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Permit CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98 -0684 DATE ISSUED: 11/13/98 ��. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S135CC -02700 SITE ADDRESS °..:10205 SW KATHERINE ST SUBDIVISION....:GREENBURG HEIGHTS ADDITION ZONING:R -4.5 BLOCK LOT °. °.'. ° ° ° °.° °.:011 JURISDICTION: TIG Project Description : Add three (3) branch circuits • - -- 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... .. °: 0 W /SERVICE OR FEEDER: 0 PER INSPECTION..°..: 0 201 - 400 amp......: 0 1st W/O SRVC OR FDR.: 1 PER HOUR ° 0 401 - 600 amp ° 0 EA ADD'L BRNCH CIRC: 2 IN PLANT— ...... 601 - 1000 amp ° 0 PLAN REVIEW SECTION 1000+ amp /volt.....: 0 > =4 RES UNITS........: ) 600 VOLT NOMINAL— : Reconnect on 1. y.....: 0 SVC /FDR ).= 225 AMPS..: CLASS AREA /SPEC OCC. Owner: _ --------- -- FEES -___ ROBIN SLYTER type amount by date recpt 10205 SW KATHERINE PRMT $ 45.00 GEO 11/13/98 98- 310792 TIGARD OR 97223 5PCT $ 2.25 GEO 11/13/98 98- 31079E Phone #: Contractor: GRF ELECTRIC $ 47.25 TOTAL. 15460 SE PARADISE LN REQUIRED INSPECTIONS MULINO OR 97042 • Elect' 1. Service . Phone #: 503 -829 -4146 Elect' 1 Final Reg #..: 001015 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- 001-0010 through OAR 952- 'iii1 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246-1987. Permittee Signature: Issued By: A of / 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: 001/ DATE : [��/ 3 " f25" LICENSE • NO: 306 7 S ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ 11/12/1998 23:56 5038295747 GRF ELECTRIC PAGE 01 d. -. OF TIGARD Electrical Permit Application Plan check # 13125 SW HALL BLVD. Rec'd By TIGARD OR 97223 Dab R•da Date to P.E. Phone (503) 639.4171, x304 Print or Type Date to DST Inspection (503) 639 -4175 Incomplete or Illegible will not be accepted Permftfr �S-d 4g� Fax (503) 684 -7297 Called 1. Job Address: 4. Complete Fee Schedule Below: - Name of Development pre 1 Number of inspections p permit allowed Name (or name of business) � 0 ioj to 5 i1.� 't'e ?� Service Included: Items Cost Sum Address 1 (' '� ..S 1A.) )l- tit 41-1 e4 » t_ S7^, is Residential - per unit _ City /Stateaip L, t & /mf ' 7 22- 3 t s >o sq. it or less $t ta.00 0 E•ah additional 500 sq. ft. or portion Commercial 0 Residential Limited thereof $25.00 t Each Marlufd Horns or Modular Dwelling Service or Feeder Ses.00 2a. Contractor installation only: 2 • (Amen copy of alt dent Ilosnass lb. Services or Feeders Electrical Contractor ( f• ~L, Installation, alteration, or relocation L d1) 200 amps or use 500.00 2 Address I - ty Pi.. , 1 201 amps to 400 amps $80.00 . --._„_ 2 City lYtl.A.l,yr all State n Zip 5 7 r) W 7 001 amps to 500 amps $120.00 . 2 Phone No. 2.4 -y- ofi 801 amps to 1000 amps $15000 2 Job No. Over 1000 amps or $340.00 2 • Elec. Cont. Lion. No. - L" Exp.Date Reconnect only 160.00 2 OR State CCB Reg. No. Exp.Date 4e. Temporary Services or Feeders COT Business Tax or Metro No. 2_ Exp.Date installation, alteration. or Macedon 200 amps or less $50.00 _ 2 Signature of Supr. Sabin 201 amps to 000 amps $75.00 2 - 401 amps to 800 amps $100.00 2 - _ ,,° Over 800 amps to 1000 voile, License No. 310� S . ' , Exp.Date sea "b" above. Phone No b tic. 4d. Branch Clrcula New, alteration or extension per panel 2b. For owner Installations; a) The tee for branch circuits Mitt pureness of service Of Print Owners Name fawn. Address branch circui $5.00 2 b) The fee for branch circuits City 3c ` Phone No. state Zip without purchase a r� Flat branch circuit $35.00 2 - The installation is being made on property I own which is not Each addition& branch circuit ' $5.00"- 2 Intended for sate, lease or rent. 4e. Miscellaneous Owner's Signature (Service pump not Included) irrigation alas $do.00 2 Each sign or outline lighting $40.00 2 3. Plan Review section (If required): r . , Signal ciratdt(s) or a limited energy panel, alteration or extension ' x. - 2 MInor labels (10) $100.00 Please check appropriate Item and enter fee In section 5B. : - " 4 or more residential units In one etructwe 41. Each additional Inspection over SeMc° and feeder 225 amps or more . the allowable in any of the above System over 800 vote nominal Per Inspection $35.00 Classifled area or structure cDritaiNng special °cctirpar r. Per hour 355.00 as described In N.E.C. Chepesr tf In Plant 1 555.00 Submit 2 sets of plans with application where any of rite above apply. 5. Fees: Not required for temporary construction sices. Ss. Enter total of above fees �S w 5% suroheme (.05 X total foes) • $ --.1.1-,-P- S ___ Subtotal 5 Sb. Enter 25% of lino lis for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Pion Review it rocui !1(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. - t Account # • •k / r -/ s / _ . _ . Total balance Due i00 0011:3 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 / BUP (- �o 7‘ /V Date Requested .S%!/ l g AM PM BLD Location /0 ©5 i f< At4 Suite MEC Contact Person '.,lix i� J Ph PLM Contractor /2'1 -a-' Ph ,___),f3- - /Y,1( SWR BUILDING° } ` xwr Tenant/Owner fel 7 ELC ` er &li Retaining Wall X37 Q89�' ELR Footing Access: Foundation FPS Ftg Drain SGN • Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear 1nt Sheath /Shear Framing - Insulation e056- %A Q L Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBINGx` p, Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS T FAIL �HANIG , 4 Poaream Rough In Gas Line Smoke Dampers -... RT FAIL Service Rough In UG /Slab Low Voltage Fire Alarm F' 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 Other Date. 7 7 7 Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.