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Permit ap, 6 CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2000 -00460 ; i DEVE r S O ERVICES ) 639 -4171 DATE ISSUED: 8/10/00 PARCEL: 1 S133DC -14400 SITE ADDRESS: 11607 SW WINTERLAKE DR SUBDIVISION: ARI GREEN ZONING: R -12 BLOCK: LOT : 035 JURISDICTION: TIG Project Description: Feeder and 3 branch circuits. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: 0 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: 1 W /SERVICE OR FEEDER: 3 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 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: O'BIEN, JAMES M + HEBERLE ELECTRIC NICOLETTE 19680 SW NEUGEBAUER RD 11607 SW WINTERLAKE DR HILLSBORO, OR 97123 TIGARD, OR 97223 Phone: Phone: 503 - 628 -2095 Reg #: SUP 3053S LIC 42841 ELE 34 -160C FEES Required Inspections Type By Date Amount Receipt Elect'l Service PRMT DLH 8/10/00 $80.30 0004415 Elect'l Final 5PCT DLH 8/10/00 $6.42 0004415 Total $86.72 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 copies of these rules or direct questions to OUNC at (503) 246 -1987. PERMITTEE'S SIGNATURE O / _, P4/e . 4770 , , , , ISSUED BY: / (0;14... /..zy _ s _ e ____ 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: DATE: LICENSE NO: Call 639 -4175 by 7:00pm for an inspection the next business day CITY OFD TIGARD Electrical Permit Application Plan Check # 13,125 SW HALL BLVD. RECEIVED Rec'd By TIGARD OR 97223 Date Rec'd Phone (503) 639 -4171, x304 & Date to P.E. Inspection (503) 639-4175 AUG 0 7 2000 ,{ Il7 Date to DST Print of Type I Permit #�LC ae�p �10 y6O Fax (503) 598 -1960 Incomplete or ille � of oe0accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development 141 Number of Inspections per permit allowed Name (or name of business) � Service included: Items Cost Sum Address 11400 t,�I'I'1'LfT+2�Lrnr '. - 4a. Residential - per unit City/State /Zip 11A,„4--e.7 �e..._ 9" lZ3 1000 sq. ft. or less $ 117.75 4 Each additional 500 sq ft. or portion thereof $ 26.25 1 Commercial ❑ Residentialt4 Limited Energy $ 60.00 Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 2 (Prior to permit issuance, applicants must provide contractor license 4b. Services or Feeders / information for COT da base). Installation, alteration, or relocation Electrical Contractor �[�C P� G- -1 200 amps or less ( $ 64.25 . f• 2 Address (WAD -L� I) L. 201 amps to 400 amps $ 85.50 2 401 amps to 600 amps $ 128.50 2 City 4 {ILL$(k State Cie-- Zip 9 _ 601 amps to 1000 amps $ 192 50 2 Phone No. 3 - ZOO q Over 1000 amps or volts $ 363.75 2 Job No. f Reconnect only $ 53.50 2 Elec. Cont. Lice. No.34 --I (,,O c- Exp.Date Lfll o ( 4c. Temporary Services or Feeders OR State CCB Reg. No. 47Sh I Exp.Date o ( Installation, alteration, or relocation COT Business Tax or Meto No. 1,n-71.__-Exp. ► ate - 7 0 ( 200 amps or less $ 53.50 2 201 amps to 400 amps $ 80.25 2 41 11W . _ , . 401 amps to 600 amps $ 107.00 2 Signature of Supr. E - `,/ / Over 600 amps to 1000 volts, see "b" above. License No. :. AIM Exp.Date LID O Phone No. - . Z,p if • Branch Circuits 1 New, alteration,or extension per panel a) The fee for branch circuits 2b. For • caner in . allati • -, with purchase of service or feeder fee. Print Owne - Name Each branch circuit $ 5.35 2 Address b) The fee for branch circuits without purchase of service City State Zip or feeder fee. Phone No. First branch circuit $ 37.50 Each additional branch circuit -3 $ 5.35 The installation is being made on property I own which is not 4e. Miscellaneous intended for sale, lease or rent. (Service or feeder not included) Each pump or imgation circle $ 42.75 Owner's Signature Each sign or outline lighting $ 42.75 Signal circuit(s) or a limited energy 3. Plan Review