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10825 SW FAIRHAVEN WAY
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639.4175 Business Line: 639-4171
// ,^, / BUP
—_— Date Requested ' , - C
n ( ( � AM_ _PM BLD
Location 10 19 24S ��1C{. _ Suite _ MEC
Contact Person Ph PLM
Contractor _ Ph i SWR
BUILDING — Tenant/Owner _ ELC <2qq- 5c72,
Retaining Wall ELR
Footing Access:
Foundation FPS -- _----
Ftg Drain SGPT _
Cray-.;C.,c:n Inspection Noies:
Siab _ SIT --
I �_lct� ---_
Post& Beam +
Ext Sheath/Shear I - _—
Int Sheath/S�lcar
Framing -
Insulation /
Drywall Nailingr!Lz — --------
Firewall
Fire Sprinkler ______---__ -_ ------- --- ---
Fire Alarm /
Susp'd Ceiling
Roof _-
Misc: _ -- ---- —
Final
PASS PART FAIL _---- -- -----_ __-- _. _ —__ -___.----
PLUMBING
Post& Beam - __ _ ----------------------------------- ----- --- ----
Under Slat,
- -. - - -- - _- ..----------------- -- ...-._..__---------
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS_PART FAIL
MECHANICAL
Post R bears --- - -- -- —_�._-..- -----
Rough In r
Gas Line --- - ------- ------ --- - ----- ----__ -_ — _.—
Smoke Dampers
Final -- -- -- ------ - ----- --------
P PART FAIL
Service
Rough In
L'G/Slab
pow Voltage
Fire Alarm --- ---—... -- --- —
F
PA8 PART FAIL — _----_—_ --- -- ---- -
Backfill/Grading -- -�� �—
Sanitary Sewer
Storm Drain ( ]Reinspection fee of$ _____required before next Inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line ( 1 Please call for reinspection RE:- _� ( j Unable to inspect-no access
ADA
Approach/Sidewalk Date _ Inspector
Other -- -- --- ----..
Final
PASS PART FAIL 00 NOT REMOVE this Inspection recond from. the job site.
�� O� ������ �_ ELECTRICAL PERMIT
PERMIT#: ELC1999.00592
DEVELOPMENT SERVICES DATE ISSUED: 10/04/1999
13125 SW Hall Blvd.,Tigard, OR 97223 (.iO3) 639-4171 PARCEL: 2S103DD-00420
SITE ADDRESS: 10825 SW FAIRHAVEN W"
SUBDIVISION: FAIRHAVEN COURT ZONING:
BLOCK: LOT : 013 JURISDICTION: TIG
TiG
Project Description: Install 1 branch circuit.
RESIDENTIAL UNIT — TEMP SRVCIFEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amu: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 ,wn: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HMI SVC/ FDR: 601+amps - 10t'0 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS �. ADD'L INSPECTIONS
0 200 amp: N./SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 . 1000 amp: ---
_ PLAN REVIEW SECTION
1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect onl SVC/FDR >= 225 AMPS: _ CLASS AREA/SPEC OCC:
Owner: Contractor:
POND, GERALD A AND MELINDA C WEBER ELECTRIC INC
10825 SW FAIRHAVEN WAY 14524 SW CHARDONNAY AVE
TIGARD, OR 97223 TIGARD. OR 97224
Phone: Phone: 579-5168
Reg #: LIC 44087 ORIGINAL
SUP 4028S
ELE 34-442c
FEES _ _ Required Inspections _
Type By Date Amount Receipt Elect'I Service
PRMT KJP 10/04/199 $37.50 99-318823 Elect'I Final
5PCT KJP 10/04/199 $3.00 99-318823
Total $40.50
Thi, Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR Specialty Codes and all other applicable laws.
