Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
CITY T I G A R D ELECTRICAL PERMIT e�� PERMIT #: ELC2001 -00033 DEVELOPMENT SERVICES DATE ISSUED: 1/18/01 I I 13125 SW Hall Blvd., Ticiard, OR 97223 (503) 639 -4171 PARCEL: 1S136AD-04000 SITE ADDRESS: 11507 SW PACIFIC HWY B SUBDIVISION: VILLA RIDGE ZONING: C -G BLOCK: LOT : 007 JURISDICTION: TIG Project Description: Wire 100 amp feed to panel. Job #1 -1008 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: 1 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: SMITH, EDITA M DYNALECTRIC 833 NW 170TH DR 2904 SW FIRST AVE. BEAVERTON, OR 97006 PORTLAND, OR 97201 Phone: Phone: 503 - 226 -6771 Reg #: LIC 066793 SUP 2950S ELE 26 -59C FEES Required Inspections Type By Date Amount Receipt Elect'l Service PRMT CTR 1/18/01 $80.30 2720010000( Elect'l Final 5PCT CTR 1/18/01 $6.42 2720010000( Total $86.72 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 'L—i ISSUED BY: _b 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 7:00pm for an inspection the next business day Electrical Permit Application �.a�, , RECEIVED Date received: Permit n .. d,©r, ..0 00 3 1 u, r: I! ,., City of Tigard Projecdappl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By: I Receipt Phone: (503) 639 - 4171 J 16 2001 Fax: (503) 598 - 1960 Case file no.: Payment type: Land use approval: COMMUNITY DEVELOPMENT TYPE OF PERMIT 0 1 & 2 family dwelling or accessory la-Commercial/industrial 0 Multi- family 0 Tenant improvement 0 New construction 0 Addition/alteration /replacement 0 Other: 0 Partial JOB SITE INFORMATION Job address: / /v D 7; 54,./. Peotc l r ii 'ti Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: Block: Subdivision: Project name: Description and location of work on premises: . ' . / F'e - i ,. . ' . - Estimated date of completion/inspection: /y // d , CONTRACTOR APPLICATION FEE SCHEDULE , Job no: j,.. /orir Pee . Max Business name: � Y lt//� y� Descri , (ion Qty. (ea.) Total no. insp New residential -single or multi-family per Address 9 o7. , 4-_,CI /5r,44,E dwelling unit. Includes attached garage. City: for7r4 rt Stateu re I ZIP: 3r 72oe Service included: Phone:50 -2.-263572/ I Fax: 2-14 I 2 O I E -mail: 1000 sq. ft. or less 4 CCB no.: 4 (,: 0 I Elec. bus. lie. no...26r3-IL Each additional 500 sq. ft. or portion thereof Limited energy, residential 2 City /metro lie. no.: Limited energy, non- residential 2 / / /t / Each manufactured home or modular dwelling Signature o su ist ectrician (required) Date Service and/or feeder 2 Services or feeders installation, Sup. elect. name (print): ✓e6e0p A, License no: - alteration or relocation: PROPERTY OWNER 200 amps or less .95.30 10,30 2 Name (print): 201 amps to 400 amps 2 Mailing address: 401 amps to 600 amps 2 601 amps to 1000 amps 2 City: I State: I ZIP: - Over 1000 amps or volts 2 Phone: I Fax: I E -mail: Reconnect only 1 Owner installation: The installation is being made on property I own Temporary services or feeders - . which is not intended for sale, lease, rent, or exchange according to installation, alteration, orrelocation: ORS 447, 455, 479, 670, 701. 200 amps or less 2 201 amps to 400 amps • 2 Owner's signature: Date: 401 to 600 am s 2 Branch circuits - new, alteration, Name: or extension per panel: A. Fee for branch circuits with purchase of Address: act ic.: oi fee c.:ee, - eh `..enc` circuit 2 City: I State: • I ZIP: B. Fee for branch circuits without purchase Phone Fax E -mail of service or feeder fee, first branch circuit: 2 Each additional branch circuit: PLAN REVIEW (Please check all that apply) Misc. (Service or feeder not Included): 0 Service over 225 amps - commercial 0 Health -care facility Each pump or irrigation circle 2 0 Service over 320 amps- rating of 1&2 0 Hazardous location Each sign or outline lighting 2 family dwellings 0 Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, 0 System over 600 volts nominal more residential units in one structure alteration, or extension* 2 0 Building over three stories 0 Feeders, 400 amps or more *Description: 0 Occupant load over 99 persons 0 Manufactured structures or RV park Each additional inspection over the allowable in any of the above: 0 Egress/lightingplan 0 Other. Per inspection I I I I Submit _ sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other . . ... _ _ , Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application Permit fee $ 5f0 !D 0 Visa 0 MasterCard expires if a permit is not obtained Plan review (at _ %) $ Credit card number / / within 180 days after it has been State surcharge (8 %) .... $ 6,1 Z Name of cardholder as shown on credit card Expires accepted as complete. TOTAL $ $' ( . Z $ Cardholder signature Amount 440 (6100/COM) Electrical Permit Fees: . ..