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Permit CITY OF TIGARD �a,,y, DEVELOPMENT SERVICES ELECTRICAL PERMIT I _ _.. 13125SW Hall BIvd., Tigard, 0R97223 503)639.4171 PERMIT #: ELC97 - 0058 DATE ISSUED: 02/03/97 PARCEL: 25112AD -00600 SITE ADDRESS...: 14750 SW 72ND AVE SUBDIVISION' • ZONING:I —L BLOCK LOT ° Project Description: INSTL 7 BRANCH CIRCUITS - -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS 1000 SF OR 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 — 600 amp ° 0 SIGNAL /PANEL 0 MANF. HM/ SVC /FDR.:.: 0 601, +amps -1000. volts.: 0 . MINOR LABEL (10) ...: 0 - - -- SERVICE /FEEDER - - -- - - -- BRANCH CIRCUITS -- -ADD'L INSPECTIONS-- - 0 — 200 amp 0 W /SERVICE OR FEEDER: 6 PER INSPECTION 0 201 — 400 amp......: 0 1st W/0 SRVC OR FDR.: 1 PER HOUR...........: 0 401 — 600 amp .° 0 EA ADD'L BRNCH CIRC: .0 IN,PLANT 0 601 — 1000 amp 0 PLAN REVIEW SECTION 1000+ amp/volt...,..: 0 . > =4 RES.UNITS > 600 VOLT NOMINAL..: Reconnect only 0 SVC /FDR >= 225 AMPS..: CLASS AREA /SPEC OCC.: Owner: FEES RYDER TRUCK RENTAL type amount by date recpt 14750 SW 72ND PRMT $ 65.00 TAT 02/03/97 97- 289831 SPCT $ 3.25 TAT 02/03/97 97- 289831 TIGARD OR 97223 Phone #: Contractor: RED'S ELECTRIC CO INC $ 68.25 TOTAL 2002 SE CLINTON ST REQUIRED INSPECTIONS PORTLAND OR 97202 Ceiling Cover Underground Cove Phone: #.:. 503 -233 -6467 , Wall Cover Elect'l Service Reg #..: 000044 This permit is issued subject to the ,regulations contained in the • L,i� Q,{ �' Tigard Municipal Code, State of Ore. Specialty Codes and all•other Perm.' t e Sign t r e applicable laws. 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 i t. , i At-4 than 180 days. I s t e d 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 for inspection,_- 639 -4175 . 2 -03 -1997 10:40AM FROM RED'S ELECTRIC 503 233 1281 P. 1 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit # 1 97 -16, // // Date Issued _____________ I i i Phone (503) 639 -4171 CITY OF TIGARD FAX (503) 684 -7297 TOD 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 1 V7fZ J 7, /% Service included; Items Cost(ea) Sum City /State/Zip, /; 15S 92,4.2-3 4a. Residential - per unit // 1000 sq. ft. or less 5110,00 4 Name (or name of business) y /.�(�./ Each additional 500 sq. tl. or portion thereof 525.00 - Commercial . Residential 0 � � 525 1 � r Home or uw Dwelling Sewit:e or Feeder 564.00 2 2a. Contractor installation y t Cfe--' sta lation only: Servces or Feeders s ; J Inn S a terttien. or rebcafion Electrical Contractor S L 4b. Services amps or less 5eo,00 2 Address - , ~Air. 201 amps to 400 amps $80.00 2 City ...../JHE State `It -.Zi / Z 401 amps to 600 amps $120.00 2 Phone No. G 601 amps to 1000 amps *180.00 2 Over 1000 mops or volts $340.00 2 Job NO. 3,2 9 Reconnect only 550.00 2 Contractor's license NO. ?ls - fr3L. 4c. Temporary Services or Feeders Contractor's Board Reg. No. ,411 Installation, alteration. or relocation Signature of Supt. Elec ., %rr..er 200 amps or less 2 �� / 201 amps to 400 amps 550.00 2 License No. - f Phone .,. 4 2 40 amps to 600 amps 575.00 Over 600 amps to 1000 volts $100.00 2b. For owner installations: sews" above. ad. Branch Circuits Print Owner's Name New, alteration or extension per pine Address a) The fee for branch circuits with City State Zip Or tastier lee. 2 . purchase of Each branch $i - oo 3 0 Phone No. b) The fee for branch cireults without The installation is being made on property I own which is purctuise of service or Roeder fee. _ not intended for sale, lease or rent. First branch drain $'35.00 ,3S - 2 each as iuonar broth circuit 55.00 Owner's Signature 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required); Each pump or irrigation circle $40.00 2 - Each sign or outline k Ming 540.00 Signal crwa(s) or a Hosted energy 2 Please check appropriate item and enter fee in section 6B. panel, alteration or extension 540.00 - 4 or more residential unfits in one structure NNnor Labels (10) 5100.00 Service and feeder 225 amps or more ins 41. Each additional inspection over System over 600 volts nominal 1 O 1M/1 • Classified area or structure containing special occupancy the