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Permit /�, CITY OF T1GARD ELECTRICAL PERMIT mkroi DEVELOPMENT SERVICES PERMIT #: ELC98 -0719 !+L I! 13125 S W Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 12 / 08 / 98 PARCEL: 1S135BD -01200 SITE ADDRESS...:09804 SW SHADY LN SUBDIVISION - ZONING:C —G BLOCK LOT JURISDICTION: TIG Project Description : Nentel paging reconnect mechanical - -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS 1000 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 NW COMMUNICATIONS type amount by date recpt 9804 SW SHADY LN PRMT $ 35.00 JSD 12/08/98 98- 311367 TIGARD OR 97223 SPCT $ 1.75 JSD 12/08/98 98- 311367 Phone #: Contractor: ROBBEN & SONS HEATING $ 36.75 TOTAL 2214 SE 8TH REQUIRED INSPECTIONS PORTLAND OR 97214 Ceiling Cover Elect'1 Service Phone #: 233 -5841 Wall Cover Elect'1 Final Reg #..: 1884 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 or ,'re than W :• . ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. ose r •s a 'rth in OAR 952- 001 -0010 through OAR 952-00 - . You may obta• • of these rules or direct questions to I b I• ' �> i -1987. r . Permittee Signature: ' Issued B �I /� 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: 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 Check # __ 13125 SW HALL BLVD. Rec'd :: /�'' Date Rec'd 1; _ TIGARD OR 97223 Date to P.E. Phone (503) 639 -4171, x304 Date to DST Inspection (503) 639 -4175 Print or Type Permit # F - C- p7-/ y 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 r i. a . - Name (or name of business) / - , 7 .�((.f Service included: Items Cost Sum I Address 9I" e V," , - 4a. Residential - per unit , /1 1000 sq. ft. or less $110.00 4 City /State/Zip _r i . f� r� Each additional 500 sq. ft. or Commercial.KI ' Resident portion thereof $25.00 t 1 L imited Energy $25.00 - Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor insta ti ' n only' / (Attach copy of al .ar icenses) iZ�`"''� 4b. Services or Feeders Electrical Co actor y Installation, alteration, or relocation Address 2/ • 7., ` 200 amps or less - $60.00 2 201 amps to 400 amps $80.00 2 - City J tate Zip � d /Y 401 amps to 600 amps $120.00 2 - Phone No. 2.3.3. , li / 601 amps to 1000 amps - $180.00 2 Job No. Over 1000 amps or volts - $340.00 2 �.� ..5 Exp.Date/D-9 � Reconnect onl $50.00 2 Elec. Cont. Lice. No. kk OR State CCB Reg. No. / Exp.Date 4c. Temporary Services or Feeders COT Business Tax or Metro No. 0 9 Exp.Date Installation, alteration, or relocation 200 amps or less $50.00 2 - Signature of Supr. Elec' � 201 amps to 400 amps $ 100.0 2 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No. Exp.Date see "b" above. Phone No. 4d. Branch Circuits New, alteration or extension per panel 2b. For owner installations: a) The fee for branch circuits with A , �� / purchase of service or Print Owner's . - e /V' IL- / /&-- feeder fee. Address B m I „ , 7 Each branch circuit $5.00 2 b) The fee for branch circuits City State Z p 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. S. Fees: • t,----- Not required for temporary construction services. 5a. Enter total of above fees $ 5% Surcharge (.05 X total fees) $ /r 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 # Total balance Due $ • • 1:\DSTS \ELC96.APP Rev 9/96 c-5 / y f 9 - Te' S %4 Jy 4 i CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP �[ /, p 13 `Tate Requested l �- 14- - / AM PM X BLD Location ,/ Suite MEC s WA A Contact Perso • ' / k_.„/ Ph PLM Contractor A d L44 6 I Ph - 3 &S'7" SWR BUILDING Tenant/Owner AJGN TE1, 4•5 q7, - 07 Retaining Wall ELR 7 Footing Access' t , Foundation �L4 FPS Ftg Drain SGN Crawl Drain L rain Inspection Notes: VVV Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall � Fire Sprinkler / / JQ ! / T /9/7 ry iVE - 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 PA AIL EC ICAL Pos Ro gh In Gas Line ",•• - Sam ers P Fi �� • ! • Z FAIL TRICAL Service Rough In UG /Slab Low Voltage larm P 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 / (� / Oth /Sidewalk Date / Z »1 D I 2 `/ (/� )1' ) E x t 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 / 2 9 9 AM PM BLD Location 90 G 0 SiJ S 4? y *,/ Suite MEC Contact Person Ph PLM Contractor 466EA1 F S&,•rr Ph Z33 -3-F41/ SWR BUILDING Tenant/Owner 4101 9 / - 07 / / 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 e.-EQ Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling C i 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 PASO PART FAIL ECTRICAL Rough In UG /Slab Low Voltage Fire Alarm Fin ASS 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 Date Other /` I Inspector Ext nsp ecor Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.