Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2000 -00542
, .�y l DEVELOPMENT SERVICES DATE ISSUED: 9/13/00
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S110AD -90059
SITE ADDRESS: 14956 SW 109TH AVE
SUBDIVISION: CANTERBURY WOODS CONDOMINIUM ZONING: R -12
BLOCK: LOT : 059 JURISDICTION: TIG
Project Description: Installation of one 200 amp service or feeder and 3 branch circuits.
Job No. 32633
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: 1 W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 3 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:
PHIL STINGOLA OREGON ELECTRIC CONST /GROUP
14956 SW 109TH AVE 1010 SE 11TH AVE
TIGARD, OR 97224 PORTLAND, OR 97214
Phone: Phone: 234 -9900
Reg #: LIC 203
SUP 1302S
ELE 26 -95C
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT CTR 9/13/00 $100.25 2720000000( Elect'I Final
5PCT CTR 9/13/00 $8.02 2720000000(
Total $108.27
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules ado. ;• b the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain •..•-s of these rules or direct questions to OUNC at (503)
246 -1987. I '
PERMITTEE'S SIGNATURE fi ISS ED BY: A �
OWNER INSTALLATION ONL'
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: . 36.0 A ..40 - — I " ' ' ` d-' DATE:
LICENSE NO: 60/.04
Call 639 -4175 by 7:00pm for an inspection the next business day
SEP -11 -2000 09:15 P.02/02
CITY OF TIGARD t.Y `, Plan Ch
13125 SW,_HALL BLVD. Electrical Permit Application Rec'd tar a
TIGARD OR 97223 Oate Rec'd 4- 5--co
Phone (503) 639 -4171, x304 Print of Type Date to P.E. _ --?-
Date to DST
Inspection (503) 639 -4175 Incomplete or illegible will not be accepted Permit # _Et�C! -- C90 E-
Fax (503) 598 -1960 Called
r. Job Address: 4. Complete Fee Schedule Below:
lame of Development Stingola, Phil .. Number of Inspections per permit allowed
iame (or name if usiness$tingola, Phil Service tnctudeti: Iteriz `"`Cost - Tatai ` T
,ddress 149b5 SW Ave_ 4a. Residential - per unit `"
W 109th
1000 sq. ft. or Tess 5147.15 4
:ity/StatefZip Tigard, OR 97224 Each additional 500 sq. It, or
portion thereof _ 533.40 1
:ommercial Ei .._.._..._, :.,_.... _ Residentta my..a._ - t7
Each Manned Home or Modular
Dwelling Service or Feeder 390,90 2
'a. Contractor installation only:
'rior to permit Issuance, applicants must provide contractor license 4b. Services e r Feeders
formation for COT data base). Installation. alteration, or relocation
200 amps or less 1 580.30 80.30 2
:lectrical Contractor areormi Fl r'Ctrir Croup 201 amps to 400 amps 5106.85 2
\ddress 1 f)1 f) qr 1 1 th Ave 401 amps to 600 amps 5160.60 2
;ity Prrt - 1 artat)R Zip 4721 d 601 amps to 1000 amps $240.60 2
'hone No. 234 - 9909 Over 1000 amps or volts 5454.65 2
ob No. 32633 Reconnect only 566.85 2
:lec. Cont. Lice. No. 7ti_g5C Exp.Date 4c. Temporary Services or Feeders
)R State CCB Reg. No. 3 Exp.Dat Installation, alteration, or relocation
., 200 amps or less
.OT Business Tax or Me o. j 6 ; Ex a � � 201 amps to 400 amps $66,85
$100.30 2
2
ti ` 401 amps to 600 amps $133.75 2
;ignature of Supr. Elec'n _ Over 600 amps to 1000 volts,
see "b" above.
!cense No. 2064S Exp.Date 4d. Branch Circuits
'hone No. - _234 9900 _ New. alteration or extension per panel
a) me fee for branch circuits
'b. For owner in feeder purchase of service or
eder Fee.
