Loading...
Permit CITY OF T I G A R D ELECTRICAL PERMIT PERMIT #: ELC2000 -00687 i DEVELOPMENT SERVICES DATE ISSUED: 12/14/00 II 13125 SW Hall Blvd., Tigard. OR 97223 (503) 639 -4171 PARCEL: 1S136AA-02000 SITE ADDRESS: 10340 SW 69TH AVE SUBDIVISION: FUR VALLEY ZONING: R -4.5 BLOCK: LOT : 002 JURISDICTION: TIG Project Description: Replace Furnace RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: 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: 1 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: DAVID GLASGOW WESTMORELAND ELECTRIC 10340 SW 69TH 13150 S CLACKAMAS RIVER DR TIGARD, OR 97223 OREGON CITY, OR 97045 Phone: Phone: 557 -2220 Reg #: ELE 26 -1050C LIC 140551 SUP 4638S FEES Required Inspections Type By Date Amount Receipt Elect'l Final PRMT CTR 12/14/00 $46.85 2720000000( 5PCT CTR 12/14/00 $3.75 2720000000( Total $50.60 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 im °A LA ISSUED BY: 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: LICENSE NO: Call 639 -4175 by 7:OOpm for an inspection the next business day Electrical Permit Application Date received: Permit no. 2077D pD 42g w., o : I ,h t- Project/appl. no.: Ex F,u. �•i I City of Tigard ��t ��;;c�wa�� Pro � pp Expire date: p City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By: I Receipt no.: Phone: (503) 639 -4171 r Fax: (503) 598 -1960 {�°� y Z `'1' Case file no.: Payment type: Land use approval: i 'ER • �.,��.�+ se >!r��:: T�'PE.OF ,� IiT... . . 1 & 2 family dwelling or accessory 0 Commercial/industrial 0 Multi - family ❑ Tenant improvement 0 New construction 0 Addition/alteration/replacement 0 Other: ❑ Partial ' JOB SITE INFORMATION Job address: /O34.4D _5 7 h Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: I Block: u ( bdivision: Project name: I Description and location of work on premises: Li ga6 a Estimated date of completion/inspection: , 1 4 - CU CONTRACTOR APPLICATION' FEE SCIIEDULE _ Job n Fee Max Business uauae: ,,82 Lei w 14e • Description Qty. (ea.) Total no. insp New residential - single or multi - family per Address /3j5 ) .3, �,gUe erh43.5 al. dwelling unit. Includes attached garage. City: 011151 ii Cj I State . I ZIP: 4 2 yr Serviceincluded Phone: c i 767 ax: I E -mail: 1000 sq. ft. or less 4 Each additional 500 sq. ft. or portion thereof CCB no.: 1I,? S5 I Elec. bus. lie. no: �b,l4Yj,�"5`1 Limited energy, residential 2 City /metro lie. no. Limited energy, non - residential 2 1 ,4&4 140 12 7 _ cV Each manufactured home or modular dwelling Signatre of supervising electrician (required) Date t Service and/or feeder 2 Sup. elect. name (print): , Or. License Services or feeders — installation, alteration or relocation: .. PROPERTY OWNER ? - ..- .. 200 amps or less 2 Name (print): r 7g) i,() (9 /4se.90Lt) 201 amps to 400 amps 2 401 amps to 600 amps 2 Mailing address: ;/k9 31..., /7j^ 601 amps to 1000 amps 2 City: 7_.q-7t2 I State: at ZIP: Q/72 3 Over 1000 amps or volts 2 Phone: q52-063,0 IFax: 1E-mail: Reconnect only 1 Owner installation: The installation is being made on property I own Temporary services or feeders - which is not intended for sale, lease, rent, or exchange according to installation, alteration, orrelocation: 200 amps or less 2 20 ORS 447, 455, 479, 670, 701. 201 1 amps to 400 amps 2 Owner's signature: Date: 401 to 600 amps 2 ENGINEER Branch circuits - new, alteration, or extension per panel: Name: A. Fee for branch circuits with purchase of Addr service or feeder fee, each branch circuit / 2 Cit State: ZIP: B. Fee for branch circuits without purchase ,/1, g5 1 of service or feeder fee, first branch circuit: (-� , 2 Phone: Fax: E -mail: Each additional branch circuit: PLAIN REVIEW (Please check all that apply) . Misc .(Serviceorfeedernotincluded): ❑ Service over 225 amps- commercial 0 Health -care facility Each pump or irrigation circle 2 O Service over 320 amps- rating of 1 &2 0 Hazardous location Each sign or outline lighting 2 family dwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, 0 System over 600 volts nominal more residential units in one structure alteration, or extension* 2 O B uilding over three stories 0 Feeders, 400 amps or more *Description: O Occupant Toad over 99 persons 0 Manufactured structures or RV park Each additional inspection over die allowable in any of the above: ❑ Egress/lightingplan 0 Other. Per inspection I Submit sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Permit fee $ O Visa ❑ MasterCard expires if a permit is not obtained Plan review (at _ %) $ 3 76_ Credit card number: / 1 within 180 days after it has been State surcharge (8 %) .... $ Expires accepted as complete. TOTAL $ �I � (J , Name of cardholder as shown on credit card $ Cardholder signature Amount 440-4615 (6/00 /COM) • ry • Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY /� Restricted Energy Fee $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total 4, Check Type of Work Involved: . Residential - per unit 1000 sq. ft. or less $145.15 4 ❑ Audio and Stereo Systems Each