Permit A CITY OF T ELECTRICAL PERMIT
i, ,,u, DEVELOPMENT SERVICES PERMIT #: ELC98- -0311
��IP DATE ISSUED; 06/05/98
_� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S1O1DB -00100
SITE ADDRESS...: 07320 SW HUNZIKER ST #100
SUBDIVISION....: ZONING:C -P
BLOCK..........: LOT .............. JURISDICTION: TIG
Project Description: Installing sign lighting.
- -- 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..: 1
LIMITED ENERGY.....: 0 401 - 600 amp.......: 0 SIGNAL /PANEL.......: 0
MANF. HM/ SVC /FDR..: 0 601 +amps -1OOO 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.: 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 -- ---
EAGLE HOME MORTGAGE type amount by date recpt
7320 SW HUNZIKER RD PRMT $ 40.00 DEB 06/05/98 98- 306326
STE 100 5PCT $ 2.00 DEB 06/05/98 98- 306326
TIGARD OR 97223
Phone #:
Contractor: •- . --r---
TICE ELECTRIC $ 42.00 TOTAL
2139 SE BELMONT ST
PO BOX 15009 --- - - - - -- REQUIRED INSPECTIONS
PORTLAND OR 97215 Ceiling Cover Elect' 1 Service
Phone #: 233 -8801 Wall Cover Elect'1 Final
Reg #..: 000001
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- 10 through OAR 952 -001 -1987. You say obtain a copy
of these rules or direct questions to OUNC by / c c alling (503)246- 1987.
Permittee Signature: ._4Ii6 -�! I ssued B ° l ' i
-- -- 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: diI.CL " " '— "e-"`J DATE: '%4
LICENSE NO:
++1-++++++++++++++++++++•+•++++++++++++++++++++++++++++++++++++++++++++++++++++•+•+•4-
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+ + + + + + + + + + + + + ++ + •+ + + + + + + + + + + + + ++ + + + + + + + + + ++ + +-F +++ + + + + + + + + + + + + + ++ + + + + + ++ + + + + + + + ++
CITY OF TIGARD Electrical Permit Application Plan Ch
13125 SW HALL BLVD. 'RECEIVE® Recd
TIGARD OR 97223 7b �Q� Date Recd 4 --5 - I
Phone (503) 639 -4171, x304 JUN 0 5 1999 , Date to P.E.
tint or Type Date to DST
Inspection (503) 639 -4175 Permit # & C / ' U, //
Fax (503) 684 -7297 C Ormp#ete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
I
Name (or name of business) Eagle Home Mortgage Service included: Items Cost Sum
Address 7320 SW Hunziker Rd • ' f c O 4a. Residential - per unit
Tigard OR 1000 sq. ft. or less $110.00 4
City /State /Zip Each additional 500 sq. ft. or
Commercial 0 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: 4b. Services or Feeders
(Attach copy of alLcurren♦� enses) .
Electrical Contractor Tice Electric Co. Installation, alteration, or relocation
PO BOX 15009 200 amps or less $60.00 2
Address 201 amps to 400 amps $80.00 2
City Portland State OR Zip 97293 -5009 401 amps to 600 amps $120.00 2
Phone No. • 233 -8801 Fax 872 -8290 601 amps to 1000 amps $180.00 2
Job No. 850.99 Over 1000 amps or volts $340.00 2
Reconnect only $50.00 2
Elec. Cont. Lice. No. 26 -126c Exp.Date
OR State CCB Reg. No. 166 Exp.Date 4c. Temporary Services or Feeders
COT Business Tax or Metro No. 2014 Exp.Date 04 ��9 � 9 Installation, alteration, or relocation
200 amps or less $50.00 2
201 amps to 400 amps $75.00 2
Signature of Supr. Elec n c� 401 amps to 600 amps $100.00 2
2586S 10 / 0 /98 Over 600 amps to 1000 volts,
License No Exp.Date see "b" above.
Phone Nr 233 -8801 FAX 8/2-8290
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 circ $5.00 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 40.0u- 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: 40.00
Not required for temporary construction services. 5a. Enter total of above fees $
5% Surcharge (.05 X total fees) $ 2.00
NOTICE Subtotal $ 42.00
5b. Enter 25% of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $ 42_00
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 #
Total balance Due $
42.00
I: \DSTS \ELC96.APP Rev 9/96
■
'CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested '/a0 AM PM BLD
Location 3-kA N) ?A C A Suit 7° MEC
Contact Person 2 Ph 2,3 PLM
Contractor Tice, Ph SWR
BUILDING . ; Tenant/Owner ELC
Retaining Wall ES P -
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam l�
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation C�
Drywall Nailing �. ` - 03 ! /
Firewall
Fire Sprinkler �G
9 / — f �5�
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
BCECTRICAC
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
PART FAIL
ITE
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 Date 3/1;6) Inspector
=Xt
Other p
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.