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11185 SW Novare Place
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CITY OF TIGARDELECTRICAL. PERMIT
PERMIT#: ELC2002-00241
DEVELOPMENT SERVICES DATE ISSUED: 5/30/02
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13125 SW Hall Blvd., Tiqard OR 97223 (503) 639-4171 PARCEL: 2S103DB-05200
SITE ADDRESS: 11185 SW NOVARE PL
SUBDIVISION: GENESIS NO. 2 ZONING: R-4.5
BLOCK: LOT : 049 JURISDICTION: TIG
Proiect Description:
_ RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS_ MISCELLANEOUS
T 1000 SF OR LESS. r 0 - 200 amp: — PUMP/IRRIGATION: —
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 • 600 amp: SIGNAL/PANEL:
MANE HM/ SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10).
SERVICE/FE'EDER BRANCH CIRCIJITS
-- - ---- — _.—__�, __ ADD'L INSPECTIONS
0 - 200 arnp: 1 W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 'Ist W/O SRVC OR FDR: 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 OCC:
Owner: Contractor:
FG "S, DAVID N + LAURA ANN PRAIRIE ELECTRIC INC
11185 SW NOVARE CT 6000 NE 88TH STREET
TIGARD, OR 97223 VANCOUVER,WA 98665
Phone: Phone: 360-573-2750
Reg#: SUP 3562S
LIC 60178
ELE 37-491 C
FEES Required Inspections _—
Type By Date Amount Receipt Elect'I Service
PRMT CTR 5/30/02 $80.30 '2720020000( Elect'I Final
5PCT CTR 5/30/02 $6.43 2720020000(
Total $86.73
This Permit is Issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes arid all other applicable
laws. All work will be done in accordance with approved plans. This permit will expire tf work is not started within 180 days of issuance, or if
work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notitncation
Center Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct auestions to
Permit Signature: !� � � 11 --77— Issued By:
OWNER INSTALLATION ONLY -- -- _
The installation is being made on property I owt, which is not intended for sale, lease, or rent. -
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE: _
1.1 C E N 3 E N O: -----__--
Call 639-4175 by 7:00pm for an inspection thA neat hub ness day
MAY-23-02 08:05 FROM-Prairie Electric 360-576.7422 T-281 P 001/002 F-528
Electrical Permiet Apupation
- �
HhmhlvhuDr'c received: Permit nr.:�
' City of Tigard Project/appl. no.: Expire date:
Ciry of Tigard Address: 13125 SW Hall Blvd,Tig�d,OR 97223 pace issued: Hy: Receipt eo.:
Phone; (503)'639-4171 MAY ) :j ?('t01 -
fax: (503) 598.1960 Case fila no.: Payment,type:
CIL Y Ur !1LiA�if
Lantl use approval'____r3 111.D?I114 D 1nN
1
O 1 &2 family dwelling or accessory 0 Co.nmercial/industrial O Multi-family Cl Tenant improvement
U New cnnstruction Addi[ion/alterfuionlrcplacement D Other _ G Partial
309 SITE INTORNIATION
Job address: /// 5 -LLLL- Bldg. no.: Suitt uo Tax map/tax lot/account no,;
LotBlock: Subdivision:
Project namc: Description and location of work on premises: _
Estimated date of cnrnpietic�n/inspection•.
APPLICATIONCONTRACTOR
I
.lob no: l7p �o�T 5 ___ FK M.z
rQ6«�1 E'er Tleacrlptlon QlY• (n.) ?oral
_ no.insp
}3uaincss namc: �JS� --
� NeNrtsiderttid-s+ngtcormalti family per
Address: �( (� dwelling unit.tnclodeian+chedgarate.
Cit : ) . Stale: Z1P' 5 serricei[sdadcdt
Phone: "73•Z750 -4-574-N11-1 E-mail.
