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Permit CITY OF TIGARD' ELECTRICAL PERMIT PERMIT #: ELC2000 -00512 tvilAr DEVELOPMENT SERVICES DATE ISSUED: 09/06/2000 � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S 112AA -00300 SITE ADDRESS: 14200 SW 72ND AVE SUBDIVISION: ZONING: I -H BLOCK: LOT : JURISDICTION: TIG Project Description: Installation of (1) 200 amp & (1) 400 amp service 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: 1 W /SERVICE OR FEEDER: 4 PER INSPECTION: 201 - 400 amp: 1 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: ASGARD L L C BECK ELECTRIC INC c/o GERBER LEGENDARY BLADES 9318 SE CHURCH ST 14200 SW 72ND AVE CLACKAMAS, OR 97015 PORTLAND, OR 97223 Phone: Phone: 656 -7396 Reg #: SUP 1326S LIC 00002629 ELE 3 -5C FEES Required Inspections Type By Date Amount Receipt Elect'l Service PRMT CTR 08/28/200C $171.15 2720000000( Elect'l Final 5PCT CTR 08/28/200C $13.69 2720000000( PLCK CTR 08/28/200C $42.78 2720000000( Total $227,62 This Permit is issued subject to the regulations contained in the Tigard Munidpal Code, State of OR. Speaalty 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 / 4 OWNER INSTALLATION ONLY A l ISSUED BY: /� �� 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 .�..... ,.., �...� ',111 yr aiotuw IQ002 i CITY OF TIGARD Ele rica! Pia iic Ap¢fiEiit D Plan Check # 1312 'SW HALL BLVD. Rec'd By TIGARD OR 97223 Rec'd AUG 2 8 2000 Date to P.E. -2 - e o Phone (503) 639 -4171, x304 C:( Date to DST �- j" o 0 Inspection (503) 639 -4175 Print of NUNITY DEVELOPMENT Permit # ELL 2900. -0O5 z Fax (503) 598 -1960 Incomplete or illegible will not be accepted Called 1. Job Address: - 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name (or name of business) Lieeb - 3kd-'_ _ Service Included: Items Cost Sum 4 Address /5Q4(49 ku0 '72 ' 2 -• 4a. Residential - per unit City/State/Zip -2- c.� Q/2 772.2,3 1000 sq. ft. or less $ 117.75 4 , 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 0 information for COT data base). / r Installation, alteration, or relocation Electrical Contractor 13PLk 7`ri c . 200 amps or less 1 3 64.25 / `� 2 Address 73/ & -5E GA.4.4 rc% 201 amps to 400 amps / $ 85.50 _ t;i ° 2 City C - /0. GKa .N A - s State O It- Zip 5 701 S 401 amps to 600 amps $ 128.50 2 601 amps to 1000 amps $ 192.50 2 Phone No. 6 - 0 3- (0.570- 73 7 in Over 1000 amps or volts $ 363.75 2 Job No. 0?8 a st Reconnect only $ 53.50 2 Elec. Cont. Lice. No. 3 -C- Exp.Date /0 / - OCR 4c. Temporary Services or Feeders OR State CCB Reg. No. (:7(p 015 Exp.Date /1 -/ - O') Installation. alteration. or relocation COT Business Tax or Metro No. 5 „ '- .• .0 - e /- -. * 200 amps or less $ 53.50 2 • 201 amps to 400 amps $ 8025 2 Signature of Supt. ©ec'n .i. , :� �;L 401 amps to 600 amps $ 107.00 2 Over 600 amps to 1000 volts. Ucense No. / 32-(0 - S Exp.Date /0 - Di- O / see °tw above. Phone No. .57)3- / 7 73.9 (0 4d. Branch Circuits New, alteration or extension per panel • a) The fee for branch circuits • 2b. For owner installations: with purchase of service or w a el feeder fee` L, Print Owner's Name Each branch circuit i l' $ 5.35 / ! 2 Address b) The fee for branch Grafts without purchase of service City State ZIP or feeder fee. Phone No. First branch circuit 5 37.50 Each additional branch circuit S 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 dude S 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) :' M n inor (10) or exte"sr°n $ 10 07 7 . 0 0 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 • X ServICe and feeder 225 amps or more Per inspection $ 50.00 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: 1 5a Enter total of above fees S / 7/ • /5 • Submit 2 sets of plans with application where any of the above apply. 3% Surcharge (.Of X total fees) S _- Not required fortamporary construction services. Subtotal 3 / & 4 f . 5b. Enter 25% of line 5a for NOTICE Plan Review if required (Sec. 3) $ l '/.? 7g PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FORA PERIOD OF 180 DAYS ❑ Trust Account# . - AT ANY TIME AFTER VIIORK IS COMMENCED. Total balance Due . $ 4 �- Odsrslfo nslelectric.doc CITY OF TIGARD BUILDING INSPECTION DIVISION MST . 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 11.0 BUP Date Requested o AM \.46• PM BLD G G 5w � Location � � L 7 Z ' �`� � Suite MEC Contact Person Ph )Z 73 9 9A PLM Contractor Ph SWR BUILDING Tenant/Owner �Zf�e2 ELC r 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 • t. MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL LECTRICAL 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 Fire Supply Line [ ] Please call fo reinspection RE: [ ] Unable to inspect - no access ADA Approach/Sidewalk Date 9 Inspector Ext Other Final PASS PART FAIL 0 OT REMOVE this inspection record from the job site.