9935 SW MCDONALD STREET-1 .wx�rw+riw.,rrt!+,y+«rM +.w«w^+�w*+ rryl�ww',Imp 0 ►+rrMe*�wr+ �*,rr � �'Mltw�►n+1"'Tr+�wW^*.fawr.�
#7,fin tpY ,• .
9�
1
. . \building.doc
T
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
Footing Susp. Ceiling Sprink. Rough-in Aapr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace '
Post/Beam Struct. Plbg. Top Out Elec. Rough-in 9NAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Merh.
Underflr. Insul. Shear Wall Gyp. Bd. -Elect.
Date Requested: !/�l /� Tim,: AM PM
Builder: uk, (_�L(0 3 i �
Ilermit #: IEZL. 6_L51�S'
THE FOLLOWING CORRECTIONS ARE REQUIRED:
Inspector: ( [" %�� �` Dater
,APPROVED ____DISAPPROVED _APPROVED SUBJECT TO ABOVE
Call For Reinsp.
,1
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171
Inspection:
I Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct, Plbg. Top Out Elec. Rough-in FINAL:
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Drain Framing -Plumb.
Alarm Water Line Insulation -Mech.
Underflr. Insul. Shear Wail Gyp. Bd. -Elect.
Date Requested: l l 15 Time: AM PM
Address: CZ '13 jYYI f Jj .—
L~L�60 -21�c'>' '- 1114 -C Permit
THE FOLLOWING CORK SII&NARE REQUIRED:
� t
ILA-71-
f r
Inspector: IC6/ .0p Date:, ��—''L�'
_APPROVED DISAPPPOVED _APPROVED SUBJECT TO ABOVE
`Call For Reinsp.
I
r
' 1
..an,Hk '• 'S.
r
ELECTR
! IC�AI...FSI-.FC.9FM��•I-iT
PERMIT
CITYOF TIGARD DATE ISSLIEIr: 11i0i7
E:' /9
".
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Orapon 07223.8108 (503)630-4171 PARCEL: ''`3 i rT,'f_:D-17►;1/1liir/i
i (;Il'L: ADDRI_.SS. . . : 09935 SW 111Z DONALD ST
SUBDIVISION. . . . : FREWINGS ORCHARD TRACTS ZON N(S: R--4. 5
BLOCK. . . . . . . . . . : LOT. . 30 �r
Project Description: Install one branch circuit
- --RESIDFNTIAI_ UNIT---- ----TEMP SRVC/FEEDERS---- -----MISCELLANEOUS------
1.000 SF OR LESS. . . . 0 0 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 1/1 a 4
EACH ADD' t_. 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LII1ITE:D ENERGY. . . . . 0 401 - 600 amp. . . . . . . : 0 SIGI,IAL/PANEL. . . . . . . . 1A
MANE. HM/ SVC/FUR. . : 0 601+•amps•-1000 volts. : 0 MINOR LABEL !112) . . . : 0 s
------BRANCH CIRCUITS----•-S _ ADD' _ INSPECTIONS- -
0 -•• 200 amp. . . . . . : 0 W/SERVICE OR FEEDER; 0 PER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1st W/O SRVs OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT'. . . . . . . . . . . : 0
(11711. 1.000 amp. . . . . . 0 _____._.__._______._F�L..AN RE=VIEW SECTION __._________..____.___
' 1000+• amp/volt, . . . . : 0 )=4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . : .
Reconnect only. . . . . : 0 SVC/FDR > ::.25 AI^C'S. . CLASS AREA/SPEC OCC. :
Owners -. - -_______._ _.__.____..».._.._ ---__ __ _____ ... _ .-_.---- -• FEED
NPF?K .BREWER r:ype amoi.rnt by date rer_pt
9935 SW MCDONALD STREET PRMT $ 35. 00 JDA 11/02/95 95--272448
5PCT $ 1. 75 JDA It/02/95 95--272448
f Tl.)ARD OR 97224
Phone #:
01,04F,R � 36. 75 TOTAL ,
REQUIRED INSPECTIONS -- - w
Wall Cover-
, f_I•r cr i r e #: F J.a t:t r i a l
This permit is issued subject to the reoulations contained in the Lw'�✓��-..
Tigard Municipal Code, State of Ore. 5pecialty Codes and all other F erm tt ee S i gnat trre
applicable laws. All work will be done in accordance with
r" r
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. Is.. _red By
._.._. _.__...____..__...._....OWNER INSTAI_1._ATION UNI__Y--____._.__.__._....
