Permit CITY OF T ELECTRICAL PERMIT
i,, ;i\ DEVELOPMENT SERVICES PERMIT #: ELC98 -0152
� 1P'I DATE ISSUED: 03/30/98 '
y► -__.. 1 3125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 25115AA -03800
SITE ADDRESS...:1O591 SW KENT ST
SUBDIVISION °DOVER LANDING NO.2 ZONING:R -4.5
BLOCK..........: LOT :077 JURISDICTION: TIG
Project Description : Installing first branch circuit
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS ° 0 0 — 200 amp • 0 PUMP /IRRIGATION - 0
EACH ADD'L 5O0SF...: 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 (1O)...: 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: 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
JOE DAVIS type amount by date recpt
10591 SW KENT PRMT $ 35.00 B 03/30/98 98- 304509
TIGARD OR 97224 SPCT $ 1.75 B 03/30/98 98- 304509
Phone #:
Contractor:
THE ELECTRIC GROUP $ 36.75 TOTAL
4726 SE MILWAUKIE AVE
REQUIRED INSPECTIONS
PORTLAND OR 97202 Rough —in Elect'1 Final
Phone #: 232 -2499 Elect'1 Service
Reg #..: 000438
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 core 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 -0618 through OAR 952-001 -1987. You may obtain a copy
of these rules or direct questions to OUN calli (503)246 -1987.
P e r m i t t e e Signature: fn�� Issued B: O '�iNA/ `�
X y -
' 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: 0 T ` ^ 1<<ea DATE: '
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +±
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + +. + + + ++
Community Development ELECTRICAL PERMIT APPLICATION
• 13125 SW Hall Blvd. �^// ����yyf�[( _
Tigard, OR 97223 Permit # ELC5 U b(Sli
�" Date Issued
Phone (503) 639 -4171
FAX (503) 684 -7297
CITY OF TIGARD TDD No. (503) 684 -2772
Inspection (503) 639 -4175
1. Job Address: r IVY
( (II 4. Complete Fee Schedule Below:
Name of Development I\. Lai • 2 Number of Inspections per permit allowed
Address / ,5 5 Ca / 431-- " 7.--- Service included: Items Cost(ea) Sum
City /State /Zip 7 ‘19'2 Orec - C f 7Z 2'7 4a. Residential - per unit
1000 sq. ft. or less $110.00
4
Name (or name of business) Joe -7 ) 4 -LJ i5 Each additional 500 sq. ft. or
portion thereof $25.00
Commercial ❑ Residential N. Limited Energy $25.00 1
Each Manurd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
4b. Services or Feeders
Tf/e .FLE r2f 201,1 P Installation, alteration, or reloc
Electrical Contractor $60.00
G 200 amps or less 2
Address 8726 5e Al /L w2r4 ec1 E .4 t..." 201 amps to 400 amps $80.00 2
$120.00 2
City f3 On/ State D t26 Zip `77,3oZ 401 amps to 600 amps 601 amps to 1000 amps $180.00 2
Phone No. 6"03 - '.. 3 a - Zy'' Over 1000 amps or volts $340.00 2
Job NO. rf s'- '9 7 2._ Reconnect only $50.00 2
contractor's license NO. ,V61'5/6---- 4c. Temporary Services or Feeders
Contractor's Board Reg. No. 4 Installation, alteration, or relocation
Signature of Supr. Elec'n 4�}« -e d�... 200 amps or less 2
License No. 5'25 - - s P ne No. va 3a- a y99' 201 amps to 400 amps $50.00 2
401 amps to 600 amps $75.00
Over 600 amps to 1000 volts $100.00
2b. For owner installations: see "b" above.
4d. Branch Circuits
Print Owner's Name New, alteration or extension per pane
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. / 5 2
E
not intended for sale, lease or rent.
First a ddd, n a l b $35.00
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 Minor 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 inspection $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:
5a. Enter total of above fees
NOTICE 5% Surcharge (.05 X total fees) $ L.
Subtotal $ .71-
PERMITS BECOME VOID IF WORK OR CONSTRUCTION o
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25/0 of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $
A PERIOD OF DAYS AT-ANY-TIME-AFTER-WORK-IS Subtotal _ $ ___
COMMENCED. word\comdev\eleo- ❑ Trust Account #
$
prm.app
Balance Due $ 36
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST 1
BUP
0.,(0/0q.2,1 Date Requested o D-7 AM PM BLD
Location 10 5 l 3 4t Suite MEC et E- 0/ 15
Contact Person / 1 !G/Yl Ph er 6 ^ 2 91 PLM
Contractor UQ Ph SWR c-
BUILDING ° w' w Tenant/Owner ELC qP- l J
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab �p� / a ^� SIT
Post & Beam ���. —r�-� l��✓� 0 ` 0 L
Ext Sheath /Shear
, Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler �.
Fire Alarm
Susp'd Ceiling
Roof
(q'
5
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
p�cc DART FAIL
Post & Beam
Rough In r .
Gas Line
S sklDampers
F-2' • RT FAIL
Service
Rough ! '
UG /Slab
V
Low Voltage
Fi - larm
F'•
` ''r
rr 'ART FAIL
Soa a „ .
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
[ ] Please call for reinspection RE: [ ] Unable to inspect - no access
Fire Supply Line
ADA -
Approach /Sidewalk D ate C L
Other .or Inspector r. O Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.