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9850 9870 9900 SW FREWING STREET-2 ' ---.i. -... `�;4V,.'� 4aiS�i`wd�.�•.a...�'9'r7{ivl;. ..�i�... ... .r,.f�.,..n�PF„u....ea'__w.___.,._....... 00 fit O J O O `f r r' 1 i 98-90,9870,9900 SW HREWING ST CELECTRICAL PERMIT CITY ®� T I G��D .__ PERMIT#: ELC2000-00640 DEVELOPMENT SERVICES DATE ISSUED: 11/20/00 13125 SW Hall Blvd.. Tiqard. OR 97223 (503) 639-4171 PARCEL: 2S102CB 03400 SITE ADDRESS: 09850 SW FREWING ST SUBDIVISION: FREWINGS ORCHARD TRACTS ZONING: R-12 BLOCK: LOT : 009 JURISDICTION: TIG Proiect Description: Reconnect only for unit#46. RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS _ _MISCELLANEOUS_ 1000 SF OR LESS 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 601+amps - 1000 Volts: MINL.R LABEL (10): SERVICEIFEEDER _ _BRANCH CIRCUITS _ ADC'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: �J 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA AL)D'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+ anrp/volt: >=4 RES UNITS: —� > 600 VOLT NOMINAL: Reconnect only: 1 SVC/FDR >= 225 AMPS: CLASS ARE /SPEC OCC: _ Owner: Contractor: FINKE, ALEX AND LOTTE I OWNER PO BOX 23562 -ORTLAND, OR 97223 Phone: Phone Rog #: FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT CTI2 11/20/00 $66.85 272000000 ( Elect'I Final 5PCT GTR 11/20/00 $5.34 2720000CJ01( Total $72.19 This Permit is issued subject to the regulations contained in the Tigard Municipal Cede,State of OR. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans. This permit v.ill expire if work is not started within 160 days of issuance,or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are slit forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to QUNC at(503) 246-1987 ISSUED BY: PFRMITTEE'S SIGNATURE C Com• r ZC `z--- ` OWNER INSTALLATION ONLY _ -- The installation is being made on propert`�w ' h isnot intended for sale, lease, or rent. // \\ TE: OWNER'S SIGNATURE: ----�--- CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N _ ___ DATE:_ LICENSE NO: - - ---------�— _w Call 639-417 ' ; 7:00prn for an inspection the next business day Electrical Permit Application Date received: i/12Permit no.: tieZ�Da to City of Tigard Project/appl•no.:71 Expire date: City of Tigard Address: 1.3125 SW Hall Blvd,Ti,;ard,OR 97221 Phone: (503) 639-4171 pate issued: By: Receiptno.: — Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: TYPE OF PERMIT U 1 2 lanuly dwelling or accessory U Commercial/industrial IJ Multi-fancily U Tenant improvement U New construction U Addition/alteration/replacemert U Other: _ U Partial INFORMATION �( Job address: Cff U kj l- P` k)r tj CC Mg.no.: I Suite no.:!�! Tax n)ap/tax lot/account no.: \ Lot: I Block: Subdivision: A AQ i A4c /_ _/ Project name: ascription and location of work on premises: Wimated dote of :ompletion/inspection: J�)h no: hrr nt:e% Business name: �!_'Al Desc iptlon tp�. (ca.) rood no.insp Address: dd roa ss: c Nen resblential-single or multi-family per dddNellingonto.Ine•4tdesataeleedgarage. City: Slate: ZIP: Serviceincluded: Phone: Fax: E-mail: IoW sq.ft.or less _ q Hach additional 5W sq.ft.at.portion thereof CCH no.: _ Elec.bus.Ile.no: l.imitedenergy,residentiel 2 City/metro IIC.no.: Limited energy,non-residential 2 Each manufactured home or modulydwelling Signature of superv.sing electrician(requires) Date Service and/or feeder 2 Sup,elect.name(print): - — - - License no: Servvicesorfeeders-installation, PROPERWOWNER 7— alteration or relocation: 200 amps or less 2 Name(print): x-01( G t eV /L--e 201 amps to 400 amps _ _ 2 Mailing address: , c �. - 401 amps to6Wantps —_ 2 Cll �: Stale: 601 amps to I OtA)amps ____ 2 /c' -� R r_)P ZIP: c2' oVNCjBflfl sbrvn 2 Phone:Sc 3- E-mail: Owner installation:T e Installation is being made on property I own 7 Fe i ratysetwices or feeders- which is not intende(Lf salese,rent,or exchange according to installation,alteration,or relocation: ORS 447,455,479,67 ,7 l. 200 amps or less 2 201 amps to 4W amps 2 Owner's si na re: 4 �. Date: 11 Z�) 401 to 6tx)amps -- - — 2 7A. ench circuits•newt,alteration, r extension per panel: Name: - Fee for branch circuits with purchase of Address: service or feeder fer.,each branch jrcuil 2 City: Stale: ZI1' . Fee for branch circuits without purchase of service or feeder fee,first branch circuit: 2 Phone: Fax: F-mail Each additional branch circuit: I am I MITI Mhc.(Service or feeder not Included): ❑Service over 225 amps-commercial U Flealth-care facility Fach pump or initiation circle 2 O Service over 320 amps-rating of 1 k.2 U llu.ardous location Fach sign or outline lighting 2 family dwellings UBuilding over 10.000squarefeet fouror Signal circuit(s)or a limited energy panel. ❑System over Glx)volL%nomiiW more residential units in one structure alteration,or extension* 2 •Building over three stories U Feeders,400 amps or more *Description: _ IJ occupant load over 99 persons U Manufactured structures or RV park Each additional Inspection over the allowable In any of the above: U Fgress/lighthtgplan U Other _— Pe:inspection _-_E_ I Submit^-sets of plans vAth any of the above. Investigation fee _ The above are not applicable to lempnrary construction service. Other --I Not all juridicrions accept credit verde please L411)urlsdiction for more information.' Notice:This permit application Permit fee.....................$ U Visa U MasterCard expires if a permit is not obtained Plan review(al _ %) $ credit card number_ ispires within 180 days after it has been State surcharge(8%)....$ _- — � '/ . Name of cardholder u shown on credit cry— o accepted as complete. TOTAL ......... .............$ .� . l 9 ' S _ Cardholder signature Amount _� __ 44046I S(6I1)IYC'OM Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: — — p Restricted Energy Fee...................................................... $75.00 _ Number of Inspections per permit allowed (FOR AL1_SYSTEMS) Service included: Items Cost Tota! y Check Type of Work Involved: Residential-per unit 1000 sq it or less $145 15 4 [J Audio and Stereo Systems F ach additional 500 sq It or portion thereof $33.40 _ T__ 1 Burglar Alarm Limited Energy __ $75.00 Each Manurd Humc r Modular [l Garage Door Ooener' Dwelling Service or Feeder _ $9090 Services or Feeders I seating,Ventilation and Air Conditioning System" Installation,alteration,or relocation 200 amps or less _ $80.30 ' Vacuum Systems' 201 amps to 400 amps $10685 z 401 amps to 600 amps $160.60 _ _ 601 amps to 1000 amps $240,60 2 c)then Over 1000 amps or volts _ $454.65 ? Reconnect only $66.85 Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY Installation,aileration,or relocation 200 amps or less $66.85 7 Fee for ea.-h system.............................. ........................... $75,00 201 amps to 400 amps $100.30 _ 2 (SEE OAR X18-260-260) 401 amps to 600 amps — $133.75 _ 7. Over 600 amps to 1000 volts, Check Type of Work Involved: see"b"above. Audio and Stereo Systems Branch Circuits New,alteration or extension per panel E] Boiler Controls a)1 he fee for branch circuits with purchase of service or feeder fee. Clock Systems Each hranch circuit $6 65 2 T b) he fee for branch circuits _ Data Telecommunication Installation without purchase of service or feeder fee. F-1 Fire Alarm Installation First branch circuit _ _ $4685 Each additional branch circuit $665 HVAC Miscellaneous (Service or feeder not included) F-1 Instrumentation Each pump or irrigation circle _ $53.40_ Each sign or outline lighting $53.40 — F-� Intercom and Paging Systems Signal circuil(s)or a limited energy panel,alteration or extension $75.00 Minor Labels(10) _ $125.00 D Landscape Irrigation Control' Each additional Inspection over F—] Medical the allowable in any of the above Per inspection $62.50 — F—] Nurse Calls Per hour — $62.50 In Plant $73.75 ❑ Outdoor Landscape Lighting* Fees: �] Prolective Signaling Enter total of above fees �] Other 8%Stale Surcharge $_ Number of Systems 25%Plan Review Fee See"Plan Review"section on $ " No licenses are required. Licenses are required for all other Installations front of application. Total Balance Due $ Fees: Enter total of above fees Trust Account p _ 8%Siate Surcharge $_ Total Balance Due = i:\dsls\forms\etc-rees.doc 10709100 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour inspection Lina: 639.4175 Business Line: 639-4171 BUP Date Requested-.//- L Z _---------.AM----PM .--- BLD _ _-4__-- Location �k57--.5 v " a _ Suite MEC ,.ontact Person -_ Ph _-� --- FLM __ -- Contractor Ph - _ SWR ----_—_--- - ---i c �G U BUILDING TenELC Gel U ant/Owner �------------------- Retaining Wall ELR Foc.ting Access: FPS Foundation Ftg C,rai i SGN Crawl Drain Inspection Slab C �� [- SIT Post& Beanr Ext Sheath/Shear (.J N I Int Sheath/Shear Framing - Insulation Drywall Nailing 9 - Firewpll Fire Sprinkler Fire Alarm Susp'd Ceiling -- -- - --- Roof N Misc - Final PASS PART FAIL -- PLUMBING --� Post & Beam -�-- -- ) 1 Under Slab -- -- --- �` -+-- - -_ Top Out Water Service Sanitary Sewer Rain Drains - ------ - -- - - _ _ ._� Final PASS PART FAIL _ MECHANICAL Inst g Ueanr — —--------- -..-._....- — --- — -- — _—._-- --- -- r,c,ugh In nokF Dampers F final ------ -- --------_---__ ---- -- — PASS PART FAIL. ervrce — Rough In UG/Slab -- Low Voltage Fire Alarm -____-- _.- -------- ----- Fin A1110AW PART FAIL --_ -- --- --..._. ------- - --... ---- -WE- Backfill/Grading Backfill/Grading --- ---- -------- _------------------- —. —_._.__._ Sanitary Sewer Storm Drain [ J Reinspection fee $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ )Please call for r nspectlon RE:—_�- [ I Unable to inspect no access ADA Approach/Sidewalk Other DateZ Inspector t f Ext ��- Final PASS PART FAIL DO NOT REMOVE this inspection record from the yob site. CITY OF TIGA,RD BUILDING INSPECTION DIVISION MST 24-Hour Inspection line: 639-4175 Business Line: F39-4171 ----- UP ^ B Date — — atc Requested_ --- A!UI PM BLD Location � O >G✓ :1° ^*ZL` _ — Suite _�- MEC ,-- Contact Person _ CL /<_ Ph _ PLM ContractorPh SWR — —_ - BUILDING Tenant/owner ELC _� ��i✓O U,�� Retaining Wall - ELR F ooting Access ----------- Foundation FPS —_- Fog Drain -- - SIGN SlabDrain Inspection Notes: -- --- — Slab -- SIT ----------- ----- Post& Beam ___------- — ----- Ext Sheath/Shear Int Shr.ith/Shear �- 4 rAmog Insulation - - --- -- ---------- Drywall (Jailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Rouf Misc - -- - --- Final PASS PART FAIL -- - ---- -- - -- -- �=-L t - ---- --- -� PLUMBING - _ - - - - - Post& Beam _.--�-------- --- --- --- --— Under SlabCAL Top Out - ----- Water Service Sanitary Sewer -- Rain Drains Final - _ ----------- PASS PART FAIL _ MECHANICAL - Post&Bearn - - ---- Rough In Gas Lire - -- Smoke Dampers Final P RT FAIL TE-LECTRI -- Service 14Cs7loiecIC - Rough In UG/Slab Low Voltage _. ._ - - - -- - ------ - -- ---- F' PF' N' PA. S ART FAIL __-- — Backfill/Grading ---- -� — Sanitary Sewer Storm Drain ( ]Reinspection fee of$__-_ - required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin RE.ection Please call for ins Fire Supply Line ( ] p [ ] Unable to inspect no access ADA Approach/Sidewalk Q� Other Gate lJ _ Inspector _ Ext Final PASS PART FAIL DO NIT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inapection Line: 639-4175 Business Line: 639-4171 � BUP Date Requested_ 5 P AMS PM BLD Location_ �� t7 _�� b'+ �p MEC Contact Person Al I Ph 2Zdi�—S e2— PLM Contractor Ph SWR c BUILDINU Tenant/Owner S,�Q{�f[1 �L�Q �_ ELC Retaining Wall ELR Footing ,Access: FPS Foundation Ftg Drain -- SGN Crawl Drain Inspection Notes: Slab SIT Post&Beam n 9 S Ext Si ieath/Shear — Int Sheath/Shear Framing __-- Insulation Drywall Nailing — Firewall Firs Sprinkler —__ 02 Fire Alarm Susp'd Ceiling --- -- ---- — -— — -- Roof — — Misc: Final PASS PART FAIL --- --- —— — �— PLUMBING Post& Beam — Under Slab Top Out Water Service ---_..---_—__---__._ -- _-- ----— - -- Sanitary Sewer Rain Drains ------ -- ___-- __ ----_--- I Final PASS PART FAIL `—_---------- MECHANICAL Post& Beam -- — — Rough In Gas Line Smoke Dampers Final -- — — PASS PART FAIL s Re igh In UG/Slab _ — — Low Vol age jiFg* EAIarm!'ART FAIL — Backfill/Grading — — — Sanitary Sewer Storm Drain ( 1 Reinspection fee of$ required before nex 'nspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line i 1 Please call for reinspection RE - Unable to inspect-no access ADA IAoproach/Sidews!'c — _ Olhe, - Date Se—_ Inspector/:� � Ext Final PASS PART FAIL i DO HOT REMOVE this inspection record from the job site. �►R D ---- ELECTRICAL PERMIT CITY OF T I G PERMIT#: ELC2000-00451 DEVELOPMENT SERVICES DATE ISSUED: 8/7/00 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S 102CB-03400 SITE ADDRESS: 09850 SW FREWiN(3 ST SUBDIVISION: FREWING. ')RCHARD TRACTS ZONING: R-12 BLOCK: LOT : 009 JURISDICTION: TIG Project Description: Reconnect u .1 for apartment #47. __— RESIDENTIAL UNIT _ TEMP_SRVC/FEEDEPSMISCELLANEOUS 1090 SF OR LESS- 0 - 200 amp: — PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 zmp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+amps - 1000 volts: MINOR I-ABEL (10): _SERVICE/FEEDER — BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 10004 amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: 1 SVC/FDR >= 225 AMPS: CLASS AREA/SPEC-OCC: Owner: Contractor: ALEX FINKE OWNER PO BOX 23562 TIGARD, OR 97281 Phone: 24,1-5824 Phone: Reg #: FEES r Required_ Inspections_ _ Type By _ Datn -- Amount Receipt I Elect'I Service — PRMT BLD 8/7/00 $53.50 0001300 5PC'i BLD 8/7/00 $4.28 0004300 Total —^ $57.78 This Permit is issued sub,ect to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable Imus All work will be done in accordance with approved plans This permit w1!1 expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days AT ENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-00 1-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC ai(503) 246-1987 PERMITTEE'S SIGNATUREt { -t_ fit.__-�- 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 ONLY SIGNATURE OF SUPIR. ELE(,'N: . �_ __—_ DATE:__ LICENSE NO: --_— Call 539-4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Electrical Permit Application Plan Check# 13125 SW HALL BLVD. Rec'd By Date Recd TIGARD OR 9 223 Date to P.E. Phone(503)639-4171, x304 /�' �/� Date to DST Inspection (5r'_, 339-4175 Print of Type / Permit#.CC('e-7p-Da -.j2Q 5/ Fax (503) 598-1960 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development 7� / ' r Number of Inspections per permit allowed Name(or na eof business) A_ A L Service included: Items Cost Sum r Address Ld S yE/� Gj �� 4a. Residential-per unit �' �� 1'900 sq fl or less $ 117.75 4 City/State/Zip / / -7 K_ --M Each additional 500 sq.ft.or portion thereof $ 26.75 1 Commercial ❑ Residenti3iX, Limited Energy $ 60.00 Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 (Prior to permit Issuance,applicants must provide contractor license 4b.Services or Feeders Information for COT data base). Installation,alteration,or relocation Electrical Contractor 200 amps or less $ 64.25 2 Address 201 gimps to 400 amps S 85.5n 2 401 amps to 600 amps $ 128.50 _ 2 City "State_ Zip 601 amps to 1000 amps $ 192.50 2 Phone No. _ Over 1000 amps or volts $ 363.75 2 Job No. Reconnect only .� $ 53.50 .5_S,5D 2 Elec.Cont. Lice. No. _ Exp.Date 4c.Temporary Services or Feeders OR State CCB Reg. No. Exp.Date Installation,alteration,or relocation COT Business Tax or Metro No. Exp.Date_J 200:�inps or less $ 53.50 2 201 amps to 400 amps $ 80.25 Signature of SU r. Elec n_ 401 amps to 600 amps $ 100.00 _ 2 g Supr. Over 600 amps to 1000 volts, see"b"shove. License No. Exp.Date Phone No. 4d.Branch Circuits ----- - New,alteration or extension per panel a)The fee fcr branch circuits 2b. For owner installations: with purchase of service or n feeder fee. Print Owner's Name F/ /AMZ� Each branch circuit Y $ 5.35 2 Address O 02 3 S-7o� b)The fee for branch circuits without purchase of service City. / I E>4 X State C • Zip / or feeder fee. Phone No. vZvZ/f�} C,-,e First branch circuit $ 37.50 Each additional branch circuit S 5.35 The Installati,-n is being mad on pro which is not 4e.Miscellaneous intended for sale, lease n (Sjrvice or feeder not included) Each pump or Irrigation circle $ 42.75 _ Owner's Signature _' / �[�.! Each sign or outline lighting $ 42.75 Signal circuit(s)or a limited energy if required):* panel, elsalteration or extension $ 80.00 3. Plan Review section Minor Labels(10) $ 100.00 i Please check appropriate item and enter fee In section 59. 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 $ 50.00 _ - Per hour $ 50.00 System over 600 volts nominal In Plant $ 5900 Classified area or structure containing special occupancy as described in N E.0 Chapter 5 5. Fees: 5a.Enter total of above fees S * Submit 2 sets of plans with application where any of the above apply. 