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Permit CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98 -0716 13125 SW Hall BIvd ., Tigard, OR97223(503)639 -4171 DATE IsSUED: 12/07/98 PARCEL: 26113AD -01900 SITE ADDRESS...:16640 SW 72ND AVE #B -10 SUBDIVISION :ROSEWOOD ACRE TRACTS ZONING:I —L BLOCK - LOT -009 JURISDICTION: TIG Project Description: Add seven (7) branch circuits. - -- 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 ° 0 W /SERVICE OR FEEDER: 0 PER INSPECTION ° 0 201 — 400 amp • 0 1st W/0 SRVC OR FDR.: 1 PER HOUR - 0 401 — 600 amp - 0 EA ADD'L BRNCH CIRC: 6 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 PACTRUST type amount by date recpt 15350 SW SEQUOIA PKWY PRMT $ 65.00 GEO 12/07/98 98- 311322 STE 300 5PCT $ 3.25 GEO 12/07/98 98- 311322 T I GARD OR 97224 Phone #: Contractor: STONER ELECTRIC $ 68.25 TOTAL 2701 SE 14TH REQUIRED INSPECTIONS PORTLAND OR 97202 Elect Service Phone #: 233 -3631 Elect'l 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 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 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 may obtain a copy :e::s oueions tUNC calling 21987. ttee Signature: Issued By: Gf r4�-- 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 : d DATE: /2 v LICENSE NO 3 9R‘ -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. Rec'd By TIGARD OR 97223 Date Recd Date to P.E. Phone (503) 639 -4171, x304 Date to DST Inspection (503) 639 -4175 Print or Type Permit # EGC 9'6 -6 7 /( Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development , - Sr,Urzi? Number of Inspections per permit allowed Name (or name of business) FiZecr, Sf IF-f - r e_pme-/ Service included: Items Cost Sum Address 1 16::. 46 5 W 72 x' . 4a. Residential - per unit City/State/Zip ' T , AK ~ ' , ©1Z 97 4- Each additional it or less $110.00 4 ty p Each additional 500 sq. ft. or Commercial El Residential ❑ 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 I alteration, or relocation Electrical Contractor ST>rt�lF� •�Z7IC_, C 200 amps or less $60.00 2 - Address 270 / 5 / 413-- 201 amps to 400 amps $80.00 2 City i A .0 State z Zip 9 2- 401 amps to 600 amps $120.00 2 Phone No. (S4:13) Z 3.3 X36 1 601 amps to 1000 amps $180.00 2 Job No. 34 457 s / Over 1000 amps or volts $340.00 2 Elec. Cont. Lice. No. 2fo - /zz - Exp.Date /O /i /9 Reconnect only $so.00 2 OR State CCB Reg. No. 4413 Exp.Date 3 /Zo 00 4c. Temporary Services or Feeders COT Business Tax or Metro No. D4ao Nth Exp.Date to i/99 Installation, alteration, or relocation 200 amps or less $50.00 2 Signature of Supr. Elec'n m ..4 401 amps to 600 amps $ 00 2 1/ Over 600 amps to 1000 volts, License No. 3'496 S Exp.Date / / °/ ik see "b" above. Phone No. a3.3-...36,5 1 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. Address Each branch circuit $5.00 2 b) The fee for branch circuits City State Zip without purchase of Phone No. service or feeder fee. co First branch circuit 1 $35.00 .35° 2 The installation is being made on property I own which is not Each additional branch circuit G, $5.00 30 ° 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,S° Not required for temporary construction services. 5a. Enter total of above fees $ 5% Surcharge (.05 X total fees) $ 3- 2...5" NOTICE Subtotal $ 4' 8. Z 5b. Enter 25% of line 5a for / PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $ z 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 # $ 68, Z.5 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 7 ° ) AM PM BLD Location 1 o (OLIO "7 nC Suite FY o MEC Contact Person &4/1 , �1 . Ph '? Si �Z S,a PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: n/ Slab �s -1,4 f ✓f0,- SIT Post & Beam Ext Sheath/Shear Int Sheath /Shear E�C i 9 ;�I }2g 0 J �` _ Framing � M / !1 !LM 4/0 * d� Insulation C� 1 . I / Drywall Nailing � -� -- ! C 1 �, r 1 / �� � "� Firewall e-L ,/� Fire Sprinkler �-� 1 r �, �� ��6+�.�� �� Fire Alarm Susp'd Ceiling 6-4...c, '' � � S � 1 6'�i C/ ) M Roof isc: ] I D`_ �/✓fi<G� ^Q ``-"Q�' 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 cgLECTR1i ! Service Rough In UG /Slab Low Voltage Fire alarm (Tina?) 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 [ 1 Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date . Inspector Ext Other p 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 _ AM PM BLD Location 1 1P (D� b ) 2 11 " "- Suite MEC Contact Person (90.L j- Ph I - 2,533 PLM Contractor n Ph SWR BUILDING '.'Owner to-eA . EL 19 °��� q Retaining Wall EL(� IC/ 4/4/-6'.32, ! qq— o"zO Footing Foundation Access: FPS Ftg Drain Crawl Drain Inspection Notes: �, q � ` ,�, / ' SGT Slab cot (�/ SIT Post & Beam Ext Sheath /Shear 6LL CD * C:0 - j f '76.-4- Framing Sheath/Shear q� OOC (5-7 Framin - - Insulation Drywall Nailing 6 (- - ()fir / Z? c.✓/y & Cg g 'oo, n Firewall , � Fire Sprinkler � Ly246 64/ Fire Alarm _ Susp'd Ceiling .� g t &/LQ Roof Misc: ; iG�2 ii 4„.4 f Final PASS PART FAIL PLUMBING >DC-W ' Ce, 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 PA PART FAIL (ELECT IC Rough In UG /Slab Low Voltage Fire Alarm AEI" PART FAIL BackfillGrading 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 !� � C, ! Ext Other Date - y Ins pector Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.