Permit •
CITY OF TI CARD ELECTRICAL PERMIT
PERMIT #: ELC2000 -00435
e'l'A DEVE PMENa r S O ER9 ACES 1 639 -4171 DATE ISSUED: 8/23/00
PARCEL: 2S112DC -00200
SITE ADDRESS: 07342 SW KABLE LN
SUBDIVISION: SOUTHERN PACIFIC TIGARD INDUST ZONING: I -L
BLOCK: LOT : 003 JURISDICTION: TIG
Project Description: Installation of (2) branch circuits w/o feeder
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL /PANEL:
MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS
ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
PACIFIC REALTY ASSOCIATES CAPITOL ELECTRIC CO INC
15350 SW SEQUOIA PKWY #300 -WMI 12810 NE AIRPORT WAY
PORTLAND, OR 97224 UNIT 1
PORTLAND, OR 97230
Phone: Phone: 255 -9488
Reg #: LIC 048748
SUP 3132S
ELE 26 -496C
FEES Required Inspections
Type By Date Amount Receipt
PRMT CTR 8/23/00 $42.85 2720000000(
5PCT CTR 8/23/00 $3.43 2720000000(
Total $46.28
This Permit is issued subject to the regulations contained in the Tigard Munidpal Code, State of OR. Speaalty 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. ATT. NTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -00 • t rough OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
PERMITTEE'S SIGNATURE ISSUED BY:
mow
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: DATE:
LICENSE NO:
1 Call 639 -4175 by 7:00pm for an inspection the next business day
, 0711712000 17:06 5032551966 CAPITOL ELECTRIC PAGE 01
GM/ OF-TIGARD Plan Check #
13125 SW HALL BLVD. ELECTRICAL PERMIT APPLICATION Redd By n�yy)
TIGARD, OR 97223 Date Recd (i-"7-le--o)
Phone (503)639-4171, X304 ' Dale to P . E . ( 'G�(
Inspection (503) 639-4175 Dale to DST •
Fez (503) 684 -7297 PRINT OR TYPE Pormit If ELI. a..0•9 OO 135
INCOMPLETE OR ILLEGIBLE WILL NOT BE ACCEPTED Called
1. Job Address: 4. COMPLETE FEE SCHEDULE BELOW:
Name of Development Number of tns por tion per permit allowed
Service Included: Items Coat Sum
Name (or name of business) J THAYER da. Reeldantlal - per unit
1000 aq. ft. or leas 5117.75 4
Address 7342 SW KABLE LANE Each Additional 500 sq. ft.
Of portion thereof $26,25 1
•
City /State/Zip TIGARD, OREGON Limited Energy $60.00
Commercial x Residential Each Manuf'd Home or Modular
Dwelling Senrlce or Feeder $72.75 2
2a. Contractor installation only:
(Attach copy of all current licenses) db. Service or Feeders
Electrical Contractor CAPITOL ELECTRIC CO., INC. Installation, alterations or relocation
Address 12810 NE AIRPORT WAY 200 amps or less 084.25 2
City PORTLAND State OR Zip 57239.1029 201 amps to 400 amps 685,50 2
Phone No. (5031 -9488 401 amps to 600 amps $128.50 2
Job No. 20 -777 001 amps to 1000 amps $192.50 2
Elec, Contr. Lic, No. 26.496C Exp. bate 1011199 Over 1000 amps or volts $383,75 2
OR State CCB Reg, No, 48746 Exp. Data 8 -22 -99 Reconnect only $53.50 2
COT Business Tax or Metro No. 00004542 Exp. Date 1011199
dc. Temporary Services or Feeders
Signature of Supr. Elec'n/ & Installations, alterations or relocation
200 amps or less $53.50 2
License No. 3132 -S Exp. Date 1011/01 201 amps to 400 amps $80.25 2
Phone No. (503) 255 -9468 401 amps to 600 amps $107.00 2
Over 600 amps to 1000 volts
see "b" above.
2b. For owner installations:
4d. Branch Circuits
Print Owner's Name New alteration or extension per panel
Address a) The fee for branch circuits with
City State Zip purchase of service or feeder fee
Phone No. Each branch circuit 65.35 2
b) The fee for branch circuits without
The installation is being made on property I own which is not purchase of service or feeder fee,
intended for sale, lasso or rent. First branch circuit 1 $37,50 $37.50 2
Each add'nl branch circuit 1 $5.35 $5.35 2
Ownor's Signature
4e. Miscellaneous (Service or Feeder Not Included)
Each pump or Irrigation circle $42.75 . 2
3. Plan Review section (if required): ' Each sign or outline lighting $42,75 2
Signal circuit(s) or a limited energy
Please check appropriate item and enter fce in section 5B. panel, alteration or extension $60.00 2
4 or more residential units in one structure Minor Labels (10) $100.00
Service & feeder 225 amps or more ,
System over 600 volts nominal 41. Each additional inspection over
Classified area or structure containing special the allowable in any of the above
occupancy as described in N.E.C. Chapter 5. Per inspection $50,00
Per hour $50.00
" Submit 2 sets of piano with application whore any of the above apply. In Plant $59.00
Not required for temporary construction servlCOS,
5. Pees:
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS 58, Enter total of above fees $ $42.85
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK 8% Surcharge (.08 X total fees) S $3,43
IS SUSPENDED OR AEIONDONED FOR PERIOD OF 180 DAYS AT ANY Subtotal $ $46.28
TIME AFTER WORK IS COMMENCED. 5b. Enter 25% of line 59. for
Plan Review If required (Sec. 3) $
Subtotal $ $46.28
Trust Account it
Total balance Due $ $46.28
:ITY.OF TIGARD BUILDING INSPECTION DIVISION •
24 -Hour Inspection Line: 639 -4175 .Business Line: 639 -4171 MST
BUR
Date Requested 9 / t� AM PM BLD
Location o 73 (I; Z, S b) X'4 61 y o G " Suite MEC
Contact Person -S'AP v -7 Ph "-.� ,5 t PLM •
OAP AP /0 C% Ph SWR
BUILDING' Tenant/Owner ELC 20-1,1) a aq35
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
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
CTRIC •
Rough In
UG /Slab
Low Voltage
�Fiirre Alarm
` 1 0 PART FAIL
SIT
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 .r -
Other Date __ Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.