Loading...
15690 SW OAKHILL LANE 15690 SW GAIMILL LANE crry Of:TiGARD 24-Hour BUILDING Inspection Line: (503)639.4175 MST INSPECTION DIVISION Business Line: (503)639-4171 BUP _ Received _ _ c?Date Requested __ AM _PM___--_u__ BLIP Location _ C S r Suite MEC - Contact Person Ph(---) _ __ PLM Contractor Ph(—,—) SWR 2 ,, BUILDING Tenant/OwnerELC Footing a- 3 1! Foundation E.LG _ Ftg Drain Access: ELR Crawl Drain Slab Inspection Notes: r SIT _ Post&Beam �- Shear Anchors --- Ext Sheath/Shear [; Int Sheath/Shear Framing -- Insulation / Drywall Nailing - - — Firewall r!r.,Sprinkler --- -- --- Fire Alarm Susp'd Ceiling Root Other: Final ------�__.._ PASS PART FAIL PLUMBING Post&Beam Under Slab --- Rough-In Water Service Sanitary Sewer Rain Drains -._-_------ - -..— --- -------, —_.—_._ Catch Basin/Manhole Storm Drain �—�--- - ----- - - - -- -- -- -- Shower Pan Other: - Final PASS PART_ FAIL MECHANICAL p^st' & Beam Rough-!n -- Gas Line Smoke Dampers - ---Q - - -- — Final PASS PART _FAIL 540WAL rRoug Service-hn UG/SlabIL Low Voltage Fire Alarm F3S PART FAIL [I Reinspection fee of F___-. required before next inspection. Pay at City Hall, 13125 SW Hail Blvd. [-1 Piaase call for reinspection RE: F-1 Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Dat,1 Other: Final DR DIRT RIFAM Oft lisepecidon record from s Job lil�►. PASS PART FAIL 1 CITY OF TIGARD __ ELECTRICAL PERMIT PERMIT#: ELC2003-00424 DEVELOPMENT SERVICES DATE ISSUED: 7/11/03 13125 SW Hall Blvd.,Tipard. OR 97223 (503) 639-4171 PARCEL: 2S111DC•09800 SITE ADDRESS: 15690 SW OAKHILI_ LN ZONING: R-7 SUBDIVISION: SUMMERFIELD N0.10 BLOCK: LOT : 559 JURISDICTION: TIG Projeci Description: Electrical panel change out. 200 amp. RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 -200 amp: _ PUMP/IRRIGATION: EACH ADD'L 5005F. 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp- SIGNAL/PANEL: MANF HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10)- SERVICE/FEEDER BRANCH CIRCUITS �J ADD'L INSPLCTIONS 0 200 amp: 1 W/SERVICE OR FEEDER: PER INSPECTION: 201 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 600 amp: E,1 ADD'L.BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ _ PLAN REVIEW SECTION 1000+ amp/volt >=4 RES UNITS: 600 VOLT 140MINAL: Roconnoct only: SVC/FDR— 225 AMPS: 4___`--CLASS AREA/SPEC; OCC: Owner: Contractor, WILEY,JOSEPH W TRUSTEE + OWNER WILEY,DOREEN STAIGHT GANDY TR 15690 SW OAKHILL LN TIGARD,OR 97224 Phone: Phone: Reg #: __... FEES_ Description Date i Amount Required Inspections I I I I'RN1 Tj ELL'Pcrmit 7/11103 $80.30 ( I AXI 814 State Tax 7/1 Im3 $6.4:; Rough in Elect'I Service Total $86.73 Elect'I Final This Permit is Issued subject to the regulations contained In the Tigard Municipal Code,State of OR.Specialty Codes and all other appiicable laws. All work will be done in accotdanee with approved plans. This permit will expire if work is not started within 180 days of issuance,or 9 work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952.001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)2466699 or 1-800-332-2344. Issued By: I—LI L `( "et- f �; c tk-c �_%-- _ -� Permit Signature:\ �- _ OWNER INSTALLATION_ONLY Tho installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE:_`____ CONTRACTOR INSTALL; TION ONLY SIGNATURE OF SUPR. ELEC'N ___.___.� _ - ---_.—.•----------.-_--._ DATE:-- LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next business day Electrical Permit A p�a`fgVED ' Received Electrical 1 1 n,1 Date/13y: 7 // G�� Permit No. JQ Cit Or Tigard JIJI 1 1003 Planning Approval Sign YUtTY OF r DaleB : Permit No.: 13125 SW Hall Blvd, AD Plan Review Other UILDiN Date/By: Permit No.: Tigard,Oregon 97223 G IVI N ---- Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land Use Dale/I? Case No.: Internet: ww�w.ci.tigard.or.us Contact Juris.: 10 See Page 2 for _- 24-hour Inspection Request: 503-619-4175 1 Name/Method: _ Supplemental Information. TYPE OF WORK PLAN REVIEW Please check all that apply) New eonstruaimi- _ Demolition Service over 225 amps- health-care facility commercial ❑Hazardous location Addttut alter(tion/Qplacement Other: Service over 320 amps-rating of ❑Huilding over 10,000 square feet, GORY OF CONSTRUCTION I&1 family dwellings four or more residential units in 1 &?