Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2000 -00205
tillj" DEVE SERVICES ) 639 -4171 DATE ISSUED: 4/27/00
PARCEL: 2S 101 AC -01900
SITE ADDRESS: 12615 SW 72ND AVE
SUBDIVISION: EAGLE HARDWARE ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Temp 200 AMP service /feeder to service job trailer.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: 1 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: 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:
EAGLE HARDWARE + GARDEN PHOENIX ELECTRIC CO
981 POWELL AVE SW 7379 SW TECH CENTER DR.
RENTON, WA 98055 TIGARD, OR 97223
Phone: Phone: 684 -3600
Reg #: LIC 00052288
SUP 4140S
ELE 34 -247C
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT GEO 4/27/00 $53.50 0001737 Elect'I Final
5PCT GEO 4/27/00 $4.28 0001737
Total $57.78 ORIGINAL
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 ISSUED BY: Ar .„.......704
OWNER INSTALLATION ON
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: 4/ /90-5
Call 639 -4175 by 7:OOpm for an inspection the next business day
APR -26 -00 WED 03:34 PM PHOENIX ELECTRIC CO FAX NO. 15036843611 P. 02/02
CITY OF TIGARD Electrical Permit Application Plan Check # .
1 1125 SW HALL BLVD. Recd By
TIGARD OR 97223 Date Rec'd
Phone (503) 639 -4171, x304 Date to P.E.
Date to DST
Inspection (503) 639 -4175 Print of Type Permit # UGC i ado -co 305'
Fax (503) 598 - 1960 Incomplete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development) It -‘hpk,.. � j i v G°'ly> , Number of Inspections per permit allowed
Name (or name of business),►- - C ';)1 -"At, vS Service included: Items Cost Sum 4
Address S' i , I�\
4a. Residential - per unit
City /State/Zip • 1000 sq, ft. or less $ 117.75 4
Each additional 500 sq. ft. or
Commercial FF _ R Idential ❑ portion ther $ 26.25 1
�i2 -&v e Tr ` e Each Manufd Home or Modular
Limited Energy $ G0.00
f V` Each
2a. Co),tractor installation only: Dwelling Service or Feeder $ 72.75 _ _ 2
(Prior to permit issuance, applicants must provide contractor license db_ SerVices or Feeders
Information for COT clala base). Installation, alteration, or relocation
Electrical Contractor ��p F\L ' ( 200 amps or less _ $ 64.25 2
Address 0� -I� tV_�� C ✓ 201 amps to 400 amps $ 85.50 2
City. State ( �a.
Zip 7.a 3 401 amps to 600 amp $ 1 28.50 2
// --�` - � 601 amps to 1000 amps $ 192.50 2
Phone N t..C' ( _ Over 1000 amps or veils $ 963.75 2
Job No. tip( - <<,n Reconnect only $ 53,50 2
Elec. Cont. Lice. No. -ku-rl nt' _ Exp.Date 4c. Temporary Services or Feeders
OR State CCB Reg. No. 9 Exp.Date Installation. alteration, or relocation
COT Business Tax or Metro No / � Exp.Date 200 amps or less 1 $ 53.60 5.345d 2
201 amps to 400 amps $ 80.25 2
Signature of Supr. Elec'n _ _ 401 amps to 600 amps $ 107.00 2
Over 600 amps to 1000 volts,
see "b" above.
License No. Z 0 Exp.Date 4d. Branch circuits
Phone No. �j���R� New, alteration or extension per panel
a) The fee for branch circuits
2b. For owner installations: with purchase of service or
feeder fee.
Print Owner's Name Each branch circuit $ 5.35 2
Address b) The fee for branch circuits
without purchase of service
City __ State Zip or feeder fee.
Phone No. First branch circuit $ 37.50
Each additional branch circuit $ 5.35 •
The installation is being made on property I own which is not 4a. Miscellaneous
intended for sale, lease or rent. (Service or feeder not Included)
Each pump or irrigation circle _ $ 42.75
Owner's Signature _ Each sign or outline lighting $ 42.75
Signal circuit(s) or a limited energy
3. Plan Review section (if required):* panel, alteration or extension $ 60.00
Minor Labels (10) $ 107.00
Please check appropriate item and enter fee in section 5B. 4f. Each additional Inspection over
,4 or more residential units in one structure the allowable In any of the above
Service and feeder 225 amps or more Per inspection _ $ 50.00
System over 600 volts nominal In Plant $ 59.00
Classified area or structure containing special occupancy as
described in N.E.C. Chapter 5 5. Fees:
Enter total of above fees $ _ V
* Submit 2 sets of plans with application where any of the above apply. O Surcharge (.osi<( total fees) $ 4
Not required for temporary construction services. Subtotal $ 30 I
Sb. Enter 25% of line 5a for
NOTICE Plan Review if required (Sec. 3) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $
IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS rust Account # 4 "j }% $
AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due SP)
i :ids, slforms\electric. du c
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested ( OO AM PM BLD
Location / 2CO / S Y2J - , Suite MEC
Contact Person �d4(.Q.Q Ph (4'14 y PLM
Contractor i(. \ C.I , Ph 511-7230 SWR
BUILDING Tenant/Owner ELC c�0�CX32.�s
Retaining Wall ELR
Footing Access:
Foundation // / FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
�Q,(/�
Post & Beam �' " ' v � � / „
Ext Sheath /Shear l�/ �
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler —1
Fire Alarm
Susp'd Ceiling
Roof G �
(4 _1 4 ,
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam r�
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
(LECTR�AD
$B vic0
Rough In
UG /Slab
Low Voltage
Fire Alarm
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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA
0
Approach /Sidewalk
Other Date : .-, Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.