Permit CITY OF T ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC98 -02 60
DATE ISSUED: 05/18/98
. !+L 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
/\ PARCEL: 1S133DB -11100
SITE ADDRESS...:13382 SW SUMMERWOOD DR Q
SUBDIVISION •SCHOLLS FERRY ROAD TOWNHOMES ZONING:R -25
BLOCK • LOT -037 JURISDICTION: TIG
Project Description : Add a first branch circuit to an existing unit.
- -- 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
BOWEN REAL ESTATE GROUP type amount by date recpt
BANK OF AMERICA BUILDING PRMT $ 35.00 GEO 05/18/98 98- 305818
121 SW MORRISON STREET, #10�� $ 1.75 GEO 05/18/98 98- 305818
PORTLAND OR 97204 �O ®®
Phone #:
Contractor:
WESTSIDE ELECTRIC CO INC $ 36.75 TOTAL
1834 SE 8TH AVENUE
REG!UIRED I NSPECTIONS
PORTLAND OR 97214 Elect' 1 Service
Phone #: 231 -1548 Elect'1 Final
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 may obtain a copy
of these rules or direct questions to OUNC by calling ( 246 -1987. Permittee Signature: /' %/,,j 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- 71) r DATE : C',/R
-
LICENSE NO : l��(�
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD Electrical Permit Application Plan Check #
13125 SNP/ HALL BLVD. Rec'd By
TIGARD OR 97223 RECEIVED Date Rec'd
Date to P.E.
Phone (503) 639 -4171, x 304 Date to DST
MAY 1998 Print or Type �iD
Inspection (503) 639 -4175 Permit # -EZe`fcS - 10 66
684 -7297 n�,l Incomplete or illegible will not be accepted
Fax 503
( ) CO Ar.,.., , TY CEVELCI u..NT Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Sr d7Y12eor [..00x/ Number of Inspections per permit allowed
Name (or name of business) /t [jg!✓ 6 Py�'' Service included: Items Cost Sum
I
Address /3382 5/14-6) --3:771) 4a. Residential - per unit
City/State/Zip v 1000 sq. ft. or less $110.00 4
ty p 7/99.9" / Each additional 500 sq. ft. or
Commercial ❑ Residential i portion thereof $25.00 1
Limited Energy $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
(Attach copy of all curre t li =ns- -) 4b. Services or Feeders
Electrical Contractor 4/ ' / . 0 // c4 c_ Installation, alteration, or relocation
Addre e V IMF- ' - _ 200 amps or less $60.00 2
201 amps to 400 amps $80.00 2
City 6.- ri State 11,2 Zip / 401 amps to 600 amps $120.00 2
Phone No. 2 3/- / .$ V' Jr 601 amps to 1000 amps $180.00 2
Job No. S /Y - CO y Over 1000 amps or volts $340.00 2
Reconnect only $50.00 2
Elec. Cont. Lice. No. 74 -/1.S Exp.Date a
OR State CCB Reg. No. /3706 Exp.Date 4c. Temporary Services or Feeders
COT Business Tax or Metro No. Exp.Date Installation, alteration, or relocation
200 amps or less $50.00 2
Signature of Supr. Elec'n_ ^ 401 amps to 600 amps $100.00 2
-
l 1-J 6 r C Over 600 amps to 1000 volts,
License No /J Exp.Date see "b" above.
Phone Nc Z3 /- (S( sp
4d. Branch Circuits
New, alteration or extension per panel
2b. For owner installations: a) The fee for branch circuits with
purchase of service or
Print Owner's Name feeder fee.
Address Each branch circuit $5.00 2
City State Zip b) The fee for branch circuits
tY p without purchase of
Phone No. service or feeder fee.
First branch circuit / $35.00 2
The installation is being made on property I own which is not Each additional branch circuit $5.00 2
intended for sale, lease or rent. 4e. Miscellaneous
(Service or feeder not included)
Owner's Signature Each pump or irrigation circle $40.00 2
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 $40.00 2
Minor Labels (10) $100.00
Please check appropriate item and enter fee in section 5B.
4 or more residential units in one structure 4f. Each additional inspection over
Service and feeder 225 amps or more the allowable in any of the above
System over 600 volts nominal Per inspection $35.00
Classified area or structure containing special occupancy Per hour $55.00
as described in N.E.C. Chapter 5 In Plant $55.00
* Submit 2 sets of plans with application where any of the above apply. 5. Fees: S
Not required for temporary construction services. 5a. Enter total of above fees $
5% Surcharge (.05 X total fees) $
NOTICE Subtotal $
5b. Enter 25% of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Re 'ew if required (Sec.3) $
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Sub al $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY / ,.."6(,v 7
TIME AFTER WORK IS COMMENCED. Trust Account # L
Total balance Due $
/ I/
I: \DSTS \ELC96.APP Rev 9/96
■
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested R AM PM BLD
Location I � � Z 51 AAoir tpy/ 26 pa Suite( MEC
Contact Person Ph PLM
Contractor 1 )I5e 1- S,Ot' - C/ei it Ph SW
BUILDING Tenant/Owner LC ° 'w D
Retaining Wall ELR
Footing A
Foundation NOT REQUESTED FPS
Ftg Drain FOUND DURING RESEARCH _ SGN
Crawl Drain In ` NO INSPECTION(S) FOUND IN FILE SIT
Slab
Post & Beam (� � t3r�� 1 l l
Ext Sheath /Shear �( (�• / ��1
Int Sheath /Shear
Framing
Insulation
Drywall Nailing E A
Firewall
Fire Sprinkler EXPIRED Alarm RED
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
FCTRI(AV
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
• • SS 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
Other Date T — j = Ins u Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.