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Permit � �� OF � ELECTRIC L PERMIT �� PERMIT #: ELC96-0427 �~ COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/01/96 1n1usmw Hall Blvd. Tigard, Oregon 97223081e9 (503) 639-4171 PARCEL: 2S112DB-00400 SITE ADDRESS...: 07337 SW KABLE LN SUBDIVISION....: SO. PACIFIC TIGARD IND. PARK ZONING:I-L BLOCK ^ LOT ^4 Project Description: Installing one temp. service or feeder to 200amps. _____ ---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS----- 1000 SF OR LESS ^ 0 0 - 200 amp • 1 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.~. ... x 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 ---------------- CONSOLIDATED SUPPLY type amount by date recpt 7337 SW KABLE LANE PRMT $ 50.00 CJS 07/01/96 96-281206 5PCT $ 2.50 CJS 07/01/96 96-281206 TIGARD OR 97224 Phone #: • Contractor: - ----- ELECTRICAL DIMENSIONS INC $ 52.50 TOTAL PO BOX 12146 3961 SW WILLAMS AVE -- REQUIRED INSPECTIONS PORTLAND OR 97212 Elect'l Service Phone #: 503-282-7255 Elect'l Final Reg #.': 44008 This permit is issued subject to the regulations contained in the __ __ Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee Signature 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 W duys. 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 INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: _ �2��/��' DATE: 7- /- 96- . LICENSE NO: _ . Call for inspection - 639-4175 �g op Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # Q6- aQ/ a©6 , � ^ �, Permit # ELC46 --Ot/a7 �� II Phone (503) 639 -4171 Date Issued 7 -/- 96 FAX (503) 684 -7297 CITY OF TIGARD TDD No. (503) 684 -2772 Issued by rho r le. s _ Inspection (503) 639 -4175 1. Job Address: 4. Complete Fee Schedule Below: , 1 Name of Development l nlAst �.t cor€0 � c,,ptP�.Y Number of Inspections per permit allowed ` Address c s. l.),.. , ...A.Tbkr LA.. .. Service included: Items Cost(ea) Sum City /State/Zip f ic . ' cj Z, 4a. Residential - per unit 4 1000 sq. ft. or less $110.00 Name (or name of business) v.A1MC3 Each additional 500 sq. ft or portion thereof $25.00 1 C ► _' Residential El Energ $25.00 2 Each Manufd Home or Modular Dwelling Service or Feeder $68.00 2a. Contractor installation only: yy �� ,,,,,, lu fj UivJ y �, 4b. Services or Feeders K-sC.00L ,Ph - ,� ,c Installation, 2 In 0 a amps or less or relocation 2 Electrical Contractor 200 0 amps or $60.00 2 Address a)6 I ,U, fv /LL /d41t4s 201 amps to 400 amps $80.00 2 401 amps to 600 amps $120.00 2 City hero ►t tD , � Stated? _zip 97ZDGs 601 amps to 1000 amps $180.00 2 Phone No. 7.f3 ]W Over 1000 amps or volts $340.00 Contractor's License No././gykkz e / Reconnect only $50.00 Contractor's Board Reg. No. 0 0 , 8 4c. Temporary Services or Feeders Installation, alteration, or relocation e'42 2 �� Signature of Supr. Elec'n. 200 amps or less 1, $50.00, 2 $75 License No. s.9'6, S Phone No. Z82-7 2.5"" 201 amps to 400 amps 2 401 amps to 600 amps $100..00 00 Over 600 amps to 1000 volts 2b. For owner installations: see •b" above. Print 4d. Branch Circuits rint Owner's Name New, alteration or extension per panel Address a) The fee for branch circuits with purchase of service or feeder fee. 2 City State Zip 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. 2 not intended for sale, lease or rent. First branch circuit $35.00 2 Each additional branch circuit $5.00 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 Mi Labels (10) $100.00 Service and feeder 225 amps or more System over 600 volts nominal 4f. 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 inspectio $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 $ "_7, 5% Surcharge (.05 X total fees) $ Z . sa PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ 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. El Trust Account # $ SO Balance Due $ s2 , wathcomdev\olacprm.epp DATE: PLANS CHECK NO.: - ii C_ PROJECT TITLE: Tec_i COUNTYWIDE TRAFFIC IMPACT FEE _ AppLICANT: WORKSHEET (4, , 6 e, / ; e c- - (FOR NON-SINGLE FAMILY USES) MAJUNG ADDRESS: - 3 - 3 CITY/ZIP/PHONE RATE PER f• S LAND USE CATEGORY TRIP TAX MAP NO.: RESIDENTIAL $159.00 6 — 4- BUSINESS AND COMMERCIAL $ I T1JS Nn. ADDRESS: OFFICE .-- 714 - 6.00 _ INDUSTRIAL $153.00 INSTITUTIONAL $66.00 PAY METHOD: CASH in-fFrx CREDIT INSTITUTIONAL ONLY: BANCROFT (PROMISSORY NOTE) LAND USE CATEGORY ESCFUPTION OF USE WEEKDAY AVG. TRIP RAT WEEKEND AVE TRIP RATE , DEFER TO OCCUPANCY / 7( 9„ 5e' Cie • 7 p 7 7 .e 0/ er • .."` 5" e e• A, 5-r c - "TZ L cAc7 c-. 7 ,/ z CALCULATIONS: 67 - PROJECT TRIP GENERATION: FEE: ADDITIONAL NOTES: FOR ACCOUNTING PURPOSES ONLY: ROAD AMT.: "Tit" -07 7- C TRANSIT AMT.: t PREPARED BY: — / ( /,.?; ■••••■ CC: WASHINGTON COUNTY TIF NOTEBOOK form tif10 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 C q BUP Date Requested S -5- I f AM PM BLD Location I � j ' 3 7 V 6/7 • Suite MEC Contact Person Ph 2-8 - 70E 5 7( PLM Contractor Ph 2y(42 SWR /_ BUILDING: u en wner ( 5° S ELC `7 (° - 0 Retaining Wall EL 97' .600SS) 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 I U e ✓1 D� r J2 c ! N ✓[ ,O X c r .0 4/) c V) re- Firewall ,f? k /� / Fire Sprinkler nr Z4.)0 C7 Y / .S / SZ '/ Je — Fire Alarm / Susp'd Ceiling r e 3 /`_ e V (. Roof Misc: Y ' Cm .i C Final PASS PART FAIL PLUMPING:' Post & Beam / Under Slab (7-/ b Se (De/ /` 1 Top Out /- Water Service /1 — J C — 9 7- & C Sanitary Sewer Rain Drains Final PASS PART FAIL MECHAN Post & Beam Rough In Gas Line Smoke Dampers Final i J PASS PART FAIL C4.91 g ;Ceti Service Rough In UG /Slab Low Voltage Fire Alarm PASS _)ART 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 Date v �(6 " Q ? Inspector E Other M Final PASS PART FAIL DO. NOT REMOVE this inspection record from the job site. .