10820 SW 74TH AVENUE ADDRESS:
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Page No. 1 CASE HISTORY FOP CASE NO.: ELC98-0221
DON :ROWDER
10820 SW 74TH AVE
07/01/90
Action D»scription Req/ Schd/ End/ Action Notes Dinp By Update Upd
Code Sent Done Done Date By
RL,CAp01 Application received / / / / 05/04/90 PASS JSD 05/04/98 JSD
S;LCA003 Permit created / / / / 05/04/98 PASS JSD 05/04/98 JSD
ELCA500 (F) Issue permit / / / / 05/04/98 PASS JSD 05/18/98 JSP
RLCA730 Rlect'l Servico / / / / 05/19/98 PASS CD 05/20/98 J"H
RLCA799 Elect'l Final / / / / 05/19/98 PASS CD 05/20/9' J•H
ELCC300 Cane r.naled / / / / 05/19/98 PASS CD 05/20/98 J•H
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I CITY OF TIGAIZD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 6394175 Business Phone: 639-4171 3 O
Date Requested: /9` A.M. _ P.M. S1':
Location: 13UP:
'?,,nant: / Suite: ttBldg:
— W. —
Contracto _ Phone. !CJ PLM:
Owner: n�%k., Phone: ELC: c 7
BUILDING BLDG(con't) PLUMBING MECHANICAL — CTR CAL �t SITE
Site Post/Beam Post/Beam Post/BeamC ervrce Sewn/Storm
Footing Roof Undll/Slab Rough-litCeilin Waver Line
Slab Framing Top()ut Gas Line Rough-In U(t Sprinkler
Foundation Insulation Scwer Ilood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Fire Sp Rain Drain IVC Lo Slab n v 4615
Sherr/Sheath Dire Spklr/Alm Cruwl/Fclund Dr f leaf 1'+unp Low Volt (ir!
Approved Approved Approved Approved Approved
Appr/Sdwlk Not Approved Not Approved Not Approved Not droved Not Approved
FINAL FINAT., FINAL FINAL" FINAL
44
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0 Call for vin. •tior 0 Reinsp77Date
of S required before next inspection 0 Unable to inslxtct
Invpector.- :_ .� _9T Page of---_
ALELECTRIPERMI
CITY OF T I G A R D PERMIT #C: El-C98-0T
227
DEVELOPMENT SERVICES DATE ISSUED; 05/04/98
6 13125 SW Hall Blvd.,Tigard,OR 97223 (503)639.4171 PARCEL: IS136AC-03801.
SITE ADDRESS. . . : 10820 SW 74-FH AVE
' SIJBI)Ik'ISION. . . . :METZGER ACRE TRACTS ZONING:R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :OOC JURISDICTION: TIG
Protect Description: Crowder
------------------------------------------------------------------------_UNIT---- ---TEMP SRVC/FEEDERS---- -MISCELLANEOUS-------
1000 SF OR LESS. . . : 0 0 - 200 amp. . . . . . . : 0 PUNIP/I RRIGAT ION. . . . : 0
EACH ADDIL 500SF. . . : 0 201 - 400 amp. . . . . . . i 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
----SERVICE/FEEDER---- -----BRANCH CIRCUITS----- -----ADDIL INSPECTIONS-.--
0 200 amp. . . . . . : I W/SERVICE OR FEEDER: 2 PER INSPECTION. . . . . : 0
201 400 amp. , . . . . : k' 1st W/O SRVC OR FDR. : 0 PER HOUR. . . . . . . . . . . . 0
401 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 1000 amp. . . . . : 0 ------------------PLAN REVIEW SECTION-----------------
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) GOO VOLT NOMINAL. . -
Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SVIEC OCC. :
Owner: ------------------------------------------------------ FEES
DON CROWDER type amount by date reept
10820 SW 74TH PRMT $ 70. 00 JSD 05/04/96 98-305467
-rIGARD OR 97223 5PCT $ 3. 50 JSD 05/04/98 98-305467
Phone #: 244-9518
Contractor-: ----------------------- -----
DON CROWDER $ 73. 50 TOTAL
10820 SW 74TH
REOUIRED INSPECTIONS
TIGARD 01t 9722,3 Elect' l Service
Phone #- Elect" I Final
Reg #. . .-
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicable law;. All work will be done in arcordance with apprnved plans. This permit will expire if work is not started within Is@
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. Those rules are set forth in OAR 952-**-8810 through OAR 952-09987. You may obtain a copy
of these miles it direct questions toANNC by calling ( )246-1987.
