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14550 SW 130TH AVENUE
CITY OF TIGARD ELECTRICAL. PERMIT
DEVELOPMENT SERVICES OERMIT #: ELC97-0461
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 07/15/97
PARCEL: c:S109AD-02100
SITE ADDRESS— : 14550 SW 130TH AVE
I:iUBD'I V IS ION. . . . :WOODFORD F:-STATES TON I NG: R-7
BLOCV. . . . . . . . . . LOT. . . . . , . . . . . . . : 13 JURISDICTION: TIG
Pr•o j ect De scrr,i pt i on : Add first branch ci-cuit.
'RESIDENTIAL UNIT'- ---- ----TEr4P SRVC/FEEDE:RS-------- -------MIS(:7LL.ANEOLJS-.-. .__._.
1000 SF f.R LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP'/IRRIGATION. . . . : 0
EACH ADD' L_ 500SF. . : 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG,. . : 0
LIMITED ENERGY. . . . . : 0 401 - 0?10 amp. . . . . . . : 0 SIGNA'_/F'ANEI.. . . . . . . : 0
MANE. HM/ SVC/FDR. . : 0 601+amp�_..1000 volts. : 0 MINOR LABEL. ( 10) . . . : i)
.---.--SERVICE/FEEDER---- -----BRAN(,'hi CIRCUITS------ ---ADD' 1_ INSPECTION::,--�- -
0 - 200 amp. . . . . . : 0 W/SERVI.CE OR FE,,-r)ER: 0 PIER INSPECTION. . . . . : N
L AMP. . . . . . . it 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . . 0
401 - 600 amp. . . . . . : 0 EA ADD' L.. BRNCH CIRC: 0 IN PL_ANT. . . . . . . ,. . . . : 0
601 - 1.000 amp. . . . . : 0 ---------- ----- -- PLAN REVIEW FE7CTION---
1000+ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOM INA!_. . :
Reconnect only. . . .. . : 0 SVC/FDR > _ 225 AMPS. . : CLASS nQFP/SPEC OCC. :
Owner-: - _.___.______._._..____.__._..__...__ ._..________._ ____._______.__ __. FEES
J. T. ROTH CONSTRUCTION INC type amnr-int by date recpt
12300 SW 69TH AVE PRMT q, 3 ;. 00 CEO 07/15/9'7 97-29'7117
TIGARD OR 97223 SPCT f 1. 75 GECI 07/1.5/97 97--2917117
171hon ., #:
Contractor: -- - ----_- -_ ----------------.__.____--.--._______-_..-------_.__.---•-•.__--
PAGEL. ELECTRIC It 36. 75 TOTAL_
1.927 21ST AVE
REQUIRED INSPECTIONS
- --
FOREST GROVE OR 9711E Ceiling Covet, Under•grol.rnd Cr yr
Phone ##: 357-4013 Wall Cover Ll ectI I Sery i , r
Reg 0. . : 001073
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes ?nd all other
applicable laws. All work will be done in accordance with approved plans. This permit will empire if work is not started within 180
lays of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted Dy
the Cregun Utility Notification Center. Tho.e rules are set forth in DAP 952-001-0010 throuyh DAR 952-001-1987. You may obtain a copy
of these rules or direct questions to OLK by rallrng (503)' 6-1987.
I"'ermittee 5ignatr.rrea Issl,ed By ,
INSTALLATION ONLY---------------------------------
The
----------.___---.- --.__--__The installatior is being made on pr-oper•ty I own which is not intended for,
!;,--41e, lease, or- r-ent.
{)WNE R' S SIGNATURE:
DATE:
___t:ONTRACTO�R
INSTALLATION
SIGNATURE OF SUPR. EL.EC' N: _ �/ _ f DATE:
LICENSE NO: G .SJV
+++++++++++++++++++++++++•++++++++++++++++++++++++++++1•f-+ ++++++++++++++•++++++++•h
Call 639-4175 by 5:00 p. m. for, an inspection nerr.Jed the next br.rsiness day
++++++++++++++++++ ++++++++++++++++•+++++++•++++++++•+•+. +t+++++++++++++-h++f.++++++
�n
Community Development ELECTRICAL PERMIT APPLICATION
1 13125 SI,"J Hall Blvd.
