Permit kr, CITY OF T ELECTRICAL PERMIT
0, / / DEVELOPMENT SERVICES PERMIT #: ELC97 -0390 lli
—' � fy � 1 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 0E / 19 / 97
PARCEL: 2S111BD -02700
SITE ADDRESS... :14650 SW 97TH AVE
SUBDIVISION °CLOUD CAP ZONING:R -3.5
BLOCK LOT °9 JURISDICTION: TIG
Project Description : instl 1 service feeder & 8 branch circuits // job 112956
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS • 0 0 — 200 amp ° 0 PUMP /IRRIGATION ° 0
EACH ADD'L 5O0SF...: 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 ° 1 W /SERVICE OR FEEDER: 8 PER INSPECTION ° 0
201 — 400 amp : 0 1st W/0 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
TIGARD— TUALATIN SCHOOL DIST type amount by date recpt
14650 SW 97TH AVE PRMT $ 100.00 TAT 06/19/97 97- 296205
TIGARD OR 97223 5PCT $ 5.00 TAT 06/19/97 97- 296205
Phone #:
Contractor:
MCCOY ELECTRIC CO $ 105.00 TOTAL
2014 SE 9TH AVE
PO BOX 42428 REQUIRED INSPECTIONS - - - - -•
PORTLAND OR 97214 Ceiling Cover Elect'l Service
Phone #: 234 -7521 Wall Cover Elect'l Final
Reg #..: 000082
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 ( )246 -1987. / ///
Permittee Signature: �r2z �e.C./ Issue B : , 4 ' ' y •
9 Y
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 : 0 O 7 DATE: 6-7
LICENSE NO: ;?/.75-.5 j/
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + ++ + + + ++ + + + + + + + + + +++
i 1.1
r7i Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Permit # tC9 /�3C1()
/ 11 Phone (503) 639 -4171 Date Issued
FAX (503) 684 -7297
CITY OF TIGARD TDD No. (503) 684 -2772 Issued by
Inspection (503) 639 -4175
1. Job Address: f � ' 4. Complete Fee Schedule Below:
l ^ 4 , J + / Number o Ins Inspections per permit allowed
Name of Development ♦ _
Address /1-1 `-G:1 c. a71-L A u. Service included: Items Cost(ea) Sum
City /State/Zip ,() , 012 7 Z. ?3 4a. Residential - per unit 4
'�+nf!9 ��� 1
Each sd. i ti or less $110.00
-
Name (or name of business) T; c),-,-4-- Each addtio r 500 sq. ft. o r
portion there
on there 500 $25.00
Commercial 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 �^ o,�_ 2
Electrical Contractor /'Vl C Co y e c LCT►P ZC' 200 amps or less I $60.00 (00 2
Address ao SSE e3fs -, 201 amps to 400 amps $80.00 2
P/_
401 amps to 600 amps $120.00
City ,,�l State 02 Zip 677L/ /./ sot amps to 1000 amps $180.00 2
Phone No. >.,1 f - 7S1- / Over 1000 amps or volts $340.00 2
Contractor's License No. '7 6.1 2.,C 0 Reconnect only $50.00 -
Contractor's Board Reg. No 0 4 ?_'7I 4c. Temporary Services or Feeders
HA I/ Installation, alteration, or relocation 2
Signature of Supr. Elec'n ,� f / � / 200 amps or less $50.00 2
License No. 217 S 5 Phone No.23 y 't V 2 i 201 amps to 400 amps $75.00
401 amps to 600 amps $100.00
D /3 r2 9 5"C, Over 600 amps to 1000 volts
2b. For owner installations: see "b" above.
