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Permit
r CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC98 -0739 Arptotwiet\ DEVELOPMENT SERVICES DATE ISSUED: 12/17/98 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S113AB -00300 SITE ADDRESS...: 16075 SW UPPER BOONES FERRY RD SUBDIVISION :FANNO CREEK ACRE TRACTS ZONING:I —L BLOCK LOT •036 JURISDICTION: TIG Project De scr i pt ion : Installation of service. - -- RESIDE=NTIAL 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/O 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 NORTHWEST LANDSCAPE INDUSTRIES type amount by date recpt 16075 SW UPPER BOONES FERRY ROAD PRMT $ 60.00 DLH 12/17/98 98- 311624 TIGARD OR 97224 SPCT $ 3.00 DLH 12/17/98 98- 311624 Phone #: Contract or: WILLAMETTE ELECTRIC INC $ 63.00 TOTAL PO BOX 230547 REQUIRED INSPECTIONS TIGARD OR 97281 Ceiling Cover Elect' 1 Service Phone #: 624 -3631 Wall Cover Elect'1 Final Reg #..: 000750 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 peroit 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- ' through OAR 952- , A1 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (593)246 -1987. Permittee Signature: / /LCL 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: /V`/, DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' N: 4 / /9 / ems/ /O T DATE: LICENSE NO: ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ , 'CITY OF TIGARD Electrical Permit Application Plan Check # 13125 SW HALL BLVD. Rec'd By -G Date Rec'd /Z , Z eP TIGARD OR 97223 Date to P.E. Phone (503) 639 -4171, x304 I/ Cr Date to DST Inspection (503) 639 -4175 Print or Type / Permit # ELC7� 6 Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Foundation for modular & Name of Development removal o f 2 trailers Number of Inspections per permit allowed Name (or name of bu Landscape Industries Service included: Items Cost Sum Address 16075 SW Upper Boones Ferry Road 4a. Residential - per unit Tigard OR 97224 1000 sq. ft. or less $110.00 4 City/State/Zip g 7 Each additional 500 sq. ft. or Commercial © Residential ❑ portion thereof $25.00 1 Limited Energy $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: (Attach copy of all current licenses) 4b. Services or Feeders Electrical Contractor Willamette Electric In 200 amps mps orless ( 2 • alteration, or relocation J $60.00 4 4 d L Address PO Box 230547 201 amps to 400 amps $80.00 2 City Tigard, State OR Zip 97281 401 amps to 600 amps $120.00 2 Phone No. (503) 624 -3631 601 amps to 1000 amps $180.00 2 Job No. Over 1000 amps or volts $340.00 2 Elec. Cont. Lice. No. 34 -283C Exp.Date 10/01/99 Reconnect onl $50.00 2 OR State CCB Reg. No. 75059 Exp.Date06 /06/99 `---- 4c. Temporary Services or Feeders COT Business Tax or Metro No. 965 -S Exp.Da 10/01/01 Installation, alteration, or relocation 7 200 amps or less $50.00 2 Signature of Supr. Elec'n e,,,, 201 amps to 400 amps $75.00 2 401 amps to 600 amps $100.0100.0 0 2 Over 600 amps to 1000 volts, License No. 1695 - S Exp.D a see "b" above. Phone No. (503) 624 -3631 /op/ o / 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. First branch circuit $35.00 2 The installation is being made on property I own which is not Each additional branch circuit $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 descnbed in N.E.C. Chapter 5 In Plant $55.00 * Submit 2 sets of plans with application where any of the above apply. 5. Fees: /_ Not required for temporary construction services. 5a. Enter total of above fees $ &----- 5% Surcharge (.05 X total fees) $ 3 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 # $ (n 3 Total balance Due I \DSTS\ELC96 APP Rev 9/96 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24%Hour Inspection Line: 639 -4175 Business Line: 639 -4171 \ BUP Date Requested D' -eiT AM .A / PM BLD Location i r .i1/4 ■a 'A .'I AlA Suite MEC Contact Person q 1, p PLM (P. Ph � /q 1 � y"I 1 Contractor Ph SWR BUILDING Tenant/Owner ELC I 6 16 2 ,1 Retaining Wall EL( 9t5 —o) e al Footing Access: Foundation x.194 9-c0 31 -- FPS Ftg Drain SGN Crawl Drain Inspection Notes: ( y, Slab �� ✓✓ pryv i SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm L Susp'd Ceiling M cS /'A /4 4 /7 S' Q ',ear O CAM') Roof Misc: i 6 d ,l _ _i – r ii Final PASS PART FAIL PLUMBING /"/ 171g / — �. s 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 �ECECT v �11�1 Service �J Rough In UG /Slab Low Voltage Fir arm T 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 reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk G /� — �j Other Date L / Inspector Ext Final PASS PART FAIL . DO NOT REMOVE this inspection record from the job site.