8%Surcharge(08 X total fees) $ Nut required for temporary construction services. Subtotal $ 5b.Enter 25%of line sa for NOTICE Plan Review if re ug ired(Sec 3) S PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account# AT ANY TIME AFTER WORK IS COMMENCED Total balance Due $ 5�1.P 1.\dsls\forinodcotic doc CITY OF TIGA►RD E' '"^.1RICALPERMIT P' #: ELC1999-00462 DEVELOPMENT SERVICES NTE ftj-lL._D: 7/26199 13125 SW Hall Blvd..Tigard, OR 97223 (503) 6 IPA liss PARCEL: 2S102CB-03400 SITE ADDRESS: 09850 SW BREWING Sr SUBDIVISION: FREWINGS ORCHARD TRACTS ZONING: R-12 BLOCK: LOT : 009 JURISDICTION: TIG Proiect Description: Reconnect only. RESIDENTIAL UNIT TEMP SRV_C/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:^ EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 601a•-imps - 1000 volts: MINOR LABEL (10): _ SERVICE/FEEDER _- _BRANCH CIRCUITS ADD'L INSPECTIONS _ 0 200 amp: WISERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1 st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L DRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION _ _ �- 1000+ amp/volt: �~ >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: 1 — SVC/FDR >= 225 AMPS: _ CLA.:S AREA/SPEC OCC: Owner: Contractor: ALEX FINKE OWNER PO BOX 23562 TIGARD, OR 97281 Phone: 244-5824 Phone: Reg#: FEES Required Inspections _ Type By Date Amount Receipt Elect'I Service `— PRMT DEB 7/26/99 $53.50 99-317153 Elect'I Final 5PCT DEB 7/26/99 $3.75 99-317153 Total $57.25 This Permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or 4 work is suspended fcr more than 130 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001 0010 through OAR 952-001-0080 You may obtain oepres Of lh ae rules or direct questions to OUNC at(503) 246-1987 Permit Signature: / � / O Z'-`- Iss�ed Ey: / OWNER INSTALLATION ONLY Thr.;, installation iz:. being made on prop ty I own vMich is-nbt intended for sale, lease, or rent. / _ OWNER'S SIGNATURE: � `' ` � DATE:---z/ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR ELEC'N: _—_-- �_ __ DATE: LICENSE NO: — Call 639-4175 by 7:C0pm for an inspection the next business day a CITY OF TIGARD Electrical Permit Application Plan Che — 13125 SW HALL BLVII. Recd B .I? TIGARD OR 97223 Date Recd `7'A(47 _ Date to P.E. `- Phone(503)639-4171, x304 Date to DST hispection (503)639-4175 Print of Typie Permit 0 u2urq toy Fax (503)598-1960 Incomplete or illegible will not be accepted Called 1. Job Address: �, 4. Complete Fee Schedule Below: Name of Development!>' X fes' X!!z4/ Number of Inspections r permit allowed Name(or nam (o/f business) `, / Senrice included: items Cost Sum Address O p T^��'/ 4a• Residential-oer unit z 1000 sq.ft.or less $ 117.75 _ 4 City/State/Zip L1 r Z 3_— Each additional 500 sq.ft.or portion thereof $ 26,25 _ 1 Commercial❑ Residential L Limited Energy _ $ 60.170 / Fa(;h 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,alteration,or relocation Electrical Contractor 200 amps or less _ $ 64.25 2 Address — T 201 amps to 400 amps $ 85.50 2 401 amps to 600 amps $ 128.5C 2 City ----State ---Zip--. 601 amps to 1000 amps $ 192.50 2 Phone No._ _ _ Over 1000 amps or vnits $ 363.75 2 Job No.. _ Reconnect–only) $ 53.50 2 Elec. Cont. Lice. No. Exp.Date _ 4c.Temporary Services or Feeders OR State CCB Reg. No. Exp.Date Installation,alteration,or relocation COT Business Tax or Metro No. _Exp.Date _ 200 amps or less S 53.50 2 201 amps to 400 amps $ 80.25 2 Signature of Su r. Elec'n 401 amps to 600 amps $ 107.00 — 2 9 p Over 600 amps to 1000 volts, ses"b"above. License No. Exp.Date_ 4d.Branch Circuits Phone No. – New,alteration or extension per panel a)The fee for branch circuits 2b. For owner Installations: with purchase of service or feeder lee. Print Owner's Name �=�C ' �� Each branch circuit $ 535 2 Address vV 15 �-- b)The fee for branch circuits without purchase of service City State D j', Zip Ayl or feeder fee. Phone No.'s A#O- k'W 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 �� 1 (Service or feeder not Inclu,.ed) - -- / Each pump or Irrigation circle $ 4275 Owner's Signature Each sign or outline lighting - $ 4275 Signal circuit(s)or a limited energy if required):* MiPanel,alteration or extension $ 6000 3. Plan Review section nor Labels(10) $ t07 00 Please check appropriatJ Item and enter fee In tiection 58. 4f.Each additional Inspection over 4 or i nora residential,nits in one structure the allowable In any of the above Per Inspection $ 5000 Service and feeder 225 amps or more Per hour $ 50 00 System over 600 volts nominal In Plant S 5900 _ _ Classified area or structure containing special occupancy as described in N E C Chapter 5 S. Fees: IM.Enver total of above fees $ J , Submit 2 sets of plans with application where any of the above apply. 111,9,154 Surcharge(05 X total fees) $ �� Not required for temporary construction services. Subtotal Ill Enter 25%of line 6s for NOTICE Plan Review If required(Sec.3) $ PERMITS BECOME VOID IF WORK OR CONS i RUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 190 DAYS,OR IF CONSTRUCTION OR ClORK IS SUSPENDED OR ABANDONED FUR A PERIOD OF 180 DAPS ITrust Account'f _ 0 AT ANY TIME AFTER WORK IS COMMENCED. Tote;balance Due $ l' I:\dsts\forms',electric.doc C __ ELECTRICAI PERMIT CITY O� TIGARD PERMIT#: EL( j0-00052 DEVELOPMENT SERVICES DATE ISSUED: 02/Gd/2000 13125 SW Hall Blvd..Tia3rd, OR 97223 (503) 639-4171 PARCEL: 2S102CA-00301 SITE ADDRESS: C9870 SW FREWING ST 060 SUBDIVISION: FREWINGS ORCHARD TRACTS ZONING: R-4.5 BLOCK: LOT : 018 JURISDICTION: TIG Proiect Description: Reconnect service/feeder. _ RESIDENTIAL UNIT TEM_ P SRVC/FEEDERSMISCELLANEOUS 1000 SF OR '-ESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: WISERVICE OR FEEDER: PER INSPECTION: 201 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 arnp: PLAN REVI,_W SECTION j 1000+ amp/volt: >=4 RES UNi I S: > 600 VOLT NOMINAL: L Reconnect only: 1 SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: FINKE, ALEX TRUSTEE HURF ELECTRIC JKE, LOTTE I TRUSTEE 17038 S. CLACKAMAS RIVER DIVE PO BOX 23562 OREGON CITY, OR 97045 PORTLAND, OR 97281 Phone: Phone: 631-8700 Reg#: LIC 00038133 ORIGINAL SUP 0001445S El_E 003-103C FEES Required Inspections Type By Date Amount Receipt ^ __— Elect'I Service PRMT KJP 02/08/200C $53.50 00-321626 Elect'I Final 5PCT KJP 02/08/200C $4.28 00-321626 Total $57,78 Th,s Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is suspen.fed for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or ect questions to OUNC at(50" 246-1987 -- PERMITTEE'S SIGNATURE,X _ ISSUED BY: _ OWNER !NSTAL LATION ONLY The installation is being rn de on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ _ DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE GF SUPR. EI_EC'N: _U�� "� " � DATE LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day 1 CITY OF TIGARD Electrical Permit Application Plan Check# 13125 SW HALL BLVD. Recd By Date Recd TIGARD OR 97223 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 not he accepted Called 1. Job Address: _1 /� 4. Complete Fee Schedule Below. Name of Development (v /7 A' ? /_��__ Number of Inspections per permit allowed Name(or narrip of business) J s . Service included: Items Cost Sum y Address 61F 7 C) .5 Z - 4a. Residential-pev unit Ci /State/Zi �/(�/¢ �� • 1000 sq ft,or lass _ $ 117.75 _ 4 City/State/Zip P - Each additional 500 sq it or portion thereof $ 26.75 1 Commercial ❑ Residential �� Limited Energy _ $ 60.00 _ Each Manufd Home or Modular 2a. Contractor installation r7nly: Dwelling Service or Feeder $ 72.75 (Prior to permit issuance,applicants must provide contractor licimse 4b,Services or Feeders Information for COT data e). Installation,alteration,or relocation Electrical Contractor�_1Z 7�IL'7f)--►� 200 amps or less _ $ 64.25 AdAddress / ,L/F>�l/f/tr/f `� +l�d►- 201 amps to 400 amps _ $ 85.50 _ 2 dress _ Sate Zjp p - 401 amps to 600 amps $ 128.50 2 -�� 801 amps to 1000 amps S 192.50 2 Phone jt 6-3 "" Ob Over 1000 amps or volts i 363.75 2 Job NO. Reconnect only $ 63.50 .7 J-yy 2 Elec. Cont. Lice. No. Exp.Date -' 00 , 4c.Temporary Services or Feeders OR State CCB Reg. No. � Exp.Date_.. - U Installation,alteration,or relocation � COT Business Tax or Metro No,, 40 1 ate 00 200 amps or less $ 53.50 2 201 amps to 400 amps $ 8025 2 _nature o` Elecr S . Supr. n {�J ^J('��`` 401 amps to 600 amps $ 100.00 2 �I g p Over 600 amps to 1000 volts. License No. -�+ Exp.Date /&- see"b"ebovs. Phone No. (� y 7---e-- GO 4d.Branch Circuits -- - New,alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: %' with purchase of service or feeder fee. Print Owner's Name Each branch circuit $ 5.35 b)The fee for branch circuits Address without purchase of service City State___Zip_ or feeder fee. Phone No. First branch circuit $ 37 50 -- Each additional branch circuit $ 5.35 The installation is tieing made on property I own which is not 4e.Miscellaneous intended for safe, lease or rent. (Service or feeder not Included) Each pump or irrigation circle +_ $ 42.75 Owner's Signature_ Each sign or outline lighting _ $ 4275 Signal circult(s)or a limited energy if required):* Mipanel,alteration or extension $ 60.00 3. Plan Review section nor Labels(10) $ 100.00 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 $ 50.00 Per hour $ 5000 _ _Sys#eto over 600 volts nominal In Plant _ $ 5900 Classified area or structure containing special occupancy as described in N E.C.Chapter 5 5. Fees: 5a.Enter total of above fees * Submit 2 sets of plans with application where any of the above apps f. 8%Surcharge(.08 X total fees) $ Not required for temporary construction services. Subtotal $ 5b.Entpr 25%of line 6a for NOTICE Plan Review if required(Sec.3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ _ IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR ��---!! WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS LJ Trust Account# AT ANY TIME AFTER WORK If COMMENCED Total balance Due $ �o I adsts\fonnslelectrie.doc CITY nF TIGARD BUILDING INSPECTION DIVISION MST "i-eir Inspection Line: 639-4175 Business Line: 639-4171 BUP _ Date Requested--L Z cr AM PM __ BLD Location fty6 - `�' rrP��r 5 Suite 61JI, MEC Contact Person _ Ph Z z PLM —_— Contractor — — _ Ph SWR — BUILDING Tenant/Owner ELC ((O Retaining Wall ELR - — Fooling Access: Foundation FPS — Ftg Drain SGN Crawl Drain Inspection Nofes: Slab _—_-. SIT _ Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing -----_ ------ - - Insulation Drywall Nailing --------__-- -- ----_-- _,�__� -- Firewall Fire Sprinkler u Alarm Sw1 ce / usp'd Ceiling ��.� _ �CD C- _.-- Roof Misc: ___ -- --- - -- - ---` Final PASS PART FAIL --, --- - PLUMBING -----�--�----- Post& Beam / Under Slab _--- Top Out Water Service Sanitary Sewer - Rain Drains Final � --__--- - -- --------- - -- PASS PART FAIL MECHANICAL ---------------._ ___ �-._-- Post& Beam Rough In Gas Line -- -- -- - ----...-- -- Smoke Dampers Finel ---- -- -- --- ---_PASS--PART FAIL ELECTRIC_&I,) ----- -------- ----- __----- — ervice - - ----- -- - ------- - — Rough In UG/Slab I_ow Voltage Fire Alarm - ----. ---- ---- ---- -- - -- -- F PASS ART FAIL Hackfill/Grading - - -� -- -- Sanitary Sewer Storm Drain I ]Reinspection fee of$_ required before next inspection Pay at City Mall, 13125 SW Hall Blvd hatch basin Fire Supply Line ( ] Please call for reinspection RE: ____-- _ 1 ]Unable to inspect- no access ADA / Approach/Sidewa!k Datel-;,Z Inspector . Ext Other Final --- PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY �� I'G A R D — ELECTRICAL PERMIT PERMIfi#• ELC2001-00040 DEVELOPMENT SERVICES DATE ISSUED: 01/22/2001 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S102CB-03400 SITE ADDRESS: 09900 SW FP'-WING ST 068 SUBDIVISION: FREWINGS ORCHARD TRACTS ZONING: R-12 BLOCK: LOT : 009 JURISDICTION: TIG Proiect Description: Reconnect, RESIDENTIAL UNIT _ TEMP SRV'C/FEEDERS MISCELLANEOUS _ - 1000 SF OR LESS: 0 • 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 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 only: 1 _ SVC/FDR >=225 AMPS: - CLASS AREA/SPEC OCC:_ Owner: Contractor: FINKE, ALEX AND LOT TE I OWNER Pc l BOX 23562 PORTLAND, OR 97223 Phone: Phone: Reg#: FEES - Reg6ired Inspections_ Type By Date Amount Receipt Elt ct'I Service PRMT CTR 01/2212001 $66.85 2720010000( Elect'I Final 5PCT CTR 01/22/2001 $5.35 2720010000( Total $72.20 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or I work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utilihj Notificatioii Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these ru!es or direct questions to OUNC at(503) 246-1987 PFRMITTEF_'S SIGNATURE ISSUED BY: OWNER INSTALLATION ONLY The installation is being made on proptert I o -is not intended for sale, lease, or rent. OWNER'S SIGNATURE: ` � I��-" l DATE: CONTRACI OR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: -�_ DATE:- LICENSE NO: --- --- -- -- - --- - ---- -_ .._. -- -- Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application Date received: i `y / Permit no.:c ,- �S, ; City Of Tigard Project/appl.no.: Expire date: C•ityofTigard Address 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: eceiptno.: — Phonc. 503) 639-4171 Fax (5(,3) 598-1960 :,ase Cilc no.: Payment type: Land use approval: U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenard improvement U New construction U Addition/alteration/replacement U Other: U Partial Job address: OCi 5 tn�t �' Bldg.no.: Suite no.: ITax map/(ax lot/account no.: Lot: Block: Su)division: Project name: AP+-Pr-RoAJr Description and location of work on prep isese /4R!/,OTTr r t(= x�'>` Estimated date of completion/inspection: #- Job no: Al,AFee Max Drscri lion Qly. (ea.) Total no.bis Business name: New residential-.back or mullf-famlly per Address: dwelling unit.Includes attached garage. City: State: ZIP: _ Servlcehrcloded: E-mail: 1000 sq.ft.or less Phone: =Fa X _ "ch additional 5(x)sq.R.or portion thereof- CCB no.: Elec.bus.tic•no: Limited energy,residential _ City/metro lic.no.: Limited energy_non-residential Each manufactured home or modular dwelling Signature of—supervising electrician(requited) Date Service and/or feeder Su elect,name(print): tcop,,.e. Services or feeders-installation, Palteration or relocation: r-� 21x)amps or less 2 Name(print): A-.L x. /� N k. 201 amps to 4W amps _ _ 2 401 amps to 6(x1 amps _ __ 2 Mailing address: 0• w 3,y L � fiU1 amps to 1000 amps — '- ('ily; r (�. State:UZJtS;/ Over I000 amps or volts — - 2 Phone: - Fax: I E-mail: Reconnect only I Owner installation:The installation is being made on property I own Temporaryservieesorfeeden- which is not intended rvr ale rent,or exchange according to Installation,alteratlon,orrelocatfon: 2 t 2(10 amps or less _ ORS 447,455,479, 201 amps Iu 400 amps _ _ -' Owner's si natu Date: 401 to 600 Props 2 Branch circuits-new,alteration, or extension per panel: Nance- A. Fee for branch circuits with purchnsc of Address_ service or feeder fee,each branch circuit -' Cily; State: ZIP: B. Feefor branch circuits without purchase -- of ` service or feeder fee,first branch circuit: Phone: Fax: E mIIl1: Euch additional branch circuit. my I alk-11 0 Misc.(service or feeder not Included): Lach pump or irrigation circle _2 U Service over 225 amps-contntercial U I lealth-care facility — -- - U Service over 320 amps-rating of l&2 U liazardousinration mach sign or outline lighting 2 - familydwellings U Building over 10,(.X)square feet four or S!gnnel cocuins)or a limited energy panel. USystem over 600volts nominal more residential units in one structure _dteration,orextension' 2 U Building over three stories U Feeders,4W arrips or more •IA•scri tion: — U Occupant load over 99 persons U Manufactured structures or RV park FAch additional Inspection over the allowable In any of the above: U EgressAightingplar, U Other , -_—�--- pennspection r - Submit _sets of plans with any of the above. Investigation fee The above are not applicable to tempomry construction service (Other ----�— — — PCrti)Il fee........ ............ No,all Judrdicau naccept credit cards,please call Juduktiror lotwm mr inGnatioa Noticethis permit application U Visa U MasterCard expires if a permit is not obtained Plan review(at 9f) $ Credit card number: within 190(lays after it It& been State surcharge(Rab)....$ r.xpims accepted as complete, TOTAL .......................