-� Limited Energy Fees: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total 4f Check Type of Work Involved: Residential - per unit 1000 sq. ft. or less $145.15 4 ❑ Audio and Stereo Systems Each additional 500 sq. ft. or portion thereof $33.40 1 ❑ Burglar Alarm Limited Energy $75.00 Each Manuf'd Home or Modular Door Opener' Dwelling Service or Feeder $90.90 2 Services or Feeders n Heating, Ventilation and Air Conditioning System* Installation, alteration, or relocation 200 amps or less / $80.30 F'O'3 0 2 Vacuum Systems 201 amps to 400 amps $106.85 2 401 amps to 600 amps $160.60 2 601 amps to 1000 amps $240.60 2 ❑ Other Over 1000 amps or volts $454.65 2 • Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY Installation, alteration, or relocation Fee for cach s $75.00 200 amps or less $66.85 2 (SEE OAR 918 - 260 -260) 201 amps to 400 amps $100.30 2 401 amps to 600 amps $133.75 2 Check Type of Work Involved: Over 600 amps to 1000 volts, ❑ see "b" above. Audio and Stereo Systems Branch Circuits Controls New, alteration or extension per panel a) The fee for branch circuits with purchase of service or ❑ Clock Systems feeder fee. Each branch circuit $6.65 2 ❑ Data Telecommunication Installation b) The fee for branch circuits without purchase of service I I Fire Alarm Installation or feeder fee. First branch circuit $46.85 Each additional branch circuit $6.65 ❑ HVAC Miscellaneous ❑ Instrumentation (Service or feeder not included) Each pump or irrigation circle $53.40 ❑ Intercom and Paging Systems Each sign or outline lighting $53.40 Signal circuit(s) or a limited energy panel, alteration or extension $75.00 ❑ Landscape Irrigation Control Minor Labels (10) $125.00 ❑ Medical Each additional inspection over the allowable in any of the above Calls Per inspection $62.50 $62.50 in Per Plant r ,$73.75 u n O'utricor 1 andscape Lighting • Fees: ❑ Protective Signaling Enter total of above fees $ -,0 Fi Other 8% State Surcharge $ ( ti Z Number of Systems 25% Plan Review Fee See "Plan Review" section on $ * No licenses are required. Licenses are required for all other installations front of application. Fees: Total Balance Due $ V 4 . 71— Enter total of above fees • $ ❑ Trust Account # 8% State Surcharge $ Total Balance Due $ i:\dsts\forms\elc- fees.doc 10/09/00 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 '-Hour Inspection Line: 639 -4175 Elusines me: BUP 11, Date Requested / -2 9 AM I' - PM BLD Location U w G C t o 44/ Suite MEC Contact Person n L Ph q- 1 iG 7 PLM Contractor �/ �/-�- ����Z Ph SWR BUILDING Tenant/Owner < p2-ec--, 4 c I( ELC e Ppo / -« v 4 3- Retaining Wall : D K / h . ELR Footing ACCes Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: i> Slab 04-e �-,- . SIT Post & Beam • Ext Sheath /Shear /n O �_ Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final (e i ) 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 PART FAIL C e Rough In UG /Slab Low Voltage Fire Alarm Fi ASS 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 Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Other oach /Sidewalk Date / / Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST tor > 2414a, r Inspection Line: 639 -4175 �'' Business Line: 639 -4171 110, 'f BUP - Date Requested 7— 2 G AM PM BLD Location 77.5 7 s w P4 C fit c b Suite MEC Contact Person Ph SG 3-3(79-7W PLM Contractor i /t/4 ' ( J c Ph / SWR BUILDING Tenant/Owner /� a � C , / - / 9 /-e 4 / K ELC Ago / - 0 003 3 Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam G D 74 ,s Ext Sheath /Shear ��� Int Sheath /Shear Framing Insulation Drywall Nailing Firewall / Fire Sprinkler LI2or f )14 t — C « _� 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 PA RT FAIL LECTRICAL erv ugh In UG /Slab Low Voltage Fire Alarm inaj PASS PAR FAIL SITE 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 Approach /Sidewalk 6 t / Inspecor Ext x Dat Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.