Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC1999 -00344
L DEVELOPMENT SERVICES • DATE ISSUED: 6/11/99
13125 SW Hall Blvd., Tioard, OR 97223 (503) f�9 -4171 PARCEL: 1S135CD -09500
SITE ADDRESS: 09923 SW PIHAS CT v
SUBDIVISION: JACOB COURT ZONING: R -12
BLOCK: LOT : 0034
JURISDICTION: TIG
Project Description: Add first branch circuit to an existing dwelling.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL:
MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
DOUG RHODES SHARPE ELECTRIC INC
9923 SW PIHAS COURT 22605 SW RIGGS
TIGARD, OR 97223 BEAVERTON, OR 97007
Phone: Phone: 642 -7937
• Reg #: LIC 000815
SUP 3344S
ELE 34 -217C
FEES Required Inspections
Type By Date Amount Receipt Elect'l Final
PRMT DEB 6/11/99 $37.50 99- 316076
5PCT DEB 6/11/99 $1.88 99- 316076
Total $39.38
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. 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 r as op - , , the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 -001 -0010 through OAR 952 - 001 -0080. You may obt. n copies of these les or direct questions to OUNC at (503)
246 -1987.
Permit Signature � Iss = By: , �/ I ` 2
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: ✓41.0 0 . eciag DATE: -
LICENSE NO: e / q-
-)
Call 639 -4175 by 7:00pm for an inspection the next business day
•
.CITY OF TIGARD Electrical Permit Application Plan Check #
13125 SW HALL BLVD. Rec'd By Cc
.
Date Rec'd 4)-479
TIGARD OR 97223
Date to P.E.
Phone (503) 639 -4171, x304 Date to DST
7
Inspection (503) 639 -4175 Incomplete Pri or Type
plete or illegible will not be accepted Permit # E« / /S` ac�
Fax (503) 684 -7297 Called fi - /n - c �� f
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
C.J � ,�O�j /1
Name (or name of business) ada Service included: Items Cost Sum
�� 4 S14)
Address � / / f / ta.,4 C T 4a. Residential - per unit
City /State/ZipT ygi , d 4 ? 7 Z Z 3 Each additional 500 sq. ft. or 1000 sq. ft. or less $110.00 4
• / �J�
Commercial ❑ Residenti t� portion thereof $25.00 1
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 current licenses) 4b. Services or Feeders
Electrical Contractor 5 /1a_rf j /oc r / 4- Installation, alteration, or relocation
Address �7,�. / O S S u-1 200 amps or less $60.00 2
c-� f 201 amps to 400 amps $80.00 2
City A_J -'+i State e.'1). '! e Zip 9 70D'! 401 amps to 600 amps $120.00 2
Phone o. G // 2 3 7 601 amps to 1000 amps $180.00 2
Job No. 99 Over 1000 amps or volts $340.00 2 -
Elec. Cont. Lice. No. 3 V ) C Exp.Date Reconnect only $50.00 2
OR State CCB Reg. No. S / S/ r Exp.Date 4c. Temporary Services or Feeders
COT Business Tax or Metro No? 53/ Exp.Date eR / Of) Installation, alteration, or relocation
_06. 200 amps or less $50.00 2 -
-
201 amps to 400 amps $75.00 ..
Signature of Supr. Elec'n / 401 amps to 600 amps $100.00 2
33y14S Exp.Date /6 / / /e /' Over 600 amps to 1000 volts,
License No. see °b" above.
Phone No. G r/ - 95 7
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 I $35.00 7 . 2
The installation is being made on property I own which is not Each additional branch circuit $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 41. 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. S. Fees: .
0
Not required for temporary construction services. 5a. Enter total of above fees $
5% Surcharge (.05 X total fees) $ / r r7
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 -, G K
TIME AFTER WORK IS COMMENCED. ❑ Trust Account # i • /
Total balance Due $
I: \DSTS \ELC96.APP Rev 9196
7/25/99 Activities for Case #: ELC1999 -00344
6:26:18 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCA001 Application received 6/10/99 GEO RECD No Hold GEO 6/10/99
ELCA003 Permit created • 6/10/99 GEO DONE No Hold GEO 6/10/99
ELCA799 Elect'I Final 6/10/99 6/10/99 7/16/99 CD PASS No Hold AKJ 7/18/99
ELCA400 (F) Ready to issue 6/10/99 GEO PASS No Hold GEO 6/10/99
ELCA500 (F) Issue permit 6/11/99 DEB DONE No Hold DEB 6/11/99
ELCA800 Case finaled 7/18/99 AKJ . DONE No Hold AKJ 7/18/99
•
•
Pagel of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 7 f (P'9 AM PM BLD
Location (Z P[ has f • Suite MEC lqqq-
Contact Person t LJLY\eh CD 2/) PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC 1999-o03 e/
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Ins ction Notes:
Slab /� gel SIT
Post h Beam Wk4 G�
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing M e—C �1
7 q 9' c )
Fire wall
Fire Sprinkler � te:;
Fire Alarm EL c l 9 9 -
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
VMECHANI6A
Post ai beam
Rough In
Gas Line
Smoke Dampers
in
RT FAIL
TRI
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
i 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
Other Date 7 / l 9 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.