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Permit ciw OF � ELECTRICL PERMIT PERMIT #: ELC96-0351 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 06/05/96 1o1usaw Han Blvd. Tigard, Oregon e7223°8199 (503) 639-4171 PARCEL: 2S111BD-02700 SITE ADDRESS...: 14650 SW 97TH AVE SUBDIVISION ^ CLOUD CAP ZONING:R-3.5 BLOCK..........: LOT..... ..... ...:9 Project Description: Installing 13— 200amp, 1— 400amp, and 1— 1000amps+ services or feeders, 136 branch circuits and, 1 signal curcuit panel. _ ---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- MISCELLANEOUS � 1000 SF OR LESS ^ 0 0 — 200 amp ^ 0 PUMP/IRRIGATION ^ 0 EACH ADD'L 500SF. . . : 0 201 — 400 amp. . . . . .. : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY ^ 0 401 — 600 amp.......: 0 SIGNAL/PANEL ^ 1 MANF. HM/ SVC/FDR..: 0. 601+amps-1000 volts.: 0 MINOR LABEL (10)...: 0 ----SERVICE/FEEDER---- ----BRANCH CIRCUITS ---ADD'L INSPECTIONS--- 0 — 200 amp......:13 W/SERVICE OR FEEDER:136 PER INSPECTION.....: 0 201 — 400 amp ^ 1 1st W/O SRVC OR FDR.: 0 PER HOUR......... .. : 0 401 — 600 amp......: 0 EA ADD'L BRNCH CIRC: 0 IN PLANT ^ 0 601 — 1000 amp : 0 -----PLAN REVIEW SECTION ---- 1000+ amp/volt.....: 1 >=4 RES UNITS • > 600 VOLT NOMINAL..: Reconnect only..... : 0 SVC/FDR >= 225 AMPS.. : CLASS AREA/SPEC OCC. :X Owner: .----- — --- FEES TIGARD TUALATIN SCHOOL DIST type amount by date recpt 13137 SW PACIFIC HWY PRMT $ 1920.00 CJS 06/05/96 96-280221 PLCK $ 504.00 CJS 06/05/96 96-280221 TIGARD OR 97223' 5PCT $ 96.00 CJS 06/05/96 96-280221 Phone #: 684-2353 Contractor: — — — ---- CAPITOL ELECTRIC CO INC $ 2520.00 TOTAL 12810 NE AIRPORT WAY #1 REQUIRED INSPECTIONS -- PORTLAND OR 97230 Ceiling Cover Elect'l Service Phone #: 503-255-9488 Wall Cover Elect'l Final Reg #..: 48748 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee Signature applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started , ��_ within 18% days of issuance, or if work is suspended for more r^ rx���� ~~����rx� . .sued than 180 days. � 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: 0Y1 �� ���| i«� -�J- ^? DATE: ���— �^� /�_ -__ • LICENSE NO Call for inspection — 639-4175 • CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639 -4175 Business Phone: 639 -4171 Footing Rain Drain Cover /Service FINAL: Foundation Water Line Ceiling - Plumb. Post/Beam Mech. Shear /Sheath Framing -Mech. PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect. Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr /Sdwlk Reins. Other: Date: r 30--2' 7 A.M. P.M. Entry: Address: a - r eL..) a Tenant: (/ tc? /` 5 Ste: MST: BUP: Con /Own: MEC: PL ELC: M: , , THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: -' /Gc? 35 1 . Crp -Qv, s ; ge -e 5 Pp - 14 47 c N.....Pc--I /te 4P (s `T ©.-L 3 : Pcq, VI-Q- ( 12 ; C4- `-F . ceder /t) :t'-' .2-2 - ' - 40 al ^ ' .61, - ....i .... -c-bld \ -•& li J r - , r-e 1 r4s, I e , e).e r � f. Inspector: - / C .. -a Date: / -- 3‹:0 -7 7 ,APPROVED DISAPPROVED /CALL FOR REINSP. C CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639 -4175 Business Phone: 639 -4171 Footing Rain Drain Cover/ ervic FINAL: Foundation Water Line Ceiling - Plumb. Post/Beam Mech. Shear /Sheath Framing -Mech. PIbg.Und /Flr /Slab Plbg. Top Out Insulation - Elect. Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr /Sdwlk Reins. Other: r Date: l� p l /iS . A.M. P.M. Entry: Address: 1 (e ,SD 9 Tenant: Ste: MST: . BUP: ' Con /Own: .r -t9- -P 4 MEC: PLM: ELC: 5 / THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: `fie 4. A tw' - . rc 40 , q r Co rr-t-- c_T',9---(2_ e(f c) e c ‘7 ti-el Inspector: . ii C . f_, ,s, ,,,, Date:e L��' A APPROVED DISAPPROVED /CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639 -4175 Business Phone: Footing Rain Drain (0-r /Service FINAL: Foundation Water Line Ceiling - Plumb. Post/Beam Mech. Shear /Sheath Framing -Mech. PIbg.Und /Flr /Slab Plbg. Top Out Insulation - Elect. Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr /Sdwlk Reins. ` Other: Date: g1 Cp /y 0 A.M. P.M .. Entry: Address: Qn i ,Q4 d 9 7 r� Tenant: .�6— t�/l.B -�- Ste: MST BUP: Con /Own: i . _ MEC: PLM: ELC: &[4 / THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: r11 Z __ _ i f / L �n � e, i y Inspector: / _` - A _ - Date " APP ROVED DISAPPROVED /CALL FOR REINSP. CF CO JF)0,r, CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639 -4175 Business Phone: 639 -4171 Footing Rain Drain Cover /Service FINAL: Foundation Water Line Ceiling - Plumb. Post/Beam Mech. Shear /Sheath Framing -Mech. PIbg.Und /Flr /Slab Plbg. Top Out Insulation - Elect. Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr /Sdwlk Reins. Other: I Z l CI ( )-4 j I Date: 1 / J (p A.M. Q P.M. Entry: Address: ` (� 0 t- 1 Tenant: Ste: MST: BUP: Con /Own: IIEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: a z ®tJ . Inspector: Zd !