Permit CITY OF TIGARD ELECTRICAL PERMIT
x DEVELOPMENT SERVICES PERMIT #: ELC98 -0320
DATE ISSUED: 01/13/98
=__.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S112DC -01500
SITE ADDRESS...:15717 SW 74TH AVE #BLD
SUBDIVISION °FANNO CREEK ACRE TRACTS ZONING:I —P
BLOCK ° LOT °006 JURISDICTION: TIG
Project Descript : 74th Ave Ind Park
- -- 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 • 3 W /SERVICE OR FEEDER: 30 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
JIM CASTILE type amount by date recpt
8100 SW DURHAM RD PRMT $ 330.00 JSD 01/13/98 98- 302440
TIGARD OR 97224 5PCT $ 16.50 JSD 01/13/98 98- 302440
Phone #:
Contractor:
DICKINSONS ELECTRIC $ 346.50 TOTAL
8449 SW BARBUR BLVD
REQUIRED INSPECTIONS
PORTLAND OR 97217 Ceiling Cover Elect'1 Service
Phone #: 246 -3550 Wal Cover Elect'1 Final
Reg #..: 000006
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 les adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through OAR 952-' , iu may obtain a copy
of these rules or direct questions to OUNC by calling (503)246-1987.
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: DATE:
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
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CITY OF TIGARD Electrical Permit Application Plan Check #
13125 SW HALL BLVD. Rec'd By
TIGARD OR 97223 Date Rec'd / / "3g V
. Date to P.E.
Phone (503) 639 -4171, x304 Date to DST
Inspection (503) 639 -4175 Print or Type Permit # -W-C` dr.-Cl
Fax (503) 6s4 7297 Incomplete or illegible will not be accepted Called
OV e-
l. Job Address:
''7� /, . F 4. Complete Fee Schedule Below:
Name of Development / 7 s ��tcle � 1 �� Number of Inspections per permit allowed
Name (or name of business) /5 7/ 7 .SJ 7 W Service included: Items Cost Sum
O �-
Address 0 i 4a. Residential - per unit _
1000 sq. ft. or less $110.00 4
City /State /Zip Each additional 500 sq. ft. or
portion thereof $25.00 1
Commercial Residential ❑
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 /L-4-, )g5 /, ato. � Installation, alteration, or relocation �� �
200 amps or less $60.00 /� 2
Address G() h�
ii� � � 201 amps to 400 amps $80.00 2
City 11 ,� " t ,, State (�/7 Zip 7 h 7 / g_ 401 amps to 600 amps $120.00 2
Phone No. ,2 /6 - g _5 b 601 amps to 1000 amps $180.00 2
Job No. Over 1000 amps or volts $340.00 2
G , Reconnect onl $50.00 2
Elec. Cont. Lice. No. v? . /�/ ,, F_ Exp.Date . e9 -O��
/ .
OR State CCB Reg. No.6.7 "4 .7e/ Exp.Date I 2 4c. Temporary Services or Feeders
COT Business Tax or Metro N xp.Date •% Installation, alteration, or relocation
200 amps or less $50.00 2
Signature of Supr. Elec'n �� ��� 201 amps to 400 amps $75.00
2 -
401 amps to 600 amps $1100.00.0 0 2
Over 600 amps to 1000 volts,
License No. .�/ 6 1 S Exp.Date/0/ 9c9 see "b" above.
Phone No. / S'- ? S tf $ 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 $5.00 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
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: ./�
Not required for temporary construction services. 5a. Enter total of above fees $ 5 -. 6
5% Surcharge (.05 X total fees) $
NOTICE Subtotal $
Lb. Enter 25% of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal $ / /►
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY (J
TIME AFTER W • RK IS COMMENCED. ❑ Trust Account #
Total balance Due
i J
I: \DSTS \ELC96.APP Rev 9/96
.2,,
1
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-Hour Inspection Line: 639-4175 Business Phone: 639-4171
. \
Date Requested: / - /6 - A.M. P.M. MST: \
Location: /57/ ,..-6.(,) 7 glt.--
Tenant Suite: Bldg: MEC:
...
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Contractor: pt...1A,Ce .40 - 4 , 724 - 021...) Phone: / - 'w ED.,, PLM:
Owner: Phone: ELC: 71 06016
ELR:
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL 1 SITE
Site Post/Beam Post/Beam Post/Beam Cover Service Sewer/Storm
Footing Roof UndFl/Slab Rough-In 41432 1 Water Line
•
Slab Framing Top Out Gas Line . ou! - In UG Sprinkler ■
.Foundation Insulation Sewer Hood/'Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MSC.
