Loading...
Permit 4: CITY OF TIGARD ELECTRICAL PERMIT PERMIT n: ELC98 -0567 'APV0h,i DEVELOPMENT SERV6C DATE ISSUED 2+9/21/98 13125 SW PARCEL: 18133AD -12200 SITE ADDRESS, ..:11329 SW SUMMER LAKE DR SUBDIVISION.,.. :SUMMER LAKE ZONING :R -7 BLOCK........... LOT ....... . ..... :003 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 5O0SF...: 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 6O1+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 4O1 - 600 amp......: 0 EA ADD' L BRNCH CIRC: 22' IN PLANT...........: 0 601 - 1000 amp.....: 0 PLAN REVIEW SECTION---------------- 1000+ amp /volt.....: 0 >_!, RES UNITS......,.. > 600 VOLT NOMINAL..: Reconnect only.....: 0 SVC /FDR >= 225 AMPS..: CLASS AREA /SPEC, OCC. : Owner: - - -- - -- FEES - - -- SUSAN CADEL! type amount by date recpt 11329 SW SUMMERL!4KE RD oRMT �? 135.00 B 09/21/98 98-309308 TIGARD OR 5PCT v 6.75 B 09/21/98 98- 309308 Phone #: Contractor: -- ROSE CITY ELECTRIC CO INC a 141. 75 TOTAL. 4012 NE CULLY BLVD REQUIRED INSPECTIONS PORTLAND OR 97213 Rough -in Elect' 1 Final Phone #: 287 -6164 Elect' 1 Service Reg #..: 000035 This percit is issued subject to the regulations contained in the Tigard f.unicipal Code, State of Oregon Specialty Codes and all other applicable laws. All morli ail! be done in accordance with approvd plans. This percit will expire if tcrlt is not started within 180 days of issuance, or if work is suspended for Dore than 180 days. RTTENTIOI: Cregon Ian; requires you to folio:: the rules adopted by the Oregon Utility Motification Center. Those rases are set forth in CAR 3552 - 301 -C310 through OAR 952 -Z31 -1987. You Day obtain a copy of these rules or direct questions to CUM by calling (533)246 -1987. Permittee SignatureaalA O Tssued - OWNER INSTALLATION ONLY -- The installation is being made on. property I own which is not in•~ended for sale, lease, or rent. OWNER'S SIGNATURE: DATE; - -- - - - - - -- - CONTRACTOR I NSTAALLAT I ON ONLY - -- SIGNATURE OF SUPR. ELEC'N: (( DATE: LICENSE NO: _ -L + + + + + + ++ + + + + + + + ++ +fi :- +- ++ + +++ + + + + +.:•-} +++++++++++ +++ ++ ++ + + + ++ + ++ + + + + + + + + + + + + + + ++ Call 639 -4175 by 7 :0O p.m. for an inspection neec d the net business day + ++±+++++--+--- + + ++ ++ +++ + + + +-1 + ++++ + + +Y +• - + +-: ++r +- r++++++ +-- ++ ++ + + + + + + + ++ + + +-r- + + + + + + + ++ 1 ,. , Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. // ,,. r '' Q4 '� ,r Tigard, OR 97223 Permit # "lv - �t/c 0 s� , l ,� Date Issued c i - 7-.1 e l 1 Phone (503) 639 -4171 CITY OF TIGARD FAX (503) 684 -7297 TDD No. (503) 684 -2772 Inspection (503) 639 -4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development K Numbe r of Inspections per permit allowed Address Z• A " Service included. Items Cost(ea) Sum City /State /Zip / M ' b I 4a. Residential - per unit 1000 sq. ft. or less $110.00 4 Name (or name usiness) Each additional 500 sq. ft. or portion thereof $25 00 Commercial ❑ Residential IX Limited Energy $2500 1 - Each Maned Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor i I stallation only: 4b. Services or Feeders / i C.1 Installation, alteration or relocation Electrical • in