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Permit
CIT Y O F TIGARD ORIG In DEVELOPMENT SERVICES DATE ISSUED: 5/4/99 � li 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S133CC-00700 SITE ADDRESS: 14124 SW SPRINGBROOK LN SUBDIVISION: PEBBLECREEK ZONING: R -25 BLOCK: LOT : 001 JURISDICTION: TIG Proiect Description: Add two branch circuits. 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: 1 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: TONY REINHOLTZ WEST SIDE ELECTRIC CO INC 14124 SW SPRINGBROOK LN 1834 SE 8TH AVE • TIGARD, OR 97223 PORTLAND, OR 97214 Phone: Phone:' Reg #: M1-150306 SUP 1556s ELE 26 -135C FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT DJL 5/4/99 $40.00 99- 315047 Elect'I Final 5PCT DJL 5/4/99 $2.00 99- 315047 Total $42.00 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. Permit 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: dh Or a DATE: - 5.-6 �— 9 LICENSE NO: / Call 639 -4175 by 7:00pm for an inspection the next business day MAY -03 -99 05:58 PM WEST SIDE ELECTRIC 503 736 0677 P.01 RECEIVED • CITY bF TIGARD Electrical Permit Appli X141999 R k 0 13125 SW HALL BLVD. y • TIGARD OR 97223 � COMMUNITY DEVELOPMENT Date Recd S- o 99 • Date to P.E. Phone '(503) 639.4171, x304 Date to DST inspection (503) 639 -4175 Print or Type Permit # ELC/99Q -d0a64 ax (5 3) 684-7297 Incomplete or Illegible will not be accepted Celled I. Job Address: 4. Complete Fee Schedule Below: Name bf Development Number of inspections per permit allowed Name S oar name of business)7 .0 D ' , O Cl/ Service included: Items Cost Sum Addres s i 1 .// 5 / 7 •P/ 4/6 g r- - ' 4a. Residential - per unit � 1000 sq. h. or less $110.00 4 City /State/Zlp / T/, aL dr ' 97 Z ? -3 Each additional 500 sq, ft, or • • Commercial ❑ Residential, p ortion thereof $ 15.00 1 limited Energy $25.00 Each Maned Home or Modular • • 2a, C Installation only: Dwelling Service or Feeder $88.00 2 • (A ttach copy of all current4 s) , 4b. Services or Feeders Electri 1 Jt a8I Contractor AAL _ J • /C• - �� s r- /C Installation, alteration, or relocation - Addre / e t„ L i j' 200 amps or less 560.00 2 201 amps to 400 amps $80.00 2 - � AM. ,� -� State . Zp ' 401 amps to 600 amps $120.00 2 - Phone o. 2 - / S �/r 601 amps to 1000 amps $180.00 2 Job No; Over 1000 amps or volts -- $340.00 2 I Elec. Cont. Lice. No. 26 • "/J . C. Exp.Date, /'a" 0/ -99 Reconnect only 2 OR State CM Reg. No. -135 1 i( Exp.Date 4c. Temporary Services or Feeders Sr50.00 COT BylsInoss Tax or Metro No. Exp.Date Installation, alteration, or relocation 200 amps or less $50.00 2 Signature of Su r. Elec 201 amps +o 400 amps $75.00 2 p 401 amps to 600 amps $100.00 2 Over 600 amps to t000 volts, License Nc /CS 4 Exp.Date see „b„ above. Phone Nr• 23/ / S F 4d, Branch Circuits Now, alloralion or extension per panel 2b. For owner installations: a) Tho Ice for branch circuits with i purchase of service or ■ Print O Name feeder fee. Address Each branch circuit $5.00 _ 2 b) The fee for branch circuits City i State Zip without purchase of Phone No. service or feeder lee. / First branch circuit / 335,00 �y 2 • The inta(Iation is being made on property I own which is not Each additional branch circuit _f____ $5.00 2 intended for sale, lease or rent. . 4e. Miscellaneous I (Service or feeder not Included) Ownel';s Signature Each pump or Irrigation circle $40.00 2 i 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 540.00 2 ' Minor Labels (10) $ 100 . 00 - Pleale check appropriate Item and enter fee in section 5B. 4 or more residential unite in one structure 4f. Each additional Inspection over I Service and feeder 225 amps or more the allowable in any of the above I System over 600 volts nominal Per Inspection $35.00 i Classified area or structure containing special occupancy Per hour $ 55.00 as described In N.E.C. Chapter 5 In Plant $55.00 4 Sub`'nit 2 sets of plans with application where any of the above apply. 5. Fees: L/O • Not iequlred for temporary construction services. 8e. Enter total of above lees $ 5% Surcharge (.05 X total fees) $ Z- • rtOT(CE Subtotal $ 61s. Enter 25% of line Sa for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $ NOT CC$AMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal $ is SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY Trust Account # _ Z TIME AFTER WORK IS COMMENCED. Total balance Due rea5T 1: • 133 , 6/30/99 Activities for Case #: ELC1999 -00266 1:38:37 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By . Updated Notes ELCA001 Application received 5/4/99 DJL FAX No Hold DJL 5/4/99 ELCA003 Permit created 5/4/99 DJL DONE No Hold DJL 5/4/99 ELCA730 Elect'I Service 5/4/99 5/4/99 No Hold DJL 5/4/99 ELCA799 Elect'I Final 5/4/99 5/4/99 6/25/99 CD PASS No Hold AKJ 6/27/99 ELCA500 (F) Issue permit 5/4/99 DJL DONE . No Hold DJL 5/4/99 ELCA800 Case finaled - 6/27/99 AKJ DONE No Hold AKJ 6/27/99 • • • Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUD Date Requested � � 2 r AM PM BLD Location I - 1 1 5efl )0 Li"). suite / / MEC 1 / / 93 Contact Person 3di k\ Ph 2 71 k�(2� / PLM Contractor Ph SWR BUILDING Tenant/ ne > ELC 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 Drywall Insulation Nailing r � / _/ _ © n (' 3 Dwall l L Firewall Fire Sprinkler Fire Alarm .E/ C7 I1 sq9 r 0O /_ !i(� 6 ,v Susp'd Ceiling t� ( Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL Post & Beam Rough In Gas Line Smoke Dampers m PASS PART FAIL Service Rough In UG /Slab Low Voltage Fire Alarm 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 Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.