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Permit • ._ . FM CITY OF TIGARD ELECTRICAL PERMIT ^ ri .01 �� DEVELOPMENT SERVICES PERMIT ISSUED -03/ PARCEL: 1S135DC -02000 SITE ADDRESS... :11895 SW 91ST AVE #BL.D SUBDIVISION....: ZONING=, :R -7 BLOCK........... t_OT... a ........ „ . JURISDICTION: TIG Project Description: Add electrical to the comnity center. - -- RESIDENTIAL UNIT---- - -- TEMP SRVC /FEEDERS - - -- MISCELLANEOUS--_ -._- 1000 SF OR LESS....: 0 0 - 200 amp.......: 0 PUMP /IRRIGATION.....: 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---- - -- ._BRANCH CIRCUITS - - - - -- -• -- -ADD' L INSPECTIONS-- 0 - 200 amp......: 1 W /SERVICE OR FEEDER: 24 PER INSPECTION.....: 0 201 - 400 amp......: 0 1st W/O 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 - -- --------- VILLA LA PAZ APARTMENTS type amount by date recpt 11875 SW 91ST AVE PRMT $ 180.00 GEO 06/16/98 98-306564 TIGARD OR 97223 SPCT $ 9.00 GEO 06/16/98 98- 306564 Phone #: Contractor: -- -- -- OREGON ELECT CONSTRCTN /GRP INC $ 189.00 TOTAL 1010 SE 11TH -- REQUIRED INSPECTIONS ----- PORTLAND OR 97214 Ceiling Cover Elect'1 Service Phone #: 234 -9900 Wail Cover Elect'i Final Reg #..: 0026 -9 This peroit 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 peroit will expire if work is not started within 188 days of issuance, or if work is suspended for pore 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 nay obtain a copy of these rules or direct questions to OUNC by calling (5031 -1987. 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 _ \ — - _G �!G ��� s DATE: + + + + + ++++ + + + ++ +-{ +++++++++++++++++++++++. 4.-1-+++++ ++ + ++ + ++ ++ + + + +++ ++ + + ++ + + + ++-':^ i + +++ Call 639 -4175 by 7 :00 p.m. for an inspection needed the next business day + + + + ++ + + + + + + + + + + + + + + + ++ t-+++++ + + + + + + + + + + +• + + + + + + + + + + + + + + + + + ++ + + + +a- + + + + + + ++ + +i... -+ +•+ CITY OF TIGARD Electrical Permit A Plan Check # 13125 SW HALL BLVD. « t V Cl/ Rec'd By Date Rec'd TIGARD OR 97223 Phone (503) 639 -4171, x304 JUN 6 1998 Date to P.E. Print or Type Date to DST Inspection (503) 639 -4175 CI ',I ITY FtlELOPi9ENT Permit # oz - `Q3a� Fax (503) 684 -7297 Incomplete or illegible will rnot accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Villa La Paz Commu j ity Center Number of Inspections per permit allowed Name (or name of business) Service included: Items Cost Sum I Address 11895 SW 91st Ave. 4a. Residential - per unit Tigard OR 1000 sq. ft. or less $110.00 4 City /State /Zip g Each additional 500 sq. ft. or Commercial D Residential ❑ Li portion thereof $25.00 1 Limited Energy $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: (Attach copy of all current licenses) 4b. Services or Feeders Electrical Contractor Oregon Electric Group Installation, alteration, or relocation Address 1010 Se 11th Ave . 200 amps or less 1 $60.00 60.00 2 201 amps to 400 amps $80.00 2 City Por land State OR Zip 97214 401 amps to 600 amps $120.00 2 Phone No. 503/234-9900 601 amps to 1000 amps $180.00 2 Job No. 24425 Over 1000 amps or volts $340.00 2 Elec. Cont. Lice. No. 26 -95C Exp.Date Reconnect only $50.00 2 OR State CCB Reg. No. 203 Exp.Date 4c. Temporary Services or Feeders COT Business Tax or Metr6 No 4 1995 Exp.Date Installation, alteration, or relocation + �� / �I 200 amps or less $50.00 2 Signature of Supr. Elec'I /J 201 amps to 400 amps $75.00 2 , 401 amps to 600 amps $100.00 2 28415 Over 600 amps to 1000 volts, License No. Exp.Date see "b" above. Phone No. 503/234 -9900 4d. Branch Circuits New, alteration or extension per panel 2b. For owner installations: a) The fee for branch circuits with purchase of service or Print Owner's Name feeder fee. Address Each branch circuit 24 $5.00 1 70 nn 2 b) The fee for branch circuits City State Zip without purchase of Phone No. service or feeder fee. First branch circuit $35.00 2 The installation is being made on property I own which is not Each additional