Permit A CITY OF TIGARD
4 "� 'h � DEVELOPMENT SERVICES
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
ELECTRICAL PERMIT
PERMIT #: ELC98 -0139
DATE I SSUED :
424.1"41-"
c41
PARCEL: 2S1O3DB -005 t 0
SITE ADDRESS...:11O15 SW PARK ST
SUBDIVISION •MIRA PARK ZONING:R -4.5
BLOCK • LOT •001 JURISDICTION: TIG
Project Description : Installing first branch circuit and four add'! branch
circuits
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- 11 I SCELLANEOUS
1000 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 (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.: 1 PER HOUR • 0
401 - 600 amp • 0 EA ADD'L BRNCH CIRC: 4 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
NINA HOASHI type amount by date recpt
11015 SW PARK PRMT $ 55.00 B 03/24/98 98- 304355
TIGARD OR 97223 SPCT $ 2.75 B 03/24/98 98- 304355
Phone #:
Contractor:
RED'S ELECTRIC CO INC $ 57.75 TOTAL
2002 SE CLINTON ST
REQUIRED INSPECTIONS
PORTLAND OR 97202 Rough -in Elect'1 Final
Phone #: 233 -6467 Rough -in Elect '1 Final
Reg #.. : 000044
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:
CAilal)..1.4136
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:
LICENSE NO:
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + ++ + + + +- F + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
CITY OF TIGARD ELECTRICAL
PERMIT #: ELC98 -0139
^ h, _ DEVELOPMEN SERVICES DATE ISSUED: 03/24/98 97223 (503) 639-4171
PARCEL: 2S103DB -00500
SITE ADDRESS...:11015 SW PARK ST
SUBDIVISION •MIRA PARK ZONING:R -4.5
BLOCK • LOT :001 JURISDICTION: TIG
Project Description : Installing first branch circuit and four add' l branch
circuits
- -- 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
MANE. 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/0 SRVC OR FDR.: 1 PER HOUR • 0
401 — 600 amp • 0 EA ADD'L BRNCH CIRC: 4 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
NINA HOASHI type amount by date recpt
11015 SW PARK PRMT $ 55.00 B 03/24/98 98- 304355
TIGARD OR 97223 5PCT $ 2.75 B 03/24/98 98- 304355
Phone #:
Contractor:
RED'S ELECTRIC CO INC $ 57.75 TOTAL
2002 SE CLINTON ST
REQUIRED INSPECTIONS
PORTLAND OR 97202 Rough —in Elect'l Final
Phone #: 233 -6467 Elect'l Service
Reg #..: 000044
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: evkette Issued By:
OWNER INSTALLATION ONLY
The installation is being made on property+ I own which is not intended f
sale, lease, or rent. _I-
OWNER'S SIGNATURE: ($Y\ I ((64 - ►►�}�I DATE: 5 --2(4-41
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' N : DATE:
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
.....tt i- i-tfi-r r r�-rt rr� r rt rty--t rty-y -� rrt y �-�-tt rrtt i- r� t r r-- -r-ry- r-r r -s-trt� ttttttttttt�t
•
3 -23 -1998 11:01AM FROM RED'S ELECTRIC 503 233 1281 P. 1
e
Community Development ELECTRICAL PERMIT APPLICATION
A 13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Permit # _ 'ISOM
1 1 J1i Phone (503) 639 -4171 Issued
_
'�'` FAX (503) 684-7297 Date
b •
CITY OF TIGARD TDD No. (503) 684-2772 by
Inspection (503) 639 -4175
•
•
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of 'Inspections p er permit allowed
Address /JD/ 5 S w PA'JLk- Service included: Items Cost(ea) Sum
City/State/Zip Z, .4
o re/ 4a. Residential - per unit 4
1000 eq. ft. or less $110:00
Name (or name of business) f Ail CA . " additions! $00 eq. n. or •
I
por thereat $25.00
Commercial 0 Residential ®` Limited Energy $25.00
Each Manur'd Nome or Modular • 2
• Dweltng Sonic. or Feeder $68.00
2a. Contractor installation only: • 4b. Services or Feeders
I Installation, altereai.n, or relocation 2
Electrical Contractor ej 1�toc, -- 'iC D 200 curios or less s60.00 2
Address . •3 . SA 201 amps to 400 amps $60.00 2
aw. 401 amps to 600 amps $120,00 2
City iv State ► *2_ Zip 9�p� ®, amps to l000anps $160.00
2
Phone No. 3 - `/- Owe 1000 amps or volts $340.00 2
Contractors License No. __ / Reconnect only 550,00
Contractor's Board Reg. No. ' '-•'"? dc. Temporary Services or Feeders
/ � I alrarration, or relocation 2
Signature of Supr. Elec'n . , , , . . 200 amps or less 6.60.00 2
License No. 9S • w Phone = � a, 201 amps,° soo amps $75.00
401 amps to 600 amps $100.00
Ober 600 amps to 1003 volts
2b. For owner installations: $1° ales+..
