11575 SW FAIRVIEW LANE G
VI
VI
1p
1 � CC1lll � r I►--1 � O
1 kk11 ti
I � �
M J
1
�� M ti� AL1 G7 UJ u Q Imcn-
4'
Lo
Fi O �7
N � n
r�
I
' I c
t'7[I
11575 SW FAIRVIEW LANE
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Busin(ss Phone: 6394171
Date Requested: __ U�j 1 q - ( -7 _ A.M. P.M. MST:
Location: 11.5 �� �71G{r—� IJ/4li al) — —•— BUP: _
Tenant:_ _ Suite:
d
``_Bldg- MEC:
Contractor: � �� ��/ Phone: PLM.
(homer: __Phone: ELC:��/
ELR:
SIT:
BUILDING BLDG(con't) PLUMBING MECHANICAL — LECTRICAL _) SITE
Site Pos!lBeam Post/13cam Post/Beam CoveriSemce Sewet/Storm
Footing Roof Undl l/Slab Rough-In Ceiling Water Line
Slab Framing Top Out Gas Line Rough-In UG Sprinkler
Foundation Insulation Sewer II(XxV uct Reconnect Vault
Bsnrt Datnp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spklr/Alm Crawl/Found Fir Ileat Pump Low VQ1t
Approved Approved Approved A I ved Approved
Appr/Sdwlk Not Approved Not Approved Not Approved ved Not Approved
FINAL FINAL FINAL FINAV1.4 FINALL,
j-!!r
/22
4 � c
•-,:__ -F�' - Cts
;,T"r
J
0 Call for reinspection D Reinspection fee orequired before next inspection l7 Unable to inspect
Inspector: 11 Date:_ —L-- Page__�_of / --
CITY OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES r-"ERMIT #: ELC97-0451
13125 SW Hall Blvd.,Tigard,OR 97223 (503)639-4171 DATE ISSUED: 07/14/97
PARCEL:
SITE ADDRESS. . . : 1 1575 SW FAIRVIEW I-P
SUBDIVISION. . . . :HOLLYTREE. ZONIN(j':R---4. 5
81-OCK. . . . . . . . . . .. LOT. . . . . . . . . . . :3 JURISDICTION: TIG
Proje,.:t Description : ir-,tl 5 branch circuits w/o feeders
------------------------------------------------ --------------
--- Qf-.ST DENT IAL UNIT---- ---TEMP SRVC/FEEDERS---- -i11GCELLANE0US----
1000 5F OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADDIL 500SF. . . : 0 201 400 amp. . . . . . . : V1 SIGN/OUT LINE L-TG. . : 0
1__ TMITEI) ENERGY. . . . . : 0 401. 600 amp. . . . . . . : 0 SIGNAL/PANEL.. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601.4-amps.-1000 volts. : 0 MINOR NOR I-ABEL, ( 10) .. . . : 0
5E RV I CE/FEEDE R------- -----BRANCH CIRCUITS----- - ---ADD' L INSPECTIONS---
0
NSPECTIONS—0 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0
401 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 4 IN PLANT. . . . . . . . . . . . 0
601 1000 amp. . . . . : 0 PLAN REVIEW SECTION-----------------
1000+ alrp/volt. . . . . : 0 11 =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . , 0 F)VC/FDR 225 AMPS. . : CLASS AREA/SPEC OCC. :
Ownev•: ----------------- FEES - ------------
PATRICIA DUNCAN type amoi.int by date r-eept
11575 SW FAIRVIEW PRMT f 55. 00 TAT 07/ 14/97 97-297065
'TIGARD OR 97223 5PCT $ 2. 75 TAT 07/14/97 97-297065
Phone #:
Cont r-art or,:
RED' S ELECTRIC CO INC $ 57. 75 TOTAL
2002 SE CLINTON ST
REOUIRED INSPECTIC, 4S -----
PORTLAND OR 97c`_'02 Roi-ighin Elect' l Sev^vice
Phone #: ER33-6467 Undet-gt-ol.tnd Love Elec-11", 1 Final
Reg #. . : 000044
This pervit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Sp--ialty Codes and all other
applicable laws. All work will he done in accordance with approved plans. This persit will expire if oork is not started within In
days of issuance, or if work is suspended for acre than 180 days. ATTENTION: Oregon law requires ynt, to follow tt� rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in BAR 952-MI-8010 through OAK 952-001-1987. You aay obtain a copy
of these rules or direct questions to DJNC by calling (593)246-1987.
