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Permit CITY TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES O R I G I N �,1 ISSUED: 7/7/00 T 000 -00382 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S 102CC -02600 SITE ADDRESS: 13885 SW 102ND AVE SUBDIVISION: FRELEON HEIGHTS NO.2 ZONING: R -3.5 BLOCK: LOT : 012 JURISDICTION: TIG Proiect Description: Installation of branch circuit. 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: VEAHMAN, ROBERT A + MARTA C THE ELECTRIC COMPANY LLC 13885 SW 102ND AVE PO BOX 230256 TIGARD, OR 97223 TIGARD, OR 97281 Phone: Phone: 274 -6967 Reg #: LIC 121447 ELE 34 -518C SUP 3391S FEES Required Inspections Type By Date Amount Receipt Elect Final PRMT BLD 7/7/00 $37.50 0003560 5PCT BLD 7/7/00 $3.00 0003560 Total $40.50 This Permit is issued subject to the regulations contained in the Tigard Munidpal Code, State of OR. Spedalty 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 %Itdw rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 thr• s h s g52- 008f Y. ay obtain copies of these rules ordirect questions to OUNC at (503) 246 -1987. PERMITTEE'S SIGN • RE ISSUED BY: /� O NER INSTALLATION ONLY The installation is being ma• - • - . • •erty I own ich is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 639 -4175 by 7 :00pm for an inspection the next business day CITY OF TIGARD y :_ 5- cc, Plan Check # 13125 SW HALL BLVD. Electrical Permit Application Rec'd By .a i TIGARD OR 97223 - • • Date Recd 7'7/0 Date to P.E. -- Phone (503) 639 -4171, x304 1 Date to DST Inspection (503) 639 -4175 Print of Type Permit # trLc afr v -DD 33&oZ. 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 business) R6'6627 E! �f9 9 ye19 /yfrN Service included: Items Cost Sum Address !'3 $g. I --Li- 02' A kre J 4a. Residential - per unit City /State /Zip G/'0 eI qzzz- `1 1000 sq. ft. or less $ 117.75 4 c Each additional 500 sq. ft. or portion thereof $ 26.75 1 Commercial ❑ ResidentiallYi Limited Energy $ 60.00 Each Manufd 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 It Electrical k 1. / M A r N 200 amps or less $ 64.25 2 Address 1'. co ' v 1. D>c 1 070 201 amps to 400 amps $ 85.50 2 , �/ 401 amps to 600 amps $ 128.50 2 City LAet) State __ � Zip % 601 amps to 1000 amps $ 192.50 2 Phone Nt j771 2'79- e S'i Over 1000 amps or volts $ 363.75 2 Job N Reconnect only $ 53.50 2 Elec. Cont. Lice. No. ,19-./7.4Z Exp.DatO eg 4c. Temporary Services or Feeders OR State CCB Reg. No. /2 /.4/7 Exp.Date f/ /Installation, alteration, or relocation COT Business Tax or Metro No p. ate 200 amps or less $ 53.50 2 201 amps to 400 amps $ 80.25 2 • 401 amps to 600 $ 100.00 2 Signature of Supr. Elec'n Over 6 600 amps to 1000 volts, / see "b" above. • License No. • Exp.Date r/ 4d. Branch Circuits Phone No. • billy New, alteration or extension per panel a) The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's Name Each branch circuit $ 5.35 2 Address b) The fee for branch circuits without purchase of service City State Zip or feeder fee. r� Phone No. First branch circuit r $ 37.50 J /• Each additional branch circuit $ 5.35 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 3. Plan Review section (if required):* panel, alteration or extension $ 60.00 Minor Labels bels (10) $ 100.00 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 Per inspection $ 50.00 Service and feeder 225 amps or more 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: s (� 5a. Enter total of above fees $ 3 7. * Submit 2 sets of plans with application where any of the above apply. 8% Surcharge (.08 X total fees) $ ' Not required for temporary construction services. Subtotal $ 5b. Enter 25% of line 5a for NOTICE Plan Review if required (Sec. 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account # L, A _ca AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ / - is \dsts \forms \e lectric.doc CITY OF TIGARD BUILDING INSPECTION DIVISION ' 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 q �' MST ` BUP .441 A. t° $',V1 9• D ate Requested ��4 AM PM BLD Location 1 J 2 S , /D Suite MEC Contact Person ■t Ph AI?' !?S.N PLM Contractor Ph SWR BUILDING Tenant/OwnerJ — Retaining Wall ELR Footing Acces Foundation "(91 FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab � �� Aseis5ED Lia60-5 SIT Post & Beam Ext Sheath /Shear 1f• ! / IV C A/Cej 1/4 Int Sheath /Shear Framing �JJIE -1JT5 � 1J1£5 7 // A , K 1 e TTCJ 1� Insulation Drywall Nailing -� 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 PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage F - • larm 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 r inspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date l Z/ f rl ) Inspector Ext Final PASS- PART FAIL 0 NOT REMOVE this inspection record from the job site. CITY OFTIGARD 24 -Hour • 2 BUILDING' Inspection Line: (503) 639 -4175 INSPECTION DIVISION • Business Line: (503) 639 -4171 MST BUP Received Date Requested / o — a- AM PM , BUP Location / 38'8'S /O„Tnd Ave. Suite 3 — D 0599 Contact Person ecit .)0"red Ph ( ) 24:3 — S 4 PLM Contractor Ph ( ) SWR G BUILDING Tenant/Owner 2 J — 0 0 3 a 2 Footing Foundation ELC Ftg Drain Access: ✓W _ � ELC Crawl Drain ` ^ �" , Slab Inspection Notes: / /` SIT Post & Beam r l e.A Ch—a /An � e Ext Shear hea h /Sh k/; v � Ill 44 1* S' Co 4 S M2 q fh SZ-k- Ext Sheath/Shear eve S Int Sheath/Shear Cr4 Framing - ' ' ' — CP _ s� C Insulation Drywall Nailing �� Firewall l.� "(/ f7\) c) Fire Sprinkler Fire Alarm S t As T t .1 -1,-- Susp'd Ceiling Roof Other: 1 l�Ll /�✓U7 <7 S) 4.7 Sl 75 Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final FAIL HANICA Post & Beam Rout Smoke Dampers ma AS PART FAIL ..ELECTRICAL Service Rough -In UG/Slab Low Voltage Fire Alarm Final ❑ Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL SITE Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA Approach/Sidewalk Date J/9 Z ?mod 3 Inspector Ext Other: Final DO NOT REMOVE this Inspection record from the Job site. PASS PART FAIL