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Permit =- =L CITY OF TIGARD ELECTRICAL PERMIT 4, ., i DEVELOPMENT SERVICES PERMIT #: ELC99 -0096 A I 13125 SW Hall Blvd., Tigard, OR 97223(503) 639 DATE ISSUED: 02/17/99 PARCEL: 2S113AD -01900 SITE ADDRESS...:16600 SW 72ND AVE #B -10 SUBDIVISION :ROSEWOOD ACRE TRACTS ZONING:I —L BLOCK LOT •009 JURISDICTION: TIG Project Description : Installation of 1209 asp or less service /feeder and 1 branch circuit. Job No. 79536 - -- 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 1 W /SERVICE OR FEEDER: 1 PER INSPECTION • 0 201 — 400 amp • 0 1st W/0 SRVC OR FDR.: 0 PER HOUR : 0 401 — 600 amp • 0 EA ADD'L BRNCH CIRC: 0 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 FLIGHT DYNAMICS type amount by date recpt 16600 SW 72ND AVE STE B -10 PRMT $ 65.00 DEB 02/17/99 99- 312990 TIGARD OR 97223 SPCT $ 3.25 DEB 02/17/99 99- 312990 Phone #: Contractor: OREGON ELECTRIC CONST /GROUP $ 68.25 TOTAL 1010 SE 11TH AVE REQUIRED INSPECTIONS PORTLAND OR 97214 Ceiling Cover Elect'l Service Phone #: 234 -9900 Wall Cover Elect'l Final Reg #. • : 203 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 180 days. ATTENTION: Ore!. law requ' .s you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -0010 through OA' 952-001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246 -1987. Permittee Signature: ...I�p., Q GL Issu- • By: 241416 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 INSTALLATI SIGNATURE OF SUPR. ELEC' N : a - _1 tiL, ∎ ∎ Wf : DATE: .9 9--, / 7-2 LICENSE NO: c2V 7 /J ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ RECEIVED '' F : 1 7 1999 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. COiNNt DEVELOPMENT Tigard, OR 97223 Planck/Rec. # 46, li � ,;a Permit # :LC9 9 -6 .� I Phone (503) 639 -4171 Date Issued 9 FAX (503) 684 -7297 CITY OF TIGARD TDD No. (503) 684 -2772 Issued by Inspection (503) 639 -4175 &-'• i, l. e 7? -03;..F 1. Job Address: C JOB No . - ) 4. Complete Fee Schedule Below: Name of Development Flight Dynamics Number of Inspections per permit allowed Address 1 6 6 0 0 SW 7 2nd Service included: Items Cost(ea) Sum City /State/Zip Ti garrl r or 4a. Residential • per unit 4 1000 sq. ft. or less $110.00 (or name of business) Flight ht D namics Each additional er f sq. ft. or Name ( ) g Y portion thereof $25.00 1 - Commercial ® Residential ❑ Limited Energy 525.00 Each Manuf'd Home or Modular 2 Dwelling Service or Feeder $88.00 2a. Contractor installation only: 4b. Services or Feeders Installation, alteration, or relocation 2 Electrical ContractorOregon Electric Group 200 amps or less 1 860.00 60.00 2 Address 1 01 0 SF 1 1 th Ave _ 201 amps to 400 amps $80.00 2 - Ci Port land State nr Zip 9 7 71 4 401 amps to 600 amps 8120.00 2 ty P sot amps to 1000 amps $180.00 Phone No. (col) 734,...993 0 Over 1000 amps or volts $340.00 2 - Contractor's License No. 2 6-9 5C Reconnect only $50.00 Contractor's Board Reg. No. 2 .3 4c. Temporary Services or Feeders Installation, alteration, or relocation 2 Signature of Supr. EIec'n 200 amps or less $50.00 2 • License No. 2 8 41 S °' Phone No 9 0 0 201 amps to 400 amps $75.00 2 - e se ( 401 amps to 600 amps $100.00 - • Over 600 amps to 1000 volts 2b. For owner installations: see •b• above. 4d. Branch Circuits Print Owner's Name New, alteration or extension per panel Address a) The fee for branch circuits with City State Zip purchase of service or feeder fee. 2 Each branch circuit 1 $5.00 5 • 0 0 Phone No. b) The fee for branch circuits without The installation is being made on property I own which is purchase of service or feeder nee. 2 not intended for sale, lease or rent. First branch circuit $35.00 2 Each additional branch circuit $5.00 Owner's Signature 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or irrigation circle 840.00 2 Each sign or outline lighting $40.00 - Signal circuit(s) or a limited energy 2 Please check appropriate item and enter fee in section 5B. panel, alteration or extension $40.00 4 or more residential units in one structure Minor Labels (10) 8100.00 Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional inspection over Classified area or structure containing special occupancy the allowable in any of the above as described in N.E.C. Chapter 5 Per inspectio $35.00 Per hour $55.00 - In Plant 855.00 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: NOTICE 5a. Enter total of above fees 565 n 0 5% Surcharge (.05 X total fees) $ 3 . 2 5 PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25% of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. ❑ Trust Account # $ P os 7D Balance Due $ &A wadb mdWe.opm.upp CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested — °��II " / 7? AM PM L BLD Location 17 (0 O d /a' Suite ,6 MEC Contact Person , 1 194 4 -1 ! / 1 1 ,t, � '.l Ph 4/ 3 3 9 PLM // Contractor Ore__ &(Cz Ph '/ 996G SWR BUILDING Tenant/Owner r L ELC '" 9 -6 ° � Retaining Wall ELR Footing Access: Foundation /?-, O FPS Ftg Drain SGN Crawl Drain Inspection Notes: n Slab / 9---"1 -P (�rD J SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing 1��'� -�� i _ . . —is 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 EC�RICAL Rough In UG /Slab Low Voltage Fire Alarm Fina S /PART FAIL BackfilUGrading 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 chlSidewalk Other Date L'e' Inspector r,e --ge %� Ext Other Final . PASS PART FAIL D NOT REMOVE this inspection record from the job site.