Permittee Issi,.Pd
A
_----.---__---__.-__----.--__-OWNER INSTALLATION ONLY-----------------------------
The
NLY-----------------------------
The installation is being made on pr-opet-ty I r.wn which is not intended for-
sale, lease, or, rent.
nWNERIS SIGNATURE: DATE:
INST.411-1-AT T ON ONLY_---._.----------__.._
SIGNATURE OF SUPR. ELECI N: DATE:
LICENSE NO: 1k _____ _
+ 4............4....................*..........4+4 4-++4............4+4.....4+++4
Call. 639-4175 by 6-00 p. m. for- an inspection needed the next bi-tsiness (Jay
1 ++4-+4........4.......................4•............................................
1-d
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 PlanckiRec. #
Permit #
Phone (503) 639-4171 Date Issued
I A FAX (503) 684-7297 Issued by
CITY OF T G RD TDD No. (503) 634-2772
Inspection (503) 639-4175
1. Job Address. 4. Complete Fee Schedule Below:
Name of Development _ Number of Inspections
per permit allowed -
Address )/E.2���__�!?�r✓/ / ./_-__ Sr,rvc rI_ udod Items Cost(ea) Sli
City/State/Zip,~� �) — 4a. Residential- per unit 4
1000 sq It or less $11000 _
Name (or name of business)_ "sir 4."— Each there 500 sq q or
poh,on on Ihenot _ S25 00
Commercial (] Residential trmtled Energy $2500 `
r_ach Manut'd Home or Modular
Dwell,ng Service or Feeder W o0
2a. Contractor installation only: �+
4b. Services or F4eders
Installation alteration or�eiro-altun 2
Electrical Contractor R F D r S F L E c T R I C CC) INC 200 amps Or leas $so 00 2
201 amps to 400 amps $8000 2
Atydr@SS2002_ �E C L INT 0 N 401 amps to Boo amps $12000 2
City PORTLAND Stat Zip — F.0I amps,0 1000 amps $1 e0 00 2
Phone No. Over 1000 amps or volts $34000 2
Contractor's License No. Zb-15Z Reconnect only SW 00
Contractor's Board Reg. No._, 1 _1 4c. Temporary Services or Feeders
hxtatlat.on aneration or relocation 2
Signature of Supr. Elec;!.Ld-' `:, 7 ` 200 amps or less $5000 2
License No. 2,0 Phone 201 amps to 400 amph $75 00 2
401 amps to 800 amps $10000
Over Wo amps to 1000 volts
2b. For owner Installations: see•b•above
4d. Branch Circults
Print Owner's Name _ New alteration or extension per panel
Address a)The lee for branch circuits with
City State Zip _ purchssese-or asrvioa cr Issder Are, 2
Each branch circuit $500
Phone No. b)The tae tot brerrh circuits MOM
The installation is being made on property i own which is purchase o/service or Aradser Anse. ,� _Od 2
First branch circuit $3500 fs ?
not intended for sale, lease or rent. Each additional branch circuit $500 N _
Owner's Signature _ 4e. Miscellaneous
(Service or feeder not included)
3. Plan Review section (it required): Each pump or,n,gattpnpale $4000 2
Each sign or outline lighting $4000
Signal urcunis)or a limned energy 2
Please check appropriate item since enter fee in section 58. panel alteration or ednnsion S4000
4 or more residential units In one stricture Minor-abets!101 $100 on
Service and feeder 225 amps or more
System over 600 volts nominal 411. Each additional inspection-ver
Classified area or structure containing special occupancy the allowable in any of the above
as described in N E C Chapter 5 Per''fn."1"', $3500
Per ho." It"00
i� $5500 _ —
Submit 2 sets of plans with application where any of the above In Plant `— '--
apply. Not required for temporary construction services. 5. Fees:
d'1
NOTICE 5a. Enter total of above lees $
5%Surcharge(.05 X total lees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ —
AUTHORIZED IS NOT COMMENCED WITHIN 180 GAYS,OR IF 5b. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review it required ISec 3) $Subtorrl T �
A PERIOD OF 18o DAYS AT ANY TIME AFTER WORK IS -- ----
It
COMMENCED —Trust A.xount s $
Balance Due S7 75
eexleeee1MM10�M see
I
i
i
� I
� 1
1
i
i
i
i
l
RECEIVED
JUL 14 1997
COMMUNITY OEVELOPMENI i
i