$ �e . Name of u —on credit c S _ Cadiolder dpuaurc ----- - Amount .t•t1W6I I rm I,om Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: Restricted OF WORK INVOLVED -RESIDENTIAL ONLY Restricted Energy Fee .......................................... $75.00 Number of Inspections per permit allowed) (FOR ALL.SYSTEMS) Service Included: Items Cast Total t Check.Type of Work Involved: Residential-per unit. 1000 sq.ft or less _ —� $145.15 4 ❑ Audio and Stereo Systems Each additional 500 sq it or portion thereof _ $3340 1 I F3urglar Alarm Limited Energy — -_ $75.00 Each Manufd Home or Modular ❑ Garage Door Opener' Dwelling Service or Feeder $9090 ? Services or Feeders ❑ Heating,Ventilation and Air Conditioning Syst(.m' Installation,alteration,or relocation 200 amps or less $8030 _ 2 201 amps to 400 amps _ _ $10685 _ 2 ❑ Vacuum Systems* 401 amps to 600 amrs _ $160.60 — 2 ❑ 601 amps to 1000 amps — $24060 2 L Other Over 1000 amps or volts $45465_ _ 2 Reconnect only _ $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,altoralion,or relocation Fee for each system.......................... ............................... $75.00 200 amps or less $66.85 2 (SEE OAR 918-260-267) 201 amps to 401)amps _ __ $100.30 2 401 amps F00 amps _ $13375 2 Check hype of Work Involved Over 60C-,mDs to 1000 volts, see"b"above. ❑ Audio and Stereo Systems Branch Circuits New,alteration or exlensio^per panel C, Lloiler control- Now, The fee for branch circuits with purchase of service or ❑ Clock Systems fender fee. Each branch circuit $665 2 �� Data Telecom nunicalion Installation b)the fee for branch circuits without purchase of service �] Fire Alarm Installation or feeder fee. First branch circuit _ $46.85 Each additional branch circuit $6 65 — F-] HVAC Miscellaneous U instrumental on (Service or fee Jer not Included) Each pump or irrigation circle __ $53 40 Intercom an Paging Systems _ r—� I Each sign or outline lighting $5340 i Signal circutt(s)or a limited energy panel,alteration or extension $7500 _ Landscape Irriaalion Control' Minor Labels(10) $125.00 Each additional inspection over — ❑ Medical the allowable In any of the abrve ❑ Per inspection — $6250 Nurse Calls i Per how $6250 In Plant $73 75 Outdoor Landscape Lighting' Fees: Protective ,naling Enter total of above fees $ ❑ Other 8%Stale Surcharge $ ._ Number of Systems 25%Plan Review Fee See"Plan Review"seclior,el, $ No licenses we required Licenses are required for all other installations front of application -------- Fees: Total Balance Vue $ -�� Enter total of above fees = Trust Account# _ -- 8%State Surcharge $ Total Balance Due = .lercti,nn�,a•Ir Ices duIn nor ixi CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP --— - _ ----Date Requested .S-/ AM PM _ BLD Lo(.ation.V ) 5; ✓ ► /� i" Suite'1S3 MEC Contact Person _ — Ph Gay 7< q PLM Contractor _ _ — Ph — SWR I�,Aaininq Tenant/Owner ELCWall ELR Footing Acress: FPS Foundation - F-i g Drain SGN Crawl Drain Inspection Notes: -- Siab _—_ — --- --- SIT _ P)st& Beam EA Sheath/Shear -- ---- In Sheath/Shear Framing -- --_-- -- ----- Int,ulation Drywall Nailing _---. -___---- --.—- - -- Firmall Firo Sprinkler - Fim Alarm j�� 1- Surp'd Ceiling Roof Misc: —__- Final PASS PART FAIL --- - -- PLUMBING —^ Post& Beam — — Uricer Slab Top Out Water Service - Saritary Sewer Rain Drains - Final PASS PART FAIL. ------ MECHANICAL f Post& Bearn -- -� _ -- ---------- - - Rough In Gas Line ---- _ -- --------- - - - Smoke Dampers Final ------__----------- --- --- --------____------- - PASS PART FAIL 1,o ryice --- ------- --- - -- --------- -- Rough In ll( /Slab _— -- ------ --- -- — --- -— - -_- I ow Voltage F iie Alarm ?ASS ART FAIL ------ ----- ---_ — ----_ -- _-SITE _ Backfill/Grading ----------_--- ------- --------------- _ -------- Sanitary Sewer Sanitary Storm Drain I Reinspection fee of$ required before next inspection Pay at City yail, 13125 SW Hall Blvd Catch Basin Unatle to inspect no access Fire Supply line I ] Please call for reinspection RE: -__-- __ [ 1 P Approach/Sidewalk Date ' (� Inspector — / Ext Other - Final PASS PART FAIL 00 NOT REMOVE this inspection rocord from the job site. CITY OF TIGARV BUILDING INSPECTION DIVISION MST 24-'lour Inspection Line: 639-4175 Business Line: 639-4171 -- -- BLIP ---Date Requested Sr --AM __PM _ BLD Location_ VSZ �F—✓mow ~5 S _ Suite �� MEC Contact Person _ —C k ae- — Ph PLM _ Contractor _ Ph _ SWR BUILDING — Tenant/Owner ELC .320 Retaining Walllr ELR Footing Access Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: — — Slab — - -- -- ---- SIT Post& Beam - Ext Sheath/Shear Int Sheath/Shear — Framing — Ir sulation Prywall Nailing --- ------- ------ -------- — Hrewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof A __ � Misc: 'ter Q 1111_ / ✓ _--� Final — PASS PART FAIL - - --- --------. PLUMBING Post& Beam -- Under Slab I op Out — Water Service - Sanitary Sewer r Rain Drains Final - -- —�- -- � -- PASS PART FAIL MECHANICAL Post& Beam ------ Rough In Gas Line --- - -- Smoke Campus �- Final - - - — +0 -- PASS PART FAIL r Service Rough In UG/Slab Low Voitage -- - -- -- Fire_Alarrit.- Ff��1- PASS VART FAIL SITE Backfill/Grading --- ----- -- -_-- - Sanitary Sewer Storm Drain ( J Reinspection fee of$ _required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin ( J Please call for reinspection RE: J Unable to inspect-no access Fire Supply Line ADA � v Approach/Sidewai; a �` Other Date rJ 'G —Inspector—L�dL L� /� _%�L_ Ext Final — PASS PART FAIL_ DO NOT REMOVE this inspection record from the job site. CITY O� �� _ ELECTRICAL PERMIT _ PERMIT#: ELC2001-00220 DEVELOPMENT SERVICES DATE ISSUED: 5/1;0 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S102C6 03400 SITE ADDRESS: 09850 SW FREWING ST 48 SUBDIVISION: FREWINGS ORCHARD TRACTS ZONING: R-12 BLOCK: LOT : 009 JURISDICTION: TIG Prosect Description: Electrical reconnect of unit#48. _ RESID_ENT!AL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMPIIRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS _ _ ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW Si=CTION _ 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: 1 SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC: _ Owner: Contractor: FINKS, FLEX AND LOTTE I OWNER PO BOX 2.3562 PORI LAND, OR 97223 Phone: Phone. Reg#: FEES _ Required Inspections Type By Date Amount Receipt Elect'I Final PRMT CTR 5/1/01 $66.85 2720010000( 5PCT CTR 5/1/01 $5.33 272.0010000( Total $72.18 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable lags All work will be done in accordance with approved plans This permit will expire it work is not started within 180 days of issuance,or 0 work is suspended for more than 180 nays ATTENTION Oregon law requires you to follow ndes adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 thro h OAR 951-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503) 2466699 or 1 800-332-2344. , -� Permit Signature: Z c Issue By: _ OWNER INSTALLATION ONLY I hf, installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: y ___ — DATE:_;Lla CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _ _ �_______.____ �__ DATE: LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day i Electrical Permit Application \ Datereceived: Permit no.: City of Tigard Projeet/oppl.no.: Expire date: Cirvof Fsgard Address: 13125 SW Hall Illvd,'1'igard,OR 97223 Date issued: B Receiptno.: Phone: (503) 639-4171 =-- Fax: (503) 598-1960 Case file no.: Piynienl type: Land use approval: ❑ I &2 family dwelling or accessory ❑Commercial/indust,ial i1multi-I�iily_ J Tenant improvement ❑New construction ❑Addition/alteration/replacement Other:rv;" t''N Zl i'I$rt2l Job address: �n ��u-.t G,f?`a 1�� 1/i 4n c '� Bldg.no.: Suite no.:�� Tax map/tax I (/account no.: Lot: 5B 11-01 Subdivision: A-1V O —7_ --Cr I d Project name: I Description and location of work on premises: Estimated date of com letion/ins ection: w ,✓' LINE IFANKIIIGLIIMNE MMM Job no: Pee Max Business nan417 k0 TZ 9W A r1r-5 Description "Y. (ea.) Total no.Ins ew rrsidential•single or multi-family per Address: 1i Q SP 77V W ik /ti S dP:welling mril.Uicludesatlachedgaiage. city: Stale:p ZIP: ,� 3 ServimincludiA: Phone:Z, 1jLZ kax: I E-mail: 1000 sq.ft.or less _ 4 —T'�-- Each additional 500 sq.ft.or portion thereof CCB no.: E)ec,bus.lie,no: aJ Limited energy,residential — 2 City/metro Ilc.no,: Limitedeuergy,nou-residential 2 _ Each manufactured home or modular dwelling Signature of supervising electrician(required) Date Service and/or feeder 2 Sup elect,name(110110: --- License no: Services or feeders-Installation, -- aileratlon or relocation: 200 at or Tess 2 Name(print): At-k- /N iCt 201 antpi to 400 amps��— � 2 401 snips to 6(10 snips 2 Malkin ddress: �7, .v 601 amps to I(Kx)amps --!- _ - - - 2 - City: / State: 0C ZIP: Over IIxx1 amps or volts - 2 Phone A#4 Fax: E-mail: Recomiectonly / I Owner installation:The installation is being made on property I own Tempmrryservlce+orfeeden- t� which is not intended fo lc kae-,irff Ztr exchange according to lnstaValion,alteration,orrelocation: ORS 447,455,479,/ ), 1 t)tt ' _nips or less A_ c 201 amps to 4W amps 2 Owners si malar'. Dale: J 41(1 ut61x)antps 2 Bench circuits-new,alteration, or extension per panel: Name: A Fee for branch circuits with purchase of Address: !service or feeder fee,each branch circuit City: Stale: ZIP: N. Fee for branch circuits without purchase l -- of service or feeder fee,first branch circuit: Phone—: E-mail: Fach additional branch circuit: PLAN Ri N 11 1% (Please check all that rippl.$) Mi+c.(Service or feeder not Included): U Service over 225 amps-commercial U Health-care facility Each pump or irrigation circle 2 U Service over 320 amps-rating of 1&2 U Halnrdous location Fach sign or outline lighting �— - 2 familydwelling-i U Building over 10,000 square feet four or Signal circuits)or a limited energy panel. U System over 6(x1 volts nominal nmre residential units in one structure alteration,or extension' 2 U Building over three stories J Feeders,401 amps or mote •1?escri tion: U Occupant load over 99 persons U Manufactured structures or RV pad; Each additional Im"lon over the allowirhle in any of the above: U Egressnightingpltm U Other: _ - Per inspection �--�'�- Submit_sets of plans with any of the above. Investigation fce -- _ _I•he above are not applicable to temporary construction service. Other -- — Not all jurisdictiau secepl credit cards,please call jurisdiction for more information. Notice:This permit application Permit fee.....................$ U visa U Mastercard expires if a permit is not obtained Plan review(at -- %) $ --- rtedit card number within 180 d rys atter it has been State surcharge(8%)....$ F"lrlfes accepted as complete. TOTAI, . $ Name of:nnfholrkr s'shown on credit cud - --- - ---_--Vardholdei dptature Amount 44(}4615(MinwOM) Electrical Permit Fees: Limited Energy Fees: TYPE OF F WORK INVOLVED -RESIDENTIAL ONLY _ Complete Fee Schedule Below: Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total Check Type of Work Invulved: Residential-per unit 1000 sq If or less $145 15 4 ❑ Audio and Stereo Systems Eads additional 500 sq it of portion thereof _ $3340 _ ❑ Burglar Alarm limited Energy $75.00 Each Manufd Home or Modular ❑ Garage Door Opener' Dwelling Service or Feeder $9090 _ 2 Services or Fenders ] t-seating,Ventilation and Air Conditioning System' In.-talialion,alteration,or relocation 200 amps or less _ $80.30 2 ❑ Vacuum Systems' 2.01 amps to 400 amps _ $106.85 2 401 amps to 600 amps $160,60 2 ❑ Other 601 amps to 1000 amps _ $240.60 2 Over 1000 amps or volts $454,65 2 Reconnect only $66.85 ,j- 2 Temporary Services or Feeders TYPE OF WORK INVOLVED •COMMERCIAL ONLY Fee for each system.......................................................... $75.00 Installation,alteration,or reior.alion 200 amps or less $66,85 2 (SEE OAR 918-260.260) 201 amps to 400 amps _ $100.30 _ 2 401 amps to 600 amps $1:+3.75 !_ 2 Check Type of Work Involved Over 600 amps to 1000 volts, see"b"above. Audio and Stereo Systems Branch Circuits ❑ Boiler Controls New,alteration or extension per panel a)The fee for branch circuits ❑ with purchase of service or Clock Systems feeder fee. Each branch circuit _ $665 2 ❑ Data Telecommunication Installation b)The fee for branch circuits without purchase of service ❑ Fire Alarm installation or feeder fee. First branch circuit _ $4685 n HVAC Each additional branch circuit $665 _ Miscellaneous ❑ Instrumentation (Service or feeder rpt included) Each pump or irrigation circle _ $5340 _Y s_ ❑ Intercom and Paging Systems Each sign or oubine lighting $53,40 Signal circuit(s)or a limited energy El Landscape Irrigation Control' panel,alteration o•extension $75.00 v Minor Labels(10) __ $12500 ❑ Medical Each additional inspection over the allowable In Any of the above ❑ Nurse Calls Per inspection _J $62.50 _ Per hour $62,50 In Plant _ $73 75 El Outdoor Landscape Lighting' Fees: �. ❑ Prolective Signaling Cl -- - --- - Enter total of above fees $ t�� Other -- 8%State Surcharge $ 5 ' _Number of Systems 25%Plan Review Fee W licenses a,e required Licenses are required for all other Installations l See"Plan Review"section on $ _ front of application _ /011 Fees: Total Balance Due 3f Enter total of above fees ❑ Trust Account p 8%State Surcharge ; Total Balance Due $•— r uists\liomuklc-fees doc 101090) / CITY C)F" T I GA R D ELECTRICAL PERMIT PERMIT#: ELC2001-00245 DEVELOPMENT SERVICES DATE ISSUED: 5/14/01 13125 SW Hall Blvd., Ticlard, OR 9722:, (503) 639-4171 PARCEL: 2S102CB 1)3400 SITE ADDRESS: 09850 SW FREWING ST 53 SUBDIVISION: FREWINGS ORCHARD TRACT'S ZONING: R-12 BLOCK: LOT : 009 JURISDICTION: TIG Prolect Description: Reconnect only. RESIDENTIAL UNIT! _ TEMP SRVCIFEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC! FDR: 601•.amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 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 only 1 SVC/FDR >= 225 AMPS: _ CLASS AREA/SPEC OCC: Owner: Contractor: 11NKE, ALEX AND LOTTE I OWNER PO BOX 23562 PORTLAND, OR 97223 Phone: Phone: Reg #: FEES Required Inspections Type By Date Amount Receipt E lect'I Service PRMT CTR 5/14/01 $66.35 2720010000( 5PCI CTR 5/14/01 $5.35 2720010000( Total $72,20 This Permit is issued subject to the regulations contained in the 1igard Municipal Code,State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rales adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 1"ou may obtain copies of these rules ordirect questions to OUNC at(503) 246-6699 or 1-800-332-2344. Permit Signature: �`n'yk �' � �-��--L _ Issued By: OWNER INSTALLATION_ONLY The installation is being made on prco(ty I owtr *hich is not intended for sale, lease, or rent. OWNER'S SIGNATURE: Y—/- L ��——. DATE: CONTRA07OR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _� —. DATE:_ _ LICENSE NO: -- ------ Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application Date received: Permit no.:&e.7Q4 �d0,2 a. City of Tigard Project/appl.no,: Expire date: Cirvo/Pitiard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By:� eccipfno,: Phone: (503) 639-4171 -- Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: U I &2 family dwelling or accessory U Commercial/industrial Multi-family U Tenant improvement U New construction U Add ilion/al terat ion/replace mefit U Other: U Partial 1.1011 SITE INFORMATION Joh address: / 4 .t/ r,! �' �� Bldg. no.: Suite nu.: 'i fax map/tax lot/account no.: Lol: — IJluck_ Subdivision: CT rp:/(i 4 t f S Project nantr. I Description and location of work on premises: _ / 5) Estimated date of con letion/inspection: Job no: Fee Max Business name: A71Descri tion Qty. (ca) Tatal no.Ins --- —-- New residential-single or multi-family per Address: doellinQunit.InclndesottacherlgmWe. City: State: ZIP: Service included: Phone: Fux: Email - I(M aq.n.or less --- CCB no.: Elec.bus.tic.no: Each additional 500 sq.ft.or portion thereof - Limited energy,residential TCity/metro Iic.no.: Limited energy,non-residential _ Fach manufactured home or modular dwelling Signature of supervising electrician(required) Date Service and/or feeder ___ Sup.elect.name(print) License no: Services or feeders—installation, alteration or relocation: 2(x1 amps or less 2 Name(print): �4�r r/N Ke 201 amps to 4lx)amps 2 Mallin address: C.1' 401 amps to 600 smog 2 B C7Z 't J`T r✓� g-} 601 amps to I(1(x)amps 2 City: / (' ' eu":/ Slate: D ZIP: 77 -- t Over 1000 amps or volts 2 Phone: N//- S 'Pax: F-mail: Reconnect only Owner installation:'the installation is being made on property I own Temporary services or feeders- which is not intended fbr sglir..Jr ,,rent,or exchange according to Installation,alteration,or relocation: ORS 447,455,479,617( ,70t> 200 amps or less --_ 2 �4 201 amps to 4(x)amps 2 Owner's SI nfl re: r Dfllec ,7 �7 D` 401 to 611(1 amps 2 BrAnch circuits-new,alteration, or exle-Won per panel: Name: 4A Icc for branch circuits with purchase of Address: ' service or feeds fee,each branch circuit 2 City: Stale: ZIP: B. Fee for branch circuits without purchase --- of service or feeder fee,first branch circuit: 2 Phone: l;tr.: F mail: fsach additional branch circuit Misc.