Permit •
r�.
14 CITY OF T D ELECTRICAL PERMIT #: PERMIT
0735
,�4 411 DEVELOPMENT SERVICES DATE ISSUED: 12/17/98
13125 SW Hall Blvd., Tigard, OR 97223 (503)639
PARCEL: 2S101DA -02000
SITE ADDRESS °° °:06980 SW VARNS ST
SUBDIVISION °VARNS ACRES ZDNING:C -P
BLOCK LOT °003 JURISDICTION: TIG
Pro ect Description : Installation of one branch circuit.
- =- 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 • 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: 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 0CC °
Owner: FEES
WEST COAST LUMBER INSP BUREAU type amount by date recpt
6980 SW VARNS'ST PRMT $ 35 ° DLH 12/17/98 98- 311609
TIGARD OR 97223 SPCT $ 1.75 DLH 12/17/98 98- 311609
Phone #
Contractor:
CHANDLER ELECTRIC INC $ 36.75 TOTAL
7634 SW 34TH
PO BOX 80696 REQUIRED INSPECTIONS
PORTLAND OR 97280 -1696 Ceiling Cover Elect'1 Service
Phone #: 245 -7774 Wall Cover Elect'1 Final
Reg . #° ° : 000949
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- Y 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: /I i_E Issued By: 4. {�-
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. EL' EC' N : erAl /9" °/9-J e 7O/1 DATE:
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p °m° for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
•
0
CITY OF TIGARD Electrical Permit Application Plan Check #
13126AW BLVD. Rec'd By
ar , -� r • >6•_ - Date Reed / m ,•
TIGARD OR 97223 .
�, .:, Dat t o P.E.
Phone (503) 639.4171, x304
• rY Print or T yp e Date to DST
Inspection; 639 -4175 �� P 1 • E c�9P
Incomplete or Illegible will not be accepted emit#
Fax (503) 684 -7297 . . " - p Called -
1. Job Address: 4. Co Fee Sche Below:
Name of Development Q Number of Inspections per permit allowed
Name (or name of� business)f OG*0 � - I - � /5►� Qt1, Semite Included: Items Cost Sum
Address /ef of .y w Valit g? N 4a. Residential • per unit
Ci /State/Z 1000 sq, ft. or less $110.00 4
p Each additional 500 sq. ft. or
Commercial Residential El Limited thereof $25.00 1
Limited Energy $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00
2a. Contractor installation only: 2
(Attach copy of all ct rent Ilc - n a 4b. Services or Feeders
Electrical ontr- tor Clf.'� I 12 C� Ifc�Lc. ,�j(� Installation, alteration, or relocation
Addr. - # L , : Y#ti' 200 amps or less - $80.00
2
� , � 201 amps to 400 amps - $80.00
City i a 'P State �w Zip :0- 401 amps to 600 amps - $120.00 2
Phone No. Z C($_ 7, 7 601 amps to 1000 amps - $180.00 2
Job No. 92 Over 1000 amps or volts - $340.00
only Cont. Lice. No.2(v -SZ�f C Exp.Date / D 9 - /- �' - $50.00 2
OR State CCB Reg. No 9'x/40 S Exp.Date 11-12 � ✓ R 1/ 4c. Temporary Services or Feeders
COT Business Tax or Metro No. /B /(p Exp.Date 7- ? 3 Installation, alteration, or relocation
200 amps or less $50.00
� 201 amps to 400 am $75.00 2
2
Signature of Supr. Elec n 401 amps to 600 amps $100.00 2
o Over 800 amps to 1000 volts,
License No 4 5rr' s Exp.Date /C9- /- q- �
see "V above.
Phone Nc. Z eE 5 7 77 Y 01
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 lee for branch circuits
City State Zip without purchase of
Phone No. service or feeder fee.
First branch circuit $35.00 s - 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 58.
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 described 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: 3s' 6 0
• Not required for temporary construction services. 6a. Enter total of above fees $
5% Surcharge (.05 X total fees) $ 1 . z.1�
NOTICE Subtotal $
6b. Enter 25% of Ilne 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if reauired (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 _ $ i . ( /
TIME AFTER WORK IS COMMENCED. ❑ Trust Account # J
Total balance Due
• —�
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
21 / //4 ) qg BUP
/ D � ate(�IR�elqueste l d ! Z 2-2- (0 AM PM BLD
Location 9980 c U) 7/ t7 IAA >or Suite MEC
Contact Person Ph PLM
Contractor 011014 , 'J Ph .. t -777`/ SWR
BUILDING Tenant/Owner W ST I6T tub( BEIL 67 F - " O
Retaining Wall B&L/ - ' ELR
Footing Access: , ,.Q , (c4-to (U— j
Foundation _ �(�-� U / (J��C/ i /FPS
Ftg Drain SGN
Crawl Drain Inspection Notes: 3 ace
Slab � ( SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof /f
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
LECTRICAL
Service
Rough In
UG /Slab
Low Voltage
e rn
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 Date /!� �?i �� Inspector - Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.