10315 SW MCDONALD STREET-1 1S aIVNoaDW MS 56£x6
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10315 5W MCD®NAL.D ST
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection Line: 639-4175 Business Line: 6394171
BUP _
_Date Requested l0 S AM PM BLD
Location %C�� I �� cw?�L Suite//_ MEC
2Contact Person � J _ Ph i o LSO �� PLM
Contractor _ Ph SWR
BUILDING^ Tenant/Owner ELC oz04 / DO (p
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes —
Slab 0 SIT
Post&Beam
Ext Sheath/Shear ✓`
Int Sheath/Shear
Framing
Insulation
Drywall Nailing _ _.��.�---_ L�52/
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling _-- —
Roof
Misc:
Final - til /
PASS PART FAIL /-����y-►S`1 C C4t-�--
PLUMBIN(3 C�� rz v Lei j• ti- on
Post& Beam
Under Slab
Top Out
Water Service _
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL _
MECHANICAL i
Post& Beam
Rough In
Gas Line - -
Sm!,',,e Dampers
Final
PASS--PAF,T. FAIL
ELECTRICAL __-- — —
o. Se _ -- -
Rough In w
N UG/Slab
} Law Voltage
F Fire Alarm
-i ina
m PART FAIL
(7
W
-� Backfill/Grading —'— --�
Sanitary Sewer
Storm Drain [ ]Reinspection fee of$_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line i ]Please call for reinspection RE: [ ]Unable to inspect no access
ADA i ��------ /�
Approach/Sidewalk Date Ch 7 �?.�'�cc Inspector ��U d G 4a!:4 Ext
Other �1
Final
PASS PART FAIL DO NOT REMOVE this Inspection record from the job site.
' CELECTRICAL PERMIT
CITY O F T I G A R®
PERMIT#: ELi:2001•.00461
DEVELOPMENT SERVICES DATE ISSUED: 9/18/01
13125 SW Hall Blvd., Tigard, OR 97223 (5031639-4171 PARCEL: 2S102CC-03500
SITE ADDRESS: 10315 SW MCDONALD ST
SUBDIVISION: FRELEON HEIGHTS ZONING: R-3.5
BLOCK: LOT : 003 JURISDICTION: TIG
Prolact Description: Relocate service panel.
_ RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTC:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL-
MANF HMI SVC/FDR: 601 mps -1000 volts: MINOR LABEL (101-
SERVICE/FEEDER BRANCH CIRCUITS — ADD'L INSPECTIONS
0 - 200 amp: 1 W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 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:
DAVIS,STEPHEN G/NANCY I OWNER
10315 SW MCDONALD
TIGARD, OR 97223
Phone: Phone:
Reg#:
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT CTR 9/18/01 $80.30 2720010000( Elect'I Final
5PCT C1R 9/18/01 $6.42 2720010000(
_ — Total $86.72
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable
laws. All work will be done in accordance with approved plans. 1 his permit will expire rf__w�not started within 180 days of issuance, or if
work is suspended for more than 180 days. ATTENTION: Oregon!aw requires y follow rule-s ad-Cpt@d by the Oregon Utility Notification
d Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001- 80. You may obtain copies of these r s or direct questions to
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Permit Signature: Y By:
m _ OWNER INSTALLATION ONLY
WThe installation is being made on prop y I own w is not intended for sale, IAase, or rent.
OWNER'S SIGNATURE: DATE y ��
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: _ DATE:
LICENSE NO:
Cali 639-4175 by 7:00pm for an Inspection the next business day
Electrical Permit Application
Dale veceivO/ Permit no.:
City of Tigard Project/appl.no.: Expiredate:
CirynfTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: _ Receipino.
Phone: (503) 639-4171 — --
Fax: (503) 598-1960 Case file no.: payment type:
Land use approval: . _�—
1111161 Kill
1141 &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement
U New construction U Addition/al(eralion/replacement U Other: U Partial
Job address: ?/r- MC lj T. I Bldg.no.: I Suite no.: 'rax map/tax lot/account no.:
L,ot: I Block: Subdivision:
Project name: Des'ripiion and location of work on premises: ( e.,&-ry
Estimated date of completion/inspection:
�ERI]tak,IMMEI ago MUM
Job no: fee Max
Business name: 1)eacrlpflon Qty. (ea.) Total no.lns
New tealderrlbl-sh*k-3r ma d-family per
Address: J"vilinitwdf.lnchmimnttarhedLxrn r.
City: stale: ZIP: SerrketneMded
Phone: I Fax: E-mail: I(xx)sq.n.or less_ _ 4
CCB no.: El-c.bus.lic.no: Fach additional 5c0 sq.ft.or portion thereof –
Limited energy,residential 2
City/metrolic.no•: — – Lim' .denctgy,non-residential 2
Fach manufactured home or modular dwelling
Signature o1 su rvising electrician(required) _ DatService and/or t'eeder_ __ 2
Sup.elect.name(print): License no: Services nrfeeders-Installation.
alleralitm or relocatlnn:
200 amps or less 2
Name(print): ,S 201 amps to 400 amps 2
address: �D S c
RSarling n 401 amps to 600 amps _ 2
60 r amps to 1000 amps 2
City: State:Z)2 ZIP: `( Over 10(10 amps or volts 2
Phone: qJ Jr.0 Fax: E-mail: Reconnect only I
Owner installation:The installation is being made on property 1 own Temponryarrskdorfeeden-
whicl:is not intended for salt. lease, L or exchange according to Installation,alteratMn,orrehradon:
ORS 447,455,479,670 9�1. 200 amps or less 2
_ c 201 amps to 400 amps _ 2
()wner's si nature: Date: 401 to 600 amps
Branch circuits-new,alteration,
Name: ,r extension per pang.
