Permit CI1( OF T'IGAR D ELECTRICAL PE41b1.T.T
DEVELOPMENT SERVICES PERMIT P'-C98- �''1'•- � DATE ISSLLED: �?�� /4�� iCl
f3
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171
PARCEL: 2S 104AD- -02800
SITE ADDRESS...:12949 SW WALNUT ST
SIJ�'D�II�ISIO!1., „ o o 70PIN6:f- -•4, 5
BLOCK..........: JURISDICTION: TIC
Pro', ect De scr i. r t ion : Installation of 6 branch circuits,
—RESIDENTIAL UNIT---- ----TEMP SRVC/FEEDERS---- - - - - - -M T SCELLANEOUS---------
1000 SF OR LESS....: 0 0 - 200 am p.. e . e . e : 0 PUMP / I RR I GAT I ON.. � e e 0
EACH ADD' L S00SF„ e o : 0 201 •- 400 amp. . : 0 SIGN /OUT LINE LTG.. : 0
LIMITED ENERGY...,.: 0 401 - 600 amp.oano,.: 0 SIGNAL /PANELo,.os : 0
MANF. HM/ SVC /FDR..: 0 641 +amps- 1IZI0O volts.: 0 MINOR LABEL (10) ...: 0
----SERVICE/FEEDER---- ----BRANCH CIRCUITS -- -ADD' L INSPECTIONS-.-• -
0 - 200 0 amp... e ..: 0 W/SERVICE OR FEEDER: 0 PER INSPECTION.....: 0
201 - 400 amp..e...o 0 1st W/O SRVC OR FDR.: 1 PER HOUR.,.,ae.e..o: 0
401 -- 600 amp......: 0 EA ADD' L BRNCH C I RC : 5 I N 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 ;. :
awne r : _.. _ ._ .. .--- .. . - . - -- -- .. .. .-------- • - - - -• - ... - -- • .---- - -_ - -- - -- FEES - - - - _ _ _ - -- _ - _ _
HAO PHAM type amount by date recpt
12949 SW WALNUT PRIY!T $ 60.00 DEB 03/05/98 98•- 303851
'l IGARD OR SPOT $ 00 DFB 0.' /05/98 9S - -30 851
� u +i, u OR 1.. Stu
Phone * : 524 -3345
Contractor : -- ___ --_•- --..__-•- - - - - -- - -- - - -- - - - - --
Al_LWA�'S ELECT I CAL $ 63. 00 TOTAL
PO BOX 68621
--- - - - -•- REDU I RED INSPECTIONS
-- ° - -°
MILWAUKIE OR 97268 Rough -in Elect' l Final
Phone 4*: 652 -5142 Elect'1 Service
Reg *— 004903
This pernit 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 pernit will expire if work is not started within 180
days of issuance, or if work is suspended for pore 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 ORR 9E2- N1 -uf10 through OAR 952 -N1 -1987. You nay obtain a copy
of these rules or direct questions to OUNC by calli ^g (5E1246 -1987.
Permittee Signature: Issued B ° �•
- -- - - - - -- - -- - -- - - -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 :
AL.LATION! ONLY-- • .. _________
SIGNATURE OF SO PR. ELEC' N : DATE: 3 5
L I CENSE NO
4- ++ ++ t +-F- -F --+++++++++++++++ ++++ ++ + + ++ + + + + ++ ++ + + ++ + + + + + ++ +• - + ++ •h-'-4- 4- A- `{—FA-A- + ++ ++•1 •• ±+ +•+
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
+ + + +- F•+ ± + ++ : 4•+ ++ + + + + ++ + + + + + + +++ ++ +-: ++++++- F•++++ +++++ + + + + ++ + + + ++ + + ++ ++•h•i -4-1- E + + + + + ++
CITY OF TIGARD BUILDING INSPECTION DIVISION MST cl -DS 30
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested �, n — ' Z ` Q � AM PM BLD
Location 1 2-9 -1 IAD[�-�C,V liter, l Suite MEC
Contact Person f) Ph C2) 1S PLM
Contractor Ph SWR �,
BUILDING Tenant/Owner ELCO ' b( ( I
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 I Al 4 /-
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
CTR
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
F 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
Approach /Sidewalk 7– D —
Other Date Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
(11.23. 98 13:39 22503 o8d 7297 CITY OF TIGARD CO QU1%001
CI TY O F TIGARD Electrical Permit Application Plan Ch- tike. ,1
13125 SW HALL BLVD. Rec'd By�
TIGARD OR 97223 Date Recd ,5_
Date to P.E.
