Permit CITY T ELECTRICAL PERMIT
PERMIT #: EL-C98 2 090
% DEVELOPMENT SERVICES DATE ISSUED: 02/23/98
13125 SW Hall Blvd., Tigard, OR
PARCEL: 1S125DA -10900
SITE ADDRESS °° °:06680 SW KINGSVIEW CT
SUBDIVISION ° °° °:CHARLES ESTATES ZONING:R -4 °5
BLOCK ° ° °. ° ° ° ° ° °° LOT ° ° ° ° ° ° ° ° ° ° °° °:004 JURISDICTION: TIG
Project Description: Add first branch circuit to an existing single family
dwelling°
- -- 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 (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: 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
BRIAN HEFTY type amount by date recpt
6680 SW KINGSVIEW COURT PRMT $ 35.00 GEO 02/23/98 98- 303512
TIGARD OR 97223 5PCT $ 1.75 GEO, 02/23/98 98- 303512
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Phone #:
Contractor:
NW ELECTRICAL SPECIALTIES $ 36.75 TOTAL
ROYAL EDWARD STEARNS II
616 SE 69TH CT REQUIRED INSPECTIONS
HILLSBORO OR 97123 Elect'l Service
Phone #: 848 -8678 Elect'1 Final
Reg #. ° : 001213 •
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 001 -0010 through OAR 952- 001- 1987. .You may obtain a copy
of these rules or direct questions to OUNC by calling ( )246 -1987.
Permittee Signature: Issued B ° eed— —
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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 --
c
SIGNATURE OF SUPR. ELEC' N: DATE:
LICENSE NO: . 0 S
++++++++++++++++++++++++++++++++++++++++++4+++++ + + + + + + + ++ + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
C/gt5
CITY OF TIGARD Electrical Permit Application Plan Check #
13125 SW HALL BLVD. Recd By
TIGARD OR 97223 Date Recd
Date to P.E.
Phone (503) 639 -4171, x304 Date to DST
Print or Type
Inspection (503) 639 -4175 Incomplete or illegible will not be accepted Permit # � �� - 00%�
Fax (503) 684 -7297 Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Name (or name of business) 33ri a R I Service included: Items Cost Sum
Address : I r _ . P 1 I :� .. '
_ 4a. Residential - per unit
I
/ r 1000 sq. ft. or less $110.00 4
City /State /Zip /. . i. e a 3 Each additional 500 sq. ft. or
Commercial ❑ Residential L i portion thereof $25.00 1
Limited Energy $25.00
Each Manufd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
all currren p ` ses) , " /� �" �, p 4b. Services or Feeders
(Attach copy of
Electrical Contractor a .AJ3 C ( O._O , �i�C C -cQ.,1 7(s Installation, alteration, or relocatio _
Address C_pI,C_O r «i-11'∎ C * --UV 20 amps to or 400 amps $80.00 2
less $60.00 2
�i 201 amps to
City I-41 US V State l Zip ! r3, - 401 amps to 600 amps $120.00 2
Phone No. • t (. f ci it , 601 amps to 1000 amps $180.00 2
Job No. Over 1000 amps or volts $340.00 2
Reconnect only $50.00 2
r
Elec. Cont. Lice. No. - b Exp.Date
OR State CCB Reg. No. I $ Exp.Date 4c. Temporary Services or Feeders
COT Business Tax or Metro No. m i' Exp.Date Installation, alteration, or relocation
200 amps or less $50.00 2
� �� 201 amps to 400 amps $75.00 2
Signature of Supr Elec'n f 401 amps to 600 amps $100.00 2
7 Ex Date a //f9? Over 600 amps to 1000 volts,
/�
License No. z p. / "� see "b" above.
Phone No. ✓ c = �._ ;
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 $5.00 2
b) The fee for branch circuits
City _ State Zi p _ without purchase of 0
Phone No. service or feeder fee. t7
1
First branch circuit $35.00 2
The installation is being made on property I own which is not Each additional branch circuit $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. 5. Fees: .
Not required for temporary construction services. 5a. Enter total of above fees $
5% Surcharge (.05 X total fees) $
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 7 t a ��
TIME AFTER WORK IS COMMENCED. ❑ Trust Account #
c -�� /
Total balance Due $
I: \DSTS \ELC96.APP Rev 9/96
> I ;/ jcvri
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d9 CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: J: / �S , . , 1 3-13-98 40 X P.M. MST:
Location: b 0 4W \1 �(Zs() BUP:
Tenant: Suite: B1d : MEC:
Contractor: ,> L /L i , T ' 4 , _ ate' Phone: 53-77 PLM:
Owner: >i _ oz-93 - &54 ELC: 98 ' 46 90
. „. Phone:
_41,../l /l / _ L . l_ .* / LAM .j — I / . / / / ELR:
.�/L / ail. ,,C STT:
BUILDING BLDG (con't) PLUMBING MECHANICAL E SITE
Site Post/Beam Post/Beam Post/Beam ove Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab .
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approve Approved
Appr /Sdwlk Not Approved Not Approved Not Approved , .. oved Not Approved
FINAL FINAL FINAL 41 IN FINAL
3 0 CI C'3 1}1 Pirelnp_„/
..,11
50/30 o),, ra yvt e 44 e__
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7 C
(C,
O -Call - for- reinspecti. Reinspection fee of $ —required-before next ins on - - -- -- O- Unable-to- inspect- -- ' .--- 9 Inspector: Date: L ` 3 age of
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