Permit A CITY OF TIGARD ELECTRICAL PERMIT
l DEVELOPMENT SERVICES PERMIT #: ELC99 -0133
tiI DATE ISSUED: 03/08/99
!+L 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171
PARCEL: 2S1O1DA -00104
SITE ADDRESS...: 13333 SW 68TH PKWY
SUBDIVISION :GTE ZONING:MUE
BLOCK • LOT • JURISDICTION: TIG
Project Description: Add two (2) branch circuits.
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS • 0 0 — 200 amp • 0 PUMP /IRRIGATION : 0
EACH ADD'L 5O0SF...: 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-- -
0 — 200 amp • 0 W /SERVICE OR FEEDER: 0 PER INSPECTION - 0
201 — 400 amp • 0 1st W/0 SRVC OR FDR.: 1 PER HOUR : 0
401 — 600 amp • 0 EA ADD'L BRNCH CIRC: 1 IN PLANT • 0
601 — 1000 amp • 0 PLAN REVIEW SECTION
1000+ amp /volt 0 ) =4 RES UNITS • > 600 VOLT NOMINAL..:
Reconnect only • 0 SVC /FDR >= 225 AMPS..: CLASS AREA /SPEC OCC.:
Owner: FEES
FRAMER INSURANCE type amount by date recpt
13333 SW 68TH PARKWAY PRMT $ 40.00 GEO 03/08/99 99- 313498
TIGARD OR 97223 5PCT $ 2.00 GEO 03/08/99 99- 313498
Phone #:
Contractor:
ELECTRICAL CONTRUCTION CO $ 42.00 TOTAL
PO BOX 10286
REQUIRED INSPECTIONS
PORTLAND OR 97296 Elect' 1 Service
Phone #: 224 -3511 Elect'1 Final
Reg #..: 049737
This permit 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 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 the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 -001 -1987. You may obtain a copy
of these rules or direct questions to OUNC by calling (503)246 -1987.
Permittee Signature: ....-5m1Awirf Issued By ,4
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: 3l��i9
LICENSE NO: °TD
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
07.05.96 11:53 V503 684 7297 CITY OF TIG. RD 0002..1302
RECEIVED
'I1AR'0 8 199 �
ommuni Development ELECTRICAL PERMITAPPLICATION
13125 SW Hall Blvd. . c
C' --
DEVELOPMENT Tigard, OR 97223 Permit # -C z'T -6 _
Date Issued
h e y '
�'' :iii { : , Phone (503) 639 -4171
CITY OF TIGARD FAX (503) 664 -7297
TDD No. (503) 684 -2772
Job# 78570 (TN) 3 -1 -99 inspection (503) 639 -4175
r 1. Job Address: 4. Complete Fee Schedule Below:
Name of bevelopment ors Insu rance Number of Inspections per permit allowed
Address 13333 SW 68th Parkway Service included: Items Cost(ea) Sum
City/State /Zip Tigard, . OR 97223 4a. Residential • per unit
y
10 sq. ft. or less 3110.00
00 4
Name (or name of business) Farmers Insurance Each additional 500 sq. n. or
portion thereof 525.00
Commercial ® Residential ❑ Limited energsr 323.00 1
Each Maned Home or Modular
Dwelling Service or Feeder 588.00 . 2
-
2a. Contractor installation only: 4b. Services or Feeders
Electrical ContractorELECTRICAL CONSTRUCTION CO. installation, eaereuen, or retaratlen 2
200 Address P.O. BOX 10286 201 amps or iris a 380.00 2
- amps l0 400 amps
City_ POR TLAND State OR Zip 97296 401 amps to boo amps 5120.00 2
Phone No. (503) 224 -3511 901 amps to 1000 amps 3160.00 2
over 1000 amps or volts 3340.00 2
Job NO. 7857Q Reconnect only 350.00 2
contractors license NO. 26 -4 ,_ ` a 4c. Temporary Services or Feeders
Contractor's Board Reg. No. 49 [cF UUV installation, /Memnon, or ratoeatton
Signature of Supr. Elec'n 1. , ;,1 I . 121/7(1VAIA 200 atnpe er less 2
- License No. 4040S Phone No • W , 201 amps to 400 amos $60.00 2
IP 401 amps to 600 amps 375.00
Over 600 amps to 1 000 vorte 5100.00
2b. For owner installations: - see "b" above.
4d. Branch Circuits
Print Owner's Name New, alteration Cr 8Mtenlbn per pane
Address s) The tee for branch circuits with 2
City State Zip pwcheee of ~wee or feeder free.
Each branch chcuit 55.00
Phone No. e) The fee Tor branch eiratne without 2
The installation is being made on property I own which is purchase of service or feeder fee. 2
First branch circuit 1_ 335.00 - U
not intended for sale, lease or rent. Each addelenal branch caws 1 35.00
Owner's Signature 4e. Miscellaneous
(Service or feeder not Included) 2
2
3. Plan Review section (if required): Each pump or irrigation circle 340.00 - Each sign or outline lighting 340.00
Signal eirevrt(3) 0, 0 1 04 00 energy 2
Please check appropriate item and enter fee in section 58. panel, alteration or extension 340.00
4 or more residential units in one structure Minor Labels (10) 5100.00
Service and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N.E.C. Chapter 5 Per Inspection 386,00
Per hour 3 55.00
In Plant 355.00
-
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees:
NOTICE 5a. Enter total of above fees $ 40.00
5% Surcharge (.05 X total fges) $ 2. UU
Subtotal $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 6b. 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 WORK IS 5
COMMENCED. ...,e,....d.•.... ❑ Trust Account # S
pr
Balance Due S 42.00
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested / S se" sat
AM PM BLD
Location / 3333 6 r // Suite MEC
Contact Person h PLM
Contractor Ph SWR �y
BUILDING Tenant/Owner 0 LC / 9 " 420 3
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
Drywall on
Drywall Nailing Cr
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling 0
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
PAR FAIL
ELECTRIC
Rough In
UG /Slab
Low Voltage
Fir >,4
�- , : PART FAIL
ITE
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 reinspection RE: [ ] Unable to inspect - no access
ADA
•
Approach /Sidewalk Date S C (TO Inspector A � Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.