16710 SW 72ND AVENUE ADDRESS:
41
J
Ca]
C7
LL1
J
i:Uecords\microf Im\targgts\buiiding.doc
Page No. 1 CASE HISTORY FOR CASE NO.: ELC97-0773
PAM. UST
16710 SW 72ND AVE Unit: B-16
10/23/98
Action Deicription Req/ .9chd/ Etic/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
------- ---------------------- ------- --- ---- ---- -------- --- -------------------- -----•------ - ---- --- -------- ---
ELCC001 Application received / / / / 11/21/97 RECD TJH 11/21/97 TJH
ELCC003 Permit created / / / / 11/21/97 PASS TJH 11/21/97 TJH
ELCC500 (F)Issue permit / / / / 11/21/97 PASS TJH 11/21/97 TJH
ELCC730 Elect'l Service / / / / 12/09/97 PASS MJR 12/16/97 J*H
ELCC799 Elect'l F' 31 / / / / .2/16/97 Meter socket and can used to complete FAIL HRP 12/17/97 J*H
feeder. Refer to mfg. listing of meter
base ART310-3(b). Remove meter base -
use listed splice box or feed direct to
subpanel.
ELCC799 Elect'l Final / / / / 07/08/98 grounding & bonding corrected PASS CD n7/08/98 CD
FLCC800 Case Finaled / / / / 12/18/97 Case final without City of Tigard 12/18/97 J"H
approval per Kirby Sprague's voice mail
message to Ben on 121797: ("It should be
okay.") Kirby Sprague, Assistant to
Chief Inspector, State of Oregon
Electrical Division,
Gt_
N
N
Y
J
4]
U.1
J
CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC97-0773
DEVELOPMENT SERVICES DATE ISSUED: 11/21/97
13125 SW Hall Blvd., Tigard,OR 97223 (503)639.9171
PARCEL.: 251 13AD—O 1800
SITE ADDRESS. . . : 1671.0 SW 72ND AVE #8-16
SUBDIVISION. . . . : ROSEWOOD ACRE TRACTS Z.ONING: I -L
BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :011 JURISDICTION: T1G
Project Description : Installation o! one service or feeder at 200 asps or less.
---RESIDENTIAL UNIT---- ---TEMP SRVC/FF_EDERS----- -----MISCELLANEOUS------
1000 SF OR LESS. . . . : 0 0 -- 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L. 5O0SF. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE" LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 -- 600 imp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANF. HM/ SVC/Fi7R. . : 0 601+,gimps-1000 volt,.. : 0 HINOR LAPEL_ ( 10) . . . : 0
- — -SERV I CE/F EEDE R— — ---------SRANCH CIRCUITS--------- -----
haDD' L I NSF'ECT I ONS- -
0 — 200 amp. . . . . . : 1. W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
::01 -- 400 amp. . . . . . . 0 1st W/O SRVs; OR FDR. . 0 PER HLUil. . . . . . . . . . . 0
401 — 600 amp. . . . . . : 0 EA ADD' I_ BRNCH CIRC: 0 IN PLANT : Vi
601 — 1000 amp. . . . . : 0 ___._____.________._—F'L_AN REVIEW SECTION---____________._____..
1000+ amp/volt. . . . . : 0 > =4 RE'S UNITS. . . . . . . . : > 600 VOLT NOMINAL. . :
Reconnec+ only. . . . . : 0 SVC/FDR > = 225 AMPS. . - CLASS AREA/SPEC OCC. :
Owner: ______—.-----------_.________._______________.______.____ FEES .._.__--____--._-..-..
PACTRUST type amol_tnt by date recpt
16710 SW 72ND PRMT $ 60. 00 TJH 11/21/97 97-301133
7IGARD -)R 97223 SPCT $ 5. 00 TJH 11/21/97 97--501133
Phone #:
Contractor:
BACHOf'hlF.R ELECTRIC INC E 63. 00 TOTAL
55 SE MAIN
-- --- REQUIRED INSPECTIONS
— ----
PORTLAND OR 9714 Ceiling Cover Elect' l Service
Phone #: 233—c"006 Wall Cover Elect' 1 Final
Req #. . : 000445
This pereit is issued subject to the regulation; contained in the Tigard Municipal Cade, State of Oregon Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This persit will expire if work is not started within 180
days of issuance, or if work is suspended for sn,e than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those ru'.es are set forth in OAR 952-001-0010 through OAR 952-001-1987. You say obtain a upy
of these rules or direct questions to OUNC by calling (503)..246-1987.
L '
Permittee 13ignat1.treIssi.ied By : 1 i1 7y --t�
INSTALLATION
The install,-Atian is laeind made on property I own which is not intended for
sale, lease, ar rent.
