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Permit CITY OF TIGARD ELECTRICAL PERMIT P ERMIT #: ELC2000 -00051 DATE ISSUED: 02/18/2000 1pi l j �. D EVELOPMENT SERVICES � I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S113AB -00800 SITE ADDRESS: 16135 SW 74TH AVE SUBDIVISION: FANNO CREEK ACRE TRACTS ZONING: I -P BLOCK: LOT : JURISDICTION: TIG Project Description: Electrical - new building 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: 3 W /SERVICE OR FEEDER: 50 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: 1 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: X CLASS AREA/SPEC OCC: Owner: Contractor: JOHN DUNCAN ELECTRO -WIRE INC 7060 SW PALMER WAY 18857 SE SUNNYSIDE RD BEAVERTON, OR 97007 BORING, OR 97009 -9222 • Phone: Phone: 658 -8136 4 Reg #: ELE 26 -667C Or1GINA I LIC 00067879 SUP 0002717S FEES Required Inspections Type By Date Amount Receipt Ceiling Cover PRMT BON 02/02/200C $588.75 00- 321585 Wall Cover PLCK BON 02/021200C $147.19 00- 321585 Underground Cover 5PCT BON 02/021200C $47.10 00- 321585 Elect'I Service Elect'I Final Total $783.04 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. 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 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 -1 "987. // PERMITTEE'S SIGNATURE x id ISSUED BY: y, ,, 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 l ‘y,L___ SIGNATURE OF SUPR. ELEC'N: )i� 54L � .P DATE: a.A/0 LICENSE NO: -2 7 / - 7 S CaII 639 -4175 by 7:OOpm for an inspection the next business clay CITY OF TIGARD Plan Ch >. 0 / C 13125 SW HALL BLVD. Electrical Permit Application Rec'd ,, 4, Date Rec'd pq - 5 -0(9 TIGARD OR 97223 Date to P.E. ,z g - 2�� Phone (503) 639-4171, x304 - .1,.. 7 -i's Date to DST ff -+� Inspection (503) 639 -4175 Print of Type Permit # Fa-ZL 9 -6 l Fax (503) 598 - 1960 Incomplete or illegible will not be accepted Called Z ` 1. Job Address: p 4. Complete Fee Schedule Below: Name of Development lDONICAlk BO I t-D /1 6- Number of Inspections per permit allowed • Name (or name of business) Service included: Items Cost Sum l' Address i691 - 3b stki ---ir� � f Laut v/t ) 4a. Residential - per unit City/State/Zip t d 0 Z 2! 1000 sq. ft. or less $ 117.75 4 ty p Each additional 500 sq. ft. or `.. portion thereof $ 26.75 1 Commerci Residential ❑ Limited Energy $ 60.00 Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 2 (Prior to permit issuance, applicants must provide contractor license 4b. Services or Feeders J 9 .5 information for COT data b se) Installation, alteration, or relocation Electrical Contractor • - Lty 14x2,, t.+i -e--) 200 amps or less 3 $ 64.25 2 Address "(5 g t . l_. , * • 201 amps to 400 amps $ 85.50 2 Ci State d.� Zip o' 7�� q 401 amps to 600 amps ( $ 128.50 fi Z$ , 56 2 ty / 601 amps to 1000 amps $ 192.50 2 Phone No. t, slr- 51 3 Over 1000 amps or volts $ 363.75 2 Job No. Reconnect only $ 53.50 2 Elec. Cont. Lice. No. - 24 ( C-, 1 Exp.Date 117- 1 '10 4c. Temporary Services or Feeders OR State CCB Reg. No. (0 7 Exp.Date 10- I 2-- •t01i'd Installation, alteration, or relocation COT Business Tax or Metro No. Exp.Date 200 amps or less $ 53.50 2 201 amps to 400 amps $ 80.25 2 Signature of Sur. Elec'n,L 1../ 401 amps to 600 amps $ 100.00 2 g Supr. Over 600 amps to 1000 volts, see "b" above. License No. 2 I 1 '7S Exp.Date /a /o ) 701 Phone No. (, 5g - g 1 31 Nio b 11 5 3 rf -1 3 9 4d. Branch Circuits New, alteration or extension per panel a) The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's Name Each branch circuit 5 $ 5.35 2./y/' 1 S 0 2 Address b) The fee for branch circuits without purchase of service City State Zip or feeder fee. Phone No. First branch circuit $ 37.50 Each additional branch circuit $ 5.35 The installation is being made on property I own which is not 4e. Miscellaneous • intended for sale, lease or rent. (Service or feeder not included) Each pump