Permit CITY OF TI GARD ELECTRICAL PERMIT
PERMIT #: ELC1999 -00345
��4 DEVELOPMENT SERVICES DATE ISSUED: 6/11/99
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S136CD -01700
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SITE ADDRESS: 11680 SW PACIFIC HWY
SUBDIVISION: ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Installation of a temporary service or feeder.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: 1 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:
RED'S ELECTRIC CO INC
2002 SE CLINTON ST
PORTLAND, OR 97202
Phone: Phone: 233 -6467
Reg #: SUP 2059S
LIC 000044
ELE 26 -152C
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT GEO 6/11/99 $53.50 99- 316068 Elect'I Final •
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PLCK GEO 6/11/99 $2.68 99- 316068
Total $56.18 ORIGINAL
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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.
Permit Signature: Issued By: / // „_ ____ oax.. ‘”
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: a 0 S
Call 639 -4175 by 7:00pm for an inspection the next business day
06/10/1999 15:34 2331281 REDS ELECTRIC CO PAGE 01
JUN 10 1999 Development ELECTRICAL PERMIT APPLICATION
CO r ' ITY DEVELOPMENT 13125 SW Hall Blvd.
• Tigard, OR 97223 Planck/Rec. #
� l Permit # -� /`tri _ 3e/5
: :1 it Phone (503) 639 -4171
FAX (503) 684 -7297 Date Issued -
CITY OF T IOARD TDD No. (503) 684 -2772 Issued by _
Inspection (503) 639 -4175
1. Job Address: 4, Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
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Address )J 0 h/ . A,«r/!. Service included: Items . Cost(ea) Sum
City/StatefZip . /son• -/V [ 9 � z R Residential - per unit 4
/y� v r 1000 aq. It. or bee $11000
Name (or name of business) t�•o% ' Each eddkbnal E•00 eq. h. or --
portion thereof 525,00 1 •
Commercial fig Residential ❑ limited Energy 528,00
Each Manu'd Nome or Modular 2
Dealing Service or Feeder $66,00
28- Contractor Installation only: ab. Services or Feeders
/ � Installation; alteration, or relocation 2
Electrical Contractor �t. t f it C . ?on 'onset or lass 580,00 2 1 ,
Address Zp ®Z ��'r.. Aay„ - - S', ; 201 amps to 400 amps $80.00 2
City j, 11 _ 'C p am
State� Zip 9 20 401 arn to 1000 1120.00 2
/�� y - 001 amps to 1000 amps 3160.00 2
Phone No (/y as` Over 1000 amps or volts $340.00 2
Contractor's License No. , — /f1— t Reeenned only $50.00 -
Contractor's Board Reg, No. Sziii.. dc, Tempdrsry Services or Feeders
betajletion, alteration, or relocation c s 9 2
Signature of Supr. Ele ' • ,w , - / _,S. ..,„f 200 amps or laa, 1 550.00 SO 2
License No. .. ' Phon o. 4111ri 201 amps to 400 amps ,- 575.00 2
401 amps to 600 amen 5100.00
Over 600 amps to toX vote
2b. For owne installations: . see •b' above.
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4d. Branch
Print Owner's Name Circuits
%1
- N. art/station or a tRanalbn per panel
Address a) The foe for branch circuits wire
City State Zlp p b o tee of leader fee. 2
Phone No b) The fee for branch drcuita 'tgitlWpM -
The installation is being made on property I own which is porches, of service or Nee se r gee 2
not Intended for sale, lease or rent. east Ixruch circuit 136.00 x
aCh additional branch rjrWtt 35.114
Owners Signature 4e, Mlscellaneoua
(Service or feeder not included) 2
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3. Plan Review section (if required): Each Pump or irrigation circle swim 2 - Each sign or outlive lighting --- $40.00 2
Signal circuff(s) or a Ikn4ad' energy
Please check appropriate hem and enter tee In section 58. panel, alteration or aaeneion $40.00
' 4 or more residential units in one structure Minor Labile (1o) - 5100.00
Service and feeder 226 amps or more �T
System over 600 volts nominal 41. Each additional inspection over
Classified area or structure containing special occupancy the allowable In any of the above
as described in N.E.G. Chapter 5 Pe Irapactb 533.00
Per hour _ $55.00
In Plant $55.00
Submit 2 sets of pions with application where any of the above
apply. Not required for temporary aonetruction services. 5. Fees: 3 f)
NOTICE 5a. Enter total of above fees $
— – 5% Surcharge (.05 X total fee6) $ a 19 v
PERMITS BECOME VOID IF WORK OR CONSTRUCTION sub.., $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25'Y of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMErvcED. fie Trust Account s
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Balance Due s s c-- r g6' r
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
o, (S�q9 BUP
Date Requested ` / Y AM PM BLD
Location A O P�C-C 9'f�v Suite MEC
Contact Person 411 Ph 2.) -'(Q '& PLM
Contractor 6,d C , Ph SWR
� 1 ELC 19 [ p / — � WS
BUILDING Tenant/Owner M.ki Y1l`I e � ]
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Slab
Crawl Drain Inspection Notes: 7/ f S.ei j e F�
SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
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 PART FAIL
<ELECTRIC Q
ervi
Rough In
UG /Slab
Low Voltage
Fire Al. 11
Fi
•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
Approach /Sidewalk D <� / �� Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
05/18/2000 • Activities for Case #: ELC1999 -00345
3:26:29 PM
Assigned Hold Updated -
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCC001 Application received . 06/11/1999 GEO MAIL No Hold GEO 06/11/1999
ELCC003 Permit created 06/11/1999 GEO DONE No Hold GEO 06/11/1999
ELCC730 Elect'I Service 06/11/1999 06/11/1999 No Hold GEO 06/11/1999
ELCC799 Elect'I Final 06/11/1999 06/11/1999 06/15/1999 CD PASS No Hold AKJ 06/15/1999
ELCC500 (F)Issue permit 06/11/1999 GEO DONE No Hold GEO 06/11/1999
ELCC800 Case Finaled 06/15/1999 AKJ DONE No Hold AKJ 06/15/1999
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