Loading...
Permit A ,, CITY OF TI G A R D ELECTRICAL PERMIT c DEVELOPMENT SERVICES PERMIT #: ELC98 -100 9 " ",,,„,,v.,,,,. ' 9 1 l i DATE ISSUED: 08/18/98 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 PARCEL: 25111AD -03400 SITE ADDRESS...:O9OO5 SW PINEBROOK CT SUBDIVISION : PINEBROOK TERRACE ZONING:R -4.5 BLOCK • LOT •031 JURISDICTION: TIG Proj ect Description : Add branch circuits to an existing 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 ° 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: 7 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 TIMOTHY E HENLEY type amount by date recpt 9005 SW PINEBROOK CT PRMT $ 70.00 GEO 08/14/98 98- 308292 TIGARD OR 97224 5PCT $ 3.50 GEO 08/14/98 98- 308292 Phone #: 684 -1306 Contractor: GENIE ELECTRIC CONSTRUCTION $ 73.50 TOTAL 20395 SW AVERY CT PO BOX 575 REQUIRED INSPECTIONS SHERWOOD OR 97140 Elect'l Service Phone #: 691 -8403 Elect'l Final Reg #..: 000566 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 :e:: f th rules or direct questions to OUNC by calling (503)246 -1987. �/ ttee Signature: /� 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 G• SIGNATURE OF SUPR. ELEC' N : &A/Olt DATE: cr-/* LICENSE NO: / 5 - - -s ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ t if. L CITY OF Electrical Permit Application Plan Check # 13125 SW HALL BLVD. -- Rec'd By TIGARD OR 97223 Date Recd Date to P.E. Phone (503) 639 -4171, x304 Date to DST Inspection (503) 639 -4175 Print or Type Permit # C Q $' AMC Fax (503) 684 -7297 Incomplete or Illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Developments% / tWA <'� � N ualber of Inspections per permit allowed Name (or name of business)7 01t)r yy i) i� Service Included: Items Cost Sum / Address V 00 r!,?e4trc,� CO) &A. 4a. Residential - per unit City/State/Zip "P a h D �- 1000 sq. ft. or less $110.00 4 rty P l Eech additional 500 sq. ft. or Commercial ❑ Residential Jt� portion thereof $25.00 1 - Limited Energy $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $88.00 2 2a. Contractor installation only: (Attach copy of al current licenses) 4b. Services or Feeders Electrical Contractor VC') ;ee Elea L x:157; T4 c, installation, alteration, or relocation ,���, 200 amps or less $60.00 2 Address /O.:43614-. 201 amps to 400 amps $80.00 2 - City •/I el,- WdOci State Ofi Zip S 7L 401 amps to 800 amps $120.00 2 Phone No.. tf Q 8 4ce13 601 amps to 1000 amps $180.00 2 Job No. a! ©D -- Over 1000 amps or volts $340.00 2 Reconnect only $50.00 2 Elec. Cont. Lice. 14 �- - Exp.Date it /_/ _ OR State CCB Reg. o. S ; Exp.Date 4c. Temporary Services or Feeders COT Business Tax or Metro No. Exp.Date Installation, alteration, orrelocation 200 amps or less $50.00 2 Signature �f Sur. Elec' 201 amps to 400 amps $75.00 2 - g p n 401 amps to 600 amps $100.00 2 - Over 600 amps to 1000 volts, License No / f' c i C "S Exp.Date /6--/-86 see °b" above. Phone Nr : / 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 circ $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 circuit .7 $5.00 �q S�ZL� 2 Intended for sale, lease or rent. 4e. Miscellaneous • (Service or feeder not included) Owner's Signature Each pump or irrigation circle $40.00 E sign or outline lighting 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 56. 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: Not required for temporary construction services. 5a. Enter total of above fees $ gi fl-- 2:; 5% Surcharge (.05 X total fees) $ NOTICE Subtotal $ Sb. 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 # 2 . Total balance Due i:V) C�ELCg9.APP A BM 9 Z 00 j UHV9IZ dO A,LID 096T 96g £0g %V3 £Z :9T till 86 /£T /90 6/26/00 Activities for Case #: ELC98 -01005 1:46:46 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELCA001 Application received 8/14/98 GEO RECD GEO 8/18/98 ELCA003 Permit created 8/14/98 GEO DONE GEO 8/18/98 ELCA730 Elect'I Service GEO 8/18/98 ELCA799 Elect! Final NOTE JT 1/13/99 1/13/99 inspection request (research) sent to Chuck ELCA500 (F) Issue permit 8/18/98 GEO PASS GEO 8/18/98 ELCA700 Rough -in 8/17/98 CD PASS CD 8/18/98 cover approved for kitchen & den remodel ELCA920 Miscellaneous action 3/17/99 WDJ MAIL WDJ 3/17/99 ELCA799 Elect'I Final 3/24/99 CD PASS CD 3/24/99 ELCA800 Case finaled 3/24/99 AKJ PASS AKJ 3/24/99 Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST BUP Date Requested 3 - 2-H - q/ AM y PM BLD Location qor P/✓ eti O ` Suite MEC Contact Person i 1/1 c1-& eALQ,L* Ph (0$1-f � / 3 b PLM Contractor U Ph SWR c� BUILDING Tenant/Owner ELC I ) Dos 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 Fire Alarm Susp'd Ceiling Roof 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 EC Service` Rough In UG /Slab • Low Voltage Fir larm (1 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 3 - Z.�- 99 Inspector Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.