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Permit VAL1 : _11 Z I N n * ELECTRICAL PERMIT .r . 1 PERMIT #: ELC2000 -00192 � DEVELOPMENT SERVICES DATE ISSUED: 4/21/00 -14 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S136AD -04300 SITE ADDRESS: 11477 SW PACIFIC HWY SUBDIVISION: VILLA RIDGE ZONING: C -G BLOCK: LOT : 002 JURISDICTION: TIG Project Description: Install two (2) branch circuits. 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: 1 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: BANNING, MARK A + PATRICIA E T BEAR ELECTRIC 3895 TAMARACK LN P 0 BOX 389 LAKE OSWEGO, OR 97035 DONALD, OR 97020 Phone: Phone: 503 - 678 -1355 Reg #: LIC 20919 ELE 24 -107C SUP 3162 -S FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT GEO 4/21/00 $42.85 0001615 Elect'I Final 5PCT GEO 4/21/00 $3.43 0001615 HOUR CTR 2/13/02 $58.41 2720020000( (additional fees not listed here) Total $108.78 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 ru -s or direct questions to Permit Signature: Issued B ts:J OWNER INSTALLATION ONL 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 7:00pm for an inspection the next business day FEB 07 '01 08:3511M P.1 Elec trical Permit Application . A- �—� 1Daterece l ' g / v Per no.: a, /9 City of Tigard r :,4":..T11" - -- R EC EI VED Pro�ect/appl.no.: 13xpite Ciy ofTigard Address: 13125 SW Hall Dace issued: By: i Receipt no.: Phone: (503) 6394171 Fax: (503) 598 -1960 FEB - 8 2002 Case file no.: Payment type: Land use approval: ❑ 1 & 2 family dwelling or accessory Commercial/industrial 0 Multi - family Cl Tenant improvement Cl New construction ❑ Addition/alteration/replacement l] Other. © Partial JOB SITE INFORMATION Job address: / 14 7 9 $ c..../ fw co l ve 6si ,..,$, Bldg. no,: Suite no.: Tax map /tax lot/account no.: - Lot: kBlock: Subdivision: m Project name: rsr: * r , s �J.e,s T s i Desertion and location of work on premises: Estimated date of completion/inspection: s pection: (:ON I It. ACTOIt APFLICM 1ON FEE SCJJ.J?0111.E Job no: Fee Max Business name: B otr 5 Le Gee, is _ Description Qty. (ea.) Total no. insp New residential • single or mUIBdamily per Address: r 3 IF t ' dwelltg unit, Indi d ee chedgarage. City: pv I'd State: Cr ZIP: f) Q-.. a Service included: ' Phone: 6 ? t -1 UT !Fax 4 ; 91 I do sI E-mail: — 1000 sq. ft. or less 4 Such additional sq. ft, ar portion thereof CCB no.: O p Elec. bus, lie. no: Z y -6 417 c Limited energy, residential 2 City /m(1ro lie. no.: Q i j L . non - residential 2 6 6-2 _ e, 41••••■•11/ 2/4f p Z Bach manufactured home or modular dwelling 2 Si nature of su rvisi electrician re uired) Date Service=d/orfeeder . !icon n 3/ 62..5 Services or feeders – Installation, Sup. elect name (prin alteration or relocation: 200 amps or less 2 201 amps to 400 amps 2 Name (punt): - 401 • .a to 600 amps ' 2 Mailing address: 601 amps to loco amps • 2 'City: 1 State: I ZIP: Over 1000 antes or volts 2 : Phone: Reconnect onl t Owner installation: The installation is being made E-mail: n property I own Temporary services or feeders • which is not intended for sale, lease, rent, or exchange according to lasts ►Iatfon,aiterr+doa,orr4loorioa: 2 200 amps or less ORS 447, 455, 479, 670, 701. 201 amps to 400 amps 2 Owner's signature: Date: _ 401 to 1100 amps 2 Branch circuits • new, alteration, or mansion per panel Name: A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 2 City: I State; ' gyp, B. Fee for branch circuits without purchase of service or feeder fee, fleet branch circuit: 2 Phone: Fax: E-mail: Each additional branch circuit: PLAN UEV'IL\V (Please check all that :repl)') Misc. (Service orieeder not Included): O Service over 22S amps-commercial 0 health -care facility Each u or ini alien circle 2 0 Service over 320ampa-ratingofl &2 ' 0 Hazardous location Each sign or outline lightin 2. famlydwellinga a Building over 10,000 square feet four or Signal eireek(e) or a limited toorgY Paul ❑ System over 600 volts nominal more residential units in one structure alteration, or extension* 2 O Building over three stories 0 Feeders, 400 amps or more ... . 0 Occupant load over 99 persons 0 Manufactured structures or RV park &di additional inspection over tbe allovrable In any of the above; ❑ Egress/lightingplan O Other. Submit , sets of plans with any of the above. Investigation fee The above are not applicable to temporary construcdon service. Othe lam. i J7 rw e%a .e.