\ _ _ L .0 2 _ A Date: 7'R3 "(,6 APPROVED DISAPPROVED /CALL FOR REINSP. CF go ,4- CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639 -4175 Business Phone: 639 -4171 Footing Rain Drain Cover /Service FINAL: Foundation Water Line Ceiling - Plumb. Post/Beam Mech. Shear /Sheath Framing -Mech. PIbg.Und /Flr /Slab Plbg. Top Out Insulation - Elect. Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr /Sdwlk Reins. Other: , '�✓ j/L._) Date: ar C A.M. P P.IVOt Entry: Address: / ,Sl. ! 7 'Q..-_. Tenant: / Ste: MST: ms : rat �- c.8 -� �- t� u MEP: Con /Ow �� PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: 1 r--eft_L2 CQ zi " Fzic 4,,p C 1 ) / fuc ___a___,==>_..-1,- c 7-e-; c --- fq I v-c ef9r r Inspector: ,/ , — A ..• Date: X APPROVED DISAPPROVED /CALL FOR REINS CF CO y799.7 CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639 -4175 Busine hone: 639 -4171 Footing Rain Drain Cove Service FINAL: Foundation Water Line Ceiling - Plumb. Post/Beam Mech. Shear /Sheath Framing -Mech. PIbg.Und /Flr /Slab Plbg. Top Out Insulation - Elect. Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr /Sdwlk Reins. Other: (-4-3 11-11- 11-11— / "e / r Date: - C - / / 0 C 1 C� A.M. P.M. . Entry: Address: / 7 (o s U S -U ` 7 ' c/Lc} -e. Tenant: / j ��t / rt n Ste: MST: /' BUP: Con /Own: rr-i 7° MEC: I z s _ V . PLM: ELC: 7 Y (� 03S7 THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: /V ili i_: Inspector: / I _.' A I Date: / ' 1 ' X APPROVED DISAPPROVED /CALL FOR REINSP. CF CO 9.74. -- Community Development ELECTRICAL PERMIT APPLICATION • 13125 SW Hall Blvd. Tigard, OR 97223 Permit # ELC4( -?351 Awfigionotlk Issued 6 - 5 - 96 'iI Phone (503) 639 -4171 6:-... FAX (503) 684 -7297 CITY OF TIGARD TDD No. (503) 684 -2772 Inspection (503) 639 -4175 1. Job Address: 4. Complete Fee Schedule Below: / J / ------ / T' Ph S Ct Inspections per P Name of Development /!.t/� � � oo j Number of Ins ections er ermit allowed Address / 1 5) .5 t) 9 7 "' Service included: Items Cost(ea) Sum City /State /Zip Al221 Q 2 4a. Residential - per unit 1000 sq. ft. or less $110.00 4 Name (or name of business) Each additional 500 sq. ft. or portion thereof $25.00 Commercial Residential ❑ Limited Energy $25.00 1 Each Manufd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: 4b. Services or Feeders /� /)D Installation, alteration, or relocation Electrical Contractor Q G / 12 �S 200 amps or less /3 $60.00 7 p 2 Address /2fr i p /1J j it poA/ Al 4 201 amps to 400 amps / $80.00 8 O 2 C J State /s IZ. Zip/97 401 amps to 600 amps $120.00 Y 97 Z3 a 601 amps to 1000 amps $180.00 2 Phone No. 2S5- y v iY Over 1000 amps or volts l $340.00 7 y 0 2 Job NO. glo -33 z- Reconnect only $50.00 2 contractor's license NO. 2_4 - V Y C. 4c. Temporary Services or Feeders Contractor's Board Reg. No. 4/ 7 yt" Installation, alteration, or relocation 2 Signature of Supr. Elec'n 200 amps or less 2 201 amps to 400 amps $50.00 - .License No. 3) 3 - S Phone No. 2'- S S -9 y I-� 401 amps to 600 amps $75.00 2 Over 600 amps to 1000 volts $100.00 . 2b. For owner installations: see "b" above. 4d. Branch Circuits Print Owner's Name New, alteration or extension per pane Address a) The fee for branch circuits with purchase of service or feeder fee. 2 City State Zip Each branch circuit / - 4 $5.00 !e £ 0 Phone No. b) The fee for branch circuits without The installation is being made on property I own which is purchase of service or feeder fee. 2 First additional circuit brt $$5.00 not intended for sale, lease or rent. Each additional branch circuit $5.00 Owner's Signature 4e. Miscellaneous . (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or irrigation circle $40.00 2 - Each sign or outline lighting $40.00 Signal circuit(s) or a limited energy o 2 Please check appropriate item and enter fee in section 5B. panel, alteration or extension / $40.00 y t 4 or more residential units in one structure Minor Labels (10) $100.00 Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional inspection over - Classified area or structure containing special occupancy the allowable in any of the above as described in N.E.C. Chapter 5 Per inspection $35.00 Per hour $55.00 In Plant $55.00 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: 5a. Enter total of above fees $ J2 a NOTICE 5% Surcharge (.05 X total fees) $ ' 9h '% PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ Z o l (. °= AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25% of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $ 07ny A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. wordicomdeNeiec- ❑ Trust Account # $ prm.app Balance Due $ ZS Z