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Permit CITY O 1 T' G A R D ELECTRICAL PERMIT PERMIT #: ELC2000-00507 le DEVELOPMENT SERVICES DATE ISSUED: 8/25/00 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S 114AB -03000 SITE ADDRESS: 16415 SW 93RD AVE SUBDIVISION: KNEELAND ESTATES ZONING: R -4.5 BLOCK: LOT : 017 JURISDICTION: TIG Proiect Description: Installation of one branch circuit for new a/c unit. RESIDENTIAL UNIT TEMP SRVCIFEEDERS 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: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 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: MANGHELLI, DONALD L AND PHOENIX ELECTRIC CO BARBARA A 7379 SW TECH CENTER DR. 16415 SW 93RD AVE TIGARD, OR 97223 TIGARD, OR 97224 Phone: Phone: 684 -3600 Reg #: LIC 00052288 SUP 4140S ELE 34 -247C FEES Required Inspections Type By Date Amount Receipt Elect'l Service PRMT CTR 8/25/00 $37.50 2720000000( Elect'l Final 5PCT CTR 8/25/00 $3.00 2720000000( Total $40.50 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 -1987. PERMITTEE'S SIGNATURE D `'_ ISSUED BY: l 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. ELE 'N' DATE: LICENSE NO: 1 70 3 Call 639 -4175 by 7:00pm for an inspection the next business day AUG -23 -00 WED 03:28 PM PHOENIX ELECTRIC CO FAX NO, 15036843611 P, 02/02 CITY OF TIGARD • • Plan C ck At yeas SW HALL BLVD. Electrical Permit Application Recd O • TIGARD OR 97223 Date Recd & Date to P,E, Phone (503) 639 -4171, x304 Date to DST Inspection (503) 639 -4175 Print of Type Permit if E1 t Fax (503) 598 -1960 Incomplete or illegible will not be accepted Called 1. Job Addre s: 4. Complete Fee Schedule Below: Name of Development 1 Number of Inspections per permit allowed Name (or name of business) Service included: Items Cost Sum 1 Address "11 Y • _ 4a. Residential - per unit 1000 sq. ft. or less $ 117.75 4 City /State /Zip a v.c.SNA _ (' ).- Each additional 500 sq. ft. or portion thereof 5 26,75 1 Commercial Resides ' • Limited Energy $ 60.00 w�� CC r Each Manufd Home or Modular 2a. Contrac ins tallation o Dwelling Service or Feeder $ 72.75 2 (Prior to permit issuance, applicants must provide contractor license 4b, Services or Feeders information for COT = . to base). . Installation, alteration, or relocation Electrical Contractor _.• NA . _ _ _ 1,A, AIM amps or less $ 64.25 r 1i A 2 Address � *. 201 amps to 400 amps $ 85.50 2 rr 401 amps to 600 amps $ 128.50 _ 2 City _� - Sta Zip 601 amps to '1000 amps $ 192.50 ^� 2 Phon - _ Over 1000 amps or volts $ 363.75 2 Job No_ _ =' Reconnect only $ 53.50 2 Elec. Cont. Lice, No. Lam- Exp.Date 4c. Temporary Services or Feeders OR State GCB Reg, No. " " xp,Date 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 Supr. Elec'n r? .....r 401 amps to 600 amps , $ 100.00 2 Over 600 amps to '1000 volls, see "b" above. License No. L/ o S Exp.Date 4d. Branch Circuits Phone No. ,. , -ems P Now, 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 $ 5.35 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 w panel, alteration or extension $ 60.00 3. Plan Review section (if required):* � 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 Service and feeder 225 amps or more Per Inspection $ 50.00 Per hour $ 50.00 _ ___ _System over 600 volts nominal In Plant 5 59.00 Classified area or structure containing special occupancy as - " r described in N.E.C. Chapter 5 5, Fees: �J l 5a. Enter total of above fees $ 3 5 `J * Submit 2 sets of plans with application where any of the above apply. 8% Surcharge (,08 X total fees) $ ,fftj Not required for temporary construction services. Subtotal $ '1114151b ) 5b. Enter 25% of line 5a for NOTICE Plan Review if required (Sec. 3) 5 / . 