(service or feeder not Included): U service over 225 amps-commercial U I Icai(h unr utciltlN Each pump or irrigation circle 2 UService over 320amps-rating of 1&2 UIla,ardou,locatwo Each signor outline fighting 2 family dwellings U Budding Derr 10 otm)square feel four or Signal circuit(s)or a limited energy panel, U System over 6W volts norninal more nstdenual touts in one structure alteration,orextension• _2 U Building over three stories U Icedcrs.40xl amps or more •Dcscri tion: U Occupant load over 99 persons U Manul actuted suucnm•s m Rk'pauk Each ad111lonal Inspection over the allowable in any of the above: -- — — UI*ress/lighlingpinn U(hher Perinspection — Submit __ _ sets of plans with any of the above. Investigation feeThe above are not applicable to temporary construction service. Other Nni all jurisdiclion•i sccoor creclit carate,please call junutictiorr for more information Notice:this permit application Pfee.......... ) $ tO J�'isa U Mastert'ard expires if a permit is not obtained Pllanan r review(a( — 96) $ ^ t lcdo anal numlreo _ within 180 days after it has been State surcharge(89f) ....$ Expires accepted as complete. TOI 11u $ J a aZ 0 Name of catc1holder as shown on credit cud ('udholder signature --Amount 4404615(6R O COM) Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Restricted Energy Fee...................................................... $75.00 Number of Inspections perpermit allowed) (FOR ALL SYSTEMS) Service included: Items Cost Total ► Check Type of Work Involved: Residential-per unit 1000 sq it or less $145.15 4 ❑ Audio and Stereo Systems Each additional 500 sq (I or portion thereof _ $3340 1 ❑ Burglar Alarm I imited Energy _ $75.00 Fach Manufd Home or Modular E] Garage Door Opener' Dwelling Service or Feeder 390.90 2 Services or Feeders Heating,Ventilation and Air Conditioning System' installation,alteration,or,elocation 200 amps or less $80.30_ u Vacuum Systems' 201 amps to 400 amps $106.85 2 401 amps to 600 amps $150.60 2 601 amps to 1000 amps _ $240.60 2 ❑ OtherOver 1000 amps or volts $454.65_ 2 Reconnect only _ $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY !nstallation,alteration,or relocaticn Fee for each system.......................................................... $75.00 200 amps or less $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps _ $100.30 _ 2 401 amps to 600 amps $133 75_ 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. Audio and Stereo Systems Branch Circuits Boiler Controls New,alteration or ext( ;ion per panel a)The fee for branch circuits with purchase of service or ❑ Clock Systems feeder fee. Each branch circuit _ $665 _ — 2 ❑ Data Telecommunication Installation b)The fee for branch circuits without purchase of service ❑ Fir'Alarm 1• dalletion or feeder fee. First branch circuit $46.85 ❑ Eau',additional branch circuit _ $665 HVA(; Miscellaneous ❑ Instrumentation (Service or fear,3r not included) Uiwi pump or irrigation circle __ $53.40 _ _ Intercom and Paging Systems Each sign or outline lighting — $53.40_ Sigral circuit(s)or a limited energy panel,alteration or extension _ $76.00 ❑ Landscape Irrigation Control' Minor Labers(10) $12!100 Medical Each additional Inspection over ❑ the allowable In any of the above ❑ Nurse Calls Per inspection _ $6;:50 Per hour $61'50 _ In Plant $73.75_ El Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ ❑ Other 8%State Surcharge $ --------Number of Systems 25%Plan RevI9%Fee See"Plan Review"section on $ No licenses are required Licenses are required for all olhsr installations front of application — --- Fees: Total Balance Due $ ----- Enter total of above fees $_ _ ❑ Trust Account M 8%State Surcharge $_ -- -��--- Total Balance Due $ i Vises\fonmsAelc-fees do( 10Yr��'00 CITYOF TIGARD PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: P 15/02 00089 DATE ISSUED: 3!15/02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2 S 102CB-03400 SITE ADDRESS: 09850 SW FREWING ST BUILDING SUBDIVISION: FREWINGS ORCHARD TRACTS ZONING: R-12 BLOCK: LOT: 009 _ JURISDICTION: TIG CLASS OF WORK: AI T GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF WASHING MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R1 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXTURES: TUB/SHOWERS: SEWER LINE: 5 ft WATER CLOSETS: WATER LINE: ft DISHWASHERS: RAIN DRAIN: ft Remarks: Sewer line repaired, approx. 5 ft. _ _- --_—_--- FEES _ Owner: _ Type By Date Amount Receipt FINKS, ALEX AND LOTTE I PRMT CTR 3/15/02 $72.50 27200200000 PO BOX 23562 5PCT CTR 3/15i02 $5.80 27200200000 PORTLAND, OR 97223 — —.- __ Total $78.30 Phone 1: Contractor: — ROTO ROOTER - WEST OFFICE 25599 SW 95TH B WILSONVILLE, OR 97223 REQUIRED INSPECTIONS Sewer Inspection Phone 1: 503-227-3330 Final Inspection Reg#: LIC 13989 PLM 37-76PB This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. Alt work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION- Oregon law requires you to `ollow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-000 1-00 10 through OAR 952-0001-0080. You may obtain copies of these rules or direct questions to OUNC by calling (503) 246-1937 N B Permittee Signature: — Issued y 1 . 1—. Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Plumbing Permit Application _ — Date received: 1`� y Permit no: City Of 'Tigard Sewer permit no.: Building permit no.: Address: 1.1125 SW Hall Blvd,'rigard,OR 97223 ('irvn/'1'igurd Phone: (503) 611-4171 1'm,lecUappLno.: Expire date: -� Fax: (503) 598-1960 Date Issued: By: -(�j Receipt no.: Land use approval: Case file no. Payment type: _. �_—_ U I &2 family dwelling or accessory U Comntrrcial/indusU al Multi-family U Tenant improvement U New construction U Addition/alteration/n- lacement U Food service ❑Other: Job address: Q LM �ure l 0 Description Fce(ea.) Tota! Suite no. _ — New I-and 2-family dwellings only: Bldg.no.: -- (includes too ft.forenchutilityconnection) Tax nlarctax lot/account no.: SFR(1)bath --- --__ i--- Iot:_ Block: Subdivision: SFR(2)bath — �---�� Project name: __ SFR(3)bath City/county: —'t `qCt _ LIP: 12 3 Each additional bath/kitchcn Description and loca4iion of work on premises:_� Siteutilhies: tr p p r Calrh basin/area drain 60 Drywells/leach line/irench drain Est.date of completion/inspection: — Faring drain(no.lin. t1.) _ Manufactured home utilities Y' Business name: '� t� pt�� -i�— _ Manholes Address: S(/V Rain drain connector _ City: (�� 5(jJV Ut �_ State:(� 7.IP: �O 7 O Sanitary sewer(no.lin.It Phone: 3 3O Ftix: E-mail Storm sewer(no.lin.ft.) — 7 ---•� V�'atrr service(no.lin.ft.) CCB no.: \�j�Q�� Plumb.bus.reg.no: 3_7 ?G�'`� Fixture or item: 1 Cityimetro lic.no.: Absorption valve p b Contractor's representative signature: ,_ l, ��__—_— Back flow preventcr Print name: :57T +\ �\ mate: 0� Backwater valve Basins/lavatory Clothes washer Name. —_ Dishwasher Address: Prinking fountain(s) LIP: Ejcctors/sump Phone:50 z '7S _ 4pFax: E-niail: ` Expansion tank Fixture/sewer cap —_ Floor drainefloor sinks/hub Namc(print): _ — — Garbage dis sal Mailing address: Huse bibb City: State: LIPS Ice maker Phone: Fax: E-mail: Interceptor/grease trap _ Owner installation/residential maintenance only: The actt,al installation Primer(s) will he made by me or the maintenance and repair made by my regular Roof drain(commercial) employee on the property I own as per ORS Chapter 447. Sink(s),basin(s),lays(s) Owner's signature: Date: Sump Tubs/shower/shower pan Urinal _ _ Name: _ Water closet Address:_— ------- __ Wuter heater, — — City� _, State: 7_IP: — Other. Phone — Fax: E-mail: Irotrl Minimum fee................$ —12 _ Nd all juritdicooru occepl credit,oda pleax cell Juri+dtcaon rx more infantar`m. Notice:This permit application Plan reV lew(at — %) $ u visa U MasterCard expires if a permit is not obtained p State surcharge(896) ....$ � c C� Credit card number_—_----------_----- -- -- within 180 days after it has been r accepted as complete. TOTAL .......................$ 7 S -- Nam of cardhnldrr v rhown on it card s --- - C'ardMAder ai6ruturr - Atncwnt 440-4616(6/00KTMI PLUMBING PERMIT FEES: PRICE TOTAL New 1 and 2-family dwellings only: FIXTURES Individual QTY ea AMOUNT (Includes all plumbing fixtures Lt PRICE TOTAL Sink 1660 the dwelling and the flrst100 ft. QTY (ea) AMOUNT 16.x0 for each utility connection) Lavatory _ One(1bath _ $249.20 Tub or Tub/Shower Comb 16.60 Two 2 bath __ _ $350.00 Shower Only 1660 ThrepA3Zbath -_^ $399.00 Water Closel 16.60 --�--` SUBTOTAL Urinal 16.60 8%STATE SURCHARGE Dishwasher 16.60 PLAN REVIEW 25%OF SUBTOTAL TOTAL Garbage Disposal 16.60 Laundry Tray 16.60 Washing Machine 16.60 Floor Drain/Floor5ink 2" 16.60 - --� PLEASE COMPLETE: 3" 16 60 q" 16.60 _ Water Heater O conversion O like kind 16.60 Quantity b Work Performed Gas oiping requires a separate mechanical Fixture Type: New Moved Replaced Removed/ per it Ca ed , _ --- - MFG Home New Water Service 46.40 Sink MFG Home New San/Storm Sewer 46.40 Lavato _ Tub or Tub/Shower Hose Bibs 16.60 Combination Roof Drains — — 16.60 Shower On_ly_ Drinking Fountain 16.60 Water Closet _ Urinal Other Fixtures(Specify) 16,60 _ Dishwasher — Garbage Disposal -- — Laundry Room Tray - - WashincLMachine _ Floor Drain/Sink: 2" Sewer-1 sl 100' 55.00 — 3^ Sewer-aach additional 100 v _ 46.40 _ 4" _ Waler Service-1s1 100 55.00 Water Heale; _- 46 40 Other Fixt,•es Water Service-each additional 200'_ _ _ S eci _ Storm 8 Rain Drain-1st 100' 55.00 Storm&Rain Drain-each addiliona 100' 4F,40 - Commercial Back Flow Prevention Device Residential Backflow Prevention Device' 27.55 Catch Basin 16.60 Inspection of Existing Plumbing or Specially —6250 Requested Inspections er/hr __ COMMENTS REGARDING ABOVE: Rain Drain,single family dwelling 65.25 — Grease Traps -- - 1660 - --- - QUANI'ITY Isometric or riser diagram is required if i Uuantlt:Total is >9 _ ------ _ 'SUBTOTAL ---- -- 8%STATE SURCHARGE '"PLAN REVIEW 25%OF SUBTOTAL Required only if fixture gly total Is>9 TOTAL $ *Mlnlinum permit fee Is$72 50+B%state surcharge,except Residential Backflow Pr@N^Tion Device.which is$36 25+e%state surcharge ' All New Commercial Buildings require 2 sets of plans with Isometric or riser diagram for plan review. i:\dsts\forms\plm-fees.doc 12/26/01 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Busines: Line: (503)639-4171 BUP --- Received _ _Date Regtiested_� 02 Received _ ASA___.-.____ PM SUP Location 70!. ij_ w m", (L'�Suite--._ -____-- MEC Contact Person —--- — - — -- Ph( -) —-- _ PLM Contractor __ , Ph BUILDING1 Tenant/Ownor _ _ �_ ELC Footing 1 ELC Foundation Access: Ftg Drain ELR Crawl Drain _ Slab Inspection Notes 7s- _ 1:1"1p(fI-? SIT Post&Beam Shear Anchors QTS -- -- ------------- --- Ext Sheath/Shear Int Sheath/Sheer Framing -- -- - - - -- - Insulation Drywall%fling ---- -- Firewall Fire Sprinkler - --- -- ---- -- Fire Alarm Susp'd Ceiling — , --- �-- Root Other -- --T. Final P 'rPAFMFAIL �--- - - -- - --- -- — -------- - - - ('PLUMBING Undor SlaIL Hough-In I Water Sery?ce"IT -- - -- ain DrainE _— Cat,,h Basin/Iu:anhole Storm Drain - ---- ---- i ---�-- -- ��. Shower Pan PAP'T FAIT_ - — -----�- - MECHANICAL Post& Beam Rough-In Gas Line Smoke Dampers -- -- - - -- - — - �. Final PASS PAPT FAIL -- ELECTRICAL Service Rough-In I1G/Slab - - - - - Low Voltage Fire Alarm Final [� Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: -__— �� Unabie to inspect- no arc^ss Fire Supply Line ADA Date /d �" Inspector l ��, Ext Approach/Sidewalk - Other:_ Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY ELECTRICAL PERMIT OF TIGAR PERMIT#. ELC2002-00447 DEVELOPMENT SERVIC!=S DATE ISSUED: 9/5/02 13125 SW Hall Blvd.,Tigard. OR 97223 (503) 639-4171 PARCEL: 2S102CA-00301 SITE ADDRESS- 09870 SW FREWING ST 055 SUBDIVISION: FREWINGS ORCHARD TRACTS ZONING: R-4.5 BLOCK: LOT : 018 JURISDICTION: TIG Proiect Description: Reconnect. 'RESIDENTIAL UNIT _ i TEMP SRVC/FEEDER_SMISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/ SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _ ERANGH CIRCUITS ADD'L INSPECTIONS___ 0 - 200 amp: 1'V/SERVICE OR FEEDER: PER INSPECTION: 201 400 amp: 1st W/O SRVC OR FDR: 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 ons: I _SVC/FDR >= 225 AMPS: _.� CLASS AREA/SPEC OCC: Owner: Contractor: FINKE, ALEX TRUSTF-E OWNER FINKE, LOTTE I TRUSTEE PO BOX 23562 PORTLAND, OR 972.81 Phone: Phone: Rep #: — FEES Required Inspections Type By Date Amount Receipt Elect'I f=inal iPRMT CTR 9/5/02 $66.85 2720020000( 5PCT CTR 9/5/02 $5.35 2720020000( Total $72.20 This Permit is issued subject to the regulations contained in the Tigard Municipgl Code.State of OR Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or I work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Not'rficaticn Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503) 246-6699 or 1 4100-332-2344. Permit Signature: ��..�- _ Issued By: OWNER INSTALLATION ONLY _ -The installation is being made on propei4y4Mn Which is not intended for sale, lease, or rent. j I OWNER'S SIGNATURE: y �'�-�' DATE: / - CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: __.--LLLL DATE: LICENSE NO: �.----- -- -- - - Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application _ Date received: I �,,.'j Permit no.: 7 ma City of Tigard Project/appl.no.: Expite date: City of Tigan/ Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: H Phone: (503) 639-4171 , Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: a INUI 8c 2 family dwelling or accessory U Commercial/industrial k$Millii-G;miIV U Tenant improvement U New construction U A(I(lition/alteration/replacement U Other: _ U Partial JOB SITE,INFORMATION Job address: C %lei I— �;.'6 rv')ti. f, Bldg. no.: Suite no.:.,55 Tax map/tax lot/accouni no.: Lot: Block: uhalivision: Project name.-TAU )tion and location of work on premises: r — Estimated date of completion/inspeplion: APPLICATION FEE SCHE-911 Job no: Fee MAC Business name: -- - -- r - - - IMscriplion Qly. (ea.) Total no.Imp New residential-single or multi-famny per Address: _ doellingutdt.Incluricsattached garage. City: V State: GIP: tiwrvicelncluded: Phone: Fax: E-mail: I(N)0 sq.ft.or Icss a Each additional 500 sq.ft.or portion thereof' _ CCB n0.: Elec.bus.IiC.n0: - _ I,innitedenergy,residential Cit /metro IiC.n0.: Limited energy,non-residential 2 Each manufactured home or modular dwelling Signature of supervising electrician(req,fired) Date Service and/or feeder 2 Sup.elect.name(print): I.iccn c no: Services or feeder-installation, alteration or relocation: 200 amps or less 2 Name(print): f} `�'tj�/ lie= V401 to 400 amps to 600 ampsMailing address: �j!y� .iz 3 STi �� ax to 1000 ampsCity: / l1.74 P_ T) State:0 . 'LIP: 0 amps or volasPhone: 2Ny--5V 9+ Fax: E-mail: tonl Owner installation:The installation is being made on property I ownrywrvicesorfeeder- - which is not intended for rent,or exchange accordin to Installation,alteration,or relocation: 2(A)omps or less 2 ORS 447,455,479,6 -- - C 201 amps to 400 amps 2 Owner's si nature t _- F Date: _ C aoI n 600 am s -- ---� — — Branch circuits-new,alteration, or extenclon per panel: Name: -- A Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit _ City; date' 711'; B. Fee for branch circuits without purchase -_ - - �-- of service or feeder fee,first branch circuit: 2 Phone: I ax: �1:-mail: —----EachPW additional branch circuit: Misc.(Service or feeder not Included): U Service over 225 amps-conunercial U Ileaith-carefacility Each pump or irrigation circle 2 UServiceover320amps•ratingofl&2 ULiazardouslocation Each sign oroudineligMing _ _ _ 2 family dwellings U Building over 10,000 square feet fouror Signal circuit(s)or a limited energy panel, v System over 600 volts nominal more residential units in one structure alteration,or extension* 2 U Building over three stories U Feeders,400 amps or more •Lkscri tion:_ U Occupant load over 91)perAm'. U Man-factured Structures or RV part( Each additional inspection over the allowable In any of the above: U F.gressllightingplan U thfnrr Per inspection -�T- Submit cels of plan%with:inti of the above. Investigation fee The above are not applicable to temporary construction service. Other Not all Jurisdictions accept cmht cards,please call Jurisdiction for more Informatinn Notice:This permit application Permit fee.....................$ ^_ U Visa U MasterCard expires if a pennit is not obtained Plan review(at _ %) $ _-- Credit card numher-__ / / within 180 days atter it has been Slate surcharge(8%)....$ _ Expires accepted as complete. TOTAL .$ Naar of cerdhnldtr u shown on credit card �� - S - Cadholder signature Amount 440-1615(&MCOM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: _'TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee............... ............. $75.00 ..................... Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total Check Type of Work Involved- Residential-per unit 1000 sq.R or less _—� $145 15 4 ❑ Audio and Stereo Systems' Each additional 500 sqft.or portion thereof $33.40 1 ❑ Burglar Aldrm Limited Energy _ $75.00 �— Each Manufd Home or Modular Dwelling Service or Feeder $90.90 _ 2 ❑ Garage Door Opener' Services or Feeders ❑ Healing,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less $80.30 2 ❑ 201 amps to 400 amps _ $106,85 2 Vacuum Systems' 401 amps to 600 amps $160.60 2 ❑ 601 amps to 1000 amps $24060 2 Other Over 1000 amps or volts _ $454.65 /12 Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteration,or relocation Fee for each system.......................................................... $75.00 200 amps or less _—v $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $10030 2 401 amps to 600 amps — $133 75 _ 2 Check Type of Work Involved: Over 600 amps to 1000 volts, see"b"above. ❑ Audio and Stereo Systems Branch Circuits ❑ New,alteration or extension per panel Boiler Controls a)The fee for branch circuits with purchase of service or ❑ Clock Systems feeder fee. Fach branch circuit $665 _ 2 ❑ Data Telscommunicalion Installation b)'I he fee for branch circuits without purchase of service �❑ Fire Alain Installation or feeder fee. First branch circuit _ $4685 Each additional branch circuit $6.65 ❑ HVAC Miscellaneous ❑ Instrumentation (Service or feeder not Included) Erich pump or Irrigation circle $5340 ❑ Each sign or outline lighting _ $53.40 — Intercom and Paging Systems Signal circuit(s)or a limited energy panel,alteration or extension $75.00 _ ❑ Landscape Irrigation Control' Minor Labels(10) _ $125.00 Each additional Inspection over ❑ Medical the allowable In any of the above ❑ Per inspection $6250 _ Nurse Calls Per hour $6250 In Plant $73.75 j Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ Other 8%State Surcharge $ Number of Systems 25%Plan Review Fee See"Plan Review"section on $ No licenses are required tAcenses are required for all other installations front of application. ---- Fees: Total Balance Due $ —"- Enter total of above fees $ ❑ Trust Account# _ _ 8%State Surcharge S __---- --�-�^--__----�_ Total Balance Due s All New Commercial Buildings require 2 sets of plans. i:\dsts\forrns\elofees.dnc 08/30/01 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 INSPECTION DIVISION Business Line: (503)ra94171 �r BUP Raceived Gtr Date Requested — AM ...�PM— BLIP Location Ph PLM �'7l MEC61 --- -- Contact Person _ �L��1 _ ( ) — .Q — Contractor — -- -- _-- Ph(- ) SWR BUILDING ---- --�1 Te►tant/Owner _ ELC c:;:t_ Footing ELC Foundation Access: - Ftg Drain ELR Crawl Drain -` Slab Inspection Notes: _ SIT — Post& Beam Shear Anchors - - ---- Ext Sheath/Sheer Int Sheath/Shear - Framing --- Insulation ( / Drywall Nailing --- � ----- - FI re Sp Fire Sprinkler Fire Alarm Susp'd Ceiling -- ---- ----- Roof Other: — ---- --- --- --- - - Fn.al _ PASS PART FA0. PLUMBING Post&Beam — Under Slab Rough-In Water Service ----- - -- ----- ---- --- ---- — Sanitary Sewer Rain Drains - -- ---- - - Catch Baein/Manhole -�- Storm Drain - - ---- _ _- - --- - --- - - Shower Pan Other: - ----- ----- - - - - - _ - -- -- --- Final PASS PART FAIL - - - - -- ---- - ---- - 14 CHANICAL Post& Beam Rough-In -- -- - - --- �__ Gas Line Smoke Dampers Final PASS PART FAIL ---- - - - - --- ELECTRICAL Service - ------ - -- - - _ --- Rough-In Ur/Slab � ,�•� " - -- - ------- -- - - — -- ----- - Low Voltage - Fire. Alarm t '%I J Reinspection fee of$ _-_ required before next inspection. Flay at City Hall, 13125 SW Hall Blvd, PART FAIL SIT - — Please call for reinspectio RE: __. [-] Unable to inspect -no access Fire Supply Line ADA Approach/Sidewalk Data _ Inspectors L'h � 1'"'""'` Ext _ Other --- ---- Final DO NOT REMOVE this Inspection record from the ob site. PASS PART FAIL V l��`i OF TIGARD ELECTRICAL PERMIT PERMIT#: ELC2002-00443 DEVELOPMENT SERVICES DATE ISSUED: 9/4/02 13125 SW Hall Blvd..Ticiard. OR 97223 (503) 639-4171 PARCEL: 2S102CB-03400 SITE ADDRESS: 09850 SW FREWING ST 47 SUBDIVISION: FREWINGS ORCHARD TRACTS ZONING: R-12 BLOCK: LOT : 009 JURISDICTION: TIG Proiect Description: Reconnect only. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 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 only: 1 SVC/FDR >=225 AMPS:_ _ CLASS AREA/SPEC OCC: Owner: Contractor: FINKE, ALEX AND LOTTE I OWNER PO BOX 23562 PORTLAND, OR 97223 Phone: Phone: Reg #: FEES Required Inspections Type By Date Amount Receipt Elect'I Final PRMT CTR 9/4/02 $66.85 2720020000( 5PCT CTR 9/4/02 $5.35 2720020000( Total $72.20 T his Permit is issued subject to the regulations contained in the Tigard Municipal Code State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is suspended foi more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notificatior.Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC a'(503) 246-6699 or 1-800-332-2344 �- d B Permit Signature: r�! � IssueY' OWNER INSTALLATION ONLY The installation is being made on property I ovvn_ icf, §n6f intended for sale, lease, or rent. A zo L'` :_ DATE OWNER'S SIGNATURE: �. 4 — CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE:-- LICENSE NO: `—_— ---- —� Call 639-4175 by 7:00pm for an inspection the next business day r 1' ONLY Eletl, lsLgl Perinit AwliCatioli x111VCd f I lcctncal n G D WEl : O _ Permit No.:E �y�✓ COf� T Tigard Planning Approval Sign City > est form Da� _y Permit No.: 13125 SW Hall Blvd, Plan Review Other Tigard,Oregon 97223 Date/By: Permit No.:Post-Rev Phone: 503-639-4171 Fax: 503-598-1960 Da(c/Hy: Land Use efe Case No.: Internet: www.ci.tigard.or.us Contact Juris•: LJ See Page 2 for 24-hour Inspection Request: 503-639-4175 Name/Method: I Supplemental Information. TYPE OF WORK_ PLAN REVIEW Please check all that apply) ❑Ncw construction - Demolition 0 Service over 225 amps- lieallh-care facility commercial ❑Hazardous location — Addition/alteration/replacement r�]Other: ❑Service over 320 amps-rating of ❑Building over 10,000 square feet, CATEGORY OF CONSTRUCTION 1 &2 family dwellings four or mote residential units in i & 2-Family dwelling Commercial/industrial ❑:;ystcm over 600 volts nominal one structure ❑Building over three stories ❑Feeders,400 amps or more Accessory Building Multi-Farnily ❑Occupant load over 99 persons ❑Manufactured structures or RV park Master Builder Other: i]I'.gress/lighting plan ❑Other:__ JOB SITE INFORMATION and LOCATION Submit!sets of plans with any of the above. The above are not applicable to temporary construction service. Job site address: VfYC9 1 f? / 0 FEF*SCHEDULE Suite#: Bldg,, t.#: Number of ins r'ections per 1) mit allowed Pro'ect Name: Description Qty Fee(ea.) Total New roldentlal-single or multi-family per Cross strcet/Dlrections to Job site: dwelling unit.Includes attached garage. %'� Service Included: 1000 sq.fl.or less 145.15 4 Each additional 500 sq.R.or porion thereof _ 33.40 I LOt#: Limited ener residential 75.00 2 Subdivision: Limited enerity,non residential 7500 2 Tax map/parcel #: Y Each manufactured home or modular dwelling DESCRIPTION OF WORK Services and/or feeder 90.90 2 Services or feeders-Installation, alteration or relocation: IV / L 200 snips or less 80.30 2 6 201 amps to 400 ams 106.85 2 401 snips to 600 ams 160.60 2 PROPERTY OWNER TENANT 601 amps to 10010 amps _ _ 240.60 2 / Over 1000 amps or volts 454.65 2 Name: /A h Reconnect only — _ 66.85 2 Address: �Lir "ice 3�� Temporary services or feeders-Installation, 7 7� dleretion,m relocation: City/State/Zip: C7,A1'K.0 200 amps or less -_ __ 66 HS I 1'hOile:Z/f '✓ Fax: 201 amps to400!mEs __ ._— 100.3;) 2 APPLICANT CONTACT PERSON 401 to 600 ams 133.75 2 Branch circuits-new,alteration,or Name: extension per panel: A.Fee for branch circuits with purchase of Address: _ service or feeder fee,each branch circuit t'0 2 City/State/Zip: I3 Fee for branch circuits without purchase of service or feeder fee,first branch circuit 035 2 Phone: Fax'. Each additional branch circuit 6.65 2 E-mail: Misc.(Service or feeder not included): CONTRACTOR Each pump or irrigation circle $3.40 2 Each sir or outline lighting 53.40 2 .lob No: Signal circuit(s)or a limited energy panel, Business Name: alteration,or extension' :E75.00 _ 2 *Description: Address: City/State/Zip:/State/ZI Path additional inspection over the allowable in an of the above: Per inspection r hour-min. I hour 62.50 Phone: Fax: insesti !tion f"-.- CCB ee:CCB Lie.M Lic.#: Other. Electrical Permit Fees* _ Super%ising electrician Subtotal S si nature re ulred- Plan Review 25%of Permit Fee) S — Print Name:/R L //j r Lica #: State Surcharge(8%of Permit Fce) S ? TOTAL PERMIT FEE S 20 Authorized C Notice: This permit application expires If a permit Is not obtained within Signature:(� L' _ Date: 'A 190 day,after it has been accepted ac complete. *Fee rncthodolog� set by Tri-County Building Industry Service Board. (Please print nate) CITY OF TI.GARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BLIP Received _ Date Requested AM_-__ PM BUP Location _ _. . eS �'' _ ----- ��-� MEC Contact Person -_ --- � _-� Ph( -) _- ------L.1- PLM Contractor . -__ ---_-. - _ Ph(--,-) ---__ --__--- SWR BUILDING Tenant/Ownet _- _-- ___. _�_______� ELC y 3 Footing ELC _ Foundation Access: Ftg Drain ELR Crawl Drain _- Slab Inspection Note:• SIT Post&Beam ---.-------_-- Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing - --- -_ - --- -- Insulation / Drywall Nailing ---- - - - dl Firewall ( ( ��I�N ��1�S Fire Sprinkler Fire Alarm Susp'd Ceiling -�--- --- Roof Other: Final - - - ----- _PASS PART_ FAIL _Post&Beam Under Slab -- -.-- — - - Rough-In Water Service - ------ — - Sanitary Sewer Rain Drains -- ----- Catch Basin/Manhole Storm Drain -� --- - Shower Pan Other: - -- Final PASS_PART _FAIL _ MECHANICAL Post&Bearn Rough-In -- ------_--___,__--- - Gas Line Smoke Dampers --- ----- --- —- Final PASS PART_ FAIL ELECTRICAL Service Rough-In — UG/Slab N Low Voltage - Fire Alarm Sl Fina ART FAIL Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SV'i x1311 Blvd. S Please calf for reinspection RF __-_ - Unable to inspect-no access Fire Supply Line ADA Dots Inspector ___ Ext___ Approach/Sidewalk ---- Other: Final DO NOT REMOVE this Inspection record from the ob site. PASS PART FAIL CITY OF T I G A R D PLUMBING PERMIT DEVELOPMENT SERVICES PERMIT#: PLM20"13-00617 13125 SW Hat; Blvd., Tigard, OR 97223 (503) 639-4171 DATE ISSUED: 12/10/03 PARCEL: 2S 102CA-00301 SITE ADDRESS: 09870 SW FREWING ST 056 SUBDIVISION: FREWINGS ORCHARD TRACTS ZONING: R-4.5 BLOCK: LOT: 018 JURISDICTION: TIG CLASS OF WORK: OTR GARBAGE DISPOSALS: MOBILE HOME SPACES: TYPE OF USE: MF WASH;NG MACH: BACKFLOW PREVNTRS: OCCUPANCY GRP: R1 FLOOR DRAINS: TRAPS: STORIES: WATER HEATERS: CATCH BASINS: _ FIXTURES LAUNDRY TRAYS: SF RAIN DRAINS: SINKS: URINALS: GREASE TRAPS: LAVATORIES: OTHER FIXT'1RES: TUB/SHOWERS: SEWER LINE: ft WATER CLOSETS: WATER LINE: 25 ft DISHWASHERS: RAIN DRAIN: ft Remarks: Replace approx. 25ft. water line. FEES Owner: Description Date Amount FINKE, ALEX TRUSTEE JI'LLIN1111 Permit I-ce 12/10/03 $72.50 FINKE, LOTTE I TRUSTEE PO BOX 23562 l"1'A\I t State tiurcharl 12/10/03 $5.80 PORTLAND, OR 97281 Total $78.30 Phone : Contractor: _ FIFTY & TWO THOUSAND PLUMBING 16133 SWAN AVE OREGON CITY, OR 97045 REQUIRED INSPECTIONS Water Line Insp Phone : 0511-1407 Final Inspection Reg #: LIC 134805 I'1,h1 3-4241113 This permit is issued subject to the regulations contained in the Tigard Municipal Code. State of OR. Specialty Codes and all other applicable Ia'Ns. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Permittee Si naturi: f f k C Issued By: g — — -- Call (503) 639-4175 by 7:00 P.M. for an inspection needed the next business day Buildini. Fixtures PlumainL; Permit Application Recerveu Plumbing `7 q DateiB i 't Pertnit No. City of Tigard Planning Approval Sewer y Date/By: _ Permit No. 13125 SW Ball Blvd. Plan Review Other Tigard,Oregon 97223 Date/By: Permit No.: — Phone: 503-639-4171 Fax: 503-598-1960 Post-Review land Use Internet: www.ci.tigard.or.us ` Datc/B : Case No Contact iuris., See Page 2 for 24-hour Inspection Request: 503-639-4175 Narne/Method Supplement 11 Information TYPE OF WORK _ FEE'SCHEDULE for special Information use checklist New constniction Demolition Description Idt�. I-Fee(ea.) Total F Addition/alteration/replacementI I— Other: New t-&2-fandly dwellings CATEGORY OF CONSTRUCTIONIncludes 100 R.for each u 111ty connection) SFR(I)bath 249.20 1 & 2-Family dwelling Commercial/Industrial SFR(2)bath 350.00 AccessoryBuilding k Multi-Family _ SFR(? bath 399.00 Master Builder Other: _ Each additional bath/kitchen 45.00 JOB SITE INFORMA'T'ION an LOCATION Firesprinkler-sq. ft.: Page 2 Job site address: U rQ40 I 11110'C3 ST- Site Utilities _ Suite#: I31d ./ lA 5`Z Catch basin/arra drain 16.60 -- Footing ell/leach line trench drain age 2 Project Name: / - -'% Footin drain no.linear R. Pae 2 Cross street/Directions to job site: Manufactured home utilities I la(x) ./, Manholes 16.60 Rain drain connector 16.60 Sanitary sewer(no. linear ft.) Pae 2 Subdivision: Lot#: Storm sewer no. linear R.) Pae 2 Tax map/parcel Water service(no. linear R.) Paee 2 #: — DESCRIP TION OF WORK Fixture or Item Absorption valve _ 16.60 " ri k A-- -_ Etackflow prevcntcr Page 2 Backwater valve - 16.60 T �-Z Ooihes washer 16.60 Dishwasher 16.60 PROPERTY OWNER TENANT Drinking fountain 16.61" Ejectors/sum 16.F0 _ Name:rf'OKC Expansion tank MA Address: ,t)� 13 6M o'✓ Fixture/sewer cap 16.60 City/State/Zip: _77t(-,AM3 4A• „2Floor drain/floor sink,'hub 16.60 - --�- --- Garbage disposal 16.60 Phone:,Z4*- Fax: Hose bib 16.60 APPLICANT CONTACT PERSON Ice maker 16.60 Name: _ — Interceptor'grease trap 16.60 Address: Medical gas-value: S Pae 2 City/State/Zip: Primer 16.60 Roof drain(commercial) 16.60 Phone: � Fax: _ Sink'basin,,lavatory _ 16.60 E-mail: Tub sho%vershower pan 16.60 CONTRACTOR Urinal 16.60 Water closet 16.60 Business Name: JVF Lr.-�-�' P/Y M� r F� Water heater Ifi.60 Address: /t., 3 3 s S". a.•, Aur — Other: City/StateL �r a ao», e,, ey wR, 174;y ' Other: Phon„ Sz- ,S $IL-0171 Fax: Sti S &S2 7yel cPlumbing Permit Fees" CCB Lic. #: 1 3 g i Plumb. Lic.#:i If 2 y!j3 Subtotal S -- Authorized Minimum Permit Fee S'2 50 S .1� n a / Residential Backflow Minimum Fee S36 25 91, t� _ Signature: [!t/ta r""-+' 1/ti•"^�y`1 a Date _��. p8 �,3 Plan Review(25%of Permit Fee) S State Surcharge 810 of Permit Fee) S _ (Please print name) TOTAL PERMIT FEE I S 1 . ) Notice: Thi%permit application expires if a permit is not obtained%s irhio All new commercial buildings require 2%ets of plans%Ith isornetric or 180 da.s after It has been accepted a%complete. riser diagram for plan res less. *Fee rnethodolog� set t.% Tri-( iu,ti Building Industry Ser%ice Board. i Dsts Perm,Formu PlmPernuV pp.doc 01 us l Plumbing Permit_ApOication - City of Tigard Page 2 - Supplemental Information Fee Schedule: _ Residential Fire Suppression Systems:_ _ Site Utilities Qty. Fee(ea) Total Square footage: Permit Fee: v Footing drain- I" IM' "iii; 0to2,(xH) _ $115.00 —_ Footing drain-each additional 100' — 4640 2 001 to 3,W) — $160.00 3,601 to 7.200 $220.00 Sewer- I st 100' 7,201 and greater $309.00 Sewer-each additional 100' 46.40 — Water service- Ist 100' 55.00 Medical Cas Systems:_ Water Service-each additional 100' 46 411 Valuation: Permit Fee: _ Storm&Rain Drain- I st 100' 55 00 SHY)to$5,000.00 Mnumam[cc$72.50 Storm&Rain Drain-each additional 100' 4(,411 $5,001.00 to$10,000.00 $72.50"or the first$5,000.00 and$1.52 for each Fixture or Item Qty. Fee(ea) Total additional$100.00 or fraction thereof,to and ___ includingS10,000.00. Commercial Hack Flow Prevention Device 46.40 $10,00 1.00 to 325.000.00 si Z 5o for the first$10,000.00and$1.54 for Residential Heckflow Prevention Device each additional$100,00 or fraction thereof,to (mtmmum permit tee$36.25) 1 27.15 and mclu_d pj $25,(100.00 _ Rain Drain,single family dwelling 65 25 $25,001.00 to$50,000.00 $379.50 for the first$25,000.00 and 51.45 for Inspection ol'exisung plumbing or — — each additional S100.00 or fraction thereof,w s spial re nested nis plumbing ions- cr hour 72.50 and including$50,000.00. —1'- $50,001 00 and up $742.00 for the first$50.000.00 and$1.20 for Subtotal' each additional$100,00 or fraction thereof. Fixture Work: Are fou capping,moving or replacing existing fixtures" If yes please indicate work performed h� fixture. failure to accurateh report fixtures could result in increased sewer fees*. — ( usnilt by Fixture Work Performed Comments regarding fixture work: Fixture Type: Replace New Moved E[lstln Capped ---- —— -- -- Ha lislr /Font Hath Jub'Shower -Jacuzzi.Whirlpool -- --- -- ----- — C'ar WaAi -Each Stall -Drive 1 hru --- __ -----� _� Cuspidor Water Aspirator --- DishHasher -Commercial - -Domestic _ Drinking Fountain — -- -- e Wash — --- -- — -- Hoor Dram,Birk 2•' C at %d ash Drum — *Vote: If the fixture work under this permit results in an Garbage -Dumcioc -- — Disposal -Commercial — _ increase of sewer EM's,a seer permit will he issued and -Ind,istrial fees+ assessed for the sewer increase must he paid before the Ice Mach.Refn Drams J— plumbing permit can he issued. Oil Separator(Gas Stalwn 1 Rec Vehicle Dunip Station _ Shower -t fang -Stall Sink -Har I_a%atorN -Bradley -Commercial -Service i— Swimming P(x)l Filler _ Washer-Clothes Water Extractor Water Closet-Toilet _ Urinal Other Fixtures. J ODstOermo Forms%PlmPcrmitAppPg2 doc 01 03 CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST -- INSPECTION DIVISION Business Line: (503)639-4171 BUP _ Received _ _G� --�_`__ Date Requested - I --- AM__ PM BUP Location - ------ 1�1-- - - .. --- S - ---- MEC _----- Contact Person _--__ _ Ph (.