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13910 SW BARROWS ROAD W c0 C) U) S w D X X J N v i 1 1319 o u SW BARROWS RP. `� �� w(v,;,'�� ,4 ELECTRICAL PERMIT Ci T PERMIT#: ELC2000-00241 DEVELCPMENY SERVICES DATE ISSUED: 05/10/2000 13125 SW Hali Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S133CA-02000 S!TE ADDRESS: 13910 SVV BARROWS RD SUBDIVISION: ZONING: R-25 BLOCK: LOT : JURISDICTION. TIG Project Description: Install 1 branch circuit and signal circuit ur a limited energy panel, nkeration or extension. RESIDENT IAL UNIT _ TEMP SRV O/F_EEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMPARRIGATION: E<.CIJ ADD'L 500SF: 261 - 400 amp: SIGN/GUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL./PANEL: 1 MANF HM/SVC/FDR: 601+amps - 1000 volts: PAINOR LABEL (10): _ SERVICE/FFED_ER BRANCH CIRCUITS _ADD'! INSPECTION`•,_4__ 0 - 200 amp: WISERVICE 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: 001 - 1000 amp: FLAN REVIEW SECTIOII _ ___ ___ 1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: _ SVC/FDR >=_225 AMPS: _ CLAS.`J AREA/SPEC OCC _ Owner• Contractor: GTE NGR fHWF.ST INC NOR1•HWEST PUMP + EQUIPMENT GARY N VrILLIAMS 2800 NW 31ST GTF TELEI-yONE OPFRATIONS PORTLAND, OR 97210 IRVING, TX 15015 Phone: Phone: 227-7867 Reg #: ELE 26-8520 ORIGINAL LIC 00064567 SUP 3155S FEES _Required Inspections Type By Date Amount Receipt! lecr'; Service PRMT KJP 05/10/2.000 $97.50 0002053 Flect'I Final 5PCT KJP 05/10/2000 $7.80 0002053 - i Total � T1 X35.30 This Permit is issued Fublect to the reguloJc,c xntainLI in the Tigard fvwniapal 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 of started within 180 days of i:suance,or if work is suspended for more ti an 180 days ATTENTION Oregon;-iw requires you to follow rules adopted by the Oregon U+hiity Notification Center Those rules arp set forth in OAR 952-001-0010 through WIR^a52-00'-0080 You may obtain copies Cf these rul,c or ct questions to OUNC at(503) 246-1987 PERMITTEE'S SIGNATURE ISSUED BY _ OWNER INSTAr-LATION ONLY The installation is being made on property I own which is not inter,led for sale, lease, or rent. OWNER'S SIGNATURE _ _ _.___. __ DATE: CONTRAL:TOR INSTAL11LATk')N ONLY _ SIGNATURE OF SUPR. ELEC'14 �n �` " 'J _ DATE:` —_ LICENSF NO: ------- Call 639-4175 by 7:00pm for an inspection the next 'iusiness day V - CITY OF TIGARD Electrical Permit Application PlenCheckA 13126 SW HALL BLVD. Recd By TIGARD OR 97223 Data Data to Phone (503)639-a 171, x304 Print of Type Date to DST Inspection (503) 639-4175 Incomplete or illegible will not be accepted Permit 0 rCLC-L iuy Fax (503) )93-1960 Called 1.� Job Address: 4. Complete Fee Schedule .Below: Number at Inspections per permit Name ci Development avowed Name (or name of businesss _ __� Address 13 Service Service included: ItemsCost Sum 11 AlMo//1� -- 4a. Residential-per unit � City/State/Zip T[( t nry�, 1000 sit 11 or less $ 117.75 _ 4 c7f Each additional 500 sq Itof Comrrercial lel Residential ❑ portion thereof $ 26.75 1 I Imlled Fnergy $ 60.00 2a. Contractor Installation only: Foch M g S Horne arervice 0r Feeeeddeere Dwelling Sr r $ 72.75 (Prior to permit Issuance,applicants must provide contractor - license Information for COT data b el. c 4b.services or Feeders Electrical Contractor r C,t:Jbld/)t�( j Irrslalletlon,ellerellon,or relocation Addie s �f3 N.t:. / S' ?J 200 amps or less _ t 64 CI State 2j 9 22,10 401 amps 10 400 amps S 85.50 2 ��— � P 401 amps In 800 amps _ S 128.50 2 Phone No. 0-2c15l�TI.�.