Permit CITE OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2000 -00611
.41 ' 6 Nrv`r DEVELOPMENT SERVICES DATE ISSUED: 10/31/00
1,L - � -' 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 25101 AD -00800
SITE ADDRESS: 12550 SW 68TH AVE
SUBDIVISION: PORTLAND HEIGHTS ZONING:
BLOCK: LOT : JURISDICTION: TIG
Project Description: Installation of two branch circuits.
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 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 INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 1 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:
EQUITY GROUP FUND 1, LLC ALL THINGS ELECTRICAL INC
BY KURT DALBEY 10004 NE 7TH ST
7125 SW HAMPTON VANCOUVER, WA 98664
PORTLAND, OR 97223
Phone: Phone: 360- 604 -0241
Reg #: SUP 3878S
LIC 132095
ELE 37-811C
FEES Required Inspections
Type By Date Amount Receipt Wall Cover
PRMT CTR 10/31/00 $53.50 2720000000( Elect'I Final
5PCT CTR 10/31/00 $4.28 2720000000(
Total $57.78
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laves.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. 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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987.
PERMITTEE'S SIGNATURE ISSUED BY: `'
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 639 -4175 by 7:OOpm for an inspection the next business day
y, ti
' OW , O F TIGARD Electrical Permit Ap PI. heck#
- , 13125 SW HALL BLVD. Re•'d By --" 'j r,
TIGARD OR 97223 Date Recd /O .. ---
Date to P.E.
Phone (503) 639 - 4171,
Print or Type Date to DST
Inspection (503) 639 -4175 Permit # 2 -090
Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development 60.412 -a cc &)S :•te55 Par K Number of Inspections per permit allowed
Name (or name of business) F 8.1 Service included: Items Cost Sum
Address i A s sD Stu L ft PKi' 4a. Residential - per unit
1000 sq. ft. or less $110.00 4
City/State/Zip TL ya rd Each additional 500 sq. ft. or
Commercial Residential ❑ portion thereof $25.00 1
Limited Energy $25.00
Each Manuf'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 411 711IN65 E /FLrR/CA(_ rAic. Installation, alteration, or relocation
Address 6004 t 7 J" S7- 200 amps or less $60.00 2
aV 201 amps to 400 amps - $80.00 2
City VaAcov✓er State Zip 401 amps to 600 amps $120.00 2
Phone No. 360 604 - Oazii-1 _(,;&y %6 -Go4-3p0 601 amps to 1000 amps $180.00 2
Job No. Over 1000 amps or volts $340.00 2
Elec. Cont. Lice. No. 37- 51/C-- Exp.Date Reconnect only - $50.00 2
OR State CCB Reg. No. / 3.10 5 Exp.Date 4c. Temporary Services or Feeders
COT Business Tax or Metro No. S 7 7 Exp.Date Installation, alteration, or relocation
200 amps or less $50.00 2
Signature of Supr. Elec'n� 401 amps to 600 amps $10000 p
Over 600 amps to 1000 volts
License No. 946 S Exp.Date see "b" above.
Phone No. ILO- golf - &a4 /
4d. Branch Circuits
- New, alteration or extension per panel
2b. For owner installations: a) The fee for branch circuits with
purchase of servlce or
Print Owner's Name feeder fee.
Address Each branch circuit $5.00 �2
b) The fee for branch circuits �//
City tate Zip without purchase of `7(Q
Phone No. servlce or feeder fee. 37.
First branch circuit 1 ....$88:00 2
The ins - . ion is being made on property I own which is not Each additional branch circuit - 1 -
2
int- : ed for sale, lease or rent. 4e. Miscellaneous ,35.-- C('`( //
(Service or feeder not included)
Owner's Signature Each pump or irrigation circle $40.00 2
Each sign or outline lighting $40.00 2
3. Plan Review section (if required):* Signal circuit(s) or a limited energy
panel, alteration or extension $40.00 2
Minor Labels (10) $100.00
Please check appropriate item and enter f = - in section 5B.
4 or more residential units in one stru 4f. Each additional inspection over
Service and feeder 225 amps or I : e the allowable in any of the above
System over 600 volts nomin- Per inspection $35.00
Classified area or structur: ontaining special occupancy Per hour $55.00
as described in N.E.0 apter 5 In Plant $55.00
* Submit 2 sets of .: ns with application where any of the above apply. 5. Fees: / 2 . r
Not required f • • emporary construction services. 5a. Enter total of above fees $ 3.43
eJ1y5 Surcharge (.05 X total fees) G $ $
NOTICE • Subtotal I ' $
5b. Enter 25% of line 5a for
PERMIT: BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) /� 1C� $ 46 ��
NOT , eMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Trust Account # A �
$
Total balance Due
1: \DSTS \ELC96.APP Rev 9/96
CITY OF_7OARD BUILDING INSPECTION DIVISION MST .• '
24- Hour Gnspertion Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested 1/— AM PM BLD
Location / 2- . 5 ' S w 6 8 e 2 4100116ser Suite MEC
Contact Person / Ph 5 - S ' 66 17 PLM
Contractor ,W 7
i.✓,1 S Ph SWR
BUILDING Tenant/Owner ELC 2t9 -OD / 1
Retaining Wall ELR
Footing Access:
Foundation O ` FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab t SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler _ •
— -'
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
P T FAIL
LECTRICAL
Servic
Roug (.UG,G�CGv
UG / S+�
Low Voltage —~
Fire Alarm
Final
AS ART FAIL
Backfill /Grading
Sanitary Sewer
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ] Please call for reinspection RE: ] Unable to inspect - no access •
Fire Supply Line
ADA /1 Approach /Sidewalk Date /L 4Z7 Inspector Ext
Other
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.