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Permit CITY OF T ELECTRICAL PERMIT PERMIT #: ELC98 -0622 :W i,i\ DEVELOPMENT SERVICES DATE ISSUED: 11/'19/98 I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 PARCEL: 2S1O1BD -00105 SITE ADDRESS...:128O5 SW 77TH PL SUBDIVISION....: ZONING:I -L BLOCK....... LOT JURISDICTION: TIG Pro.j ect Description : New electrical - -- RESIDENTIAL UNIT - - -- ----TEMP SRVC/FEEDERS--- MISCELLANEOUS 1000 SF OR LESS....: 0 0 - 200 amp - 0 PUMP /IRRIGATION : 0 EACH ADD' L 5OIZISF...: 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......: 2 W /SERVICE OR FEEDER: 26 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 only • 0 SVC /FDR >= 225 AMPS..: CLASS AREA /SPEC OCC. : Owner: FEES - - -- PACIFIC UTILITY type amount by date recpt 12805 SW 77TH PL PRMT $ 250.00 B 10/13/98 98- 309954 TIGARD OR 97223 SPCT $ 12.50 B 10/13/98 98- 309954 Phone #: Contractor: CAPITOL ELECTRIC CO INC $ 262.50 TOTAL 12810 NE AIRPORT WAY UNIT 1 REQUIRED INSPECTIONS PORTLAND OR 97230 Ceiling Cover Elect'l Service Phone #: 255 -9488 Wall Cover Elect'l Final Reg #..: 048748 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 of these rules or direct questions to OUNC by calling (503)246 -1987. Permittee Signature: ..Z6.9"/L- Issued By 4 - OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. ! OWNER'S SIGNATURE: N/f DATE: -. CONTRACTOR INSTALLATION ON Y -- SIGNATURE OF SUPR. ELEC'N: /9 -6 '9r70 DATE: LICENSE NO +++++++++++++++++++++++++++++++++++++++++++++•++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ CITY OF TIGARD Plan Check # 13125-.W HALL BLVD. ELECTRICAL PERMIT APPLICATION Recd By °N TI OR 97223 DateRec'd 101 - 1 6 Phone (503) 639 -4171, X304 Date to P.E. Inspection (503) 639 -4175 Date to DST /y rr,, /�}7 Fax (503) 684 -7297 PRINT OR TYPE Permit # `1 - �t1�''�/v INCOMPLETE OR ILLEGIBLE WILL NOT BE ACCEPTED Called Am-,( - H net If 4 tg/`P 1. Job Address: 4. COMPLETE FEE SCHEDULE BELOW: Name of Development Number of Inspection per permit allowed Service Included: Items Cost Sum Name (or name of business) PACIFIC UTILITY 4a. Residential - per unit 1000 sq. ft, or less $110.00 $0.00 4 Address 12805 SW 77TH AVE. Each Additional 500 sq. ft. - - " --- or portion thefeof- $25.00 $0.00 1 City /State /Zip TIGARD, OR. 97223 Limited Energy $25.00 $0.00 CommercialX Residential Each Manufd Home or Modular Dwelling Service or Feeder $68.00 $0.00 2 2a. Contractor installation only: (Attach copy of all current licenses) 4b. Service or Feeders Electrical Contractor CAPITOL ELECTRIC CO., INC. Installation, alterations or relocation ddress 12810 NE AIRPORT WAY 200 amps or less 2 $60.00 $120.00 2 City PORTLAND State OR Zip97230 -1029 201 amps to 400 amps $80.00 $0.00 2 Phone No. (503) 255 -9488 401 amps to 600 amps $120.00 $0.00 2 Job No. 98 -693 601 amps to 1000 amps $180.00 $0.00 2 Elec. Contr. Lic. No. 26 -496C Exp. Date 10 -1- 9r/ -✓ Over 1000 amps or volts $340.00 $0.00 2 OR State CCB Reg. No. 48748 Exp. Date 8 -22 -99 ✓ Reconnect only $50.00 $0.00 2 COT Business Tax or Metro No. 00004542 Exp. Date 10-1-98 - / 4c. Temporary Services or Feeders Signature of Supr. Elec'n Installations, alterations or relocation 200 amps or less $50.00 $0.00 2 License No. 2865 S Exp. Date 10/1/01 - 201 amps to 400 amps $75.00 $0.00 2 Phone No. (503) 255 -9488 401 amps to 600 amps $100.00 $0.00 2 Over 600 amps to 1000 volts see "b" above. 2b. For owner installations: 4d. Branch Circuits Print Owner's Name New, alteration or extension per panel ddress a) The fee for branch circuits with City State Zip purchase of service or feeder fee Phone No. Each branch circuit 26 $5.00 $130.00 2 b) The fee for branch circuits without he installation is being made on property I own which is not purchase of service or feeder fee. intended for sale, lease or rent. First branch circuit $35.00 $0.00 2 Each add'nl branch circuit $5.00 $0.00 2 Owner's Signature 4e. Miscellaneous (Service or Feeder Not Included) Each pump or irrigation circle $40.00 $0.00 2 3. Plan Review section (if required): * Each sign or outline lighting $40.00 $0.00 2 Signal circuit(s) or a limited energy Please check appropriate item and enter fee in section 5B. panel, alteration or extension $40.00 $0.00 2 4 or more residential units in one structure Minor Labels (10) $100.00 $0.00 Service & feeder 225 amps or more -- System over 600 volts nominal -- - - Af; -Each additional inspection over - Classified area or structure containing special the allowable in any of the above occupancy as described in N.E.C. Chapter 5. Per inspection $35.00 $0.00 Per hour $55.00 $0.00 * Submit 2 sets of plans with application where any of the above apply. In Plant $55.00 $0.00 Not required for temporary construction services. 