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Permit CITY OF TIGARD ELECTRICAL PERMIT PE RMIT #: ELC1999 -00533 1 r . �y ` DEVELOPMENT SERVICES . DATE ISSUED: 9/1/99 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S109AA -01200 SITE ADDRESS: SW NO ADDRESS • SUBDIVISION: ZONING: R -7 BLOCK: _ LOT : JURISDICTION: TIG Proiect Description:' „Tempora_ry service for new subdivision (Elk Horn Ridge) RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: 1 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: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: CASCADE COMMUNITIES, INC A BETTER ELECTRIC CO, INC 13535 SE 145TH 8192 SW DURHAM RD CLACKAMAS, OR 97045 TIGARD, OR 97224 -4190 Phone: Phone: 670 -7575 Reg #: LIC 127438 SUP 1444S ELE 3 -432C FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT BON 9/1/99 $53.50 99- 318053 Elect'I Final 5PCT BON 9/1/99 $3.75 99- 318053 Total $57.25 ORIGINAL 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 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 direct questions to OUNC at (503) 246 -1987. PERMITTEE'S SIGNATURE �G ISSUED BY: / ,( A ...d`/ 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: X 7( l � DATER 7 -/// 9 ” 9' LICENSE NO: Call 639 -4175 by 7:OOpm for an inspection the next business day CITYQF TIGARD Electrical Permit Application Plan Check 13125 SW HALL BLVD. Rec'd By - 1 Date Rec'd 1 7 TIGARD OR 97223 Date to P.E. Phone (503) 639 -4171, x304 Print or Type Date to DST Inspection (503) 639 -4175 Incomplete or illegible w ill not be accepted Permit # j-CG I�Ck Fax (503) 684 -7297 Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development e r i ,'dye_ Number of Inspections per permit allowed Name (or name of business) 2-51 ' AA - 1 2e Service included: Items Cost Sum Address I . s / I ciu - ÷4‘ gd1 Th & Fs' • 4a. Residential -per unit �.. 1000 sq. ft. or less $110.00 4 City /State /Zip y w• 6 1` � . / 72 Z Y Each additional 500 sq. ft. or Cr portion thereof $25.00 1 Commercial ❑ Residential Limited Energy $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: (Attach copy of all current licenses) , 4b. Services or Feeders Electrical Contractor ,F >✓} r f%/e_v{- r ,'c�. . 1 6 - , 77,-":._. Installation, alteration, or relocation Address 4, 2 5 v nc`r�`i''` p I • i , } 200 amps or less $60.00 2 d 201 amps to 400 amps $80.00 2 City 7 cu c State 012 Zip 972.2 if 401 amps to 600 amps $120.00 2 - Phone No. 6 - 7575 4. ii. 7 - 6 q 601 amps to 1000 amps $180.00 2 Job No. /0t6 6 Over 1000 amps or volts $340.00 2 Elec. Cont. Lice. No. '7 - 1 132 -- c-. Exp.Date Reconnect only $50.00 2 OR State CCB Reg. No. /2 7 L/.;' Exp.Date 4c. Temporary Services or Feeders COT Business Tax or MefQ No. 34v i Exp.Date Installation, alteration, or relocation 200 amps or less / $50.00 54 2 Signature of Sur. Elec'n ,. / r 2 Z2z_, 201 amps to 400 am $75.00 2 9 P 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No. 1 7 1 q 3( 1 -S Exp.Date / / °( / © see "b" above. Phone No. 6`70 - 7575 c.e It 7-1 -?F 4d. Branch Circuits New, alteration or extension per panel 2b. For owner installations: a) The fee for branch circuits with purchase of service or Print Owner's Name feeder fee. Address Each branch circuit $5.00 2 b) The fee for branch circuits City State Zip without purchase of Phone No. service or feeder fee. First branch circuit $35.00 2 The installation is being made on property I own which is not Each additional branch circuit $5.00 2 intended for sale, lease or rent. 4e. Miscellaneous (Service or feeder not included) Owner's Signature Each pump or irrigation circle $40.00 2 Each sign or outline lighting $40.00 2 3. Plan Review section (if required):* Signal circuit(s) or a limited energy panel, alteration or extension $40.00 2 Minor Labels (10) $100.00 Please check appropriate item and enter fee in section 5B. 4 or more residential units in one structure 4f. Each additional inspection over Service and feeder 225 amps or more the allowable in any of the above System over 600 volts nominal Per inspection $35.00 Classified area or structure containing special occupancy Per hour $55.00 as described in N.E.C. Chapter 5 In Plant $55.00 * Submit 2 sets of plans with application where any of the above apply. 5. Fees: Not required for temporary construction services. 5a. Enter total of above fees $ 3--• s r 5% Surcharge (.07X total fees) $ NOTICE Subtotal $ 75 5b. Enter 25% of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $ NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account # Total balance Due $ I: \DSTS \ELC96.APP Rev 9/96 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 n qq BUP Date Requested — Z / 7 AM PM BLD Location IV) CVIdeS S ✓ MEC Contact Person • '�� PLM Contractor SWR • BUILDING Tenant/Owner � � ` 1 ELC �� Retaining Wall i ELR Footing Access: In � Foundation L,�/�P L (iZA ., FPS Ftg Drain SGN • Crawl Drain Inspection Notes: K4 �0 )1 d5 Slab y' � SIT Post & Beam J ,� �,� p,,�p� Ext Sheath /Shear ok'∎ 0 .64 1 41/1— 61 l-eS Si 662- l�-t- At .1' Int Sheath /Shear F , Framing Insulation Drywall Nailing Firewall Fire Sprinkler �.ti•� /f _' -- _I !. _ Fire Alarm g Susp'd Ceiling � –. Z �o ` ;/ 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 Final PASS PART FAIL CTRIC t ervic • Rough In • UG /Slab Low Voltage - Fire Alarm Final I, PASS PART �. 1' SITE (I I -\ Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspectibn RE: [ ]Unable to inspect no access ADA Approach /Sidewalk Other Date �/ Inspector J Ext Final - PASS PART FAIL D NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 q BUP Date Requested q _3 -Q ( AM PM BLD Location Suite // MEC Contact Person , r( 'A Ph - 70�lt PLM Contractor Ph SWR BUILDING Tenant/Owner ELC / (Ng-00S 3 3 Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: f 1 y c Slab �I SIT Post & Beam J I� S A V (' ,,, Ext Sheath /Shear (.,�, Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof /� Misc: /� v� Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out I , Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL CT ervice Rough In UG /Slab Low Voltage Fir AI rm 1 PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ] Please call for r- inspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.