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Permit CITY OF TIGARD ELECTRICAL PERMIT w � � � , � ; � DEVELOPMENT SERVsCES PERMIT PARCEL: 1S133AD -12200 SITE ADDRESS...:11329 SW SUMMER LAKE DR SUBDIVISION -SUMMER LAKE ZONING:R -7 BLOCK LOT •003 JURISDICTION: TIG Pro.j ect Description : Additional electrical service. - -- 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 • 1 W /SERVICE OR FEEDER: 0 PER INSPECTION • 0 201 — 400 amp • 0 1st W/0 SRVC OR FDR.: 0 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 ROBERT SMITH & CADELL, SUSAN type amount by date recpt 11329 SW SUMMERLAKE RD PRMT $ 60.00 GEO 09/25/98 98- 309487 TIGARD OR 5PCT $ 3.00 GEO 09/25/98 98- 309487 Phone #: Contractor: ROSE CITY ELECTRIC CO INC $ 63.00 TOTAL 4012 NE CULLY BLVD REQUIRED INSPECTIONS PORTLAND OR 97213 Rough —in Elect'1 Final Phone #: 287 -6164 Elect' 1 Service Reg #.. 000035 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 calking ( 46 -1987. Permittee Signature: 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: fit) 47 - DATE: 9 LICENSE NO: OZ I21 ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ , A � ' L To .. Community Development ELECTRICAL PERMIT APPLICATION - 1 , A 13125 SW Hall Blvd. �1 /�, OCi ,.� Tigard, OR 97223 Permit # - "t ,��>r� Da - Issued �LG- - O7i5 - Phone (503) 639 -4171 RECE V '` FAX (503) 684 -7297 CITY OF TIGARD TDD No. (503) 684 -2772 FP 2 5 1998 Inspection (503) 639 -4175 1. Job Address: P5u5/r,J CONIV DIEI Om p lete Fee Schedule Below: Name of Development aeLL I 1 1 Number of Inspections per permit allowed Itb SuJSumr� � ' II Address • Service included: Items Cost(ea) Sum City /State /Zip l 4a. Residential - per unit 1000 sq. ft. or less $110.00 4 $25.00 Name (or name of usi SS) Each additional 500 sq ft. or portion thereof $25 00 1 Commercial ❑ Residential - Limited Energy Each Manuf'd Home or Modular Dwelling Service or Feeder $68 00 2 2a. Contractor installation only: 4b. Services or Feeders Installation, alteration, or relocation j / o ^ Electrical C ntrac or 4 A � � 20 0 amps or less { $60 00 C 2 Address * „_r 1 '' � r�l♦. 201 amps to 400 amps $80.00 2 City Stat -- • 4111 401 amps to 600 amps $120.00 2 � 1 601 amps to 1000 amps $180.00 2 Phone No. ,l CO 1 Co Over 1000 amps or volts $340.00 2 Job NO. y (� J Reconnect only $50 00 2 contractors license NO. ,..-L_ - I I 4c. Temporary Services or Feeders Contractor's Board Re• . No. �. Installation, alteration, or relocation Signature of S p . Elec' _ i / ' 200 amps or less 2 J 2 Lice Phone N • / `I 201 amps to 400 amps $50.00 401 amps to 600 amps $75.00 / Over 600 amps to 1000 volts $100.00 2b. For owner installations: see "b" above. 4d. Branch Circuits Print Owner's Name New, alteration or extension per pane Address a) The fee for branch circuits with purchase of service or feeder fee. 2 City State Zip Each branch circuit $5 00 Phone No. b) The fee for branch circuits withou The installation is being made on property I own which is purchase of service or feeder fee. 2 not intended for sale, lease or rent. First branch circuit $35.00 Each additional branch circuit $5.00 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 Signal circuit(s) or a limited energy 2 Please check appropriate item and enter fee in section 5B. panel, alteration or extension $40.00 4 or more residential units in one structure Minor Labels (10) $100.00 Service and feeder 225 amps 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: oo v 5a. Enter total of above fees $ 3 NOTICE 5% Surcharge (.05 X total fees) $ co PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25 % 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 $ COMMENCED. wo,e omdeNdec- ❑ Trust Account # $ prm app Balance Due $ CITY OF TIGARD BUILDING INSPECTION DIVISION MST il►_ 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 Date Requested '2/'? ! /cv AM PM BLD %IMIMP Location i i ;Z I 5Ll.rn miA ( ark, Suite MEC Contact Person Ph PLM Contracto Ph SWR ILDI Tenant/Owner . S—co S / � � J aining Wall f7 S4 I In . L _co3 /A Footing v Foundation ! NOT REQUESTED � re tX"4-44 _ FPS Ftg Cr awl Drain I Drain F OUND DURING RESEARCH — SGN Cr Slab _ NO INSPECTION(S) FOUND IN FILE rJ Ipp 112 /7./4 7 '/ 4 — SIT Post & Beam •� ,� f � i Ext Sheath /Shear X "�` 1 '!V""" " ' � � • � O 6 -/A Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof • AS • 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 E Service Rough In UG /Slab Low Voltage giarm 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 reinspe ion RE: [ ] Unable to inspect - no access ADA 00 Approach /Sidewalk Date 0 0 Inspector s Ext Other Final PASS PART FAIL DO NOT R MOVE this inspection record from the job site. r �• I vL 7 CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST A. BUP l ?1 / t037 Date Requested D "ga — q8 X PM BLD Location f 13 2--9 •Q.,h,Q i Suite MEC Contact Person 944V/V "� Ph 701- 355 PLM Contractor 1?A2 flt Q/?. 2 t 7i1Qt7 O Y.. J Ph 655-08 /5 SWR BUILDING Tenant/Owner c P r y /Re E 422 0C1 8 -0567 _ Retaining Wall EER G(G 99 —D5g5 Footing Access: C07A ( ,( -yam � , • ' � Foundation ���"�" U FPS Ftg Drain 6.04 LL 91) o , iNA P�/I4EG� /F(. Gc4uP SGN Crawl Drain Inspec'fion Notes: Slab SIT Post h Beam . A I ,� , ► (C t2 � r g` , on - C _ \i/Cr f3TA41 N ED Ext Sheath /Shear �,�N T I GF-� Int Sheath /Shear � !,� of 4 . P 1D Cr I Framing nV�u t'1w "\ I Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling P r //I p Q J�'$ 9-z4-- 7 C e Roof Misc: Final PASS PART FAIL PLUMBING ( / / Post & Beam v Under Slab Top Out Water Service Sanitary Sewer n �? Rain Drains 6j „ Or) 'Z - 2 9 zs C(, — Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL CECTR ETA catee o 7S n l�G7Slab Low Voltage het w, Fire Alarm �Finaf� 0 PASS PAR 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 JJ / Approach /Sidewalk Other Date / < ' 9 Inspector p Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.