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Permit CITY OF TIGARD 4* ELECTRICAL PERMIT PERMIT #: ELC2000 -00557 SSUED: 09/20/2000 - ' 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171 PARCEL: 1 S 134DA -04800 SITE ADDRESS: 11385 SW 108TH AVE SUBDIVISION: DOREEN COURT ZONING: R -4.5 BLOCK: LOT : 005 JURISDICTION: TIG Project Description: One (1) branch circuit. 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: SPARKS, MARY ANITA SHARPE ELECTRIC INC 11385 SW 108TH 22605 SW RIGGS TIGARD, OR 97223 BEAVERTON, OR 97007 Phone: Phone: 642 -7937 Reg #: LIC 000815 SUP 3344S ELE 34 -217C FEES Required Inspections Type By Date Amount Receipt Rough -in PRMT CTR 09/20/200C $46.85 2720000000( Elect'l Final 5PCT CTR 09/20/200C $3.75 2720000000( Total $50.60 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: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: _ LICENSE NO: Call 639 -4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Electrical Permit Application Plan Check# .14125 SW HALL BLVD. Rec'd By .2s Date Rec'd 9/20/e7 TIGARD OR 97223 Date to P.E. Phone (503) 639 -4171, x304 Date to DST Inspection (503) 639 -4175 Print of Type Permit# . '(-L' 2.000 'DOSS7 Fax. (503) 598 - 1960 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) % //��m� _I /, i .4 Service included: Items Cost Sum 4 ' Address /1355 ,S 106' 4a. Residential - per unit 1000 sq. ft. or less $ 117.75 4 City /State /Zip / / d ! 7?` Each additional 500 sq. ft. or portion thereof $ 26.75 1 Commercial ❑ Residential a 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 information for COT data bas p). Installation, alteration, or relocation Electrical Contractor . t / c G- L '_ -- -c-72,'',/c.... 200 amps or less $ 64.25 2 Lt.) S ,fJ 7 201 amps to 400 amps $ 85.50 2 Address --Z2 � OS" -� C 401 amps to 600 amps $ 128.50 2 City f j? 4i c' "1.r Y1 State O - Zip t 7c 7 601 amps to 1000 amps $ 192.50 2 Phone No. r..505 /6- - 7 y3 7 Over 1000 amps or volts $ 363.75 2 Job No. ie / 7 l 00 Reconnect only $ 53.50 2 Elec. Cont. Lice. No. 3V- / 7G Exp.Date /C /0 / /60 4c. Temporary Services or Feeders OR State CCB Reg. No. a Exp.Date S /O / Installation, alteration, or relocation COT Business Tax or Metro No. ...25,. [ Exp.Date 200 amps or less $ 53.50 2 q 201 amps to 400 amps $ 80.25 2 Signature of Supr. Elec'n A. ave.,- 401 amps to 600 amps $ 100.00 2 Over 600 amps to 1000 volts, • see "b" above. License No. 3 Exp.Date / o a /n / 4d. Branch Circuits Phone No. SG 3 l,, V� - 79 3 7 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 $ 5.35 2 Address b) The fee for branch circuits without purchase of service City State Zip or feeder fee. ,�� Phone No. First branch circuit / $ 14 ' PS 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 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 Per inspection $ 50.00 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: 5a. Enter total of above fees $ y * Submit 2 sets of plans with application where any of the above apply. 8% Surcharge (.08 X total fees) $ , 7,1 Not required for temporary construction services. Subtotal $ sb. Enter 25% of line 5a for NOTICE Plan Review if required (Sec. 3) $ 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 $ 60. eg 0 i:\dsts \firms \electric.doc /ZGP BUP - Building Permit . . ELC - Electrical Permit s1 Inspection Description Date Passed By I 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 /0 / /CI /G1V 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 Drywall nailing - 4 Inspection Description Date Passed By 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 J 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 SIT - Site Permit Sanitary sewer I 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 J Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection Final inspection INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC, SIT PERMITS CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2000 -00557 A �;� DEVELOPMENT SERVICES DATE ISSUED: 09/20/2000 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S134DA-04800 SITE ADDRESS: 11385 SW 108TH AVE SUBDIVISION: DOREEN COURT ZONING: R -4.5 BLOCK: LOT : 005 JURISDICTION: TIG Project Description: One (1) branch circuit. 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: SPARKS, MARY ANITA SHARPE ELECTRIC INC 11385 SW 108TH 22605 SW RIGGS TIGARD, OR 97223 BEAVERTON, OR 97007 Phone: Phone: 642 -7937 Reg #: LIC 000815 SUP 3344S ELE 34 -217C FEES Required Inspections Type By Date Amount Receipt Rough -in PRMT CTR 09/20/200C $46.85 2720000000( Elect'I Final 5PCT CTR 09/20/200C $3.75 2720000000( Total $50.60 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. ft 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 PP 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) ril 246 -1987. - PERMITTEE'S SIGNATURE ISSUED BY: t 'I/ „ yti 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: I CONTRACTOR INSTALLATION ONLY O SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 639 -4175 by 7:00pm for an inspection the next business day CITY OF TIGARD BUILDING INSPECTION DIVISION MST �. 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 • BUP /ia Date equested /� // 9/0d AM PM BLD I Location /08T17 * 447,4977--- Suite ,,, -6 Contact Person // .3 $Lt. 8 421 - 79/ PLM Contractor Ph - SWR BUILDING Tenant/Owner '' °?/%06)^ exgr 7 Retaining Wall ELR Footing Access: FPS Foundation J /-A-J-3 0\ca 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 T FAIL MECHANICAL Rough In Gas Line S eke Dampers PART FAIL Se'rvrce . Rough In UG /Slab Low Voltage FA arm 4 �'j 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA ,y Approach /Sidewalk Date ! /� t(i�� 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 /0 / ( —' AM PM BLD Location 1(3 r.' 5W / agc4 Suite MEC C - 60377 Contact Person Mai'? / 5 . Ph 2-10" 79/0 /7' PLM Contractor // Ph «9 f 3 y�li W SWR BUILDING Tenant/Owner 7,SC Li t ELC 2 55 Retaining Wall ELR Footing Access: / � / FPS Foundation (�j� [� ‘140 Aceite ►, �' C B ✓\ f^ ! U f Ftg Drain SGN Crawl Drain Inspection Notes r te Slab SIT Post & Beam Orr" Pa i e1a- o k -.` Ext Sheath /Shear ! Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling L' Roof Misc: 9 q Final . E / . 44. i'3/ - 4/ 7/ PASS PART FAIL ll7 �� PLUMBING nX 3S`v 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 ELECTRICAL Service Rough In UG /Slab Low Voltage N Fire Alarm �. ri Final 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access Fire Supply Line ADA Approach /Sidewalk Other Date _ZL Inspector — Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY.OP'TIGARD BUILDING INSPECTION DIVISION - 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 MST BUP Date Requested /o - AM PM BLD Location f/ 3 8r $ / /o ' 40' Suite MEC .ZGV"' - 7 Contact Person /14 3,4✓lcs Ph � f L/ -39 PLM Contractor 4 /11:p Ph SWR BUILDING Tenant/Owner IJe ?d cut ELC —o'Ss 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 t D / - s _ w Insulation Drywall Nailing /4 76T.n4RJ i&Sa+ I �L 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 PA PART FAIL MECHANICAL Post & Beam Rough In Gas Line S ii • .e Dampers - • SS PART FAIL ELECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm Final 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 Other Date n- s =4a Inspector / ,„(7 44 Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.