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Permit CITY OF TI GARD ELECTRICAL PERMIT PERMIT #: ELC1999 -00409 ic'I DEVELOPMENT i Tigard, SERVICES ) 639-4171 DATE ISSUED: 7/8/99 Hall — 13125 PARCEL: 2S110AB -00200 SITE ADDRESS: 14411 SW PACIFIC HWY SUBDIVISION: CANTERBURY PLACE ZONING: C -G BLOCK: LOT : 1 -3 JURISDICTION: TIG Proiect Description: First branch circuit and 20 add'I branch circuits 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: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 20 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: G C KOLVE LARRY MARSON ELECTRIC 14289 SW PACIFIC HWY 3825 SW 97TH AVE TIGARD, OR 97223 PORTLAND, OR 97225 Phone: Phone: 318 -9059 Reg #: ELE 36 -63C LIC 106381 SUP 2464S . FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT BON 7/8/99 $144.50 99- 316707 Elect'I Final • 5PCT BON 7/8/99 $10.12 99- 316707 Total $154.62 ORIGINAL 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 Signatur-: e- t� // 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: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: � � � �( �- DATE 2-o LICENSE NO: Call 639 -4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Electrical Permit Application Plan Check 13125 SW HALL BLVD. Rec'd By Date Rec'd 1 " TIGARD OR 97223 Date to P.E. Phone (503) 639 -4171, x304 Date to D //�� ,, Inspection (503) 639 -4175 Print or Type Permit #( l�� '� , ' // '[/� � Fax (503) 598 -1960 - Incomplete or illegible will not be accepted Called 1. Job Address: (� rll 4. Complete Fee Schedule Below: Name of Development C S ^ G \� ll 4 Number of Inspections per permit allowed Name (or name of business) Service included: Items Cost Sum Address l C I L/ 1 1 ` &'G i C ^ c ` J - (--L y 4a. Residential - per unit . \ 1000 sq. ft. or less $110.00 4 City /State /Zip s 5 Y9-►- ct Each additional 500 sq. ft. or portion Commercial Residential El Limited Energy thereof $25.00 25.00 1 Each' Manned Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: (Attach copy of a I current licenses) 4b. Services or Feeders r"� Installation, alteration, or relocation Electrical Contractor ��� 200 amps or less $60.00 2 Address 3$2.5 5.4.0 9 " 201 amps to 400 amps $80.00 2 City 1 , State CL rv - Zip 9 `? 2.2_ 401 amps to 600 amps - $120.00 2 Phone No. 3 ( g . 90 c, '7 601 amps to 1000 amps - $180.00 2 Job No. r^ Over 1000 amps or volts - $340.00 2 pg Reconnect only $50.00 2 Elec. Cont. Lice. No. 3 - 3 C. Exp.Date = . _ IU i OR State CCB Reg. No. 76 6 3 V Exp.Date .S=19-6 / /(014 Temporary Services or Feeders COT Business Tax or Metro No. Exp.Date .5 o-o Installation, alteration, or relocation . 200 amps or less $50.00 2 201 amps to 400 amps $75.00 2 Signature of Supr. Ele•. --- � - 401 amps to 600 amps $100.00 2 3 b Over 600 amps to 1000 volts, 2 License No. S Exp.Date /0// see "b" above. Phone No. ` 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 OwnerS Name . feeder fee. Address Each branch circuit - $5.00 2 b) The fee for branch circuits City State Zip without purchase of '7 -(7 Phone No. service or feeder fee. tt , - First branch circuit 1 35.00 2 Each additional branch circuit a.. O $5.00 -' 2 The installation is being made on property I own which is not (07.O6) 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):* Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over 4 or more residential units in one structure the allowable in any of the above Service and feeder 225 amps or more Per inspection $35.00 System over 600 volts nominal Per hour - $55.00 Classified area or structure containing special occupancy In Plant $55.00 as described in N.E.C. Chapter 5 5. Fees : - r�Y `� * Submit 2 sets of plans with application where any of the above apply. 5a. Enter total of above fees Not required for temporary construction services. 