Permit CITY OF T ELECTRICAL PERMIT
.T,, ; i alt, DEVELOPMENT SERVICES PERMIT #: ELC98 -0599
- ' � !�- 13125SWHallBlvd ., Tigard, OR97223(503)639 -4171 DATE ISSUED: 09 /28/98
PARCEL: 2S111AD -07900
SITE ADDRESS...:08860 SW SCHECKLA DR
SUBDIVISION •SCHECKLA PARK ESTATES ZONING:R -4.5
BLOCK LOT -012 JURISDICTION: TIG
Project Description: Exterior A/C unit.
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1 000 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: 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: 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
TORRES, VICTOR & DIANNA type amount by date recpt
8860 SW SCHECKLA DR PRMT $ 35.00 B 09 /28/98 98- 309530
TIGARD OR 97223 SPCT $ 1.75 B 09/28/98 98- 309530
Phone #:
Contractor:
SHARPE ELECTRIC INC $ 36.75 TOTAL
22605 SW RIGGS
REQUIRED INSPECTIONS
BEAVERTON OR 97007 Rough -in Elect'1 Final
Phone #: 642 -7937 Elect'1 Service
Reg #..: 000815
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 OINC by calling (503)246 -1987. � / f �/��
Permittee Signature: Issued By: iV�t�"'v`���
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 INSTALL "[TON ONLY
SIGNATURE OF SUPR. ELEC' N : ®1& f \ L ( DATE:
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + ++ + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + ++ + + ++
CITY OF TIGARD Electrical Permit Application Plan Ch
13125 SW HALL BLVD. Rec'd By
Date Rec'd -LB
TIGARD OR 97223
Date to P.E.
Phone (503) 639 -4171, x304 Date to DS
Inspection (503) 639 -4175 Print or Type Permit # 1� 07
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) Service included: Items Cost Sum
I
Address 5( R1aL) 50 .k-ee..,k la. Dr • 4a. Residential - per unit
City/State /Zip I j a € 'CL, b �_ « 7�� Each additional it or l 5s sq. $110.00 4
�`..JJ Each additional 500 s ft. or
Commercial ❑ Residential portion thereof $25.00 1
L imited Energy $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
(Attach copy of rrent licenses ,f 4b. Services or Feeders
Electrical Contractor J t / JI ► G � � �, Installation, alteration, or relocation
Addr ad-146-5
'
s cJh �s S[�a S 200 amps or less $60.00 2
201 amps to 400 amps $80.00 2
-
City State Zip _f'7 0 0 401 amps to 600 amps $120.00 2
Phone No, (q,y 61,---1 13-7 601 amps to 1000 amps - $180.00 2
Job No. Over 1000 amps or volts - $340.00 2
r Reconnect only $50.00 2
Elec. Cont. Lice. No. , -0 C Exp.Date • �i
OR State CCB Reg. No. :lice: Exp.Date $3. 4c. Temporary Services or Feeders
COT Business Tax or Metro .,,� Exp.Date . - ' i I alteration, or relocation
pp, 200 amps or less $50.00 2 -
Si nature of Su r . Elec'n _ �/ 201 amps to 4 00 amps $75.00 2
g P 401 amps to 600 amps $100.00 2
1 �1� Ex p.Date q c O ver 600 amps to 1000 volts,
L
License No. � ` I4 see "b" above.
Phone No. G e l 3 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 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 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: Z� pv
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 # $ 75
Total balance Due
I: \DSTS \ELC96.APP Rev 9/96
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24- our Inspection Line: 639 -4175 Business Line: 639 -4171
� X BuP
/Z 33 Date Request d / 1- 2-5- S^ 9 p AM PM BLD
Location g & O 41,v (SC/i.e (k/a.' Suite MEC
Contact Person Ph cI PLM
Contractor Ph p x'5(043 SWR V-(15 BUILDING Tenant/Owner
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 l
Drywall Nailing _ _ . / �� �_ i -.err
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final k_ .„6„,"
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
P A FAIL
LECTRICA
Service
Rough In
UG /Slab
Low Voltage
' - : - m
`, Fi :1sp.
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
Other oach /Sidewalk Date 9 / i ��j r fj Inspector __arr jict
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.