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Permit As CITY �� T PERMIT #: ELC98-0568 DEVELOPMENT SERVICES u�o��n�m~��nn�oo�n�n v�n�nx�n��w~x� DATE ISSUED: 09/21/98 �� 13125 SW Hall Blvd., Tigard, OR 97223 (503)639 PARCEL: 1S125DC-02700 VENTURA SITE ADDRESS ^07100 SW E DR SUBDIVISION ~WASHINGTON SQUARE ESTATES ZONING:R-4.5 BLOCK..........: LOT ......... ....:024 JURISDICTION: TIG Project Description: Electrical addition -------- --`---- — --------- -- — --- - --RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS----- 1000 SF OR LESS....: 0 0 — 200 mp.......: 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...... W/SERVICE OR FEEDER: 0 PER INSPECTION.....: 0 201 — 400 amp : 0 1st W/O SRVC OR FDR.: 1 PER HOUR...........: 0 401 — 600 amp ~ 0, EA ADD'L BRNCH CIRC: 5 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 $ 60.00 B 09/21/98 98-309312 TIGARD OR 97223 5PCT $ 3.00 B 09/21/98 98-309312 Phone #: Contractor: ------------ ----------- • CRAFT ELECTRIC INC $ 63.00 TOTAL 11077 N. VANCOUVER WAY SUITE 21 REQUIRED INSPECTIONS PORTLAND OR 97217 Rough—in Elect'l Final Phone #: 283-2784 Elect'l Service Reg #..: 006845 This peroit 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 expire if work is not started within 180 days of issuance, or if work is suspended for oore 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 DAR 952-0W1-*1110 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: _ [ '-' Issued By: � 6�^ �/ ^' ---- -- \\ �x�4��/ ------ -----OWNER INSTALLATION ONLY --- --- The installation is being made on property I on which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: _ DATE: �-----------------------CONTRACTOR INSTALLATION ONLY-------- -------------- ~ SIGNATURE OF SUPR. ELEC'N: cajloln DATE: LICENSE NO: _ _' +++++++++++++++++,++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Call 639-4175 by 7:00 p.m. for an inspection needed the next business day +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ I- , CITY OF TIGARD Electrical Permit Application Plan Check • 13125 SW HALL BLVD. Rec'd By - '1 1 1 OASI 1' . TIGARD OR 97223 Date Rec'd �(�rita`t► Date to P.E. Phone (503) 639 -4171, x 304 Date to DST Inspection (503) 639 -4175 Print or Type Permit #r 9 tS Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development n eF 9A t Number of Inspections per permit allowed Name (or name of bus s C � K - ci ^C. Service included: Items Cost Sum Address 1 C' , VP1 X.)ro. 14 e..., 4a. Residential - per unit 1000 sq. ft. or less $110.00 4 City /State /Zip 1 T A Y ∎ ( � j l Each additional 500 sq. ft. or Commercial ❑ U Residential portion thereof $25.00 1 Li mited 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 Craft Electric Installation, alteration, or relocation 200 amps or less $60.00 2 Address 1 1 077 N Vancouver Way Ste . 21 201 amps to 400 amps $80.00 2 City Pori 1 and State op Zip 9 7 71 7 401 amps to 600 amps $120.00 2 Phone No. ? 8 3 2 7 R 4 601 amps to 1000 amps $180.00 2 Job No. Over 1000 amps or volts $340.00 2 Elec. Cont. Lice. No. Lice. 6- 5 7 9C Exp.Date 1 0/ 1/ 9 8 Reconnect only $50.00 2 OR State CCB Reg. No. 6 8 6 4 5 Exp.Date 9 / 2 7 / 9 8 4c. Temporary Services or Feeders COT Business Tax or Metro No. 1 6 R 9 Exp.Date 1 / 1 / 9 9 Installation, alteration, or relocation 200 amps or less $50.00 2 Signature of Supr. Elec'n 9). 201 amps to 400 amps $75.00 2 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No. 3 4 8 OS Exp.Date 1 0/ 1/ 9 8 see "b" above. Phone No. 283 -2784 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 - City State Zip b) The fee for branch circuits ty p without purchase of Phone No. service or feeder fee. S v w 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 S �" 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 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: Not required for temporary construction services. 5a. Enter total of above fees $ I On .11° 5% Surcharge (.05 X total fees) $ 3- ' NOTICE Subtotal $ (..0'`' 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 # I $ Total balance Due i I \DSTS \ELC96 APP Rev 9/96 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 iq BUP / /3 Date Re uested — q SAM PM BLD Location 7/00 iiiiirt0 T Suite MEC Contact Person Ph PLM Contractor L/ /! Of 0. di Ph „283 SWR q BUILDING Tenant/Owner 056S Retaining Wall - - Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath/Shear Framing Insulation D Drywall Nailing Firewall Fire Sprinkler 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 <ELECTRICAL Se rvice, Rough In UG /Slab Low Voltage Fire Ala j • r PART 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 Date - % Inspector Ext 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: 639 -4175 Business Line: 639 -4171 O X BUP 9 — 1I Date Date Requested /0 / �- ' /�%, AM PM BLD Location 7100 A _' • Suite MEC Contact Person Ph 5/ / "Z7- / PLM Contractor 604-P/ r / A Ph 7 ( p SWR BUILDING Tenant/Owner .1_ 1 _ /Ii1.4_ ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam ,� 1 0 11)D /� l--p / 1 ( " & I Ext Sheath /Shear 'V �(� I��C"� (,/ V �J�.J Int Sheath /Shear Framing Insulation ` Drywall Nailing — — _ _ /arum: Firewall Fire Sprinkler 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 _ h , FAIL Service V I ab Low Voltage Fire Alarm Fi�.•- PART FAIL Backfill /Grading Sanitary Sewer Storm Drain [ I 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 fe021, � Inspector &2'"6"c Ext Final PASS PART FAIL DO NOT REMOVE, this inspection record from the job site.