___—) - __— PLM Contractor - ----- --- - Ph (-- ) -----.____-- SWR BUILDING TenanVOwner _ ELC _ ELC --------- -_ Foundation Access: Ftg Dram ELR - Crawl Drain — Slab Inspection Notes: S!T Post& Beam - — ...- — -�: �= "J�- -_-- Shear Anchors . Ext Sheath/Shea. - --- ---- Int Sheath/Shear Framirq Insulation Drywall Nailing Firewall Fire Sprinkler -- Fire Alarm Susp'd Ceiling Roof Other: -- Final PASS PART FAIL PLUMBihG Post& Beam Under Slab --- ---- --- - Rou,; -in Water Service -- ------ -- - Sanitary Sewer _ Rain Drains -- Catch Basin/ividnhole Storm Drain Shower Pan � _- Other: Final i ---- PART FAIL E _AN_ICAL - - - - Post& Beam hough-In ---- - Gas Line Smoke Dampers - Final PASS PART FAIL _ — ELECTRICAL Service Rough-In ------ - UG/Slab ---- - ---- Low Voltage --- Fire Alarm Final L_.J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL TE __ ❑ Please call for reinspection RE: -___ r� Unable to inspect- no access SI -- E --- Fire Supply Line _`��j„^/ ADA Data. l - - --- Inspector - ,r/ - - Ext --- Approach/Sidewalk Other: Final DO iOT REMOVE this Inspection record from the Job site. PASS PART FAIL Vie, CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _ _— —Date Requested - Z AMPllrl —�_ BLD Location_�� Sw r''�`''�~� —__ LL Site _ MEC Contact Person —_— _ _ Ph 7a —_ PLM Contractnr _ Ph SWR —_ BUILDING Tenant/Owner -- ELC Retaining Wall ELR Footing Access: — f-oundation FPS F-tg Drain SGN crawl Drain Inspection Notes: --- — Slab ------ -- --__----- -- --- SIT Post& Beam - --- - Fxt Sheath/Shear _ Int Sheath/Shear I ramin9 r_ ----- --- _ --_-__-.-___--- Insulation Drywall Nailing -- -- ---.-_-.-.__-- F irewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Final PASS PART FAIL - ---- PLUMBING �¢ rr 42 Post& Beam y _ Under Slab Top Out -_-_-_ -_-- - Water Service Sanitary Sewer - ^- --- - — Rain Drains Final ---- - --- - ---- PASS PART FAIL MECHANICAL Post& Ream -- - -- - - - Rough In Gas Line - -- --- ----- Smoke Dampers Final --- - ------ -- — PA FART FAIT_ Service RoughIn _._.__._�----- --- --- - ---- - — UG/Slab Low Voltage — Fire Alarm Final--- ASS -PART FAIL SITE Backfill/Grading ___�.. -- --------- -_---_— Sanitary Sewer Storm Drain ( J Reinspection fee of$ -_ required befor nex inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ( J Please call for reinspection RE:--_ ( J Unabie to inspect no access ADA Approach/Sidewalk r- Other Date _� ! �, _-_ Inspector _ 7 i Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. / CITY C�F T I G A R D ELECTRICAL PERMIT PERMIT#: ELC2001-00163 DEVELOPMENT SERVICES DATE ISSUED: 3/23/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S102CB-03400 SITE ADDRESS: 09820 SW FREWING ST 26 SUBDIVISION: FREWINGS ORCHARD TRACTS ZONING: R-12 BLOCK: LOT : 009 JURISDICTION: TIG Proiect Description: Reconnect only. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS___ 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADU'L 5(10SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER _BRANCH CIRCUITS _ _ ADD'L INSPECTIONS 0 200 arnp: W/SERVICE OR FEEDER: PER INSPECTION: 201 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L. BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+ amnlvolt: — >=4 RES UNITS: >600 VOLT NOMINAL: _ Reconnect only: 1 _SVCIFDR >=225 AMPS: —__ CLASS AREA/SPEC OCC:__l Owner: Contractor: FINKE, ALEX ,',,ND LOTTE I OWNER PO BOX 23561 PORTLAND, OR 97223 Phone: Phone: Reg #: FEES _ Required Inspections Typu By Date Amount Receipt Elect'I Final PRMT _ CTR 3/23/01 $66.85 2720010000( 5PCT CTR 3/23/01 $5.35 2720010000( — Total $72.20 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plays This permit will expire if work is not started wdtun 180 days of issuance,or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain ropies of these rules ordirect que1ions to OUNC at(503) 246-1987 PERMITTEE'S SIGNATURE-,/ �: .� ISSUED BY: % —OWNER INSTALLATION ONLY own whic/fy is not intended for sale, lease, or rent. The installation is being made on prtif5e ty 7 Z -< l t OWNER'S SIGIJATURE: L DATE- — —� CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N __ __ — _�� DATE:—_ _ LICENSE NO. — Call 639-4175 by 7:00pm for an inspection the next business clay 1 Electrical Permit Application \� Date received: i t 2 p Permit no.:rte 200 I l� . tri City Of Tigard Project/appl.no.: Expire date: City(of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Recetptno.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval- I's U Nil 00 U I &[ lamely dwe'lltnE(ir acccti:,uly U Commercial midutitnal Multi-family U Tenant improvement U New construction U Addition/aheratittrt/rrplacement U Otlmer:— _ U Partial Joh address: ,C PE / Bldg.no.: Suite no.: Tax in lot/account no.: Lot: Block:_ Subdivision: �1=]�/ * r. Project name: Description and location of work)n premises: Estimated date of com letion/inspection: Job no: Fee Mat Business name: At.-F- ,P L �- I)escri lion QI). (ea.) Total no.h,. Address: , G"r 3 `1 -" Newmsidential-,ftleormulti-family per dwelling unit.Includes attached garage. City: / e77 I State:C1' ZIP: - Service Included: Phone: - E-mail: IOW sq.ft.or less 4 — `— - - Each additional 5W sq.ft.or portion thereof CCB no.: Elec.bus.lic.no: _ _ Limited energy,residential 2 City/metro lic.no.: Limited energy,non-residential 2 Each manufactured home or modular dwelling Signature of supervising electrician(required) Dal, Service an(Vor feeder 2 Sup.elect.name(print) I tn•nse lit, Services or feeders-Installation, alteration or relocation: 161111111110 200 amps or leas _ Name(printy L= r '/'/N CG: 201 amps to 400 amps Y 2 - 401 amps to 600 amps 2 Mailing address: �S 04r;I vit 4 ft 60I amps to IOW amps 2 City: / State:t� ( ZIP: ) Over I(xx)ampsorvolts __ _ 2 Phont I E-mail: Reconnect only Owner installation:The installation is being made on property 1 own Temporary services or feeders- which is not intended for e,rent,or exchange according to installation,alteration,orrclocation ORS 447,455,479,6 v 7W trope or less 2 i ? h 201 amps to 4W amps 2 Owner's si nature• t-{= Dale: 401 to 600 ams 2 Branch circuits-new,alteration, or extension per panel: Name:T _ A. Fee for branch circuits with purchase of Address: r service or feeder fee,each branch circuit ('ily: — Stale: IIP: - B Fee for branch circuits without purchase --- of service or feeder fee,first branch circuit: 2 Phone: Fax: E-mail: Each additional branch circuit. Mlsc.(.service or f roder not Included): O Service over 225 amps-commercial U Health-care facility Each pump of irrigation circle 2 U Service over 320 amps-rating of 1&2 U Harardouslocadon Each sign or outline lighting 2 familydwellings U Building over 10,000 square feet four or Signal circuil(s)or a limited energy panel. U System over 600 volts nominal more residential units in one structure alteration.orextension• 2 U Building over three stories U feeders,40x)amps or nitre •Descri tion: U Occupant load over 99 persons U Manufactured structures or RV park Each addMloml Inspection over the allowable In any of the above: U EgressAightingplmt U thher: . Per inspection Submit__sets of plant with any of the above. I Investigation fee The above are not applicable to temporary convtrurtion service. Other - Permit fee.....................$ c G Not all jtaisdictir as wrept ctedil cart,,Please call jurisdiction for more inf,xmation. Notice:This permit application - U Visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ (-re(ht catd aaatxr: _L� within 180 days alter it has been State surcharge(8%) ....$ a( der u shown urs credit:aid Expires accepted as complete. TOTAL .......................$ _ ?�._aK Q --- S Cardholderii`aitrae - Amoual 4404615(600170M) Electrical Permit Fees: Limited (Energy Fees: ----"— ----- TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: -— -� Restricted Energy Fee...................................................... 175.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total ,heck Type of Work Involved: Residential-per unit 1000 sq ft or less $145 15 4 Audio and Stereo Systems Each additional 500 sq,ft,or portion thereof _ $3340 1 Ll B,ngiw Alarm Limited Energy $75.00 _ Each Manufd Home or Modular C] Garage Door Opener' Dwelling Service or Feeder _ $9090 _ 2 Services or Feeders ❑ Heating,Ventilation and Air Conditioning System' Installation,alteration,or relncation 200 amps or less $8030 2 f—'1 Vacuum Systems 201 amps to 400 amps _ $10685 2 l_J 401 amps to 600 amps _ $160 rn 2 G01 amps to 1000 amps $24060 __ _ 2 ❑ other Over 1000 amps or volts $45465_ 2 Reconnect only _�_ $66 8.5 :; 2 Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary Services or FeeFee for each system.............. .............................. ............ $75.00 Installation,alteration,or relocation 200 amps or less $66.85 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100.30 2 ({deck Type of Work Involved: 401 amps to 600 amps $133.75 2 Over 600 amps to 1000 volts, ❑ Audio and Stereo Systems see"b"above. Branch Circuits fioiler Controls New,alteration or extension per panel a)The fee k-r branch circuits r 1 with purchase of service or Clock Syslerns feeder fee. Each branch circuit $665 2 Data Telecommunication Installation b)The fee for branch circuits without purchase of service ❑ Fire Alarm Installation or feeder fee. First branch circuit $46.85 ❑� HVAC Each additional branch circuit __ $6.65 Miscellaneous D Instrumentation ,,Service or feeder not Includer) Each pump or irrigation ci,cle $5340 ❑ Intercom and Paging Systems Each sign or outline lighting $5340 Signal circuit(&)or a limited energy r� panel,alteration or extension $75.00 J� L Landscape Irrigation Control' Minor Labels(10) $125.00 ❑ Medical Each additional inspection over the allowable In any of the above ❑ Nurse Calls Per inspection $62.50 _ Per hour $62.50 ____ ❑ In Plant $73.75 Outdoor landscape Lighting' Fees: ❑ Protective Signaling Eoter total of above tees $ ❑ Other ---- ", State Surcharge $ _----------Number of Systems 25%Plan Review Fee ' No licenses are requimd Licenses are required for all other Installations See"Plan Review'section on $ _- front of application _ Fees: Total Balance Due ------ Enter total of above fees $_ _ ❑ Trust Account p _ _ 8%State Surcharge $� Total Balance Due i\fists\fomu\elc-fees.doc 10/09/00 1�D � ELECTRICAL PERMIT CITY OF TIGA PERMIT#: ELC2001-00297 DEVELOPMENT SERVICES )ATE ISSUED: 6/6/01 13125 SW Hall Blvd., Tipard, OR 97223 (503) 639-4171 PARCEL 2S102CB-03400 SITE ADDRESS: 09820 SW FREWING ST 29 SUBDIVISION: FREWINGS ORCHARD TRACTS ZONING: R-12 BLOCK: LOT : 009 JURISDICTION: TIG Prolect Description: Service reconnect. RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNALWANEL: MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS -- -- ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDI-R: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 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 only: 1 SVC/FDR >= 225 AMPS: _ CLASS AREA/SPEC OCC: Owner: Contractor: FINKE, ALEX AND LOTTE I PO BOX 23562 PORTLAND, OR 97223 Phone: Phone: Reg#: FEES Required Inspections _ Type By Date Amount Receipt Elf-ct'I Service PRMT CTR 6/6/01 $66.85 2720010000( Elect'I Final 5PCT CTR 6/6/01 $5.35 2720010000( Total $72.20 his Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR Specialty Codes and all other applicable laws All work will be sone in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OU14C at(503) 246-6699 or 1.800-332-2344 -- Permit Signature: h �� Z.� 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 ONLY SIGNATURE OF SUPR. ELEC'N: -_ _. __— DATE-:----- LICENSE ATE:_____LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application Date received G D Permit no.• a) City of Tigard) Project/appl.too.: Expire date: CiryofTigard Address: 13125 SW Ball Blvd,Tigard.OR 972 3 Date issued: Hy Receiptno.: Phone: (503) 639-4171 --- _. Fax: (503)598-1960 (/1 `(�/) Case file no.: _- I'avmcnt type: Land use approval: 1 \ U 1 &2 family dwelling or accessory U Commercial/industrial Multi-family U'fenant improvement U New construction U Addition/alter�ation/replacentent U Other: U Partial Joh.address: ' •S t iQoa Int N Bldg. no.: Suite no.:Tax map/tax lot/account no.: 1A 5 Block:_ Subdivision: Project name: —Description and location of work on premises: AL4c_ d-4-� - i Estimated date of completion/ins ction: 41 Ii Job no: nee Max -Business name: -- _—�- --- - Description Qty- (ea) Total no.Ins -- --- --- New residential-single or muhl-family per Address: _ dwelling unit.lnclodesattached gorage. City: r S1alC: ZIP: Seri icefncluded: Phone: _ Fax: E-mail: Itx>v sq.ft.or It.% _ .t CCB no.: I Elec.bus.lie.no: Each additional 500 sq.ft.or portion thereof fIcy/IlelrtIle.no.: mited ngynial 2 Iiitedeergy non-residential 2 Each manufactured home or modular dwelling Signature of supervising eleculclen(requited) I tai,. Service and/or feeder 2 Sup.elect.name(printj: -- 1,ii,.,, ,.,,,, Services or reeden-Installation, alteration or relocation: 200 amps or less 2 Nance(print): G.'k l` l 6'� i. r, - 201 amps to 400 amps 2 D 7 i, 401 amps in 600 amps 2 Mailing address: 7rr 601 amps to 1(Xx)amps _ — — 2 City: •I IC Stale: C ZIP: Over I(x>u amps or volts Phone: .2.4 -, E_-mail: Reconnectonly 1 Owner installation:The installation is being made on property I own Temporary services orfeeden- which is not intended e,lea,e,rent,or exchange accordin r to Installation,alterstIon,orreloation: 200 amps or less 2 ORS 447,455,47 -20 I amps to 400 amps - 2 Owner's si na e: (�. /t ' Date: atc 401 a ps t 4 s 2 Branch circuits-new,alteration, Nance, j or extension per panel: A. Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit city: Stale: ZIP: B. Fee for branch circuits without purchase - "-� —' --- of service ur feeder fee,first branch circuit: 1111011c: I ax 1'; mail Each additional branch circuit: I'll N� RIA-11 1% (Please check all that Hppli) Mlsc (Ser lceorfeedernotincluded): UService over 225amps-commercial Uerdth-care facility Each pump oiimigationcircle U Service over 320 amps-ruting of I&2 U Harardous location Each sign or outline lighting ? familydwellings U Building over MOM square feet four or Signal circuit(s)oralimited encigs palwl. -' O System over 600 volts nominal more residential units in one structure nheration,or extension' _ _ 2 _ O Building over three stories U Feeders.400 amps or more •DLscri tion: U occupant load over 99 persons U Manufactured structures or RV park pa,It additlonal Inspection ow r the silos-able In any of the above: U 13gressAightingplan U Other: --�•- -_----_- Per inspection ,Submit—sets of plans with any of the abi ve. Investigation fee -�- The above are not applicable to temporary construction service. Other — -- - Not at;jurisdictions accept credit catdr,please call jurisdictirn fur more Information Notice:*Mis permit application Permit fee.....................$ U Visa U MasterCard expires if a permit is not obtained Platt review(at — %) $ Credit card number: _ -__--L-�-- ssilhin 180 days ager it has been State surcharge(8%)....$ - r'l1fe` accepted as complete 'TOTAL . $ Name of cardholder as shown on credit cart) •�••••••��•��•�•••••• _ S Cardholder dpsnure ___ Arnounn 110461116HxyCOM) Electrical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee.................. ................