Loading...
Permit ELECTRICAL PERMIT CITY OF TIGARD PERMIT #: ELC96 -0485 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/25/96 13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 PARCEL: 1S133CC -01500 SITE ADDRESS...: 14065 SW SPRINGBROOK LN SUBDIVISION • PEBBLECREEK ZONING:R -25 BLOCK LOT °009 Project Description: Installing one branch circuit. - -- 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/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..: Reconnect only : 0 SVC /FDR ) = 225 AMPS..: CLASS AREA /SPEC OCC.: Owner: FEES HANAOI AL —ESSA type amount by date recpt 14065 SW SPRINGBROOK PRMT $ 35.00 CJS 07/25/96 96- 282112 5PCT $ 1.75 CJS 07/25/96 96- 282112 TIGARD OR 97223 Phone #: Contractor-: GRF ELECTRIC $ 36.75 TOTAL 15460 SE PARADISE LN REQUIRED INSPECTIONS -- - - - - -- MULINO OR 97042 Wall Cover Elect' 1 Final Phone #: 503- 829 -4146 Elect'1 Service Reg #..: 101543 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm i t t e e Signature applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started r within 180 days of issuance, or if work is suspended for more c ' Cc r h c Scll ra- iGP - t - than 180 days. Issued By - OWNER INSTALLATION ONLY -- - - -- The installation is being made on property I on which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' N: /YJ4 j Lcl DATE: — 72a5 7 / LICENSE NO: Call for inspection — 639 -4175 j Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit # �LCgs-0 MS ,� A I ,� Date Issued 7/a 5/q6 ' Phone (503) 639 -4171 CITY OF TIGARD FAX (503) 684 -7297 TDD No. (503) 684 -2772 Inspection (503) 639 -4175 1. Job Address: /� 4. Complete Fee Schedule Below: Name of Ht MA 01 A"( r'C. G SS a Number of Inspections per permit allowed Address I L t - 0 le 5 IA) S n h `' » o ii_ Service included: Items Cost(ea) Sum City /State /Zip 1 c I ,+-1 / 1 22 j L-41 • 4a. Residential - per unit 1000 sq. ft. or less $110.00 4 Name (or name of business) A( - ESS 4 Each additional 500 sq. ft. or iilII portion thereof $25.00 1 Commercial El [[[[ 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 6 g ,� � � 200 amps or less $60.00 ? Address 1 5 -/-(eO 5, �61 y 4 f4 , A . ( t 201 amps to 400 amps $80.00 2 Al N 4 01 amps to 600 amps $120.00 City I c State t j ✓I Zlp � -7� Z_, 601 amps to 6000 amps $180.00 2 � �-� >; Phone No. -. -, co � �- Over 1000 amps or volts $340.00 2 Job NO. Reconnect only $50.00 2 i contractor's license NO. ga ; (p - R'7 E` (- 4c. Temporary Services or Feeders Contractor's Board Reg. No. 1`) / S'f- 3 Installation, alteration, or relocation Signature of Supr. Elec'n 200 amps or less 2 License No. `,; - h S one N - 201 amps to 400 amps $50.00 2 �j 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 Each additionaal l branch circuit b not intended for sale, lease or rent. First branch c ( $ $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 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 special occupancy the allowable in any of the above Chapter 5 Per inspection $35.00 as described in N.E.C. Cha p 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 $ 3 S NOTICE 5% Surcharge (.05 X total fees) $ - qr . Subtotal $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enter 25% of line A for AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Plan Review if required (Sec.3) CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. wordlcomdeNako- ❑ Trust Account # prm.app $ Balance Due $ ;U. CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639 -4175 Business Phone: 639 -4171 Footing Rain Drain Cover /Service FINAL: Foundation Water Line Ceiling - Plumb. Post/Beam Mech. Shear /Sheath Framing CCD.. PIbg.Und /FIr /Slab Plbg. Top Out Insulation en Post/Beam Struct. 