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Permit CITY OF TIGARD ELECTRICAL PERMIT PE RMIT #: ELC1999 -00716 R: "I DEVE H g ME N a r S O ERVICES ) 639 -4171 DATE ISSUED: 12/01/1999 PARCEL: 1S126DC-04800 SITE ADDRESS: 09495 SW LOCUST ST A . SUBDIVISION: LEHMANN ACRE TRACT ZONING: C -P BLOCK: LOT : 004 JURISDICTION: TIG Project Description: Electrical TI 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: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 4 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: BAKER, JAMES + WILLAMETTE ELECTRIC INC MATHESON, ROBERT T + PO BOX 230547 BAKER, DIANE R TIGARD, OR 97281 PORTLAND, OR 97223 Phone: Phone: 624 - 3631 Reg #: LIC 000750 SUP 1965S ELE 34 -283C FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT BON 12/01/199, $58.90 99- 320096 Elect'l Final 5PCT BON 12/01/199€ $4.71 99- 320096 Total $63.61 ORIGINAL 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 01n 40-77\ I° ak^oS ISSUED BY: g Vi't 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: Con DATE: LICENSE NO: If)(( Call 639 -4175 by 7:00pm for an inspection the next business "day CITY OF TIGARD ectrical Permit Application Plan Che ■ 13 2 SW HALL BLVD. RECEIV pp Rec'd By . - TIGARD OR 97223 Date Rec'd ice' Phone (503) 639 4171, x304 • DEC 0 1 1 999 Date to P.E. Date to DST Inspection (503) 639- 4175 COMMUNITY DEVELOPMENT Print of Type Permit# r-� 199 y - e Co Fax (503) 598 - 1960 Incomplete or illegible will not be accepted Called 1. Job Address: l �� 4. Complete Fee Schedule Below: Name of Development pal l M 4- 1-k e t Number of Inspections per permit allowed Name (or name of business) Service included: Items Cost Sum Address 94 9' Sw Lu e v cf S U 4 4a. Residential - per unit City /State /Zip 'T I S M it n QA- q -Z'Z 3 l000 sq. ft. or less $ 117.75 4 Each additional 500 sq. ft. or Commercial � Residential ❑ portion thereof $ 26.75 1 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 W , I 1 w ,Me Ke ilea-no. 1-t(...._ 200 amps or less $ 64.25 2 Address pe A 4 ,x Z 305 7- 201 amps to 400 amps $ 85.50 2 401 amps to 600 amps $ 128.50 2 City I i j i ,, State O,ti Zip g=} } 241 601 amps to 1000 amps $ 192.50 2 Phone No. (v Z 4 3 f• 7 1 Over 1000 amps or volts $ 363.75 2 Job No. 7-0 S� Reconnect only $ 53.50 2 Elec. Cont. Lice. No. g t1 - 2 ( Y 3 C Exp.Date /0 - / - 0 4c. Temporary Services or Feeders OR State CCB Reg. No. ?-5-0 5 y Exp.Date - (G - e/ Installation, alteration, or relocation COT Business Tax or Metro No. /S1 L E .Date k-( -00 200 amps or less $ 53.50 2 201 amps to 400 amps $ 80.25 2 Signature of Supr. Elec'n A , �� 401 amps to 600 amps $ 100.00 2 Over 600 amps to 1000 volts, II see "b" above. License No. /Q4 S - 5 Exp.Date /0 - / / �I t t 4d. Branch Circuits Phone No. G 24 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. s- Phone No. First branch circuit $ 37.50 3 "- Each additional branch circuit . q $ 5.35 Z 1 " b 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 (if required):* panL alteration or extension $ 60.00 3. Plan Review section ( Minor Labels (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: 90 5a. Enter total of above fees $ * Submit 2 sets of plans with application where any of the above apply. 