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Permit
ELECTRICAL PERMIT CITY OF T I GA R D PERMIT #: ELC1999 -00280 4 DEVELOPMENT SERVI DATE ISSUED: 5/11/99 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S113AD -01900 SITE ADDRESS: 16640 SW 72ND AVE B -10 SUBDIVISION: ROSEWOOD ACRE TRACTS ZONING: I -L BLOCK: LOT : 009 JURISDICTION: TIG Project Description: Electrical TI 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: 2 W /SERVICE OR FEEDER: 40 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: PACIFIC REALTY ASSOCIATES STONER ELECTRIC 15350 SW 72ND AVE 2701 SE 14TH STE 300 PORTLAND, OR 97202 TIGARD, OR 97224 Phone: Phone: 233 -3631 Reg #: LIC 00044823 SUP 4025S ELE 26 -122C FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT BON 5/11/99 $320.00 99- 315295 Elect'I Final 5PCT BON 5/11/99 $16.00 99- 315295 Total $336.00 • ORIGINAL This Permit is issued subject to the regulations contained in the Tigard Munidpal Code, State of OR. Spedalty 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 ordirect questions to OUNC at (503) 246 -1987. Permit Signature: gy\ p� � t �( _ , , 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: CONTtACTOR )INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: C it ter\ DATE: LICENSE NO: Call 639 -4175 by 7:OOpm for an inspection the next business day air INFOF TIGARD Electrical Permit Application Plan Cheek r 13125 SW HALL BLVD. Recd By ITT Date Recd '10 / -, TIGARD OR 97223 Date to P.E. Phone (503) 639 -4171, x304 Print or Type Date to DST Inspection (503) 639 -4175 lets or illegible will not be accepted Permit # __AV "' - i Incomplete Fax (503) 664 -7297 P 9 Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name (or name of business) /Lc-f s,o,ct Al i- -C& 4 4 r Service included: Items Cost Sum Address / 6 72...p. e 6- ) 4a. Residential -- per unit . 1000 sq. ft• or less $110.00 _ 4 City /State/7.Ipr � �zn�t ,v a , C r 9 t 72 Z-4 4 _ Each additional 500 sq. h. or Commercial Residential ❑ portion chereof $25.00 _ 1 Umited Energy $25.00 Each Manuf'd Homo or Modular Dwelling Service or Feeder 868.00 2 2a. Contractor installation only: (Attach copy of all current licenses) 4b. Services or Feeders Electrical Contractor._ - c . Installation, alteration, or relocation , Addre 2 S ----- /-- 200 amps or less $80.00 2 201 amps to 400 amps $80.00 2 City Ta�2rr•4 State , a.2_ Zip 972-o z 401 amps to 600 amps $120.00 2 Phone No. -33 31 _ 601 amps to 1000 amps $160.00 2 - Job No. • 4 = 7g 5 Over 1000 amps or volts $340.00 2 Reconnect only $50.00 2 Elec. Cont. Lice. No. Z - I z-z Exp.Date fo /. /91 OR State CCB Reg. No. 4Sz3 Exp.Date 3/20 06 4c. Temporary Services or Feeders COT Business Tax or Metro No.'y4l� _Exp.Dat= ' /13 Installation, alteration. or relocation 200 amps or less $50.00 .. 2 - Signature of Supr. Sec fit 2 .. / , -' y 201 amps to 400 amps $75.00 2 1 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No. 4 Exp.Date !D 5// see "b" above. Phone No. Z3 - 3 (.- 4d. Branch Circuits New, alteration or extension per panel 2b. For owner Installations: a) The fee for branch circuits with purchase of service or Print Owner's Name feeder fee. �� 1/ o Each branch circuit 4 55.00 ZOO 2 Address b) The foe for branch circuits City State Zip without purchase of Phone No. _ service or feeder tee. First branch circuit $35.00 2 The installation is being made on property I own which is not Each additional branch circuit $5.00 2 intended for sale, lease or rent. 4e. Miscellaneous (Service or feeder not included) Owner's Signature Each pump or irrigation circle $40.00 2 Each sign or outline lighting $40.00 2 3. Plan Review section (� if required):* Signal cIrcuit(s) or a limned energy 2 panel, alteration or extension Minor Labels (10) 5700.00 Please check appropriate item and enter fee in section 58. 