Loading...
Permit CITY OF TIGARD ELECTRICAL PERMIT % ��i DEVELOPMEN SERVI PERMIIS*: ELC9B- 007008 PARCEL: 15135CD -01300 SITE ADDRESS. ..: q Q SUBDIVISION •GREENBU � F `` e76-' BLOCK LOT •005 JURISDICTION: TIG Project Description : Install a 200 AMP service for a single family dwelling. - -- 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 • 1 W /SERVICE OR FEEDER: 0 PER INSPECTION • 0 201 - 400 amp • 0 1st W/O 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 J.BRADLEY PIHAS type amount by date recpt 18025 SW SARAH HILL LANE PRMT $ 60.00 GEO 02/13/98 98- 303268 LAKE OSWEGO OR 97035 5PCT $ 3.00 GEO 02/13/98 98- 303268 Phone #: Contractor: ADAMS ELECTRIC CO INC $ 63.00 TOTAL 2340 SE CLATSOP REQUIRED INSPECTIONS PORTLAND OR 97202 Underground Cove Elect'1 Final Phone #: 234 -9651 Elect'1 Service Reg #.. 000005 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 ( )246 -1987. Permittee Si /�/ / Signature: Issued B : 4 9 Y 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 : �'� c - DATE: A LICENSE NO: & G --5 ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ rd CITY OF TIGARD Electrical Permit Application Plan Check # 13125 SW HALL BLVD. Rec'd By Date Rec'd TIGARD OR 97223 Date to P.E. Phone (503) 639 -4171, x304 Date to DST Inspection (503) 639 -4175 Print or Type Permit # L'. Is- -00 .76 Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name (or name of business) BRA b • I Service included: Items Cost Sum Address / / 70 5 5, ta, ?crr1/2 4a. Residential - per unit City /State /Zip rJ ' Each additional it or less 5 s $110.00 4 TI � If �� � �- 7� 2 3 Each additional 500 sq. ft. or / portion thereof $25.00 1 Commercial ❑ Residential Li mited 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 licenses) 4b. Services or Feeders Electrical Contractor 19 /171 �G7ie /c_, Installation, alteration, or relocation Addre 39D S. . ( L. #7 TS I� to 5 7 201 amps to 400 amps $80.00 2 ", 200 amps or less / $60.00 � - �� 2 i' City , i_'TL. JM/b State OR , Zip q'7.. 0.2. 401 amps to 600 amps $120.00 2 Phone No. ,, ..3q -- __/ S/ 601 amps to 1000 amps $180.00 2 Job No. 3 OS /7� Over 1000 amps or volts $340.00 2 � Reconnect only $50.00 2 Elec. Cont. Lice. No. �?L - 5 Exp.Date l0 -/-- �/ OR State CCB Reg. No. .S"9‘> Exp.Date o? -1 7- r � / .. 4c. Temporary Services or Feeders COT Business Tax or Metro No. /0 74n Exp.Date 7-1 -9, r Installation, alteration, or relocation 200 amps or less $50.00 2 201 amps to 400 amps $75.00 Signature of Supr. Elec - 401 amps to 600 amps $100.00 2 p /0 - / -- 9, ---- 0-/ �/ Over 600 amps to 1000 volts, License No. ,..?1 5'6 -:S Exp.Date jf see "b" above. Phone No._ ..,3V-/-, rS / 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 circ $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: s , tr"V 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 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 # - Total balance Due $ I: \DSTS \ELC96.APP Rev 9/96 RECEIVED FEB 0 1998 COMMUNITY DLVELOPU..:::r., ( I 3 i • 0° CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: / A.M. P.M. MST: Location: 1 170 S ad C8 f'n Q,I J ,e, U r 7 q Q/ P/ >IRs cT BUP: Tenant: Suite: Bldg: �� o/ 10 MEC: , Contractor: C �,�P� Phone: / Q � 3 `T / �/ PLM: p p� -7r71 Owner Phone: ELC: '7O -00 / 0 ELR: SIT: BUILDING BLDG (con't) PLUMBING MECHANICAL �LEC CAI) SITE Site Post/Beam Post/Beam Post/Beam Cove Sewer /Storm Footing Roof UndFl/Slab Rough -In Ceilin: 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 Approv Approved Appr /Sdwlk Not Approved Not Approved Not Approved a.:. „. ed Not Approved FINAL FINAL FINAL °' :T FINAL l_ _ v n c5), CI Call for reinspection O lion fee of $ z required before next inspection O Unable to inspect Inspector: Date: 0 4 ? aage of CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 �f BUP Date Requested 9/3 /J�7r AM PM BLD l Location q 99/ Sul /9/ e C4 Suite MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC - 470070 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 Q Ve/79? Drywall Nailing //✓i¢ �� /� !J �/n " Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof 410 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 ((LECTRICAL ,) k 'Sefiri Rough In UG /Slab Low Voltage c ilWarm .�"- gr PART 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 D ate ' / ' D //' 9 7 � Inspector Other Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.