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Permit I E LECTRICAL PERMIT CITY OF TIGARD _ �, .' DEVELOPMENT SERVICES FA S: D 08 24 9 / �� ✓�pa�;i� DATE ISSUED: 07/21/98 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 PARCEL: 15136CA -05400 SITE ADDRESS...:O7825 SW PFAFFLE ST SUBDIVISION • ZONING:R -4.5 BLOCK • LOT • JURISDICTION: TIG Project Description: King - -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS 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 : 2 W /SERVICE OR FEEDER: 0 PER INSPECTION • 0 201 — 400 amp • 0 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 STANLEY KING type amount by date recpt 7825 SW PFAFFLE ST PRMT $ 120.00 JSD 07/21/98 98- 307513 TIGARD OR 5PCT $ 6.00 JSD 07/21/98 98- 307513 Phone #: Contractor: AAA ELECTRIC INC $ 126.00 TOTAL 2809 NE 58TH PO BOX 14006 REQUIRED INSPECTIONS PORTLAND OR 97214 Rough —in Elect'l Final Phone #: 225 -0720 Elect'l Service Reg #..: 000835 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'ap 'wed plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more thatf 180 d ys. ATTENTION: Oregon law requires you to follow he rules adopted by the Oregon Utility Notification Center. Those rul s are set orth 'OAR 952 - 001110 through OAR 952 4 1 . . You may obtain a copy of these rules or direct questions to OUNC by ca ling (-) 4198 P Permittee Signature. / A Issued By lir 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: ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Community Development ICAL PERMIT APPLICATION 13125 SW Hall Blvd. REut C 9 Tigard, OR 97223 4 Penn _ El �� 0(,05 A �,�t n,,i JULD9ate sect ,,,a4,11 rol, i Phone (503) 639 -4171 FAX (503) 684 -7297 Opp, "C�3UNIiY DfVLL01' ?:CI:T CITY OF TIGARD TDD No. (503) 684 -2772 Inspection (503) 639 -4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed I Address la7) ,So, ) Q '( . Service included: Items Cost(ea) Sum City /State /Zip T90 c Q 4a. Residential - per unit f \) 1000 sq. ft. o r less $110.00 4 Name (or name of business) 1' `� Each additional sq. ft. or 1 portion thereof $25.00 Commercial ❑ Resident Limited Energy $25.00 1 Each Manufd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: 4b. Services or Feeders Installation, alteration, or relocation / /)Q 2 Electrical Contr. ctor p A A r 1 _ 200 amps or less $60.00 / �C Addr- s _14 r li - % • 401 amps to 600 amps $120.00 2 City Ia. t _■,� � State _ Zip 601 amps to 1000 amps 2 $180.00 Phone No. ( C3) 5 - C9O0 Over 1000 amps or volts $340.00 2 Job NO. G. Reconnect only $50.00 2 contractor's license NO. < Cl O - C) 4c. Temporary Services or Feeders M Contractor's Board Reg. No. • ► ' Installation, alteration, or relocation Signature of Supr. Elec'n (7'ii�:ri'. 200 amps or less 2 - r.- 201 amps to 400 amps $50.00 2 License No. / s �! 'hone No. 401 amps to 600 amps $75.00 2 Over 600 amps to 1000 volts $100.00 2b. For owner installations: see "b" above. 4d. Branch Circuits Print Owner's Name New, alteration or extension per pane Address a) The fee for branch circuits with purchase of service or feeder fee. 2 City State Zip Each branch circuit $5.00 Phone No. b) The fee for branch circuits without The installation is being made on property I own which is purchase of service or feeder fee. 2 First additional circuit $35.00 not intended for sale, lease or rent. Each additional 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 $40.00 Signal circuit(s) 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: c6 5a. Enter total of above fees $ liJ NOTICE 5% Surcharge (.05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter v i of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Reeview if required (Sec.3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. word\comdeNdec- ❑ Trust Account # $ prm.epp $ � Balance Due CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP 1 .' Date Requested r ` ") I • AM PM BLD - -. Location > �� I /�- Suite MEC Contact Person - 1 ir;,' I ; ' �i� i�! k'( Ph 1 `) PLM Contractor � Ph SWR BUILDING Tenant/Owner -Wit: 111 '- / AA. `" � ELC ` l • �� l ' l� / Retaining Wall ELR Footing Access:, � ( 1 , ) - r� C i - FPS Ftg Drain t._� , ��� i.G(C WA_ LLk /'. C Crawl Drain Inspection Notes: (./ / _ _ SGN Slab SIT Post & Beam Ext Sheath /Shear Int Sheath/Shear Framing Insulation Drywall Nailing _� �� L_/ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling erz- - 63 Roof Misc: Final C1-5 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) ( , Rough In UG /Slab Low Voltage Fire Alarm F: 00 'ART 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 7 7f - c Inspector l.� Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.