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Permit • . CITY O TIGARD ELECTRICAL PERMIT P ERMIT #: ELC2000 -00531 414 � - 13125 DEVE SERVICES ) 639 -4171 DATE ISSUED: 9/6/00 PARCEL: 25101 AC -01900 SITE ADDRESS: 12615 SW 72ND AVE SUBDIVISION: EAGLE HARDWARE ZONING: C -G BLOCK: LOT : JURISDICTION: TIG Proiect Description: Installation of an additional 18 branch circuits. Job No. 9351 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: 17 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 ELECTRICAL CONSTRUCTION CO 981 POWELL AVE SW PO BOX 10286 RENTON, WA 98055 PORTLAND, OR 97296 Phone: 425 - 227 -5740 Phone: 224 -3511 Reg #: LIC 049737 SUP 2986S ELE 26-45C FEES Required Inspections Type By Date Amount Receipt Elect'l Service PRMT CTR 9/6/00 $128.45 2720000000( Elect'l Final 5PCT CTR 9/6/00 $10.28 2720000000( Total $138.73 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 a , , - 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: ---- �,/IA �r �L DATE: LICENSE NO: YD /O S Call 639 -4175 by 7:OOpm for an inspection the next business day _.e'1'TY OF TIGARD Electrical Permit Applic1VE® Plan C ck # ' 131.25 SW HALL BLVD. Elio ' ull Recd :y 0 kb 'IGARD OR 97223 Job No. file: X00® Date Recd � _ Phone (503) 639 -4171, x304 A AUG 2 5 Date to P.E. Inspection (503) 639 -4175 Mail CC 4 : C O".: : � „ .DEVELOPMENT DScT p [� l Permit Date to # �GCa "dD53i Fax (503) 598 -1960 "t ar` �° I n c. mple • 0 1I 10 ibt- wilt rage ccepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name (or name of business) Limes 1-Iarc4Lax� Service included: Items Cost Sum 4 ' Addres ID tL ni_ 12G /5 5 ' - 7? tilt-,4a. Residential - per unit City/State/Zip Tigard i DR 1000 sq. ft. or less $ 117.75 4 ry P Each additional 500 sq. ft. or portion thereof $ 26.75 1 • Commercial ® Residential ❑ Limited Energy $ 60.00 Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 2 (Prior to permit issuance, applicants must provide contractor license 4b. Services or Feeders information for COT data base). Installation, alteration, or relocation Electrical ontractor • of. 0 , 200 amps or less $ 64.25 2 / �>♦!� 201 amps to 400 amps $ 85.50 2 Addr-ss ,I. I,_ ' I:� = ! 401 amps to 600 amps $ 128.50 2 City •] j; % J r State 1' 4 Zip Crnii & 601 amps to 1000 amps $ 192.50 2 Phone No. �t a • Over 1000 amps or volts $ 363.75 2 Job No. Reconnect only $ 53.50 2 Elec. Cont. Lice. No. 21p- C. Exp.Date t0 I • •• ► 4c. Temporary Services or Feeders OR State CCB Reg. No. Exp.Date !Orr Installation, alteration, or relocation COT Business Tax or Metr. * 4.4_4•1_,.%::144 p. 4 e 200 amps or less $ 53.50 2 � ' 201 amps to 400 amps $ 80.25 2 Si Signature of Sur. Elec'n A ; f ,.i ! I J 1 401 amps to 600 amps $ 1 00.00 2 9 P ` • ' _ ; Over 600 amps to 1000 volts, �a 7 d S • Exp.Date see "b" above. License No. p.Date Phone No. 4d. Branch Circuits New, alteration or extension per panel a) The fee for branch circuits 2b. For owner installations: n /a, 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 i $ 37.50 e Vk Each additional branch circuit $ 5.35 The installation is being made on property I own which is not 4e. 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 if required):* w` panL alteration or extension $ 60.00 3. Plan Review section ( 1 `�D' Minor Labels (10) $ 100.00 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 Per inspection $ 50.00 Service and feeder 225 amps or more Per hour $ 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: JJJJ ��'����� 5a. Enter total of above fees $ * Submit 2 sets of plans with application where any of the above apply. 8% Surcharge (.08 X total fees) $ 1 Not required for temporary construction services. Subtotal $ 5b. 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 Pg( 4 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS Trust Account # AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ .l i:\dsts\forms\electric.doc _CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST 22 BUP 3 Date Requested ) AM PM BLD Location / 2- ( i / ) 5 ' 7 Suite MEC Contact Person Ph FP, 7f 3 -37) PLM Contractor E Ph SWR BUILDING Tenant/Owner ELC Zeive 'riv �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 Drywall Nailing Firewall Fire Sprinkler 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 ECTRI Service Rough In UG /Slab Low Voltage - Alarm - ASS '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 Other Dat l Ins 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 -4171 BUP Date Requested e /l •=9 r AM PM BLD Location /7- a(S'.l - 77 ,4-7/• Suite MEC Contact Person / Ph PLM Contractor C / ,�� �� Ph SVVR BUILDING Tenant/Owner ELC .2o'o - ODS�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 Drywall Nailing Firewall Fire Sprinkler \ Fire Alarm /� / l Susp'd Ceiling L`'-' 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 - 1 P&S.5--1 FAIL • TRI ervice Rough In UG /Slab Low Voltage Fire Alarm alf 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 Approach /Sidewalk Date / 0/ Ins Ext Other — Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.