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10645 SW FAIRHAVEN STREET R f I I r 0 Ln E H CTJ z En H M m H Mtn Ile d G M i i i l 10645 SW FAIRHAVEN ST _ CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP 7& Date Requested AM_ PM BLD Location�ir� Jr 1!.(.� ` �ZL C f'l CA.c� C rl �/ Suite MEC Contact Person -- Ph _ PLM Contractor . �� _ _-_- Ph _ SWR - BUILDING Tenant 0wiier — rc, ELC Retaining Wall ELR Footing Access Foundation FPS _ Fig Drain SCN Crawl Drain Inspection Notes: — Slab _ __.----- �' ____-.— ---.____—_ SIT Post& Beam Ext Sheath/Shear Int Sheath/Shear Framing -- -------- ------- - --- - ------- Insulation Drywall Nailing - --------- .._-� ---- --_ - — Firewall -- Fire Sprinkler Fire Alarm Susp'd Ceiling - ------------------- ----- ------ ---- Roof Misc. � =� Final -- - ----- - - � . PASS PART FAIL - -_-_-_--- _--- -- - -- ---- — PLUMBING Post& Beam ------- --_____---- - -- ------- - Under Slab ---- -_-- --�-- Top Out Water Service --- ---- -- --— - -.- — - -- --- Sanitary Sewer Rain Drains - - - --- -- -- - ------ ------ F inal PASS PART FAIL MECHANICAL _ - Post&Beam - - --- ---- -- ----- --- ---- - -- - Rough In Gas Line T --- ----- ------------- Smoke Dampers Tinel •- ------ ------------_.---------- PA FAIL ------ - -- ---------- LECTRICAI_ Ro igh In UG/Slab ---- - -- ------- -- ---- Low Voltage F i:.Q.Alarm ;PAS CPART FAILSITE' ------ _ Backfill/Grading Sanitary Sewer Storm Drain [ j Reinspection fee of$ required before next inspection Pay at City Nall, 13125 S1, i i Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RF: _- [ )Unable to inspect-no access ADA Approach/Sidewalk Date �� Ext / Other _? 71 Inspector J _ _--_ Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site. CITY MJF TIGARD ELECTRICAL. PE:RMI'T DEVELOPMENT SERVICES PERMIT #: ELC:98-0366 L 13125.15WHail Blvd., Tigard,OR97223 (5113)639.4171 DATE ISSUED: 07/06/98 PARCEL.: 2S 1.03DD-00403 SITE. r'T)DRES5. . . : 10645 S1�' f AIRHAVFI,I ST SUBDIVISION. . . . :FAIRHAVEN COURT 7ONING:R-3. 5 BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :003 JURISDICTION: rIG Project Description: Add electrical to single family residence. --------------------------------------------- ----RESIDENTIAL- UN 1 T----- -----TEMP SRV(:/FEEDS.RS----- ------M I SCELt_ANEOUS--._._.._ 1000 SF OR LESS. . . . : 0 0 - _00 Amp. . . . . . . : 1 PUMP/IRRIGATION. . . . : 0 ETCH ADD' L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE. I..TG. . : 0 L.IMI`i"ED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANE. HM/ SVC/FDR. . : 0 601 +-amps-1000 volts. : 0 MINOR LABEL_ ( 10) . . . : 0 -----SERVJCE/FEEDER---- ----BRANCH CIRCUITS----- --ADD' L_. INSPECTIONS--- 0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 - 400 amp. . . . . . : 0 .1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 EA ADD' L BRNi:H CIRC: 0 IN PLANI.. . . . . . . . . . . : 0 601 -- 1.000 amp. . . . . : 0 -----------------FLAN REVIEW SECTION------_-__.-___..-.. 1000+ amp/volt. . . . . . 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = E.25 AMPS. . : CLASS AREA/SPEC OCG. : Owner: ------ --- ________________- .--.__._ .________._-----__..._.__ GEES PREMIER RESTORATION CO type amot_int by date recpt 15865 SE 114TH PRMT $ 50. 00 GEO 07/06/98 9'3-307081 SUITE. 0 5PCT $ 2. 50 (CEO 07/06/98 98-.70-1081 CLACKAMAS OR 9.7015 Phone #: Contractor.: _._.-------------.----------•---- ROSE CITY ELECTRIC CO INC f 52. 