allowable In any of the above as described in N.E.C. Chapter 5 Per inspection 635,00 Per Tour 655,00 In Plant 655.00 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: NOTICE 5a. Enter total of above fees $ 5% Surcharge (.05 X total fees) $ 3 Z - c - Subfor'al $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enter 25% of line A for AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Plan Review if required (Sec.3) CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR $ Subtotal A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS $ COMMENCED. Oft acemowA8e ul Trust Account a rm,srr $ r r Balance Due t, 6 RECEIVED FEB 0 3 1997 COMMUNITY DEVELOPMENT Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. �n1 (� Tigard, OR 97223 Permit # L C�� vv v s l, Date Issued 2 1 �� i Phone (503) 639 -4171 / `"'"�'` FAX (503) 684 -7297 CITY OF TIGARD TDD No. (503) 684 -2772 Inspection (503) 639 -4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development /J Number of Inspections per permit allowed Address 1 ? J2Gv 7� - /� / Service included: Items Cost(ea) Sum City /State /Zip %9 �G/ 92 3-J 4a. Residential - per unit / 1000 sq. ft. or less $110.00 4 Name (or name of business) y�lP/ Each additional 500 sq. ft. or portion thereof $25.00 Commercial Residential D Limited Energy $25.00 1 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: Electrical Contractor S / L 4b. Services or Feeders Installation, alteration, or relocation 200 amps or less $60.00 2 Address *'' _ _ . .vim 201 amps to 400 amps $ 80 . 00 2 - 401 amps to 600 amps $120.00 2 City .jib State Ill -ZI Z 601 amps to 1000 amps $180.00 2 Phone No. J /---1. 1# 4 Over 1000 amps or volts $340.00 2 Job NO. 3 , 7 9 Reconnect only $50.00 2 contractor's license NO. 24 - , ' 4 - - ' - - - 4 c . Temporary Services or Feeders Contractor's Board Reg. No. �� /� Installation, alteration, or relocation Signature of Supr. Elec' _ /�a// % /� _, 200 amps or less 2 / z 201 am to 400 amps $50.00 License No. Z Pho 6 401 amps to 600 amps $75.00 2 - Over 600 amps to 1000 volts $100.00 2b. For owner installations: see "b" above. 4d. Branch Circuits Print Owner's Name New, alteration or extension per pane Address a) The fee for branch circuits with purchase of service or feeder fee. - 2 0 City State Zip Each branch circuit $5.00 3 Phone No. b) The fee for branch circuits without The installation is being made on property I own which is purchase of service or feeder fee. 2 not intended for sale, lease or rent. First branch circuit ✓ $3s.00 35 "' Each additional branch circuit $5.00 Owner's Signature 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or irrigation circle $40.00 2 Each sign or outline lighting $40.00 Signal circuit(s) or a limited energy 2 Please check appropriate item and enter fee in section 5B. panel, alteration or extension $40.00 - 4 or more residential units in one structure Minor Labels (10) $100.00 Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional inspection over Wf1 Classified area or structure containing special occupancy the allowable in any of the above as described in N.E.C. Chapter 5 Per inspection $35.00 Per hour $55.00 - In Plant $55.00 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: 5a. Enter total of above fees $ NOTICE 5% Surcharge (.05 X total fees) $ 3 !'r PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25% of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Pian Review if required (Sec.3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. w,rdlcomdeNeko- U1 Trust Account # $ / 0 Mm ePP Balance Due $ Go { - " l , t CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested WOO AM PM BLD Location � ( 1 E 0 ) 2 S Suite MEC Contact Person -Gt Ph '23?-60 PLM Contractor Ph SWR ,n�� BUILDING Tenant/Owner e ELC 9 � - 00S g Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm R Ceiling CQ–t 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 PASS PART FAIL LECTRIC t Service Rough In UG /Slab Low Voltage Fire arm 40. PART FAIL 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date -5 U- e� Inspector _ - Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. •