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Permit CITY OF TIGARD ELECTRICAL PERMIT , , - " iiikho 1 A DEVELOPMENT SERVICES PERMIT #: ELC98 -0603 � =� ° = -. � 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 09/30/98 PARCEL: 25111BC -03300 SITE ADDRESS...:1O375 SW VIEW.TERR SUBDIVISION -DOUGLAS HEIGHTS ZONING:R -3.5 BLOCK • LOT •008 JURISDICTION: TIG Project Description : Installation of 1 branch circuit. - -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS 1000 SF OR LESS • 0 0 — 200 amp • 0 PUMP /IRRIGATION • 0 EACH ADD'L 5O0SF...: 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 OCC.: Owner: FEES DOUG JOHNSON type amount by date recpt 10375 SW VIEW TERRACE PRMT $ 35.00 DEB 09/30/98 98- 309628 TIGARD OR 97224 SPCT $ 1.75 DEB 09/30/98 98- 309628 Phone #: • Contractor: . DOUG JOHNSON '$ 36.75 TOTAL 10375 SW VIEW TERRACE REQUI RED INSPECTIONS TIGARD OR 97224 Elect'1 Service Phone #: 639 -0737 Elect' 1 Final Reg * a a: 000000 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 •,les ary et forth 'n OAR 952 -001 through i't 952- 001 -1987. You may obtain a copy of these rules or direct questions to OUNC , all ..-,6; Permittee Signature:,)(4t ! 'ssu-d By: _ , T D 4 ,- . IN % • LLAT I ON ONLY----- - The installation is be • , m.4.- / I own which is not intended for sale, lease, or rent. / _ 9e OWNER'S SIGNATURE: �� � f L, 17 • • DATE: — CONTR / TOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' N: DATE: . LICENSE NO: ++++++++++++++++++++++++++++++++++++++++++++++++ + + ++++ + + + + + + ++ + + + + + + + + + + + + + + + ++ Call 639-4175. by 7:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++- i-- t-++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ • CITY Of TIGARD Electrical Permit Application Plan Chec ar 161'25 SW HALL BLVD. Rec'd By " Date Rec'd q - 30 -1g TIGARD OR 97223 Date to P.E. Phone (503) 639 -4171, x304 Date to DST Inspection (503) 639 -4175 Print or Type Permit # G1-e4 CO30_3 Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called 1. Job Address: 1 r- 4. Complete Fee Schedule Below: P O Name of Development OM Number of Inspections per permit allowed Name (or name of business) 1:4) O LAS E --)0 14)..) '5131Q Service included: Items Cost Sum Address 1031 1 £ 7 •5 w Vi an1 - T - E-tZ 2Ps C-E 4a. Residential - per unit City/State/Zip � iaArt2t� 01 2 e n 2.7..4 Eac ad additional o l 5 s $110.00 4 ty p Each additional 500 sq. ft. or Commercial ❑ Residential portion thereof $25.00 1 L imited 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 Installation, alteration, or relocation 200 amps or less $60.00 2 - Address 201 amps to 400 amps $80.00 2 City State Zip 401 amps to 600 amps $120.00 2 Phone No. 601 amps to 1000 amps $180.00 2 Job No. Over 1000 amps or volts $340.00 2 Reconnect only $50.00 2 Elec. Cont. Lice. No. Exp.Date OR State CCB Reg. No. Exp.Date 4c. Temporary Services or Feeders COT Business Tax or Metro No. Exp.Date Installation, alteration, or relocation 200 amps or less $50.00 2 201 amps to 400 amps $75.00 2 Signature of Supr. Elec 'n 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No. Exp.Date see "b" above. Phone No. 4d. Branch Circuits New, alteration or extension per panel 2b. For owner installations: a) The fee for branch circuits with �� L.AS � � purchase of service or Print Owner's Name o H-..1 o J feeder fee. Address Ic_13 SW 6E - tee-RACE E2ACE Each branch circuit $5.00 2 5 b) The fee for branch circuits CityTt l ,A r t .r StateofZ Zip 9"127.4- without purchase of Phone No. t:, ' - oZ 37 service or feeder fee. 3 5 a First branch circuit I $35.00 2 The installation is being m- • an pr u • ,erty I own is not Each additional branch circui $5.00 2 intended for sale, lease : t. / _/ ' 4e. Miscellaneous �i (Service or feeder not included) Owner's Signature ._ia ✓ �' ■ Each pump or irrigation circle $40.00 2 Each sign or outline lighting $40.00 2 3. Plan Review - 4ti on (if r,./. uired): * 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: 26-. C O Not required for temporary construction services. 5a. Enter total of above fees $ { 5% Surcharge (.05 X total fees) $ / • 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 / • 7C TIME AFTER WORK IS COMMENCED. ❑ Trust Account # ( Total balance Due I \DSTS \ELC96 APP Rev 9/96 G /0 g(Ty OF TIGARD BUILDING INSPECTION DIVISION 24 - Ho u r Inspection Line: 639 -4175 Business Line: 639 -4171 MST . - BUP 6 U 7�- I Date Requested 1U ' 7 - 0 AM PM BLD Loca ion C Q 75 () W - 0) d JU2iL Suite MEC Contact Person 0,. O t ` /yl,�Qif A'-J Ph 03q-c7 3 -7 PLM Contractor Ph SWR �y /� BUILDING Tenant/Owner ELC 9/? " )603 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 - . �L Drywall Nailing _.._ _ • ! • Awl — L_ i.. _ _ es _ r Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling --e.-=', --o Roof Misc: Final �` PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out • Water Se rvice Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL • Post & Beam Rough In Gas Line Smoke Dampers Final p $S PART FAIL ELECTRICAL jj Service Rough Int I q UG /Slab l'otei.- II Low Voltag s - rm ► ' i 05 '- . , R il I Backfill /Grading 3 ® R Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line • lease call for reinspection RE: r [ ] Unable to inspect - no access ADA ' Approach /Sidewalk Other Date /D - 7- 3',f 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 � - — /d BUD loci Date Requested .� / AM BLD Location 10375 3'L( - 1/ Lew tL Suite MEC Contact Person ,■1: � '1 .I 411,11 a)1 Ph (a 37 37 PLM Contractor Ph SWR • BUILDING Tenant/Owner 42) L -6 6 6 3 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 , edi �fl c ' 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 fit' RICAL Rough Rough In Low Voltage Fire Alarm Final PASS 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 Date JO — Inspector 97 Inspecor Other Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.