r c `��i � t 1 . `r 200 amps or less $60.0 2 Addr- - -.i�� � 1\_� 1l 201 amps to 400 amps $80 00 2 City UK ,'� 401 amps to 600 amps $120.00 2 _ - ( ^_ Sta i /� p �� $18000 2 601 amps to 1000 amps Phone No. W Over 1000 amps or volts $340.00 2 Job NO. ,eqco 0 2 Reconnect only $50 00 2 contractor's license NO. _ 4c. Temporary Services or Feeders Contractor's Board Reg. o. i /4 � Installation, alteration, or relocation rj �� • =, Signature of r 200 amps or less 2 - 2 llEle s�►; ._ 201 amps to 400 amps $50 00 License No....-110- • hone N!.. 3a�1 401 amps to 600 amps $75.00 2 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 City State Zip purchase of service or feeder fee. 2 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 I /1 - 00 Owner's Signature 4e. Miscellaneous t � (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: I 5a. Enter total of above fees $ NOTICE 5% Surcharge (05 X total fees) $ 1 , 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 wadhc°mdeNeko ❑ Trust Account # pm we $ Balance Due $ 1411 , CITY OF TIGARD BUILDING INSPECTION DIVISION MST ■ir' 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 Date Requested a /✓� 0 AM PM BLD Location 11 32 I 51kl1 Th/4 ( are, Suite MEC Contact Person Ph PLM Contracto Ph SWR ILDI�[ Tenant/Owner <:4r ??–CO S ? _' • 4 aining Wall ('� >c1 J I J < Lf�[ -c3 (A Footing �J Foundation NOT REQUESTED t '- — FPS Ftg Cr awl Drain Drain FOUND DURING RESEARCH — SGN Cr I r�f IQ/714 _ NO INSPECTION(S) FOUND IN FILE r/ - / � Post & Beam Ext Sheath/Shear q ' 5 ` � / :(09g 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 Fir larm 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 tion RE: [ ] Unable to inspect - no access ADA �/ Approach /Sidewalk D v n 00 Inspector Other "� s Ext Final VVV PASS PART FAIL DO NOT R MOVE this inspection record from the job site. ,1. GSQ 2 J ul vr/ALv CITY OF TIGARD BUILDING INSPECTION DIVISION • 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST fl !(p�/)I g. BUP a ? 1 / t037 Date Requested D "gc; - q8 X PM BLD Location /13 Zl 11 lL 11 i Suite MEC Contact Person Ir Ph 701- 3550 PLM Contractor 1�J�QJYY Q L Ph 655-0815 SWR Q BUILDING Tenant/Owner Mir FIe y / CEP/ R- l 1 Q _ Retaining Wall CLR E( _ 1'O - 059 Footing Access: Cur n .t) ,( cte , �, PFEQ FPS Foundation (J /�,,,�� Ftg Drain C (,0 4110 OL Bt�t P/M EG� CM f et c. h SGN Crawl Drain Inspection Notes: a_ Slab SIT ' 1 Post & Beam Ext Sheath/Shear tvbE I PEluul I BY Ofl gs- YET 4 TEt Int Sheath /Shear f j Q V I ,1 Cr I I P 1DP Framing t�Iw"\ Iv Insulation Drywall Nailing Firewall Fire Sprinkler C Susp Ceiling � P r 1/I p �4 ��'S� C� - 9 - 7 e Sus 'd Ceilin Roof Misc: Final PASS PART FAIL PLUMBING 7 v� v! / Post & Beam Under Slab Top Out Water Service Sanitary Sewer n n Rain Drains Gj ! �, en 7 - — Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ' service • oug n O V lab Low Voltage c_ Y L �n Fi Alarm /� n/, hy� , � X. n na re ge 2, v� ( PASS PAR FAIL SITE BackfilUGrading Sanitary Sewer Storm Drain [ I 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 / Other Date Approach/Sidewalk )D – „ 2! — 9 Inspector 6.4 Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.