� 601 amps 1000 amps S 192.50 2 Job No. _ -5 3`t rip.2- over 1000 emps or volts S 083.75 2 Elec. Cont. Lice. No. 85C EX Date j0 ! Reconnect only $ 5350 2 OR State CCH Reg. No.&Y54,17 Exp Date 'A1041 4c.Temporary services or Faedem COT Business Tax or Metro No. $r Fxp.Date 0_I Instalkitlon,altaratlon,or relocation / 200 amps or loss $ 53.50 1 Signature of Supr. EIeC'n ecNU 201 amps to 400 amps --— $ 60 25 i - 401 amps to 600 amps S 10000 License No. Exp.Date 1 UL crisea"b"above Eno amps to 10oo volts, --^ -�-- Phone No. _�10��2f,�3 4d Btant-.Circuits New,altaisrion or extension per panel 2b For owner"astallations: a)The lea for branch circuits with _ - I pure lase of service or feeder Pont Owner's r47-,meroe. AddressI rich branch circuli S 535 Cit —State 7_I - -- h) 'tie fee for branch circuits -- - - Phone Nu- without purchase of service -- _ _--_—-- or reader fee. r7 First branch circuit S 37.50 The installation is being k)de on property I own which is not Fach additional branch circuit - S 5 35 intended for sale, lease or rent 4e.Miscellaneous na Owner's S. ture (Service or feeder not Included) r 9 __ -----_-...—__—_-- Each pump or litigation circle T $ 4 75 1 Each sign or outline lighting S 4275 3, Plan Review section(if required):' r Signal clrcull(s)of a limited energy _ panel,alteraWn or extension S 500o Please check appropriate Item and enter fee In section 5B. Minor I ab&(10) $ 10000 4 or more residential units in one structure 41.Each additional Inspection over Service and feeder 22.5 amps or more the allowable In any o1 the above System over FM volts nominal Per inspection _ — S 5000 �- __` Classed area or structure containing special occupancy as Per hour - $ 5000 - _-- described in N.E.C.Chapter 5 In Plant S 5900 — 5. Fees: ' 3uDmit 2 sets of plans with application where any of the 6o.Fnter Intel of above reel S ZJ above apply. 6%Surcharge(06 x total fees) $ 7.Pp Not required for temporary construction services. subtotal s 8b.Enter 25%o:line 8a lot (NOTICE Plan Review H I _quked(Sec 3) $ Subtotal $- - PERMITS BECOME VOID IF WORK OR CONSTRUCTION AU rHORIZED IS NOT ---"- COMMENCEp WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS n Trust Arcount 0 SUSPENDSy OR ABAN"ED FOR A PERIOD OF 180 DAYS AT ANY TIME Tcrsl balance Duo AFTER WORK IS COMMENCED UTY OF TiCARD BUILDING INSPECTION DIVISION '4-Hour Inspection Line: $39-4175 Business Line: 639-4171 MST BI.1P _ Date Requested�L_ S//17/00 AM��,/ PM - BLD Location ly�SSuite MEC r Contact Perscn7V1 94a� Ph S— �/o PLM Contractor L y h�-U�'GC% c Ph _ SWR BUILDING-- , _. L.0 I Tenant/(�wneiE ��E � Retaining Wall ELR Footin9ACCes •,.1,s ' Foundation % , i FPS Fig Drain / V c V,1 — Crawl Drain Inspection Notes. SGN Slab ----- Post& Beam SIT Ext Sheath/Shear int Sheath/Shear - -- �- Framing Insulation - Drywall Nailing Firewall --- - - --- Fire Sprinkler Fire Alarm Susp'd Ceiling _— — - Roof I _-- Misc: Final `_____--------- � ` �� - ------- -— PASS PART FAIL PLUMBING Post&Beam Under Slab Top Out Water Servic o Sanitary Sev.-r - Rain Drains Final - PASS PART FAIL MECHANICAL Post&Beam Rough In Gas line -- -- Smoke Dampers — Final — P PART FAIL Service _ Rough In - UG/Slab Low Voltage F As7PART FAIL Backfill/Grading --- Sanitary Sewer Storm Drain ( J Reinspection fee of$ required before next Inspection. Pay at City Hall, 13125 SW Hail Blvd Catch Basin Fire Supply Line ( J Please call for reinspection RE:_ _ _ [ J Unable to inspect-no access ADA Approach/Sidewalk /��f Other Date �_ ' ��6� Inspector__ _----- -- Ext Final PASS PART FAIL J CSO NOT REMOVE this inspection record from the job site,