-Family dwellingCommercial/Industrial ❑System over 600 volts nominal one structure -�---— ----- - ❑Building over three stories ❑Feeders,400 amps or more ACcesso Building Multi-Fam)I Occupant load over 99 petsons Manufactured structures or RV park Master Builder Other: ❑Egrcm/lighting plan ❑Other: _ JOB SITE INFORM, )N and LOCATION Submit sets of plan+with any of the above. The above are not applicable to temporary constriction service. Job site address: /S'4 9v2 KA,lI K �' ��il.z 1' FEE*SCHEDULE _Suite#: I'.'►dg./A # Number of Itlspections per p.crmk allowed Project Name: Description Qty Fee(ea.) Total New residential-single or mulls-family per Cross streetMireetions to job Site: dwelling unit.Includes attached garage. Service Included: IW)sq.ft.or less _ 145.1', 4 Each additional 500 sq.fl.(tL22rfion thereof 33.40 1 Subdivision: — Lot#: Limited energy,noresn entialreside 75.00 2 _ Limited energy,non residential 75.00 2 7'ax map/parcel Fach manufactuted home or modular dwelling DESCRIPTION OF WORK service and/or feeder 90.90 2 ��' St-vices or feeders-Installatlon, ¢*dt ~rid alteration or relocation: 200 amps or less __ 80.30 G,.3C 2 101 amps to 400 amps 106.85 11 401 mrips to 600 ams 160.60 2 P OPERTY OWNER TENANT601 a_m s to IOOo amps 240.60 2 -- ---- Over 1000 am or volts 454.65 _ 2 Mame: ICS'VIA w, I�L -4 _ Reconnect onl� - -- 66.85 2 Address: 4G/6 Temporary services or feeders-installation. alteration,or relocation: Cid/State/Zip: ( q r { D iK , C1 7 -,Z 'f- 200 am s or less v 66.85 1 201 amps to 4(X)amps IW-30 2 Phone: ��� 4. Fax: 4ol to(0)an, 133.75 2 APPLICANT`i C0 TACT PERSON µranch cltcults-new,alteration,or Name: __ extension per panel: --- A.Fee for bran fi circuits with purchase Address: _ _service or feeder fa,each branch circtak 6.65 2 City/State/Zip: R Fee for branch circuits without purchase of service or feeder fee Ilrsl branch circuit 46.85 2 Phone: Fax: Each additional branch circuit 6.65 2 E-Mail: Mist,(Strvice or feeder not included): _ CONTEach porn r�or irrigation circle 53.40 2 C6NfRACTb A- � � - Each sin or outline tightin� 53.40 2 Joh NO: (_ , ti_—_ -� Signal cis.uit(s)or a limited energy panel. alleratiou,or extension Pae 2 _ 2 Business Name: 1)escript on: Address: -- - Each additional Inreetlon over the allowable In any of the above:Clty/S tate/ZI : Per inspection per hour(min. I hourri2qso � Phone: X: Investi ation fee:"CB I`ic.#: _ Eti.#: Other: — - Electrical Permit Fees* t ;supervising elc";rician Subtotal S signature required: _ Plan Review 25%of Permit Fec S Ptlnt Name: Lic.#: State Surcharge i8%of Permit Fee S TOTAL PERMIT FEE SE. 7 Autha-zed Notice: This permit application expires If a permit Is not obtained within Date: 7- J t" ©� 180 days after It has been accepted as rom lete. SignaG're: �---�_ _ y p p *Fee methodology set by Tri-County Building Industry Service Board. —� Please print name) is\Dsts\Permit Fortes\ElcPennitApp.doc 01/03 t t Electrical Permit Application - City ofA igard Page 2 - Supplemental 10-ortnation LIMITED ENERGY PERMIT FEES: RESIDEN'T'IAL WORK ONLY; Feefor all systems............................................................ $75.00 Check Type of Work Involved: ❑ Audio and Sterco Systems* l� Ilurglar Alarm c iarage Door Opener* heating,Ventilation and Air Conditioning System* DVacuum Systems* COMMERCIAL WORK ONLY: Fee for Uch system........................................................ $75.00 ISl+OAR 918-200-260) ('heck Type of Work Involved: jAudio and Stereo Systems L� Boiler Controls Clock Systems Data Telecommunication Installation C� I;ire Alarm Installation Cj IIVAC E] Instrumentation Intercom and Paging Systems F] landscape Irrigation Control* E] Medical Nurse Calls Outdoor Landscape Lighting* Protective Signaling n Other Number of Systems * No licenses are required. Licenses are required for all other instailations i:\bsts\PetmitFomta\ElcpermitAppPg2.doc 01/03