Ah work will be done in accordance with approved plans This permit will expire if-ork is not started within 130 days of issuanrn, or 6 work is
n law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
suspended for more than 180 days ATTENTION OregoYou may obtain copies of these rules or d�r, questions to OUNC at(503)
rules are set forth in OAR 952-001 0010 through OAR 952-001-0080
246-1987
PERMITTEE'S SIGNATI IRE ISSUED BY:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR
,INSTALLATION ONLYDATE
SIGNATURE OF SUPR. ELEC'N: - -- —
LICENSE NO: ----_._--
Call 639-4175 by 7:00pm for an inspection the next business day
CIT" OF TIGARD Electrical Permit Application Plan Check#_
13125 SW HALL BLVD. Recd By _
TIGARD OR 97223 Date Recd
Date to P E
Phone (503)639-4171, x304 Date to DST
Inspection (503)639-4175 Print of Type Permit# �
Fax (503) 598-1960 Incomplete or illegible will riot bc-accented Called
1. Job Address: 4. Complete Fee SLnedule Below: vvv
Name of Development 1111L Number of Inspections per permit allowed
Name(or name of business) IT
,, Pte. Service included: items Cast Sum
Address, `S 0 g5,,cj3,%1 _ 4a. Residential-per unit
1000 sq ft or less __ $ 117 75 4
City/State/Zip_�_�,yri.ri�_r - Cj-7 Z2 3 Each additional 500 sq ff.or
—T' portion thereof $ 26.25 _ 1
Commercial E-1Residentlaiz— Limited Energy $ 60.00 _
Each Manufd Home or Modular _
2a. Contractor installation only: Dwelling Service or Feeder _ $ 72.75 2
(Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders
information for COT data base). Installation,alteratiun,or relocation
Electrical Contractor We er 1;—�Le,&L- --Z-w _ 200 amps or less $ 64.25 2
Address LQ 24 >� �'�)L�±��t�1af� A l r&-- _ 201 amps to 400 amps $ 8550 2
— 401 amps to 600 amps — $ 128.50 —� 2
City _2- —_—State_) Zip�! 7 ZZ. 601 amps to 1000 amps _ $ 192.50 _ 2
Phone No _ 3742:3 -572 -!S'/42y Over 1000 amps or volts _ $ 363.75 2
.lob No. Reconnect only _ $ 5350 2
Elec Cont Lice No 4 2- Exp.Date /O - /_.CY- 4c.Temporary Services or Feeders
OR State CCB Reg. No. _11Q\'7 Exp.Date 6- LD0 Installation,alteration,or relocation
COT Business Tax or Metro No 5LX) _Exp.Datc !c+1-C 0 200 amps or less __ $ 5350 2
201 amps to 400 amps _ $ 8025 2
Signature of Supr Elec'n-�7�j� �yL �IA�-- 401 amps to 600 Ovef600 amps to 000 volts. — $ 107 00 z
---
r see"b"above.
License No _�— Exp Date K� -! '�Jo.__ e d.Branch Circuits
Phone No 5 75-5/�j ;vew.alteration or extension per panel
I a)The fee for branch circuits
2b. For owner insfalla►.ons: with purchase of service or
feeder fee.
Print Owner's Name Eacn branch circuit $ 535 - 2
Addressb)The fee foi branch circuits
without purchase of service
City State _IIp _ or feeder fee. / 7
PhoneNO _ First branch circuit ! $ 37 50
Each additional branch circuit $ 535 _
The installation is being made on property I own which Is not 4e.Miscellaneous
Intended for sale, lease or rent IService or feeder not included)
Each pump or irriga!ion circle _ $ 42 75 _
Owner's Signature Each sign or outline lighting $ 42 75
Signal circuit(s)or a limited energy
panel
3. Plan Review section if required):* Minor Labels els $ 60 00
( lior or extension —110) $ 107 00
Please check appropriate item and enter fee in section 5B. 4f.Each additional Inspection over
_ 4 or more residential units in one structure the allowable in any of the above
Service and feeder 225 amps or more Per inspection $ 5000
Per hour $ 5000
System over 600 volts nominal In Plant $ 5900
area or structure containing special occupanry as
described in N E C Chapter 5 5. Fees:
So.Enter total of above fees K'- $ Z 0
Submit 2 sets of plans with application where any of the above apply. �+ -,charge(05 X total fees) $
Not reuul•ed for temporary construction services. Subtotal $
Sb.Etter 25%of line So for
NOTICE Plan Review if re aired(Sec 3) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal
IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCT ION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account#
AT ANY TIME AFTER WORK IS COMMENCED Total balance Due $
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