—_ A. Fee for branch circuits with purchase of
Address: service or feeder fee,each branch circuit 2
City: Stale: ZIP: R. Fee for branch circuits without purchao:
Phone: ax: Email:
of service or feeder fee,first branch circuit: 2
d F —
a Each additional branch circuit
MI..(Service or feeder not Included):
U) U Service over 225 amps-cnmrrxrcial U Health-care facility Each pump or irrigation circle 2
U Serviccovcrl20arnps-ratingnf IRc2 U Hazardous location Each sign or outline lighting 2
familydwdlings UBuilding over l(AX)square feet four or Signal circuit(s)ora'imite
(N) denergypanel,
J U System over 6volts nominal more residential units in one structure alteration,or extension* 2
F0 U Building over three stories U Feeders.400 amps o;more *Description:
0 U Occupant load over 99 persons U Manufactured structures or RV park Each additional Inspection over the allowable In any of the above:
W U Fgrcss/lightingplan iJ Other:
Per inspection
Submit sets of plant with any of the above. Investigation fee
The abort are not applicable to temporary construction smite. Other J
Not sill judsrlictions accept credit card+,please call jurisdiction Its mrtte L.iorrrsatiun. Notice:1-his permit application Permit fee.....................$
U Visa U MasterCard expires if a permit is not obtained Plan review(at _ %)
Credit card number: __LL._ within 180 days after it has been State surcharge(8%)....$
t:Xpurs accepted as complete. '
Nerve d cardholder u shown on credit card -
S
Cardholder signature Amount .s 440-4615(60Art'oM)
v�
Electrical Permit Fees: Limited Energy Fees:
^-- TYPE OF WORK INVOLVED -RESIDENTIAL ONLY
Complete Fee Schedule Below: __..
Restri -�
cted Energy Fee...................................................... $75.00
Number of Inspections per permit allowed) (FOR ALL SYSTEMS)
Service indgded-. Items Cost Total y Check Type of Work Involved:
Residential-perIt
1000 sq fl.or less $145.15 4 Audio and Stereo Systems
Each additional 500 sqft. r
portion thereof $33.40 1 Burglar Alarm
Limited Er.urgy $75.00
Each 10anut d Home or Modular Garage Door Opener'
Dwelling Service or Fete ler $90 90 2
Services or Feeders Heating,Ventilation and Air Conditioning System'
Installation,alteration,or relocation �O 3 2
200 amps or less $130 30 Vacuum Systems'
201 amps to 400 amps $106.85 2
401 amps to 600 amps 60.60 _ 2
601 amps to 1000 amps $2 .60 2 Other
Over 1000 amps or volts $4 . 5 2
Reconnect only _ $66. _ 2
Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY
Installation,alteration,or rolocatian Fee for each system......... ........................ $75.00
200 amps or less _ $66.85_ 2 (SEE OAR 918-260-260)
201 amps to 400 amps $100.:9 2
401 amps to 600 amps $133.75_, 2 Check Typo of Work Involved
Over 600 amps to 1000 volts,
see"b"above. Audio and Stereo Syd,ems
Branch Circuits Boi(er Control/!
New,alteration or extension per panel I
a)The fee for branch circuits
with purchase of service or Clock Syst s
feeder fee. \
Each branch circuit $6 65 2 l Data T,ecommunication Installation
b)The fee for branch circuits
without purchase of se.,vice F Alarm Installation
or feeder fee.
First branch circuit _ $46.85_ _ HVAC
Each additional branch circuit i_ $6.65
Miscellaneous instrumentation
(Service or leeder not included)
Each pump or irrigation circle $53.40 dercom and Paging Systems
Each sign,,,r outline lighting $53.40
Signal circult(s)or a limited energy La scapo Irrigation control-
Minornnel,alteration or extension _ $7500 /
Minor Labels(10) $125.00 O
Medi
Each additional Inspection over
the allowable in any of the above E] Nurse Cans
Per inspection $62.50
Per hour $62.50
In Plant $73.7 Outdoor LaNpe Lighting"
CL Fees: QQ [] Protective l~ Enter total of above feesce I< 3� OtherU)
8%State Su charge $ 7 of Systems
25%Plan Review Fee % ' No licenses are iso rBQOlfed 10r all other in6tellA1t0115
m See"Plan Review'sectiorf on $
r5front of application _
Fees:
W
-j I Total Balant:e Due $
Enter total of above tees
❑ Trust Account#_ 8%State Surcharge
Total Balance Due
i:\rlsts\forms\elc-fees.doc 10/09/00