Permit i
Alto CITY OF TIGARD PERMITI #ALELC99IO128
� � j �� ; DEVELOPMENT SERVICES DATE ISSUED: 03 /05/99
-4171
t_
PARCEL: 29113AD -01900
SITE ADDRESS...:1664O SW 72ND AVE #B -10
SUBDIVISION :ROSEWOOD ACRE TRACTS ZONING:I –L
BLOCK • LOT •009 JURISDICTION: TIG
Project De scription : Installation of 4 service /feeders and 48 branch
circuits.
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS • 0 0 – 200 amp • 0 PUMP /IRRIGATION • 0
EACH ADD'L 5O0SF...: 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 • 4 W /SERVICE OR FEEDER: 48 PER INSPECTION • 0
201 – 400 amp • 0 1st W/O 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 on 1 y • 0 SVC /FDR )- 225 AMPS..: CLASS AREA /SPEC OCC. :
Owner: FEES
PRECISION INTERCONNECT type amount by date recpt
16640 SW 72ND PRMT $ 480.00 GEO 03/05/99 99- 313467
TIGARD OR 97223 5PCT $ 24.00 GEO 03/05/99 99- 313467
Phone #:
Contract or:
STONER ELECTRIC $ 504.00 TOTAL
2701 SE 14TH •
REQUIRED INSPECTIONS
PORTLAND OR 97202 Ceiling Cover Elect'1 Service
Phone #: 233 -3631 Wall Cover Elect'1 Final
Reg #.. 000448
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 perait will expire if work is not started within 180
days of issuance, or if work is suspended for sore than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952- 001 -1987. You lay obtain a copy
of these rules or direct questions to MC by ca -'• )246 -1987. /
Permittee Signature: / ',' — Issued By: ,' . ._,•-_-
,triAli
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 : e 7._Jc DATE: 3— -
LICENSE NO: , ( /9 -S
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + ++ + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD Electrical Permit Application Plan Check #
13125 SW HALL BLVD. Recd By
TIGARD 97223 Date Recd
Date to P.E.
Phone (503) 639 -4171, x304 Date to DST
Print or Type
Inspection (503) 639 -4175 E Incomplete or illegible will not be accepted Permit # - 6/2
Fax (503) 684 -7297 Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Name (or name of business )- vrsroR.)4 !?o,//vecr Service included: Items Cost Sum
Address / 640 5 72i z, 4a. Residential - per unit
1000 sq. ft. or less $110.00 4
City /State /Zip / <G O-/e 97Z Each additional 500 sq. ft. or
Commercial a_ Residential ❑ Li portion thereof $25.00 1
Limited Energy $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
(Attach copy of all current licenses) 4b. Services or Feeders
Electrical Contractor ' -r4-- i c _, /N c- Installation, alteration, or relocation A 2 u
Addres 270( SE / 200 amps or less $60.00 2
201 amps to 400 amps $80.00 2
City zz�t e,c) State ,3 Zip 97202_ 401 amps to 600 amps $120.00 2
Phone No. 2.� � � 601 amps to 1000 amps $180.00 2
Job No. .4-E:37gE3,s Over 1000 amps or volts $340.00 2
Elec. Cont. Lice. No. -(o / z- Exp.Date /o /% Reconnect only $50.00 2
OR State CCB Reg. No. A fIf'z Exp.Date3 /u 4c. Temporary Services or Feeders
COT Business Tax or Metro No. Exp.Date Installation, alteration, or relocation
�' 200 amps or less $50.00 2
Signature of Supr. Elec'n �'r� 401 amps to 600 amps $ 2
Over 600 amps to 1000 volts,
License No.. 4 -7L S Exp.Date /�'/o0 see "b" above.
Phone No. 2--- �4--. - /
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. 4. $5.00 2-4° 2
Address Each branch circuit
b) The fee for branch circuits
City State Zip without purchase of
Phone No. service or feeder fee.
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 limited energy
panel, alteration or extension $40.00 2
Minor Labels (10) $100.00
Please check appropriate item and enter fee in section 5B.
4 or more residential units in one structure 4f. Each additional inspection over
Service and feeder 225 amps or more the allowable in any of the above
System over 600 volts nominal Per inspection $35.00
Classified area or structure containing special occupancy Per hour $55.00
as described in N.E.C. Chapter 5 In Plant $55.00
* Submit 2 sets of plans with application where any of the above apply. 5. Fees: 4 o
Not required for temporary construction services. 5a. Enter total of above fees $
5% Surcharge (.05 X total fees) $ Z �' v
NOTICE Subtotal $ S6 4. cc:"
5b. Enter 25% of line 5a for -&-
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $ 50 q, E p
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Trust Account # $ 5' oo
Total balance Due
I:\DSTS \ELC96.APP Rev 9/96
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested ? - q 9 AM PM BLD
Location 1 (j(ol -j0 7 2. n - Suite f /O MEC
Contact Person �= i,. Ph 261'7, PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: /7 ,,
Slab C
Post & Beam SIT
Ext Sheath/Shear
Int Sheath/Shear ELL l c-'
q Z -�� )2 o -- � d C
Framing �t i !I /2.444 /✓ D Insulation > ^-Z _ Ce-,. lt,) 1
Drywall Nailing eLC - I [ 1 W - / 9 44, �( Ce ! s y Co LJC&
Fire Sprinkler T 1 A14 6 ° 6 - D
Fire Alarm Susp'd Ceiling LL P1 "" 03l 0 " P I AJI -° Roof alp q l - I Z? [ i //✓A'G & ^Q
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
LECT
Service
Rough In
UG /Slab
Low Voltage
Fire Varm
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
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk
Other Dat Inspector Ex
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
g BUP
Date Requested "I AM PM BUD
Location 1 (2LOvc b 2 ) Suite n MEC
Contact Person Ph 3S1 '2,533 PLM
Contractor Ph SWR
BUILDING Owner pir c • 0P . ELC lq ciJ
4 1 °C 2;r
Retaining Wall ELt OUZO
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: � '! ,�,/ ` SGT
Slab � p4c_
(J/ SIT
Post & Beam
Ext Sheath/Shear
i c8 '� / '76-•- Shea
Fr minggth/Shear q COOL CT? Framin
Insulation
Drywall Nailing L 0/41 1 7- o & /r &egg -OO12,g
Firewall
Fire Sprinkler ,6 _ - 6 a-s ✓
Fire Alarm _
Susp'd Ceiling .���'`'� Q u.0
Roof '
Final
PASS PART FAIL
PLUMBING )00,al 1 7 4 ea 7 7
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:LEC IC
Siiice
Rough In
UG/Slab
Low Voltage
Fire Alarm
PART FAIL
BackfilUGrading
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
Other Approach/Sidewalk Date G� 7" 99 Inspector (� %�:cc�� —� Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.