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Permit
- CITY OF T I G A R D ELECTRICAL PERMIT PERMIT #: ELC2000 -00340 41.04, DEVELOPMENT SERVICES DATE ISSUED: 06/18/2000 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S 110CD -00105 SITE ADDRESS: 15900 SW 116TH AVE SUBDIVISION: KING CITY NO. 2 ZONING: BLOCK: LOT : JURISDICTION: KIN Project Description: Install two (2) branch circuits. 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: 1 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: UNITED STATES NATIONAL BANK BROADWAY ELECTRIC - COCHRAN INC REAL ESTATE MGMT DIV -T3 626 SE MAIN PO BOX 8837 PORTLAND, OR 97214 PORTLAND, OR 97208 Phone: Phone: 234 -6564 Reg #: LIC 00072942 SUP 3148S ELE 37 -546C FEES Required Inspections Type By Date Amount Receipt Elect'l Service PRMT GEO 06/18/200C $42.85 KING CITY Elect'l Final 5PCT GEO 06/18/200C $3.43 KING CITY Total $46.28 ORIGINAL 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 rf 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 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 INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: C9 DATE: 6-1'0 LICENSE NO: -- 5/ e / s G 1 Call 639 -4175 by 7:00pm for an inspection the next business day JUN - 15 - 00 THU 11:11 AM City of King City FAX:503 639 3771 PAGE 2 CITY OF TIGARD Electrical errnit Application Plan Check # 13125 SW HALL BLVD. Rec'd By K TIGARD OR 97223 Date Rec'd ie.i c - X Phone (503) 639 -4171, x304 �C`►�`v� Date to DST ( � Date to P,E, `` c' - IS t Inspection (503) 639 -4175 TO Print of Type Permit # we CO �o -0b395 » i Fax (503) 598 -1960 ompiej r illegible will not be accepted Called -` 1. Job Address: CO 00114"' ,/.4 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name (or name of business) l t i--- Service included: Items Cost Sum I Address 5 S t ,.,,) LO I J 6 da. Residential - per unit City/State/Zip (J.0 C.. C') i2__ 1000 sq, ft. or less $ 117.75 4 Each additional 500 sq. ft. or portion thereof s 2625 1 Commercial ❑ Residential ❑ Limited Energy $ 60.00 Each Manufd Home or Modular • 2a. Contractor installation only: Dwelling Service or Feeder S 72,75 2 (Prior to permit issuance, applicants must provide contractor license 4b. Services or Feeders information for COT data b o ). Installation, alteration, or relocation Electrical Contractor b6 l ca fl t� �� r. C-- 200 amps or less $ 64.25 2 Address _ 56 ritA3 201 amps to 400 amps $ 85 -50 2 401 amps to 600 amps $ 128.50 2 City State 2- Zip -7-7., 1 601 amps to 1000 amps $ 192.50 2 Phone No. 234 --Co 5(o c f Over 1000 amps or volts $ 363.75 2 Job No. 1464;105 -- - 7 l0 - 7 Reconnect only $ 53,50 . 2 Elec. Cont. Lice. No. 3 -Sf xp.Date /of I JCS? 4c. Temporary Services or Feeders OR State CCB Reg. No. , '72- Exp.Date ` . . ) i 0 ) 0 I Installation, alteration, or relocation COT Business Tax or Metro No. Exp.Date 200 amps or less $ 53.50 2 201 amps to 400 amps $ 80.25 2 Signature of Supr. Elec'n ~ \--.-1- �`�(�) 401 amps to 600 amps $ 107.00 2 Over 600 amps to 1000 volts. see "b" above. License No. 3 ) 34_ S' Exp.Date l a o/ of 4d. Branch Circuits Phone No. New, alteration or 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 _i___ $ 37.50 3,..5 0 Each additional branch circuit � S 5.35 5, 35 The installation is being made on property I own which is not 4o. Miscellaneous intended for sale, lease or rent. (Service or feeder not included) Each pump or irrigation circle $ 42.75 Owners Signature Each sign or outline lighting $ 42,75 Signal circuit(s) or a limited energy panel, alteration or extension $ 60.00 3. Plan Review section (if required):* Minor Labels (10) $ 1117-130 Im.0 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. Ent r total of above fees $ 4 2. .25 I ' Submit 2 sets of plans with application where any of the above apply. � AA a surcharge (:9f1J( total fees) $ 3,4 'S Not required for temporary construction services. Subtotal 8 $ 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 # AT ANY TIME AFTER WORK IS COMMENCED. r'ola! balance Due $ 4(0.22 F \,lra \.P..�m l..l...• ,..4... CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hotly Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 9 - > > AM PM BLD Location /'fj 00 5 v 1/ to Suite MEC Contact Person Ph PLM Contractor £t ( .dwa- g' kt , Col ',,J 7 'y 7 Ph 5 t 7 3 SWR BUILDING Tenant/Owner ELC - -ci U 3 qo Retaining Wall ELR Footin Access: � G f 3 liS Foundation 4 b0 D _ � ., FPS Ftg Drain b / Cr rr►1 S 3! a , s 2r 6 Crawl Drain Inspection Notes: SGN Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Ze4-- 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 FAIL ELE TRICAL Rough In UG /Slab Low Voltage Fire Alarm in 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: [ ,L able to inspect - no access ADA Approach/Sidewalk Other p tl� Inspector D � 'U Ins _/L _ / Other Final PASS PART FAIL DO NO 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 r AM PM BLD Location /S G V JA, /// • � �s (1S no.4l Suite MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC i g UNd - 3 / 0 Retaining Wall ELR Footing Access: Foundation / FPS Ftg Drain (J f 3 ( / Z. `7 a C�6 )( Crawl Drain Inspection Notes: SGN Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler % Ci?1 ! t /, ill Fire Alarm , Susp'd Ceiling Roof Misc: . ,/ . ' AmmrAr 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 Fire Alarm °47W-&-- • SS PART L 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 einspection RE: ] Unable to inspect - no access ADA Approach /Sidewalk D In s ector 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 6 -,7_3 AM PM BLD Location 1 S 9 � /l& " - �t � Suite MEC oar c C) yi Contact Person Ph PLM Contractor -Q-,ti--' Ph 3 : 3/ SWR BUILDING Tenant/Owner // s ELC ODL) 00.3 yO Retaining Wall ELR Footing Aces Foundation G j 3 ‘.'247--e----) FPS Ftg Drain �j ! / Crawl Drain Inspection Notes: SGN Slab SIT ® zJ Post & Beam t t i C- .C� Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Fire wall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final ,ar' /P/ /(71 .- • 0 at L --e &,1J 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 Fire Alarm F' PART FAIL SE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd I Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ Unable to inspect - no access ADA Approach /Sidewalk D �� d� Inspector Other - Cr 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 (D /'fit' ©0 AM PM BLD Location 1 q co J . Suite MEC Contact Person Ph PLM Contractor 1.Gecii4(4.,c.A Ph SWR BUILDING Tenant/Owner vt 4447 4,i1e ELC 21 — DZ / Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: -7 Slab _ Cif( SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing 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 ECTRICA1 ) Serve e u UG /Slab Low Voltage Fire Alarm Final PASS PART SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Rei ection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin t- Fire Supply Line [ lease call for reinspection RE: E .. • - 003' U [ nable to inspect - no access ADA / ' / Approach /Sidewalk Date (L! 21 /ti.' Inspector Oth Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.