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Permit
• CITY OF ' ELECTRICAL PERMIT PERMIT #: ELC98-0527 • �i�,- „,1 A DEVELOPMENT SERVICES DATE ISSUED: 09/03/98 Aail '61 - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 • PARCEL: 2S101AA -06400 SITE ADDRESS— ° :18323 SW 66TH AVE SUBDIVISION -WEST PORTLAND HEIGHTS • ZONING :C -G BLOCK— °°° ° ° ° °: • LOT • °024 JURISDICTION: TIG Project De scr i pt ion : Installation of one branch circuit. Job No. 253 -54. - -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - --'- MISCELLANEOUS . 1000 SF OR LESS 0 0 - 200 amp ° 0 PUMP /IRRIGATION • 0 EACH ADD' L 500SF° e ° : 0 201 - 400 amp.. ° ° ° : 0 SIGN /OUT LINE LTG° ° : 0 LIMITED ENERGY 0 401 - 600 amp. - 0 SIGNAL /PANEL 0 MANF° HM/ SVC/FDR..: 0 601 +amps -1000 volts.: 0 MINOR LABEL (10) ° ° °: 0. - - -- SERVICE /FEEDER - - -- - - -- BRANCH CIRCUITS --- ADD'.L INSPECTIONS--r- 0 - 200 amp......: -0 W /SERVICE OR FEEDER: 0 PER INSPECTION,. • 0 201 -.400 amp ° 0 _1st W/O SRVC OR FDRe: 1 PER HOUR ° 0 401 - 600 amp - 0 EA ADD'L BRNCH CIRCi' 0 IN PLANT ° °. ° ° ° ° ° ° ° °. 0 601 - 1000 amp 0 PLAN_REVIEW SECTION 1000+ amp /volt - 0 > =4 RES UNITS > 600 VOLT NOMINAL ° °e Reconnect only ° 0 . SVC /FDR > =•225 AMPS..: CLASS AREA /SPEC OCC ° : Owner: FEES FARMERS INSURANCE type .amount by date recpt 12323 SW 66TH AVE . PRMT $ 35.00 DEB 09/03/98 98- 308845 TIGARD OR 97223 SPCT $ 1.75 DEB 09/03/98 98- 308845 • Phone #: • Contractor: • BECK ELECTRIC INC $ 36.75 TOTAL 9318 SE CHURCH ST REQUIRED INSPECTIONS CLACKAMAS OR . 97015 Ceiling Cover Elect'1 Service Phone #: 656 -7396 Wall Cover Elect'l Final Reg #° .: 000026 . • ' This periit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This pereit will expire if work is not started within 189 .days of issuance, or if work is suspended for sore than 1 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001- rA10 • • di OAR 952-001-1987. You nay obtain a'copy of these rules or` direct questions to OUNC by calling (503)246-1987. Permittee Signature: J Issued B� , — / . if l�l • 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: .,d Q,Q t; • DATE: LICENSE NO: 43 4 - . • ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + ± + + ++ Call 639 -4175 by 7 :00 p °m.. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++.++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ • • 1 X CITY cW TIGARD Electrical P @t mit �p� l; t On .� Plan Chec D 13425 SW HALL BLVD. �q4 Recd By 1m /-4-, IP Date Rec'd q" -4- TIGARD OR 97223 Sip - 199 �ti, Phone (503) 639 -4171, x304 Date to P.E. � r r Date t0 DST Print or Inspection (503) 639 -4175 �CUI .� ,ugITY DEVFLQPP��EN f Permit # E�- - 0a7. • Fax (503) 684 -7297 Incomplete or illegible will. not be accepted . c aned " • • 1. Job Address . 4. Complete Fee Schedule Below: • Name of Development Number of Inspections per permit allowed Name (or name of business) ^^ \ 1 e) o Service included: Items Cost Sum Address 1 a a � ` l `� , e 4a. Residential - per unit City /State/Zip t lgcl�'C ,o2. i t1 0--49- 1000 sq. ft. or less $110.00 4 Each additional 500 sq, ft. or Commercial I1 Residential El • portion thereof $25.00 1 L imited Energy $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: (Attach copy of,y c r- I'cense) 4b. Services or Feeders • Electrical •ntrac or .: : ' - _ J. G Installation, alteration, or relocation Address • • ' £ A 200 amps or less $60.00 2 201 amps to 400 amps $80.00 2 City 0. .. # ' State O . Zip O■ a 401 amps to 600 amps $120.00 2 Phone No. O C 3(0 - -- P) 0 (1 L 601 amps to 1000 amps $180.00 2 Job No. AF.23 , Over 1000 amps or volts $340.00 2 Elec. Cont. Lice. No. Exp.Date Reconnect only $50.00 2 OR State CCB Reg. No. - 112;" Exp.Date 4c. Temporary Services or Feeders COT Business Tax or Metro No. / Exp Date Installation, alteration, or relocation /I, .. // 200 amps or less $50.00 2 Signature of Supr. Elec'n i'GV,/ )1',.//d/ill 201 amps to 400 amps $ 2 b 401 amps to 600 amps $100.0100.0 0 2 Over 600 amps to 1000 volts, License No I ' .. 1 - 3 Exp.Date see "b" above. Phone Nr fi • - s 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 circui $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 c ) 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. S. Fees: Not required for temporary construction services. 5a. Enter total of above fees $ 5% Surcharge (.05 X total fees) $ &.- NOTICE Subtotal $ 5b. Pi of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan lan Review if requi red (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 0 ..--- TIME AFTER WORK IS COMMENCED. Trust Account 4 7 r 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 BUP Date Requested t.( C./v AM PM BLD Location 1 /2 - 323 CD (i9 Suite MEC Contact Person Ph &cto — 73 p PLM Contractor Ph SWR BUILDING • Tenant/Owner ELC 98 — 00 S2 7 Retaining Wall ELR Footing Access: ^ Foundation � D 9 C - FPS Ftg Drain ► `V J 9 SGN Slab Crawl Drain Inspection Notes: i � % ' Its ` y , , SIT Post & Beam T � � " Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Fire wall e p� Fire Sprinkler 1 � Z- Fire Alarm Susp'd Ceiling Roof Misc: 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 PAR T FAIL (gLECT Service Rough In UG /Slab Low Voltage F larm i . PART FAIL • 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 r- inspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk • Other Date iii Inspector ,slit _ Ext Final -� PASS PART FAIL ® u 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 / BUP // Date Requested 99 • AM PM BLD Location / 2 a3 Vic.) 4 f Suite MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC 9, - ©.S Z7 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 f�- C�,c_,,;a iI2 . Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling 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 P FAIL ECTRICAI, Rough In UG /Slab Low Voltage ,,w - Fire Alarm Final PASS PART CJ�► L1 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 reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk , �� Other Date _3 2-/9'7. Inspector �� Ext Final PASS . PART FAIL DO 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 BUP Date Requested /-2/7/,, AM PM BLD Location 1 1.3 Z•3 S 6 Co .1./cc Suite MEC Contact Person Ph PLM Contractor fleR &/e , Ph Go% - 7 % SWR BUILDING Tenant/Owner �M E2 T's. Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: 4 Slab 1 . 1 SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation � - Drywall Nailing 4r l 40" _ � Firewall ' Fire Sprinkler L��i / / Fire Alarm / - Susp'd Ceiling 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 RT� FAIL ELECTRICAL . ., Rough In UG /Slab Low Voltage Fire Alarm Final PASS PART JO 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 reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date Other Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.