Loading...
Permit CITY OF TIGARD ELECTRICAL PERMIT c PERMIT #: ELC2001 -00462 r•JI', \ DEVELOPMENT SERVICES DATE ISSUED: 9/18/01 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S101 DB -00901 SITE ADDRESS: 07145 SW VARNS ST SUBDIVISION: VARNS ACRES ZONING: C -P BLOCK: LOT : 012 JURISDICTION: TIG Project Description: Relocate (1) branch circuit. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: ASCOT CENTER ASSOCIATES ROBERTS ELECTRIC INC 7145 SW VARNS ST 5759 SW 48TH TIGARD, OR 97223 PORTLAND, OR 97213 Phone: Phone: V- 244 -7754 Reg #: SUP 3886S LIC 9388 ELE 34 -23C FEES Required Inspections Type By Date Amount Receipt Ceiling Cover PRMT CTR 9/18/01 $46.85 2720010000( Wall Cover Elect'I Final 5PCT CTR 9/18/01 $3.75 2720010000( Total $50.60 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire ' k- is-not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires y to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 -001- 080. You may obtain cope- s of these rules or dired questions to Permit Signature: Z G ssued 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 INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: Vr/ /%`� / DATE: ? % LICENSE NO: n ggev S Call 639 -4175 by 7:00pm for an inspection the next business day Electrical Permit Application Date received: q / g O , Permit no.: QGe a,00 % a. l i fi t, :,• City of Tigard Project/appl. no.: Expire date: City of Tigard Address: 13125 SW Hall Blvd, Tigard, OR 97223 Date issued: By: Receipt Phone: (503) 639 - 4171 Fax: (503) 598 -1960 Case file no.: Payment type: Land use approval: TYPE OF PERMIT ❑ 1 & 2 family dwelling or accessory 0 Commercial/industrial ❑ Multi - family ❑ Tenant improvement ❑ New construction 0 Addition/alteration /replacement ❑ Other: ❑ Partial . JOB SITE INFORMATION , Job address: 7/145 5 u j _ cJ A 0 Bldg. no.: Suite no.: Tax map /tax lot/account no.: Lot: I Block: I Subdivision: Project name: 1 'Description and location of work on premises: Estimated date of completion/inspection: .. CONTRACTOR APPLICATION . - ' FEE SCHEDULE Job no: Fee Max Business name: g z S E — L., - �� / Description Qty. (ea.) Total no. insp �, New residential - single or multi- family per Address: r�75 j ' .. - .4 dwelling mitlnchtdes attached garage. City: p I Stater 'ZIP: 1'222- 1 . Service included: Phone: o w 4—'7794 I Faxg 4 L -as-6 01E-mail: 1000 sq. ft. or less 4 CCB no.: 399- 'Elec. bus. lic. no: 3c.{ —z3 L Each additional 500 sq. ft. or portion thereof Limited energy, residential 2 City/metro lic. no.: /4q[1 Limited energy, non - residential 2 v I Each manufactured home or modular dwelling Stgna urt a of supervising electrician (required) D e Service and/or feeder 2 Sup. elect. name(print):oI&'Er'C, friAcCutq 0 License no: 3ggics Services or feeders - installation, alteration or relocation: PROPERTY OWNER - 200 amps or less 2 Name (print): 201 amps to 400 amps 2 401 amps to 600 amps 2 Mailing address: 601 amps to 1000 amps 2 City: I State: I ZIP: Over 1000 amps or volts 2 Phone: I Fax: 1E-mail: Reconnect only I Owner installation: The installation is being made on property I own Temporary services or feeders - which is not intended for sale, lease, rent, or exchange according to installation, alteration, orrelocation: ORS 447, 455, 479, 670, 701. 