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Permit • CITY OF TIGARD ��6. DEVELOPMENT SERVICES ELECTRICAL PERMIT 46 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639.4171 PERMIT it: 26 D DATE ISSUED: : 12/26/96 2 0 PARCEL: 2S11ODD -00800 SITE ADDRESS...: 10650 SW SUMMERFIELD DR SUBDIVISION • SUMMERFIELD ZONING:R -7 BLOCK • LOT °B Project Description: instl 3 branch circuits - -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS 1000 SF OR LESS • 0 0 - 200 amp • 0 PUMP /IRRIGATION • 0 EACH ADD'L 5O0SF...: 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 6O1+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: 2 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 SUMMERFIELD CIVIC ASSOCIATION type amount by date recpt 10650 SW SUMMERFIELD DR PRMT $ 45.00 TAT 12/26/96 96- 288153 SPCT $ 2.25 TAT 12/26/96 96- 288153 TIGARD OR 97224 Phone #: Contractor: WESTSIDE ELECTRIC $ 47.25 TOTAL 7518 SW MACADAM AVE REQUIRED INSPECTIONS PORTLAND OR 97219 Ceiling Cover Underground Cove Phone #: 503- 245 -3385 Wall Cover Elect' 1 Service Reg #.. : 13306 This permit is issued subject to the regulations contained in the ' / f � i Tigard Municipal Code, State of Ore. Specialty Codes and all other Per t ee S i.g n a e 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 sore , . '�. _ , A • than 180 days. I s ued By i 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 : DATE: LICENSE NO: Call for inspection - 639 -4175 , CITY OF TIGARD kivi , DEVELOPMENT SERVICES G -o g/� " L I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 PLERPRI51 DATE ISSUED: 07/02/97 PARCEL: 2S11ODD -14000 SITE ADDRESS...:10650 SW SUMMERFIELD DR SUBDIVISION - SUMMERFIELD ZONING:R -7 BLOCK • LOT •B JURISDICTION: TIG Project Description: instl 3 branch circuits - -- 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: 2 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 DCC.: Owner: - - - -- FEES SUMMERFIELD CIVIC ASSOCIATION type . amount by date recpt 10650 SW SUMMERFIELD DR PRMT $ 45.00 TAT 12/26/96 96- 288153 TIGARD OR 97224 5PCT $ 2.25 TAT 12/26/96 96- 288153 Phone #: Contractor: -. WESTSIDE ELECTRIC $ 47.25 TOTAL 7518 SW MACADAM AVE REQUIRED INSPECTIONS PORTLAND OR 97219 Ceiling Cover Underground Cove Phone #: 245 -3385 Wall Cover Elect' 1 Service Reg #.. : 000133 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 gay obtain a copy of these rules or direct questions to OUNC by calling (503)246 -1987. Permittee Signature: I Issued By: A-%%J 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 : DATE: LICENSE NO: ._ L_ • .l. S..L1 -�-.L 1. __ 1.111 + +�.4 4.4.4 - 1 - +{. a Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # ,,, Permit # (o - 0 ..� �I Phone (503) 639 -4171 Date Issued CITY OF TIGARD FAX (503) 684 -7297 Issued by TDD No. (503) 684 -2772 Inspection (503) 639 -4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development • SimmZ / Number of Inspections per permit allowed Address / %S?) Sw f wi g" ;>o��% 07j. Service included: Items Cost(ea) Sum City /State/Zip / ark /X 972 V 4a. Residential - per unit 4 1000 sq. ft. or less $110.00 - , /i /�1.1 . 4/U Each additional r 500 sq. N. or Name (or name of business ) �.., / portion thereof $25.00 1 Commercial Lam Residential ❑ Limited Energy $25.00 C �/ j Each Manuf'd Home or Modular 2 / Dwelling Service or Feeder $68.00 2a. Contractor installation only: 4b. Services or Feeders `' 1� �� Installation, alteration, or relocation 2 V Electrical Contractor �C4,1- �� '. 1Z.(, 200 amps or less $60.00 2 Address , S1 °c, S+•J NOK. 1 201 amps to 400 amps $80.00 2 - 401 amps to 600 amps $120.00 2 - City State o° , Zip 117.39 601 amps to 1000 amps $180.00 2 Phone No. 2,15 - 3 Over 1000 amps or volts $340.00 2 Contractor's License No. 2b - 135 C. Reconnect only $50.00 - Contractor's Board Reg. No. ► X34(„ 4c. Temporary Services or Feeders Installation, alteration, or relocation 2 Signature of Supr. Elec'n ---='''` 200 amps or less $50.00 2 - License No. 15.5C, 5 Phone No. 2, -3Zsd6 201 amps to 400 amps $75.00 2 - 401 amps to 600 amps $100.00 Over 600 amps to 1000 volts 2b. For owner installations: // see 'b' above. Print Owner's Name.�v�//JPAr / /?��L///.(i .gL C 4 O//T , N Branch Ci Nee w, alteration or extension per panel Address a) The fee for branch circuits with City State Zip purchase of service or feeder fee. 2 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 First branch circuit / $35.00 3s 2 not intended for sale, lease or rent. Each additional branch circuit 2 $5.00 /(7 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 Mi nor 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 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: NOTICE 5a. Enter total of above fees $ Ca- cf 5% Surcharge (.05 X total fees) $ 7 - ' PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ 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) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. re Trust Account # $ Balance Due $ L/ 7 wadbonM•NNocpmspp y 0; 31 0'114 /7 - 6Q -dk G,_ , a / 7 d 67-4. ITY OF TIGARD BUILDING INSPECTION DIVISION 6 r 6 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 ? " 6T m ' 4 - ' f �' 0 816 Date Requested: (c [3 /9 lJ A.M. P.M. MST: t Location: I L. 'T1 \ __ . / /I_ /,1 /J_,/ , / .11.-,..A BUP: Tenant: � - Suite: Bldg: MEC: Contractor: L � 0 i Phone: . j / —/ 5 o PLM: 3 - 8 ! a-t, Ce.c der: C Phone: ELC: 0 7c 7 54 19-1 r .5 A /C ELR: SIT: BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm Footing Roof UndFl/Slab Rough -In Ceiling ater Line Slab Framing Top Out Gas Line Rough -In S rinkler Foundation Insulation Sewer Hood/Duct Reconnec — 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 pprov-. Approved Appr /Sdwlk Not Approved Not Approved Not Approved • • _ -i,.. ved Not Approved FINAL FINAL FINAL • — FINAL 1:61A-Wee.-c-x_ LAith.....1,,_., ....._ Pee.„4-i- , -, C 0 Call for reinspecti 0 Reinspection fee of $ required before next inspection 0 Unable to inspect Inspector: _ Date: 6 -..r' 9r Page of