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12172 SW GARDEN PLACE I ' I N F-' I J I N 7. I n kTl ` 1 12172 SW GARDEN PLACE �, CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: EL-C98-0367 13175 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATE ISSUED: 0-1/06/98 PARCEL: 2S101BB-01400 SITE ADDRESS. . . - 12172 SW GARDEN PIL. #BLD. SUBDIVISION. . . . -.CROW PARK 217 ZONING:C---G 8L.00K. . . . . . . . . . : i-C,F. . . . . . . . . . . . . :002 JURISDICTION: TIG Project Description : Interior Motives UNIT—.----.--. .--.._TEMP SR'J('-"/FEEDERS—--- -------MISCEl.LnNEOUS------ 1000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . 0 EACH ADD' L. 500SF. . . : 0 201 400 amp. . . . . . . : 0 SIGN/OUT L-INE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/PANEL.......: 0 MANE. HM/ SVC/FDR. . : 0 601+amps-1000 Volts. : 0 MINOR LAPEL ( 10) . . . : 0 ------SE-RV I CE/FEEDER---- ----BRANCH CIRCUITS------ --.--ADDIL. INSPECTIONS——- 0 — 62-'00 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 — 400 amp. . . . . . : 0 Ist W10 SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : 0 401 — 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 0 IN PL.ANT. . . . . . . . . . . : 0 601 — 1000 amp. . . . . : 0 REVIEW SECTION--------------_--_.. 1000+ ECTION----------------- 1000+ amp/Volt. . . .. . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . : Reconnect only. . . . . 1 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. : Owner-: ----------------------------------------------------- FEES INTERIOR MOTIVES type amciLtnt by date reept 12172 SW GARDEN PLACE PIRMT $ 35. 00 JSD 07/06/98 98-307101 TIGARD OR 97223 5PCT $ 1. 75 ,.TSD 07/06/98 98-307101 Phone #: Lontractort ------------------------------ ABILITY ELECTRIC INC $ '26. 75 TOTAL_ PO BOX 889 REQ.UIRED INSPECTIONS BEAVERTON OR 97075 Ceiling Cover Elect, I Service Phone #: 641--4632 Wall Cover, Elect' l Final Reg #. . : 000221 This permit 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 permit will expire if work is not started within In days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. T ose rules are set forth in OAR 952-@@I- l@ through OAR You may obtain a copy of these rules or direct question; to by calling (5,3 46-!987. f-lermittee signati-o-e I s s I..(e d B y -_.__._.----..._—_--___- _________OWNER INSTALLATION The installation is being made an prope,.-ty I own which is not intended for- sale, lease, or rent. OWNER' S SIGNATURE: DATE: INSTALLATION SIGNATURE OF SUPIR. EL.FCIN: DATE: LICENSE NO: .......................................................I........4..................4 Call 639-4175 by 7:00 p. m. for-, an inspection needed the next b�tsiness day .................I.......+.........iF4..............f....4.......4-+-+++++4..........4 CITY OF TIGARD Electrical Permit Application Plan Ch -..k__- 13125 SW HALL BLVD. Recd B 3' TIGARD OR 97223 Gate Recd Date to P.E. Phone (503)639-4171, x304 Print or Type Date to DST Inspection (503) 639-4175 Parmit Fax (503) 684-7297 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development __ J Number of Inspections per permit allowed -- Name(or fame of b iness) /}7 Yc P-/O v 410 ivy__ Service included: Item, Cost Sum Address 4a. Residential-per unit Cit /State/Zi 1Q 4 � 1(x)0 sq.ft.or less $110.00 � 1 Y P Each additional 500 sq.ft.or /•� portion thereof $25.00 Commercial � Residential Limited Energy $25.00 IG f- Each Manul'd Home or Modular Uwolling Service or Feeder $68.00 2a. Contractor installation only! -- (Attach copy of all cyrren,lic uses) _ 4b.Services or Feeders Electrical C ntractor /J /i C e c y L installation,alteration,or relocation -- 200 amps or less $60.00 2 Address _ 201 amps to 400 amps $80.00 2 City I e3,, ,Yr State 67 Zip 401 amps to 600 amps $120.00 2 Phone No c Z _- 601 amps to 1000 amps $180.00 2 .lob No. Over 1000 amps or volts $340.00 _ 2 Elec. Cont. Lice. No.