\ Tigard, OR 97223 Permit # G_= �'I — 0 e11
Date Issued
Phone (503) 639-4171
rwlY OF TIGARD FAX (503) 684-729 '
TDD No. (503) 684-2772
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Address ^i 55 I f) 3 ��— Service included Items Cost(ea) Sum
City/State/'Lip_j nt 0– C __ _ 4a. Residential -per unit
1000 sqft or less $11000 4
Name (ur name of business) Each additional 500 sq 1t or
11J� portion thereof $2500
Commercial U Residenoal Limited Energy $2500
Erich Manurd Home or Modular
Dwelling Service or Feeder $6800 2
2a. Contractor installation only:
r—'- 4b. Services or Feeders
(� (� Installation,alteration.or relocation
Electrical Contractor Cir ri- „__ 200 amps or less $60130 2
Address _�_� 201 amps to 400 amps $8000
2
City ..n �� State Zip --- - 401 amps to 600 amps $12000 2
601 amps to 1(00 amps $180.00 2
Phone No. ? `" — 21 1 _ Over 1000 amps or volts $34000 2
Job NO. "S Reconnect only $5000 _ 2
contractor's license NO. � _ � — 4c• Temporary Services or Feede•s
Contractor's Hoard Reg. Install9tion alteration,or relneatlon 2
Signature of Supr. Elec'n u _ 200 amps or less 2
< < 201 amps to 400 amps $50.00
License No._�aITS__ Phone No_3 x- s/ol� 401 amps to 600 amps $7500
2
Over 600 amps to 1000 volts $10000
2b. For owner installations: see"b"above
4d. Branch Circuits
Print Owner's Name_—_ _ _ _ _ New alteration or extension per pane
Address al The tee for branch circuits with
State Zip — purchase of service or feederfae. 2
Earn branch circuit s5 00
Phone No. _ b)The fee for Jrsnch clrcuds without
The installation is being made on propertyI own which is lour cnase of service or healer he. 2
not intended for sale, lease or rent. Flrsl branch circuit $35 00 ,L 2
Encr,additional rsranch circuit $500
Owner's Signature___ _ 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or irrigation circle $4000 _ 2
Ea&sign or outline lighting $4000
Signal circuits)or a limited energy 2
Please check appropriate Item and enter fee in section 58. panel,alteration or extension $4000
4 or mrde residenttai units in one st ucture Minor Labels 1101 $100 or
Service and feeder 225 amps or more
Systrlm over 600 volts nominal 4f. tach additional Inspection over
_ CInssl8ed area or structure containing special occupancy the allowable in any of the above
as described In N E C Chapter 5 Per inspection $3500
Per hour $5500
In Plant $5500
Submit 2 sets of plans with application where riny of the above
apply. Not required for temporary construction services. 5. Fees:
5a. Enter total of above fees s �J
NOTICE 5%Surcharge (05 X total fees) 9 _��b
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
•UTFIORIZED IS NOT COMMENCED WITHIN 160 DAYS. OR IF 5b. Enter of A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Reevivi at
iff required (Sec 3) S
A PERIOD OF ;90 DAYS AT ANYTIME AFTER WORK IS Subtotal $
COMMENCED «m.om4r.w U Trust Accuunt M $
pm�tM
Balance Due $ ��
CITY OF TIGARD BUILDING INSPECTION DIV►SION
24-Hou;Inspection Line: 6394175 Business Phone: 639-4171
Date Requested: 1/
7 A.M. P.M. MST:
Location:
DUP:
Tenant: Suite: Bldg: MEC:
Contractor:
44- Phone- -3-57- 4/0/3 PLAR:
thvner: Phone: 1,.2L�
Nyr, V/�}'Ll.r<'��,�( ��/��—I ��oZ 7�•GZ��,CI��..B:i
I G SIT// �,� / )74. /Q �EcjR�
BUILDING BLDG(c PLUMBING M HANICA„ SITE
Site Post/Beam Post/Beam Post/Beam Sewer/Storm
Footing Roof UndFUSlab Rough-In
Ceiling Water Line
Slab Framing Top Out Lias Line Rough-In UG Sprinkler
Foundation Insulation Sewer Iiood/Duct Reconnect Vault
l3smt Dump I.hywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire Spklr/Alin Crawl/Fonnd Dr I{eat Pump Low Volt
Approved Approved Approved Approved Approved
Appr/Sdwlk Not Approved Not Approved Not Approved ved Not Approved
L FINAL FINAL FINAL FINALS FINAL
- 1A _� K" -- -- - --- -
O Call for reinspection I inspection fee of S _ rqui'r'e7d before next inspection O Unable to inspect
Inspector: --- Date 7 �t 3^1 Pe_of