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Permit CITY OF T1GARD ELECTRICAL PERMIT %0 j ��i \ DEVE SERVICES DATE ISSUED: 4 : E C9 8 -0 1 2 48 PARCEL: 2S114D0 -00101 SITE ADDRESS ° °° :17005 SW 92ND AVE • SUBDIVISION °COOK PARK ZONING :R -4 °5 BLOCK..........: LOT JURISDICTION: TIG Project Description: Add two (2) branch circuits. West side of SW 92nd @ , enterance of Cook Park. - -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS 1000 SF OR LESS ° 0 0 — 200 ampe' °. ° ° ° °: 0 PUMP /IRRIGAT.ION ° 0 EACH ADD' L 500SF° ° ° : 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 - - -- --- CIRCUITS -- -ADD'L INSPECTIONS-- - 0 — 200 amp ° 0 W /SERVICE OR FEEDER: 0 PER INSPECTION.....: 0 201 — 400 amp......: 0 1st W/O SRVC OR FDR °: 1 PER HOUR ° 0 401 — 600 amp ° 0 EA ADD'L BRNCH CIRC; 1 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 0CC °: Owner: FEES CITY OF TIGARD type amount by date recpt 13125 SW HALL BLVD PRMT $ 40.00 GEO 12/11/98 98- 311461 TIGARD OR 97223 SPCT $ 2.00 GEO 12/11/98 98- 311461 Phone #: Contractor: OREGON ELECTRIC CONST /GROUP $ 42.00 TOTAL 1010 SE 11TH AVE REQUIRED INSPECTIONS 4 PORTLAND OR 97214 Elect'1 Service Phone #: 234 -9900 Elect'l Final Reg # ° °: 203 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 -001 -0010 through OAR 952 -' -1987. You may obtain a copy of'these rules or direct questions to OUNC by calling 503)246 - 1987. / / dr I f Permittee 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: J - DATE: /a 7 • LICENSE NO: 9-9 '/' -S — ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639- 4175 7 :00 p °m° for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Community Development ELECTRICAL PERMIT APPLICATION A IA 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # , �� Permit # ,ryc-e g" -O 7R9 .� �l Phone (503) 639 -4171 Date Issued _ z FAX (503) 684 -7297 CITY OF TIGARD TDD No. (503) 684 -2772 Issued by Inspection (503) 639 -4175 1. Job Address: JOB N O . 76651 4. Complete Fee Schedule Below: 1 9©D, --- 9uJ qa' Name of Development Unified Sewerage Number of Inspections per permit allowed - Address west side of SW 92nd ave. (a Pntr. Service included: Items Cost(ea) Sum City /State/Zip see attached map 4a. Residential - per unit 4 1000 sq. ft or less $110.00 - Name (or name of business) TIni f; Pry Sp1�,ara a Each additional n treof sq. ft. or 1 portion thereof $25.00 Commercial la Residential ❑ Limited Energy $25.00 - Each Manuf d Home or Modular 2 Dwelling Service or Feeder $68 00 2a. Contractor installation only: 4b. Services or Feeders Installation, alteration, or relocation 2 . Electrical Contractor Oregon Electri Group 200 amps or less $60.00 2 Address 1 01 0 SE 1 1 th 201 amps to 400 amps $80.00 2 - 401 amps to 600 amps $120.00 2 City Portland State n Zip 9721,1 601 amps to 1000 amps $180.00 2 - Phone No. 2 3 4 - 9 9 0 0 2 Reconnect only $50.00 or volts - Contractor's License No. 2 6-95C Contractor's Board Reg. No. ' 4c. Temporary Services or Feeders /lr Installation, alteration, or relocation 2 , Signature of Supr. Elec'n /?E2 /L1k 4/.%/4 200 amps or less _____ 2 License No. 2 R 41 S Phone No. 201 amps to 400 amps $75.00 2 2 3 9 9 0 0 401 amps to 600 amps $100.00 • Over 600 amps to 1000 volts 2b. For owner installations: see `b` above. Print 4d. Branch Circuits rint Owner's Name New, alteration or extension per panel Address a) The fee for branch circuits with purchase of service or feeder fee. 2 City State Zip Each branch circuit $5.00 _ . Phone No. b) The fee for branch circuits without The installation is being made on property I own which is purchase of service or feeder fee. 2 not intended for sale, lease or rent. Fiat branch circuit 1 $35.00 3 5 0 0 2 Each additional branch circuit 1 $5.00 5.00 Owner's Signature 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or irrigation circle $40.00 2 - Each sign or outline lighting $40.00 Signal circuit(s) or a limited energy 2 Please check appropriate item and enter fee in section 5B. panel, alteration or extension $40.00 4 or more residential units in one structure Minor Labels (10) $100.00 Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional inspection over Classified area or structure containing special occupancy the allowable in any of the above as described in N.E.C. Chapter 5 Per inspectio $35.00 Per hour $55.00 In Plant $55.00 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: NOTICE 5a. Enter total of above fees $ 4n nn 5% Surcharge (.05 X total fees) $ 2 00 PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ 2.00 AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25% of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. ❑ Trust Account # A p s lance Due $ 42.00 we cenMNWarprm.app CITY OF TIGARD BUILDING INSPECTION DIVISION -I 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST i6 1ST/ _ (� BUP Date Requested �-� 7 / AM PM BLD Location I7tv5 Li 1', / ,? Suite / / MEC Contact Person t-JoA/ ' l�L�/4 Ph q�a"�C7/ Js-1 PLM Contractor DE. e%ecr- Seale/La-0 Ph SWR fj /� V BUILDING : - Tenant/Owner . �3✓e/La- w �� Retaining Wall a Or e'i ` n r ' � I /jam ELR Footing Access: - l Foundation yrT ;_& 7 5145 FPS 1 Ftg Drain r t�- G/V SGN Crawl Drain Inspection Notes: - 60. Slab SIT Post & Beam Z�� ; Ext Sheath /Shear Ca ��'ll7� (X.f� � ;NO� -✓ ��� �" > /�� 4 Int Sheath /Shear jjU// Framing 60 Insulation Drywall Nailing Firewall 1 Fire Sprinkler C� _ e r e ' / ! / Q L/ Fire Alarm ,, / Susp'd Ceiling /rD ' • 0_91 � ( 2 Q �/ P .S C4' 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 ECTRI'CA Service Rough In UG /Slab Low Voltage Iarm PASS PART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ I 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 /7 / / — r Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. SANITARY SEWER 4 0.- unified EL-C 9' - co 7 2 DA TE 8/11/93 PERMANENT FLOW MONITOR SITE ewera SITE �o 6 gency MHNO 11719 BSI I4 4 oo700 OTRSEC 4720 PA G r / • NOTES CITY /COUNTY: CITY OF TIGARD MH DEPTH: 19' INSTALL LOCATION° WEST SIDE OF S.W. 92N0 AVENUE AT ENTRANCE j ELECTRICAL CON1. SHALL BE 2' Sc • . E 40 PVC PI • UNDER T WITH 6" GRAVEL PAO TO COOK PARK LI S IZE: 42" ELECTRICAL CO ` CASING SHAH ." SCHEDULE 4 ACCESS: PARK IN PAVED LOT PVC PIPE. CONOU CASING �,,,,, •∎/5 `ASPHALT AND 'CR z SHALL BE CUT PRIOR • 1 6" CAS I C� t • TO EXCAVAT CASI 0 OL E ELECTRIC IRE S { • 2' CONDUIT 0' POLE n MEET APPLICABLE GO NT • 6" CASING UNDERGROUND � -I ---1. C 4 ,� K� ■ 1 O D PG t IIE REDU I R. NTS ,, .. 0' 2" CONDUIT UNDERGROUND \ (J s � • NNE S TO PGE l S TO BE MADE BY P • 9 " 6" CASI IN ►MWFIOI E � / � V ! 8' 2" CONDUIT IN ALE V 1' ELECTRICAL WI! I • 1 ' OVERHEAD WI •---.- PGE ;ACKFILL i • 92' CLASS 0 BACKFILL • 1 3' CLASS 0 BACKFILL WITH ASPHALT CAP VICINITY / UTILITY MAP 3• 6" CURB i �'' ` W 1 t 7, I j SCALE: i 1 I j 1 " = 20. LEGEND U 1 I —�— OBJECTS NTS > 1 SCALE: 400 - - L--- ----_� o 3 SEWER L I NE LOT l I NE I N S E T AR I t DIA/ETER SLOPE LENGTH 24 .004 350 FENCE LINE s uc0070o 1 1 11718 _ USA ii ■ ■ fl 1 EASEMENT 1 . . 4-. BASEB PI 1 . b 1 EXISTING PR POL E 1 ' 1 " UTILITIES — - — - - -- — I NEW I IT14 � 11719 g W — WATER POWER POLE 112• R 11 1 g GAS • 1 C — CABLE TV c 1 T PROPOSED - E" ""` - NEW POWER POLE �"� GRAVEL WALK h I • — — MONITORING SITE � — — P GE TRANSMI AND GUY WIRE n 12.0• 1 �►wuT PARK / I �� OVERHEAD 1 - 0.3. x__ ._ PRIMARY w LOCATION I I °_' -' - 0.3 -- -- SECOND, RY NEW UTILITY PROPOSED UNDERGROUND VAULT IN MONITORING I V I COOK PARK SIT ABBREVIATIONS o eAwcowt Q \ 4 o A. C. ASPHALTIC CEMENT NEW UNDERGROUND v�r \x • 0.000 "' ;. a Row RIGHT OF WAY CONDU I T `v 42 _ 42 0.0004 898 PVC POLYV1Mk CHL ORIDE 834 1 �T19 I.E. DI° OUT 101• I. FILE NOME' DRAFT : MSROCKCREEK >oRum OP 10PL OT DRAW" BYI J. DIXON 10/7/99 Activities for Case #: ELC98 -00724 2:28:47 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELCC001 Application received 12/10/98 GEO MAIL GEO 12/11/98 ELCC003 Permit created 12/11/98 GEO DONE GEO 12/11/98 ELCC799 Elect'I Final 12/17/98 BRP PASS J *H 12/21/98 Suggest barrier be installed to protect pedestal. ELCC500 (F)lssue permit 12/11/98 GEO PASS GEO 12/11/98 ELCC800 Case Finaled 12/17/98 BRP PASS J'H 12/21/98 Page 1 of 1