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Permit CITY OF TIGARD ELECTRICAL PERMIT %�,,, DEVE LOPMENT SERVICES PERMIT #: ELC99 -0107 - �� 1v� 1 il DATE ISSUED: 02/22/99 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 PARCEL: 26113AD -01900 SITE ADDRESS...:16640 SW 72ND AVE #B -10 SUBDIVISION -ROSEWOOD ACRE TRACTS ZONING:I —L • BLOCK • LOT -009 JURISDICTION: TIG Project Description : Install a 200 Abp service and 42 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 • 1 W /SERVICE OR FEEDER: 42 PER INSPECTION • 0 201 — 400 amp • 0 1st W/0 SRVC OR FDR.: 0 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 PRECISION INTERCONNECT type amount by date recpt 16640 SW 72ND PRMT $ 270.00 GEO 02/22/99 99- 313118 TIGARD OR 97223 5PCT $ 13.50 GEO 02/22/99 99- 313118 Phone #: Contractor: STONER ELECTRIC $ 283.50 TOTAL 2701 SE 14TH REQUIRED INSPECTIONS PORTLAND OR 97202 Elect'l Service Phone #: 233 -3631 Elect'l Final Reg #..: 000448 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other 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 than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952-001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (5031246 -1987. / / Permittee 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: 6 elop DATE: A. - RR `el LICENSE NO: 3g96-s ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ C ITY OF TIGARD RECEIVED Electrical Permit Application Plan Check # 13125 SW HALL BLVD. Rec'd By TIGARD OR 97223 FEB 2 2 1999 Date Rec'd Date to P.E. Phone (503) 639 -4171, x304 Date to DST �J Inspection (503) 639 - IUNITV DEVELOPMENT Print or Type Permit #D Z -0 /6 q Fax (503) 684 - 7297 Incomplete or illegible will not be accepted called • 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name (or name of business) PRE cowl �nr -raee �v� Service included: Items Cost Sum Address 1(� 5(-4.) 7Z•.cp 4a. Residential - per unit 1000 sq. ft. or less $110.00 4 City /State/Zip / d44.1) , O 97Z2d Each additional 500 sq. ft. or Commercial ® Residential El Limited 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 s7a0-/E*' 1= ,-E bN• Installation, alteration, or relocation 200 amps or less __j__ $60.00 6� r 2 Address 2 - 72 . 0 1 Se /544g- 201 amps to 400 amps $80.00 2 City P R:-rz_,4 4p State o �' Zip 97 Z-'.- 401 amps to 600 amps $120.00 2 Phone No. 23 3 1 601 amps to 1000 amps $180.00 2 Job No. 3 4 ? - Over 1000 amps or volts - $340.0o 2 Elec. Cont. Lice. No. 2-6 z-z_ Exp.Date /o . /99 Reconnect only - $50.00 2 OR State CCB Reg. No. 446 Z3 Exp.Date 3 zo or. 4c. Temporary Services or Feeders � COT Business Tax or Metro No. 044 / (oExp.Date '/� 9' Installation, alteration, or relocation - 200 amps or less $50.00 2 201 amps to 400 amps $75.00 2 Signature of Supr. Elec n 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No. 3V9 L5" Exp.Date "°/ see "b" above. Phone No. X3 -363 4d. Branch Circuits New, alteration or extension per panel 2b. For owner installations: a) The fee for branch circuits with purchase of service or Print Owner's Name feeder fee. Address Each branch circuit 42- $5.00 2,/0`-' 2 b) The fee for branch circuits City State Zip without purchase of Phone No. service or feeder fee. First branch circuit $35.00 2 The installation is being made on property I own which is not Each additional branch circuit $5.00 2 intended for sale, lease or rent. 4e. Miscellaneous (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 fee in section 5B. 4 or more residential units in one structure 4f. Each additional Inspection over Service and feeder 225 amps or more the allowable in any of the above System over 600 volts nominal Per inspection $35.00 Classified area or structure containing special occupancy Per hour $55.00 as described in N.E.C. Chapter 5 In Plant $55.00 * Submit 2 sets of plans with application where any of the above apply. 5. Fees: 27o Not required for temporary construction services. 5a. Enter total of above fees $ 5% Surcharge (.05 X total fees) $ /3's a NOTICE Subtotal $ X33 •Sa 5b. Enter 25% of line 5a for �_ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $ .2-.0-3',52) NOT COMMENCED 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 # $ b33 __ Total balance Due 1: \DSTS \ELC96.APP Rev 9/96 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested 7 ° ) ' q 9 AM PM BLD Location 1 10(040 .- 72 , )(la - Suite Pa' /i MEC Contact Person & I / 1 4 ) !;,. Ph 3 F'fr7.,C ?a PLM Contractor Ph SWR BUILDING Tenant/Owner ELC Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: ea JA Slab '[ -4A SIT Post & Beam Ext Sheath/Shear Int Framing hath /Shear e'�� I `"i'tt)2go r °T� t�. M :.; n 2 No f Insulation . �1�, 7 C � �.�� &L Drywall Nailing �. - d- I I �, I W 2 °-? -r t �(,i9 Firewall f ,/vim d C L.l J i y CU Jca. Fire Sprinkler d �-� t' C �i �� 1-, A 1 44-ED Fire Alarm Susp'd Ceiling � -� `' Miscf l -SL Y .; q q' �o�1 t i Z53 ' i t //✓f�'GE - 0 L. 4-0 - cc ) 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 LECTItTL'�CC> Service Rough In UG /Slab Low Voltage Fire 4darm �3�13 PASS PART FAIL SITE 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 Date Inspector Other _ P Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 Date Requested ( 4 AM PM BUP //��,, BLD Location 1 �.P 7 i � �% � b ' Suite ',t' MEC Contact Person Ph ) - 2,538 PLM Contractor Ph SWR � BUILDING n Owner pit C. ° iALe • ELC 1 Retaining Wall • ELt 11?- oczsO Footing Foundation Access: FPS Ftg Drain Crawl Drain Inspection Notes: ' SGT Slab 'l ffrlyr SIT Post & Beam Ext Sheath /Shear >! Lt 98 (� -7�-•- Int Sheath/Shear � Framing 6 C 6 7 l — OQ1O Insulation Drywall Nailing L - ! Z c)Ai it & ? — 0021 Firewall Fire Sprinkler �L�D"t.� �faa 1 Fire Alarm . • ,, / _ . Susp'd Ceiling L�J �iC !g g AfLe Roof Misc: Final PASS PART FAIL PLUMBING > 00P/ 1 7 4 (t, C) , sp �. 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 (€LECT IC Se ice Rough In UG /Slab Low Voltage Fire Alarm 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 ther D ate / - � 9�/ Inspector � Ext _ Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.