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Permit CITY OF TIGARD ELECTRICAL PERMIT s- P ERMIT #: ELC2000 -00553 "Etve6iti& DEVELOPMENT SERVICES DATE ISSUED: 9/19/00 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S134DB -05600 SITE ADDRESS: 11057 SW 111TH PL SUBDIVISION: JEFFREY ESTATES ZONING: R -4.5 BLOCK: LOT : 012 JURISDICTION: TIG Project Description: Installation of 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: CHUNG -CHEN YUAN ALL -WAYS ELECTRICAL 11057 SW 111 PL 6032 SE BREWSTER PL TIGARD, OR 97223 PO BOX 68456 MILWAUKIE, OR 97267 Phone: 620 -7798 Phone: 513 -6614 Reg #: SUP 1287S LIC 0049032 ELE 3 -229c FEES Required Inspections Type By Date Amount Receipt Elect'l Final PRMT CTR 9/19/00 $46.85 2720000000( . 5PCT CTR 9/19/00 $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 SI ATURE 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 # pp 13125 SW HALL BLVD. Rec'd By . L/i •° • Date Recd 7//•/0-6 TIGARD OR 97223 Print of Type �� Date to P.E. r n o Phone (503) 639-4171, x304 Date to DST . Inspection (503) 639 -4175 Incomplete or illegible will not be accepted Permit # & C 2000 - aiS,s Fax (503) 598 -1960 Called • 1. Job Address: 4. Complete Fee Schedule Below: • Number of Inspections per permit allowed Name of Development Name (or name of business) " y// � j / Service included: Items Cost Total Ai Address /ADts S• / ie. � / Z- �(/ , 4a. Residential - per unit 1000 sq. ft. or less $147.15 4 City/State /Zip 77);, le /e . Y 722- 3 Each additional 500 sq. ft. or / portion thereof $33.40 1 Commercial ❑ Residential X - Limited Energy $75.00 Each Manufd Home or Modular Dwelling Service or Feeder $90.90 2 2a. Contractor installation only: (Prior to permit issuance, applicants must provide contractor license 4b. Services or Feeders information for COT data ba Installation, alteration, or relocation 200 amps or less $80.30 Electrical C � � G • 201 amps to 400 amps 2 $106.85 2 Address (0 7 /� ©x 45,_c----, p 401 amps to 600 amps $160.60 2 City 0/4/.41, 2, State (J , Zip 972.4 a 601 amps to 1000 amps $240.60 2 Phone No. .5-73.--4,6/Z Over 1000 amps or volts $454.65 . 2 Reconnect only $66.85 2 Job No. Elec. Cont. Lice. No. 3 -42_9?_ Exp.Date /D - / - O/ 4c. Temporary Services or Feeders OR State CCB Reg. No. t �903 2i Exp.Date/0-/- 62 / Installation, alteration, l or relocation 200 amps or less $66.85 2 COT Business Tax o , etro No. Exp ate 201 amps to 400 amps $100.30 2 • ,, ' 401 amps to 600 amps $133.75 2 Signature of Supr. E - ' • I `/,',ti . ,./..,/a(...- Over 600 amps to 1000 volts, VII/ • see "b" above. License No. 61, 7 Exp.Date / CD 4d. Branch Circuits Phone No. s/ 3 4, 6. /� New, alteration or extension per panel a) The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Each branch circuit $6.65. 2 Print Owner's Name b) The fee for branch circuits . Address without purchase of service City State Zip or feeder fee. / 8 First branch circuit 7 $46.85 '� (� Phone No. Each additional branch circuit $6.65 The installation is being made on property I own which is not 4e. Miscellaneous (Service or feeder not included) intended for sale, lease or rent. Each pump or irrigation circle $53.40 Each sign or outline lighting ' $53.40 Owner's Signature Signal circuit(s) or a limited energy panel, alteration or extension $75.00 3. Plan Review section (if required):* Minor Labels (10) $125.00 • Please check appropriate item and enter fee in section 5B. the Each additional inspection over the allowable in any of the above 4 or more residential units in one structure Per inspection $62.50 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: c/ described in N.E.C. Chapter 5 5a. Enter total of above fees $ Y� , ,p__ 5 * Submit 2 sets of plans with application where any of the above apply. 8% Surcharge (.08 X total fees) $ 3 , 73 Not required for temporary construction services. Subtotal $ 5b. Enter 25% of line 5a for NOTICE Plan Review if required (Sec. 3) $ Subtotal $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR ❑ Trust Account # WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ 5i2, t is \dsts \forms \electric rev.doc - 8/00 -CIT* OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175. • Business Line: 639 -4171 BUP Date Requested q 21/ 11 ' PM BLD Location /10.57 5 ( /7 / Suite MEC Contact Person Ph 6 Z-"' 7 7 9 1 PLM Contractor Ph SWR BUILDING Tenant/Owner ELC , 00 s 3 Retaining Wall ELR Footing Access: Foundation / ,( 0,41a4-11 FPS Ftg Drain Nee' -r/ i - /c7 SGN Crawl Drain Inspection Notes: Slab 6 - SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Alarm Susp'd Ceiling • Roof Misc: p 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 P RT FAIL LECTRICAL Service Rough In _ UG /Slab Low Voltage Fire Alarm 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 r inspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Other Date Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. BUP - Building Permit ELC - Electrical Permit -V Inspection Description Date Passed By '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 Zf .. As, Underfloor insulation Post/beam structural Shear walls /anchors EL R - Restricted Energy Permit Roof nailing 4 Inspection Description Date Passed By Firewall Low voltage Tilt -up panel Electrical final Masonry /Reinforcement Framing MFG - Structure set -up MEC - Mechanical Permit I Drywall nailing � 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 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 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 �����® PERMIT #: ELC2000 -00553 14511..- ` �, DEVELOPMENT Tigard, SERVICES C 5) 63-4171 D A T E ISSUD: 9/19/00 PARCEL: 1 S134DB -05600 SITE ADDRESS: 11057 SW 111TH PL SUBDIVISION: JEFFREY ESTATES ZONING: R -4.5 BLOCK: LOT : 012 JURISDICTION: TIG Project Description: Installation of 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: CHUNG -CHEN YUAN ALL -WAYS ELECTRICAL 11057 SW 111 PL 6032 SE BREWSTER PL TIGARD, OR 97223 PO BOX 68456 MILWAUKIE, OR 97267 Phone: 620 -7798 Phone: 513 -6614 Reg #: SUP 1287S LIC 0049032 ELE 3 -229c FEES Required Inspections Type By Date Amount Receipt Elect'l Final PRMT CTR 9/19/00 $46.85 2720000000( 5PCT CTR 9/19/00 $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 In 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) IN 246 -1987. PERMITTEE'S SI ATURE ISSUED BY: L 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 SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 639 -4175 by 7:00pm for an inspection the next business day w