5% Surcharge (.05 X total fees) $ AS . lD, l Subtotal $ NOTICE 5b. Enter 25% of line 5a for Plan Review if required (Sec.3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Subtotal $ NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY ❑ Trust Account # TIME AFTER WORK IS COMMENCED. Total balance Due $ ICI, 117- I: \DST \ELEC98.DOC REV 4/98 EL_cl9r9 - 'v90 9 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested . P) /" V b / C9 AM PM BLD Location / 5..t) (� /6 y. Suite MEC Contact Person Ph PLM Contractor Ph SWR • BUILDING a ' " Tenant/Owner tbiSSf ei M ELC • 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 `2�® Fire Alarm Susp'd Ceiling Roof �.FJ 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 Service 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 Inspector . Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DI • N 24 -Hour Inspection Line: 639 -4175 Busine • 9-4 71 . MST , BUP CP �iC-) AM Date Requested B ‘3'l BLD Location / 4°0/ q-& / c ul e MEC Contact Person .�q PRY & w Ph PLM Contractor ■ , " , ,, i . i 3/8 —9° .: r SWR BUILDING ' ; °. ', ' Tenant/Owner ELC /1-99 —047 Retaining Wall ELR Footing Foundation Accg - re 7/ 67p0/./v i rif FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab _ SIT Post &Beam 1 � !/ / O Ext Sheath /Shear !/ K Int Sheath /Shear Framing n Insulation ,(, Drywall Nailing �. r 1/16Rik? / ^ Fire wall //',V_ v !/ KJ� e, .7 , A‘6 Fire Sprinkler Fire Alarm _ n Susp'd Ceiling A �Ar1f 4 / R&S R4 P 2 - . Roof Misc: Final - PASS PART FAIL �� - PLUMBING Ate...,,,) V ' F'-7 4 J 6� c7 44"ne.J,vr• Post & Beam Under Slab i Top Out Water Service % L ; & ", Zi y ii/--- ,A. �-Z�" Sanitary Sewer Rain Drains Final \ PASS PART FAIL 1) 2 /2.e -.r 1yy�� I,� Z /A/ 0/ J �1 eC_'G,SS MECHANICAL Post & Beam A x tom Rough In Gas Line Smoke Dampers 3) / Y" 9 s � . ,f A / ti/ C.A,/ Final RT IL CTRICA f �/ ice 7U 6.F' i - ` Erb f . Roughln UG /Slab / e-e. -- e71 / [.I 1r 7 4 j 6A1 E i y Low Voltage Fire Alarm inal 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 fo reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date (O Ze, Inspector ,� .CQ� E Other p Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. L CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP 5 / 7 Date Requested ?—/ d AM PM BLD Location / 4/0/ AL (i f Suit e MEC Contact Person / Qii^ Ph +'Y 6/66 PLM Contractor �'j1l� i��� - Ph SWR BUILDING Tenant/Owner ELC /99f ®d Vey' Retaining Wall ELR Footing Access: = on � p FPS 7 �� ! SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing f .. - — i Firewall Fire Sprinkler Fire Alarm / t Susp'd Ceiling moilf.J I �` Roof Misc: - Final PASS PART FAIL '41" PLUMBING _ Post & Beam � Under Slab £ Top Out Water Service .v Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In • Gas Line Smoke Dampers Final PASS PART FAIL TRICdy • Service Rough In UG /Slab Low Voltage Fire Alarm air PASS PART 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 7 ��-� Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 721 AM PM BLD Location 1 `_I 4 I 7 a.C- Suite MEC Contact Person Ph PLM Contractor Ph SWR c ,� BUILDING � � := �� ° ` e��' .� Tenant/Owner & & fo SSlC , 1 )1 dS ELC (._ 15q'OOSVaf Retaining Wall ELM / 9 l-Oo y09 Footing Access' Foundation �� FPS Ftg Drain SGN Crawl Drain Inspection Notes:/ Slab Si 5 ,n+z n t. ;- , � l t ,�C / SIT Post & Beam / Ext Sheath /Shear / - L/ ' Mg-44 Int Sheath /Shear • Framing Insulation Drywall Nailing Firewall / Fire Sprinkler / q q ? 62(2 S© .� /�✓ %� Fire Alarm Susp'd Ceiling Roof Misc: 4 9 ©U If A / Vi I t ' r L t . �. Final PASS PART FAIL ©/ tta--R-lc dP • 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 P FAIL ECECTR CAL Service Rough In UG /Slab Low Voltage F'; Alarm SS 67T/ 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 Othe oach /Sidewalk Date a 6 - e „- Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.