4 . Rough -in Gyp. Bd. -Bldg. San. Sewer Gas Line 11- �a Appr /Sdwlk Reins. Other: / Date: '3" ii /9 rP A. . Y Entry: ; Address: Q %!1�._ e.4 .L. Am.� A R. – / Tenant: 5 � MST: p BUP: Con /�. � . � � s - ye 3 M EC: PLM: THE FOLL•W C TIQNS ARE REQUIRED: ELR: f C ) t AO fr e l � f / ' 9 ) r e , 14 y - ,71ie - 3,. , , F )2 ,.... 1,__e_ ( r-e7L-e 7 /\-e, • Inspector: /� a. – ( , / _ I. Date 7 _APPROVED DISAPPROVED /CAL OR REINS' CF CO CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP / Date Requested , 2- -1 � — O C) AM PM BLD 1 Location 1 " 104 S 5en I l v k9 Suite __ Ci2d Contact Person `J Ph PLM Contractor Ph SWR 6 BUILDING Tenant/Owner c o—�q o S Retaining Wall ELR Footing Foundation NOT REQUESTED FPS Ftg Drain Crawl Drain FOUND DURING RESEARCH SGN Slab NO INSPECTION(S) FOUND IN FILE e SIT Post & Beam t Ext Sheath /Shear [ice / �� /41 Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler x (412 tc/9 //Pi fT 77 0A1 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 EL Service EXPIRED Rough In UG /Slab Low Voltage Fire Alarm •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 �1 Approach /Sidewalk Date 2- C J // Inspector / Ext Other �v Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.. 3 /9 /00 Activities for Case #: ELC96 -00485 1:06:08 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELCA001 Application received 7/19/96 CJS RECD CJS 7/25/96 • ELCA003 Permit created • 7/25/96 CJS PEND CJS 7/25/96 ELCA720 Wall Cover 7/25/96 . CJS 7/25/96 ELCA730 Elect'I Service 7/25/96 CJS 7/25/96 • ELCA799 Elect'I Final 7/25/96 8/8/96 MJR FAIL ST 2/7/00 NO ONE HONE REINSPECTION FEE WILL BE REQUIRED BEFORE NEXT INSPECTION 2/7/00- inspection request to . Hap ELCA500 (F) Issue permit 7/25/96 CJS PASS CJS 7/25/96 ELCA580 Expired by limitation 2/21/00 TLP DONE No Hold AKJ 2/21/00 • • • • Page 1 of 1 3/9/00 Activities for Case #: MEC96 -00239 • 1:06:19 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes MECA007 Application received 7/19/96 CJS RECD CJS 7/23/96 MECA799 Final Inspection 8/8/96 MJR . FAIL ST 2/7/00 NO ONE HOME 2/7/00- inspection request to Hap • MECA715 Mechanical Insp 7/23/96 CJS 7/23/96 MECA725 Misc. Inspection 7/23/96 CJS 7/23/96 MECA060 (F) Issue permit 7/23/96 CJS PASS CJS 7/23/96 MECA98 Expired by limitation 2/21/00 TLP DONE No Hold AKJ 2/21/00 • • • • • Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639 -4175 Business Phone: 639 -4171 Footing Rain Drain Cover /Service FINAL: Foundation Water Line Ceiling - Plumb. Post/Beam Mech. Shear /Sheath Framing CM, • PIbg.Und /Flr /Slab Plbg. Top Out Insulation Qom. Post/Beam Struct. 4 . Rough -in Gyp. Bd. -Bldg. San. Sewer Gas Line A te4' Appr /Sdwlk Reins. Q if /56 Other: Date: /� A. / . P.M. Y' Entry: Address: O - %� .•� : 1._∎i rd S. Tenant: Sv. MST: Con /O• ...)- � S— yD 8 M EC: .-) Cl 3 '3 ELM: 3 f O / ELC: THE FOLLIWING CORREC ARE REQUIRED: ELR: A /0 f--- A, see, ... 1/1 1 9/ c c re ` pi S /e0 e Ff�� � .6--e__ i r471-f / /N--.F.,t . Inspector: // a r / _ Date/ 7 APPROVED DISAPPROVED /CAL OR REINS'. CF CO CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 2,1 ir '0 C) AM PM BLD Location 1 1- 1 dla S 5prifIrrbo Suite �' '?Co a5z,J C/ Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner Z n 4 0 - may ( S Retaining Wall ELR Footing Foundation NOT REQUESTED FPS Ftg Drain Crawl Drain FOUND DURING RESEARCH - SGN Slab NO INSPECTION(S) FOUND IN FILE "" , 1 SIT Post & Beam _A / Ext Sheath /Shear CO5n -1 Lim / _ , t /� [ 7 Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler �x ( l2 C � ! / rn ,'i ''/ O/tf 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 EL Service EXPIRED Rough In UG /Slab Low Voltage Fire Alarm - 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 // Y700 Inspector /1 Ext Other C J Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.