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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC98 -0602 % ,� DEVELOPMENT SERVICES DATE ISSUED: 09 /30/98 PARCEL: 2511OAA -00700 SITE ADDRESS...:14O3O SW PACIFIC HWY SUBDIVISION ZONING:C —G BLOCK LOT JURISDICTION: TIG Project Description : Alteration of electrical service. - -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS 1000 SF OR LESS • 0 0 — 200 amp 0 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 : 1 1st W/0 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 UNOCAL CORPORATION type amount by date recpt 76 BROADWAY PRMT $ 80.00 DLH 09/30/98 98- 309626 SACRAMENTO CA 95818 5PCT $ 4.00 DLH 09/30/98 98- 309626 PLCK $ 20.00 DLH 09/30/98 98- 309626 Phone #: Contractor: EAGLE ELECTRIC INC $ 104.00 TOTAL PO BOX 12948 REQUIRED INSPECTIONS MILL CREEK WA 98082 -0948 Ceiling Cover Elect'1 Service Phone #: 425- 774 -4593 Wall Cover Elect' 1 Final Reg #..: 128686 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 ` allin. (503)246 -1987. • Permittee Signature: . . ! ,��� �_ Issued By: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: N DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' N : O��/ / �/ �}-T/4J DATE: LICENSE NO: ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ CITY OF TIGARD Electrical Permit Application Plan Check # -- 13125 SW HALL BLVD. Rec'd By . L. TIGARD OR 97223 Date Recd gD Date to P.E. Phone (503) 639 -4171, x 304 Date to DST Inspection (503) 639 -4175 Print or Type permit # LC 9P-D(O�- Incomplete or illegible will not be acc p� ted Fax (503) 684 -7297 Called D TC..� 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name (or name "\0�� amme of business) 1 3 \ O t� \�� � � � 1 o fl N Service included: Items Cost Sum Address \ C--\ � � L \ S < �' �., w 4a. Residential - per unit Cw av City /State/Zip� C1�P'c� Q 1000 sq. ft. or less Each additional 500 sq. ft. or $110.00 4 Commercial la 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 cans 4b. Services or Feeders Electrica on� �4 , � Ins alteration, or relocation c� A • 200 amps or less $60.00 2 Address ��C� . I•� 201 amps to 400 amps = $80.00 S�O�Oo 2 City !. • ! State . Zip * 1 . 401 amps to 600 amps $120.00 2 Phone No. 1 -ic3=.... 1�1- %-kCg Z 601 amps to 1000 amps $180.00 2 Job No. q ` Over 1000 amps or volts $340.00 2 1 Reconnect only $50.00 2 Elec. Cont. Lice. No. ; r C,Exp.Date - OR State CCB Reg. No. W�i . Exp.Date -- � :I - - On 4c. Temporary Services or Feeders COT Business Tax or Metro No. Exp.Date Installation, alteration, or relocation 200 amps or less $50.00 2 201 amps to 400 amps $75.00 2 Signature of Supr. Elec'n � • ` _ _ ! ■1. �1.L�, 401 amps to 600 amps $100.00 2 ©^ I 0 Over 600 amps to 1000 volts, License No. ` 0 E •.Date see "b" above. Phone No. IK o "Nlin . - .. . ' o 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 circuit $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 * Submit 2 sets of plans with application where any of the above apply. 5. Fees: ,00 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 0 ' era 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 # $l Total balance Due 1: \DSTS \ELC96.APP Rev 9/96 7/19/99 Activities for Case #: ELC98 -00602 9:24:29 AM Assigned Hold Updated ' Activity Description Date 1 - Date 2 Date 3 To Done By Disp. Level By Updated Notes ELCC001 APPlication received 9/30/98 DLH RECD DLH 9/30/98 ELCC003 Permit created 9/30/98 DLH DONE DLH 9/30/98 ELCC102 Plans routed to Plans Examiner 9/30/98 CD FAX DLH 9/30/98 ELCC700 Ceiling Cover DLH 9/30/98 ELCC720 Wall Cover DLH 9/30/98 ELCC730 Elect, Service 10/1/98 CD PASS CD 10/1/98 ELCC799 Elect'I Final 11/6/98 CD PASS CD 11/6/98 ELCC115 Approved plans routed to DSTs 9/30/98 CD APPR DLH 9/30/98 ELCC500 (F)Issue permit 9/30/98 DLH DONE DLH 9/30/98 • ELCC920 Miscellaneous action • 10/22/98 CD FAIL CD 10/22/98 final inspection rescheduled for 10/26/98 ( furnace wiring to be done ). ELCC920 Miscellaneous action 10/26/98 CD FAIL CD 10/27/98 final cannot be done until furnace is wired. . ELCC800 Case Finaled • 11/6/98 CD PASS J *H 11/6/98 • . Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 • BUP Date Requested / / /6/f.5 AM PM BLD Location /V0,10 Sra 1 Ale A Suite MEC Contact Person Ph PLM Contractor Ef}G/c &Lc f; Ph C am) QQV - L SWR D BUILDING Tenant/Owner / �O Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler "1/1-2-- 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 Serve Rough In UG /Slab Low Voltage Fire Alarm PART 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 Other //-- Date — 99 Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.