Permit •
CITY OF TIGARD ELECTRICAL PERMIT
4,0t, DEVELOPMENT SERVICES PERMIT #: ELC98 -0503
114 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 08/24/98
PARCEL.: 2S 1 14BB -04600
SITE ADDRESS °10330 SW SERENA WAY
SUBDIVISION••° °:PICKS LANDING NO.1 ZONING:R -4.5 PD
BLOCK ° ° °• ° ° ° °. °° LOT ° ° ° ° °••• ° ° °° °:023 JURISDICTION: TIG
Pro.j ect Description : Addition of electrical service to residence.
- -- RESIDENTIAL UN I T - - -- -- -TEMP SRVC /FEEDERS - - -- M I SCF_LLANEOUS-------
1000 SF OR LESS : 0 0 - 2001 amp. - - - - ° ,.: i21 PUMP/ IRRI GAT ION. o ° ° : 1ZI
EACH ADD' L 500SF° ° ° : 0 21211 - 400 amp. ° ° ° ° ° ° : i2' SIGN /OUT LINE LTG.. :. 0
LIMITED ENERGY - 0 401 - 600 amp 0 SIGNAL /PANEL ° ° ° ° ° ° ° 0
MAI�IF° 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/O 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.. r.
, Reconnect only°°° ° °: 0 SVC /FDR > 225 AMPS ° °: CLASS AREA /SPEC OCC °
Owner : - - -_ • ----- - - - - -- - - - -- - --
DENNIS SHEN type amount by date recpt
10330 SW SERENA WAY, • PRMT $ 35.00 DLH 08/24/98 98- 308542
TIGARD OR 97224 5PCT $ 1.75 DLH 08/24/98 98- 308542
Phone #:
Contractor:
GEORGE. MORLAN PLUMBING $ 36.75 TOTAL_
9806 SW TIGARD ST
REQUIRED INSPECTIONS - -- - --
PORTLAND OR 97223 Rough -in Elect'1 Final
Phone #: 624 -6895 Elect'1 Service
Rey #.. : 000027
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 peroit will expire if work is not started within 180
days of issuance, or if work is suspended for sore 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 (503)246 -1987.
•
Permittee Signature: 2/814,- / Issued By: i
dam /9�i ' 4 /&7
#
- OWNER INSTALLATION ONLY - ----- - -• ---
The installation is being made on property I own which is not intended for
sale, lease, or rent. ''//
OWNER'S SIGNATURE: . N/� DATE:
----------- -CONTRACTOR -
//R INSTALLATION ONLY - --
SIGNATURE OF SUPR. ELEC' N : NV
DATE:
LICENSE NO: •
+++++++++++++++++++++++++++++++ + + + + + + + + + + + + + ++ + + + + + + + + ++ ++ + +++ - l- + + + ++ + + + ++ + + + +++
Call 639 -4175 by 7:00 p °m° for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + ++ + + + + + + + + + + + + + + + + + ++
AUG -21 -1998 11:34 GEORGE MORLAN r . C'1' "i
•
t L0-314, I ED Plan check •
CITY OF TIGARD Electrical Permit ApcEa�tVon Recd By
• 13125 SW HALL BLVD. F-, u 2 1998 Data Roca
TIGARD OR 97223 (1 Date to P.E.
503 639 -4171, x304 �1Y DEVELOPMENT � Data to OST ��SO3
Phone ( ) Pri or T ype " / P e w E7.-C.- 4,1 Inspection (503) 639 -4175 Incomplete or Illegible will not be accepted Ca a d
Fax (503) 684-7297
1. Job Address: 4. Complete Fee Schedule Below:
/ Number of Inspections par permit allowed
Name of Development
Name (or name of business) 1104 I AM Seri/Ice Included: Items Coen Sum
Address l(� 1� t l l $110.00 4
t1? l.J "�' `c� �- `� 4a. Residential - per unit 1000 sq. ft or lass •
te n ,r� OR-- ion em Soo sq. IL or t sS25-00 1
City /SffitelT.ip , l` J 1"" Each additional
0 Limited Energy $25.00
Commercial t.J Residential;
Each Manut'd Home or Modular $68.00 2
Dwelling Service or Feeder
2a. Contractor installation only: 4b. semis or Feeders
( Attach
Co copy ofd Iron • ' /� Al IA n /1 installation, or les ion, or relocation
Electrical COT1tTt3CtOr ` re f 200 amps or less $60.00
$80.00 2
2
Addres s$ W T\ r i(d 201 amps m 400 amps
State C P z p q - 3 401 amps to BOO amps $120.00 _ 2
Ci 801 amps to 1000 amps $160.00 2
Phone UI�4 r act S
Over 1000 amps or volts $340.00 -- 2 -
Job NO. Reconnect only $50.00 2
Elec. Cont. Lice. No. Exp.Date O
OR State CCB Reg. No. Exp.Date G I O 2.. 4c. Temporary Services or Feeders
1)/ 201 1 . D t e Installation , alteration, or relocation
u0.00 - 2
COT Business Tax or Metro No .�JZ %G a or lass amps to 400 amps $75.00 2
Signature of Supr. Elec'n, 401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No • Exp.Date ass °b" above.
