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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC1999 -00626 ^ .�1�;� DEVELOPMENT SE RVICES DATE ISSUED: 10/21/99 13125 SW Hall Blvd., Tigard, OR 97223 (503) D GIN A L PARCEL: 2S113AD -01900 SITE ADDRESS: 16640 SW 72ND AVE B -10 SUBDIVISION: ROSEWOOD ACRE TRACTS ZONING: I -L BLOCK: LOT : 009 JURISDICTION: TIG Proiect Description: Installation of 14 branch circuits. Job No. 36533S . 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: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 13 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amplvolt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: PACIFIC REALTY STONER ELECTRIC 15350 SW SEQUOIA PKWY 2701 SE 14TH SUITE 300 PORTLAND, OR 97202 TIGARD, OR 97223 Phone: Phone: 233 -3631 Reg #: LIC 00044823 SUP 4025S ELE 26 -122C FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT DEB 10/21/99 $107.05 99- 319248 Elect'I Final 5PCT DEB 10/21/99 $8.56 99- 319248 Total $115.61 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. 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 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 1- - rules or direct questions to OUNC at (503) 246 -1987. PERMITTEE'S SIGNATURE 7 k ISSU = 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: CONTRACTOR �(j NS�� INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: , \ OO _ lC_e-� DATE: • LICENSE NO: L% S Call 639 -4175 by 7:OOpm for an inspection the next business day CITY OF TIGARD RECEIVED Electrical Permit Application Plan c ck 13125 SW HALL BLVD. Recd • TIGARD OR 97223 OCT 2 01999 Date Recd /6 -- c9/-7 Date to P.E. ....____ Phone (503) 639 -4171, IMMUNITY DEVELOPMENT Date to DST --- Inspection (503) 639 -4175 Print of Type Permit# E e1459.QDt'O9c0 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 R business) PRaSiov /,J ieGo v a►.rr- Service included: Items Cost Sum Ni' Address !i! jgZ O .-Ii-4 72.4.t, 47 Ala 4a. Residential - per unit ',I 1000 sq. ft. or less $ 117.75 4 City /State /Zip ���,,4 , 91 2Z4 Each additional 500 sq. ft. or portion thereof $ 26.25 1 Commercial rs. Residential ❑ Limited Energy $ 60.00 Each Manned 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 information for COT data base). Installation, alteration, or relocation , Electrical Contractor Sia,uese ic_. 200 amps or less $ 64.25 2 Address a7o / �Or /• 112- 201 amps to 400 amps $ 85.50 2 /'81�`Tz 4 n D St ate e7e zip 9 72 . 401 amps to 600 amps $ 128.50 2 City P 601 amps to 1000 amps $ 192.50 2 Phone No. 6 3 -Z33 - v / Over 1000 amps or volts $ 363.75 2 Job No. -4 344533 s Reconnect only $ 53.50 2 Elec. Cont. Lice. No. 2(c -S Z-z '. Exp.Date /0' 1 r � P 4c. Temporary Services or Feeders OR State CCB Reg. No. 9z?, Exp.Date Installation, alteration, or relocation COT Business Tax or Metro No.az ,44Th Exp.Date 200 amps or less $ 53.50 2 201 amps to 400 amps $ 80.25 2 Signature of Supr. Elec'n 401 amps to 600 amps $ 107.00 2 Q Over 600 amps to 1000 volts, License No. 33 '/vS Exp.Date /o Aber/ see "b" above. Phone No. Sb3- 233 �G,3 New, , al Branch Circuits New, alterationor extension per panel a) The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owners Name Each branch circuit $ 5.35 2 Address b) The fee for branch circuits without purchase of service City State Zip or feeder fee. Phone No. First branch circuit / $ 37.50 -1 -7 srcps � Each additional branch circuit / 3 $ 5.35 , 9 , 55 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 circle $ 42.75 Owner's