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Permit CITY OF T ELECTRICAL PERMIT ��� DEVELOPMENT SERVICES PERMIT #: ELC98 -0604 _ DATE ISSUED: 10/05/98 ! 1 3125 SW Hall Bl Blvd., Tigard, OR 97223 (503) 639.4171 PARCEL: 2S101DC -03900 SITE ADDRESS...:07150 SW SANDBURG ST SUBDIVISION -SALEM FREEWAY SUBDIVISION ZONING:C -P BLOCK LOT °004 JURISDICTION: TIG Pro ect Description : Alteration of 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 ° 1 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.: 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 ESP COMMUNICATIONS type amount by date recpt 28170 SW BOBERG RD PRMT $ 40.00 DLH 10/05/98 98- 309702 WILSONVILLE OR 97070 5PCT $ 2.00 DLH 10/05/98 98- 309702 Phone #: Contract or: ESP COMMUNICATIONS INC $ 42.00 TOTAL 28170 SW BOBERG RD REQUIRED INSPECTIONS WILSONVILLE OR 97070 Ceiling Cover Elect'1 Service Phone #: 682 -4195 Wall Cover Elect'1 Final Reg #..: 000738 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: iy/�"�LE4 Issued By: / ��tti/ _ - OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: /1// DATE: CONTRACTOR INSTALLATION ONLY/ �+ SIGNATURE OF SUPR. ELEC' N: OJT/ /9-PmG / e/F1-//ei /V DATE: ld / LICENSE NO: ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Community Development ELECTRICAL PERMIT APPLICATION cf� A `� 13125 SW Hall Blvd. "� Tigard, OR 97223 Permit # 5 99 — 0 to D y � � I : ":: Date Issued /e /OS /PcP' ,_.iii Phone (503) 639 -4171 " FAX (503) 684 -7297 CITY OF TIGARD TDD No. (503) 684 -2772 5 Inspection (503) 639 -4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development QC.... (e*1ve? T115la. chm_ Number of Inspections per permit allowed Address 11 S0 54) 5 , , C cx, Service included: Items Cost(ea) Sum � flfl �1, � City /State /Zip T; , a 0 c (� C aak 4a. Residential - per unit 1000 sq. ft or less $110 00 4 Name (or name of business) Q(7--( 4 .,.)e e INFA . atvc -e Each additional 500 sq ft or portion thereof $25 00 - Commercial X Residential ❑ Limited Energy $2500 1 - Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: 4b. Services or Feeders T ( My� Installation, alteration, or relocation Electrical Contractor �,St `Qt' \ \j,6 ca +d 'n5 200 amps or less $60 00 2 Address . ..13 110 SW tj'bec FtD • 201 amps to 400 amps $80 00 2 401 amps to 600 amps $120 00 2 City W + \Sp \ State Zip 9 07 601 amps to 1000 amps $180 00 2 Phone No. , - -\, S. Over 1000 amps or volts $340 00 2 / 9 2 Job NO. \ `jS 4 // v Reconnect only $50 00 contractor's license NO. 34 - "AO `-e 4c. 4c. Temporary Services or Feeders Contractor's Board Reg. No. • �� - = S /7 , / - Installation, alteration, or relocation Signature of Supr. Elec'n - 1 I 200 amps or less 2 License No.aS 1SL, . - ' "hone No br Lt ( 201 amps to 400 amps $50.00 2 p 00 401 amps to 600 amps $75 2 gO i '2 4.72 5,4"/N2/0 < Over 600 amps to 1000 volts $100 00 2b. For owner installations: /0 // 99 See °b° above 4d. Branch Circuits 1 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 1_ $40 00 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.0 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: 5a. Enter total of above fees $ O. �� NOTICE 5% Surcharge (.05 X total fees) $ 00 PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ a OQ 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. wordlcamdmAeweo ❑ Trust Account # $ prm app Balance Due $ ,, ©Q CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 l � D BUP VI 1 1 5 3 Date Reques l � o 'Rl AM 1� PM BLD Location a - , cd / A. _ _ 4 Suite // MEC t00 Contact Person c Ph a 4 i 7 p 5 PLM Contractor 53 T' _n r �a. Ph SWR BUILDING Tenant/Owner P/LOG► 9(/// iA. lr . 9,1?-06ov Retaining Wall ELR Footing Access: Foundation l�Qv.5Q Gvv FPS Ftg Drain il 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 c...4...D 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 BASS DART FAIL ELECTRIC Service Rough In UG /Slab ow Voltage : arm I 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 / Other Dat !, ?i 8 / Inspecto Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. •