Phone Nr 4d. Branch Circuits
New, alteration or extension per panel
. •. For owner installations: a) The fee for branch circuits with
purchase of service or
Print O - Name feeder fee.
Each branch circuit $5.00 2
Address b) The fee for branch circuits
City State 4 p without purdah(' of
Phone No. service or feeder foe, $35.00 2
First branch circuit $35 2
Each additional branch circuit
The installation is being • ' • e on prope ' - which is not
intended for sale, I: - : or rent. 4e. Miscellaneous
(Service or feeder not included) $40.00 2
Owner' ' = • nature _ Each pump or irrigation circle $ao 00 2
Each sign or outline lighting
i Signal clrcult(s) or a limited energy
$40.00 2
3.. Plan Review section (1! required):* panel, ateration or extension 3100.00
Minor Labels (10)
Please check appropriate Item and enter fee in section 55. nal inspection over
the allowable
4 or more residential units in one structure 41. Each additional
any of the above
Service and leader 225 amps or mom Per allowable $35A0
Per hour
System over 600 volts nominal $35.00
Classified area or structure containing special occupancy In Plant $ 55.00
as described In N.E.C. Chapter 5
: Fees
• Submit sets of plane with application where any of the above apply. 5 . Enter total of above tees S �L
NO
Not required for temporary construction services. 5e. 6% Surcharge (.05 X total fees) S L
TI E Subtotal $ , -
5b. Enter 25% of line 6a for S
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review 1! gr qyj. (Sec.3) $
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK • Subtotal :��
( y n �I ] c J
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY Trust Account ti
TIME AFTER WORK IS COMMENCED. $
Total balance Due
1(2_,\ \l/-Q-ALf TOTAL P.01
`•� ARD RU' ..S ING INSPECTION DIVISION MST 6 f--
24 -Hour Inspection Line: • Business Line: 639 -4171
S-1 qJJ r l _ G BUP
Fd S"/� Date Requested r c(S AM PM BLD
Location I 03-30 G G Suit e - MEC
Contact Person Ph c(JO /-- n 7r� PLM
Contractor frk, f a/V — Ph S R /fit
BUILDING _ Tenant/Owner ELC - gy— v J 03
Retaining Wall
Footing Access:
Foundation PE I[/l I r CS F'/e- - 06E _i\1 FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab (� SIT
Post & Beam
Ext Sheath/Shear \� Rapt-4(de k iPdf ik1 I t.) .J box "
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler A/6 /7 r ? D Me--
Fire Alarm
Susp'd Ceiling
Roof
Misc: r P
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
. fraCTRICAL
Service
R..: .
UG /Slab
Low Voltage
Fire Alarm -
Final
PASS PAR�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 M Approach /Sidewalk Other Date Inspecto a 41
Final
PASS PART FAIL DO NOT REMOVE,this inspection record from the job site.
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested /7/0 AM PM BLD
Location 10;30 en Suite MEC
Contact Person Ph PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC 9-oa 303
Retaining Wall ELR
Footing ` Access: _ f ,,, ��
Foundation L v 1 c S /i Q y ,/I rfe FPS
Ftg Drain VlJ( �u `-' / l SGN
Crawl Drain Inspection Notes: �/
Slab 1 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 4yea Under Slab ✓S D r y,-ti? •
Top Out /
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS RT FAIL
ECTI
Service
Rough In
UG /Slab
Low Voltage
�Fii-�- Alarm
11=
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 l /
Approach /Sidewalk Date J ' - i Ins �� �I Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.