or irrigation circle $ 42.75 Owner's Signature Each sign or outline lighting $ 42.75 Signal circuit(s) or a limited energy if required):* panL alteration or extension $ 60.00 3. Plan Review section ( Minor Labels (10) $ 100.00 Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over 4 or more residential units in one structure the allowable in any of the above Per inspection $ 50.00 X Service and feeder 225 amps or more Per hour $ 50.00 System over 600 volts nominal In Plant $ 59.00 Classified area or structure containing special occupancy as described in N.E.C. Chapter 5 5. Fees: t cL j 5a. Enter total of above fees $ 5 1.15 * Submit 2 sets of plans with application where any of the above apply. 8% Surcharge (.08 X total fees) $ 1 - 41110 Not required for temporary construction services. Subtotal $ 5b. Enter 25% of line 5a for / NOTICE Plan Review if required (Sec. 3) $ 1 ∎ 1 PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account # AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due S/ is \dsts \forms \e l ectri c. doc i I CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested (0/ AM PM BLD Location 1 LP ! ?' 7 LP& A Suite MEC Contact Person 001/ Ph PLM Contractor G f - 9, (LE O Ph 3(J7- 6"2-(o g SWR BUILDING . Tenant/Owner ELC ZOC(7 ODD; ( (' Retaining Wall ELd `V 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 Spr [�' ' �(✓ V 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 PASS PART FAIL 4 1 -ough UG /Slab Low Voltage Fire Alarm o- 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 Date Inspector Ext Other 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 BUP Date Requested /� AM PM BLD Location ( 6 1 T S �- j Suite p MEC Contact Person Ph CP 50 ' g 3,6 PLM Contractor Ph S 3 - / 3 % S SWR BUILDING Tenant/Owner ELC .2 - y -S Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: SGN '`� Slab r C– 2_ 0� L ��� SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing ZiiarLi 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 PASS PART FAIL �E!tE�TFZTC7�k - y— rvice„> Rough In UG /Slab Low Voltage Fire Alarm Fin SS 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 Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date v ` Ara Inspector /� - �r Ext Other Final PASS PART FAIL DO NOT ` EMOTE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 ,�/� BUP Z2 Z) Date Requested 9- AM PM BLD Location / (0 / 3S 7 L / Suite MEC Contact Person Ph COs g� 3(0 PLM Contractor ,1�Ph SWR 1 BUILDING 11� Tenant/Owner ' ml klq -- l X56 ELC WOO ()COS 1 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 Susp'd Ceiling Roof Misc: Final PASS PART FAIL PLUMBING A - • 1 C b Post & Beam Under Slab Top Out Water Service [/ • Sanitary Sewer Rain Drains Final PASS PART FAIL / MECHANICAL ,� (� /„ l SIS • Post & Beam Rough In Gas Line Smoke Dampers Final PASS PART FAIL CTR TN UG /Slab Low Voltage Fire Alarm FinaI7. PASS 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 ADA [ ] Please call for reinspection RE: 7 /3[ ] Unable to inspect no access A roach /Sidewalk PP Date Z ^ g d C/ Inspector ✓ /�i ��� Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION'DIVISION MST • '24- Hoerr- Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested < G z " AM PM BLD Location / ' 5 (3 l 7 G/ �'-e Suite MEC Contact Person / Ph PLM Contractor Ph SWR BUILDING � � �� � � Tenant/Owner ELC tau 0 v 0 - 5- 7 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 — 4 vlS- 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 PAS PA T FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm • RT FAIL Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before ne pection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ] Please call for reinspection RE: Unable to inspect - no access Fire Supply Line Approach/Sidewalk Date JZ D 0 Inspector 41 Ext Other • Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.