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Permit _ CITY OF TIGARD ELECTRICAL PERMIT �4 II 'i DEVELOPMENT SERVICES PERMIT #: ELC97 -0555 h� DATE ISSUED: 08/14/97 13125 SW Hall Blvd., Tigard, OR 97223 503) 639 -4171 PARCEL: 1S133CD -02000 SITE ADDRESS...:11778 SW SWENDON LP SUBDIVISION •COTSWALD MEADOWS ZONING:R -25 BLOCK • LOT •18 JURISDICTION: TIG Pro.j ect Description : ADD FIRST BRANCH CIRCUIT TO EXISTING SINGLE FAMILY DWEELLING. - -- 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 SUE ALLEN type amount by date recpt 11778 SW SWENDON LOOP PRMT $ 35.00 GEO 08/14/97 97- 298278 TIGARD OR 97223 SPCT $ 1.75 GEO 08/14/97 97- 298278 Phone #: Contractor: XL ELECTRIC $ 36.75 TOTAL 581 LANCASTER DRIVE S.E. SUITE #50 REQUIRED INSPECTIONS SALEM OR 97301 Rough –in Elect'l Service Phone #: 503 - 391 -9113 Underground Cove Elect'l Final Reg #..: 001094 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 (503)246 -1987. / / / Permittee Signature: Issued By. A( •� /.��- ;LL! .— 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 : 64- x✓ DATE: 4 LICENSE NO : o 1 9/ S ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Id CITY'jOF TIGARD Electrical Permit Application Plan Check # 13125 SW HALL BLVD. Rec'd By _. TIGARD OR 97223 Date Rec'd _ Phone (503) 639 - 4171, x304 Date to P.E. Inspection (503) 639 -4175 • Print or Type Date to DST Fax (503) 684 -7297 incomplete or illegible will not be accepte Permit rr�C'Q3 -0 55 - S Called 1. Job Address: 4 Complete Fee Schedule Below: Name of Development Number of Inspections par permit allowed Name (or name of business) SUE ALENE Service included: Items Cost Sum Address 11 778 SW SWF,NDON LOOP 4a. Residential - per unit ■ City/State/Zip TIGARD . OR 1000 sq. ft. or less 5110.00 4 Each additional 500 sq. ft. or Commercial ❑ Residential ® portion thereof $25.00 1 Limited Energy $25.00 - Each Manuf'd Home or Modular Dwelling Service or Feeder $88.00 y 2a. Contractor installation only: (Attach copy of all current licenses) 4b. Services or Feeders Electrical Contractor XL ELECTRIC r INC . Installation, alteration, or relocation Address_ 5 81 , LANCASTEE DR SE STE 5 0 200 amps or less $60.00 2 City_ SALEM State OR Z _ 9 7 3 01 201 amps to 400 amps $80.00 _ 2 - p 401 amps to 600 amps $120.00 2 Phone No. 3 91 - 91 1 3 601 amps to 1000 amps - 5180.00 2 Job No. Over 1000 amps or volts - $340.00 2 Elec. Cont. Lice. No. 24 Exp.Date 10-97. Reconnect only $50.00 2 - OR State CCB Reg. No. j 432 . Exp.Date 12-97 4c. Temporary Services or Feeders COT Business Tax or Metro No. 4 7 0 Q Exp.Date 1 - 9 8 installation. alteration, or relocation 200 amps or less $50.00 2 Signature of Supr. Elec'n 0 � �.f\. 201 amps to 400 amps $75.00 2 �j 401 amps to 600 amps $100.00 _ 2 Over 600 amps to 1000 volts, License No. 2481 S Exp.Date see °b" above. Phone No. 3 91 -9 1 13 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 b) The fee for branch circuits ty State Zip . without purchase of Phone No. ' service or feeder tee. First branch circuit 1 535.00 -35 - 0 0 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 Owner's Signature (Service or feeder not included) . 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) 5100.00 - Please check appropriate Item and enter fee In section 58. 4 or more residential units in One structure 4t. 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 servleea. Se. Enter total of above fees $ 5% Surcharge (.05 X total fees) $ NOTICE Subtotal $ Sb. Enter 25% of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review It r uir (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 TIME AFTER WORK IS COMMENCED. ❑ Trust Account t# 3 6.7 5 Total balance Due $ RECEIVED AUG 141997 COMMUNITY DEVELOPMENT CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: 11 7 0 8-0, S - 97 A.M. P.M. MST: Location: 1 / 7 S dW S(,(f -P ' QO,C BUP: Tenant: Suite: Bldg: MEC:'7 7 —( I Contractor: _,I 1 Li ! . . ! _ / Phone: 39 9 1 PLM: Owner: Phone: ELC: 7- 0555 G .i • _ . ?.d �i ELR: ! S :T: BUILDING BLDG (con't) PLUMBING - MECHANICAL SITE Site Post/Beam Post/Beam :. r y ov - • - . - ce Sewer /Storm Footing Roof UndFl/Slab Rou -In Ceiling Water Line Slab Framing Top Out as Line Rough -In UG Sprinkler Foundation Insulation Sewer H ct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain' UG Slab Shear /Sheath Fire Spklr /Alm Crawl/Found Dr - . t Pump Low Volt Approved Approved Approv-.. A. 'roved Approved Appr /Sdwlk Not Approved Not Approved 1 6 • ved • o :,:.. oved Not Approved FINAL FINAL INAL ) F I AL FINAL I ` / all for re mspection 0 Reinspection fee of $ required before next inspection 0 Unable to inspect Inspector: (1K-- Date: g ° Zc5 9 7 Page of CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP D ate Requested AM PM BLD Location 1 i 0 sl/LI 1 c EXJVt � • Suite Off: q 7 Contact Perso Ph PLM Contractor Ph 39!— 9//1 SWR BUILDING / Tenant/Owner ( 97-00S55 Retaining Wall ELR Footing Foundation AC NOT REQUESTED FPS Inc Ftg RESEARCH ✓ Crawl Dr ain FOUND DURING RESEARC - SGN Cr Drain 1 � Slab NO INSPECTION(S) FOUND IN FILE I/ - SIT Post & Beam l = c 01- C�> Dw �-}� -1./10 4' t Ext Sheath /Shear / ,. Int Sheath /Shear Framing Insulation Drywall Nailing Firewall ^ Fire Sprinkler AC;4 !/ 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 Post eam Rough In Gas Line Smoke Dampers iF nay PAS . ART FAIL gCECTRICAe Service Rough In UG /Slab Low Voltage Fi - • larm 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA 4 Approach /Sidewalk other Date d Inspector - Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.