Permit CITY O F TIGARD
ELECTRICAL PERMIT
PERMIT #: ELC2000 -00197
( D EVELOPMENT SERVICES D ATE ISSUED: 4/25/00
-- — 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171 PARCEL: 2S111AA -07300
SITE ADDRESS: 14399 SW 88TH AVE
SUBDIVISION: GREENSWARD PARK NO. 2 ZONING: R -4.5
BLOCK: LOT : 059 JURISDICTION: TIG
Project Description: Installation of one branch circuit for a/c unit.
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: 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:
FINKLEA, BENJAMIN F + ERIN M GRF ELECTRIC
14399 SW 88TH AVE 15460 SE PARADISE LN
TIGARD, OR 97224 MULINO, OR 97042
Phone: Phone: 503 - 829 -4146 p R G I R A
Reg #: LIC 76751
SUP 1655S
ELE 3 -484C
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT DEB 4/25/00 $37.50 1669 Elect) Final
5PCT DEB 4/25/00 $3.00 1669
Total $40.50
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 these rules or direct questions to OUNC at (503)
246 -1987.
PERMITTEE'S SIGNATURE / "+' ISSUED B • li
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: ✓ - ILL -4Q . DATE:
LICENSE NO: 1 6 SS S
Call 639 -4175 by 7:00pm for an inspection the next business day
06/18/1995 07:08 5038295747 GRF ELECTRIC PAGE 01
CiZ'Y OF TIGARD
13125 SW HALL BLVD. ricat Permit A ppOtOtion Plan C ck t
TIGARD OR 97223 ,60/40 6:15* Date ,e
Phone (503) 639-4171, x } 04 L. -L � �: pQ� Date to P E.
Inspection ) 3 598-1 ) 639 175 Print of Type 6'e 0 �� � Pew it tu' . �
mplete or Illegible will notlStaccept � Called �p 7
1. Job Address: 4. Complete Fee Schedule Below:
Marne Of Development Number of inspections per permk allowed
me (or name of business) yl „ Fi i-1 itIe q Service Included: Items Cost Sum l ,
Address b+34.1 c (.4., trr All< . aa. Residential - per unit •
City/State/Zip T i f 4 "r4-- "7'7 z Z L- 1000 •p, It or lees S 117.75 a
,J Each additional 500 eta , ft. or ----
p Commercial ❑ Residential EP-- Elm Energy � i 28.25 �_
j 50.00
� �t' Each Manurd Home or Modular
2a. Contractor /n.St at on e 1 ly Dwelling Service or Feeder f 72.75
(Prior to permit its s nl tr
. applicants mutt provide contractor license 40. Serrkss or Feeders 2
J for COT data have). Installation, alteration, or relocation
i Contractor eC 200 amps or less S 64.25
Address I Sip - 2
r �it Y Q � i CP Ln ,. 20 1 amps l0 400 amps $ 85.50 2
City ,114, I i t „ + .l Stat9� Z.ip , . 9 r70 401 amps to 900 amps � $ 129.50 2
801 amps Phone No. 5'2-9 -*/ * o FA % k24 - �? Ove 1000tamp amps $ t
2
Job No. S 363.75 2
Reconnect only f 53.50 2
Elec. Cont. Lice. No. - 4- R Li C. Exp. Date /o c . 4c. Tam
OR State CCB Reg. No. gyp, Date q � Temporary Services , o r or Feeders
� 1 InataNaUon, enereuonor elopsllon
COT Business Tax or Metro No. 3 7 Z Exp.Date R f co 200 amps or bas 201 2
201 amps to 400 amps S 80.25 2
Signature of Supr. Elec'n� L�_ Icir‘,.,.. 401 amps to two amps $ 53,50
S 107.00 2
Over 800 amps to 1000 volts,
Ucenae No. I L 5 Exp. Date I () see "b" above.
Phone No. , g2A '41 Y-10 44. Brandt Circuits
New, after5tlon or extension per panel
a) The fee for branch circuits
2b. For owner installations: purchase of ssrvlc* or
leer►r we.
Print Owner's Name Each brand) circuit $ 5.35 2
Address b) The fee for branch circuits
City State Zj without purchase of service
G or he4ar fee.
Phone No. First branch circuit j S 37.50 3 7
Each additional branch circuit $ 5.35
The Installation is being made on property I own which is not 4e. MIscsuar»ous
intended for sale, lease or rent. (Service or feeder not included)
Each pump or Imgallon circle $ 42.75
Owner's Signature Each sign or outline lighting $ 42,75
Signal circuit(s) or a limited energy
3. Plan Review section (if required):* panel, alteration or extension $ 60,00
Minor Labels (10) 5 107.00
Please check appropriate item and enter fee In section 68. 41. Each additions Inspection over
4 or more residential seta in one structure
the allowable In arty of the above
Service and feeder 226 amps or more Per Inspection S 50.00
System over 600 volts nominal Per hour S 50.00
In Plant $ 58.00
Classified area or structure containing special occupancy as
deserted in N.E C. Chapter 5 5. Fees: 9)
Ile. Enter total of above fees $ 3 - 1,
• Submit 2 sorts of plane with application where any of the above apply, 5% Surcharge (.05 X total fees) S _� j
Mot required for temporary construction services. Subtotal S
NOTICE Plan Enter 25% of line 5a for
Plan Review If cowered (Sec. 3) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Sul s
IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR /6/ 5// 2
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS Trust Account rte ` T �J
AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ / 0 I C
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CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 - Hour Inspection Line: 639 -4175 Business Line: 639 -4171
Qyo /=(-)e) BUP
Date Requested Zia) AM PM BLD
Location (v1 �'I n b " ' Suite MEC Z/ 'CO ( L ip
Contact Person UV - FI rJ1---c Ph 2 PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC Ze00 -00197
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab i,r� SIT
Post & Beam 4-74&6- �:�" -l= ' . rn — Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall .-
Fire Sprinkler E C Z .'o Az
�)
Fire Alarm
Susp'd Ceiling U/l,, lt
Roof � (97
Misc:
Final
PASS PART FAIL
PLUMBING T //VA-
Post & Beam
Under Slab
Top Out
Water Service Sanitary Seewer 441P
Rain Drains
Final
PASS PART FAIL
ECHAN
Post & Beam
Rough In
Gas Line
Smoke Dampers
PART FAIL
TRICAL)
Rough In
UG /Slab
Low Voltage
Fi Alarm
la
PART FAIL
E
Backfill /Grading
Sanitary Sewer
Storm Drain [ j 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 8 �� mkt
Other Date 5 - '`f) Inspector
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.