Phone (503) 639 -4171, x304
Print or Type Data to DST
Inspection (503) 639 -4175 Incomplete or illegible will not be accepted
Permit LC � - oia�
Fax (503) 684-7297 Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development _ - i Number of Inspections per permit allowed _ •
Narne (or name of buussiness) / �/ _ / 447c- Service included: Items Cost Sum .
Address /2-9 / % d V4, 4a. Residential - per unit
1000 sq ft or lass $110.00 4
City!State :Zip Each additional 500 sq. ft. or
•
portion thereof $25.00 1
Commercial ❑ Residential ❑ I-imlteo Energy $25.00 _
-
Each Maned Home or Modular .
2a. Contractor installation only: Dwet:lr.a Service or Feeder �_ 568.00 2
(Attach copy of all cur nt is uses) 4b. Services or Feeders (
Electrical Contractor ./ - 1 - �/� Installation, alteration, or relocation t •
Address • Z_ _ L PjG 200 amps or less $60.00 2
201 amps to 400 amps - 580.00 , 2
City w State ` Zip 401 amps to 600 amps $120.00 2
Phone No. .0S 7 - / L ^T 601 amps to 1000 amps $18C 00 2 I -
Job No. Over 1000 amps or volts $340.00 2
_ Reconnect On•y $50 00 2
Elec Cont. Lice No. � _ 2 9C, Exp.Date 1p -l --
OR Sate CCB Reg. No. �0 3 2- _.Exp.Date_S'22. - Veer At. Temporary Services or Feeders
COT Business T etr N E .Date Installation, alteration, or reloc�• on
• 200 amps or less
201 amps to 400 amps __ 350.00 • S75 00 2
Signature of S�pr - 2
' ' - -- 401 amps to 600 amps 5100 00 2
-
C /0 --/ _ 9 f/ Over 600 amps to 100C volts,
License No _/z a Exp.Date d sae "b' above.
_
• Phone Ni - .. - 3 --- E- - -...5 - /
4d. Branch Circuits
New, alteration. or extension per panel
2b. For owner installations: a) The lee for branch circuits with
purchase of service or
Print Owner's Name feeder fee.
Address Each branch circuit 55.00 __' 2
b) The lee for branch circuits 1
Ciry State Zip . without purchase at O O
Phone No _ service or feeder fee. / �5-.
First branch circuit 535 00 - , 2
The installation is being made on property I own which is not tech additional branch circuit $5.00 2--> 2
intended for sale, lease or rent. 4e Miscellaneous
;Service Or feeder not included)
Owners Signatui e Each pump or ir•igatlon c rcla 540.00 2
Each sign or outline lighting $40.00 2
3, Plan Review section (if required):; Signal circu;tt5) ore limited energy
panel, alteration or extension $40.c0 2
Minor Labels (10) $100.00
-
Please check appropriate item and enter fee in section 58.
4 or more residential units in one structure 4f. Each additional Inspection over
Service and feeder 225 amps or mere the allowable in any of the above
System over 600 volts nominal =er inspection $35.00
_-
Classified area or structure Containing special occupancy Per hour S55.00 _•
as described in N.E.0 Chapter 5 In Plant 555.00
�o
* Submit 2 sets of plans with application where any of the above apply. 5. Fees: 4r) o
Not required for temporary construction services 5a. En:er total of above fees $
s-; S„rcharge (.05 X total fees; $
NOTICE Subtotal $
5b. Enter 25% of line 5a for
PERMITS BECOME VOID IF WORK OF CONSTRUCTION AUTHORIZED 1= I Fier Review if required (Se. 3) $
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal $ o
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 150 DAYS AT ANY CI
TIME AFTER WORK IS COMMENCED. ❑ Trust Account # 63 l
Total balance Due $
I ',DST SkELCS6 APP Rov 9 •