetoll amp or Lebon or relocation 2
r r � 20U amps or less woo 2
Address-q la f (ih )n c- (, h i G`7 201 amps to 400 amps beo 00 2
City f`1, IwcL� G. State ) Zip � 10
401 amps o 0 amps 1;12000 _ 2
801 amps to 1000 amps $18(300 2
Phone No. (o"t'-¢- ,�3�J _ over 1000 amps or volts $14000 2
Contractor's License No.; 9.J 4 C Reconnect only
Contractor's Board Reg. No. /r�554 LL.' 4c.Temporary Services or Feeders
Installation,alteration or relocation ?
Signature of Supr. Elec'n 200 amps or less $5000 2
License No.!1[RNo.� Q 31_—)S 201 amps to 400 romps $/s$/s 00 2
—T� 401 amps to 600 amps _ _ $inn on
over 600 romps 10 1000 volts _
2b. For owner installations: see•h•above
4d. Branch Circuits
Print Owner's Name New,alteration or extension per panel
Address a)The tee for branch circuits with
City_ State Zip pumhese of semks or,'eeder 11ee. 2
Each branch circuit 55 00
Phone N0. h)The lee lot branch circuits wffhouf
The installation is being made on property I own which is purchase of swvks or Reeder W. c u 2
not intended for sale, lease or rent. Fest branch circuit I f.95 00 � 2
Each adds,aerl branch circuit $8 00
Owner's Signature _ _ 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or irrigation arde $4000 i 2
Each sign or outline lighting $4000
Signal circuits)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 Minor Labels(10) $10000 --
Service and feeder 225 amps or more
System over 600 volts nominal 41. Each additional inspection over
v~i Classified area or structure oontainiog special occup.ncy the allowable in any of the above
as described in N.E.C. Chapter 5 Per inspection s e 00
Per hour $5600
In Plant $5500
Submit 2 sets of plans with ii.pplication where any of the above
j apply. Not required lot temporary construction services. S. Fees:
NOTICE 5a Enter total of above tees s 35: Cw
5%Surcharge(05 X total fees) $ _
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review it required(Sec.3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. ❑ Truest Account N $
Balance Due $