Loading...
Permit A.,4 CITY OF TI GARD ELECTRICAL PERMIT PERMIT #: ELC2000 -00509 �I�, DEVELOPMENT SERVICES DATE ISSUED: 8/25/00 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S109BA -06800 SITE ADDRESS: 13900 SW LEAH TERR SUBDIVISION: HILLSHIRE SUMMIT NO. 2 ZONING: R -7 BLOCK: LOT : 054 JURISDICTION: TIG Project Description: 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 HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10): 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: 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: DUNAHUGH, BRIAN ALAN + OWNER DEURWAARDER, HEIDI LYNN 13900 SW LEAH TERR TIGARD, OR 97223 Phone: Phone: Reg #: FEES Required Inspections Type By Date Amount Receipt s 9 ti fit` PRMT CTR 8/25/00 $42.85 2720000000( a / — 5PCT CTR 8/25/00 $3.43 2720000000( PRM2 CTR 8/25/00 $42.85 2720000000( Total $89.13 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 copies of these rules or direct questions to OUNC at (503) 246 -1987. PERMITTEE'S SIGNATURE ISSUED BY: Z OWNER INSTALLATION ONLY The installation is being made on property I own which is o ' tende - d __ a e, lease, or rent. OWNER'S SIGNATURE: >(- DATE: 2 C CTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 639 -4175 by 7:00pm for an inspection the next business day CITY cF TIGARD Electrical Permit Application Plan Check# 13125 SW HALL BLVD. Rec'd By tsz i- TIGARD OR 97223 Date Rec'd g -z s - ov Date to P.E. Phone (503) 639 -4171, x304 Date to DST Inspection (503) 639 -4175 Print of Type Permit # U. 2ctr -0, K Fax (503) 598 - 1960 Incomplete or illegible will not be accepted Called ..5 1. Job Address: 4. Complete Fee Schedule Below: Name of Development 4. (.ESirj i Number of Inspections per permit allowed Name (or name of business) Service included: Items Cost Sum , I' Address 1?51,c© ) -- 4a. Residential - per unit City /State /Zip (IL t p�(J O . 97zZ�- 1000 sq. ft. or less $ 117.75 4 Each additional 500 sq. ft. or portion thereof $ 26.75 1 Commercial ❑ Residential Z 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 base). Installation, alteration, or relocation Electrical Contractor 200 amps or less $ 64.25 2 Address 201 amps to 400 amps $ 85.50 2 401 amps to 600 amps $ 128.50 2 City State Zip 601 amps to 1000 amps $ 192.50 2 Phone No. Over 1000 amps or volts $ 363.75 2 Job No. Reconnect only $ 53.50 2 Elec. Cont. Lice. No. Exp.Date 4c. Temporary Services or Feeders OR State CCB Reg. No. Exp.Date Installation, alteration, or relocation COT Business Tax or Metro No. Exp.Date 200 amps or less $ 53.50 2 201 amps to 400 amps $ 80.25 2 Signature of Supr. Elec'n 401 amps to 600 amps $ 1 07.00 2 Over 600 amps to 1000 volts, see "b" above. License No. Exp.Date Phone No. 4d. Branch Circuits New, alteration_or extension per panel a) The fee for branch circuits 2b. For owner installations: with purchase of service or £ , 1_ / + feeder fee. r �� ' Print Owner's Name t.>' i .s4 -{l� ell-{ Each branch circuit $ 5.35 2 Address ( OD S(.ti ( �i-{ ( r b) The fee for branch circuits without purchase of service City . Trii,ZSgb State C1 Zip 9 2Zit or feeder fee. Phone No. 5f.) 57-1 - i z/7 First branch circuit ( $ 37.50 37. cv Each additional branch circuit i $ 5.35 5- ? : The installation is being made on property I own which is • • 4e. Miscellaneous intended for sale, lease or t. (Service or feeder not included) Each pump or irrigation circle $ 42.75 Owner's Signature , /_'Zj /// -,•/ Each sign or outline lighting $ 42.75 Signal circuit(s) or a limited energy 3. Plan Rev ection ",= ' red):* panel, alteration or extension $ 60.00 Minor Labels (10) $ 107.00. Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over /4 4 or more residential units in one structure the allowable in any of the above Service and feeder 225 amps or more Per inspection $ 50.00 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: ��,� JJJJ �� 5a. Enter total of above fees $ * Submit 2 sets of plans with application where any of the above apply. it 6% Surcharge (.36 X total fees) $ - 0 3 Not required for temporary construction services. Subtotal 'e' r f $ L NOTICE Plan . - , - • . -- -. 3) $ y ' - - PERMITS -BEC-OME- VOID-IF - WORK OR CONSTRUCTION AUTHORIZED - - - - IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account # AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ q1 ra gri3 is \dsts \forms \electric.doc . CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639417 r BUP Date Requested q-> AM i"9 M BLD Location I3 9G S& 4ea ite MEC Contact Person Ph. 9O1- 63 PLM Contractor Ph 3 9 1- 7 /fit SWR BUILDING Tenant/Owner 2 j . 2 76 ( ELC rri/ Retaining Wall ELR Footing Access: Foundation / 4 � „� . ' 9. b FPS Ftg Drain l Ly SGN • Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler .4/4 ���' -4 r._ Fire Alarm ! _. Susp'd Ceiling ! ' -� -__ > ©/( Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out ( CO Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final FAIL LECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Fria AS • PART FAIL TE Backfill /Grading Sanitary Sewer Storm Drain [ I Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire -Su I -Line [ ] Please call for reinspection RE: _ [ ] Unable to inspect - no access pP y ADA Approach /Sidewalk o r' Other Date 7 '�S ' 0,e2 Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.