section (if required):* panel, alteration or extension $ 60.00 Minor Labels bels (10) $ 107.00 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 $ 50.00 Per hour $ 50.00 System over 600 volts nominal In Plant $ 59 00 Classified area or structure containing special occupancy as described in N.E.C. Chapter 5 5. Fees: i 5a. Enter total of above fees $ 76 * Submit 2 sets of plans with application where any of the above apply. .6t Surcharge (05 X total fees) $ Not required for temporary construction services. Subtotal $ NOTICE S 5b. Enter 25% of line 5a for Plan Review if required (Sec. 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account # l- 1 AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ � , I: \dsts \forrns \electric.doc .,CITY OF TIGARD BUILDING INSPECTION DIVISION MST , 24 -Hour Inspection Line: 639 -4175 Business Lin: 6p-4171 � BUP / gP Date Requested g 2-- ` 9. i --- C° AM's = - `"'PM BLD Location / /YJ ? 5 u'J di%741l% Suite MEC Contact Person V #44 _ _ 7 Ph ",2. 093 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC ed1 d 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 :! ._ , , / ,ice �� _ Fire Alarm i! Susp'd Ceiling Roof Misc: ./ -e-e 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 L Service Rough In UG /Slab Low Voltage Fire Alarm PASS PART SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date it 2/ on Inspector 6 Ext Final PASS PART FAIL 0 OT 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 BUP Date Requested F / r AM PM BLD Location a ; 01 Sw i/n• 1. -/d /(v Dr ' Suite MEC Contact Person Ph G Z4 2� � l .) PLM Contractor f'Ci- . Ph SWR BUILDING Tenant/Owner ELC 2 " G G c/6 U 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 Rough In UG /Slab Low Voltage Fire Alarm �inal SS PART FAIL SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Rein ection fee of $ required before next inspection. Pay at Ci all, 13125 SW Hall Blvd Catch Basin /� Fire Supply Line [ ' ease call for reinspection RE: L(� - rE2 - 0 Q nable to inspect - no access ADA Approach /Sidewalk _Za* Other Date Inspector Ext Final PASS PART FAIL DO J T REMOVE this inspection record from the job site. • CITX'OF TIGARD BUILDING INSPECTION DI fd O 24 -Hour Inspection Line: 639 -4175 Business ne: 6 39- 4'1. 1J BUP Date Requested 9 M 1 PM BLD Location O "w 1v /fr)41 /441 d ✓ Suite MEC Contact Person - - a' geo PLM Contractor Ph / /� SWR • BUILDING Tenant/Owner �� M � f /4) n 4 a /CQG/1. ELC 2 -" ' ° ` O Retaining Wall CI /44 Se 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 R5 FAIL LECTRIC I b -> Rough I //j ' 6 UG /Sla • ['t� ► Low Vol': •e L I Fire Alarm dede , Final PASS PART FAI SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Rei pection fee of $ required before next inspection. Pay at Ci Hall, 13125 SW Hall Blvd Catch Basin ,� / Fire Supply Line [ lease call for r inspection RE: zi i 2.677D [ nable to inspect - no access ADA • Approach /Sidewalk Other Date fl'� Inspector Ext Final PASS PART FAIL DO OT EMOVE this inspection record from the job site. 7 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested /1) AM PM BLD Location / / 67 5 G✓ Gvi n ,&2, /Ghe lY Suite MEC Contact Person Ph f '3 S Z f 0888 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC J-vvv - 00 1 / 4 0 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 Q Q S s Roof Misc: Final PASS PART FAIL // ff PLUMBING f� /5,1,/� IS CV/ S — C DO h Q C e.d J 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 LECTRICAL� Service / Rough In �. 1L ,4 UG /Slab Low Voltage Fire Alarm F' • - S ; 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: [ ] Unable to inspect - no access ADA 1,0-04- Approach /Sidewalk Dat 6 Ins an.a , Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.