loon-sq,f+.or Irss _ a
CCB no. p Elec.btu.lie.no. 7��� G Each additional$00 a_"it.or portion t�rreof
Umited energy, resideadel_
City/rtutro no.: Q QZ " 3t�� Limited energy, non•M9ldential __ 2
t pZ Each manufactured home or modular dwelling
$i mrwre u rvisin lec+ncion (re tire I _ Dole ir Service and/or feeder _ 2
Sup.cacti, name(print); (�( { ts; License no: servicesorfeedertA wtallation,
:Iteration orreloeation:
1 200.amps or leu P' t)
Name(print): �f E �Or„) 201 ora to ll ams 2
401 am to 600 ams _ 2
Mailing address: T 1 69, R: inti!;o!000 amps_ 2
City-. "rl[r� SwIC; 2IP: over 1000 amps or volts _ z
Phone (p:;9- 1�f x:S,y , ',(-`/ E-mail: Itecrmnect only t
Owner instai'ation: The installation is being made on property I own Temporary services or towers- l
which is not intended for Bald,lease,rent,or cxchangc according to Ire+ulletion,aheratlun,orrNocmtiont
ORS 447,455,479,670,701. 200 amps or las
20t am +to 400 imps _ 2
Owners sl nlre: _ Date: 401 to 6(l0 amt 2
Branch circa is-new,attcration,
orextension pc►panel;
Name' - A Fet for tttanch circuits with purthise of
Address: service or feeder fee,each branch circuit _ 2
City: Stale: ZIP: B Fec for branch circ ilu without purchase
Phone:
-T7-'-
E-mall' of service or feeder fee,fins branch chtuit: 2
Each additional branch circuit
Miac.(Service or feeder not included):
0 Sx4ce over 225 turps-coHealth-=tal O Health-=t facility Each pump or imgotion citric 2
O Service over 320 tttttps-rating of 16!2 Q Hazardous location Each sign or outline li htin 2
family dwellings 0 Building over 10.000 square feet four or Signal r:imuit(s)or a limited costly panel.
D System over 600 volts nornmal more m3kkntlal units in one stturnuc alteration, or extuntsiva• — 2
❑Building over three storiv, 0 Feeders,400 amps or more •Descri tion:
O 4ceu land over eons 0 Manufictured structures or Rv a k yast�r
Pon'• Pc P IEachaddktonalimpectlonov►rihe:rhorrableinaaroftboaborer
❑Egroa/lightiry plan O Other Per inspection _ -
Submit`sets of plans"Ith any of the above. Investigrtioo fx
Ile above are not applicable to temporary coairtruc ilon service. Othcr _
o review.JI JurtArtlons accept ctedlr card,,pka+e call lurisdiotm for mora-oxiiiutlon Notice: 77tis permit application Permit fee ....r• — %................/ S _ Sy•3,Q,�
Visa O Mastercmd 44&5- expires if a permit is not obtained Platt $
c.. rand number' Wig Ulz tilW IMO It�Z within 180 days ARLT it has been State surchar;c(890).....s _ _
/ flegg .max- bsplift accepted m complete TOTAL--
..,.,..
nm and olrkr m 0—r-credit cud _
Car of er ignaWre f 4404615,6IDYCOM1
MAY-23-02 08:05 FROM-Prairie Electric 360-576-7422 T-281 P 002/002 F-528
ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES:
Complete Fee Schedule BQIOW: TYPE OF WORK INVOLVED-RESIDENTIAL ONLY
F1Restricted Energy Fee...................................................... i76.Q0
Number of Inspections per permit allowed (FOR ALL SYSTEMS)
I
Service included: Items Cost Total Check Type of Work Involved
Residential•per unit
1000 sq.ft.or lass $145.13 4 Audio and Stereo systems"
Each additional 500 sq ft or
portion thereof 333.40 1 Burgior Alarm
Limited EnvVy _ $75.00
Each Mentdd Hume or Modular a Doer Opener'
Dwelling Service or Feeder 990.90__ 2 ❑ Garage
Services or Feeders Heating,Ventilation and Air Conditioning System'
Installation.sUrstlon,or relocation �n
200 amps or less �_ $80.30 lJy•3� 2
201 amps to 400 amps _ $106.85 2 ❑ Vacuum Systems'
401 amps to 6u0 amps $160,60 2
901 amps to 1000 amps $240 60 2 OtherOver 1000 amps or volts $454.85 2
Reconnect only $50.83 2
Temporary t;onlyarAs or fesdere TYPE Op WORK INVOLVED-COMMERCIAL ONLY
Installation.afteratlon,or relocation Fee far each system.......................................................... $76.00
200 amps or less 568.86 2 (SEE OAR 918-2aW-250)
201 amps M 400 amps $100.30 2
401 amps to 600 amps $133.76 1 Check Type of Work Involved:
Over 600 amps to 1000 volts,
see"b"above. Audio arJ Stereo Systems
Branch Circuits
New,alteration or Oxtension per P8'let
Boiler Controls
a)The fee far branch,cl-!39
with purchase of service or Clock Systems
feeder fee.
Each brand+r.rn,it $8.85 2 Date Telecommunication Installation
b)The fee for branch circuits
Wthout purvhase of service Flee 112fm Installation
orfesderfee.
