Permit CITY OF TIGAR
ELECTRICAL PERMIT
� DEVELOPMENT SERVICES DATE ISSUEDaCO6 /O`998 Hall Blvd., Tigard,
PARCEL: 1S134BC -00300
SITE ADDRESS...:1226O SW SCHOLLS FERRY RD
SUBDIVISION • ZONING:C —G PD
BLOCK LOT • JURISDICTION: TIG
Project Description: Electrical TI
- -- 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..: 0 601 +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: 3 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
ALL CITY ELECTRIC SERVICE type amount by date recpt
13213 NE KERR RD #130 PRMT $ 50.00 B 06/02/98 98-306192
VANCOUVER WA 98682 5PCT $ 2.50 B 06/02/98 98-306192
Phone #:
Contractor:
ALL CITY ELECTRIC $ 52.50 TOTAL
13213 NE KERR RD
STE 130 REQUIRED INSPECTIONS
VANCOUVER WA 98682 Ceiling Cover Elect'1 Service
Phone #: 360 -883 -1544 Wall Cover Elect'1 Final
Reg #..: 000870
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 -rA1 -0010 through OAR 952- 001 -1987. You may obtain a copy
of these rules or direct questions to OUNC by calling ( )246 -1987.
Permittee Signature: iJ♦ ' ft). /. ,AA 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 INSTILLATION ONLY
SIGNATURE OF SUPR. ELEC' N : O)'V I ( CL4(611/1 DATE:
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
r JUN' -01 -98 MON 09:58 AM P. 0
C Ic /r I 1 1 1 8C maI 1 ) 004 - le ) ooct 6
y /// e
4.
" CITY OF TIGARD Electrical Permit Application Plan Check t
13125 SW HALL BLVD. Recd By
TIGARD OR 97223 Date Rec'di-
Phone (503) 639.4171, x304 Date to P.E. N A
Inspection (503) 639 -4175 Print or Type Date to DST N
Fax (503) 684 -7297 Incomplete or illegible will not be accepted Permit # PLC 61(f) - (j 4
Called
1. Job Address: -
4. Complete Fee Schedule Below:
Name of Development,
Number of Inspections per permit allowed
Name (or name of business) Service Included: Items Cost Sum
`
Address 4a. Residential - per unit .-
City/Slate/Zip 1000 sq. h. or less •
$110.00 4
Each additional 500 sq. ft. or
Commercial ❑ Residential ❑ portion thereof $25.00 1
Limited Energy $28.00
Each Manul'd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
(Attach copy of all ,- ant Ileen -,: s) 4b. Services or Feeders
Electrical Contractor ' e Installation, alteration, or relocation
Add Add e s r • :. • r i 200 amps or less $6
e s hC (71.� V VA,'" State 201 amps to 400 amps 2
$82
Phone No. 1 '0 _ , - .5 2., Z 9�� 00401 amps to 600 amps $120.00 0o 2
801 amps to 10 amps $180.00 2
Job No. Over 1000 amps or volts $340.00
Elec. Cont. Lice. No. f%' _ G Exp.Date Reconnect only $� 2
.00
OR State CCB Reg. No. • Exp.Date 2
COT Business Tax or Metro No. p 4c. Temporary Services or Feeders
EXp.Date Installation, alteration, or relocation
200 amps or less $50.00 2
Signature of Supr. Elec'n 201 amps to 400 amps $75.00 2
401 amps to 600 amps $100 2
License No. g S xp,Date Over 600 amps to 1000 volts,
Phone No. ,s a i . see "b" above.
4d. Branch Circuits
2b. For • . - - New, alteration or extension per panel
a) The fee for branch circuits with
- rint Owner's Name ...SS la purchase of service or
feeder fee.
Address )
iff S to r r. .' Each branch circuit $5.00 2
City l State 07L Z . b) The fee for branch circuits
Phone No. 57 3 jP
service purchase of
service of feeder tee.
First branch circuit $35.00 . c5• 00 2
The Installation is being made on property I own which Is not Each additional branch circuit $5.00
Intended for sale, lease or rent. 2
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 ex1ension $40.00 2
Please check appropriate item and enter fee In section 5B. Minor Labels (to $100.00
4 or more residential units In one structure
Service and feeder 22$ amps or more the Each e allowable able In any Inspection over
System over 600 volts nominal thy of the above
Classified area or structure containing special occupant Per Inspection $35.00
as described In N.E.C. Chapter 5 y Per hour $55.00
In Plant $55.00 _
" Submit 2 sets of plans with application where any of the above apply. S Fees:
Not required for temporary construction services.
5a. Enter total of above lees A • Q •
NOTICE 5% Surcharge (.05 X total fees) $ 1.5 j
• Subtotal $ _ - _ 6
Sb 25% of line PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Revi ew If reguired (Sec.3) $
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY Subtotal $
TIME AFTER WORK IS COMMENCED. ❑ Trust Account 0 - �/ �j �/�
Total balance Due $ �� (J
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 7 — /' 99 AM PM BLD
Location 1 2-Z(00 5(, J Se //S / Suite MEC
Contact Person /1/4-Ai :SQL. •Af i' Ph ,20 9 - ci-9/ PLM
Contractor 41-6 ai le /Gc j'ic . Ph 2.Z3 Q$ SWR
BUILDING Tenant/Owner a�/ '$(/ /1/61 /5 ELC 9 - 0
Retaining Wall / ELR . ,0 "` - '
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing £.(fi, &etrte \ � IL - (?}
Firewall \ \
Fire Sprinkler
Fire Alarm
Susp'd Ceiling "/-'S
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
P FAIL
ELECTRICAL
e-�
Rough In
UG /Slab
Low Voltage
Fire Alarm
Fin _
4441.77 PART FAIL
SI
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 7 _ /_ p Ext 3 51
Other Date ` �� Inspector
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.