5. Fees: PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS 5a. Enter total of above fees $ $250.00 NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK 5% Surcharge (.05 X total fees) $ $12.50 IS SUSPENDED OR ABONDONED FOR A PERIOD OF 180 DAYS AT ANY Subtotal $ $262.50 TIME AFTER WORK IS COMMENCED. 5b. Enter 25% of line 5a. for Plan Review if required (Sec. 3) $ Subtotal $ $262.50 Trust Account # • CITY OF TIGARD BUILDING INSPECTION DIVISION L` ,�? j 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MS �`'�� L1� 14 Y / Date , Requested�� lQ i5_V AM PM BLD Location ` Cd 5 . - 1 7 - (1 �� Suite MEC Contact Person Ph PLM Contractor Ph z-55 - g4ge SWR BUILDING . Tenant/Owner TAC4r t(✓ W} C I --0 d Retaining Wall ELR Footing Access: Foundation lI l,( l eA2 ( FPS Ftg Drain fJ SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing e I� -C, Firewall 47 7 Fire Sprinkler lz_y2.. c .' - ti.ft Fire Alarm Sus p'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 ELECTRICAL Service Rou h In /Slab Low oltage Fire Alarm Final 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 Date �D ` "� �P 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 q BUP A • Date Requested ' / l - 4 - / 9 , / AM PM BLD Location /ZRi)5 ��(st1 7 77' 1 igE Suite MEC • Contact Person Ph PLM 1_ A a Contractor 2 ( G Ph 255 94-?g SWR I�,�11, BUILDING Tenant/Owner PA- / c/ c_ ti/ 1 4 Retaining Wall ELR Footing Access / Foundation ��� o'L �� (;.rl.�./ IN ��Ai�11v / //� / PPS Ftg Drain SGN Crawl Drain Inspe Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof / V C sG - 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 SASS —PAR FAIL L J ECTRICAL 7 — Service Rough In (QG /SIab1 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 / G Approach /Sidewalk Date / v ? — ` 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 /6(!/� , /� l - BUP Date Requested �, - 90 o A PM BLD Location _; 64d 77 l / -,3'" Suite MEC Contact Person Q &66.14 iP ' Ph PLM Contractor /« _ _ Ph �� SWR • J / PA I Fi C - L t.T7 L-I ' C � — (. >�l� BUILDING � � Tenant/Owner Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab M /441r 7 if pr✓n/1 � SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing - ..d — , .I_ `L� ✓� � Firewall Fire Sprinkler .,dG� /Le •�e �-f-o t Q iLs 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 I<RECTRICAL Service gh In UG/ lab Low Voltage Fire Alarm Final 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 Date 1 //Z-/P,/ 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 • BUP //4 P,,.3/ Date Requested /fit /%'I AM PM BLD Location lc.I6 $ / A ( ) - 77 -i fI Suite MEC Contact Person Ph PLM Contractor � 1�G Ph �,�5 ���� SWR BUILDING Tenant/Owner k 0 T t ( r fi/ ELC Retaining Wall / ELR Footing Access: Foundation / FPS Ftg Drain / � C - f4 g SGN Crawl Drain Inspection Notes: Slab ,2 - -f- -2&' -te-- SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Drywall Nailing on 9� Drywal (�(,J 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 C_ ART FAIL ELECTRICA> Ser v' ou ajGZ UG7Slab Low Voltage Fire Alarm Fin AS} 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 Approach /Sidewalk Other Date / - . 1 - 9 Ins 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 �3 AM PM BLD r Location / . ; ° ! tat � ` Suite . MEC Contact Person Ph PLM c Contractor CQ�t..���c. Q Ph ?-5 3 � /( SWR BUILDING Tenant/Owner ELC cif .e6 v? 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 -- Roof ) ;: 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 ART—, FAIL C CTRICAL ice Rough In UG /Slab Low Voltage F' rm AS 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 Approach /Sidewalk Date ,, ,1 9 Inspector ���i(���� s- Ext Other ' Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.