(AWNS=R' S SIGNATURE: w. _�_. ...._._._._. _..__.� DATE:
.----______------CONTRACTOR INSTAL_L.ATION ONLY---_--_-------------___---_..
SIGNATURE OF SUF'R. ELEC' N: _0'? L�4RJJ c. lc �`-- DATE: Vxl g1
l._I CENSE NO:
+++++++++++++_r.++++++++++-r++.++q•++++++++++++++++-F++++++++++++++++++++•F+++++++-i +++
Call 639-4175 by 7:00 p. m. for, an insper_tion needed the next bi-tsiness day
++++++•F+++++++++++++++++++++++++++++++++++++++++++.+++++++++++++++4-++++++++++++
��1
CITY Ot- TIGARD Electrical Permit Application Plan Check:
Recd Byrl`,G'Yv j
13125 SW HALT_ BLVD. Date Recd_ -
TIGARD OR 97223 Dale to P.E. Iy IT
Phone (503)639-4171, x304 Date to DST n 7
Inspection (503) 639-4175
Print or Tyke n
Permit#1c1rSe__!
Incomplete or illegible will not be accepted called_ N,'^ yL
Fax (503) 684-7297 _
1. Job Address: 4. Complete Fee Schedule Below:
Number of Inspections per permit allowed
Name of Development
Name (or name of business)_-_ PacI'nlst Service included: Items Cost Sum
Address 16710 EW 72nd -_ 4a. Residential-per unit -
1000 sq.ft.or Inss $110 00 4
City/State/Zip li9arCl i CR ---- Each adaitional 500 sq.it.or -
portion thereof $25.00 1
Commercial ® Residential ❑ Limited Energy $25.00 i
Each Manuf'd Home or Modular
Dwelling Service or Feeder ._
2a. Contractor Installation only: 4b.Services or Feeders
(Attach copy of all current licenses) Installation,alteration,or relocation
Electrical Contractor__ 1�1r1rK nine• Inc. zoo amps or less 1 $60.00 �•� - 2
Address 55 "t"n 201 amps to 400 amps $Woo - 2
City _State Z.ip-�---+-- 401 amps to 600 amps - $12o.0o - 2
503 233-20% - 601 amps to 1000 amps - $160.002
Phone No.
Over 1000 amps or volts $340.00 2
Job No._-(1A1a- - Reconnect only $50.00 2
Elec.Cont. Lice. No. 26=A5Exp.nate_.10 1 98
OR State CCB Reg. No._44569 Exp.Date 316/D, 4c.Temporary Services or Feeders
COT Business Tax or Metra No.__Exp.Date_.___- Installation,alteration,or relocation200 amps or loss $50.00 i
201 amps to 400 amps 575.00
Signature of Stfpr. Elec'n� -- -- -- 401 amps to 600 amps $100.00 -_
Over 600 amps to 1000 vults,
Ex Date-10/1 t98 -- see"b"above.
License Nr � --- P -
Phone Nr - -- - - 4d.Branch Circuits
New,alteration o•extension per panel
2b. For owner installations: a)The fee for branch circuits with
purchase or service or
food-or fun.
Print Owner's Name_--_. - --- -- Each branch circuit
Address - b)The fes for branch clrc6lts
City State_- Zip --._ without purchase of
Phone No. _ service or feeder tee. $35.00
First branch circuit _
Each additional branch circuli_ $5.00
The installation is being made on property I own which is not I
intended for sale,lease or rent. 4e.Miscellaneous
(Service or feeder not included) $40.00
Owner's Signature ._ Each pump or irrigation circle $40.00 ?
Each sign or outline lighting
.3. Plan Review section (if required):
Signal circult(s)or a limited energy $40.00 2
a panel,alteration or extension _ $100.00
., Minor Labels(10)
Ct
�-- Please check appropriate item and enter fee In section 5113.
4 or rnure residential units in one structure 4f.Each additional Inspection over
�- Service and feeder 225 amps or more the allowable In any of the alcove $3500
System over 600 volts nominal Per Inspection $55.00
-' Classified area or structure containing special occupancy Per hour $55.00
as described in N.E.C.Chapter 5 1n Plant --
5. Fees:
1J ' Submit 2 sets of plans with mppllcattun where any of the above apply. 5o.Enter total of above fees $ (411.00
Not required for temporary construction services. 5%Surcharge(05 X total fees) $ "NOTICE Subtotal $
5b.Enter 25%of line 59 for $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AJTHORIZED IS Plan Review if re uir (Sec.3) $
NOT COMMENCED WITHIN'.80 DAYS,OR IF CONSTRUCTION OR WORK Subtotal
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 160 DAYS AT ANY Trust Account q 00
TIME AFTER WORK IS COMMENCED. t
Total balance Uue
11eSTSTLC96 APP Rev 4'98