Masonry Ceiling kaiii Drain A/C UG Slab
Shear/Sheath Fire Spldr/Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved ■ppi . 7;rea) Approved
Appr/Sdwlk Not Approved Not Approved Not Approved No Approved Not Approved
FINAL FINAL ' FINAL FINAL FINAL
C .e./ /hi p- ( fre--Y -- A ss
J
0 Call for reinspection Reinspection fee of $ required before next inspection 0 Unable to inspect
Inspector: Date: / — / Z — F Page of
1g
o ,,�-� CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: ` 42. '7 / [ I? A.M. P.M. MST:
Location: /57/7 c &V 7f l iii(/ l BUP:
Tenant: a Suite: Bldg: MEC:
Contractor: ` V 71 Phone: 016 PLM: ��}} //��
Owner: Phone: ELC: qg -c //��7 o
ELR:
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL . SITE
Site Post/Beam Post/Beam Post/Beam verfSer ce Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved • Approve. - Approved
Appr /Sdwlk Not Approved Not Approved Not Approved , u . roved Not Approved
FINAL FINAL FINAL /(FINAL FINAL
O Call for reinspection Reinspection fee of $ required before next ins do O Unable to inspect
1 7 _
Inspector: Date: Page of
CITY OF TIGARD BUILDING INSPECTION DIVISION
. 24 -Hour Inspection Line: 639 - 4175 Business Phone: 639 -4171
Date Requested: ,-;- — 17 ' ' ' l r A.M. P.M. MST:
Location: i 5 $ t� ` / '7- �`� BUP:
Tenant: , r r Suite: Bldg: MEC:
/ __. / / 5/ � 5 e PL
Contractor: � _ Pho
Owner: ` - Phone: ., ELC: C 7?
- 06c7 1 6
I u�' fA ELR:
cold.° : /a Cint ° t + � / SIT:
BUILDING BLDG (con't) PLUMBING ME CAL ELECTRIC , SITE
Site Post/Beam ' Post/Beam Post/Beam over . • rvice Sewer /Storm
Footing Roof UndFUSlab Rough -In Ceiling Water Line
Slab Framing . Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
- Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approve Approved
Appr /Sdwlk Not Approved Not Approved Not Approved oved Not Approved
_ FINAL FINAL - - FINAL FINAL FINAL
A v l n 4 S
h /
. ,
,..
O Call for reinspection 0 spection fee of $ required before next inspection O Unable to inspect
• Inspector: / Date: ! \ '-- 1 Page of , e -
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: ' � ' , li " ' A.M. P.M. MST:
Location: ) 57 I I -7 au) 7 UJ 1 1' L (�t,u- BUP:
Tenant: Suite: Bldg: MEC:
Contractor: c 3 t C r�L1 CY' -" -V---V C-f Phone: 51 5 3 5N-S PLM: G] p
Owner: Phone: may- 71----)) ELC: (J —. QU2 o
/ l.f/ - / 6/ • �_ _ / 1/ , 1:2,e-- - � �, ELR: T�
-7"/ ii (, 7c, U- C/," t U/-6.6 / ? .! . re''t
BUILDING U U BLDG (con't) PLUMBING MECHANICAL ,. SITE
Site Post/Beam Post/Beam Post/Beam Cov er /Service Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation ° Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved cAppro Approved
Appr /Sdwlk Not Approved Not Approved Not Approved No ved Not Approved
FINAL FINAL d , FINAL FINAL FINAL
0�,.(�.e -e Z, 1 6 -/r - _e_ j �( Q.Y . .7 G(C j , Gf' c�
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FA omr D�� /C, govt /-7/ (A/ ss
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O Call for reinspection > 1 i, Reinspection fee of $ required before next ' on O Unable to inspect
Inspector: � / Date $ 1 7,; Page of
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CITY OF TIGAIZD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
Date Requested: / .17- 71 A.M. P.M. MST:
Location: 157 / 7 5'64 ) 7 fl•---- au-e_ _/ BUP:
Tenant: Suite: Bldg: MEC:
i .
Contractor: )`0 T p Phone: 5/3 3 ,
PLM:
Owner: Phone: ELC: .7y
ELR:
SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL LECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam Cove reervic? Sewer /Storm
Footing Roof UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace . Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved pprov Approved
Appr /Sdwlk Not Approved Not Approved Not Approved or proved Not Approved
FINAL FINAL FINAL FINAL FINAL
-Se=:' r /// c &_. — a S S
ci Call for reinspection e pection fee of $ required before next inspection O Unable to inspect
Inspector: Date: / 2- 9 & Page • of
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