Permit l CITY OF TIGARD ELECTRICAL PERMIT
; PERMIT #: ELC98 -0490
'�h1�yi DEVELOPMENT SERVICES DATE ISSUED: 08/18/98
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S111DD -11200
SITE ADDRESS. :08710 SW STRATFORD CT
SUBDIVISION -CHESSMAN DOWNS ZONING:R -7
BLOCK • LOT •038 JURISDICTION: TIG
Project Description : Installing 1 branch circuit for a/c unit.
- -- 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
MICHAEL MICKANEN type amount by date recpt
8710 SW STRATFORD CT PRMT $ 35.00 DEB 08/18/98 98- 308381
TIGARD OR 97224 5PCT $ 1.75 DEB 08/18/98 98- 308381
Phone #:
Contractor:
GRF ELECTRIC $ 36.75 TOTAL
15460 SE PARADISE LN
REQUI RED INSPECTIONS
MULINO OR 97042 Rough —in Elect'1 Final
Phone #: 503 -829 -4146 Elect'1 Service
Reg #• ° : 001015
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 011R 952- w ro'' PAR 952 -001 -1987. You may obtain a copy
of these rules or direct questions to OUNC by calling )246 -1987.
Permittee Signature: ,1,.' A _ �� � : �I Issued By: A �L
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 INST• LATION ONLY
•
SIGNATURE OF SUPR. ELEC' N: 1 I D DATE:
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
08/18/1998 10:27 5038295747 GRF ELECTRIC PAGE 01
CITY OF TIGARD Electrical Permit Ap,pliet iorl Plan �-
13125 SW HALL BLVD. L ci t Rec'd B 1 9-
TIGARD OR 97223 Date Recd If �j't
Phone (503) 639 -4171, x304 AU 1 1998 Oats to P.E.
Print or Type (503) 639 -4175 pe Date to DST --
Fax (503) 684 -7297 Incom or Ille " acce pted Pa"nit EGc 9t-o Ile
Called
1. Job Address: 4. Complete Fee Schedule Below:
Name / 1 � C 2 G l M , t"-. k-a >h LYJ Number of Inspections per permit allowed
Name (or name of business) Service included: Kerns Cost Sum
Address g D S 1.f) -S'r 1 *A) t�� (' 4a. Residential - per unit
City /Staterbp age 4n -a 1000 sq. ft. or less $110.00 4
/ Each additional 500 sq. ft. or
Commercial ❑ 0 Residential J„� j� porn thereof $25.00 1
«V// limited Energy 825,00
Each Manuf'd Home or Modular
2a. Contractor Installation only:
Dwelling Service or Feeder 56e.03 2
(Attach copy of all urgent licenses) 4b. Services or Feeders
Electrical Contractor 1 C.., installation, alteration, or relocation
Address 1 !( 0 s , ei ! 200 amps or less $80,00 2
4 201 amps to 400 amps - $60
City a State ( O �! 401 amps to 800 amps $120,00 2
Phone No. - 601 amps to 1000 amps - $180.00 2
Job No. Over 1000 amps or volts 5340.00 -
Elec. Cont. Lice. No. Co Exp.Date Reconnect only 2
OR State CCB Reg. o. Exp.Date 4c. Temporary Services or Feeders
COT Business Tax or Metro No. `f '7 2 Exp.Date Installation, alteration, or relocation
4,;....._ 200 amps or less $50.00 2
Signature of Supr. Eisen �1 emVs b aoo amps s7s.00 2
401 amps to 800 amps $10000
Over 600 amps to 1000 volts, 2
License No. 3 1)03 3 Exp.Date sae "b" above,
Phone No. ` to 4d. Bran Circuits
O � ` � ch New, sheratlon or extension per panel
2b. For owner Installations: a) The fee for branch circuits with of
Print Owner's Name rfee. service or
Address,. Each branch circuit $5.00 2
City State Zip b) The fae for brands circuits -
w/ rvice or feeder fee. Phone No, so 3 f
service or eeder e S
First branch circuit I $35.00
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. de, Miscellaneous
Owners Signature or feeder not Included)
Each pump or Irrigation circle $40.00 . 2
Each sign or outline lighting 540.00 2
3. Plan Review section (if required):* Signal circult(s) or a limited energy
panel, alteration or extension 540.00 2
Please check appropriate hem and enter fee in section SB. Woof Labels (10) $100.00
4 or more residential units In one structure 41. Each additional inspection over
Service and feeder 22$ 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
Submh 2 saes of plans with application where any of the above apply. 5. Fees: 3
services. Not required for temporary construction services. Sc. Enter total of above fees $ /
NOTICE Subtotal (. X total fees) $ T -...L._...1 S
$
Sb. Enter 25% of line Sa for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if reauip i (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 16 COMMENDED. , trust Account ft a 3 e f ^ / � c
Total balance Due
03/21/2000 . Activities for Case #: ELC98 -00490
12:03:56 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
. ELCA001 Application received 08/18/1998 DEB FAX DRA 08/18/1998
ELCA003 Permit created 08/18/1998 DEB DONE DRA 08/18/1998
ELCA500 (F) Issue permit 08/18/1998 DEB DONE DRA 08/18/1998
ELCA799 Elect'I Final 09/09/1998 CD PASS CD 09/09/1998 wiring of a/c unit
ELCA800 Case finaled 09/10/1998 CD PASS J *H 09/10/1998
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested `7 Q/9 AM PM BLD
Location 0 St ..5-74"i. f 0ce,2 „ Suite MEC
Contact Person Ph PLM
Contractor 6 ( 2 / Ph SWR
BUILDING Tenant/Owner 9, 0 4
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 �� u /
Drywall Nailing C `(�r L.v -ems/ 4-0-1 Firewall f G%%G
Fire Sprinkler
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
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
•
PASS PART FAIL
CTRIIA4
Service
Rough In
UG /Slab
Low Voltage
Fire larm
ma
S 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 9 �l 97 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.