4 or more residential units in one structure 4f. Each addltional Inspection over Service and feeder 225 amps or more the allowable In any of the above System over 800 volts nominal Per Inspection - $ Classified area or structure containing special occupancy Per hour as described in N.E.C. Chapter 5 In Plant * 5. 2 sets of p w ith app where any of the above apply. 5. Fees: 3 z o 02 Not required for temporary construction services. 5e. Enter total of above fees $ / o c� 5% Surcharge (.05 X total fees) $ / . • co NOTICE • Subtotal 5b. Enter 25% of fine 50 for -g- PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $ 3 o0 NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY Account # 3 3 3( . o0 TIME AFTER WORK IS COMMENCED. Total balance Due I STS ELC96.APP Rw 9l9C CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested Z/Vi AM PM BLD Location I C l0 ` 0 - 1 2, c Suite d MEC Contact Person iOne. . Ph Ug 3Cn31 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Kill—co-2 go 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 / f Drywall Nailing ' ` 1 LeAsp aL _ . lir LLi Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof A _Z 70 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 I Service Rough In UG /Slab Low Voltage • Fire Alarm S 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 for reinspection RE: [ ] Unable to inspect - no access ADA Otheoach /Sidewalk Date 0 / c �/ Inspector `� Ext Final PASS PART FAIL D NOT REMOVE this insp ction record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 rr -- 4 BUP Date Requested CO �4 � ` 61 AM PM BLD Location 1 CPC0 b ? 2.v>.' Suite &--in MEC Contact Person Ce> Ph 1 2532 PLM Contractor ._+ Ph SWR BUILDING ` : Owner ( C • ELC I - C l �� ( l� ! Retaining Wall ELF. I I (q- ooz8O Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab ty� /1 n jq I n `, �/ SIT Post & Beam Q ,ry=, Ext Sheath /Shear O IQ iW") l ( , 76;;-- Int Sheath /Shear /� Q� /nom ^� Framing &CC Z? - bo1 l f- Insulation Q n Drywall Nailing L G L f f - © Z� oi✓� cq 1 -01 ! A Firewall � Fire Sprinkler (iG�D e -s✓ Fire Alarm / / de / / Susp'd Ceiling . - ' . - - $ d/' . LCJLe u ari Roof Misc: sljiG�L/i - Final PASS PART FAIL PLUMBING V p '7 e p 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 (tLECT IC SeFV? 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 / Approach /Sidewalk Date 6 79 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 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 n Q BUP Date Requested 7- Y 3 - 1 I AM PM BLD Location 110(0 Suite 6 - 10 MEC Contact Person (Da ✓ Ph f ZS: PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Slab Crawl Drain Inspection Notes: cab( �oc.L SIT Post & Beam ISA •( Ext Sheath /Shear Int Sheath /Shear ELL + n 9 q- 1,,,.� — - r t Framing I ' ! Z (�(� _ t., / Q 2444? A/ O n p Insulation q G��: Drywall Nailing e 1cl I r002- , . -- �� - _ Firewall o �,�/� / Fire Sprinkler b - L— < / ! - TI `tea LEA .1& Fire Alarm 9 Q ' ON 1 � - - P D Susp'd Ceiling I w �7 1 / � Roof 11 6 / 6 /00/ ! m zS i t 0`. //1/066 - 0 (� 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 LLECTRICAO Service Rough In UG /Slab Low Voltage Fire larm 17LF1' 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 Date Inspector Ext Other - Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.