8% Surcharge (.08 X total fees) $ et 73 :- 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 # // (®' 3 AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ (0 is \dsts \forms \electric.doc 1/31/00 Activities for Case #: ELC1999 -00716 1:46:11 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELCC700 Ceiling Cover 12/7/99 12/7/99 12/28/99 BRP PASS No Hold AKJ 12/28/99 ELCC720 Wall Cover 12/7/99 12/7/99 12/7/99 BP FAIL No Hold DGW 12/7/99 Refer to art 517 -12, 13 NEC. For wiring method in patient care areas. Art 517 -3 for definition of patient care areas. ELCC001 Application received 12/1/99 BON DONE No Hold BON 12/1/99 ELCC003 Permit created 12/1/99 BON DONE No Hold BON 12/1/99 ELCC730 Elect'I Service 12/1/99 12/1/99 No Hold BON 12/1/99 ELCC799 Elect'I Final 12/1/99 12/1/99 12/28/99 BRP PASS No Hold AKJ 12/28/99 ELCC500 (F)lssue permit 12/1/99 BON DONE No Hold BON 12/1/99 ELCC720 Wall Cover 12/9/99 12/9/99 12/9/99 BP PASS No Hold DGW 12/9/99 Wiring method complies...insure redundant grounding is complete to load center. Brace far side of outlet box prior to shiitrock installation. Walls only - pass. ELCA720 Wall Cover 12/27/99 12/27/99 12/27/99 BRP FAIL No Hold AKJ 12/27/99 Metal raceway req to panelboard or me cable • The switch box in care area has been entered with romex from the front opening. These are existing conditions but it is obvious this was not done correctly or in compliance - with code at time. Corrections must be made prior to a final insp approval. ELCC800 Case Finaled 12/28/99 AKJ DONE No Hold AKJ 12/28/99 • • Page 1 of 1 01/24/2000 Activities for Case #: ELC1999 -00716 11:30:17 AM • Assigned . Hold Updated • Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By U pdated Notes ELCC700 Ceiling Cover • 12/07/1999 12/07/1999 12/28/1999 BRP PASS No Hold AKJ 12/28/1999 ELCC720 Wall Cover 12/07/1999 12/07/1999 12/07/1999 . BP FAIL No Hold DGW 12/07/1999 Refer to art 517 -12, 13 NEC. For wiring method in patient care areas. Art 517 -3 for definition of patient care areas. ELCC001 Application received 12/01/1999 BON DONE No Hold BON 12/01/1999 ELCC003 Permit created 12/01/1999 BON DONE No Hold BON 12/01/1999 ELCC730 Elect'I Service 12/01/1999 12/01/1999 No Hold BON 12/01/1999 ELCC799 Elect'I Final 12/01/1999 12/01/1999 12/28/1999 BRP PASS No Hold AKJ 12/28/1999 ELCC500 (F)lssue permit 12/01/1999 BON DONE No Hold BON 12/01/1999 ELCC720 Wall Cover 12/09/1999 12/09/1999 12/09/1999 BP PASS No Hold DGW 12/09/1999 Wiring method complies...insure redundant • grounding is complete to load center. Brace far side of outlet box prior to shiitrock installation. Walls only - pass. ELCA720 Wall Cover 12/27/1999 12/27/1999 12/27/1999 BRP FAIL No Hold AKJ 12/27/1999 Metal raceway req to panelboard or me cable The switch box in care area has been entered with romex from the front opening. These are existing conditions but it is obvious this was not done correctly or in compliance with code at time. Corrections must be made prior to a final insp approval. ELCC800 Case Finaled 12/28/1999 AKJ DONE No Hold AKJ 12/28/1999 • • • Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 . Business Line: 639 -4171 . - BUP Date Requested 12 ��191 AM PM )`/./ BUP Location 'I q c (J)f .LAt,/3_I Suite /f MEC ' Contact Person k)[' I ( C L. C., Ph (v 7)4 — 3 c. o, j/ PLM Contractor Ph SWR ' 'BUILDINGsPt . , d - < 1199-067 Tenant/Owner ELC /(,.., Retaining Wall ' E LR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam • Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall . Fire Sprinkler Fire Alarm Susp'd Ceiling Roof F JI /- 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 �\ P ASS PART FAIL RICA Service Cti, WV) / ) €&( UG /Slab Low Voltage Fire Alarm F ART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd • Catch Basin [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Date / — I � — L ^ ns q Inspector Ext Other p Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. •