8109 SW LOCUST STREET 00
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8109 sW Locust Street
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CITY OF TIGARD BUILDING INSPECTION DIVISION MST
240-tour Inspection Line: 639-4175 Business Line: 639-4171 —
BLIP
-_Date Requested L 7 __AM PM _ BLD
Location_11,9 ��� �o f _ Suite _ MEC
Contact Person � _ Ph �7Z' � ?_3G PLM
Contractor_ Z/C E C_ — riC Ph SWR
BUILDING Tenant/Owner �ci:c� y�a y .I" ELG
Retaining Wall ELR
Footing Access'
Foundation FPS _
Ftg Drain SGN --
Crawl Drain Inspection Notes -- ----
Slab - -- -_ ------ -- SIT
Post& Beam �-
Ext Sheath/Shear
Int Sheath/Shear
Framing
--- ----._. ._----------
Insulation
Drywall Nailing
Firewall ------- -- - --- -------
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof --
Misc: ---- ------- �_�__,
Final T
PASS PART FAIL - --- -- ------- --- - — ---- - - -
PLUMBING
Post8. Beam ----------------- ---------- - ,� ----- ---_-..._.... --- --------- -------
Under Slab -�
Top Out -- ------------ - --------
Water Service
Sanitary Sewer __---
Rain Drains
Final ---- ----- - �,,,.� --- ---- --
PASS PART FAIL_
MECHANICAL
Post&Beam --------
Rough In
Gas Line __....---....-.-._--
Smoke Dampers
Final ------
PART FAIL
Service
Rough In
UG/Slab - T- -- - -- - --- - ---.r
Low Voltage
1-ir larm
PASS PART FAIL
Backfill/Grading - --- -'--`- _--� -
Sanitary Sewer
Storm Drr.;o ( j Reinspection fee of$ required before n t inspection at City Hall, 13125 SW Hall Blvd
Catch Basin ( ]Please call for reinspection RE:_ _-_ ] nable to inspect-no access
Fire Supply Line -
ADA
Approach/Sidewalk � �
Other Dat / Inspector_- '�.. � Ext
IF
lnal
PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.
G� ' � �� �I���� ELECTRICAL PERMIT
PERMIT#: ELC2001-00215
.0'Lfif� DEVELOPMENT SERVICES DATE ISSUED: 04/27/2001
13125 SW Hall Blvd..Tiaard, OR 97223 (503) 639-4171 PARCEL: 1S136613-00500
SITE: ADDRESS: 08109 SW LOCUST ST
SUBDIVISION: METZGER ACRE TRACTS ZONING: R-5
BLOCK: LOT : 004 JURISDICTION: WAC
Proiect Description: Installation of service, sub panel,water heater and garage circuit. (2)branch circuits. Job#99.5017
RESIDENTIAL UNIT TEMP SRVCIFEEDERS _ 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: SIGNALIPANEL:
MANF HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER _ BRANCH CIRCUITS_ ADD'L INSPECTIONS
0^200 amp: 2 WISERVICE OR FEEDER: 2 PER INSPECTION:
201 - 400 amp: 1st WIO 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:
_ Reconnec_t only: SVCIFDR >=225 AMPS: CLASS ARE- /SPEC OCC_--_
Owner: Contractor:
MILLL:R, ROSEMARY J TICE ELECTRIC
8109 SW LOCUST 2139
BOX 15009
PORTLAND, OR 97223 2139 SE BELMONT ST
PORTLAND, OR 97293-5009
Phone: Phone: 233-8801
Reg#: LIC 166
SUP 2586S
ELF 26-126C
TEES Required Inspections
Tyne By Dare Amount Receipt Rough-in
Wall Cover
PRM3 GTR 04/27/20h1 $173.90 2720010000( Elect'I Service
5PCT CTR 04127/2001 $13.91 2720010000( Elect'I Final
Total $187.01
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Sper4ty Codes and all other applicaole laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started wit' 180 days of issuance,or I work is
suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by t Oregon Utility Notification Center Those
rules are set,orth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these r4.s.4-,or direct questions to OUNC at(503)
2-40-6699 or 1-800-332-2344. -7
Permit Signature: I ; �.t � , Issued By: I - fG` --
OWNER INSTAL CATION ONLY _ --
TOP installation is being made on property I own which is not intenuid for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:------
CONTRACTOR
ATE: _ ---
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: 11) / +1<< l��� ------ DATE:__
LICENSE NO: ---
Call 09-4175 by 7:00pm for an inspection the next business day
054/ :11 503-872-8290 TILE ELECT.SERV.DEPT PAGE 02
9:0o PAXboa 508 1960 CITY OF TIGARD toot
Vv
Electrical1"drcanit Application
n.aeMytteq& I Persoltnor , �
City Of Tigard PtuleNeppl. ExpLiedere.