4d. Branch Circuits
Print Owner's Name New, alteration or extension per panel
Address a) The fee for branch circuits with o
purchase of service or feeder fee. L, ! 2
City State Zip Each branch circuit S $5.00 /0
Phone No. b) The tee 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. First branch circuit $35.00
Each additional branch circuit $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 inspection $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: of
NOTICE 5a. Enter total of above fees $ 110V
5% Surcharge (.05 X total fees) $ R. ""
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ l o
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 # $
Balance Due $ (O �-
woccPcomdev\Nac- prm.app
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: 7-O - / A.M. P.M. MST:
Location: / S 0 S• Cpl) 9 1 `f 'i'L BUP:
Tenant: 7! Al 1D 0 L t 5C L. Suite: Bldg: MEC:
Contractor: M (? cot. F f et Phone: PLM:
Owner: Phone: ELC:
P,
ELR:
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL SITE
Site Post/Beam Post/Beam Post/Beam - rvtce Sewer /Storm
Footing Roof UndFl/Slab Rough -hi el mg Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
-C/ tr:::' C- fr i C-tt, ( i c.
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•
O Call for reinspection O Reinspection fee of $ _ required before next inspection O Unable to inspect
Inspector /4 c L -19( , ( Date: —'--' 7 Page of
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 /
Date Requested: t1 l ` q 7 A.M. P.M. MST: 1/
Location: P-1-655D 9 7-f-11 (2L/ _ BUP:
Tenant: 7WAI. My Suite: Bldg: MEC:
Contractor: _ !_ _.4 Mt G ' I Phone: ga (/- 75,44 PLM:
' � �
er: Phone:
ELC: �
O 79701- t. ate-) 77 ' 7,
-/ srr:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICA SITE
Site Post/Beam Post/Beam Post/Beam Cov • ervice Sewer /Storm
Footing Roof UndFl/Slab Rough -In 4 i ' Water Line
Slab Framing Top Out Gas Line • ou• - UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat. Pump Low Volt
Approved Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
.. r i cam/ ce i IA-T c.c=o2)e
/ ; . ) (�� 77 /' ,6/�°
r ..,:) , t ! r 7
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., A 43 / 5 �� r9sC. . . 4
-.7 i
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r 7 c er3 r r i ft 7/‹=:.- -7/•,.:),-, ‹9 .4-
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all for reinspection Reinspection fee of $ required before next inspection O Unable to inspect
�1
Inspector: ,1 t ( C c / a gt.. !- Date: _ 7 7 7 PageT of
i
n
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: / ,2_.— / 0 — ` / A.M. P.M. MST:
Location: 72A 1, / T >/ SC 14 Q O L - / i't 5 9 7 4 I 6 K, BUP:
Tenant: Suite: Bldg: MEC:
Contractor: M C CD7 L.. E Cr, Phone: PLM:
Owner: Phone: ELC: 97— 03Q D •
ELR:
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Cpprov Approved
Appr /Sdwlk Not Approved Not Approved Not Approved blo LA.pproved Not Approved
FINAL FINAL FINAL FINAL ) FINAL
(-0 i// cz A �--- / D .0. L. -- D IC
2. /- — C UN /TS ON R 00' — O k
i'/11/4- 4 — 1 5 S
O Call for reinspection ` O Reinspection fee of $ required before next inspection O Unable to inspect
Inspector: /C��A Date: / Z — /Q — 97 Page of
Al l/
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: , r C// ^ / a - D / q � f � 7 A.M. P.M. MST:
Location: I " CU 5 C) SW ( 1 7 ► /' �+ BUP:
- y-'T V
Tenant: i v A L 1 r y / v` I Do L/ Sts i Q b utt . Bld MEC:
•
Contractor: I '4 u .C. 1 Phone: _ 4 - 2 I PLM:
Owner: M ( / Phone: � � 34 - PK ELC: 7
•
- 90
jn' How:), t, 0 l� `/ 7 ?) ELR:
/ SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL — ECTRICA SITE
Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spk1r /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Not A roved Not Approved
FINAL FINAL FINAL — AL • FINAL
At/° r), 1a/L Lei ' Gv /9--7' 7/'/ s / -5
0/ & & A- 7 - .E" /1 -P T 70 (2) c1 n C COX /ec-J.
0 Call for reinspection O R • pection fee of $ required before next inspection O Unable to inspect
Inspector: Date: /i.. v ! 7 Page of