'tint Owner's Name Each branch circuit 3 $6.65 19 9�, 2
b) The fee for branch circuits
,ddress without purchase of service
ity State Zip or feeder fee.
hone No. First branch circuit $46.85
Each additional branch circuit $6.65
*he installation is being made on property I own which is not 4e. Miscellaneous •
Mended for sale, lease or rent (Service or feeder not included)
Each pump or irrigation circle 353.40
lwners Signature Each sign or outline lighting $53.40
9 Signal drwit(s) or a limited energy
panel, alteration or extension $75,00
I, Plan Review section (if required):" Minor Labels (10) 5125.00
Please check appropriate item and enter fee in section 58. th Each bl e in in clo an inspect a b v eer
the allowable y of the above
4 or more residential units in one structure Per inspection 562.50
Service and feeder 225 amps or more Per hour $62.50
System over 600 volts nominal In Plant $73.75
Classified area or structure containing special occupancy as 5, Fees:
described in N.E.C. Chapter 5 5a. Enter total of above fees $ $1
Submit 2 sets of plans with application where any of the above apply. 8% Surcharge (.08 X total fees) $ +
1.
Not required for temporary construction services. Subtotal $ '•
5b. Enter 25% of line 5a for
NOTICE Plan Review if required (Sec. 3) $ _
Subtotal S
'ERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED .. - _
5 NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR ❑ Trust Account #
YORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS Total balance Due � $ 4J�w(
�+ a
,T ANY TIME AFTER WORK IS COMMENCED. r ��'
TOTAL P.02
CITY OF TIGARD BUILDING INSPECTION DIVISION
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BUD
Location C et_qs-za. SaJ e2 i Suite —7 MEC
Contact Person /' Ph PLM
Contractor C ' e 0 fit l C . _ Ph "/ A l89� SWR
BUILDING Tenant/Owner
Z3 5' — ? CV Zely — Oc
Retaining Wall ELR
Footing Access:
Foundation A FPS
Ftg Drain i --- �24p�! �. rrf' fi Ke4Bi
Crawl Drain Inspection Notes: SGT
Slab 3 - C [e' SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Sprinkler i1 :i � �t."
Fire Alarm
Susp'd Ceiling
Roof d
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
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fir -rm
e lh p_ 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 Inspector
Other Date 9/2(7/3/ pecto �� Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
BUP - Building Permit ELC - Electrical Permit
-4 Inspection Description Date Passed By 4 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 `j - L G, - c'o
Underfloor insulation
Post/beam structural
Shear walls /anchors ELR - Restricted Energy Permit
Roof nailing J Inspection Description Date Passed By
Firewall Low voltage
Tilt -up panel Electrical fmal
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
4 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 fmal Rain drain
Storm drain
Water service
SIT - Site Permit Sanitary sewer
4 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 -4 Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
Final inspection Final inspection
INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC, SIT PERMITS
CITY O F TIGARD
ELECTRICAL PERIi/rIT
PERMIT #: ELC2000 -00542
,,��, DEVELOPMENT SERVICES DATE ISSUED: 9/13/00
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S110AD -90059
SITE ADDRESS: 14956 SW 109TH AVE
SUBDIVISION: CANTERBURY WOODS CONDOMINIUM ZONING: R -12
BLOCK: LOT : 059 JURISDICTION: TIG
Project Description: Installation of one 200 amp service or feeder and 3 branch circuits.
Job No. 32633
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: 1 W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 3 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:
PHIL STINGOLA OREGON ELECTRIC CONST /GROUP
14956 SW 109TH AVE 1010 SE 11TH AVE
TIGARD, OR 97224 PORTLAND, OR 97214
Phone: Phone: 234 -9900
Reg #: LIC 203
SUP 1302S
ELE 26 -95C
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT CTR 9/13/00 $100.25 2720000000( Elect'I Final
5PCT CTR 9/13/00 $8.02 2720000000(
Total $108.27
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 ado• b the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain •• :'-s of these rules or direct questions to OUNC at (503)
246 -1987. `I '
—
PERMITTEE'S SIGNATURE pi, U p ISS ED BY: �1 j J „
O
8
WNER INSTALLATION ONL'
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: ` .)&.0 c /ei—+ DATE:
LICENSE NO: DTS
Call 639 -4175 by 7:00pm for an inspection the next business day