branch circuit $5.00 2 intended for sale, lease or rent. 4e. Miscellaneous (Service or feeder not included) Owner's Signature Each pump or irrigation circle $40.00 2 Each sign or outline lighting $40.00 2 3. Plan Review section (if required): * Signal circuit(s) or a limited energy panel, alteration or extension $40.00 2 Minor Labels (10) $100.00 Please check appropriate item and enter fee in section 5B. 4 or more residential units in one structure 4f. Each additional inspection over Service and feeder 225 amps or more the allowable in any of the above System over 600 volts nominal Per inspection $35.00 Classified area or structure containing special occupancy Per hour $55.00 as described in N.E.C. Chapter 5 In Plant $55.00 * Submit 2 sets of plans with application where any of the above apply. 5. Fees: 180.00 Not required for temporary construction services. 5a. Enter total of above fees $ 9 00 5% Surcharge (.05 X total fees) $ 189.00 NOTICE Subtotal $ 5b. Enter 25% of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $ NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account # $ 189.00 • Total balance Due I: \DSTS \ELC96.APP Rev 9/96 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 /3// d r/ �6 �l q � BUP Date Requested `V ' 7 / AM PM BLD Location l /? l 5 5&) ! �} / t act, Suite MEC Contact Person Ph / PLM Contractor e Ph - 7? - /- 7(f ? SWR BUILDING. , Tenant/Owner �// /iGtc- �''�i. Air , LC ?i)317' • Retaining Wall I / ELR Footing Access: / Foundation / �► / / , eA FPS Ftg Drain / ' SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing P. Insulation Drywall Nailing ;2 Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: G - 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 iLECTRICA ) - Service Rough In UG /Slab Low Voltage Fire Alarm - - 40 _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: [ ] Unable to inspect - no access ADA / - ( ' Approach /Sidewalk Other D 0 ns Inspector , / 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 J A BUP M Oa l s Date Requested /0-13— l AM PM BLD Location f (? l 5 Sul 9/A 91zr Suite MEC Contact Person CX P . Ph PLM p Contractor Ph ��1' 7� od SWR BUILDING Tenant/Owner va.k..A_pai ELC Uc � Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing .,� �� i� _ _ ./ ���r �' �'_., �� _ Firewall / f Alardire_.‘ F ire Sprinkler . .1:�. __ .[ 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 - ELECTRIC • ▪ ervice Rough In UG /Slab Low Voltage Fi - Alarm Aar • S PART 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 reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date /0/3297 Inspector 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 Date Requested !l 13ft, AM 4.2 - -4=`-' / PM BLD Location /1 ?9c 5 q/ Avg Suite MEC Contact Person Al / / Ph `7F/ 7 PLM Contractor Ore" 0.A.) S /ce...:7 6r2rIxe Ph .23/- Woo SWR BUILDING Tenant/Owner V, / /4 _ /,g PnZ A-P745 ELC 97 - Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: c a �,, � Slab V�iQ� /�� C=dfir 6-E SIT Post & Beam Ext Sheath /Shear Glee tJ / Z ; o-a 7 /,'00 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 P ss _PART FAIL (ELECTRICAL . n UG /Slab Low Voltage Fire Alarm ;Pia'Ay PART FAIL 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 reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Da Othe /3 - 5?'? Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. I CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 - Hour Inspection Line: 639 -4175 Business BUP uusiiness Line: 639 -4171 V iaDate Requested kV AM PM BLD Locatio1 l l t'U`t Suite MEC Contact Person /(cep._ Ph ?(— 7(8 ?( PLM Contractor I2/ J Ph '(— c 7TO SWR BUILDING Tenant/Owner ELC ,�� Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing i 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 Fire Alarm Fi SS ART 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: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date ±.1.Z7______g� Inspector .�t Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.