Permit Cli'! OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC98 —x+342
_../44,4410 - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 06 /:.9 / 98
PARCEL: 2911ODC -00400
SITE ADDRESS...: 11565 SW DURHAM RD
1 SUBDIVISION -WILLOW BROOK PARK ZONING:C —G
BLOCK..........: LOT :016 JURISDICTION: TIG
Project Description : Relocate street lighting at Willowbrook Business Park
- -- 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 ° 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: 6 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
DURHAM /99 ASSOCIATES LTD PTNSH type amount by date recpt
BY LAUREATE REALTY PRMT $ 65.00 JSD 06/29/98 98- 306900
227 W TRADE ST STE 400 5PCT $ 3.25 JSD 06/29/98 98- 306900
CHARLOTTE NC 28202
Phone #:
Contractor:
R.J. ROUSE ELECTRIC, INC $ 68.25 TOTAL
16285 SW 85TH
#407 REQUIRED INSPECTIONS
TIGARD OR 97221 Ceiling Cover Elect'l Service
Phone #: 639 -5996 Wall Cover Elect'l Final
Reg #..: 90454
This peruit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Spec Codes and all other
applicable laws. All work will be done in accordance with apiroved plans. This persit will expire if war is not started within 180
days of issuance, or if work is suspended for sore than /180 , ays. A J :.ION: Oregon law requires you t allow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth i I" 952 - 001 -.q0 through I" ' -001 ' %:7. You say obtain a copy
of these rules or direct questions to OUNC by allin (503;46 -1987
d
Permittee Signature-: A N 1 Issued By:
P
OWNER INSTALLATION ONLY - --
The installation is being made on property r own which is not intended for
sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' N : DATE:
LICENSE NO:
++ i +++++++++++++++++++++++++++++++++++++++++++++ + + + ++ ++ +++ ++ +++ ++ + + ++ ++ +++ + + +++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++ + + + + + + + + +++ + + + + + + + + ++ + + + + + + + +++ i-++++++ + + + + + + + ++ + + + + +++ + + + + + ++ + + + ++ + ++
- Community Development ELECTRICAL PERMIT APPLICATION
,-_,,A 13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Permit #
-P111 ' P hone (503) 639 -4171 t
.) �I ( ) Da te Issued 06) U- T
^�^'°i ? "" FAX (503) 684 -7297
CITY OF TIGARD TDD No. (503) 684 -2772 Issued by
Inspection (503) 639 -4175
kel0 cite Sh I y r� rte e,
1. Job Address: t(
14) I li �vool 4. Complete Fee Schedule Below:
ao
Name of Development (4.51 y S$ ,a, Number of Inspections per permit allowed
Address S. O , U �7 4 j9 L Gt) y Service included: Items Cost(ea) Sum
City /State/Zip f (@ai'd 4a. Residential - per unit 4
1000 sq. ft. or less $110.00
-
Name (or name of business) Each additional 500 sq. ft or 1
portion thereof $25.00
Commercial ❑ Residential ❑ Limited Energy $25.00
Each Manufd Home or Modular 2
Dwelling Service or Feeder $68.00
2a. Contractor installation only:
4b. Services or Feeders
(� r� �.
J _ si l. Ro c u C. E( ' t Installation, 00amps or less $60.00 2
alteration, or relocation 2
Electrical J q / r G / 200 mp or ls
Address tl(lKO fs--11, Ave �/e . p `(d 201 amps to 400 amps $80.00 2
City l G!s✓ ()f , Zip 9 zz4-
401 am to 600 amps $120.00
Ci �f ' State Zi 2
Phone N�! /( Co Over amps to 1000 $180.00
Over 1000 0 amps or volts $340 00 2 -
Contractor's License No. 3y -3S4 Reconnect only $50.00
Contractor's Board Reg. No. CIO q.Sq 4c. Temporary Services or Feeders
Installation, alteration, or relocation 2
Signature of Supr. Elec'n , Z+ ,,.. -..-, 200 amps or less $50.00 2
$75.00
License No /' �,1_� Phone No.G,3% Sq l u (n 201 amps to 400 amps
401 amps to 600 amps $100.00 2
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 tee for branch circuits with
City State Zip purchase of service or feeder fee. 2
ry p 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. / 3S v 2
n intended for sale, lease or rent. First branch circuit $5.00 J r
Each additional branch circuit $ $5.00 7I') 0 0
i
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 4t. 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 ins $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 $ YDS` 00
5% Surcharge (.05 X total fees) $ , S
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ MEV
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 $ lOcg • t>7r
wottfco,ndyv \alacpm app 00 / 11 °DC-
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639-4171
irj) BUP
Date Requested 3 - 99 AM / ! ' ' PM BLD
Location /57 ( /9.2. ,-1 i4 Suite MEC
Contact Person Ph PLM
Contractor f+C� e
-� .1c1.2s=z Ph 63 J :5 SWR
BUILDING Tenant/Owner , ELC 92 — Q)
Retaining Wall ELR
Footing Access: n
Foundation �5 g_
FPS
Ftg Drain VVVccc --- SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Fire wall 17/V4 G'p
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
SS,.— R-A&T FAIL
'ECTRIC
ervice
Rough In
UG /Slab
Low Voltage
Fire Alarm
' a I
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 Q
Other Date 3 2� 9 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.