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total Check Type of Work Involved: Residential-per unit f� 1000 sq it or lass $145 15 4 l l Audio and Stereo Systems I-ach additional 500 sq It or portion thereof — _ $33 40 1 Burglar Alarm Limited Energy $15.00 F:ach Manufd Home or Modular El Garage Door Opener' Dwelling Service or Feeder _ $90.90 _ 2 Services or Feeders [� Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less _ $8030 2 Vacuum Systems' 201 amps to 400 amps $106.85 2 El 401 amps to 600 amps $16060 2 I� 601 amus to 1000 amps _ $240.60 _ _ 2 LJ Other Over 1000 amps or volts $454.65 2 Reconnect only _ $6685 _ 2 Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary services or FeeFee for each system.......................................................... $75.00 Installation,alteration,or relocationder 200 amps or less $66.85 _ 2 (SEE OAR 918-26(1-260) 201 amps to 400 amps _ $100.30 2 401 amps to 600 amps $13375 _ 2 Check Type of Work Involved: Over 600 amps to 1000 volts, 11 see"b"above. C—J Audio and Stereo Systems Branch Circuits C I Boiler Controls New,alteration or nxlension per panel a)The fee for branch circuits �I with purchase of service or L J Clock Systems leader lee. Each branch circuit _ — $665 _ 2 Data Telecommunication Installation b)The fee for branch circuits without purchase of service L Fire Alar Installation or feeder/be. First branch circuit _ $4685 _ Each additional branch circuit $6.65 HVAC Miscellaneous Instrumentation (Service or feeder not included) Each pump or irrigation circle _ $5340 __- Intercom and Paging Systems Each sign or outline lighting $5340 Signal circult(s)or a limited energy ❑ panel,alteration or extension — $75.00 Landscape Irrigation Control' Minor Labels(10) $125.00 Medical Each additional Inspection over the allowable In any of the above ❑ Nurse Calls Per Inspection _ $62.50 Per hour _ $62-50 In Plant _ T_ $73 75 _ Outdoor Landscape Lighting" ,Fees: ❑ ProtecL.e Signaling Enter total of above fees $ _ n Other 8%State Surcharge $ Number of Systems 25%Plan Review Fee No licenses are required Licenses are required for all other installations See"Plan Review"section on $ front of application — -- — — - Fees: Total Balance Due $ — - Enter total of above fees $ ❑ Trust Account# ___ 8%State Surcharge $ — ------------- ------- � Total Balance Due $ i Asts\forms\elc-Fees rine il)'091(NI CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Flour Inspection Line: 639-4175 Busines- Line: 639-4171 — — BUP -Date Requested Cl- 7 AM PM BLD — I_oc.ation �, �t' l Fti✓'�,t Suite MEC — PLM J �� </� Contact Person Ph --- -- C;ontractor Ph — SWR BUILDING Tenant/Owner ELCw/--�L' `yL Retaining Wall ELR Footing Access: PPS Foundation Ftg Drain SGN _ Crawl Dram Inspection Notes Slab er l < a r1 r SIT Post& Beam Ext Sheath/Shear `" Cin tie - ---- --- Int Sheath/Shear Framing --- Insulation Drywall Nailing --_-- -- - Firewall Fire Sprinkler _- ---- --- Fire Alarm _ Susp'd Ceiling ---- --- - Roof Misc -- - - PASS PART FAIL PLUMBING _ Post& Beern - - Under Slab -- Top Out Water Service -- Sanitary Sewer Rain Drains - Final PASS PART FAIL -- -'- MECHANICAL F'r_x,t& Beam - Rough In - _ __-_-- Gas Line --� - Smoke Dampers _ - _- F inal - PASS PART FAIL ervice - � Retrgf'i In UG/Slab - ------ ----- .------.- -- Lilw Voltage Fire Alarm _ -- - _--_----- -- - PASS �"PART FAIL _- ---------- -- - - ---- --- - SIT — �^ — -- — — — Backfill/Grading ---- Sanitary Sewer Storm Drain [ J Reinspection fee of$__. required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ] Please call for reinspection RE' _ J Unable to inspect-no access Fire Supply Line ADA Approach/SidewalkEXt Other Inspector- Date -__._�._ L -_-- p - Final PASS PART FAIL 00 NOT REMOVE this inspection rer:ord from the job site. BUP - Building Permit ELC - Electrical Permit__ Ins ection Descri tion nate Passed By Inspection Description Date Passed B� Footing/Setback Underground cover Foundation walls Wall cover_ Footing drain Ceilm cover Waterproof b_smt walls Electrical rough-in Slab _ Electrical service Crawl drain _ Electrical final Underfloor insulation Post/beam structuralV Shear walls/anchors ELR - Restricted Ener y_Permit Roof nailing Inspection Description Date Passed B Firewall_ Low voltage Tilt-up panel _ Electrical final Masonry/Reinforcetnent Framing MFG-Structure set-up.__ MEC - Mechanical Mechanical Permit _ Insulation Inspection Description Date Passed By Drywall nailing Post/beam mechanical Sus ndedceili� _ Gas line Engineered soils Mechanical rough-in +_ Welding Lab Final Fire damper Concrete Lab Final _ Duct work_ _ v Bolting Lab Final _ Smoke detector Structural observation Mechanical final� Fireproofing Lab Final Final inspection PLM - Plumbing Permit _ 4 Inspection Description Date Passed By BUP — Fire Protection-System Permit Plumbing underslab — _ Inspection Description Date Passed By Crawl drain S rinkler underfloor/slab Post/beam plumbing _ Sprinkler rough-in Plumbingtop-out op-out Sprinkler final _ RP/backflow preventer_ _ Fire alarm final Rain drain Storm drain _ Water service SIT - Site_Permit _ Sanita sewer 4Ins ctiion Description Date Passed By Culvert/catch basin Footing Pum /fill septic tank Foundation walls Plumbing final Sprinkler supply lines Sprinkler underfloor/slab Catch basin/Manhole SWR - Sewer Permit Engineered soils Inspection Description Date Passed By Engineering acceptance _ Sanitary sewer _ Final ins ection _ Final inspection _ Inspection Record - BUP, PLM, SWR, ELC, ELR, MEC, SIT Permits i:Qsts\forna\InspRecordBUP.doc 04/17/01 ELECTRICALPEIj�MT CITY OF TIGARD DEVELOPMENT SERVICES DATE ISSUIED: 6/6 01001 00297 13125 SW Hall Blvd.,Tigard. OR 97223 (503) 639-4171 PARCEL: 2S102CB-03400 SITE ADDRESS: 09820 SW FREWING ST 29 SUBDIVISION: FREWINGS ORCHARD TRACTS ZONING: R-12 BLOCK: LOT : 009 JURISDICTION: TIG Prosect Description: Service reconnect. RESIDENTIAL UNIT TEMP SR_VC/FEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp- 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IM PLANT: 601 - 1000 amp: PLAN REVIEW_ SECTION _ 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: 1 SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: _ Owner: Contractor: FINKE, ALEX AND LOTTE I PO BOX 23562 PORTLAND, OR 97223 Phone: Phone: Reg#: FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT CTR 6/6/01 $66.85 2720010000( Elect'I Final 5PCT CTR 6/6/01 $5.35 272.0010000( Total $72,20 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Spedalty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if work is not started within 0 days of issuance.or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted ty the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules ordirect questions to OUNC at(503) 246-66699 or 1-800-332-2344 Permit Signature: �_ : �� — Issued By: OWNER INSTALLATION ONLY The installation is being made c i property I own which is riot intended for sale, lease, or rent. ` OWNER'S SIGNATURE: DATE: _ CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _ —� DATE: _- LICENSE NO: Call 639.4175 by 7:00pm for an inspection the next business day CELECTRICAL PERMIT CITY O� TIGARD — PERMIT#: ELC2002-00330 DEVELOPMENT SERVICES DATE ISSUED: 7/1;/02 13125 SW Hall Blvd., Tiqard. OR 97223 (503)639-4171 PARCEL• 2S102CB-03400 SITE ADDRESS: 09820 SW FREWING ST 24 SUBDIVISION: FREWINGS ORCHARD TRACTS ZONING: R-12 BLOCK: LOT : 009 JURISDICTION: TIG Proiect Description: Reconnect. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS _ _ 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amu: SIGNAL/PANEL: MANF HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS _ ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 arnp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: 1 SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: I INKE, ALEX AND LOTTE I OWNER P() BOX 23562 PURI LAND. OR 97223 Phone: Phone: Reg#: FEES Required Inspections Type By Date Amount Receipt Elecl'I Final PRMT CTR 7/18/02 $66.85 2720020000( 5PCT CTR 7/18/02 $5.35 272.0020000( Total $72.20 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION: Oregon lav,requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAF,952-001-0080. You may obta n copies of these rules or direct ^,uestions to Permit Signature: Issued By: OWNER INSTALLATION ONLY _ 1 he installation is being made on prop n which is t intended for sale, lease, or rent. DATE: OWNER'S SIGNATURE: - — CONTRACTOR INSTALLATION ONLY _ SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: -- - -- - Call 639-4175 by 7:00pm for an Inspection the next business day Flee t sical Permit Application —� Date received:' -/`6 G 1 Permit City of Tigard Projecl/appl.no.: F.xpiredate: City u('figard Address: 131.'5 S IlaII Blvd,"Tigard,OR 97223 Date issued: 13yf"(" Receiptno.: Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: U I &2 family dwelling or accessory U Commercial/industrial hlulti-family U Tenant improvement U New construction U Addition/altt•tation/replacement U(glu•t U Partial Job address: C- d' C-Y Bldg.no.: suite no.: "Y I Tax map/tax lotlaccount no.: IAW Block: Subdivision: �Z,Lci T F A T S.__-.� Project name_ Description and location of work on premises: Estimated date of com letion/ins ction: Job no: Feeel Max Business name: t r Description of . (ea) Total no.Ins Nen reddential-single or muhi-family per Address: d welling unit.Includes attached¢arage. City: state. ZIP:- - — Servicr!ncluded: l Phone: I E-mail: IOW sq It.or les: _ -- 4 CCB no.: Elec.bus.lic.no: Each additional 500 sq.ft.or portion thereof Limited energy,residential _2 City/metro lie.no.: Limited energy,non-residential '- Each manufactured home or modular dwelling signature of supeivising electrician(required) Date Service and/or feeder Sup.elect name(print): License no: Serviceaorfeeders-Installation, alteration or relocation: 200 t mps or less 2 Name(print): A Lk--_X 201 amps to 400 amps 2 401 amps to 60(1 amps 2 Mailing address: 7? C•/r 7t +� Z 3 – 601 amps to 10()(1 amps '- City: State:L)C ZIP: over Itx10 amps or volts _ 2 Phone: /F//—/a Fax: I E-mail: teconnectonfly I X Owner installation:The installation is being made on property I own Temporary services or feeders- which is not intended for sale,I ge,rent,or exchange according to Installation,alteration,or relocation: 200 amps or less ORS 447,455,479,6 201 amps to 400 amps J 2 Owner's si rnature: �-e�G Date: /T"�t'2` 401 to 600 ams — 2 Branch rlrcul's-new,alteration, or extension per panel: Nainc' A. Fee for hraach circuits with purchase of Address: r service or feeder fee,each branch circuit lily: State: ZIP: It Fee for branch circuits without purchase _of service or feeder fee,first branch circuit: - Phone: Fax: E-mail: Each additional breluh circuit: Misc.(Service or feeder not Included): U Service over 225 amps-commercial U Henhh-care facility Iinch pump or imgation circle _ 2 U Service over 320 amps-rating of 1 R2 U Harnrdous location Each sign or outline lighting _ 2 familydwellings U Building over 10,000square feet four or Signal circuit(s)oralimited ercrgypancl. U System over60(1 volts nominal more residential units in one structure alteration,or extension* V '- U Building over three stories U Feeders,40()amps or more •Deaeri tion:._. — •Occupant load over 99 persons U Manufactured structures or RV park FAch additional Inspectlon over the allowable In any of the above: J Egress/hg`rtingpien U other . --- -_---- Perinspecuonf--T_�–�- Sublsit__sets of plans with any of the above. Investigation fee _ The above erre not applicable to temporary construction service. Othet Na all jurisdictions accept c,.:it cmde,pteue call jurisdiction for more Information Noticehots permit application Perot fee.....................$ U Visa U MasterCard expires it:,permit is not obtained Plan review(at —_ %) $ credit card number within 1 R( bays nRer it has been state surcharge(91T) ....$ Lxpirer _ ;,,,.pp�,_i Its armplete. TOTAL. .......................$ _. Name of cardholder as shown on credit card �" Cardholder signature Amount 4"15(6/001COM) Electrical Permit Fees: Limited Energy Fees: -- —' — TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: -- Restricted Energy Fee...................................................... $75.00 Number of Ins cticns per "mit allowed (FOR ALL SYSTEMS) Service included: Items Cost Tota' Check Type of Work Involved Residential-per unit 1000 sq ft or less $145 15 4 ❑ Audio and Stereo systems Each additional 500 sq.It or portion thereof $3340 _ 1 ❑ Burglar Alarm Limited Energy $75.00 Each Manufd Home or Modular Garage Door Opener' Dwelling Service or Feeder $9090 2 Services or Feeders U Heating,Ventilation and Air Conditioning System' Installation,alleraticn,or relocation 200 amps or less __ $80 30 _ 2 El Systems' 201 amps to 400 amps $10685 2 401 amps to 600 amps $16060 2 601 amps to 1000 amps $240.60 2 E] Other Over 1000 amps or volts $45465 2 Reconnect only 4 $66 85 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Instaporar,alteration,or Feeders relocation Fee for each system.......................................................... $75.00 200 amps w less $66.85 2 (SEE OAR 916-260-260) 201 amps to 400 amps $100.30 2 401 amps to 600 amps $133.75 2 Check Type of Work Involved over 600 amps to 1000 volts, sue"b"above. Au Jin and Stereo Systems Branch Cim0ts ❑ Boiler Controls New,alteration or extension per panol a)The lee for branch circuits with purchase of service or L� Clock Systems feeder fee. 1 Each branch circuit _ $665 2 �J Data retecomrnunication Installation b)1he fee for branch circuits without purchase of ser vice L__1 Fire Alarm Installation f or feeder lee. 4 First branch circuit $4685 C� HVAC Each additional branch circuit $665 Miscellaneous L-� Instrumentation (Service or feeder not Included) Eich pump or irrigation circle _ $5340 _ _ ❑ Intercom and Paging Systems Fach sign or outline lighting _ $5340 Signal circuit(s)or a limited energy ❑ Landscape Irrigation Control' panel,alteration or extension $75.00 _ Minor Labels(10) $12500 _ ❑ Medical Each additional inspection over the allowable in any of the above ❑ Nurse Calls Per Inspection $62.50 _ Per hour $62.50 ❑ In Plant $73.75 — Outdoor Landscane Lighting* Fees: ❑ Protective Signaling Enter total of above fees $ l Other 8;e State Surcharge $ -_ --.------Number of Systems 25%Plan Review Fee No licenr-,are required Lice,ises are required for all other installations See"Plan Review"section on $ – front of application _, Fees: Total Balance Due $ ------- Enter total of above fees $ C� Trust Account p.___ 8%State Surcharge !+ Total Balance Due $ lAdWVbmtsvdC fees do 10/001N, 1 '1 eV o CITY OF TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP Received __ _ ____– Date Requested I_1 AM_ PM___ BUP Location Z �'�� Suite MEC Contact Person . �___-- Ph(._-- ) _;2 41 -wa T PLM ------ -- Contractor -- __-- Ph ( --) .— SWR BUILDING Tenant/Owner _- -_ .0 1�U , ELC Footing ELC -----___ _-- Foundation Access- Fig Drain L _ 0 F piELR —�--------- Crawl Drain _ Slab Inspection Notes: S -- ----- Post&Beam _— -- - 0 Shear Anchors - -- - Ext Sheath/Shear _ --.__-- Int Sheath/Shear Framing Insulation Drywall Nailing -- Firewall _ - ) Fire Sprinkler % — Fire Alarm I Susp'd Ceding - Roof Other: -- Final PASS PART FAIL Post& Beam Under Slab - - - -- _ ---- -- --- -__--- Rough-In Water Service - --- -- — ---- Sanitary Sewer ANN— Rain Brains -�-�'- ---._--_._.- - - -- ------ --- --- Catch Basin i Manhole _ Storm Drain ---- - ---- -- --- Shower Pan Other: ---------------- -- - --Final PASS PASS PART FAIL ------------ - MECHANICAL — -- - - - - - - --- - - Post$Beam ---- Rough-In ---- Gas Line Smoke Dampers -- - --- - ---- - ---- --- --- Final PASS PART FAIL ELECTRICAL— . Service Rough-In UG/Slag lt -- LowVo l_ow Voltage _ Fire Alarm J' F:*� RT FAIL Reinspection fee of$ required before next inspection. Pay at City Hall. 13125 SW Hall Blvd. Srrk� Ploase call for reinspection RE: _-- - � Unable to inspect--no access Fire Supply Line ADA ct�6� Approach/Sidewalk Date /-f---- - Inspe r Ext --- ----. Other. Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL CELECTRICAL PERMIT CITY OF T9GARD PERMIT#: ELC2001-00058 DEVELOPMENT SERVICES DATE ISSUED: 1/26/01 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S102CB-03400 SITE ADDRESS: 09800 SW FREWING ST 32 SUBDIVISION: FREWINGS ORCHARD TRACTS ZONING: R-12 BLOCK: LOT : 009 JURISDICTION: TIC; Proiect Description: Reconnection of electrical service tc apartment#32. ___RESIDENTIAL UNIT TEMP S_RVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: OR LABEL (1 ): MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (101: --SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1 st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRN CH CIRC: IN PLANT: 601 - 1000 amp: _ _ NITPLAN REVIEW SECTION — _ L— 1000+ amp/volt: — >=4 RES US: > 600 VOLT NOMINAL: Reconnect only: 1 SVC/FDR >= 225 AMPS: CLASS AREA/SPEC OCC: . Owner: Contractor: FINKE, ALEX AND LOTTE I OWNER PO BOX 23562 PORTLAND, OR 97223 Phone: Phone: Reg #: FEES Required Insr ections – Type By Date Amount Receipt _ Elect'I Service PRMT CTR 1/26/01 $66.85 2720010000( Elect'I Final 5PCT CTR 'I/26/01 $5.35 2720010000( Total $72.20 Tnis Permit is issued subject to the regulations contained m the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws P II work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is suspended for more than 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules ordirect questions to OUNC at(503) 246 1987 -� I �f f , ISSUED BY: PERMITTEE'S SIGNATURE �� J �'_ if✓�� /,% RE INSTALLAI IUN ONLY The installation is being made on proper owf►which is not intended for sale, lease, or rent. j OWNER'S SIGNATURE: _ DATE: �� CONTRACTOR INSTALLATION ONLY _ SIGNATURE OF SUPR. ELEC'N- — — DATE: LICENSE NO: ---- --- --- _ ------- ---- Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit Application Datereceived: /-16'-G/ Permitno.: ,f4ZAy -�jp5'T City of Tigard Projoct/appl.no.: Expire date: City uJTigard Address: 13125 SW [fall Blvd,Tigard,OR 97223 Date issued: By: Receiptno.: Phone: (503) 6394171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval U 1 dir 2 family dwelling or accessory U Conmteicial/industrial Multi-Ianlily _1"l'enant itnhn,ct•mcnt U New construction U Addition/alteration/replacement U Other: U Partial Job address: [It `i ,mac la/r N(-� _ �2_0 __ uite no.: ZITax map/tax lot/account no.: Lot: I Block: Subdivision: Project name('1,4 ; t( 4 i5V, I Description and location of work on premises: _eNI L- Estimated date of completion/inspection: Job no: ree Mar Business name: r Description _ Qtv. tea► Total no.Ins L N --- Neh trsidential-single or multi-family per Address: _ d„ellinp unit.lnrluelm attached garage. City: J State: ZIP: SeniceIncIudrd: Phone: x I E-mail: l(Hx)sq.ft.or less 4 CCB no.: Elec.bus.tic.no: Each additional 500 sq.ft.or portion thereof Limited energy,residential 2 City/metro lic.no.: Limited energy,non-residential 2 Each manufactured home or modular dwelling Signature of supervising electrician(required) Irut Service and/or feeder _ Sup.elect name(print): License no: Services or feeders-Instsllation. alteration or relocation: 1 2a)amps or less Name(print): /�f_I=-k. 1: f!v kt: 201 amps ro 4(10 amps ' — t_ -- 401 amps to 600 amps ' Mailingaddress: - 601 amps to 1000 amps _— Clly: / ir._T Stale: r @ ZIP: ,2g Overlax)ampsorvolts �_ 2 Phone: '2._t///••:a el Fax: E-mail: Reconnectmrly Owner installation:The installation is being made on property I own Temporary services or feeders- which is not intended for sale,lei,rent,or exchange according to Instauation.alteration,orrelocaliun: ORS 447,455,479,67tT, 200 amps to Ic,s — --- 2 �.. 