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Permit CITY OF T ELECTRICAL PERMIT ^ ._ 10 41 DEVELOPIIIIEN SERVICES I PT ERMI E C O 8 -035 PARCEL: 1S125DA -11200 SITE ADDRESS...:O6614 SW KINGSVIEW CT SUBDIVISION °CHARLES ESTATES ZONING:R -4.5 BLOCK LOT °007 JURISDICTION: TIG Project Description: Bowles - -- 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/0 SRVC OR FDR.: 1 PER HOUR • 0 401 — 600 amp ° 0 EA ADD'L BRNCH CIRC: 1 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 SARA BOWLES type amount by date recpt 6614 SW KINGSVIEW CT PRMT $ 40.00 JSD 07/01/98 98- 306968 TIGARD OR 97223 5PCT $ 2.00 JSD 07/01/98 98- 306968 Phone #: Contractor: ADAMS ELECTRIC CO INC $ 42.00 TOTAL 2340 SE CLATSOP REQUIRED INSPECTIONS PORTLAND OR 97202 Rough —in Elect'l Final Phone #: 234 -9651 Elect' 1 Service Reg #..: 000005 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 accordanc• wi h api ved plans. This permit will expire if work i of started within 180 days of issuance, or if work is suspended for more ((flan 80 ray.. ATTENTION: Oregon law requires you to f: low the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 9521- l'•:7. You say obtain a copy of these rules or direct questions to OUNC b ailing (iy.i, -1987. • Permittee Signature: .1 1 • Issued B. 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: +++++++++++++++++++- F++++++++++++++++++++++++++++ + ++ + + + + + + + + + + + + + + + + + + + + + + + ++ + ++ Call 639 -4175 by.7:OO p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ CITY OF TIGARD Electrical Permit Application Plan Check # 13125 SW HALL BLVD. Rec'd By l 1 56 TIGARD OR 97223 Date Reed 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 # 1( Fax (503) 684 -7297 Called f iWr 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name (or name of bussiness)." c9 44.. Service included: Items Cost Sum Address 44 7 S • CO • JO ei C'S ` G t Cr', 4a. Residential - per unit c_ \ 1000 sq. ft. or less $110.00 4 City /State /Zip / 'Q � J , j 0k._ 9 7- 3 Each additional 500 sq. ft. or �% portion thereof $25.00 1 Commercial ❑ Residential Limited Energy $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: (Attach copy of all current licenses) 4b. Services or Feeders Electrical Contractor A Z7ArrNS Wit;. -C' fC; Co Installation, alteration, or relocation 200 amps or less $60.00 2 Address .23 VO s E 6L� 7-s a p 201 amps to 400 amps $80.00 2 City - P© �T. ,..) b Sate G Zip 9 7 a a 401 amps to 600 amps $120.00 2 Phone No. • ..Y,_3 - / c-/ 601 amps to 1000 amps $180.00 2 Job No. .-� ® ..' /Z Over 1000 amps or volts $340.00 2 � Reconnect only $50.00 2 Elec. Cont. Lice. No - ...5 - t - Exp.Date /0 --- A - 9 OR State CCB Reg. No..5 7.‘ Exp.Date >� - 17 9 4c. Temporary Services or Feeders COT Business Tax or Metro No./ t:) 74, Exp.Date 7- /. -'7 Installation, alteration, or relocation 200 amps or less $50.00 2 - ii �. 201 amps to 400 amps $75.00 2 Signature of Supr. Ele ' 401 amps to 600 amps $100.00 2 _ Over 600 amps to 1000 volts, �L3� License No. a S Exp.Date /6 -•r - f � 6 (J' see "b" above. Phone No. 1 39 - ‘,... - . 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 cir $5.00 2 b) The fee for branch circuits City State Zip without purchase of Phone No. service or feeder fee. ,..--• First branch circuit / $35.00 ' 2 The installation is being made on property I own which is not Each additional branch circuit $s.00 ` j 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: _ CI 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 TIME AFTER WORK IS COMMENCED. ❑ Trust Account # �„ Total balance Due $ I: \DSTS \ELC96.APP Rev 9/96 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 8 BUP 7--?) L S I Date Requested � b)� 0 " 3 (A M �)<. PM BLD Location //1 (' l Li- 3U��) ,t -ii lad- U Li l Z'Suite � C r Y Contact Person J Ph • M Pon tat / Contractor Ph SWR ,BUILDING ' " : - : ; : ' ' Tenant/Owner A / 6-07,b41-4-- (9-(16- 7 5 - ELC ' - R e t a i n i n g Wall ELR ad Qr_ Footing Access yy�� �� �� �� ,� Foundation /�l w v t , C X . f i l . . (/n ) FPS 3 -q& c Ftg Drain SGN Claw Crawl Drain Inspection Notes: (Al' /"� /,,,,� /�„� 1 Il(/1X SIT Post & Beam Ext Sheath/Shear 4(J I.4 06 7 v �,� L•S 1 a Int Sheath /Shear VVVV ��� Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING;,: „,,:1 Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains I Final FAIL WHANICAL r'; ':'-'::°- Po Rough In p o Gas Smoke e Dampers in PAST FAIL i L ECTRICAl:f „) — Service Rough In UG /Slab . Low Voltage Fire Alarm i n SS PART FAIL _ SITE :; , :E,G. ? .,, . 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 g” ? , Inspector i�ar Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.