9850 9870 9900 SW FREWING STREET-1 ADDRESS :
i:krer--rds\mic,cflrnitargetMbuilding.doc
CITY OF TIfARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection.-
Footing
nspection:Footing Susp. Ceiling Sprink. Rough-ir, Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Fast/Boam Struct, P!bg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Phimb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: �� i � (��5� lune:_—AM PM
Address: �f fj L� f 4�2:�
Builder:_ _ Perrn'it q:
— 7Z
THE FOLLOWING CORRECTIONS ARE REQUIREr):
I/
Inspector:
_ Date: 1–��
/.1(PPROVED ,DISAPPROVED APPROVED SUBJECT TO ABOVE
`Call For Reinsp.
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
A—Inspection—__ai �L?
Footing Susp. ceiling Sprink. Rough-in AppNSdwlk
Foundation Plbg. Underslab Mech, Hough-in Fir-place
Posi/Bearn Struct. Plbg. Toa Out Elec. Rough-in FINAL:
Post/Beam Mech. Sarr, 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:_—=i`) U
Builder1
t�G�''uti4�___ q�� Permit #: C.c' 5
THE FOLLOWING CORRECTIONS ARE REQUIRED:
G
n ector:_ _ Date: �^
APPROVED DISAPPROVED _APPROVED £UBJECT TO ABOVE
_—Call For Reinsp. (
JrJ I 1
L�
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/R9c. # HS-- 2 -719,?P
Permit # - , _—
Phone (503) 639-4171 Date Issued i0 - I3 -" 93'
CITY OF TIGARD FAX (503) 684-7297 Issued by r�/�q Wil,e S�
�D No. (503) 684-2772
Inspection (303) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
or Ill�F APT,
T_S7 Number of Inspections per permit allowedName of Development ch RL
Address 29Do S t W J � Serviceincluded. items Cost(ea) Sum
CitylState2ip Tl c�! O 12 �7a /_ 4m Residential-per unit 4
1000 sq ft or bee $11000
ri- Each additional 500 sQ fl or
Name (or name of'lusiness) /+Z-F PKa pr-ICS portion thereof $2600
Commercial❑ Residential❑ Limited Energy $2500
Each Manul'd Home or Modulsr 2
Dwelling Service or Feeder $6800
?.a. Contractor Installation only: 4b.Services or Feeders
Installation,alteraton,or relocation
Electrical Contractor 200 amps 3r loss sm00 _ 2
Address-- �__ 201 amps to 400 amps $90 00 2
401 amps to ff00 ampe $120 on 2
City _ State_ Zip _ 901 amps to 1060 amps $18000 2
O
Phone No. _
Over 1000 amps or volts $34000 2
P.oronned only $50 00 aJ
Contractor's License No.
Contractor's Board Reg. No. _ 4c.Temporary Services or Feeders
Installation,alteration,or relocation 2
Signature of Supr. Elec'n 200 amps or lose $50 2
00 _
201 amps to 400 amps $7500 2
License No. hone No._ 401 amps to 000 amps r_ $10000
Over 900 amps to low volts
2b. For owner Installations: sere'b"above
`y 4d. Branch Circuits
Print Owner's Name LC)� F I IV K t New alteration o,sxlension per panel
Address Po 1104 2 35-to a)The fee forovirrlch arruss
purelreM o/f eere or healer Ase. 2
✓i '�'"T�� State Zip�!_3i�. Foch branch cirarrt _ $500 r"
Phone No.. b)The fee for branch circuits a0thail
The installation is being made on property I own which is purchase of service or lwder Are. 2
Fret branch arcus $35 00 _ 2
not intended for sale lease or r Each additional branch anvil $500 ^^
Owner's Signatu: � � _ 4e.Miscellaneous
(Service or feeder not included) 2
3. Flan Review section (it required): Each pump or irrigation cirde $4000 � 2
Each sign or outline lighting $4000
Signal cimuit(s)or a limited energy 2
Please check appropriate item and enter fee in section 5B. panel,alteration or extension $40 00
4 or more residential units in one structure Minor Label@(10) $10000 _
_ Service and feeder 225 amps or more
4f. Each edditionel inspection over
System over 600 volts nominal
the allowable in any of the above