Permittee Signature: Issued By:
7
---------------------------OWNER INSTALLATION ONLY--------------------------------
The installation is being mado on property I own which is not intended for
sale, lease, or rent,
OWNER' S SIGNATURE: DATE:
-------------------------CGNTnACTOR INSTALLATION ONLY----------------------------- -
SIGNATURE OF SUPP. ELECIN- DATE:
LICENSE NO:
4....................4.........4-+4-++-1..............44........*....................
Call 639-4175 by 7:00 p. m. for an inspection needed the next business day
...............;-++++4-++4............i.............................. ..............
CITY OF TIGARD Electrical Permit Application Plan Check 111 i'7)
13125 SW HALL BLVD. Flec'd By`
TIGARD OR 97223 Date Rec'd OS?I(/
Date to P.E.
Phone (503)639-4171, x304
Print or Type Date to DST
Inspection (503) 639-4175 Incomplete or illegible will not be accepted Permits E-t L' G� 7
Fax (503)684-7297 Called-
1.
alled, j
1 Job Address: 4. Complete Fee Schedule Below: ^
Name of Development i / Number of Inspections per permit allowed
Name(or name of business) !Jf � (-yl/�1OLt� � l�Z Service,included: Items C.)st Sum
Address_1� w ( tet�� 4a. Residential-per unit
f c_ 1000 sq.ft.or less $110.00 4
City/State/Zip C T_le JIL- A Z2 Each additional 500 sq.ft.or
Commercial ❑ Residential portion thereof $25.00 _ t
Limited Energy $25.00
Each Manut'd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
(Attach copy of all current licenses) 4b.Services or Feeders
Electrical Contractor Installation,alteration,or relocation
Address -�� 200 amts or less $60.00 (� 2
201 amps to 400 amps $80.00 _ 2
City_ _ State Zip 401 amps to 600 amps $120.00 2
Phone No._ 601 amps to 1000 amps $180.00 2
Job No. Over 1000 amps or volts $340.00 2
Elec.Cont. Lice. No. Exp.DateReconnect only $50.00 2� �-
OR State CCB Reg. No. Exp.Date ____ 4c.Temporary Services or Feeders
COT Business Tax or Metro No. Exp.Data__ __ Installation,alteration,or relocation
200 amps or less $50.00
Signature of Supr. Elec'n 201 amps to 400 amps $75.00
401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License Nr Exp.Date see"b"above.
Phone N, -- 4d.Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a)The fee for branch circuits with
purchase of service or yy�'
Print Own r'S m l feeder fee. T'l�i'.OL•
AddfeSS j Each branch circuit -Z $5.00
:hate Zi 7 b)The fee for branch circuits
Ci
p w:z without purchase of
Phone No. 5 service or feeder fee.
First branch circuit $35.00
The installation is bei made on property I own which is not Each additional branch circuit $5.00
intended for sale, ' se r rent. 4e.Miscellaneous
(Service or feeder not Included)
Owner's Signature Each pump or irrigation circle $4.00
Each sign or outline lighting $40.00
° 3. Plan Review section (if required):* Signal circult(s)or a limited energy
rX panel,alteration or extension $40.00
Ln Minor Labels(10) $100.00 _
Please check appropriate item and enter fee in section 58.
4 or more residential units in one structure 4f.Each additional Inspectlou over
I ' Service and feeder 225 amps or more the allowoble In any of the above
System over 800 volts nominal Per Inspection $35.00 _.
m Classified area or structure containing special occupancy Per hour $55.00 _
as described In N.E.C.Chapter 5 In Plant $55.00
w
"' Submit 2 sets of plans with application where any of the above apply. 5. FEes:
Not required for temporary construction services. 5a.Entar total of above fees $ 7y
5%Surcharge(.05 X total fees) $
NOTICE Subtotal $ -�
5b.Enter 25%of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review d._2g tl lred(Sec.3) $
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ ------f
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY "
TIME AFTER WORK IS COMMENCED. El Trust Account rM
$
Total halance Due
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