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Permit CITY OF TIGARD ��� ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT # : ELC98 -0395 1 !+� ` r� � � 1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 07/16/98 PARCEL: 2S101DA -00104 SITE ADDRESS... :13333 SW 68TH PKWY SUBDIVISION :GTE ZONING:MUE BLOCK • LOT • JURISDICTION: TIG Project Description : Installation of 32 branch circuits. - -- 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 CI RC: 31 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 $ 190.00 DEB 07/16/98 98- 307395 LOS ANGELES CA 90010 5PCT $ 9.50 DEB 07/16/98 98- 307395 Phone #: Contractor: ELECTRICAL CONTRUCTION CO $ 199.50 TOTAL PO BOX 10286 REG!UIRED INSPECTIONS PORTLAND OR 97296 Ceiling Cover Elect'1 Service Phone #: 224 -3511 Wall Cover 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 188 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 -101 -0010 throu h OAR 952 -001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246 -1987. P e r m i t t e e Signature: ,, .,d ,e et Issued B 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 I -ON ONLY • SIGNATURE OF SUPR. ELEC' N : sul... L' , eow/A ✓�) DATE: 71/4 LICENSE NO: ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ . >`le;7:05;96 11:53 $•503 684 7297 CITY OF TIGARD 602:002 Job# 78290 -01 (TN) 7 co 3 mm unity Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. 7ECEIVED C�gg�g Tigard, OR 97223 ' Permit # • `.,,::.} Y 1 JUL I 1 6 199pete Issued �I Phone (503) 639-4171 � FAX (503) 684 -7297 CITY OF TIGARD TDD No. (503) 684- 2Z7 DEVEIt)i r,' � ^ n �� -09-,g) Inspection (503) 639 -4175 rl , IJ � -et' 1 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Farmers Ins. Number of Inspections per permit allowed Address 13333 SW 68th Parkway Service included: Items Cost(ea) Sum City/State /Zip Tigard, OR 97223 48. Residential_- per unit 1000 sq. ft. er less 5110.00 4 Name (or name of business) Each additional 500 aq. M. or portion thereof 325.00 Commercial M' Residential 0 tanned Energy 125.00 1 - Each Muhard Home or Modular Nadine Service 2a. Contractor installation only: or Feeder - • 2 4b. Services or Feeders Electrical ContractorELECTRICAL CONSTRUCTION CO. Installation, aaeeUOn, or rebedtion nom 2 Address P.O. BOX 10286 20 , of � amps 380.00 - 2 City PORTLAND State OR Zip 97296 401 snipe to 600 amps 5120.00 2 Phone No. (503) 224 -3511 501 snips 10 1033 amps a 3180.00 2 over 1000 Boras o volts 40 33.00 2 Job N0. 78290 -01 ' R econnect o nry 5so.0o 2 - contractor's license NO. 26 -45C 4c. Temporary Services or Feeders Contractor's Board Reg. No. 4 %tom Installation. any orB ,, or retlron Signature of Supr. Elec' 'W' 200 Burps or teas 2 License No. 7$486s Phone No(51)112,14_3-11.1 201 amp, to 400 tulips 560.00 2 - 401 amps to 800 Burps 375.00 Over 600 amps to 1000 volt 1100.00 2b. For owner installations: see lit" above. 44. Branch Circuits Print Owners Name New, aneratlon or extension per pane Address e) The roe for branch circuits with City State Zip pmPehass 01aerweser feeder fee. 2 Phone No. ESCh branch circuit 55.00 0) The fee for wench cintuns wflheut The installation is being made on property I own which is purchase axon/ice or feeder fee. 2 First branch arcult 1 MOO 35.00 2 not intended for sale, lease or rent. Each aednrenal branch etreue = 35.00 Owner's Signature 4e. Miscellaneous (Setvlce or feeder not Included) 2 Etch pump or Irrigation circle 340.00 2 3. Plan Review section (if required): Eisen sign or outline eghtlng 340.00 - Signal cire nt(s) or a limited energy 2 Please check appropriate item and enter fee in section SB. 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 4f. Each additional inspection over System over 600 volts nominal Classified area or structure containing special occupancy the allowable in any of the above es described in N.E.C. Chapter 5 Pertnspecnwt 505.00 Per hour 355.00 In Mont 355.00 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: Sa. Enter total of above fees $ 190.00 NOTICE 5% Surcharge (.05 X total fges) $ 9.50 PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal g AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 6b. Enter v t of line A for Pion Reeview if required (Sec.3) $ CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED F OR Subtotal A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS $ COMMENCED. ...w..�e......... ❑ Trust Account # S p....p. 199.50 Balance Due $ CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested / 0 /0 , AM PM BLD Location /_ 3 333 St.() t/ Pay Suite MEC Contact Person Ph PLM Contractor E Q- Ph .2„2 9 - .3.57/ SWR BUILDING Tenant/Owner g/4Ro+? FO. �,�/� 4 9f_ (9.3? 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 Insulation E L ( 9 — O 3 9S _ Drywall Nailing �^ ✓/✓4-Z Firewall Fire Sprinkler Fire Alarm E 9,k OS ereU _, /A■ g f Susp'd Ceiling Roof Misc: Final E 9,!' - 05 ClnlA / E,O PASS PART FAIL PLUMBING Post & Beam /� Under Slab E4-0_ 9 "' o SZ9 - 14; m L p Top Out Water Service Sanitary Sewer Rain Drains E L c . y j/ - o 9& - "4414,`r Final PASS PART FAIL MECHANICAL � © _ O3 RI2 _ Post & Beam Rough In Gas Line Smoke Dampers Final FAIL ETC TRICA - Rough In UG /Slab Low Voltage Fire • larm •AS 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 Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Other Approach/Sidewalk Date / 0 - / 9 - P Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. .