50 TOTAL, 4012 NE CULLY BLVD --------- REQUIRED INSPECTIONS --- PORTL.AND OR ` 7213 E 1 ect' 1 Service Phone #: 287-6164 Elect' 1 Final Reg #. . : 00003151 This pet sit is issued Subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable la'-s. All work will be done in accordance with approved plans. This permit will erpirw if Mark is not started within '80 days of issuance, or if work is suspended for more than 188 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952101-9@10 through OAR 952-081-1987. You may obtain a copy of these rules or direct questions to OMC by calling (503)246-1987. f e r m i t t e e S i g n a t i_(r e : s��4k�""9----- I s e d H v ; -OWNER INSTALLr+TION ONLY - -_______-----------------.-_-.--- The installation is being made on property I own which is not intended for sale, lease, or ren'-. (IWNF R' S SIGNATURE: -�--- __. DATE- INSTALLATION ATE:INSTALLATION ONLY-- ----------- - - - ---- - SIGNATURE OF SUER. ELC: _E :' N: 0"0%J DATE: _ Gr�L? LICENSE NO: +4...+++++r++++•f•++++++++++++++++++++++++++++4•++++++++++++++++• -++++++++'+'++ Call 639--4175 by 7:00 p. m. for an inspect ion needed the ne>(t bi_tsiness day ++++++++++++++++++++++++++++i•+++++++•+A-+4++++++++++++..'.+++++++++4-+++•1-++•4++++++++ Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd G Tigard, OR 97223 Permit # RECE064i Issued -�— Phone (503) 639-4171 CITY OF TIGet1RD FAX (503) 684-7297 JUL _ 6 199b TDD No (503) 684-2772 Inspection (503) 639-4175 ;SVELt OpMENI 1. Job Address: p� 4. Complete Fee Schedule Below: Name of Development — Number of Inspections per permit allowed Addr.sss 10645 SW St Service included Items Cost(ea) Sum 4a. Residential -per unit 1000 sq. ft or less _ $11000 n Name (or name of business) Each additional 500 sq ft or portion thereof $2500 Commercial ❑ Residential Limited Energy $2500 Each Manurd Horne or Modular Dwelling Service or Feeder $6800 2 2a. Contractor installation only: 4b. Services or Feeders Installation,alteration,or relocationElectrical Contractor _� e_-(it�r F.'.e c i _ 200 amps or less $60 00 Address 401 NE. cl t 1 1 y R 1 v[ 201 amps to 400 amps $e0 00 - 2 Lilt State Z1 401 amps to 600 amps $120 00 2 City.—�a r L tan J �-- Zip 601 ampa to 1000 amps 5180 00 _ 2 O 7 G��4 -- ^_ $ _ Phone N v-F—V-1 Over t000 amps or vofle 340 00 $5o 00 2 Job NO. S R Reconnect only contractor's license NO. 6_ � 4c. Temporary services or Feeders Contractor's Board Reg. NO. —,__- Installation.alteration,or relocation Signature of Supr. Elec n 200 amps or less i S o2 6164 201 amps to 400 amps $5000 License No. 2127S _ — ----- 40}amps to 600 amps 375 f>o Over 600 amps to 1000 Vohs $10000 ---- 2b. For owner installations: see"b"above 4d. Branch Circuits Print Owner's Name---- _ - New alteration or extension per pone Address a The fee for branch circuits with City State Zip purchase of service or feeder tee ` Each branch cimult _ 1500 Phone No. b)The fee for branch circuits without The installation is being made on property I own which is purchase ofservice orfeeder fee First branch c not intended for sale, lease or rent. a Each edadditionalional branch 535 00 anch clrrult $500 Owner's Signature, 4e. Miscellaneous (Service or feeder not Included) 3. Plan Review section (if required): Each pump at lmgstion circle 54000 Each sign or outline lighting $4000 _ Signal circuli(s)or a limited energy 2 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 4f. Earth additions) inspection over Classified area or structure containing special occupancy the allowable In:tny of the above as described in N E C Chapter 5 Per our Per hour insp on s35 00 $5500 _ In Plant $5500 � Submit 2 sets of plans with application where any of the above / apply, Not required for temporary construction services 5. Fees: 0C 5a. Enter total of above fees $ �� NOTICE 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 if required (Sec 3) $ — A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ _ COMMENCED. .tee mx.=» f_I Trust Account # \ rvm.m $ �/l Balance pus S �