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i CITCITYOF T i GA R D ELECTRICAL PERMIT
Y PERMIT#: ELC2002-00040
aEN ELOPMENT SERVICES LATE ISSUED: 2/13/02
13125 SW Hall Blvd., Tigard, OR 97223 (50.'.) 639-4171 PARCEL: 2S108DA-DP004
SITE ADDRESS: 15008 SW 148TH TERR
SUBDIVISION: DAVIS PLACE ZONING: R-7
BLOCK: LOT : 004 JURISDICTION: URB
Proiect Description: Installation of(1) temporary service for job trailer. Job No. 8025007
RESIDENTIAL UNIT_ _ _ TEMP SRVC/FEEDERS _ MISCELLANEOUS
1000 SF OR LESS: 0 200 amp: 1 — PUMP/IF RIGATION:
EACH ADD'I- 500SF: 201 - 400 arrrp: SIGN/Oi;T LINE L T'G:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL.:
MANE HM/ SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER __ BRANCH CIRCUITS _ ADD'L INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amo: EA ADD1 BRNCH CIRC: IN Pi-ANT:
601 - 1000 arnp: __ _ PLAN REVIEW SECTION
1000+ amp/volt: >=4 .RES UNITS: > 600 VOL__T NOMINAL
Reconnect only SVC/FDR >= 225 AMPS: _ CLASS AREA/SPEC OCC:--
Owner:
CC: _Owner: Contractor:
RIVERSIDE HOMES RAINIER PACIFIC ELECTRIC INC
15455 NW Gr.EENBRIER PKWY 8916 NE 90TH AVE
SUITE 140 PO BOX 823070
BEAVERTON, OR 97006-2115 VANCOUVER, WA 98682
Phone: Phone:
Reg #: i,RD-895144§0
ELF 37-9380
5Uf' 1��2`iS
FEES —i Required Inspections____
Type By Date Amount Receipt Elect'I Servl:e —
PRN13 CTR 2/7/02 $66.85 2720020000( Elect'I Final
5PC2 CTR 2/7/02 $5.35 2720020000(
Total $72,20
This Permit Ic Issued subject to the regulations contained in the Tigard Municipal Cude,Slate of OR. Specialty Codes and all other applicable
laws. All work will be done in acoordar ce with approved plans. This permit will expire if work is not started within 180 days of issuance, or If
work is su:;pended for more than 180 c ays, 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 952-001-0013 -You may oblain copies of these rules or direct questions 1.)
Permit Signature: Is ued B :
AMP" 4wi4�E'�11) y /�
OWNER INSTALLATION ONLY _
The installation is being made on property I own which is not intended for sale, lease, ar rent.
OWNER'S SIGNATURE: _ DATE:__
CONTRACTOR INSTALLATION ONLY
SIGNATURF OF SUPR. ELEC'N: k
-
LICENSE NO: —
Call 639-4175 by 7:00pm for an inspection the next business day
Electrical hernrn*t Applicatici r.
-- Uater•.ceived: ' Da- Permit no.: FaJ/n�
City of Ti lilt Pro'ect/a Lno,: Expire date:
Cit
yifTigard Address: 13125 W H
Phone. (503) 639-4171 EQKW�_ PDate issued: By: Receipt no.:
rr
Fax: (503)598-1960 F C B - !00 2 Case file no.: Payment type:
Land use approval: GIN UE T1GAR1 __
�Vftftd 0:40 11
❑ 1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement j
U New constriction O Addition/alteration/replacement U Other. U Partial
'joBSITE"INIFOVATION
Job address: lsl,l). rn Suite na.: i Tax map/tax lot/account no.:
I 131ock: Subdivision: r
Project name-: i_aLo '/�(C, ) Description and,location of work on premises:
Estimated date of con letion/ins tion: i " c -I� '--
Job no: -A Fee
Business name: I L b(_ C ( Y Qr ( _( Ikscription Qtv. ;ea.) Total no.Insia
Address' � New residential-single or multi-fandly per ,
dwelling unit.Includes attached gamgc.
City: C(,�k. vc l Stat ,1a I ZIP: ` ' -(� �., Service Included:
Phone: t"G ��,il,l Fax'S r I/�)tA E-mail: 1000 sq.ft.or less _ 4
CCB no,: t c e (/ Eiee.bus,IIC.m0: r , `r, (� , Each additional 500 sq.ft.or r ortion thereof _
Limited energy,residential ____ 2
City/Imetm Ile.no.: Limiled energy,non-residential _ 2
s2 ,,1 c/ �" Each manufactured home or modular dwelling
5ignetureofsupervisin lectricIanfrc•_quirc_d) Dale Service and/or feeder 2
Sup,elect.name(pnet) S f'rJ r i.icenseno: - jServices or feeders-IrulallatIon,
alteration or relocation:
PROPERTY OWN-ER 200 amps or less 2
Name(print): 201 am,::to 400 amps I 2
401 amps to 600 amps 2
Mailing address: 601 amps to 1000 amps 2
City: Sttale: ZIP: _ over 1000 ames or vol, - 2
P;1one: I Fax: I E-mail: Reconnectonl -- _ 1
Owner installation:The installation is being made on f,,,lerty I own Temporary services orteedem
«hich is not intended for sale,lease,r_nt,or exchange .ccording to Installation,alteration,or elocution:
ORS 447,455,479,670,701. 20(1 amps or less 2
20I amps to 400 amps 2
Owner's A nate!C: _ Date: 401 to(i(x)ams 2
Branch circulls-new,alteration,
or extension per panel:
Name: A Fee for branch circuits with prrr•hase of
Address! service or feeder fee,each branch circuit
City: Slate: ZIP: B. Fee for branch circuits without purchase
Phone: 1 ax: Email: of service or feeder fee.first branch circuit: __ 2
F.achadditionalbranch chruil
PLAN Rr%vinv(piessle check sill that jippli Mtar.(Service or feeder not Included):
U Service over 225 amps-commercial U Health care facility Each pu:n or irtillation circle 2
U Servicc over 320 amps-rating of 1&2 U Hazardous to ation iach sign or outline lighting 2
