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Permit CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98 -736 P DATE ISSUED: 12/17f98 .13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S112DB-00400 SITE ADDRESS...: 07337 SW KABLE LN SUBDIVISION....:ORE BUSINESS PARK III ZONING:I -L BLOCK . LOT .............:104 JURISDICTION: TIG Pro.j ect Descri pt ion: Alteration of electrical service. • - -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS 1000 SF OR LESS - 12► 12+ - 200 amp.......: 0 PUMP/ IRRIGATION - 0 EACH ADD' L 501Z1SF...: 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 -- -PDD'L INSPECTIONS - -- 0 - 2O0 amp......: 3 W /SERVICE OR FEEDER: 12 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 C I RC: 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 -• - - -- CONSOLIDATED SUPPLY type amount by date recpt 7337 SW KABLE LANE PRMT $ 240.00 DLH 12/17/98 98- 311612 TIGARD OR 97224 5PCT $ 12.00 DLH 12/17/98 98- 311612 Phone #: Contractor: TILE ELECTRIC $ 252.00 TOTAL 2139 SE BELMONT ST PO BOX 15009 REQUIRED INSPECTIONS PORTLAND OR 97215 Ceiling Cover Elect'l Service Phone 233 -8801 • Wall Cover Elect'l Final Reg 44...: 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 952,10 through OAR 952 -m1 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246 -1987. Permittee Signature: � g ��'/ L �� Issued s u e d B y: ,/ .,,,� :.r.l OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: - �/,9- DATE: -- - CONTRACTOR INSTALLATION ONLY - - - -- SIGNATURE OF SUPR. ELEC'N: p11/ � C, %C- /9"7/0/1 DATE: LICENSE NO: + ++++++++++++++++++++++++ i-++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the net business day + +++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + ++ + + + + + + + ++ + + + ++ CITY OPTIGARD Electrical Permit Application Plan Check # 13125 SW HALL BLVD. Rec'd By .. Lff TIGARD OR 97223 Date Rec'd / Vi 7 • Date to P.E. Phone (503) 639 -4171, x304 . Print or Type ed -( Date DST Inspection (503) 639 -4175 Permit it # L- � � e9e- j�3 !v Fax (503) 684 -7297 Incomplete or illegible will not be acce Called 1. Job Address: 4, Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Consolidated Supply Name (or name of business) Service included: Items Cost Sum Address 7337 SW Kable Lane • 4a. Residential - per unit 1000 sq. ft. or less $110.00 4 City /State /Zip Tigard OR 97224 Each additional 500 sq. ft. or Commercial ® 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 Tice 71 ect r co. • Installation, alteration, or relocation Address :?O doh 15009 200 amps or less 3 $60.00 180.00 2 201 amps to 400 amps $80.00 2 City Port and State cm Zip 977c1:1-500q 401 amps to 600 amps $120.00 2 Phone No. • 2 601 amps to 1000 amps $180.00 2 Job No. 153 I .99 Over 1000 amps or volts $340.00 2 Dec. Cont. Lice. No. 26 - 126C Exp.Dat . /99 Reconnect onl $50.00 2 OR State CCB Reg. No. 155 Exp.Date 6/30/99 4c. Temporary Services or Feeders COT Business Tax or Metro No. 2014 Exp.Date 01/01 /9S Installation, alteration, or relocation _ 200 amps or less $50.00 2 ...a.___ i___,_____°="9? _ 201 amps to 400 amps $75.00 2 Si of Supr. Elec n .: ,e�,!" - k 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No 1�'25.8.6S - Exp.Date . 10 �/ � ,,/ see "b" above. Phone Nr. 233 -8801 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 12 $5 60.00 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 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. S. Fees: 240.00 Not required for temporary construction services. 5a. Enter total of above fees $ 12 5% Surcharge (.05 X total fees) $ 2 : 88 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 # Total balance Due $ 252.00 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 2L 9 AM PM BLD Location 3 -7 Suite MEC Contact Person // Ph PLM / Contractor / / C is Ph 9o0 -� ( SWR Tenant/Owner 0.E 'tr S /, � �� f ir if 7 Retaining Wall V # / 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 Jfi.r_ 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, :i ''.•. Post & Beam Rough In Gas Line Smoke Dampers Final P FA IL � '° Service Rough In UG /Slab Low Voltage rm . AS 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 2- ^,�� 9 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 BUP Date Requested ✓�i OC) AM PM BLD Location °) 2,3? It bW fPN, Suite MEC Contact Person Ph PLM Contractor Ph SWR BUILDING r. � ` � , �_ n Tenant/Owner ELC C ir6 10 ' k Retaining Wall ELR Footing Access: Foundation i; m _ FPS Ftg Drain asrta/Lav_ � SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall / Fire Sprinkler f . Ii i/ LA 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 PART FAIL LECTR Se viuc Rough In UG /Slab Low Voltage F e Alarm • ASS 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 i Other Date 3 Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.