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Permit • CITY TI GARD ELECTRICAL PERMIT DEVELOPMENT SERVICES DATE 04/13/2000 0179 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 1 S 13300 -01600 SITE ADDRESS: 14087 SW SPRINGBROOK LN SUBDIVISION: PEBBLECREEK ZONING: R -25 BLOCK: LOT : 010 JURISDICTION: TIG Project Description: First branch circuit • RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/ SVC/ FDR:. 601 +amps -1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: . Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: DAN STANSBURY STREAMLINE ELECTRICAL 14087 SW SPRINGBROOK LN 6017 -B EAST 18TH STREET TIGARD, OR 97223 VANCOUVER, WA 98 Phone: Phone: 360- 993 -5080 Reg #: LIC 116514 ELE 34 -432C SUP 2197S FEES Required Inspections Type By Date Amount Receipt Elect'l Service PRMT BON 04/13/200C $37.50 0001402 Elect'I Final 5PCT BON 04/13/200C $3.00 0001402 ORIGINAL Total $40.50 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. 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 rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -1987. PERMITTEE'S SIGNATURE 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: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: (9 \ \� DATE: LICENSE NO: Call 639 -4175 by 7:00pm for an inspection the next business day • • 04/12/00 WED 12:49 FAX 503 598 1980 CITY OF TIGARD el 002 CiTY OF TIGARD Plan Check O ; 13925 SW HALL BLVD. Electrical Permit Application Recd By TIGARD OR 97223 Date Recd L - 13 -2V • Date to P.E. Phone (503) 639 -4171, x304 Date to DST Inspection (503) 639 -4175 Print of Type Permit# S.. 2a& V( 7, Fax (503) 598 -1960 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 Name (or name of business) Dan Stansbury Service included: Items Cost Sum Address 1 4087 SW Springbrook LN 4a, Residential - per unit City/State2lp Tigard OR 97223 7 2 2 3 1000 sq. ft. or less $ 117.75 4 Each additional 500 sq. ft. or portion thereof $ 28.75 1 Commercial ❑ Residential © Limited Energy _ $ 60.00 • Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 2 (Prior to permit Issuance, applicants must provide contractor license 4b. Services or Feeders Information for COT data base). Installation, alteration, or relocation Electrical Cont�ctorStreamline Electric 200 amps or less $ 64.25 2 Address 6 01 7-13 E 1 li ST 201 amps to 400 amps $ 85.50 2 V ancouver WA 98661 401 ampsto600amps $ 128.50 2 City St Zi 801 amps to 1000 amps $ 192.50 2 Phone No. 3 6 U) 993 over 1000 amps or volts - $ 363.75 2 Job No. Reconnect only - 5 53.50 2 Elec. Cont. Lice. No. 4 - 4 3 2 C Exp.Date 1 0 / 1 / U U 4c. Temporary Services or Feeders OR State CCB Reg. No.1 1 6 51 4 Exp.Date 5 / 2 8 / 0 0 Installation, alteration, or relocation COT Business Tax or Metro No. Exp.Date 200 amps or less $ 53.50 2 .- 201 amps to 400 amps $ 80.25 • 2 Signature of Supr. Elec' ___.€.„-Z ./,„.. 401 amps to soo amps $ 100.00 2 Over 600 amps to 1000 volts, License No. 2 '1 9 7 -S Exp. Date see "b above. Phone No. (s b u) 993-5080 4d. Branch Circuit New, alteration or extension per panel a) The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's Name Each branch circuit $ 5.35 2 Address b) The fee for branch circuits without purchase of service City State Zip or feeder fee. Phone No. First branch circuit 1 $ 37.50 3 7.5 0 Each additional branch circuit $ 5.35 The installation is being made on property I own which is not 4e. Miscellaneous intended for sale, lease or rent. (Service or feeder not included) Each pump or irrigation circle $ 42.75 Owner's Signature Each sign or outline lighting $ 42.75 . Signal circuit(s) or a limited energy , panel, alteration or extension $ 60.00 3. Plan Review section (if required). * Minor Labels (10) $ 100.00 Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over 4'or more residential units in one structure the allowable In any of the above Service and feeder 225 amps or more Per inspection $ 50.00 Per hour $ 50.00 System over 600 volts nominal • In Plant - $ 59.00 Classified area or structure containing special occupancy as described in N.E.C. Chapter 5 5. Fees: Se. Enter total of above fees $ 3 7.5 0 * Submit 2 sets of plans with application where any of the above apply. 8% Surcharge (.08 X total fees) $ 3.0U _ Not required for temporary construction services. Subtotal $ 6b. Enter 25% of the 5a for NOTICE Plan Review If required (Sec. 3) 5 PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ • IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account* AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ 4 0 . 5 0 • i:ldstslforrnslelectric.doc • 4/21/00 Activities for Case #: ELC2000- 00.179 4:38:17 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELCA001 Application received 4/13/00 BON DONE No Hold BON 4/13/00 ELCA003 Permit created 4/13/00 BON DONE No Hold BON 4/13/00 ELCA730 Elect'I Service No Hold BON 4/13/00 ELCA799 Elect'I Final 4/14/00 CD FAIL No Hold AKJ 4/16/00 please reschedule ELCA500 (F) Issue permit 4/13/00 BON DONE No Hold BON 4/13/00 ELCA799 Elect'1 Final 4/17/00 CD PASS No Hold AKJ 4/17/00 . ELCA800 Case finaled 4/17/00 AKJ DONE No Hold AKJ 4/17/00 • • • Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 �� BUP Date Re uested �� AM PM BLD Location � ( � % r/ -/ r 4�0 4 i�G to MEC i13't' - cO 1 ZZ Contact Person e3' 3 boo 4 43 6 &O Ph PLM Contractor lb-egg/LW kike-' Ph SWR BUILDING Tenant/Owner ELC o'O—OD l7 9 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 Firewall Fire Sprinkler _ - AMP I Fire Alarm Susp'd Ceiling - -- - - 1 - - igr Roof Misc: it Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL IC ost & Beam_ , t/1 Rough In �y Gas Line It Smoke Dampers Final PASS PART FAIL jtECTRICAIJ Service Rough In G UG /Slab Low Voltage Fire mal SS PART FAIL SITE Backfill/Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ r uired before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for r-inspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date %1 Inspector / /� , - Ext Final PASS PART FAIL DO NO REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION W 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST BUP Date Requested 4 1 — A M / _,,Z,,/ : +" M BLD Location L i 1 O o 7 ! !■L y , _ d. • ' c MEC ,20 O /)00--- Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner , p ELC 2000 — (79 Retaining Wall , C — 154 .0 ELR F i j ooting , . — Foundation A ccess: j - - Ftg Drain - - Crawl Drain Inspection Notes: /' /� SGT Slab /- !�, .A .�If SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation 6 7.____/ O O -27__- Z- Drywall Nailing //✓�I�' -&)9 Firewall Fire Sprinkler Fire Alarm --7 Susp'd Ceiling 6� L/6 ") " 6 0 /7 — "Iii- Roof f Misc: Final / )''� / PASS PART FAIL [" PLUMBING Post & Beam Under Slab N Oh_ e (� / / �J .h- o - \ J / C44-,, 4 Cls� S Top Out / Water Service D ,j' ( Sanitary Sewer Rain Drains Final PASS PART FAIL (aVi g ' ►III Post & Beam i v Rough In � Gas Line k.--u fVYV'' ' Smoke Dampers Fi AS PART FAIL LECTRIT Service Rough In UG /Slab Low Voltage Fire Alarm F' PASS ART 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 D at e �- [ 7 ' ®''� Inspector Other Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.