7'he installation is beinqmade an property I own which is not intenaled for,
>Ale, lease, or rent.
OWNER' S SIGNATURE: DATE:
INSTALLATION ONLY•--•-_----_---_-.._---__-..._-___
SIGNATURE OF SUPR. EL.EC' N: �...... __. _ _ . �..__.__. __.
.. DATE a
M� LICENSE NO:
Call for- inspection - 6;39-417`.5
f'
r
S S+ f
. 1''/ 4.
i11 i'TMyV(dfi
Yt
r
V
r-
,...n..n 3+«nftlMJwMwW"Ytt'+ .�'• _ _ ,,..: ..,...r+ .. ,,,•,, w�TM,.,rrps+a.�n'TMWtm JHNM'Nr 1±'I'q,1�.nre+MW II(
,
i a rid{
r
jk
Community Development ELECTRICAL PERMIT APPLICATION
13125 SV. Flall Blvd.
Tigard, OR 97223 Permit #
Date Issued i - '
Phone (503) 639-4171
FAX (503) 684-7297
CITY Of TIOARD
TDD No. (503) 684-2772
Inspection (503) 639-4175 —
1. Job Address: 4. Complete Fee Schedule Below:
i
Name of Development__ � Number of Inspections per permit allowed
Address_ 1�5�S-5L'✓ �(]Yl�,l __—_._ Service included Items Cost(ea) Sum
CItylStake/ZIp,7T–AU __ 4a. Residential -per unit 4
1 ` 1000 sq ft or less $11000 _
J �If Each additional 500 sq R or
Name (or name of business)_ portion thereof
Limited Energy $25.00
_ $z5 a, _
rr�� �_�/ 1 ,
Commercial LJ Residential �) s _
Each Manuf'd Home or Modular 2
Dwelling Service or Feeder $09 00 _
2a. Contractor installation only: 4b. Services or Feeders
--^ Installation, etlon,or relocation -� 2
Electrical Contractor 200 amps
or ls or less560.00
Address _ 201 amps to 400 amps 390 00 2
401 amps to 600 amps $120 00
City __ State Zip _ 601 amps to 1000 amps $18000 2
Phone No. Over 1000 amps or volts $340.00 2
Reconnect only $50.00 2 '
Job NO.
Contractor's license NO.____ 4c. Temporary Services or Feeders
Conti actor's Board Reg. NO._ Installation,alteration,or relocation 2
Signature of Supr Elec'n –_ __ 200 amps or less 2
201 amps to 400 amps $50.00 2
License N0._ Phone lvl0, 401 amps to 600 amps $7500
Over 600 amps to 1000 volts $10000 — -
2b. For owner installations: see"b"above
4d. Branch Circuits
Print Owner's Name.-_�� ` lL .� I New,alteration or extension per pane
Address qj __ a)The lee for branch circuits with
purchase or service or feeder fee.
City\ State �� �Zip_Q{��_� Each branch circuit $500
Phone Nt ��(,[!�_ b)The fee for branch clrcu4s without 2
e On r0 ert' I own which is First bran of service or loader lee. —
The installation is being m p P Y First branch circuit � $35.00
\/ not intended for salq, ea o nt. Fech additional branch clrcult $500
}, Owner's Signature _ / _—__�~ 4e. Miscellaneous 2
(Service or feeder not included)
Each pump or Irrigation circle _ $4000 2
3. Plan Review section (if required): Fach sign or ou+line lighting S4000
Signal ch curls)or a limited energy 2
i
Please chock appropriate Item and enter fee in section 5B. panel,alteration or extension $4000
4 or more residential units in one structure Minor Labels(10) too 00
Service and feeder 225 amps or more 4f. Each additional inspectlon ov3r
System over 600 volts nominal
I Classified area or strurture containing special occupancy the allowable in any of the shove
as described in N E C Chapter 5 Per hour $3500
tion
Per hour $5500
A,i In Plant $5500
,
Submit 2 sets of plans with application where any of the above �
apply. Not required for temporary construction sArvices. 5. Fees:
5a. Enter total of above fees 5 (]
$
NOTICE
5%Surcharge (.05 X total fees) $
Subtotal $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enter 25% of line A for
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Plan Review if required (Sec.3) $
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $
A PERIOD OF 180 DAYS AT ANY TIME AFTER Wr` to IS
COMMENCED �,.m�.r•L, Trust Acccunt #
Balance Due �, $ !1
rt
,
,r . .