9170 SW ELROSE COURT 0
rn
r
G
trl
n
I
g
1
I
9170 SW ELROSE CT
CITY
�� �I���D ELECTRiCl1L PERMIT
PERMIT#: ELC2000-00450
DEVELOPMENT SERVICES DATE ISSUED: 08/04/2000
13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639-4171 PARCEL: 2S111AB-01500
SITE ADDRESS: 09170 SW ELROSE CT
SUBDIVISION: ELROSE TF%RACE ZONING: R-4.5
BLOCK: LOT : 011 JURISDICTION: TIG
Proiect Description: One branch circuit
_
RESIDENTIAL UNIT TEMP SR_VC/FEEDERS MISCELLANEOUS
1090 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/ S'JC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERV!CF_/FEEDER _ BRANCH CIRCUITSADD'L INSPECTIONS _
0 - 200 amp: W/SERVICE OR FEEDER PER INSPECTION: _
201 400 amp: 1 st 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_C CC: _
Owner: Contractor:
CRAVEN, RICHARD EARL + PARKIN ELECTRIC INC
MARY NAN 20250 S MOLLALA AVE
18867 S FOREST GROVE LOOP OREGON CITY, OR 97045
OREGON CITY, OR 97045
Phone: Phone: 7.46 1301
Reg#: SUP 4241S
LIC 35151
ELE 34-4C
FEES Required Inspec'tiOns _
Type By Date Amourt Receipt Elect'I Final
5PCT JMT 08/04/200C $3.00 0004251
PRMT JMT 08/04/2000 $37.50 0004251
Total $40.50
This Permit is issued:,ibject to the regulatio,,e contained in the Tigard Municipal Cude,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 then 180 days. ATTENTION: Oregon law requires YOU to follow rules adopted by the Oregon Utility Notification Ccoter. Those
rules are set forth in OAR 952-001-0010 through OAR 952-001-W310. You may obtain ropies of these rules ordirect questions to OUNC at(503)
246-1987.
PERMITTEE'S SIGNATURE /l // / �/ ISSUED BY;
OWNER INSTALLATIOM 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:
LIC ENSE NO: — - — -- - ------ ---- _ _.._..-
Call 61d-4175 by 7:00pm for an inspection the next business day
10. 1]-99 ttb.lr 14.05 FAX 503 59S 1960 ri'rN' OF 71G,tkir <�1 ��/ Qo0:
CITY OF TIGARD Electrical Permit Applia*WVFDIanChe
C'0
13125 SW`HALL BLVD. Recd By
TIGARD OR 97223I ?Offl Dale Recd
Phone 503 171304 WWIWWI t. Date to P.E.
( )639-4 ,xDate to DST
Inspection(503)o.9-4175 Print of Type DEVELOPMENT Permit 0
COMMrUNITf
Fax(503)598.1960 Incomrlete or;llogible will not ba accepted Called- -- _
1. Job Address: 4. Complete Fee Schedule Below:
r
Name of Developmentt I. permitNumber of Inspections per permit alleged
� t"1 � �
Name(or name of business) \C- _ cTC\ -Zi`rt1UP�l Service Included: Items Cost Sum
Address u 1-+u ky_1S S� 4a. Residential-per unit
CityiState/Zip ��- -- 1000 sq.d.or less _ S 11775 _--� 4
Each additional 5CO ea h.or
portion thereof S 29.E
CCnlitlercial lJ Residential EI) Ornnted Ene gl $ 60.00
Each Menufd Home or Modular
2a. Contractor Installation only: Cnwelling Service or Feeder S 72 - 2
--
-n---.--.-....-w. 4A.•nrdrx Pee IlrAnrto 4b.Services or Focclers
Parkin Electric,Inc. 20250 S Molalla Ave. Installation,alteration,or relocaoan
Oregon City, OR 97045 503-657.4958 fax:557.1059 200 amps or less Y _ s 84.26 2
201 amps to 400 amps f $5.80 e
Contractors License#; 34.4C exp. 10.01-00 401 amps to 600 amps 9i 1211.50 2
Supervisor. 4241•S exp. 10 01.01 6U1 amps w 1000 amps s 192.,0
Contractors Board Reg#:35151 exp. 10-12-00 Over 1000 amps or volts 5 353.75 2
Metro it 2416 exp 11-01-00 Reconnect only 6 53.50 -�-r_ 2
Owner: 4c.Temporary Services or Feeders
Installation,affe'aiion,or relocation
I COT Business Tax or Metro Notxp.uate. 200 amps or less i 53.50 j
fl 201 amps to 400 strips r $ 80.25 2
Signature of Supr. Elec'n _J I I 401 amps to 800 umps _•^____ S 107.00
Over WO amps to 1000 volt,
Isis"b"above.
