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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC1999 -00402 , DEV w H P r S O ERV 2 C+ES 1 639 -4171 DATE ISSUED: 7/7/99 - 13125 • OR GN ALPARCEL: 2S114AD -03200 SITE ADDRESS: 08910 SW WAVERLY DR SUBDIVISION: WAVERLY ESTATES ZONING: R -12 BLOCK: LOT : 031 • • JURISDICTION: TIG Project Description: Installation of one 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: LYNN FULLER ALL -WAYS ELECTRICAL 8910 SW WAVERLY DR 6032 SE BREWSTER PL TIGARD, OR 97224 MILWAUKIE, OR 97267 Phone: Phone: 513 -6614 Reg #: SUP 1287S LIC 0049032 ELE 3 -229c FEES Required Inspections Type By Date Amount Receipt Elect'l Service PRMT DEB 7/7/99 $37.50 99- 316648 Elect'l Final 5PCT DEB 7/7/99 $2.63 99- 316648 Total $40.13 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 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 rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copie • • - e rules or direct questions to OUNC at (503) 246 -1987. Permit Signa i� / Is . ued By: - i • / - OWNER INSTALLATION O • The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR I TALLATION ONLY SIGNATURE OF SUPR. ELEC'� DATE: < LICENSE NO: AP-S S Call 639 -4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Electrical Permit Application Plan C eck# 13126 - SW HALL BLVD. Recd y TIGARD OR 97223 Date Recd 7 - 7-9 Date to P.E. --- Phone (503) 639 -4171, x304 .,_----- Inspection (503) 639 -4175 Print or Type Ins Date to DST p Incomplete or illegible will not be accepted Permit # 1,G /y�i�i' -Dy Fax (503) 598 -1960 Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name (or name of business) / Service included: Items Cost Sum I Address Q 7 /` --C, K ). WA l /Pif l y -1 r 4a. Residential - per unit / 1000 sq. ft or less $110 00 4 City/State /Zip I 1r 2-0 Each additional 500 sq. ft. or portion thereof $25.00 1 Commercial ❑ Residential vi, Limited Energy $25.00 Each Manufd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: (Attach copy of all c - t lice s > -) 4b. Services or Feeders Electrical 01. ract. i - , J e' Installation, alteration, or relocation 200 amps or less $60.00 2 Address ,di 741/ 201 amps to 400 amps $80.00 2 City //� J ir. - State 0/2 Zip ��X/S, 401 amps to 600 amps $120.00 2 Phone No. S 3 .4,/ 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. ^ ZZ Exp.Date /D - / - 99 OR State CCB Reg. No. O Exp.Date/O- /- ® / 4c. Temporary Services or Feeders COT Business Tax or M tro No. Exp.D Installation, alteration, or relocation 200 amps or less $50 00 2 Signature of Supr.' l-� ., 4. 201 amps to 400 amps - $75 00 2 401 amps to 600 amps $100 00 2 Over 600 amps to 1000 volts, License No. /26r 7_' Exp.Date/0-/-99 see "b" above. Phone No. -/,5 ''C,‘/51. 4d. Branch Circuits New, alteration or extension per panel 2b. For owner installations: a) The fee for branch circuits with purchase of service or feeder fee. Print Owner's Name Address Each branch circuit - $5.00 2 b) The fee for branch circuits City State Zip without purchase of 37, co Phone No. service or feeder fee. �„�� ; First branch circuit $35.00 X6 2 Each additional branch circuit - $5.00 2 The installation is being made on property I own which is not 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):* Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over 4 or more residential units in one structure the allowable in any of the above Service and feeder 225 amps or more Per inspection $35.00 System over 600 volts nominal Per hour - $55.00 Classified area or structure containing special occupancy In Plant - $55.00 as described in N E.C. Chapter 5 5. Fees: 3 ? l * Submit 2 sets of plans with application where any of the above apply. 5a. Ente al of above fees $ Not required for temporary construction services. 7 o Surcharge (.05 X total fees) $ ubtotal $ NOTICE 5b. Enter 25% of line 5a for Plan Review if required (Sec.3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Subtotal $ NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY ❑ Trust Account # TIME AFTER WORK IS COMMENCED. Total balance Due S y0' / I: \DST \ELEC98.DOC REV 4/98 8/24/99 Activities for Case #: ELC1999 -00402 iii 9:06:05 AM lour / /i/l, 414 -ix - -• / Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELCA001 Application received 7/7/99 DEB DONE No Hold DEB 7/7/99 . ELCA003 Permit created 7/7/99 DEB DONE No Hold DEB 7/7/99 ELCA730 Elect'l Service 7/7/99 7/7/99 No Hold DEB 7/7/99 ELCA799 Elect'l Final 7 /7/99 7 /7/99 7/8/99 CD FAIL No Hold AKJ 7/8/99 no access ELCA500 (F) Issue permit 7/7/99 DEB DONE No Hold DEB 7 /7/99 ELCA799 Elect'l Final 7/11/99 7/11/99 7/9/99 CD PASS No Hold AKJ 7/11/99 ELCA800 Case finaled 7/11/99 AKJ DONE No Hold AKJ 7/11/99 • ' , 10 / C.) • Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639-4171 BUP Date Requested . q AM PM BLD Location D I f 0 Ow-EA/Q-6 Or. Suite / MEC Contact Person r( Ph !,.JSt 2 ,�((t2I "[ PLM Contractor Ph SWR G BUILDING Tenant/Owner ELC I cjq 1 — cv'l , � t � OZ- Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection tes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Inulatio Dsrywalln Nailing /� /9�9 _®-0K) O 2, - Dwall (� 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 PART FAIL LECTRICAT3 Service Rough In UG /Slab Low Voltage Fire Alarm in - AAUP' ART 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: "IF [ ] Unable to inspect - no access ADA Approach /Sidewalk p Other Date 9 / 9 Inspector _�L �� Ext x 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 qG BUP Date Requested 7 l 1 AM PM k BLD Location CM I 0 (AD‘Weit tiL Suite MEC Contact Person Ph 513- toCaPi PLM Contractor Ph SWR p BUILDING Tenant/Owner ELC `n 9i / (7 --on coz. 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 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 ELECT Service Rough In UG /Slab Low Voltage Fire Alarm PASS PART �Fi41 SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ • lease call for reinspection RE: c. / 99q - OOO 2. [ierrinable to inspect - no access Fire Supply Line ADA Approach /Sidewalk � — 99 Ext Inspector xt Other • Date �' p Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.