Permit CITY OF TIGARD ELECTRICAL PERMIT
4, 1 DEVELOPMENT SERVICES PERMIT #: ELC98 -0442
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 08 / 03 / 98
PARCEL: 29111DD- 10500
SITE ADDRESS...:O857O SW STRATFORD CT
SUBDIVISION - CHESSMAN DOWNS ZONING:R -7
BLOCK • LOT -031 JURISDICTION: TIG
Proj ect Description : Addition of electrical service to residence. Job No.
98-160.
- -- 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 INSPECT -
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 CI RC: 1 IN PLANT • 0
601 — 1000 amp • 0 PLAN REVIEW SECTION
1000+ amp /volt • 0 > =4 RES UNITS ) 600 VOLT NOMINAL..:
Reconnect onl : 0 SVC /FDR >= 225 AMPS..: CLASS AREA /SPEC OCC.:
Owner: FEES
BRUCE YOUNG & WANDA YOUNG type amount by date recpt
8570 SW STRATFORD CT PRMT $ 40.00 DLH 08/03/98 98- 307898
TIGARD OR 97223 5PCT $ 2.00 DLH 08/03/98 98- 307898
Phone #:
Contractor:
RURAL ELECTRIC INC $ 42.00 TOTAL
5285 NE ELAM YOUNG PKWY
REQUIRED INSPECTIONS
HILLSBORO OR 97124 Rough —in Elect'1 Final
Phone #: 648 -6696 Elect' 1 Service
Reg #..: 000474
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 OIINC by calling (503)246 -1987.
Permittee Signature: /yi" /L 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: /- // 9 DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' N: Q71/ /9r ) � L ?7 , 7 / DATE : 3/,,
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
4
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 RE CEIVED , Permit # Cz- C 91- D yam
AtaioivA\ Date Issued P/3/9i ' Phone (503) 639 -4171 ,�f " 19 9
FAX (503) 684 -7297
CITY OF TIGARD TDD No. (503) 684 �cl'E°_Cr °. - "ril7
Inspection (503) 639 -4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Address 8570 SW Stratford et Service included: Items Cost(ea) Sum
City /State /Zip Tigard, Or 4a. Residential - per unit
1000 sq. ft. or less $110.00 4
Name (or name of business) Bruce & Wanda Young Each additional 500 sq. ft. or
portion thereof $25.00 1
Commercial Ell Residential WC Limited Energy $25.00
Each Manufd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
4b. Services or Feeders
Installation, alteration, or relocation
Electrical Contractor Rural Eleci r , Inc _ 200 amps or less $60.00 2
Address 5285 NF Elam Yoling Pkwy #A900 201 amps to 400 amps $80.00 2
City Hi 11 shr rn State nr Zip 97194 401 amps to 600 amps $120.00 2
601 amps to 1000 amps $180.00
Phone No. 648 -6696 Over 1000 amps or volts $340.00 2
Job NO. 98 -160 Reconnect only $50.00 2
contractor's license NO. 34 -82C AV V 9 ' , --
Contractor's Board Reg. No. .147478 �j/99 4c. Temporary Services or Feeders
' ( / ..Q ✓ Installation, alteration, or relocation
Signature of Supr. Elec'n R,4, 200 amps or less 2
201 amps to 400 amps $50.00 2
License No. 4062- Phone No. 648-6696 401 amps to 600 amps $75.00 2
/D // 9e ✓ Over 600 amps to 1000 volts $100.00
. 2b. For owner in tallations: 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 withou
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 1 $35.00 35.00
Each additional branch circuit - I - $5.00 5 , UU
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or irrigation circle $4o.00 2
Each sign or outline lighting $40.00
Signal circuit(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 s 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 $ 40.00
NOTICE 5% Surcharge (.05 X total fees) $ 2.00
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ 42.00
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) $ 0
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ 47_00
COMMENCED. worrAcomdeheleo ❑ Trust Account #
$ 0
prm.app
Balance Due $ 42.00
/�
/S 7--
2 D
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: U 1 .9 Si A.M. P.M. MST:
Location: Q o V ' ' (9. ) e BUP:
Tenant: Suite: Bldg: MEC:
Y�
Contractor: F C, / A (,(ea r t Phone: (O4 Y 4 (76 PLM:
Owner i Phone: ELC: 7 0 d V&_.
ELR:
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved Not A roved Not Approved
FINAL FINAL FINAL FINAL
n/C c — f
C....-4-2
O Call for reins f do O Reinspection fee of $ required beffor(e"next inspection O Unable to inspect
Inspector: 6 z a�,6 Date: y '- i . / 0� Page of