Permit C I TV OF T ELECTRICAL PERMIT
PERMIT #: ELC2000 -00589
• •xl DEVELOPMENT SERVICES DATE ISSUED: 10/13/00
13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171
PARCEL: 25101 AC -01900
•
SITE ADDRESS: 12615 SW 72ND AVE
SUBDIVISION: EAGLE HARDWARE ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description:
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: 1 W /SERVICE OR FEEDER: 5 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:
EAGLE HARDWARE + GARDEN E C COMPANY
981 POWELL AVE SW 32758 OLD HWY 34, SE
RENTON, WA 98055 ALBANY, OR 97321
Phone: 425 - 227 -5740 Phone: 541- 926 -4266
Reg #: ELE 22 -15C
LIC 49737
SUP 3257S
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT CTR 10/13/00 $113.55 2720000000( Elect'l Final
5PCT CTR 10/13/00 $9.08 2720000000(
Total $122.63
This Permit is issued subject to the regulations contained in the Tigard Munidpal Code, State of OR. Speaalty Codes and all other applicable lave.
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 SIGNATUREa 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
09/22/2000 14:54 FAX 5036847297 City of Tigard 002
I , G*iT"Y OF TIGARD R G e e% 0 Electrical Permit Application mo B '
13125 SW HALL. BLVD. c� ® Date Redd
TIGARD OR 97223 �� 1� �o Date to P.E.
Phone (503) 639+4171, x3 o0E `pQIA � 1 Print of Type Date to DST
Inspection(503) 639-4175 oM..tei Incomplete or Illegible will not be accepted Permit # �;Q6 i _ o o S}? �j
Fax (503) 598 =1960 Called •
1. Job Address: 4. Complete Fee Schedule Below:
1 349 /C '7 rn6 • Number of Inspections per trait allowed
Name of Development Service included: Items Cost i Total
- _ 4a. Residential Name (or name of business) Ea9 it 14 a • ar _ - per Whit
Address 1Z. • r p II • • V _ ••Y a too0 sq. R of less $147.15 4 VC
City/State/Zlp 'Tie CA er1zZ 0 � , Ea ch additional 500sq.tt.
J k: Yt p er f 533.40 1
Commercial Residential ❑ 575.00
Each Manurd Home or Modu
Dwelling Service or Feeder 590.90 I . 2
2a. Contractor installation only: ab. servia3s or Feeders
(Prior to permit Issuance, applicants must provide contractor license Installation, alteration. or relocatron
information for COT data base). 200 amps or Tess _L_ • $8030 1 gp 30 2
Electrical Contractor EC COYYIY1L, 201 amps to 400 amps • 5108.85 I 2
n
Address C 0 em. 925 401 amps to 800 amps • 5160.60 1 • 2
City WOetntk State OR. Zip cnsst 601 amps to 1000 amps 5240.60 2
Phone No. t' 01 i') a1?.fo - 47J, Over 1000 amps or vows 5454.65 2
Reconnect only 566.85 2
Job No. (o 4 - 00 4r" Temporary Services or Feeders Elec Coat Lice. No. • 22 G - 15 Exp.Date 10 1161 Installation, alteration, a or relocaton
OR State CCB Reg. No. 49'13'1 Exp.Date 1151 CA zoo amps or less 566.85 •2
COT Business Tax or M No. • 201 amps to 400 amps 5100.30 2
401 amps to 600 amps 5133.75 2
Signature of Supr. E ' Over 600 amps to 1000 volts.
see 'le above.
License No. 325"1 S Exp.Date 10t t 101 4d. Branch cancuits
Phone No. ( 1 ) 42t 421(... • 42 New, alteration or extension per panel .
a) The fee for branch circuits
with purchase of service or
• 2b. For owner installations: feeder fee. t
Each branch circuit 5 56.65 53•Z,5 2
Print Owners Name b) The fee for branch circuits
Address without pu chase of service
City or feeder fee.
State Zip First branch circuit 548.85
Phone No. E_adi additional branch circuit _ _ $6.85
The installation is being made on property 1 own which is not 4e' Included)
intended for sale, lease or rent. Each pump or irrigation drde _ 553.40
Each sign or outline fighting 553.40
Owners Signature Signal drahft(s) or a limited energy
panel. alteration or extension 575.00
3. Plan Review section of required):* Minor Labeb (10) 5125.00 , •
4f. Each additional Inspection over
Please check appropriate Item and enter fee in section 5B. the allowable in any of the above
4 or more residential units in one structure Per Inspection 562.50
• Service and feeder 225 amps or more Per hcw 562.50
System over 600 volts nominal In Plant 573.75
Classfied area or structure containing special occupancy as 5. Fees:
described in N.E.C. Chapter 5 5a. Enter total of above fees $ 1 55
• 8% Surdrarge (.08 X total fees) $ ar L
* Submit 2 sets of plans with appticatlon where any of the above apply. Subtotal $ _ • -
Not required for temporary construction services. 6b. Enter 25% of line 5a for
NOTICE Plan Review If required (Sea 3) $
Subtotal
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED
IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR ❑ Trust Account*
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS Total balance Due $ i
• AT ANY TIME AFTER WORK IS COMMENCE. labils
is dstslfomnsselecttic_rsv. doe. - 8/00
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST =�
BUP
. Date Requested / ) AM PM BLD
Z w
Location / v /5" S 7Z h` rI ^'' Suite MEC
. Contact Person Ph Cqf 9 3 Y/ P PLM
Contractor -- �C�t Ph SWR
BUILDING Tenant/Owner ELC 2,6 era ' G 0 � � �
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg.Drain SGN
. Crawl Driin Inspection Notes:
Slab ' SIT
Post &Team
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 a / a /
Rain Drains /V Q Yrn
Final / 1 /
PASS PART FAIL — G. •t �� . r.� v S GS'
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
CTRTOI.
erviO r /-e f f ► �
Rough In A?
UG /Slab .
Low Voltage
Fire Alarm
Fi
PART FAIL
SITE
BackfilUGrading
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
Approach /Sidewalk
Date / / Ins Ext
Other .
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.