201 amps b,400 mops 2 Owner's si nature _ J Z( ( /_ Datc: G� ' r r 40l ro 600:111111,— -- - — - Branch circuits new,alteration, or extension per panel: Name: K Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit City: Stale: ZIP: B. Fee for branch circuits without purchase — of service or feeder fee,first branch circuit: 2 Phone: Fax: G mail: Each additional branch circuit. Misc.(Service or feeder not included): ❑Servitt over 225 amps-commercial U Health-care facility Each pump or irrigation circle — 2 U Service over 320 amps-rating of I fit U Hazardous Incation Each sign or outline lighting — 2 _ family dwellings U Building over 100110 square feet four or Signal circuit(s)or a limited energy panel, U System over 600 volts nominal noir residential units in one structure alteration,orextension' - 2 U Budding over three stories U Feeders,4a)amps or more •I)escri tion: U Occupant load over 91 persons U Manufactured structures or RV park Each additional Inspection over the allowable In any of the above: U Fgress/lightingplan U(thee ___,-_ _ _ Per inspection Submit___sets of plans with any of the above. Investigation fee The above are not applicable to temporary constrnetlon service. Other Permit fee.....................$ -�— Nm all junulicti,xn accept credit cads,please call jurisdiction Sex m(ne mfoonarnn Notice:This permit applientiun J Visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ _._ •rdii card number: -___ -___ .L._.1 within 180 days atter it has been State surcharge(8%)....$ 1 Expires accepted as complete. TOTAL .......................$ 7 ' Name of cardhol r u shown an credit card S _ Cardholder signature _ Amount 410.4615 MO VOM) Elect-ical Permit Fees: Limited Energy Fees: TYPE OF WORK INVOLVED -RESIDENTIAL CNLY Complete Fee Schedule Below: Restricted Energy Fee...................................................... $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total I Check Type of Work Involved, Residential-per unit r , 1000 sci it or less $145 15 4 lj Audio and Stereo Systems Each additional 500 sq ft or portion thereof _ $3340 1 ❑ Burglar Alarm Limited Energy $7500 Fach Manufd Home or Ntodu ar Garage Door Opener' Dwelling Service or reedei $9090 2 Services or Feeders ❑ Heating,Ventilation and Air Conditioning System' Installation,altoralion,or relor ation 200 amps o-less $80.302 Vacuum Systems' 201 amps to 400 amps $106.85 401 amps to 600 amps _ $16060 2 ❑ 601 amps l01001)amps $24060 — 2 Other Over 1000 a mps or volts $45465 _ _ 2 Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Fee for each system.......................................................... $75.00 Installation,alteration,or relo:alion 200 amps cr less $6685 2 (SEE OAR 918-260-260) 201 amps to 400 amps $100.30 _ 401 amps to 600 amps $13375 2 Check Type of Work Involved. Over 600 amps to 1000 volts, E]see"b"above. Audio and Stereo Systems Branch Circuits ❑ Boiler Controls New,alt�ralion or extension per panel P', The fee for branch circuits with purch,ise of service or ❑ Clock Systems feeder lee. Ei.h h-,ch circuit $665 M 2 ❑ Data Telecommunication Installation b)The fee fur branch circuits wtfhoo t purchase of scervice ❑ Fire Alarm Installation or feeder fee. First bunch circuit _ _ $4685 HVAC Fach additional branch circuit $665 Miscellaneous C] Instrumentation (Service or feeder not inclu, .1 Each pump or irrigation circle $53.40 ❑ Intercom and Paging Systems Each sign or outline lighting $53.40 Signal circuit(s)or a limited energy panel,alteration or extension $7500 _ ❑ Landscape Irrigation Control "Inor 1._abels IT 0) $12500 _ Medical Each additional Inspection over ❑ the allowable In any of the above ❑ Nurce Calls Per inspection _ $6250 !__ Per hour $62 50 In Plant — $73 75 Outdoor Landscape Light)rg' Fees: [] Protective Signaling Enter total of above fees $ ❑ Other 8%State Surcharge $ - ----.--Number of Systems 2.5%Plan Review Fee No licenses ate required Licenses are required for all other installations Sae"Plan Re\,iew'section on $ front of applica"ion -- v' Fees: Total Balance Due $ ----- — Enter total of above fees $� �- ❑ Trust Account tt - ___ _ 8%State Surcharge ---- -— - - - -- --— Total Balance Due $. r\dsLs,IR,nnskic4ces dt c I la)q IN1 CITY OF TIGARD BUILDINU '6 ION DIVISION MST 24-Hour Inspection Line: 639-4175 Sesiness Line 639-4171 —_ SUP — _ Date Requested _._.._ —.. m_ PM _ BLD _ Location- G S wY�w�' __— — Suite MEC Contact Person __ ________,-^_ Ph 1 V PLM _ Contractor_ _ .__ ._r— .._.. Ph _ _ SWR —_ BUILDING^ Tenant/Owns r ELC v - /�c��3 -�.5�_-_ 3 Retaining Wall ELR Footing Access: Foundation FPS - -- --- Ftg Drain _ SGN Crawl Drain Inspecticrt Notes: -------- Slab -.----------- SIT _ Post&Beam Ext _A — Ext Sheath/Shear Int Sheath/Shear Framing ---- — - _- - Insulation Drywall Nailing - Firewall Fire Sprinkler - Fire Alarm Susp'd Ceiling _ - ---- ---------- Roof Misc: - -- -- ---- -- _ Final (/ PASS PART FAIL - �- - — T PLUMBING Post& Beam Under Slab ^_ Top Out Water Service _ Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Past& Beam --- ---_-- - Rough In Gas Line ---- --- Smoke Dampers Final - - --- PASS PART FAIL Rough In ------_------- UG/Slab — low Voltage Fire Alarm --- ---- --at PASS ART FAIL - -- - -- ----- -- --- Backfill/Grading -- __.— ---- _.- Sanitary Sewer Storm Drain I (Reinspection fee of$-_.-_T_-required be inspection. ay at City Hall, 13125 SW Hall Blvd Catch llasin Fire Su PP Y I Line I 1 Please call for reinspection RE'_ ( (Unable to inspect-no access ADA Approach/Sidewalk Date 61 - Inspector _ �_'� Ext Other - -- — —— Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CELECTRICAL PERMIT CITY O F T I G A R D PERMIT#: ELC2001-00039 DEVELOPMENT SERVICES DATE ISSUED: 01/22/2001 13125 SW Hall Blvd.,Tiqard, OR 97223 (503) 639-4171 PARCEL: 2S102CB-03400 SITE ADDRESS: 09800 SW FREWING ST 040 SUBDIVISION: FREWINGS ORCHARD TRACTS ZONING: R-12 BLOCK: LOT : 009 JURISDICTION: TIG prolect Description: R;t;unnect. RESIDENTIAL UNIT TEMP SRVCIFEEDERS MISCELLANEOUS_ 1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGWOUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNALIPANEL: MANF HMI SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS _ 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L 3RNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+amp/volt: >=4 RES UNITS: >600 VOLT NOMINAL. Reconnect enly: 1 SVC/FDR>=225 AMPS: CLASS AREA/SPEC OCC:_ Owner: Contractor: FINKE, ALEX AND LOTTE I OWNER PO BOX 23562 PORTLAND, OR 97223 Phone: Phone: Reg#: C _ FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT CTR 01/22/2001 X66.85 7.720010000( Elect'I Final 5PCT CTR 0112212001 $5.35 2720010000( Total $72.2.0 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State Y OR Specialty Codes and all other applicable laws All work will be done in accordance with approved plans This permit will expire if'Norte is not staried within 180 days of issuance,or if work is suspended for more than 180 days ATTENTION Oregon law requires you to'ollow rules adopted by the Oregon Utility Notification,Center Those rules are set forth in OAR 952-001-0010 through OAR 952.001-0080 You may obtain copies of these rules or direct questions to OUNC at(503) 246-1387 PERMITTEE'S SIGNATURE ISSUED BY; r OWNER INSTALLATION ONLY The installation is being made on pre�perty I ovvrTw ICh isnot irJ ended for sale, lease, or rent. _ OWNER'S SIGNATURE: DATE:-- Ir - CONTRACTOR INSTALLATION ONLY SIGNATURE OF SIIPR. ELEC'IJ: _ DATE:,--.– LICENSE ATE:. —.–LICENSE NO: Cal! 639-4175 by 7:00pm for an inspection the next business day Eleddcal PerndtAppUcation FEEF//e received: / Permit no.: L C' -00 City of Tigard Projecl/appl.no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: 40 Receipt no.; Phone: (503) 639-4171 Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: U I 72family dwelling or accessory U Commercial/industrial Multi-family U Tenant improvement U Nuction U Addition/alteration/reel icemr nt U 0Iher ❑Partial OHL81 Joh address: �' UCJ 5 f%�y / C� lildg.no.: Swlc nu.: �-t 'litx map/tax lot/account no.: Lo(: Block: Subdivision: _ — Project name: A A -A?7-'� T Description and location of work on premises: L 44R�u G N/k Estimated date of coo Iction/ins ction: gum Job no: \- i) . Fee Max - ---- Description (r (ea.) 'notal no.lns Business name: NewreaMemial-shwleormulu-famllyPei Address: dwellintunit.Includes anachedglsrage. City: State: ZIP: ServiceirKluded: 4 1000 sq ft.or less Phone: _ I )x: _ F.-mail: Each additional 500 sq.ft.or portion(hereof CCB no.: Elec.bus.lic.no: Limited energy,residential 2 City/metro Iic.no.: Limited energy,non-residential _ 2 Each manufactured home or modular dwelling Signature of supervising electrician(required) pale Service and/or feeder ' Services or feeders-Installation, Sup elect nnnar(print) License no: alter:tlon or relocation: 200 amps or less _ 2 / �: 201 amps to 400 amps 2 Name(print): �� 401 amps to 600 amps 2 Mailing address: r, C",� z 3�� 60I amps to IOOOrmps 2 Cily, -G Stale: G>� ZIP: �fl/ over 1000 amps or volts _ 2 Phone:�2_$,AFj-S Fax: E-mail: Reconnectonly __ l Owner installation:The installation is being made on property I own Temporary services or feeders- which is not intended for Ie,1eB_se,rent,or exchange according to Imtallation,alteration,orrelocation: t amps or less _ _ 2 ORS 447,455,479,6 2ll I amp,to 4(X)amf•s — 2 ()\tner's si mature: Zt•1 Date: `` �G� -401 to(A)amps 2 Branch circuits-c.ew,alteration, or extension per panel: Marne: A Fee for branch circuits with purchase of Address' service or feeder fee,each branch circuit 2 B --"' Mate: III — Fee for branch circuits without purchase City: -- of or feeder fee,fiat branch circus-- - — � Z ---- 2 Phone: lax fi m:fit: EachaddiUonalbranch circuit. —~- — Mise.(Service or feeder not Included)- Each pump or irrigation circle 2 •Service over 225 amps-commercial U Health-care fac I h IN — 2 U Seryice over 320 amps-rating of 1&2 U Hazardcius location Each signor outline lighting — farmlydwellings U Building over 10.000 square feel four or Signal circuit(s)or a limited energy panel. U System over C00 volts nominal more residential units in nne strurture alteration,or extension* 1 1 7 U Building civet three stones U Fe-Aers.400 amps or more •lkscnption:_ - U Occupant load over 99 persons U Manufactured strucotres or RV park Each additional Inspection over the allowable In any of the above: U Egress/lightingplan U Other Per inspection f—T Submit____sets of Plans with any of the above. Investigation fee _ The above are not applicable to temporary construction service. other -- Permit fee l .Q -- - ................... .$ �. Na all jurisd-mions wcej>t credit cants,pease call jurisdiction for more informotion. Notice:This permit application U Visa U Mastert•ard expires if a permit is not obtained Pian review(at ___ %1 credn card number _—.— / / within 180 days after it has been State surcharge(8%) .. .$ -_ txplrea ace.ptedascomplete. TOTAL .......................$ Name of cardholder u shown on c it card s 440.4615(6WCOM) Cardholder aijputme Amount Electrical Permit Fees: Limited Energy Fees: -- — — --- I TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee................�......................••••••.•• $75.00 Number of Inspections iter permit allowed /FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential•per unit g 14 15 4 Audio and Stereo Systems 1000 bq f1 or less --_- _--_ --Each additional 500 sq ft or $38 40 _ 1 Burglar Alarm portion thereof Limited Energy $75.00 _ Each Manufd Home or Modular ❑ Garage Door Opener' Dwelling Service or Feeder S90 90 — Services or Feeders Heating,Ventilation and Air Conditioning System' Installation,alteration,or rebcalion 200 amps or less ___ 1,8030 _ 2 Vacuum Systems' 201 amps to 400 amps $10685 2 401 amps to 600 amps _ $16060 -- 2 Other 601 amps to 1000 amps $24060 2 Over 1000 amps or volts $45465 _ 2 Reconnect only $66.85 _11��_-= 1 TYPE OF WORK INVOLVED -COMMERCIAL ONLY Temporary Services or Feeders Fee for each system.......................................................... $75.00 Installation,alteration,or relocation 2 (SEE OAR 918 260-260) 200.imps or less _ $66 85 201 amps to 400 amps $100 30 2 Check Type of Work Involved 401 amps',o 600 amps $1:13 75 _. 2 ()ver 600 amps to 1000 volts, Audio and Stereo Systems see"b"above. Branch Circuits Boiler Controls New,alteration or extension per panel a)The fee for branch circuits �_, Clock Systems with purchase of service or feeder fee. Fad)branch circuit $6 65 2 Data Telecommunication Installation b)T he fee for branch circuits without purchase of service U Fire Alarm Installation or feeder fee. $46.85 r j First branch circuit _�_____ HVAC F Each additional branch circuit $665 — Miscellaneous Instrumentation (Service or feeder not included) Each pump or irrigation circle $53.40 Ej Intercom and Paging Systems Each sign or outline lighting $5340 (-.-- Signal circult(s)or a limited energyLandscape Irrigation Control' panel,alteration or extension _ $75.00 Minor I Abels(10) -- $12500 ❑ Medical Each additional inspection over the allowable In any of the above ❑ Nurse Calls Per inspection $6250 _ Per hour _,_ $6250r— t __ Outdoor Landscape lighting' In Plant $73 75 u Fees: Protective Signaling Enter total of above fees $ - Other 8%State Surcharge $ ___ __Number of Systems 25%Plan Review Fee $ " No licenses are required Licenses are required for all other installations See"Plan Review"section on — front of application Fees: Total Balance Due $ __ — -- Enter total of above tees $____ ❑ Trust Account N ___ 8%State Surcharge $--- - -----� Total Balance Due $---- i41stsMorsAetc.fecsdoc I0/09'(9) CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BLIP Date Requested —AM- PM eLD — _— Location Gv S�1 lwl ------- Suite �L_L MEC -- Contact Person __ Ph PLM Contractor _ --- Ph IC `' v a o o �J BUILDING E Tenant/Owner — —_ --L- 0 Retaining Wall ELR -__— F ooting Access: FPS Foundation --� -- Fog Drain SGN Crawl Drain Inspection Notes. Slab — ---- --- ----- ----------— -- SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing ---- - --- - insulation Drywall Nailing ----_ - --...-- - --- -- ------------ Firewall Fire Sprinkler _-----_-_--- �[ -�= - -" - — ----- ----- — moire Alarm Susp'd Ceiling -------- ---- - -- - ----- Roof Final PASS PART FAIL -- --- - --- PLUMBING - — Post& Beam — --- (� Under Slab - ----- --- ------ — -- -- Top Out Wate. ,ervice -- ---- - Sanitary Sewer Rain Drains --- Final PASS PART FAIL _ --- - MECHANICAL Post& Beam - ---------..--------- -- - — -- -� Rough In Gas Line -- -- --- — Smoke Dampers Final -- PART FAIL -_—__— - Servicej.nn f --_— --_----- --- - — ------ -- Rough In LIG/Slab - -- �.. — — - - ----- - _- Low Voltage Fire Alarm ---- - ------ Fi P SS ART FAIL -'—�--- Backfill/Grading ---- ---_— —--- ---- -- -�---- Sanitary Sewer Storm Drain ( Reinspection fee of$ _-_ required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basinable to inspect- no access Fire Supply Line ( ) F lease call for reinspection RE' -7 able C � ADA / Approach/Sidewalk Date �� f "Inspector _ t Ext Other Other --- --� Final PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.