Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2000 -00345
c if l'l DEVELOPMENT HI
r SERVICES 2 ES ) 639 -4171 DATE ISSUED: 6/20/00
13125 SW
PARCEL: 2S112CB -10400
. SITE ADDRESS: 15414 SW KENTON DR
SUBDIVISION: ASHFORD OAKS NO. 2 ZONING: R - •
BLOCK: LOT : 118 JURISDICTION: TIG ..
Project Description: Installation of one branch circuit for new a/c unit.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL /PANEL: -- . -•
MANF HMI SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10): ...r_ ,.
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS •
0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: •
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: • Contractor:
HOFER, DAVID P + KIMBERLEY M SHARPE ELECTRIC INC
15414 SW KENTON 22605 SW RIGGS
TIGARD, OR 97224 BEAVERTON, OR 97007
Phone: Phone: 642 -7937
Reg #: LIC 000815
SUP 3344S
ELE 34 -217C
FEES Required Inspections
Type By Date Amount Receipt
Elect'l Service _ .
PRMT DEB 6/20/00 $37.50 0003131 Elect'l Final __
5PCT DEB 6/20/00 $3.00 0003131 V N\—. Total $40.50 (..)\::6 1�
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. 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 rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copie • the les or direct questions to OUNC at (503)
246 -1987.
PERMITTEE'S SIGNATURE 7) 4 ISSUED 'Y: . A _0„ 1 11 .
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 IN S ONLY
SIGNATURE OF SUPR. ELEC'N: -.0 a C' l /� DATE: . -•
LICENSE NO: . 5 3 .�
Call 639 -4175 by 7:00pm for an inspection the next business day
•
- CITY OF TIGARD Electrical Permit Application Plan Che
13125 SW HALL BLVD. Recd By j 3
TIGARD OR 97223 Date Recd
• Date to P.E.
Phone (503) 639 -4171, x304 Date to DST
Inspection (503) 639 -4175 Print of Type Permit #p_.a',c9 ."60 5`
Fax. (503) 598 -1960 Incomplete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Name (or name of business) allg / Service included: - Items Cost Sum
Address /5 9f/`t S t4. ' W " �7 / 1F�/ r 4a. Residential - per unit
City/State/Zip 14 (� ie q ®Z 2- / / - - 1000 sq. ft. or less $ 117.75 4
tY /State /Zi p T� C � 4 r Each additional 500 sq. ft. or
portion thereof $ 26.75 1
Commercial ❑ Residential P Limited Energy $ 60.00
Each Manufd Home or Modular
2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 2
(Prior to permit issuance, applicants must provide contractor license 4b. Services or Feeders
information for COT data bash). _ /� Installation, alteration, or relocation
Electrical Contractor , t / £ L - L.c'G -T �t_ 200 amps or less $ 64.25 2
Address 6, 0 C -s t
7 1 � s R J 201 amps to 400 amps $ 85.50 2
401 amps to 600 amps $ 128.50 2
City 1`ii:c ./2 - r- 1-0 G` State Zip C / 704 7 601 amps to 1000 amps $ 192.50 2
Phone No. c_50-3 7 / 3 4 7 q 3' 7 Over 1000 amps or volts $ 363.75 2
Job No. tat) I - 70 0 Reconnect only $ 53.50 2
Elec. Cont. Lice. No. 3`/ ? /7G Exp.Date /0/0// 60 4c. Temporary Services or Feeders
OR State CCB Reg. No. SS" /$ V Exp.Date £/ Installation, alteration, or relocation
a 200 amps or less $ 53.50 2
COT Business Tax or Metro No. ���� / Exp.Date
201 amps to 400 amps $ 80.25 2
Signature of Supr. Elec'n Q�//GGL/ 401 amps to 600 amps $ 100.00 2
Over 600 amps to 1000 volts,
33)1-1.5 see "b" above.
License No. 5 Exp.Date /b/0/ �hi) / 4d. Branch Circuits •
Phone No. _6'03 � .7 - 7y 3 7 New, alteration or extension per panel
a) The fee for branch circuits
2b. For owner installations: with purchase of service or
feeder fee.
Print Owner's Name Each branch circuit $ 5.35 2
Address b) The fee for branch circuits
without purchase of service
City State Zip or feeder fee. 90 Phone No. First branch circuit I $ 37.50 3
Each additional branch circuit $ 5.35
The installation is being made on property I own which is not 4e. Miscellaneous
intended for sale, lease or rent. (Service or feeder not included)
Each pump or irrigation circle $ 42.75
Owner's Signature Each sign or outline lighting $ 42.75
Signal circuit(s) or a limited energy
3. Plan Review section (if required):*
panel, alteration or extension $ 60.00
Minor Labels bels (10) $ 100.00
Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over
4 or more residential units in one structure the allowable in any of the above
Per inspection $ 50.00
Service and feeder 225 amps or more
Per hour $ 50.00
System over 600 volts nominal In Plant $ 59.00
Classified area or structure containing special occupancy as
described in N.E.C. Chapter 5 5. Fees:
5a. Enter total of above fees $'' SCE
* Submit 2 sets of plans with application where any of the above apply. 8% Surcharge (.08 X total fees) $ 3 , °u
Not required for temporary construction services. Subtotal $
5b. Enter 25% of line 5a for
NOTICE Plan Review if required (Sec. 3) $
PERMITS BECOME VOID IF WORK - OR CONSTRUCTION AUTHORIZED Subtotal $ -- _
IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account # , / 5 0 •
AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ /
ildsts \forms \electric doc
144,),W91 /V\ S )91147 1
� c
+ \\b
‘ Kb
5.1/ \ �
N
CITY OF TIGARD BUILDING INSPECTION DIVISION • MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
Location (// q 4<f),X.,6/1t QA. Suite MEC - 7
Contact Person r p �� _ � Ph (' - 2-0 Sao t/ 3 PLM
Contractor Ph SWR
BUILDING! F Tenant/Owner ELC 20 e5C
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain L5Yrt12-- SGN
Crawl Drain Inspection Notes:
Slab SIT
Post &Beam 1 / Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service •
Sanitary Sewer
Rain Drains
Final
FAIL
I�1 i ECHANfICAL
eam /l t--
Ra Li e
Gas Line ,� A
Smoke Dampers / V
�/ �;07 f
rPART
• ICAL
Service
n
c
UG /Slab
Low Voltage
Fir • larm
Wig'
/ BART 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 reinspeQtion RE: [ ] Unable to inspect - no access
ADA
Approach /Sidewalk D ate
Other P Inspector Ext
Final
PASS PART FAIL DO < OT REMOVE this inspection record from the job site.