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Permit CITY OF TIGARD ELECTRICAL PERMIT A DEVELOPMENT SERVICES PERMIT #: ELC98 -0740 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 01 / 07 / 99 PARCEL: 2S102CB -01805 SITE ADDRESS. °.:10400 SW PARK ST SUBDIVISION ZONING:R -3.5 BLOCK • LOT • JURISDICTION: TIG Pro.j ect Description : Installation 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: 40 PER INSPECTION 0 1 201 — 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 -- JUMBO FERNANDO type amount by date recpt Y 17549 SW OAK MEADOWS LN PRMT $ 280.00 GEO 12/17/98 98- 311625 LAKE OSWEGO OR 97034 SPCT $ 14.00 GEO 12/17/98 98- 311625 PLCK $ 70.00 GEO 12/17/98 98- 311625 Phone #: Contractor: BECK ELECTRIC INC $ 364.00 TOTAL 9318 SE CHURCH ST REQUI RED 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 • es you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-00 '' through OA 2-001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246 -1987. Permittee Signature: .AMc J�te Issue • By: k ao,e2.4iA.4_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 SIGNATURE OF SUPR. ELEC' N: 1• :.. ) . _ DATE: 1 " LICENSE NO : 1 -G tl ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + ++ + + + + + + + + ++ + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++++++++++ 4- + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ i CITY OF TIGARD Electrical Permit Application Rand Check #LA ,46 6 13125 SW HALL BLVD. TIGARD OR 97223 Date Recd - -�rB" Date to P.E. - /7 - P .l• Phone (503) 639 -4171, x304 B -0/47 Print or Type Date to DST '- - a, . Inspection (503) 639 -4175 Incomplete or illegible will not be accepted Permit ft c��9� D7'/d Fax (503) 684 -7297 Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development 1 Number of Inspections per permit allowed Name (or name of business) k \ \ y (- a /� S J\ x .L. Service included: Items Cost Sum Address i ( -10 ) aiD PI kf" 1 4a. Residential - per unit 1 ((YIN 1000 sq. ft. or less $110.00 4 City /State/Zip ° X X8t "i vri N Each additional 500 sq. ft. or Commercial Residential ❑ 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 rren licens 4b. Services or Feeders Electrical Contractor p rck / i t ec / r, G Installation, alteration, or relocation t7- - -v 200 amps or less $60.00 2 Address 731 D se- c avc 201 amps to 400 amps - r $80.00 VOCt 2 City /a a > - S � l tate Zip_ O /5 - 401 amps to 600 amps $120.00 2 Phone No. Q t 3 L ___ -2 601 amps to 1000 amps $180.00 2 Job No. ' _20 i! ID o, 99 ,� Over 1000 amps or volts $340.00 2 Reconnect only $50.00 2 Elec. Cont. Lice. No. - Exp.Dat- A ' - OR State CCB Reg. No. • • Exp.Date - I - " ' 95-' • 4c. Temporary Services or Feeders COT Business Tax or Metro No "` -... Exp.Date I - Installation, alteration, or relocation ��� 200 amps or less $50.00 2 Signature of Supr. Elec'n i g� • t -- 201 amps to 400 amps $75.00 2 YW . 401 amps to 600 amps $100.00 2 2lo Exp.Date ID / - / Over 600 amps to 1000 volts, License No /32. 0 see "b" above. Phone Nr 65 ' - 2 `� 6o 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. ' ` r Address Each branch circuit "t d $5.00 2 CO ' 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. 1 4 or more residential units in one structure 4f. Each additional inspection over X 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: 2 70 oa Not required for temporary construction services. 5a. Enter total of above fees $ 5% Surcharge (.05 X total fees) $ � L NOTICE • Subtotal $ 5b. Enter 25% of line 5a for 70 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 # $ _3((,_ ° Total balance Due 1: \DSTS \ELC96.APP Rev 9/96 8 /8 /99 Activities for Case #: ELC98- 00740 . 3:18:55 PM • . Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELCC001 Application received 12/17/98 GEO RECD DLH 12/17/98 ELCC003 Permit created 12/17/98 DLH DONE DLH 12/17/98 ELCC102 Plans routed to Plans Examiner 12/17/98 DLH SENT DLH 12/17/98 ELCC700 Ceiling Cover 4/6/99 CD PASS CD 4/6/99 ceiling cover ELCC720 Wall Cover 2/1/99 - BRP PASS • CD 2/2/99 • ELCC730 Elect'l Service 2/18/99 BRP PASS VLN 2/23/99 Panel schedule to be permanent ink or type; pencil will fade. (Service pass). ELCC799 Elect'l Final 4/2/99 CD FAIL AKJ 4/5/99 . Susp ceiling cover denied all • drop in fixtures must have 2 • • slack wires ELCC920 Miscellaneous action 12/29/98 CD FAIL CD 12/29/98 need updated plans& approval - before permit may be issued. pool bonding denied, use ground clamps listed for rebar connection & burial in concrete. ELCC920 Miscellaneous action 12/30/98 CD PASS CD 12/30/98 POOL BONDING ONLY ELCC115 Approved plans routed to DSTs 1/6/99 CD PASS CD 1/6/99 ELCC400 (F)Ready to issue 1/7/99 DEB DONE DRA 1/7/99 ' ELCC500 (F)Issue permit • 1/7/99 . DEB DONE DRA 1/7/99 Issued and mailed to contractor per contractors request. • • ELCC920 Miscellaneous action 2/1/99 BRP PASS • CD 2/2/99 soffits • ELCC799 Elect'l Final 5/6/99 5/6/99 5/6/99 BRP FAIL No Hold AKJ 5/6/99 Main panel not flush with - finished wall Switch plate not flat on wall Fire alarm flex not secured 2 gan. receptacle in bookcase needs liner extender, wall plate - must not be cut Receptacles marked GFCI are • . not tripping . Panel schedule words not . - completed Plates must cover wall opening • Receptacles loose Panel covers not secured Inspection not completed, final to be started from beginning Flex on pool equip to be securec Pool panel not flush ELCC725 Underground Cover 5/9/99 5/9/99 5/7/99 BRP - PASS No Hold AKJ 5/9/99 ELCC799 Elect'l Final 5/16/99 5/16/99 5/14/99 BRP PASS No Hold AKJ 5/16/99 ELCC800 Case Finaled 5/16/99 AKJ - DONE No Hold AKJ 5/16/99 Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 �J BUP Date Requested S -1 'I -q i AM PM BLD Location L d tt bD ( Suite MEC Contact Person ,1 ici.u."2 Ph (J.. Ar PLM Contractor Ph 3.)q — W g q SWR / I BUILDING Tenant/Owner ( C l` S l�(� ELC Q b -d7�/n Retaining Wall ELR Footing Access: Foundation • -� A e 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 Fire Alarm Susp'd Ceiling — Roof Misc: /-x T fl Ie - /r /C4 / ss 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 <ELECTRICAL.) Service Rough In UG /Slab Low Voltage Fir- larm - ASS 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 Date.:) 7 ' ` ,,frpffi Other Insp ectorl-i Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.