. 4d. Branch Circuits
Print Owner's Name New, alteration orezterreion per panel
Address . a) The lee for eras, e:route with
City State Zip ' ' ol asnrice or leader too. 2
Each branch arch $5.00
Phone No. • b) The tee for branch arcuits rarhour
The installation is being made property I own which is purchas. el sear:c0 or loader foe. Co e 2
First branch circuit branch s 0 2
not intended for sale, lease Or rent.
Each additional branch circuit � WOO
Owner's Signature • 4e. Miscellaneous
• (Service or feeder not included) 2
3. Plan Review section (if required): Each pump or irrigation e1d. $00.00 2
Each sign or saline lighting $40.00
-
Signal circuit(s) or a limited energy 2
Please check appropriate item and enter fee in section SB. • • panel, aeration or extension $40.00
d or more residential units in one structure Minor Labels (10) $100.00
Service and feeder 225 amps or more
System over 600 molts nominal 4f. Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the occupancy above
as described in N.E.C. Chapter 5 Per rapgtion $35.00
Per hour $55.00
In Want' $55.00
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. • 5. Fees:
•
NOTICE 5a. Enter total of above fees $ .'� ...°-
5% Surcharge (.05 X total fees) $ ,- •
Subtotal $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 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. 121 Trust Account i1 $
Balance Due Ill 419 3 $ 59*
0657 c f
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
�^ p dt
Date Requested: s, ` C7 O A.M. P.M. MST:
Location: / In /_J c1' t_AJ Poke At. BUP:
Tenant: fi�nn,, Suite: Bldg: MEC:
Contractor: ■ _ _,L _ 'ho e: & 5 ' 369Q G PLM:
Owner. • _ ‘ ' 6 Ui( . G(Ll c'61 / 61 0 / 3 q
NautAILdA Q., L.a.1 CC &aLI bfd4 • ELR:
m itt - � C.Afn q / ( 1, krr:
BG BLDG (con't) ME C AL * SITE
Site Post/Beam Post/Beam Post/Beam Cover a ce 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 Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved • • 1 . ved" Approved
Appr /Sdwlk Not Approved Not Approved Not Approved • . . ved Not Approved
FINAL FINAL FINAL FINAL FINAL
/ `a(l/}( — 4
C a________- a— . .1
l Call for reinspectio O Reinspection f $ required before next inspection O Unable to inspect
Inspector: i1 4/ Date: ...5 /' 9Ie Page of
3l
0
12 CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: 3. 3) - ! D A. M. P.M. MST:
Location: f 1 /5 SW Pail_ Ic - BUP:
Tenant: , Suite: Bldg: MEC:
Contractor: q 7.Z /�.- / £[,(,o Phone: 2 3 3 6. (6, 7 PLM:
Owner: Phone: ELC: 5`1-01.37
ELR:
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL 44.4221USA, SITE
Site Post/Beam Post/Beam Post/Beam Cover . - Sewer /Storm
Footing Roof UndFUSlab Rough -In Ceilin: Water Line
Slab Framing Top Out Gas Line — • o :,„3_. UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr/Ahn Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
� � / , / / /. / / / • •
O Call for reinspection O Reinspection fee of $ required before next inspection Unable to inspect
Inspector: Date: 3 30 97 Page of
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: 3 " 3 / - q A.M. P.M. MST:
Location: I. P — r k -. I, BUP:
Tenant: ( /5 Suite: Bldg: MEC:
Contractor: A 1° C{ S E I oc4 Y) Q Phone: PLM:
Owner: Phone: ELC: qg-Q 13
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 Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump .ow • t
Approved Approved Approved lifreP M9_, Approved
Appr /Sdwlk Not Approved Not Approved Not Approved _�.`"'�— Not Approved
FINAL FINAL FINAL FINAL
4 1111 / %2 „L. ...._ A ri- - 11 . Li Y — -------
A 19, el, 0 x -. s /--- 0 ‘S / l'" UC,/ Li ")_ ------
i o , e- - -. - AP , e- , .- - i ■ go , , vv- .
Vt° Y1 J' � 0 X WI u 4 I/ 1/1 c I p-i i4 ! •
O Call for reinspectio Reinspection fee of $ required before next ' tion 0 Unable to inspect -3 i —.)
Inspector: Date Page of