First branch clreuh $4685 a
Each additional branch circuit �— $8,85 HVAC
Miscellaneous ID Instrumentation
(Service or feeder not included)
Each pump or Irrigation circle _ $53.40 F] Intercom and Paging Systems
Each sign or outline lighting $53.40
Signal circult(s)or a limited energy
panel,alteration or extension $75.00 Lsndsoaps Irrigation Control"
Minor labels(10) 5125.00
Each additional inspection over ❑ Medical
the allowable In any of the above
Per insp-coon $62.60 Nurse Cells
Per hour $62.50
Its Plant $73.75 Outdoor Landscape lighting'
Fees: [] Protective signsling
Enter total of stove fees 532-s/1 Other
8%State Surnharge $�'�3 Number of Systems
25%Plan Review Fee
See*Plan Revlew"section on $ " No licenses ern rnquiratl. Licenses ern required for all other installations
front of application ---
-7 3 Fees:
Total aalance Du
5
r'
rr--tt Enter total of above Inau
LJ Trust Account#_,_ — 846 State Surcharge ! '
^� —J Total Balance Due : 0&--73-
All New Commercial Buildings require 2 sets of plans.
i'\Q�ts\forma\dc•fran doe 02105/02
CITE,' F TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION OIViSION Business Line: (503)639-4171 MST
Blip
Received ___ _ —Date Requested. _ �G AM - __—_PM—_«� BUP _
Location ---- -_-- � �_��'LI-�- �-.. _Suite - MEC
Contact Person __ _ Ph(-,?26ZQ)S7.3 - 27.E __ PLM
Contractor T;ta _ __ P'h-( ) _ __ _--. .- --. _ SWR - —
BUILDING Tenant/Owner � ----- - -- ELC q2
Footing
Found atiun -� ELC
Ftg Drain Access: G a ,` � _ ���- �;�,Yi V-5-� ; �.
Crawl Drain ' 0 .j6.w`e ELfa
��e. ti
Blah Inspection Notes: SIT
Post F Beam _
Shear Anchors - - -
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler -- --
Fire Alarm --
Susp'd Ceiling
Roof
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
Post&Beam
Rough-In
Gas Line
Smoke Dampers - ,___-- ----_--_- -_--- - -_ -_--
Final
PASS PART _FAIL --- -- ----- -- - -
F-LEC4ERICAL
o -In
UG/Slab ---- — ---- --------- ---�.�_- -
----
LowVoltage -
Fire Alarm ------- - -�_-----
Final Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FA L
-$ITE Please call for reinspection RE:__ - _- _ �j Unable to inspect-no access
Fire Supply Line
ADA
Approach/Sidewalk Data.. tQ InsPez-tor '�C _ c Ext
Other:
Final DO NOT REMOVE this inspection record from the Job -.4te.
PASS PART FAIL
CITY OF TIGARD 24-Hour
BUIV DING Inspection Line: (503)639-4175
INSPECTION DIVISION Business line: (503) 639-4171 MST
BUP
Received —. Date Requested 1 j' AM__- FM ___ BUP
Location . ! ) Iu ,,��/�= jy� __Suite MEC
Contact Person _ Ph(_^ ) ._ PLM
Cootracter 1r'1 Ph( _) 1 - a✓ SWR
BUILDING—-.. _ Tenant/Cwner —- ------ �cJ ELC
Footing
Foundation ELC
Ftg Drain ACCESS:
Crawl Drain ELR
Slab Inspection Notes: � ` !1 SIT
Post& Beam
Shear Anchors - --
Ext Sheath/Shear
Int Sheath/Shear w `
Framing -
Insulation
Drywall Naiirng
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other. --
Final
PASS PART FAIL - --// - -
PLUMBING--- �` �"./'` I•- r� ����'-,
Post& Beam
Under Slab
Rough-In
Water Service _
Sanitary Sewer
Rain Drains —
Catch Basin/Manhole
Storm Drain --- - -�� -
Shower Pen
Other-
Final
therFinal "
PASS PART FAIL - ---
_MECHANICAL
Post& Beam
Rough-In
Gas Line
Smoke Dampers _
Final
PASS PART FAIT_
'W_J_R Chi L
Service ----- -
Rough-In
UG/Slab --
Low Voltage -
Fire Alarm
�n ❑PART FAIL Reinspection fee of$_ _ __ required before next inspection. Fey at City Hall, 13125 SW Hall Blvd.
Please call for reinspection RE.� ❑ Unable to inspect-no access
Fire Supply LineADA
_
Approach/Sidewalk Date L ' Inspector
Other
Fi-.ai DO NOT REMOVE this Inspection record from the fob site.
PASS PART FAIL