License No. Exp tet__
46 Bench Circuits
Phone No. Vow,alteiaticn or extenslon per panel
a)The Pee for branch circuits
2b- '"-or owner installations: with purchase or service or
feeder fee.
Print Owner's Name_- _ Each branch circuli - S 6.35 2
Address b)The fee for blanch cireults
`--_-- v ----.-�---�� I (,-feeder
saorsernce
CRY`.__ State-.--Zip ._._ a,-leader rw.
Phone No. First branch circuit $ 37.50
Eadt additional branch c'rcult $ 3.35
The Installation is being made on prope,ty I own which isnot u.Miscellaneous -
intended for sale,lease or rent. (Service or reader not Included)
Each pump or iTlgation circle S 42 75 -
Owner's S',gnature - -- - Eaeh sign or outline lighting -- S 02.75 ---r
Signal drcuitis)or a limned energy
panel,erts(101 or extension $ 60.00
3. Plan Review section (if required):* ^-
q � Minor Lehele(101 _ S-+�-t19
Please check appropriate item and enter fes in section SB. 4f,Each additional Inspection over /,0 ev
_ 4 o,more restdemal anis in one struNure the s!lowrable In any of that above
Service and feeder 225 amps or more Per Inspection s 50.00
Per hoar s 50.110
System over 500 vcIts nominal in Plant _ $ 59 n0 _
Clessiflec ares or structure contairing special oc:upancy as
described in N E.0 Chapter 5 5. Fees:
Sae Enter tulal 0&Wee fees S Sic
Submit 2 sets of plans with appYeation where any of the above appy. 6-646 SurdrergeI•��lg:al Ives) s C�
Not requ'red for temporary construction services. Subtotal Y S
lib,Enter 25%of Ina 6s hr
NOTICE Pian Review If Myired(5ec 3) $_
PERI.OTS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal S
IS NOT COMMENCED WITHIN 1A0 DAYS,OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Accc:utl 0
AT ANY TIMF AFTER WORK IS COMMENCED Total barance dire $ CJS
i
I:�.dsU�fLrtnskkntrk.deo
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 639-4171 --- _ ---
BUP ^---
Date Requesteclnn AM_ -PM —_ ,_ BLD -+
Location yz 70 Suite - MEC
Contact Person _ _ _ Ph _ ii > � - PLM _
Contractor Ph SWR
BUILDING Tenant/Owner _ --_-- - E_LC C,1
Retaining Wall ELR -_
Footing Access. FPS
Foundation
Ftg Drain - SIGN !_
Crawl Drain Inspection Notes:
Slab - ------- -- -- -------------- -- -- - SIT
Post& Beam
Ext Sheath/Shear —
Int Sheath/Shear
Framing ---- - ------- —- _ ----- ---_-- - - _---
Insulation
Drywall Nailing -- - ...-------------- -- - --- ----
Firewall
Fire Sprinkler ---- _ _ __�------- -----
Fire Alarm
Su-;p'd Ceiling � ._.1�I__Q--
Roof _Roof
Misc
Final - ------ - -
PASS PART FAIL -----
PLUMBING
Post&Beam
Under Slab
Top Out
Water Servi.e
Sanitary Sewer
Rain Drains
Final
PASS PART FAIT_
ME''' 'NICAL
Post& Beam
Rough In
Gas Line --- - --- -
Smoke Dampers
Final --
PA RT FAIL
ELECTRICAL
Service -l— _ -- -- - ----
Rough In \
UG/Slab - ------- —_ ---
Low Voltage
Fire Alarm ` -- - -- --- - --
F � v �-
, PASS PART FAIL
Backfill/Grading —
Sanitary Sewer
Storm Drain ( J Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SAN Hall Blvd
Calch Basin ( J Please call for reinspection RE: —_-- ( ] Unable to inspect-no accrass
Fire Supply Line
ADA n
Approach/Sidewalk Date ��/� Inspector _ _ Ext
Other _.� _
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.