Crryo(r and Addreee• 13125 SW Hall Blvd,Tigard,OR 97 -- -"
R Dauticaued' By: P
- Recti tno.
phone; 0`11) 639--{171 � -_-- ---
FnA: (503) 391:-1960 �� Cee Nfile no•' Payment typo:
Lind use appfrlva3:
, N .If 2 family dwelling or acressory 0 Ccmuncrrial/iodustriel 0 Muld-ferrvly 0 Tenant impmvcrnew
New oonyuucu n I.KAddirim/elterati.irJreplar:cncnt 0 Other Pudal
Joh eddmsu 8109 Sw j,OCu - SL _ Bldg no.: $uiro no.; umWmx lovawount Go.:
Lot: I Block Subdivision:_
P eci name: R MillerDescription and location of work on pren►laea: SezviCe. SUY� Deanpl t,rai�r _
Ptumareddataoftom letlter�ln%pecliou: Mate_ ,�a� e ci.rctli
Job no:
Bus' can name. Tice �11ic tt ic.CA.— A ,„,r r �r p� Taral .e•
4ddreta' 00 - --- dwatlrq uert.lr�ero oreer$t prior. —
Cily: pnr+-I-an t State:UIR 17-IP: c %w.lonbuzAiL
Phone: tut. B•null: 1000 .n orIme a
_ 503-2.�� --- ------ - A&AedAnon�l Su0 q.R.or m tAanof -
CCB nn.: Elrc,btu.lir rw. l -LI—
Cit /m lie.no•: umluy
daw ,redderew _ 2
201-4 llroltad morgy,aon•redde,ue 2
4 )6 C 1Ha,hawauNoure6hwnocrnnde!ad lira -`
Sign re pf pervlllat eleerrieten celled - Vold 9a.lcewA/or keder _ z
Srp.alu,.trattrc(prtat): John Mai Utaoeero: c erriceetrfeerian--lnftelleHoa, - -
sUrvetLsn or rellecedloa:
200 ,o•1as 2 160 602
Name(print)' l tn-?,� 2
Mailin address 401 amp$ro(,n0 ewe.
94 99 SW f ON arnpi to
Clry: Tiaarel Mue ZIP: 9'122 3-_ over 1b00n. or vdt+ x
phone: Fax: B-$$tall' aaannnalon _ I
Owner ins` Iadon.The installation is beinj rnade on property I own TO qQMry O"Tim or AWLWV
which it not Intended for onto,)ease,rent,or exCfmUis according to bsdl4602.dierucloft.•"'fOtedA�
URS 447,455,479,670, 701. 200 anw otlamp i - J2
lol« A4lA anIQ/
Owner's of re' Date Oat m 6W amps
c da•eew,a.t�er
yr axtowdon per ywlt
Nara. A Pet for brvuh cinulis With pom We or
Add;-MI: tarso or fo dor fee4 as&brueeb droult 2
City: State: ZIP, dMJt ahoulte wiftut patabon
- .�. _ cf u4*ce or ftsder fee,stet breech ekculf• LL
t4agtr eddltlonel brenQtelr$arir•
Lec�T�renteeur ►avl eded)t
0 Scr,iz ovet W wmi-torLnerdel U lteJihun(Adlhy Bede um 2xt ulwevrte 2
Serrior over 32n"s-reeirl of 1!2 U Haserdooeloastloe u or euUlM�.l .h..u.9 7
lemllydaelllnp OBundin{oto 10,0muperere4fourer Iland drtvles)ofelLnULdtacwPusl.
