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CITY, OF 1 !G A R D ELECTRICAL. PERMIT
PERMIT#: ELC9 0-00024
DEVELOPMENT SERVICES DATE ISSUED: 01119/2/2 000
13125 SW Hall Blvd.. Tigard, OR 97223 1503) 639-4171 PARCEL: 2S103DC-052[0
SITE ADDRESS: 13650 SW 115TH AVE
SUBDIVISION: VIEWMOUNT ZONING: R-45
BLOCK: LOT : 040 JURISDICTION: TIG
Proiect Description: Add a first branch circuit.
RESIDENTIAL UNIT TEMP S_RVC/FEEDERS _ `MISCELLANEOUS -�
1000 5F OR LESS: 0 200 amp: PUMP/IRRIGATION
EACH ADD'L 500SF: 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_ — ADD'L INSPECTIONS
0 200 amp: W/SERVICE OR FEEDER: PER INSPE TION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 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:
HARRINGTON, CHARLES A ill AND WEST SIDE ELECTRIC CO INC
l"ANCY 1834 SE 8TH AVE
13L50 SW 115TH AVE PORTLAND, OR 97214
TIGARD, OR 97223
Phone: Phone:
231-1548
Reg#: LIC 13306
SU° 1556s
ELE 26-135c
FEES _ Required Inspections _
Type Ey Date Amount Receipt Elect'I Service
PRMT GEO 01/19/200C $37.50 00-321249 Elect'I Final
5PCT GEO 01/19/200C $3.00 00-321249
Total $40.50 ORIGINAL
This Permit is issued subject to the regulations contained in tl.e Tigard Municipal Code,State of OR Specialty Codes and all other applicable laws
All work will be done in accordance with approved plans. This pc�,mit will expire if work is not started within 180 days of issuanoe,or If work is
suspended for more than 180 days. ATTENTION Dregon lave requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952-001-0010 through OAR ub1.001.0080. You may obtain copies of these rules ordirect questions to OUNC at(503)
246-1987
PERMITTEE'S SIGNATURE �( ISSUED BY: �` .'
_ OWNER INSTALLATION ONL �` r
The installation Is being made on property I own which is not intended for sale, lease, or rent.
Ok,'rN;=R'S SIGNATURE: � DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N. h-� ��` _ DATE:
LICENSE NO: ------ -- 1 ._, 6.
Call639-4175 by 7:00pm for an Inspection the next business day
rriN- 14-00 05 :26 PM WEST SIDE ELELI'R I C 503 735 0677 r'• �+ 1
CIX OF TIGARD Electrical Permit ApplicatiBWEIVED Reacd heck
931 S SW HALL BLVD.
TIG RD OR 97223 JAN 18 ?W, Dole Rnc'd
Pho (503)839 4171, x304 Date to P E
-- ""
COMMUNITY DEVELUFMENI Date to DST
Inbp cline (503)639 4175 Print of TVpt' Permit N c=!�� ��� C*'�a•<x
Fax 03) 598-1980 Incomplete or Illegible will not be accepted Called
i, b Address: 4. Complete f=ee Schedule Below:
Name 0 Development_ r ' ' /�/�P�/✓.l'' / Number of inspections per permit a,Iowrd
Name r name of business) Service Included: Items Cost Sum
Addre. 40,. Rseldsnt :•pe►unit
c� 1000 ect n or less S 117,75 4
City/Sl 1tYLp- - - f_ _.1�2Z EAch additional 500 sQ ft.or -
Comm tial❑ Residential [,I Portion ergy ! 26 25 _ 1
llmllrrd Energy ; n0 00 _
Each Manurd Home or Modular '-
2$, ritraetor lnsta/la"fon only: Dwetling Service or I•aeaer ;
(prior l rtrilt Issuance,appllcar z -rust provide contractor Ilconse I 4b.Services or Fa►eders
Informs n for COT data bass). L Installation,alteration,or rslorallon
Eleciri Conlrltetor �� _ f'� i C Zoo amps ar tea 6 ae zs 2
AddfeB t�s� 201 ampR to 400 snips ! 63.50 2
City / 4ir Sta.(e Zip_`' �/� 401 amps h r100 amps _ S 128.50 _ 2
60, empu to 1000 amps 6 192 5o 2
Phone _-Z 2-- Over 1000 amps or voIIR - - i 363,73 2
i Jab NO __- -7T oo 7 _ A�. _- Reconnect only 3 63 50 2
Clec C int Lice No. /J Exp.Date 4c.Temporary Services or Feeders
OR SlP GCB Reg No Exp.Date_. _ Installation,alteration,or relocation
COT Bi,airless Tax or IlAetro No. Exp Date 200 amps or less _ _ ; 83 50 2
"~ ---- 201 amps to 400 trips -__ 5 80.25 2
401 amps to 600 Amps ; 10'00 2
Siena(u a o1 Supr. Elec'n_� (1 .� —�-- -- — -— --
O-or OOG amps to loon voIIR
•e•"b"above.