� 7 Exp.Date/0 Reconnect only $50.00 ____ 2 OR State CCB Reg. No. )'A 3 Exp.Date �D�r 4c.Temporary Services or Feeders COT Business Tax or Metro N . �0 f S Exp.Date 050 installation,alteration,or relocation 200 amps or less $50.00 Signature of Supr. Elec'n �t/ ��fiLG 201 amps to 400 amps $75.00 _ 401 amps to 600 amps $100.00 �-5 Q Over 600 amps to 1000 volts, License Nr _uZ Exp.Date "/0 see"b"above. Phone Nr 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase of service or Print Owner's Name---- feeder fee. Address _ Each branch circuit $5.00 -- --- -- b)The fee for branch circuits City __ state _ _ Zip_ without purchase of Phone No. service or feeder fee. s UG First branch circuit $35.00 __._ The installation is being made on property I own which is not Each additional branch circuit_ $5.00 intended for sale, lease or rent. 4e.Miscellaneous (Service or feeder not Included) Owner's Signature _ Each pump or Irrigation circle $40.00 Each sign or outline lighting $40.00 2 3 Plan Review section (if required):' Signal circult(s)or a limited energy- panel,alteration or extension $40.00 -_- 2 � Please check appropriate item and enter fee in section 5B. Minor Labels(10) $100.00 4 or more residential units in one structure 4f.Each additional inspection over Service and feeder 225 amps or more the allowable In any of the above System over 600 volts nominal Per inspection $35.00 Classified area or structure containing special occupancy Per hour $55.00 as described in N.E.C.Chapter 5 In Plant $55.00 +Submit 2 sets of plans with application where any of the above apply. J. Fees: -- J Not required for temporary construction services. 5s.Enter total of above fees $ 5%Surcharge(.05 X total fees) $ NOTICE Subtotal $ 5b.Enter01 line Befor PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Revievlewjj reauired(Sec.3) $ NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account a $ Total balance Due i�nsrsrF�csc err n«�ssn CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 BUP _Date Requested -AM -PP,II . BLD Location Ll 1 a- til (�� —_ quite MEC Contact Person � Ph PI-M _ ----_- Contractor K4",3( fl�-c. Ph to t- �_ SWR — BUILDING Tenant/Owner - -11 E LC _ Retaining Wall r ELIR Footing Access Its,/ Ft✓S Foundation Ftg Drain SGN Crawl Drain Inspection Notes: — Slab ---------- --- — — --- SIT Post&Beam G Ext Sheath/Shear -------------------- Int Sheath/Shear Framing Insulation — — Drywall Nailing __— Firewall Fire Sprinkler -- Fire Alarm Susp'd Ceiling - --- — ------ Roof Final PASS PART FAIL - -- -- -- - - PLUMBING Past 8 Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL MECHANICAL Post& neam ----- - -— - ------ ------- Rough ---._Rough In Gas Line -- ------ -- -------- Smoke Dampers Final — -- - PA33i._ PART IL 1ELECTRICAL -- _- ------- _ --- -- - - --- — Rouy,i In LIG/Slab Low Voltage Fie Alarm — - --- - - -- - -- - — - i n DART FAIL --- — Backfill/Grading -- �- Sanitary Sewer Storm Drain [ ]Reinspection fee of$_ required before next inspection. Pay at City Hell, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ]Please call for reinspection RE'_ [ ]Unable to inspect-no access ADA $ Approach/Sidewalk Date �?,A� c Other iaspector _ L CSC-c 14— Ext - -T - Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site.