familydwellings U Building over 10,(1'11.9,rre reel four or Signal circuit(s)or a limilerl energy panel,
USt-stem over 600volts nomanal room residential t nits in wic structure alteration,or extension* 2
U Building e•et three stories U Peeders,400 amps or more •Descri otion-
U(Jecupant load over 99 persons U Manufactured structures or Rv park FAch additional Inspection over the allowable In any of the above:
U Bgress/lighOugplan U tither _ Y I'erina tion �—�--
Submit __sets of plans with any of the above. Investi cation fee
___-711e above are not applicable to temporary construction service. tither —
Permit fee................rS 1,
Not all Judsdicaom accept credil cards,please call Judkilel car for more intomallon. Notice:This permtit application
_
U visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $
Credit earl number _ within I RO days otter it has been State surcharge(8%) ....$
apirer, accepted as complete. TOTAL .......................$
Name M cartiholdet as shown on credit c —
Cardholder signature Amount 443-4I1(6maK t)MI
Electrical Permit Fees: Limited Energy Fee-a:
Complete Fee Schedule Below: I TYNE OF WORK INVOLVED -RESIDENTIALONLY
/� Restricted Energy Fee.................................................... $75.00
Number of Inspections per permit allowed (FOR ALL SYSTEMS)
Service included: Items Cost Total Check Type of Work Involved:
Residential-per unit
1000 sq.it or less _ $145 J5 4 Audio and Stereo Sys.ems
Each additional 500 sq it or
portion thereof _ $3340 _ 1 Burglar Alarm
L!mlted Energy $7500
Each Manufd Home or Modular Garage Door Opener'
Dwelling Service or Feeder $9090 ?.
Services or Feeders Heating,ventilation and Air Conditioning System'
Installation,alteration,or relocation
200 amps or less _ $80.30 2 Vacuum Systems'
201 amps to 400 amps $106.85 7
401 amps to 600 amps $160.60 2 ❑
601 amps to 1000 amps $240.60 2 Other
Over 1 100 amps or volts $454.65 2
Reconnect only $66.85 2
Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY
Installation,alteration,or relocation1 Fee for eachsystem................................................... ...... y75mi)
200 amps or less _ $66.85 4-�" �� 2 (SEE OAR 918-260-260)
201 amps to 400 amps $100.30 2
401 imps to fine amps $133.75 2 Check Type of Work Involved:
Over 600 amps to 1000 volts, ❑
sae"b"above. Audio and Stereo Systems
Branch Circuits Boller Controls
New,alteration or extension per panel
a)The fee for branch circuits
with purchase of service or ❑ Clock Systems
feeder fee?.
Cach branch circuit _ $665 2 Data Telecommunication Instc 11-'
b)The fee for branch circuits
without purchase of service ❑ Fire Alarm Installation
or fooder•lee.
First branch circuit $4685 _ ❑
Each additional branch circuit —� $665
_ HVAC
Miscellaneous ❑ Instrumentation
(Service or feeder not Included)
Each pump or Irrigation circle _ $53.40 E] Intercom and Paging Systems
Each sign or outline lighting _ $53.40
Signal circult(s)or m limited energy
panel,alteration or extension $75.00 Landscape irrigation Control'
Minor Labels(10) $12500_
Medical
Each additional inspection over ❑
the allowable In any of the above Nurse Calls
Per Inspection $62.50
Per hour _ $02.50
In Plant $73 75 —�_ Outdoor l..indscape Licrifing'
Fees: Protective Signaling
Enter total of above fees $ Other
8%State Surcharge $ _ _ �_Number of Systems
25%Plan Review roe No licenses are required. Licenses are required for all other installations
See"Plan Review"section on $
front of application _.
Fees:
Total Balance Due $
Enter total of above fees $
❑ Trust Account p —_. 8%State Surcharge f
�— Total Balance Due = �—
r bletsfrnnukle-feesdoc 10,091mi
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SW 148TH TERR
CITY OF TIGARD 24-Hour
BUILMNG Inspection Line: (503) 639-4175 MST -
INSPECTION DIVISION Business Line: (503)639-4171 13UP
Received -
Date Requested___ 2 TZ AM PM_ — BJP — —
____—__ q
Suite--- — MEC
Location
Ph PLO --
Contact Person — SWR
Contractor ---- Ph( ) J
Tenant/Owner _ _ ___—_ ELC
BUILDING ELC —
Footing
Foundation FAccess: ELR
Ftg Drain
Crawl Drain "- SIT — -
Slab ion Notes -
Post&Beam ---- -----
Shear Anchors --
Ext Sheath/Shear
Int Sheath/Shear ----
Framing r� t — - -
Insulation I,Y1.,Js�
Drywall Nailing ---
Firewall -
Fire Sprinkler -
Fire Alarr-. _-
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 "---
Post&Beam
Gas Line -
Smoke DamperE.
Final -
PASS PART FAIL
ELECTRICAL -
�®ru7qhpin
UG/Slab --
Low Voltadetv-4-6 1, ----
Fire Alarm
-� Ll Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hail Byrd.
onffPA;iS PART FAIL _ ^� Unable to inspect-no accuse
SITE_ _ Please call for reinspection RE:
Fire Supply Line
•z_ ^� �r - _ Ext
ADA D Inspect
- -
Approach/3ldewalk Do%
Other: DO NOT REMOVE this Inspection record fr6m the job site.
Final
PASS PART FAIL