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 ti L / //, 1 AT ANY TIME AFTER WORK IS COMMENCED. oral balance Due $ ` v i:\dsis \forms \cicctric.doc • CITY OF TIGARD BUILDING INSPECTION DIVISION • • MST • 24- HourinspOction Line: 639 -4175 Business Line: 639 -4171. BUP Date Requested 9 AM PM BLD Location / (( /5 St✓ 93 Suite MEC Contact Person - . Ph w4" 34e- PLM Contractor > Ph SWR BUILDING . °rr° Tenant/Owner ELC 2c 0 0$b 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 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 ELECTRIC ce • Rough In UG /Slab Low Voltage F - Alarm • ASS - ART FAIL SI Backfill /Grading Sanitary Sewer Storm Drain [ I Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin [ ) Please call fo reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Other Date Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. ` C k . • BUP - Building Permit ELC - Electrical Permit Inspection Description Date Passed By 11 Inspection Description Date Passed By Footing /Setback Underground cover Foundation walls Wall cover Footing drain Ceiling cover Waterproof bsmt walls Electrical rough -in Slab Electrical service Crawl drain Electrical final �— i - c.Tt1 Underfloor insulation Post/beam structural Shear walls /anchors ELR - Restricted Energy Permit Roof nailing I Inspection Description Date Passed By Firewall Low voltage Tilt -up panel Electrical final Masonry/Reinforcement Framing MFG - Structure set -up MEC - Mechanical Permit Insulation 4 Inspection Description Date Passed By Drywall nailing Post/beam mechanical Suspended ceiling Gas line • Engineered soils Mechanical rough -in Welding Lab Final Fire damper Concrete Lab Final Duct work Bolting Lab Final Smoke detector Fireproofing Lab Final Mechanical final Structural observation Final inspection PLM - Plumbing Permit Inspection Description Date Passed By BUP - Fire Protection System Permit Plumbing underslab 4 Inspection Description Date Passed By Crawl drain Sprinkler underfloor /slab Post/beam plumbing Sprinkler rough -in Plumbing top -out Sprinkler final RP /backflow preventer Fire alarm final Rain drain Storm drain Water service F. SIT - Site Permit Sanitary sewer Inspection Description Date Passed By Culvert/catch basin Footings Pump /fill septic tank Foundation walls Plumbing final Sprinkler supply lines Sprinkler underfloor /slab Catch basin /Manhole SWR - Sewer Permit Engineered soils I Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection Final inspection INSPECTION RECORD - BUP, PLM, SWR, ELC ELR MEC, SIT PERMITS CI TY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2000 -00507 VP DEVEL i OPMENT rPERMI9723 T ' ) 639 -4171 DATE ISSUED: 08/25/2000 -- 13125 SW PARCEL: 2S114AB -03000 SITE ADDRESS: 16415 SW 93RD AVE SUBDIVISION: KNEELAND ESTATES ZONING: R-4.5 BLOCK: LOT : 017 JURISDICTION: TIG Project Description: Installation of one branch circuit for new a/c unit. 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: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 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: MANGHELLI, DONALD L AND PHOENIX ELECTRIC CO BARBARA A 7379 SW TECH CENTER DR. 16415 SW 93RD AVE TIGARD, OR 97223 TIGARD, OR 97224 Phone: Phone: 684 -3600 Reg #: LIC 00052288 SUP 4140S ELE 34 -247C FEES Required Inspections Type By Date Amount Receipt Elect] Service PRMT CTR 08/25/200 $37.50 2720000000 Elect'l Final 5PCT CTR 08/25/200 $3.00 2720000000 Total $40.50 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 -1987. PERMITTEE'S 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: O CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELECN: DATE: O LICENSE NO: Call 639 -4175 by 7:00pm for an inspection the next business day .i 1' 9/12/00 Activities for Case #: ELC2O00 -00507 10:50:37 AM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELCA001 Application received 8/23/00 DEB FAXD No Hold DEB 8/24/00 ELCA003 Permit created 8/24/00 DEB DONE No Hold DEB 8/24/00 %i ELCA400 Ready to issue 8/24/00 DEB DONE No Hold DEB 8/24/00 ELCA730 Elect'I Service No Hold DEB 8/24/00 ELCA799 Elect'I Final No Hold DEB 8/24/00 ELCA500 (F) Issue permit 8/25/00 DEB DONE No Hold BLD 8/25/00 ELCA510 (F) Reprint permit 9/11/00 ZZZ DONE No Hold ZZZ 9/11/00 ■ I Page 1 of 1