Permit CITY OF TIGARD ELECTRICAL PERMIT
%
DEVELOPMENT SERVI DATE ISSUED: C OB/�4898
PARCEL: 1S133DB -11200
SITE ADDRESS...:13462 SW SUMMERWOOD DR
SUBDIVISION •SCHOLLS FERRY ROAD TOWNHOMES D-6 ZONING:R -25
BLOCK • LOT •038 JURISDICTION: TIG
Project Description : Electrical addition
- -- 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
BOWEN REAL ESTATE GROUP type amount by date recpt
BANK OF AMERICA BUILDING PRMT $ 35.00 B 07/14/98 98- 307323
121 SW MORRISON STREET, #1000 SPCT $ 1.75 B 07/14/98 98- 307323
PORTLAND OR 97204
Phone #:
Contractor:
SHARPE ELECTRIC INC $ 36.75 TOTAL
22605 SW RIGGS
REQUIRED INSPECTIONS
BEAVERTON OR 97007 Rough —in Elect'l Final
Phone #: 642 -7937 Elect'l Service
Reg #..: 000815
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. ose rules are set forth in OAR 952-801-8810 through OAR 952-801 -1987. You may obtain a copy
of these rules or direct question ! 14. calling (503)246 -1987.
Permittee Signature: AIL ,L_ /`/t ! ssued 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 : CIA 14(44 DATE:
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITI'OF TIGARD Electrical Permit Application Plan Check w
"1 SW HALL BLVD. Rec'd By PA A 4
TIGARD OR 97223 Date Rec'd
�iriiil
Date to P.E.
Phone (503) 639 -4171, x304 Date to DST
Inspection (503) 639 -4175 Print or Type w Permit # dla 4
Incomplete or illegible will not be accepted
Fax (503) 684 -7297 Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Name (or name of business) /J a 1(y J Service included: Items Cost Sum
Address 1,34 (o y ` � SL .t) n' v . P j W r d - t.Jv 4a. Residential - per unit
1000 sq. ft. or less $110.00 4
City /State /Zip 1 - t qC Each additional 500 sq. ft. or
v
Commercial ❑ Residential ��l �r rA l _ portion thereof $25.00 1
F� I�/ J _1 - ly Limited Energy $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
(Attach copy of . urrent licen e 4b. Services or Feeders
Electrical Contractor • AIM_ r 0 Installation, alteration, or relocation
Addr ' - s . _ ,P C �i .s - rJ 200 amps or less 2
201 amps to 400 amps - $80.00 2
City Pt, '" - .i `au. State t Zip 4 rjOL.77 401 amps to 600 amps $120.00 2
Phone No. 0" "1.) 1. 3 601 amps to 1000 amps $180.00 2
Job No. Over 1000 amps or volts - $340.00 2
Elec. Cont. Lice. No. r - Exp.Date --1,--1 Reconnect onl $50.00 2
OR State CCB Reg. No. :'W.h� Exp.Date _r 4c. Temporary Services or Feeders
COT Business Tax or Metro N• - liai Exp.Date „ L`'l1t' Installation, alteration, or relocation
1• • 200 amps or less $50.00 2
Si nature of Su r. El ec'n • • 201 amps to 400 am $75.00 2
-
g p 401 amps to 600 amps $100.00 2
-
3 ' Y "/ S Exp.Date I -qt Over 600 amps to 1000 volts,
License No. see "b" above.
Phone No. 10 'I a,-- 7 y
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
b) The fee for branch circuits
City State Zip without purchase of
Phone No. service or feeder fee. $35 00 3 Sy0o 2
First branch circuit
The installation is being made on property I own which is not Each additional branch circui
$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. S. Fees:
35.00
Not required for temporary construction services. 5a. Enter total of above fees $
5% Surcharge (.05 X total fees) $ 14 1 S
NOTICE 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
TIME AFTER WORK IS COMMENCED. ❑ Trust Account # 3G.1 S
Total balance Due $
I• \DSTS \ELC96 APP Rev 9/96
•
5/16/99 Activities for Case #: ELC98 -00388
9:12:23 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCB001 Application Received 7/14/98 B RECD DST 7/14/98
ELCB003 Permit created 7/14/98 B DONE DST 7/14/98
ELCB700 Rough -in DST 7/14/98
ELCB730 Elect'I Service DST 7/14/98
ELCB799 Elect'I Final NOTE JT 1/13/99 1/13/99 inspection request
(research) sent to Chuck
ELCB500 (F) Issue permit 7/14/98 B PASS DST 7/14/98
ELCB920 Miscellaneous action 3/17/99 WDJ MAIL WDJ 3/17/99
ELCA799 Elect'I Final 3/24/99 CD PASS CD 3/24/99 wiring of a/c unit
ELCB800 Case finaled 3/24/99 AKJ PASS AKJ 3/24/99
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
Q ( } 1- BUP
Date Requested �- 2)-1 - AM _` • PM BLD
Location '(OP i r iA ')d . Suite 0 g MEC 9
Contact Person r Y 7L PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC q g _b 33g
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 �+ r��
Drywall Nailing > � / - ?36d /AigLe
Firewall •
Fire Sprinkler / EG 9? oz-79 f l- �✓h+- id /.
Fire Alarm
Susp'd Ceiling )
Roof �l
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
I Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PISS PART FAIL
(TELECTRICA>
Service
Rough In
UG /Slab
Low Voltage
FF�irr:,e__ Alarm
•
PART FAIL
SITE
BackfilUGrading
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 3.29 99 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.