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Permit CITY OF T ELECTRICAL PERMIT 'Mt, i,, DEVELOPMENT SERVICES PERMIT #: ELC98 -0676 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/10/98 PARCEL: 2S101DC -01100 SITE ADDRESS...: 07298 SW TECH CENTER DR SUBDIVISION • ZONING:I —H BLOCK LOT • JURISDICTION: TIG Project Description : Installation of 1 branch circuit. - -- 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/0 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 B —LINE SYSTEMS INC type amount by date recpt 7298 SW TECH CENTER DR PRMT $ 35.00 DEB 11/10/98 98- 310690 TIGARD OR 97223 SPCT $ 1.75 DEB 11/10/98 98- 310690 Phone #: Contractor: PHOENIX ELECTRIC CO $ 36.75 TOTAL 7379 SW TECH CENTER DR. REQUIRED INSPECTIONS TIGARD OR 97223 Ceiling Cover Elect'1 Service Phone #: 684 -3600 Wall Cover Elect'1 Final Reg #..: 000522 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 1.. •.uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 '.40 through I °R -001 -1987. You may obtain a copy of these rules or direct questions to OUNC by callin (503)246 -1987. Permittee Signature: k�r,kee/A Issue. 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: DATE: l/ / 1 7, LICENSE NO: "7/4� ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ NOV -09 -98 MON 05:14 PM PHOENIX ELECTRIC CO FAX NO. 15036843611 P. 02 CITY OF TIGARD Electrical Permit Application Plano 13125 SW HALL BLVD. Recd , Date Rec'd C 1 - -19 TIGARD OR 97223 // �/�'D`� Date to P.E. Phone (503) 639 -4171, x304 Z, Date to DST Inspection (503) 639 -4175 Print or Type Permit tt Ete.9g - Cc'70 Fax (503) 6134 -7297 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)_ , D _gam Service included: Items Cost Sum Address 79'? - � 4a. Residential - per unit City/State/Zip \G c� C XL f-. 1000 sq. ft, or less $110.00 ,_ 4 ty p Each additional 500 sq. ft. or Commercial ` Residential El mit portion E thereof $25.00 1 Limited Energy $25.00 V�� , `� �tJ.Q WI( _ Each Maned Service vic o F e de r 5 68 . 00 2 Dwelling Service or Feeder 2a, Contractor insta ation only: (Attach copy • II current llcens s) • 4b. Services or Feeders Electrical Contra�o A\ - d _ \ v CF ' Installation, alteration, or relocation 200 amps or less $60.00 2 Address ‘-i--.) -c 201 amps to 400 amps 580.00 2 City 4 ` Zi i' 401 amps to 600 amps - $120.00 2 Phone N •. • fl► ��'l��Z' 601 amps to 1000 amps - $180.00 2 f• Job`1■o., ,.>r .•5 - \(■ 452•0 - r ?>S Over 1000 amps or volts $340.00 2 " Elec. Cont. Lice. No. S Exp.Date Reconnect only $50.00 z - OR State CCB Reg. No. • Exp.Date 4c. Temporary Services or Feeders COT Business Tax or Metro No. ` LL) Exp.Date _ Installation, alteration, or relocation 200 amps or less $50.00 2 $75.00 2 2 Signature of Supr, Elec'n 40 1 am to to 60o am $100.00 O v er 600 amps to 1000 volts, License No. C Exp.Date see "b" above. Phone No.. Q ; r_ P. 4d. Branch Circuits New, alteration or extension per panel 2b. For owner installations: a) The fee for branch circuits w(tn purchase of service or Print Owner's Name feeder fee. • Address Each branch circuit $5.00 2 b) The lee for branch circuits City , State Zip without purchase of Phone No. service or feeder fee. /V First branch circuit t $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: • Not required for temporary construction services. 58. Enter total of above fees $ 5- / , 5% Surcharge (.05 X total fees) $ • NOTICk • Subtotal $ 5b. Enter 25% of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $ NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY �� 1 $ � ��� TIME AFTER WORK IS COMMENCED. Trust Account # Total balance Due 10STS \ELC95APP Rn, 5f. CITY OF - G9 RD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST 1.21.4__X/ BUP 3 Date Requested /1--/3 i AM PM BLD Location �. G � - / Sui it te MEC Contact Person I • � e Ph 6P4 -3(p00 PLM Contractor i Ph SWR BUILDING Tenant/Owner c ( AW 7/3 - -' ' 7( 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 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 ASS_ART FAIL ELECTRICAL, Service Rough In UG /Slab Low Voltage Fire Alarm • 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 / Ins D ! '� ' I ector Ext Other p Final PASS PART FAIL DO NO REMOVE this inspection record from the job site.