License No, �4� _Esti Date
Phone 0 _ 4d.Bench Circuits
-/ ---- Now,atiaratlon or exlenslon par panel
a)The fee for branch ctrculls
1b. For owner Installations: with purchase of sorvlee or
'seder fee.
Print 0 tier's NnmeEAch branch clrcull - 5 5 35 2
Addres -- �� I h)The faa fnr branch chcur(R
without purchase of aervlro
City_ --- _State__ --Zip-- or feeder lea.
Phone 0 prral branch circuit 1 37.50
Each additional branch circuit 3 531
ther i
Ins Ilation is being meds on property I own which is nt w.Miscellaneous
intend@ for sale, (ease or rent. (Sarvlcs or feeder not Included)
Carh pump or Irrigation drele 6 x2.75
Owner's Signature Each atom or ouillne Ilghllnp 1 42.75 y_
Signal circulus)or a limited energy
I P Rn Review section (if requ!rted):' Mipanel lor extension f 60.00 --
Minor labeels&((10)n 10) I 107.00
Pleas check appropriate Item and enter ha In section$8. 41.Each additional Inap:etlon over
4 or ,sidantlel unks in one structure this allowable in any of the above
Servlca and feeder 225 amps or more Per InspedImn I 60.00
- - Per hour 1 6000
6yRtem over 800 volts nominal In Plant 3 soon '
Clssslltod area or structure containing special osrupamry ea
described In N E C Chspter 5 5, Fe ea:
6a,Ente.total of above lap I
a 31,11briii 2 sets of plans with application Where any of the above apply. 5%Sup;harps(05 x total fees) 3 �
Wall rat kilrad for temporary construction services. Subtotal 5
6b.Enter 29%of Ins Is for
NOTICE flan Review IM red(der. 3) 3
PENMIIS AFCOME VOID IF WORK OR CONSTRUCTION AUTHORIZED subtofal
19 NOT C MMENCED WI rH'N 160 DAYS OR IF CONSTRUCTION OR (Y
WORK IS USPENUED OR ABANDONar)FOR A PERIOD OF 160 DAYS C2111n»t Anc;ount 0-a ('AT ANY I IME AFTER WORK 15 COMMENCED. Total(balance Due 9 �
I Wuc'1rn s'r.lccttl:dnc
C!7Y OF i IGARD BUILDING I�1SPECTION DIVISION MST _.
24-Dour Inspection Line: 639-4176 Business Line: 639-4171 BUP --
Date Requested � — /� — > ,n —ANI Atvl_____
PM BLD _--
__ ��_ �� Suite _ MEC
Location_-- Ph PLM
Contact Person
----
� .��K�E' C fTiG SWR
Contractor Q` f — ELC LtW 6 D
BUILDING Tenant/Owner ELR —
Retaining Wall FPS
Footing Access' —
Foundation SGN —
Ftg Drain
Crawl Drain Inspection Notes: SIT _
Slab -- ------ - —
Post&Beam
Ext Sheath/Shear
Int Sheath/Sher
Framing -
Insulation
Drywall Nailing —
FirewL'I -- — -
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -- r
Roof --_- � — ►'arw2.—_ JZ�--
Misc:
Final -- -
PASS PART FAIL ---- - _ —
PLUMBING ------_-----
Post&Beam _------ ---
Under Slab ---- -
Top Out ----.___
Wates Service - -- -- ----
SanPiary Sewer
Rain Drains -- —"_-.--
Final -- -- --
PASS PART —
MECHANICAL
Post&Beam -
Rough In
Gas Line
Smoke Dampers -
Final
PASS PART FAIL _ — ---- -
ELECTRICAL —._—�--
Service ------------
Rough In -
UG/Slab -- -
Low Voltage
F:re Alarm -- ----- -"
PART FAIL — - -- - "— —
L,ackfilllGrading
Sanitary Sewer required before next inspection. Pay at City Hall, 13125 SW Flail Blvd
Storm Drain [ j Reinspection fee of$ — __
Catch Basin —_ _ _ ___ [ j Unable to Inspect-no access
( j Please call for reinspection RE
Fire Supply Line
ADA �� 2 E x t
Approach/Sidewalk pate _L2 _ _-L=.l-._--- Inspector
Other
171
Final DO NOT REMOVE this inspection record from the Job site.
pASS PART FAIL