additional 500 sq. ft. or portion thereof • - $33.40 1 ❑ Burglar Alarm Limited Energy $75.00 Each Manufd Home or Modular El Garage Door Opener* Dwelling Service or Feeder $90.90 2 Services or Feeders ❑ Heating, Ventilation and Air Conditioning System' Installation, alteration, or relocation 200 amps or less $80.30 2 • ❑ 201 amps to 400 amps $106.85 2 Vacuum Systems 401 amps to 600 amps $160.60 2 601 amps to 1000 amps $240.60 2 Other Over 1000 amps or volts $454.65 2 Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY Installation, alteration, or relocation 200 amps or less $66.85 _ 2 Fee for each system $75.00 201 amps to 400 amps $100.30 • 2 (SEE OAR 918-260-260) 401 amps to 600 amps $133.75 2 Over 600 amps to 1000 volts. Check Type of Work Involved: see "b" above. Branch Circuits ❑ Audio and Stereo Systems New, alteration or extension per panel ❑ a) The fee for branch circuits Boiler Controls with purchase of service or � feeder fee. 1 Clock Systems Each branch circuit $6.65 2 b) The fee for branch circuits ❑ Data Telecommunication Installation without purchase of service or feeder fee. ( $46.85 `f //� O ? ❑ Fire Alarm Installation First branch circuit ( Each additional branch circuit $6.65 ❑ HVAC Miscellaneous . (Service or feeder not included) ❑ Instrumentation Each pump or irrigation circle $53.40 Each sign or outline lighting $53.40 ❑ Signal circuit(s) or a limited energy Intercom and Paging Systems panel, alteration or extension $75.00 Minor Labels (10) $125.00 ❑ Landscape Irrigation Control* Each additional inspection over . ❑ Medical the allowable in any of the above Per inspection $62.50 Per hour $62.50 n Nurse Calls In Plant $73.75 ❑ • Outdoor Landscape Lightiiig` Fees: ❑ Protective Signaling Enter total of above fees $ / 8% State Surcharge $ ' % ,1 L > n Other 25% Plan Review Fee Number of Systems See "Plan Review" section on $ front of application. * No licenses are required. Licenses are required for all other installations Total Balance Due $ SO ,DO Fees: El Trust Account # Enter total of above fees $ 8% State Surcharge $ Total Balance Due $ i:\dsts \forms \elc- fees.doc 10/09/00 CITY OF TIGARD BUILDING INSPECTION DIVISION 24 - Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST BUP'' -. , Date Requested /- AM PM - BLD Location /6 7c/0 .5 Suite MEC Contact Person Ph 5 } 3 -3 s7 2 2 2 0 PLM Contractor Ph / / 9? ^ 7(i 2 SWR BUILDING Tenant/Owner Lv�- 4 r2 7` 7 �m ELC 7 Retaining Wall Ply Cain/ 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 Firewall Fire Sprinkler -& Fire Alarm Susp'd Ceiling Roof Q 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 -ELECTRICAII Service Rough In UG /Slab Low Voltage Fire Alarm Final / 1M ' PASS 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 reinspection RE: ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Other Date /O c� f 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: 639 171 BUP Date Requested / Z' AM PM BLD Location / 3'/ V 5w G 9 Suite MEC • Contact Person Ph .53 7 .- 22z 0 PLM Contractor (i�.1. /A/20'r----4? - 7 , -/_9 Ph r2 T Sr Y36 Z SWR BUILDING Tenant/Owner ELC 7.vo L' " 7 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 L� /" �L�i� _ / / Firewall Fire Sprinkler Fire Alarm ` Susp'd Ceiling a-r-e Roof Misc: � �� — _ / . .�� � � yJ Final PASS PART FAIL PLUMBING ✓` _ _ .a.. Post & Beam / Under Slab _ " t4 ' 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 (ELECTRI Service Rough In UG /Slab Low Voltage Fire Alarm ASS PART AIL 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 Approach /Sidewalk Date /-- ,A Inspector / Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -dour Inspection Line: 639 -4175 Business Line: 63974171 BUP bate Requested / Z -- ( 1 AM PM BUD- Location /U 760 S -' OP et /¢(-'Q Suite MEC ' Contact Person Ph 172 — Z Z 7-0 PLM Contractor (A l,eSt "M.-c'-r.c --1 4-7,/ 0 c Ph SWR BUILDING Tenant/Owner ELC aG d" 7 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 e s-- \/ A/ 4,01, i_er,_ Firewall / . Fire Sprinkler OA/ -Si c// 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 PASS PART FAIL L TRICA Service Rough In UG /Slab Low Voltage Fire Alarm •A ASS PART AIL SITE BackfilllGrading 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 /2- /f- eu Inspector / - _ Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -lour Iritpectton Line: 639 -4175 Business Line: 639-4 71 MST I. bate Requested l — l AM PM BLD. Location /0 3 1 -/ o S w ( r Suite MEC Contact Person Ph 533- 5 -Z 1Z O PLM Contractor L ji / / r-crv c/ fiepp ph SWR BUILDING Tenant/Owner 17/-P4 ELC e.e.vu -c 0 64'7 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 Firewall Fire Sprinkler • 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 PASS PART FAIL L CAL service Rough In p UG /Slab Low Voltage Fire Alarm anal SS PA (—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 reinspection RE: ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date /2-- / r- 9-z) Inspector — - Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.