The URL can be used to link to this page

Permit r Ji - C ITY O F TIGAR D ELECTRICL PERMIT ��,,, a��,hM�, DEVELOPMENT SERVICES PERMIT #: ELC98 -0350 I DATE ISSUED: 06/26/98 '� -:. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 PARCEL: 2S101BC -02900 SITE ADDRESS...:08254 SW HUNZIKER ST SUBDIVISION ZONING:I —L BLOCK - LOT - JURISDICTION: TIG Project Description : Installaton of service, less than 200 amps, and 2 branch circuits. 6 110. 58`4 - -- 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: 2 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 7. 225 AMPS..: CLASS AREA /SPEC OCC. : Owner: FEES EDGAR WESTPHAL' type amount by date recpt 5218 WESTFIELD COURT PRMT $ 70.00 DEB 06/26/98 98- 306871 LAKE OSWEGO OR 97035 SPCT $ 3.50 DEB 06/26/98 98- 306871 Phone #: Contractor: FRAHLER ELECTRIC CO $ 73.50 TOTAL 11860 SW GREENBURG RD REQUI RED INSPECTIONS TIGARD OR 97223 Ceiling Cover Elect'1 Service Phone #: 639 -4627 Wall Cover Elect'1 Final Reg #..: 000374 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 -00 ! 'oui mil 952- 001 -1987. You may obtain a copy of these rules or direct questions to OUNC by callin (503)246 -1987. Permittee Signature: , 64.//,...4-AO 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 INSTONLY---- � TION ONLY - - - SIGNATURE OF SUPR. ELEC'N: „at ... .fr CG4T / 0• - v'� DATE: G 'o -1t LICENSE NO: ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + ++ ++ + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++-+++++++++++ + + + + + + + + + + + + + + + + + + + + + + ++ + + + + + ++ I . . - RECEIVED CITY OF TIGARD Electrical Permit Application Plan . eck# I 13125 SW HALL BLVD. JUN 2 6' 1998 Recd : SAY Date Rec'd - f A • - 7K TIGARD OR 97223 Phone (503) 639 -4171, x304 COMMUNITY DEVELU}'lv,L14 Date to P.E. Print or Type Date to DST Inspection (503) 639 -4175 Permit # • � ' G�Yg 'o3s0 Fax (503) 684 7297 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name (or name of business)_ Ed Westphal T r u c k i n g Service included: Items Cost Sum Address 8254 SW Hunziker Street 4a. Residential - per unit City /State /Zip Ti gard , OR 97223 Each additional 500 sq. ft. or $110.00 4 Commercial III Li Residential ❑ 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 F r a h l er Electric Company Installation, alteration, or relocation Address 11860 SW Greenburg Road 200 amps or less 1 $60.00 $60 2 201 amps to 400 amps $80.00 2 City Tigard State OR Zip 97223 -6451 401 amps to 600 amps $120.00 2 Phone No. (503) 639 -4627 601 amps to 1000 amps $180.00 2 Job No. 58420 Over 1000 amps or volts $340.00 2 Elec. Cont. Lice. No. 34 -13C Exp.Date 10/01/98 Reconnect only $50.00 2 OR State CCB Reg. No. 3 / 41 0 Exp.Date // 4c. Temporary Services or Feeders COT Business Tax or Metro No. 1987 Ex .Date 12/1/98 Installation, alteration, or relocation 200 amps or less $50.00 2 Signature of Su pr. Elec'n s/ A 201 amps to 400 amp $75.00 2 r g p 401 amps to 600 amps $100.00 2 1 816S 1 0/01 /98 Over 600 amps to 1000 volts, License No E xp. D a t e see "b" above. Phone No. (503) 639 -4627 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. $10.00 Address Each branch circuit 2 $5.00 2 City- State Zip b) The fee for branch circuits ty p 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 circui $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: Not required for temporary construction services. 5a. Enter total of above fees $ 70.00 5% Surcharge (.05 X total fees) $ 3 • 5 U 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 # $ 7 , 5 Q . 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 BUP - Date Requesttedd // - /,f9' AM x PM BLD Location s .� `y - ,, 4 it ) Suite MEC Contact Person AZ,E°e4.9 Ph PLM Contractor _ _: �,. _�� A r _ / Ph 39- V6b„.) 7 SWR BUILDING i E:r Tenant/Owner ELC y'f, 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 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 MECHANICA . Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ECTRICA .a ; °K Service Rough In UG /Slab Low Voltage Fire Alarm 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 Date i L Inspector 11;7_,L, / Ext Final . PASS PART FAIL DO NOT REMOVE this inspection record from the job site.