200 amps or less 2 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600 amps 2 . ENGINEER Branch circuits - new, alteration, or extension per panel: Name: A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 2 City: 'State: 'ZIP: B. Fee for branch circuits without purchase of service or feeder fee, first branch circuit: ( 2 Phone: Fax: E -mail: Each additional branch circuit: PLAN REVIEW' (Please check all that apply) Misc. (Service or feeder not included): ❑ Service over 225 amps-commercial ❑ Health -care facility Each pump or irrigation circle 2 ❑ Service over 320 amps - rating of I &2 ❑ Hazardous location Each signor outline lighting 2 family dwellings ❑ Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel, ❑ System over 600 volts nominal more residential units in one structure alteration, or extension* 2 ❑ Building over three stones ❑ Feeders, 400 amps or more. *Description: ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park Each additional inspection over the allowable in any of the above: ❑ Egress/lightingplan ❑ Other. Per inspection l Submit _ sets of plans with any of the above. Investigation fee The above are not applicable to temporary construction service. Other Not all jurisdictions accept credit cards, please call jurisdiction for mote information. Notice: This permit application Permit fee $ VG/. g ❑ Visa ❑ MasterCard expires if a permit is not obtained Plan review (at _ %) $ Credit card number: / I within 180 days after it has been State surcharge (8 %) .... $ 3 • 7 Expires accepted as complete. TOTAL $ 50 • Sao Name of cardholder as shown on credit card $ Cardholder signature Amount 440 -4615 (6/00 /COM) Electrical Permit Fees: Limited Energy Fees: Complete Fee Schedule Below: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY Restricted Energy Fee $75.00 Number of Inspections per permit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total 4, Check Type of Work Involved: Residential - per unit 1000 sq. ft. or less $145.15 4 ❑ Audio and Stereo Systems Each additional 500 sq ft. or portion thereof $33.40 1 ❑ Burglar Alarm Limited Energy $75 00 Each Manufd Home or Modular Garage Door Opener* Dwelling Service or Feeder $90 90 2 El Services or Feeders ❑ Heating, Ventilation and Air Conditioning System' Installation, alteration, or relocation 200 amps or less $80.30 2 201 amps to 400 amps $106.85 2 ❑ Vacuum Systems • \ , 401 amps to 600 amps $160.60 2 Other 601 amps to 1000 amps $240.60 2 Over 1000 amps or volts $454.65 2 Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY Installation, alteration, or relocation Fee for each system $75.00 200 amps or less $66.85 2 (SEE OAR 918 - 260 -260) 201 amps to 400 amps $100.30 2 - 401 amps to 600 amps $133.75 2 Check Type of Work Involved: , Over 600 amps to 1000 volts, ❑ see "b" above. Audio and Stereo Systems Branch Circuits ❑ Boiler Controls New, alteration or extension per panel a) The fee for branch circuits , with purchase of service or n Clock Systems feeder fee. Each branch circuit $6.65 2 ❑ Data Telecommunication Installation. b) The fee for branch circuits without purchase of service Alarm Installation or feeder fee. >� First branch circuit i $46.85 tt-O HVAC Each additional branch circuit $6 65 Miscellaneous n Instrumentation (Service or feeder not included) Each pump or irrigation circle $53.40 ❑ Intercom and Paging Systems Each sign or outline lighting $53.40 Signal circuit(s) or a limited energy ❑ panel, alteration or extension $75.00 Landscape Irrigation Control Minor Labels (10) $125.00 n Medical Each additional inspection over the allowable in any of the above Calls Per inspection $62.50 Per hour $62.50 El Plant $73.75 Outdoor Landscape Lighting Fees: I 0 Protective Signaling Enter total of above fees $ n Other 8% State Surcharge $ Number of Systems 25% Plan