Classified area or stru:ture containing special occupancy
as described in N.E C Chapter 5 pe"i, o1ion $3500
Nnr hoar 155'70
In Plant $!5 0U -_
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees:
5a. Enter total of above fees $
NOTICE 5"/Surcharge(05 X total fees) $ _
PERMITS BECOME VOID Ir WORK OR CONSTRUCTION Subtotal 3
AUTHORIZED IS NOT COMMENCED WIT411" '80 DAYS,OR IF 5b. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED GR ABANDONED FOR Plan Review if required(Sec 3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ _
COMMENCED. ❑ Trust Account 8 $
Balance Dve $ S2,xo
.eerm„e.v.rK y.,,,.ser
tom'
Community Dovelopment ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd,
Tigard, OR 97223 P lanck/Rec. #_yS' 71�, o
Permit # .Lj�45-- D y l
Phone (513) 639.4171 Date Issued io - 2 3 - 91
FAX (503) 684-7297 Issued b�
CITY OF TIGARD TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 1, �r 4. Complete Fee Schedule Below:
Name of Development C riHARL �;I 1 CNI I Number of Inspections per permit allowed
Address--�$ �-0 SW f RE W 1fV Gt �-M 3 Service included: Items Cost(ea) Sum
City/State/Zip TIG ARn OR 7 72-?I 4a. Residential-par unit 4
,000 sq it or leve $11000 _
Name (or name of business) /l}t_F PEo Pt P—D E Each add"ional 500 eq It or
portion ihersd $2500
Commercial❑ Residential[] Limited Energy $2500
Each Manul'd Home or Modular 2
Dwelkrp Service or Feeder sm 00 -
2a. Contractor Installation only:
Ib.Services or Feeders
Installation,alteration,or relocation 2
Electrical Contractor _ 260 amps or lees $gt10o _ 2
Address 201 amps to 400 amps $8000 —� 2
401 amps to FM amps $12000 2
City State ZIp--- got amps to 1000 amps $1e000 2
Phone N0. _ Over 1000 amps or colts $34000 2
Contractor's license No.
Reconnect only Z $50 00 �C
Contractor's Board Rr^ '40. 4c.Temporary Services or Feeders
Installation,atleratwn,u,r relocation 2
Signature of Supr. E. _ 200 amps or We $5000 2
Licens9 No. Phone N0. 201 amps to 400 amps $7500 _ 2
401 amps to 600 amps $100 00
Over g00 amps,o 1000 vons
2b. For owner installations: sea'b'above
4d. Branch Circuits
Print Owner's Name k Ft►U>Li _ New,alteration or extension per panel
Addres — 9)The lee for branch circuits wffh
CityG 14R b purchase al sarrlar o►k*dw Ape.
�t /y States_ Zips 7z'h'1 Each branch.�rcrr, $5 00 _
Phone No. .4 y 4 " 5 a 2, y _ b)The fee for Manch circuds teffhouf
The installation is being made on property I own which is purchase of 1°^'ke or Meoler Ase. 2
First branch c.rcurt $3500 2
not intended for Sale,
le se or rent. Fachedddwnalbran,+arcud $500
Owner's Signature4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pimp or in gallon circle $4000 2
Each sign or outline lighting $4000
Signal cimuif(s)or a I.mled energy 2
Please check appropriate item end enter fee in section 58. panel alteration or extension _ $4000
4 or more residential unity,in one structure Mmor[shale(10) Y $100 0(1
Service and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional inspection over
_—Classified area or structure containing special occupancy the allowable in any of the above
as described in N.E.C. Chapter 5 Per inspection $3500
Per hour $5500
--
Submit 2 sets of plena with application where any of the above In Plant $6500 _
apply. Not required for temporary construction services. 5. Fees:
NOTICE 5a. Enter total of above fees $
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 OH ABANDONED FOR Plan Review if required(Sec 3) $
A PERIOD OF 100 DAYS AT ANY TIME AFTER WORK IS Sub!ofal $
COMMENCED. ❑ Trust Account N
IBalance Due $ 52,`�D