O SvYrrae.erdtl0weunonJnel # meraldentWuehsleonsaveture allarWolboi'eeur.sioo"'
0 Budding over Virm stones a Panders,400 tarp$Or"tote ellesal dac
O�etlFel.t load olV 09 pane>fr O Mune fewed etf•.tciurr rL!V'tvk tomb ..
etdtdN►an ova-t�sdlcarble r-uyet ■Inrn
Pvl ra _J Trey
9ubdt lata of plans with any of tbo above. In•uu on oe �� __
Thr above are not MTkJible to temporary eonatnllet7oo ss r►tleeWer
rVut 0Juri$dktlene sushi crudl ars$,{leenc4tl ltriedloim for roue hfatoalee, Notice:This permit application permit fee..................„S 1:03.go
.J Vrd t7 Motercud expires if a permit is not obtsioed plan review(et __ %) S _
within Ifo days eflar It has neon Stan aurchuge(R 96)....S --- —
r're moepledsmmplete. •TOTAL S _JA _81--
r�Iirrc a el$ ae I nee - _.'.- 3�t Acct
f
Tru-3117
..r a{nrturo Anauer aY►ddi5 16r.16CJdU
04/25/2001 13:11 503-872-0290 TICE ELECT.!SERV.DEPT PAGE W3
8109 SW U cust St Tice Electric Ou Job #99.5017
Electrical Permit Fees: Limited Energy Fees:
Complete Fee Schedule Below: TYRE OF WORK INVOLVED -RESIDENTIAL ONLY
P Restricted Energy Fee..,..... $7:I_.00
Number of Ina ections r
p per penult allowed (FOR ALL SYSTEMS)
Sr_rvice ir.-luded: Items Cost Total
Check Type of Work Involved:
Residential-per unit
1o00 aq it or leas - 51 15,15 4 Audio and Stereo Systems
Farb additional 500 cr♦ it or
portion thereof S3J ao _ Burglar IanT1
Limited Energy -- 575.00-- - -
Loci)MannlYd Home or Mwular
Dwelling Service or FnndM - -- $90 on_ 7 U Garage nmr Opener
r ... 1
Sorvioea or Feeders Heating.VenWation and Alr l:ondifioiliny System'
ino:mnadon alk.-ration,ur relocatlofl
200 Amps w less 2 S80,30 160.60 2 �-�
2.01 arrmpo to 400 amps S106 Ars --- 2 . Varyum Syslerns•
401 amps to 500 amps _ S1Flo 00 2
Rai amps,to 1000 amp; _ $240.60 2 Other
Over 1000 amps or volts 5454 86 - 2 --_------. -.-_- - _
Reconnirim only sFFi AS -------- 2
Temporary Services or Feeders
Installation.alipratlon.of relocation TYPE OF WORK INVOLVED -COMMERCIAL ONLY
200 amps or idea --- -- SM.85 2 Fee for each system...... ....... ................................. ....... $75.00
201 amps to 400 amps sloo'3In _ _ 2 (SEF CAR 918.260-260)
Ont amps to 500 amps T $1J3./b
Over 600 amps to 1000 voles, - -- — - Chock Type of work Involved:
moo"b"above.
Audio Hud Stereo 3y31ER14
Branch Circuitli
New,rineratimn or•Ainsion per panel p�
a)The foe for branch drertlt I I J Boller Confrois
with purchase of service or
reodor lee. Clock Systems
Fachirancliclrwd 1_ $6.455 13.30
n) rhos fee for brenrJm rjrcuk% Data Telecommunication Installation
wlNetrf purellacit of snrvlce
or feeder Fen• 1 1 Fire Alarm Installation
Fim"nr`t cirmil S4G.8: _
Fach additional branch circuit qr,r.r,
HVAC
Miscallanecus
(Service or feeder not incknM+A) U Instrumentation
Each pump or irAparlon circle S!"31 40
Each sign or utMlnn IIgM-ng �— S59 40 Intercom and Pd3!ng Systems
Signal urcuit(s)or a limited energy -
penal,aMration a extension S75 00
Minor Labels(10) 5125 nn -'--- 0 Landscape Irrigation Control'
Each additional Inspection over L1 Medlcal
the allowable in any of thn above
rnr insprclicn $8250 . -_ L�l
Per hour _ __ $62.50 Nurse Calls
n Fianr -- $73.75 -___--
Outdoor Landscape L-ightirI
FE'G'.g
(-I Protective Signaling
Enter total of ebovo foes $ - 173-90
Other----
A•:Sb1to Runeberg$ S „r l a_91. - ----- - -
257t,Plan Review F<!a -'-"
_r -Number of Systema
Seo Plan fievlm/sedbn on i 187.81
front of application. Nn licenses are reCuirerl I irgnsnr am required fns'all Older trivallallonri
Total Balance Due FCeS:
Trust Account M_1� _ Enter total of above Most S
- - --- --- --- -- R%State 9urcharflp s- ---—
Tole/Balance Due
i vfsa\ror,ns\elc-fees.doc 10/09/00