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Permit
— -:- --- - —,....�..,,mw A CITY OFTIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT 2 -4 j PERMIT #: E05 = 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 01/15/97 PARCEL: 1S125DC -02700 SITE ADDRESS...: 07100 SW VENTURA DR • SUBDIVISION WASHINGTON;-SQUARE ESTATES ,' ZONING :R -4.5 BLOCK°°°°° ..... : LOT °24 Project .Description -: INSTL 2 BRANC. CIRCUITS , - -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS - -1- 000-- 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 +amp,s - 1000, yolt,s..: 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: 1 , 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_ TERRY CRAWFORD type amount by date recpt 7100 SW VENTURA DR, PRMT $ 40.00. TAT 01./15/97 97- 288927 5PCT $ 2.00 TAT 01/13/97 97-- 288927 TIGARD OR 97223 Phone #: Contractor: -- -- -- TICE ELECTRIC $ 42.00 TOTAL 2139 SE BELMONT ST REQUIRED INSPECTIONS -- PORTLAND OR 97215 Ceiling Cover Undergrounfi Cove Phone #: , V -233- 8801.. Wall Cover . Elect' ,1 S O ice Reg #..: 000001 This peroit is issued subject to the regulations..contained:in the c .7 7 /n- U//i lt, Tigard Municipal Code, of.Ore. Specialty Codes and all other Perm • t- e Si gnat ure) 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 Dore , .1 , © , , / Alt than 180. days. , I ued By -- OWNER INSTALLATION. ONLY - -- o The, installation,, _is,' .bei.ng, made, on I own which is not, • ,,.intended for , sale, lease, or rent. OWNER' S SIGNATURE :',_ ' - , DATE: • — --- -- CONTRACTOR INSTALLATION ONLY -- SIGNATURE OF SUPR. ,ELEC',N - :,_ DATE: LICENSE NO: . Cal 1_,,f,or_ ,inspecti,,p,n,_--,,. 6 39- 4175.,". - 317.27 Community Development ELECTRICAL PERMIT APPLICATION ,,:. ' 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # Permit # E/____9 R.5 + q'o � ��' I Phone (503) 639 -4171 Date Issued 1/45/97 FAX (503) 684 -7297 CITY OF TIGARD TDD No. (503) 684 -2772 Issued by 1 Inspection (503) 639 -4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Terry Crawford Resi r1Pnc-P Number of Inspections per permit allowed Address 7100 SW Ventura Drive Service included: Items Cost(ea) Sum City /State/Zip Tigard OR 97223 4a. Residential - per unit 4 1000 sq ft or less $110 00 Name (or name of business) Terry Crawford Each additional 500 sq ft or portion thereof $25 00 1 Commercial ❑ Residential ® Limited Energy $2500 Each Manul'd Home or Modular 2 Dwelling Service or Feeder $68 00 2a. Contractor installation only: 4b. Services or Feeders Installation, alteration, or relocation 2 Electrical Contractor Tice Electric Co 200 amps or less $60.00 2 2 Address 201 amps to 400 amps $80 00 PO Bolt 15009 401 amps to 600 amps $ 120 00 2 - City Portland State_ Zip 9293 50C9 601 amps to 1000 amps $160 00 2 Ph o. 713 -8801 FAX 231 3372 Over 1000 amps or volts $sao 00 - Contractor's License No. 26 126C Reconned only $5000 Contractor's Board Reg. No. 166 4c. Temporary Services or Feeders Installation, alteration, or relocation 2 Signature of Supr. Elec'n 200 amps or less $50 00 2 - License No. 2111S Phone No. 233 -8801 201 amps to 400 amps $�5 o0 401 amps to 600 amps $100 00 FAX No 231 -3372 Over 600 amps to 1000 volts 2b. For owner installations: see •b• above 4d. Branch Circuits Print Owner's Name New, alteration or extension per panel 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 lee for branch circuits withou The installation is being made on property I own which is purchase of service or feeder fee. 2 First branch circuit 1 $35 00 35.00 not intended for sale, lease or rent. Each additional branch circuit 1 $5 00 __5 Owner's Signature 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or imgation 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 58. panel, alteration or extension $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 C. 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: NOTICE 5a. Enter total of above fees $ -40-...011— 5% Surcharge (.05 X total fees) $ 2.00 PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ 42.00 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 $ 42.00 COMMENCED. El Trust Account # $ Balance Due $ 42.00 wadAcand.NWcpm app CITY OF TIG INSPECTION NOTICE Inspection ne: 63 -4175 siness Phone: 639 -4171 Footing • Cover /Service FINAL: Foundation Water Line Ceiling - Plumb. Post/Beam Mech. Shear /Sheath Framing -Mech. PIbg.Und /Flr /Slab Plbg. Top Out Insulation CUP Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr /Sdwlk Reins. Other: (G m Date: I `3 \ 1 1 A. . P.M. Ent : , Address: __/ b Q �L Tenant: Ste: MST: or Own: 1-3 3 - gaf) BUP: 1 i e MEC: E L C : ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: q ' ; e2--‘3) A.1,__Q,„ Ft, .... . , -. 1 .-- ', I r r PS - e C / -7-7 Inspector: Date :) '3 ?-7 APPROVED DISAPPROVED/C. FOR REINSP CF CO V CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 ( 9. / 2 : oa BUP Date Requested 0 Er AM x PM BLD Location - 7 n(, o f W ' . Suite MEC Contact Person '7-Q It' 2- PLM Contractor Ti Ph SWR b BUILDING Tenant/Owner ELC 6 ( 00r?S 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 `` �.� �C�� ✓`-. C .1, Firewall /> Fire Sprinkler 4 O f /A./ E ' Fire Alarm Susp'd Ceiling 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 PASS PART FAIL TRICAL'5 Service Rough In UG /Slab Low Voltage Fire Alarm SS. PART 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 Date • 3 - 0 -0 Ins i Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.