Review Fee No licenses are required Licenses are required for all other installations See "Plan Review" section on $ front of application Fees: Total Balance Due $, Enter total of above fees $ ❑ Trust Account # 8% State Surcharge $ Total Balance Due $ i:\dsts \forms \elc- fees.doc 10/09/00 - .'Cf AF TIGARD BUILDING INSPECTION DIVISION 24 -Dour Inspection Line: 639 -4175 Business Line: 639 -4171 MST BUP Date Requested ' .7 :7 2 AM BLD Location V 2-C Suite MEC Contact Person Ph S 3 Z 3 D PLM Contractor Ph SWR BUILDING Tenant/Owner ELC O/ QQ Retaining Wall ELR 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 Fire wall / � / Y � / 99//),E3 �� Fire Sprinkler ` C—J Fire Alarm Susp'd Ceiling Roof Misc: Final /1/6 6 / e ' 4e2e rk PASS PART FAIL S PLUMBING Post & Beam Under Slab Ce i4 //// - , 4 ° Top Out Water Service � y � S ' P cJ r e Q 4 L9 v P C ! / /!j n Sanitary Sewer n Rain Drains ! V 0 CG2' A /e �e(/ Y 4fl / f '/� e_ c� L 6 Final PASS PART FAIL fryj t f � j r' �J , MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Se ou UG /Slab Low Voltage Fire Alarm Cr A r ;SART 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 Other D '? � 2 ` ' / Inspector EXt Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CItY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 63 75 Business Line: 639 -4 BUP Date Requested / ' 2- AM PM BLD Location 7/ q c I1a-/1 /yl S - fr Suite MEC Contact Person Ph 577- 7- 3 "LW PLM Contractor Ph SWR BUILDING Tenant/Owner ELC o ZOD/ DD 46 Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN Slab SIT Post & Beam Ext Sheath/Shear Int Sheath /Shear f� Framing i o,rei 4ee Insulation Drywall Nailing ,� Fire wall 9 �� �� , < Gc.�!/� / 7 .4 4 4.0x Q' �6 a1/� Fire Sprinkler Fire Alarm Susp'd Ceiling f6dL— Roof Misc: Final f — — c r� Z? PASS PART FAIL - PLUMBING � � k 2� Post & Beam Under Slab Top Out Water Service „mg„_.e. 7 .v. 1(Lr ✓' Sanitary Sewer Rain Drains Q �(/Y . Q l4 -' p� Final PASS PART FAIL MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire,Alarm Fin PASS PART dEll 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 — © l p '�” - Approach/Sidewalk Otth Date /9'2 Inspector - Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Flour Inspection Line: 639 -4175 Business Line: 639 -4171 MST I BUP Date Requested /Z L7 — AM PM BLD _ Location 7 / T S S-f'— Suite MEC Contact Person \3'Ai 'hher -ts Ph 7 Z 3 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC D D/ DO L Retaining Wall ELR Footing Access: �( � Foundation C i a oiaH49,4)1.. FPS Ftg Drain SGN Crawl Drain Inspection Notes: � A `s Slab "� — SIT Post & Beam c " *. Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing I c� pppr1 I h-},') exr S - l; etp C ✓ (; kil j 1Jl c - � &s Firewall {/ il Fire Sprinkler ay/64 eta Cr rr uit. ) 47> 45 fie c,) ry,-1 . crg Fire Alarm /� ��JJ Susp'd Ceiling CI il r IF S. 1 r l C. C ( /c a el r] 3 V ieLC-f-i ihn LICAES Roof Misc: • • • i• Ila: . P • ■ ' t.a_.- at t _ - Final PASS PART FAIL PLUMBING Post & Beam l Under r Slab co, r c(4) -1 I / o-a, -01 S-elsr 'Cf-i ov (1 ),Qa) 3))( 1 /) P Water Service WF fE yY) a AE "DN c-i CE�m /s o Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL //,..\ Post & Beam • Rough In Gas / Smoke e Dampers / 1 Final / PASS PART FAIL CI ELECTRICAL Service .....____/ Rough In UG /Slab Low Voltage Fire Alarm n,�� I! PART FAIL S 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 E6eirrcai Approach/Sidewalk Other Date Cf. Cy_ ann/ Inspector el t 7 . Ext Final � PASS PART FAIL DO NOT REMOVE this inspection record from the job site.