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Permit
I CITY OF T I G A R D ELECTRICAL PERMIT .. PERMIT #: ELC2000 -00049 1 DEVELOPMENT SERVICES o SERV ACES 0 71 DATE ISSUED: 2/7/00 Hall PARCEL: 1S133AD-12600 SITE ADDRESS: 11312 SW SUMMER LAKE DR SUBDIVISION: SUMMER LAKE ■ ZONING: R -7 BLOCK: LOT : I ri .....o r JURISDICTION: TIG Project Description: Installation of one 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: BEASLEY, ROBERT S JR + ANN F RANDALL HILL ELECTRIC INC 11312 SW SUMMERLAKE DR 14819 SW BELL RD TIGARD, OR 97223 SHERWOOD, OR 97140 Phone: Phone: 625 -5606 Reg #: LIC 000565 SUP 3051S ELE 3 -257C FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT DEB 2/7/00 $37.50 00- 321611 Elect'I Final 5PCT DEB 2/7/00 $3.00 00- 321611 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 i - _ - les or direct questions to OUNC at (503) 246 -1987. PERMITTEE'S SIGNATURE / 1� i �., /�� ISSUED r- �, • di • OrNER 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 IN LLATION ONLY SIGNATURE OF SUPR. ELEC'N: - -� et/ �� DATE: LICENSE NO: C3 Call 639 - 4175 by 7:00pm for an inspection the next business day k•a • i Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # Permit # CLC o 2p©D -600gX /ra , 11 Phone (503) 639 -4171 Date Issued -7-0 FAX (503) 684 -7297 Issued b J oL� CITY OF TIGARD TDD No. (503) 684 -2772 Y -� Inspection (503) 639 -4175 1. Job Address: 4. Complete Fee Schedule Below: Number Inspections per permit allowed Name of Development btftt,.f..... ' Num of pec pe pe Address /1312 Ste Samni ecJa.J e A Service included: Items Cost(ea) Sum City /State/Zip - arm C2, 9-7 p-,..93 4s. Residential - per unit 4 1000 sq. tt. or less $110.00 Each portion th ereof $25.00 additional 500 sq. ft. or Name (or name of business) 1 portion th - Commercial ❑ Residential 0"--- Limited Energy $25.00 - Each Manufd Home or Modular 2 Dwelling Service or Feeder $68.00 2a. Contractor installation only: 4b. Services or Feeders Installation, alteration, or relocation 2 Electrical Contractor l /l € `c, T 200 amps or less $60.00 2 Address / Lich 9 51r), )S./,/,! 201 amps to 400 amps $80.00 2 City 511 47, State 04 Zip y`71Ll I 401 amps to 600 amps $ 120.00 2 601 amps to 1000 amps $180.00 2 - Phone No. (D2 )�i,D Over 1000 amps or volts $340.00 z Contractor's License No. - 5 7 .0-I -co Reconnect only $50.00 - Contractor's Board Reg. ■ :. . , a I 5 -i ' -oO 4c. Temporary Services or Feeders Installation, alteration, or relocation 2 Signature of Supr. Elec' A a.,,' 1 ,s 4,4,(_, 200 amps or $50.00 2 L No. - 3057S Phone No. • -6706 . 201 amps to 400 amp $75.00 401 amps to 600 amps $100.00 /O "/ - 0/ Over 600 amps to 1000 volts 2b. For owner installations: see le above. 4d. Branch Circuits Print Owner's Name New, alteration or extension per panel Address a) The fee for branch circuits with City State Zip Each b ranch circuit service or feeder fee. $5.00 2 Phone No. b) The tee for branch circuits without The installation is being made on property I own which is Purchase of service a feeder fee. 37'� 2 not intended for sale, lease or rent. First additional circuit $ / 55.00 Each additional branch circuit 55.00 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 Z Signal circuit(s) or a limited energy 2 Please check appropriate item and enter fee in section 5B. panel, alteration or extension $4o.00 4 or more residential units in one structure Minor Labels (10) $100.00 Service and feeder 225 a mps 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: Q 5m 1 5a. Enter total of above fees $ . I d 1 O NOTICE �% Surcharge (.05 X total fees) $ - i 3 • PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ �_�: AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter ev i 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 $r COMMENCED. ❑ Trust Account # $ Balance Due § . 70 $ D '� - . a 3/6/00 Activities for Case #: ELC20O0 -00049 9:36:03 AM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELCA001 Application received 2/2/00 DEB DONE No Hold DEB 2/7/00 Application submitted with insufficient funds. ELCA003 Permit created . 2/7/00 DEB DONE No Hold DEB 2/7/00 Additional check received on this date. ELCA730 Elect'I Service 2/7/00 2/7/00 No Hold DEB 2/7/00 ELCA799 Elect'I Final 2/7/00 2/7/00 2/14/00 TLP PASS No Hold AKJ 2/14/00 ELCA500 (F) Issue permit 2/7/00 DEB DONE No Hold DEB 2/7/00 ELCA800 Case finaled 2/14/00 AKJ DONE No Hold AKJ 2/14/00 • • • • Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 �1 BUP Date Requested �/i - 1 /(Y) AM PM BLD Location 1) 31 .3L yYlt(. (tee Suite / MEC Contact Person tl S( 1+1 1 1 IV c-S or)C7 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC ;l Q<nc/ Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain • SGN Crawl Drain Inspection Notes: cap DOl � ,31Z -y5� Slab SIT Post & Beam Ext Sheath /Shear © y' ( y Int Sheath /Shear � Framing Insulation Drywall Nailing Firewall Fire Sprinkler 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 =n ( 0. ) (,Bough 1n� UC7SIa5 Low Voltage Fire Alarm 4 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 �P) Other Dat (y 0 V Ins �//� Ext Final I ' PASS PART FAIL DO NOT REMOVE this inspection record from the job site.