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Permit
CITY OF T ELECTRICAL PERMIT i mm � ii, DEVELOPMENT SERVICES PERMIT #: ELC99 -0147 !+� °'� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 03/18/99 PARCEL: 2S1O2CB -00400 SITE ADDRESS...:1O23O SW SCHOOL ST SUBDIVISION °NORTH TIGARDVILLE ADDITION ZONING:R -4.5 BLOCK LOT °034 JURISDICTION: TIG Project Description : Install a 200 AMP service. - -- 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/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 JOHN ELWELL type amount by date recpt 10230 SW SCHOOL STREET PRMT $ 60.00 GEO 03/18/99 99- 313794 TIGARD OR 97223 5PCT $ 3.00 GEO 03/18/99 99- 313794 Phone #: Contractor: OREGON ELECTRIC CONST /GROUP $ 63.00 TOTAL 1010 SE 11TH AVE REQUIRED INSPECTIONS PORTLAND OR 97214 Rough —in Elect'1 Final Phone #: 234 -9900 Elect'1 Service Reg #..: 203 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 gore 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 lay obtain a copy of these rules or direct questions to OUNC by calling (503)246 -1987. Permittee 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 SIGNATURE OF SUPR. ELEC' N : DATE: 3 /fr- Vf LICENSE NO: P-04. ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ RECEIVED i ' M' ` 1 8 1999 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. C O�c� COM A EVELOPMENT Tigard, OR 97223 Permit # , , & Date Issued i'- i Phone (503) 639 -4171 ,,,-44- FAX (503) 684 -7297 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 Address 10230 SW School Street Service included: Items Cost(ea) Sum City /State /Zip Tigard, OR 97223 4a. Residential - per unit 1000 sq. ft. or less $110.00 4 Name (or name of business) John Elwell Each additional 500 sq. ft. or portion thereof $25.00 1 Commercial ❑ Residential © Limited Energy $25.00 Each Manurd Home or Modular Dwelling Service or Feeder $68.00 2 - 2a. Contractor installation only: 4b. Services or Feeders Installation, alteration, or relocation Electrical Contractor Oregon Electric Group 200 amps or less 1 $ 60.00 60.00 2 Address 1635 SE Enterprise Circle, #A 201 amps to 400 amps $80.00 2 City Hillsboro State OR Zip 97123 401 amps to 600 amps $120.00 2 `1 601 amps to 1000 amps $180.00 2 Phone No. 643 -0734 Over 1000 amps or volts $340.00 2 Job NO. 86502 Reconnect only $50.00 2 contractor's license o & 26 -95C 4c. Temporary Services or Feeders Contractor's Board '■ No. i _ ■ MI6 4c. alteration, or relocation Signature of Supr. • t"' ' 71 MP 4 NI r~ r 200 amps or less 2 License No. 2064S Phone No. 648 -0734 201 amps to 400 amps $50.00 2 2 401 amps to 600 amps $75.00 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 not intended for sale, lease or rent. First branch circuit $35.00 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 circult(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: 5a. Enter total of above fees $ 60.00 NOTICE 5% Surcharge (.05 X total fees) $ .3.00 PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25% of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. word1wmdeWdiw ❑ Trust Account # $ m...4" Balance Due $ 63.00 5 /13 /99 Activities for Case #: ELC99 -00147 7:52:50 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELCA001 Application received 3/18/99 GEO MAIL GEO 3/18/99 ELCA003 Permit created 3/18/99 GEO DONE GEO 3/18/99 • ELCA730 Elect! Service 3/18/99 4/12/99 CD PASS AKJ 4/12/99 ELCA700 Rough -in 3/18/99 • GEO 3/18/99 ELCA799 Elect9 Final 3/18/99 4/8/99 CD FAIL •AKJ 4/12/99 Unable to inspect no access ELCA500 (F) Issue permit 3/18/99 GEO PASS GEO 3/18/99 • ELCA799 Elect! Final • 4/12/99 4/12/99 4/12/99 CD PASS No Hold AKJ 4/12/99 ELCA800 Case finaled 4/12/99 AKJ DONE No Hold AKJ 4/12/99 • • • • • Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Lie: 639 -4171 BUP Date Requested 1 / Z - 7 i AM L "PM BLD Location / 0 7_3 0 0-0 L Suite MEC Contact Person 41 I f ' S,r ll ra - As! Ph 590 - /rte? PLM Contractor Ph ,k 7A/ SWR BUILDING Tenant/Owner ELC 9 - 0/97 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: 4AJA Final PASS PART FAIL PLUMBING Post & Beam �Undnder Sll ab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PART FAIL LECTRIC e Rough In UG /Slab Low Voltage Fire Alarm / Fi y1 • PART FAIL BackfilUGrading 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 `/ 2. - 9 Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.