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Permit CITY OF TI GAR ELECTRICAL PERMIT PERMIT #: ELC97 -0369 - �����e���� i DEVW Tigard, LOPMENo ( SERVICES DATE ISSUED: 07/17/9 7 39-4171 PARCEL: 26112AB -00500 SITE ADDRESS...:07300 SW LANDMARK LN SUBDIVISION....: ZONING: -I —H BLOCK • LOT • • JURISDICTION:. TIG Project Description : add 1 service /feeder // job. # 97 -286 - -- RESIDENTIAL UNIT - - -- ----TEMP SRVC /FEEDERS - - -- MISCELLANEOUS 1000 SF OR LESS • 0 0 — 200 amp • 1 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.: 0 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 PIKE AWNING type amount by date recpt 7300 SW LANDMARK LN PRMT $ 60.00 TAT 06/12/97 97- 296803 TIGARD OR 97223 5PCT $ 2.00 TAT 06/12/97 97- 295874 Phone #: Contractor: LEAR ELECTRIC $ 62.00 TOTAL PO BOX 573 REQUIRED I NSPECT IONS GRESHAM OR 97030 Ceiling Cover Elect' 1. Service Phone #: 665 -9840 Wall Cover Elect'1 Final Reg #..: 000522 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 throu 952-001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246 -1987. / Permittee Signature: Issued By:. !4/ �.�4 . / .. . 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: __. ++++++++++++++++++++++++++++++++++++++++++++++++ + + ++ + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ la ADDITIONAL FEES TO PERMIT # ELEC 97 -0269 Community Development ELECTRICAL PERMIT APPLICATION - 13125 SW Hall Blvd. Tigard, OR 97223 Permit # ql-(�ag , , „00 P �l ,i Date Issu " I / , ..: P one (503) 639 -4171 CITY OF TIGARD FAX (503) 684 -7297 TDD No. (503) 684 -2772 Inspection (503) 639 -4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Address 7300 S.W. LANDMARK LANE Service included: Items Cost(ea) Sum City /State /Zip TIGARD, OREGON 4a. Residential - per unit 1000 sq. ft. or less $110.00 4 Name (or name of business) PIKE AWNING Each additional 500 sq. ft. or portion thereof $25.00 1 Commercial n Residential n Limited Energy $25.00 Each Manufd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: 4b. Services or Feeders Installation, alteration, or relocation Electrical Contractor LEAR ELECTRIC CO. , INC. 200 amps or less ( $60.00 'G� 2 Address P.O. BOX 573 201 amps to 400 amps $80.00 2 2 City GRESHAM State OR Zip 97030 401 amps to 600 amps $120.00 2 5 03 - 665 -9840 601 amps to 1000 amps $340.00 Phone No. Over 1000 amps or volts 2 Job NO. 97-286 Reconnect only $50.00 2 Contractor's license NO. 26-411C 4c. Temporary Services or Feeders Contractor's Board Reg. No. 52278 Installation, alteration, or relocation Signature of Sup ec'n 1 , , >, 200 amps or less 22 License No. 7865 Phone No. 5$ -665 -9840 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 City State Zip purchase of service or feeder fee. 2 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. 2 not intended for sale, lease or rent. First branch circuit $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 $55.00 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 $ • CO•OZJ NOTICE 5% Surcharge (.05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ (el• AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Reevivi of if required (Sec.3) $ �� �" A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS - - - Subtotal _ _ _ $ rjxo - - - COMMENCED. wordcw,d.aeieo- ❑ Trust Account # $ prm.app Balance Due $ - (tidy CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested '� ��,, G AM PM BLD .�l,y�.d l Location ) 30O l Suite MEC Contact Person i Ph PLM Contractor LU cLIL Ph WO . 9 ri O SWR ;BUILDING .: Tenant/Owner Y l 54A4..)1(1.1/1-1 . ELC q 7 O( 2,U' 7 Retaining Wall ELC 9 36 Footing Access: , A /,, Foundation I O I �' ` FPS Ftg Drain & ► n ( A c G • SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Fire wall 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 PASS PART FAIL MECHANICAL Post & Beam Rough In • Gas Line Smoke Dampers Final PASS PA �T FAIL EC_TRIGA Service Rough In UG /Slab Low Voltage Fi = arm 4 PART FAIL SI E 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 JO, Approach /Sidewalk Other Date ‘._.) Inspecto �— Ext Final PASS PART FAIL ' 0 NOT REMOVE this inspection record from the job site.