14114 SW BENCHVIEW TERRACE A M
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CITY OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC98-0732
13125 SW Hall Blvd,, Tigr.rd,OR 97223(503)639.4171 DATE ISSUED. 12/15/98
PARCEL.- 2S 10 3PA--03600
SITE ADDRESS. . . : 14114 SW BENCHVIEW TERR
SUBDIVISION. . . . :H I Ll_SH I RE SUMMIT Z-JN I NG:R-7 PD
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . .021 JURISDICTION: TIG
f-project D e s c r ipt ion: Installation of (1) 280 amp or less service or feeder. � 1 O
---------.-------.-----------------------•--- -.--------- ____--�---- _La-_�__- 9-------
--RESIDENTIPI- UNIT---- ---TEMP SRVC/FEEDERS----. --------MISCELLANEOUS--•-----
1000 SF OR LESS. . . . : 0 0 - 200 amp. . . ,. . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L.. 500SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 -- 600 amp. . . . . . . : 0 SIGNOL/PANEL_. . . „ . . . : 0
MANE. HM/ SVC/FDR. . : 0 601+amps--1000 Volts_! 0 MINOR LABEL ( 10) . . . : 0
--.--SERVICE/FEE'DE R---- -----BRANCH C I RCLJ I TS------- ---ADD' L_ INSPECTIONS—-
0
NSPECT I ONS-- -
0 - 200 amp. . . . . . : 1 W/SERVICE OR FEEDER: Vi FUER INSPECTION. . . . . : 0
201 - 4.00 amp. . . . . . : 0 I st W/O SRVC OR FDR. : 0 FUER 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 _._._._--•--•--__..___..__.
ANNE SORENSEN type amoi_int by date recpt
t,:!155 SW W I NDWOOD RRMT $ 60. 00 DEB 12/15/98 98-311534
TIGARD OR 97224 5PCT $ 3. 00 DEP 12/15/98 98--3115'14
Phone #:
(.untractor: ----._-----_---.----------------
WE.ST SIDE ELECTRIC CO INC E 63. 00 TOTAL
1 834 SE 871,H AVE
— --- -- F.F UU I RED INSPECTIONS
-- - -
F,URTLAND OR 97214 Elect' 1 Sery i css
f=hone #: 231 --1548 Elect' l Final
i Req #. . : 1:3306
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicable l%iws. 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 188 days, ATTENTION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAA 552-881-%I tWu-f-" 952-001-1987. You may obtain a copy
of these rules or direct questions to OUNC by calling (583)246--1987. �\ ,
Permittee Signatl-rre : IssI_ied
------------------------------OWNER INSTALLATION ONLY--------•------------- ----
The installation is being made on property I own which is not intended for
gale, lease. or rent.
OWNER' S SIGNATURE: _ � _ DATE:
INSTAL..-P 7, ION ONLY-------._._
SIGNATURE OF SUPR. ELEC' N: ..BL+ �� DATE:
A _7
L_I CENSE NO: _ " J _ --_•-----�_--___ _____.
-+++++++++++++++++++++ t++++++++++++++++++++++++++++++++++++++++++++•+-++++++-:-++++
Call 639-41'75 by 7:00 p. m. for an inspection needed the next business day
++++++++++F+•+•++++++++++++++++++++++..+++++++++++++f•+++++++++++++++++++.+++++++++•t
LEC-14-98 05 : 14 PM WEST SIDE ELECTRIC 503 736 0677 P,01
r7
CITY OF TIGARD Electrical Permit Application Pt.ick I"�►r -
13125 SW HALL BLVD. Recd By ''-
-
TIGARD OR 97213 Date Reed-
Date to F.E.
Phone(503)639.4171,x304 Date to DST
Inspection(503)639-4175 Print or Type Permit R �[ " P- T?"•
Fax(503)864-7297 Incomplete or Illegible will not be .accepted Called—
I. Job Address: � 4. Complete Flee Schedule Below:
//
Name of Development //1s41r4 Number o1 Inspections per permit allowed
Name(or name of business) Som /'S Rr' Service Included: Items Cost Gum
Address 141 `�. ,S I✓ �p�h��i ✓r e H/ J!//ace- 4a. Residential-par unit
Ciry/Stale/72p 't "�- 0/\ _ 97 u y 1000 aq n or Iess 11110.00
Each additional Soo sq.f1 or
Commercial❑ Residentinl� mitod Energy thereof $25.00 t
limited Energy
Each Manut'd Homo of Modular
Dwelling Sarvlce or Feeder _ 6"00 ?