Signature Each sign or outline lighting $ 42.75 Signal circuit(s) or a limited energy if required):* panL alteration or extension $ 60.00 3. Plan Review section ( Minor Labels (10) $ 107.00 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 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: 5a. Enter total of above fees $ a 7,05" * Submit 2 sets of plans with application where any of the above apply. ay. Surcharge (.t> K total fees) $ • S Not required for temporary construction services. Subtotal $ / /'5' I 5b. Enter 25% of line 5a for NOTICE Plan Review if required (Sec. 3) $ -S- PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ / -IVY IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account # AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ f js'.L,/ is \dsts \forms \electric. doc CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 11/3 (7? AM PM BLD Location / (P (P ad - 2D Suite 6"lv MEC Contact Person 5 Ph 9-33 3(03 ( PLM Contractor n Ph SWR BUILDING Tenant/Owner PrecCs1,614, ELC 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 / �O 6 Insulation Drywall Nailing U m ^ Firewall ` CJ 5 14 /I P C Fire Sprinkler ` �- / C.? � Y .S �-t �' /� '�/ J 4 � Fire Alarm ! — Susp'd Ceiling Y q 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 ELECTRICAL \\< Service elat (4/16 9 n Low Voltage Fi rm PASS ART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before ne.- 'nspection. 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 2 Other Date ` ✓ 9 � Inspector L / �. i� _�. Ext 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 4644° (9 / c � AM PM BLD Location 1( 4 S UL 1 P - Suite MEC Contact Person St5l&-kl -e4\P( Ph c- 3 3- 3(4 PLM Contractor Ph SWR BUILDING Tenant/Owner P /Lte .S/ ONt - ...r/Vie—Cent v!✓t ELC tq q ?- O-040.01- 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 ,/ I Roof Misc: /14/d 2 b l A S Se hl b ` a r eA y Final / [ PASS PART FAIL 10/ [ �C � < --- 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 ELECTRICAL Se. u ' UG/Slab I UG /Slab Low Voltage Fir- _ .rm al PASS - ART 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: I ] Unable to inspect - no access ADA Approach /Sidewalk / Other Date /t --A (� -f f Inspector ∎ . /. ■ /i/4 / ♦ - t 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 2 � .2,2,/ / AM PM BLD Location /lo 64/0 -c.,. ) ,/ 2 ^� .41 /c . Suite MEC Contact Person -.Jr ,o I-k,'?A ! Ph 799 -Gk'S PLM Contractor 7 i p,2 /,-. - f Ph x 016' 03_ 3 SWR BUILDING Tenant/Owner ELC __ , .6 Retaining Wall ELR Footing ^ . . `. .. _ ,. Y a ' l ` z,�� T'�� ' -., ;,...-...,a,' ' Foundation ■ �_ ► .. , ;v. `�� ; r� ,_ .,ag.o ' \ FPS rz �± �;,�:/7 ,7 ' y< ! � ,Y x , ' ! }' : ' - Ftg Drain ;_ 1 w.t"r.1,0- 0: ) ..e � i'' _� N, :' vt „L:. / -':.r +:}':: Crawl Drain Inspection Notes: SGN Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation , � - Drywall Nailing :; f / e - n; ,�, ., -, ,r.; _ !/�, ed A. ,a �, L Firewall l � Fire Sprinkler / J1 -+,,. _ 7 \✓ Ro -tics t 7,r>,/� c7, - / Fire Alarm ■ S Susp'd Ceiling �(� 6.2c- c� y- (') �' / U✓ Roof Misc: ice. _/ J -, Final 3 3s - .s�/ 9 c 1/ 93 - ©T / PLUMBING P ASS PART FAIL Post & Beam Under Slab / P ,/ L z,,,:-...,.., Top Out y Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL / Post & Beam Rough In , Gas Line Smoke Dampers Final PASS PART FAIL CELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final C i i 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 ,2.2.. O/ Ins / Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.