-41:7 A @ Lc"? dew - op 134 Permit fee $ _ 62. s Na all jurisdiction, sec o aeddr earth. please tan jurtadictioo for more information. Notice: This permit application S tate review (at ev _- 4b) $ 'Ip Vi Plan review (aL Visa expires if a permit is not obtained within 180 days after it has been ( •••• $ ' `ir s '` _ 7 accepted as complete. p imt' or - a5 ' 1.1 no aeon card 1'L�M� � � atu dJb46i5 (6001COM) Cards r sranauae _A CITY OF T I G A R D ELECTRICAL PERMIT PERMIT #: ELC2000 -00192 40-1W16 DEVELOPMENT SERVICES DATE ISSUED: 04/21/2000 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S136AD-04300 SITE ADDRESS: 11477 SW PACIFIC HWY SUBDIVISION: VILLA RIDGE ZONING: C -G BLOCK: • LOT : 002 JURISDICTION: TIG Project Description: Install two (2) branch circuits. 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: 1 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: BANNING, MARK A + PATRICIA E T BEAR ELECTRIC 3895 TAMARACK LN P 0 BOX 389 LAKE OSWEGO, OR 97035 DONALD, OR 97020 Phone: Phone: 503 - 678 -1355 Reg #: LIC 20919 ELE 24 -107C SUP 3162 -S FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT GEO 04/21/200C $42.85 0001615 Elect'I Final 5PCT GEO 04/21/200C $3.43 0001615 Total $46.28 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 'I ISSUED BY: /� OWNER INSTALLATION ONL 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: B' DATE: `'1 LICENSE NO: N4P5' Call 639 -4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Electrical Permit Application PlanChedc# 13125 SW HALL BLVD. Rec'd By TIGARD OR 97223 R CE��Ep Date Rec'd E Date to P.E. Phone (503) 639 -4171, x304 VOO Date to DST Inspection (503) 639 -4175 Print of Type Ilya . - Permit # Fax (503) 598 -1960 Incomplete or illegible will not be a PMEN1 Called 1. Job Address: 4. Complete Fee Schedule Below: • Name of Development sill_ % t I A - • • Number of Inspections per permit allowed Name (or name of business) 't 11 Service included: Items Cost Sum 4' Address 1 \i'V1 SW .. c 1t LAC_ )L 4a. Residential - per unit City/State /Zip \ C>.xrc.. C- . Ct ? Q Each additional it or less $ 117.75 4 OV Each additionn al 500 sq. ft. or portion thereof $ 26.25 1 Commercial ❑ Residential ❑ 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 '1 n E\ e f ( -r_..-0,C.... 200 amps or less $ 64.25 2 Address `SOX ?-)c4=1 ' 201 amps to 400 amps $ 85.50 2 City> k\ & State b R Zip %,1O 401 amps to 1000 amps $ 128.50 2 601 amps to 1000 amps $ 192.50 2 Phone No. - -1aZ ( 2) - \ Over 1000 amps or volts $ 363.75 2 Job No. F 'F lo_` 7t2 11 C R) Reconnect only $ 53.50 2 Elec. Cont. Lice. No. c.L-1- / Ol L Exp. Date ID-1 - I:2=C) 4c. Temporary Services or Feeders OR State CCB Reg. No. apc3 ! R Exp.Date \O- \ - b 1 Installation, alteration, or relocation COT Business Tax or Metro No. - ? - ,c)- -. 5 - 7 Exp.Date N - 01 -,) 200 amps or less $ 53.50 2 201 amps to 400 amps $ 80.25 2 Signature of Supr. Elec'n X 6: Pe.---? 401 amps to 600 amps $ 107.00 2 Over 600 amps to 1000 volts, see "b" above. License No. �1 loaf Exp.Date 4d. Branch Circuits Phone No. °J0 627P) ?j 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 b) The fee for branch circuits Address without purchase of service City State Zip or feeder fee. Phone No. First additional st ddch circuit $ 37.50 Each aal branch circuit 1 $ 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 panel, alteration or extension $ 60.00 3. Plan Review section (if required): * Minor Labels (10) $ 107.00 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 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: 5a. Enter total of above fees $ 4 * Submit 2 sets of plans with application where any of the above apply. fo Surcharge (.09X total fees) $ `A .y a 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 # '4 (. p. rJ AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ ' , ~ is \dsts \forms \electric.doc CITY OF TI 24 -Hour BUILDING Inspection Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received Date Requested, 741 AM PM BUP Location II `1 1 ? Suite MEC Contact Person Ph ( ) _ PLM Contractor 0 e 2 L C�c21 t� Ph ( ) J, /.355 SW BUILDING Tenant/Owner , 1, 9 1) ELC �. t7 b 0 6 J of -k Foundation Access: Crawl Dn rain h� 1414 ` Re ,s y k \ ELR Crl D � Slab Inspection Notes: ^^ II rr SIT Post &Beam ' g= C"��1�V� G 1��i 1a1�6 Shear Anchors S t v K�� )b)'4 Ext Sheath/Shear 9' Int Sheath/Shear Framing Insulation Drywall Nailing Firewall c-Tvf\IAL nn 6,6n 0 Fire Sprinkler 1 7 r ° Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab Low Voltage Fir- ' larm Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. 1 PART FAIL SI Please call for reinspection RE: 111 Unable to inspect — no access Fire Supply Line ADA �} Approach/Sidewalk Date /� Z Inspecto dam-- -- Ext Other: Final DO NOT REMOVE this inspection record from the ob site. PASS PART FAIL