Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
_ t _ _ - CITY OF TIGARD ELECTRICAL PERMIT -1 PERMIT #: ELC97 -0634 � rei ,6 ew' ►�'� DEVELOPMENT SERVICES DATE ISSUED: 09/25/97 - Tigard, ( ) PARCEL: 1S136CD -CARTY SITE ADDRESS.° °:11710 SW PACIFIC HWY SUBDIVISION ZONING:C -G BLOCK LOT • JURISDICTION: TIG Project Descr : Install a temporary service or feeder for a future Car Toy's store. - -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS 1000 SF OR LESS • 0 0 - 200 amp • 1 PUMP /IRRIGATION ° 0 EACH ADD'L 500SF. ° °: 0 201 - 400 amp •.0 SIGN /OUT LINE LTG..: 0 LIMITED ENERGY • 0 401 - 600 amp • 0 SIGNAL /PANEL ° 0 MANF. HM/ SVC /FDR ° °: 0 601 +amps -1000 volts.: 0 MINOR LABEL (10). ° °: 0 - - -- SERVICE /FEEDER - - -- - - -- BRANCH CIRCUITS -- -ADD'L INSPECTIONS-- - 0 - 200 amp • 0 W /SERVICE OR FEEDER: 0 PER INSPECTION - 0 201 - 400 amp • 0 1st W/O SRVC OR FDR °: 0 PER HOUR - 0 401 - 600 amp • 0 EA ADD'L BRNCH CIRC: 0 IN PLANT - 0 601 - 1000 amp • 0 PLAN REVIEW SECTION 1000+ amp /volt • 0 > =4 RES UNITS ) 600 VOLT NOMINAL ° °: Reconnect only • 0 SVC /FDR >= 225 AMPS..: CLASS AREA /SPEC OCC °: Owner: FEES SCONZO /HALLSTROM type amount by date recpt 919 124TH AVE NE PRMT $ 50.00 GEO 09/25/97 97- 299561 STE 101 5PCT $ 2.50 GEO 09/25/97 97- 299561 BELLEVUE WA 98121 Phone #: • Contractor: TURC ELECTRIC $ 52.50 TOTAL 702 NE 157TH AVE REQUIRED INSPECTIONS PORTLAND OR 97230 -5464 Elect'1 Service Phone #: 256 -8387 Elect'1 Final Reg #..: 000885 This permit is issued subject to the regulation contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accord a ce with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for ore than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those ule are set forth in OAR 952 -001 -0010 through OAR 952 - -1987. You may obtain a copy of these rules or direct questions to OUNC by all ng 15031246 -1987. Permittee Signature: ,Aga 'I _ sued By� I % .(G46.4., ../� . 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 �/s ► SIGNATURE OF 5UPR. ELEC'N: Q ,/-k.__- \ DATE: C/9 �� LICENSE NO: ++++++++++++++++++++++++++- f+++++++++++++++++++++ + + + + ++ + + + + + + + ++ + + + + + + + + + + + + + + ++ C1-1.--F39 -4175 by 6.Ix0 p m f0' ax irspec +inn n"""h=ri 4-ho ncauf hilcinac ri ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ CITY CIF TIGARD Electrical Permit Application Plan Check # 13125 SW HALL BLVD. Rec'd By TIGARD OR 97223 Date Rec'd Date to P.E. Phone (503) 639 -4171, x304 Date to DST Print or Type Inspection (503) 639 -4175 Incomplete or illegible will not be accepted Permit # LGN � / -0 60'3 1. Fax (503) 684 -7297 Called 1. Job Address: l� 4. Complete Fee Schedule Below: Name of Development e � / S Number of Inspections per permit allowed Name (or name of business) < Service included: Items Cost Sum Address 1 / 7/d s (,u P4Cerir / jaai7 4a. Residential - per unit v 1000 sq. ft. or less $110.00 4 City /State /Zip Each additional 500 sq. ft. or Commercial El Residential ❑ portion thereof $25.00 1 Limited Energy $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: (Attach copy of all current licenses) 4b. Services or Feeders Electrical Contr. ctor r s _ /L, f[ C© Installation, alteration, or relocation i � . ) 200 amps or less $60.00 2 Address �✓ �Z AL -j 201 amps to 400 amps $80.00 2 City �'i2ES/,44it State VIZ Zip ' ✓ 0 401 amps to 600 amps $120.00 2 Phone No. › K ' 7Q_ 601 amps to 1000 amps $180.00 2 Job No. Over 1000 amps or volts $340.00 2 Reconnect only $50.00 2 Elec. Cont. Lice. No. .9 25 xp.Date I0 7 OR State CCB Reg. No. ; l Exp.Date 4 - t -z - -p9 4c. Temporary Services or Feeders COT Business Tax or Metro No. 0 Exp.Date ii -/-17 Installation, alteration, or relocation S o O 200 amps or less I $50.00 2 201 amps to 400 amps $75.00 2 Signature of Supr. Elec'n 401 amps to 600 amps $100.00 2 r�© Over 600 amps to 1000 volts, License No. `3 Z ® �' Exp.Date 1 C/ �i 0 see "b" above. Phone No. 6'67- g g 7 2_ 4d. Branch Circuits New, alteration or extension per panel 2b. For owner installations: a) The fee for branch circuits with purchase of service or Print Owner's Name feeder fee. Address Each branch circuit $5.00 2 b) The fee for branch circuits City State Zip without purchase of Phone No. service or feeder fee. First branch circuit $35.00 2 The installation is being made on property I own which is not Each additional branch circui $5.00 2 intended for sale, lease or rent. 4e. Miscellaneous (Service or feeder not included) Owner's Signature Each pump or irrigation circle $40.00 2 Each sign or outline lighting $40.00 2 3. Plan Review section (if required) :* Signal circuit(s) or a limited energy panel, alteration or extension $40.00 2 Minor Labels (10) $100.00 Please check appropriate item and enter fee in section 5B. 4 or more residential units in one structure 4f. Each additional inspection over Service and feeder 225 amps or more the allowable in any of the above System over 600 volts nominal Per inspection $35.00 Classified area or structure containing special occupancy Per hour $55.00 as described in N.E.C. Chapter 5 In Plant $55.00 d O * Submit 2 sets of plans with application where any of the above apply. 5. Fees: 5-0 Not required for temporary construction services. 5a. Enter total of above fees $ 5% Surcharge (.05 X total fees) $ NOTICE Subtotal $ 5b. Enter 25% of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $ NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account # $ Total balance Due I: \DSTS \ELC96.APP Rev 9/96 • t5o P CITY OF TIGARD BUTLI)ING INSPECTION DIVISION 24 -Hour Inspection Line: 639 1 --- Business Phone: 639 -4171 Date Requested: / A.M. P.M. MST: / Location: 1 710 ) �i e / i -- BUP: Tenant: CA S. T? // IS U Suite: Bldg: MEC: Contractor: 4 (Ji Phone: 2_0 2. ° I �a 57 PLM: Owner: Phone: P Il41 .0 ELC: / 7 4.4 43 ELR: SIT: BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE Site Post/Beam Post/Beam Post/Beam Cover /Service . Sewer /Storm Footing Roof UndFl/Slab Rough -In Ceiling Water Line Slab Framing Top Out Gas Line Rough -In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace . ii ' Service MISC. , Masonry Ceiling Rain Drain A/C C ` Slab _ _ - 'A- -� Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump ow olt / 7< Approved Approved Approved Appr Approved Appr /Sdwlk Not Approved Not Approved Not Approved pproved Not Approved FINAL FINAL FINAL FINAL FINAL • f • O Call for reinspection 0 Reinspection fee of $ required before next inspection 0 Unable to inspect . /J Inspector: 7/11 r ,U_ I' J / q f Date: /1 y � � 1 1 Page of / CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: � /c 13 ^ 1 7 A.M. P.M. MST: • • Location: / 17I lJ J� S4.,() io : ' :/.. _ `L. j „,, BUP: Tenant: CA P TDY I Suite: p p Bldg: MEC: Contractor: k.� � l 4E_- Ct Phone: 61- D O 7,;—._ PLM: /� / Owner: . Phone: - ELC:1 7 -j�3 9/ .vVkS /.hi kL- ' 0MI[A -- 0 I /i r !EL.C. P i +.f r. Gr7 TAMS Sl7_ BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL ' SITE Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm Footing Roof UndFl/Slab Rough -In Ceiling Water Line Slab Framing Top Out Gas Line Rough -In UG Sprinkler Foundation Insulation Sewer Hood/Duct R. t i.:. Vault Bsmt Damp Drywall Storm Furnace Tem 1 Service i MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Approved Approved Approved ‹.-Approved Approved Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL FINAL ti I' � — c i i ,% i /-2( 7 / ...Z. i V ‘, c.... 7 .)-- : /7 1 a O Call for reinspection O Reinspection fee of ', required before next inspection 0 Unable to inspect Inspector: ��7 1 41 - / - e ( t, , Date: / 13 X77 Page of ( • 0