Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC98 -0135
A DEVELOPMENT � LOPMENT SERV 6CE DATE ISSUED: 03/24/98
'IL. 13125 PARCEL: 2S1O2CB -00302
SITE ADDRESS...:13285 SW PACIFIC HWY
SUBDIVISION -NORTH TIGARDVILLE ADDITION ZONING :C —G
BLOCK • LOT •033 JURISDICTION: TIG
Project Description : Installing first branch circuit
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1 000 SF OR LESS • 0 0 — 200 amp • 0 PUMP /IRRIGATION • 0
EACH ADD'L 5O0SF...: 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 (1O)...: 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/0 SRVC OR FDR.: 1 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
7 -11 type amount by date recpt
13285 SW PACIFIC HWY PRMT $ 35.00 B 03/23/98 98- 304341
TIGARD OR 97223 5PCT $ 1.75 B 03/23/98 98- 304341
Phone #:
Contractor:
BECK ELECTRIC INC $ 36.75 TOTAL
9318 SE CHURCH ST
REQUIRED INSPECTIONS
CLACKAMAS OR 97015 Ceiling Cover Elect'1 Service
Phone #: 656 -7396 Wall Cover Elect'1 Final
Reg #.. 000026
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon 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 the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952-001 -1987. You may obtain a copy
of these rules or direct questions to OUNC by calling (503)246 -1987.
Permittee Signature: Issued By: L—'
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 Q�
SIGNATURE OF SUPR. ELEC' N: 9 �� �a17�►�J►�— II DATE: 3'Z �—
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
. Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
y 1.,, Permit # f -�C,�1 c4''h t 3 ✓ �
-W- ,� I l Phone (503) 639 -4171 Date Issued - J - L r - 49n
CITY OF TIGARD FAX (503) 684 -7297 Issued by
TDD No. (503) 684 -2772
Inspection (503) 639 -4175
1. Job Address: 4. Complete Fee Schedule Below: •
Name of Developments 1 Number of Inspections per permit allowed
Address ` ) W 'I , �W � Service included: Items Cost(ea) Sum
City /State/Zip , %. /11 '_ 1 1 . • • .. • 4a. Residential - per unit 4
1000 sq. ft. or lase $1 10.00
Name (or n e of business) portion thereof
� 1' I Each additional 500 sq. ft. or
$25.00 • 1
Commercial Residential ❑ Limited Energy $25.00
E ach Maned Home or Modular 2
Dwelling Service or Feeder $88.00
2a. Contractor Installation only:
4b. Services or Feorlav
Installation, alteration, or relocation 2
Electrical L Ontractor 1 i , i 200 amps or less $60.00 2
Addre a - 1X ... _ 1 . AA 201 amps to 400 amps $80.00 2
401 amps to 600 amps $120.00 2
`l� 7
City . • statte C7 R �-,■_ Zip d� 601 amps to 1000 amps $180.00 2
Phone No. • (0,_ (0 '.3() Over Over 1000 amps or volts • $340.00 2
Contractors License No. �� / C Reconnect only $60.00
Contractors Board Reg. No. . ' 4c. Temporary Services or Feeders
Installation, alteration, or relocation 2
, Signature of Su • Elec'n L ,i / 411/ ' 200 amps or lees 160.00 2
License No. 6, r - Pho _ No • �ZT i 201 amps to 400 amp $75.00 2
401 ampe�600 amps $100.00
Over 600 amps to 1003 volts
2b. For owner installations: see •b• above.
4d. Branch Circuits
Print Owners Name New, alteration or extension per panel
Address a) The fee for branch circuits with
City State Zip P""he'e of worries or feed" Ace` 2
Each branch circuit $5.00
Phone No. b) The fee for braneh•dreuits without
The installation is being made on property I own which is Purchase °+ tonics or Seeder � 2
not intended for sale, lease or rent. First branch circuit _ $35.00 . 5 2
Each adddional branch circuit • $5.00
Owner's Signature 4e. Miscellaneous
• (Service or feeder not included) - 2
3. Plan Review section (if required): Each pump or irrigation circle $40.00 2
Each sign or outline lighting $10.00
Signal circuits) or a limited energy 2
Please check appropriate item and enter fee In section 5B. panel, alteration or extension $40.00
4 or more residential units in one structure Minor Labels (10) $100.00
Service and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N.E.C. Chapter 5 Per inspection $35.00
Per hour $55.00
In Plant $55.00
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees:
NOTICE Sa. Enter total of above fees $
•
5% Surcharge (.05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
5b. Enter 25% of line A for
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Plan Review if required (Sec.3) $
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS
COMMENCED. ❑ Trust Account # $
Balance Due s3(.75
warcondsAsieeirmagp
wr
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
1 Date Requested AM PM BLD
Location / 32 'S Suite MEC
Contact Person Ph PLM
Contractor Ph -- SWR cP
BUILDING Tenant/Owner _7_) \ ELC (g -0 135
Retainin Wall ELR
Footing I
Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab / —" C, _ SIT
Post & Beam /
Ext Sheath /Shear e'U `�GtTO I (es" 6z`� (/
Int Sheath/Shear
Framing
Insulation , i
Drywall Nailing �� A-AL _� ►I/ L i m A _
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
EfiD
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 T FAIL
ECTRICAL
�erviee — �
Rough In
UG /Slab
Low Voltage
Fire Alarm
Fin
S PART 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
Other Date Z �f Inspector E
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.