Permit CITY O F TI G A R D E LECTRICA E LPERM I0528
� DEVELOPMENT SERVICES DATE ISSUED: 09/03/98 A 41 ,.., _ ,
PARCEL: 2S101DA -00104
SITE ADDRESS...:13333 SW 68TH PKWY #1ST
SUBDIVISION :GTE ZONING:MUE
BLOCK LOT • JURISDICTION: TIG
Project Description : Electrical TI
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS - 0 0 — 200 amp • 0 PUMP /IRRIGATION : 0
EACH ADD'L 500SF...: 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: 35 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
FARMERS INSURANCE type amount by date recpt
4600 WILSHIRE BOULEVARD PRMT $ 210.00 B 09/03/98 98- 308838
LOS ANGELES CA 90010 5PCT $ 10.50 B 09/03/98 98- 308838
Phone #:
Contractor:
ELECTRICAL CONTRUCTION CO $ 220.50 TOTAL
PO BOX 10286
REQUIRED INSPECTIONS
PORTLAND OR 97296 Ceiling Cover Elect'l Service
Phone #: 224 -3511 Wall Cover Elect'l 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 adapted by
the Oregon Utility Notification Center. Those rules are set forth in DAR 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.
7Uh N Issued By: Permittee Signature: � ll Y� 6
W
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 : I , GA. - DATE:
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
07:05.96 11:53 '5O3 684 7267 ('ITY OF TIGARD 21102; i)02
r
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Permit # i -... ca Z�
r . Date Issued " ' D -
,74.„.. i 4, Phone (503)639 -4171
I ' - - " FAX (503) 684 -7297 �
u (
CITY OF TIGARD TDD No. (503) 684 -2772 1 S ( �
Inspection (503) 639 - 4175 Job# 78290 -05 (TN) 8 -25 -98
N
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development armers Ins urance Number of Inspections per permit allowed
Address 13333 SW 68th Parkway Service included: Items Cost(ea) Surn
City /State/Zip Tigard, OR 411. Residential_ - per unit
1000 sq. ft er less 5110.00 4
-
Name (or name of business) Each eddabnel 500 aq. n. or
portion thereof 525.00
Commercial C< Residential ❑ Limited Energy smog 1
-
Each Maned Horns or Modular
elling Service 2a. Contractor installation only: °1e 'r Feeder 00 2
4b. Services or Feeders
Electrical ContractorELECTRICAL CONSTRUCTION CO. Installation, alteration• or relocation
Address P.O. BOX 10286 20 �s
1 sso 2
City PORTLAND State OR Zip 97296 wipe to 500 Amps
mps
.00
at)1 amps to aoo amps 3120.00 2
Phone No. (503) 224 -3511 sot amps 10 toot map 3180.00 2
over 1000 amps or volts 3340.00 2
Job NO. 78290 -05 Reconnect only *50.00 2
contractor's license NO. 26-'41C r
r . 4c. Temporary Services or Feeders
Contractor's Board Reg. No. 4 .• fl I / ■ Installation, &aeraaor,, or relocation
Signature of Supr. Elec'n AVOMMIEllir4,4 coo wad er teas 2
1 License No. __ _4 .4,,,I hone No • VrMA i 20 a 600 ro '00 2 arras
Over amps to 1000 von. $100.00
2b. For owner installations: MI le above.
- 4d. Branch Circuits
Print Owner's N. weer, alteration or extension per we
Address 1 e1 The tee for branch circuits with
City • pureness of 'movies or reader res. 2
Phone No. Eael branch crows 35.00
The Insta118t10n I. ! I hi ch i s of ref branch mute w+tNetn 2
e se of service or feeder .. r.
,V
Prat branch dreua 1 aU.00 35.00 2
not intended for ` Each Malone! branch eaeun 737 35.00 175.00
Owner's Signature_ 4e. Miscellaneous
(Service or feeder not Included)
Each pump or irrigation circa 540.00 2
3. Plan ReviE .. .......r vr, l rr required): Each alga or aa lighting 140.00 _
Signal cincvrt(s) or 0 limited energy 2
Please check appropriate item and enter fee in section 58. Panel, alteration or extension 540.00
4 or more residential units in one structure Minor Labels (10) 5100.00
Service and feeder 225 amps or more
System over 600 voles nominal 41. Each additional inspection over
Classified area or structure containing special occupancy the allowable in arty of the above
Chapter 5 Per Inspection S:tb.0
as described in N.E.C. Cha
P Per hour 555.00
to Plant 555.00
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees:
NOTICE Sa Enter total of above fees $ 210.OQ
5% Surcharge (.05 X total fees) $ 1 5n
Subtotal $ . -
PERMITS BECOME VOID IF WORK OR CONSTRUCTION �, Enter 25% of line A for'
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Plan Review 11 required (Sec 3) $
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. - ..e,..,.e..M.e ❑ Trust Account # s
P...wr
Balance Due 220.50
$
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
4 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
1 075 Date v / Date Requested , I G — / ( � ' A AM PM BLD
Location / 3 3 3 3 3(A 6 0 o+ P Suite MEC
Contact Person /V rG_,Q h PLM
Contractor �f Ph SWR
BUILDING Tenant/Owner FA-le/tie-p..3)
ire M e ) I O " ELC 98O 5
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam 3 RD G , 1
D 00 1 Ext Sheath/Shear 1� �V
Int Sheath /Shear
Framing
Insulation / / ,
Drywall Nailing • I . a �1. 11110MENIErarlAV
• _ / %� i__
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc: Xey■—€—€4•,
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
‘... =Zi t y FAIL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Fin •.
Z' ART 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 reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk Date r�
t
Other " /C• - Z Inspector _ Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.