2e. Contractor installation only:
(Ansch copy of all cu rent lea ee 4b.Servlees or Feeders
Electrical u ac`toJr / /C% /� Installation,aherehon,or relocation
AddreR / I 200 amps a loss ,� $60.00 2
— 201 amps to 40u amps $8000 2
Ciry- . fir. StaZip 401 amps to 800 amps $120.00 2
Phone No. 2 - 012-274-1 Set amps to tow amps $160.00 2
Job No, /.I/Y- 0 2 If Over 1000 amps or volt 934000 __. z
Elea.Cont.Lice.No. _Frp.Date _ — Reconnect only 00.00 2
OR State CCB Req No_ Exp.Dele 4c.Temporary Services or Feeders
COT RuMness Tax or Metro No.,_ Exp.Date (nslatiation,aherallon,or relocation
200 amps or less $50 o0 _ _ 2
Signature of SUpr. Elec'n 201 amps to 400 amps $75 00 2
--" ---- 401 amps to 6U0 amps $100.110 2
/ Over 600 amps to two volts,
License Nc J C�J2 Exp.Date acs b^above.
Phone Nr
4d.Branch Circuits
New,eherstinn nr netenslon pot panel
2b. For owner Installations: a)The lee for branch circuits with
pureheee of seMee or
Print Owners Name (weer fee.
Addrais— Each branch circuit $5.00 2
Ciry Stat® h)The fee tot branch circuit%
Phone N0. Zlp without purelurse of
service or feeder fee.
First branch ctrcull $15 oo -- 2
The installation Is being made on property I own which is not Each additional brarwh circuit_ $5.00 2
Intended for sR)e,loesn or rent.
40.Miscellaneous
Owner's Signature
(Service or reeder nm Included) $40 00
9 Each pump or Irrigation date 2
Each sign or oanllne lightlnp $40.00 2
3. Plan Review section (if required):' 8tgnal elrevit(a)nr a IIm11sA energy
panel alterslion or ostenslon $40.00 2
__
Please check appropriate Item and enter fee In section 58. Minor Labels(10) $100'00
4 or more iesfdonllal unite In one structure 4f.Each additional Inapectfen over
Service and feeder 225 amps or more the allowable In any of the above
00
System over 600 vcha nominal Per Ins $5500
Inspection f55 00
Classlflad area or slruetura containing special occupancy Per hour
as dese fbad In N C.Chapter S in Plant s5s.tx
Submit 2 sets n1 plans with application where any of the above apply. S• reel:
Not required for temporary eonaINC11011 services. is.Enter total of above fees $
5%Surcharge(.05 X total lees) $
NOTICE subtotal $
$b.enter 25•i of time Be for s
pE4Mi5 BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Flan Review hood(Sec.3) $
tQ1 COMMENCED WITIIIN 1%0 DA-Y8,OR IF CONSTRUCTION OR WORK subtotal
IS SUSPENDED OR ABANDONFO FOR A PERIOD OF t 80 DAYS AT ANY Sa Trust Account 11--
3
TIME AFTER WORK IS COMMENCED. $
Total balance Due
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
2 Hour Inspection Line: 639-4175 Business Line: 639-4171 —
� ttlE�l guP
Date Requested ?? Afo- PM __ BLD
Lobation / `7 Suit us MEC
Contact Person Ph to - S PLM
Contractor /- - Ph 2-31- 1 SWR _
BUILDING l'enant/Owner
Retaining Wall ELR
Footing Access: `
Foundation vv q `� �G (� �S
Fig Drain �t�t V SGN
Crawl Drain inspection Notes:
Slab SIT
Post Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing -
Insulation
Drywall Nailing — -- --
Firewall �>
Fire Sprinkler %C'u 4 —
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 --
P FAIL
Service -- - -
ou h In
UG79r8T
Low Voltage
Fire Alarm ---
rn
S PART FAIL ----
Backfill/Grading
Sanitary Sewer
Storm Drain [ j 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: [ J Unable to inspect-no access
ADA
Approach/Siriewalk Date _ Inspector Ext
Other
Final
PASS PART FAIL 00 NOT REMOVE this Inspection record from the fob site.