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Permit CITY OF T I GA R D ELECTRICAL PERMIT PERMIT #: ELC1999 -00473 L e_�1/ DEVELOPMENT SERVICES DATE ISSUED: 7/30/99 --" 13125 SW HaII Blvd., Tigard, OR 97223 (503) 639 1 SITE ADDRESS: 11905 SW 91ST AVE 002 (JO 1 GIN PARCEL: 1 S135DC 02000 SUBDIVISION: VILLA LA PAZ ZONING: R -7 BLOCK: LOT : JURISDICTION: TIG Project Description: Installation of one 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: VILLA LA PAZ LIMITED PARNERSHI (GARY) COOPER ELECTRIC COMMUNITY PARTNERS /AFFORDABLE 11845 SE 34TH ST HOUSING INC, POB 23206 MILWAUKIE, OR 97222 TIGARD, OR 97281 -3206 Phone: Phone: 653 -8803 Reg #: SUP 2965S LIC 00042918 ELE 3 -191C FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT DEB 7/30/99 $37.50 99- 317277 Elect'I Final 5PCT DEB 7/30/99 $2.63 99- 317277 Total $40.13 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. Permit Signature: 1etj t e ,_,,,_ Issued By , r/ " 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: -- � `,-' ` A 6- DATE: LICENSE NO: `94P5 Call 639 -4175 by 7:00pm for an inspection the next business day Community DevelopmtCEIVEDELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. o c1 Tigard, OR 97223 JUL 2 6 199�'ermit # � L �` l 1 / - D0 �7 3 /�Nr� /I�IPIVH� Date Issued 7 - A9 -11 Phone (503) 639- 4 v7MMUNITY DEVELOPMENT ° FAX (503) 684 -7297 CITY OF TIGARD TDD No. (503) 684 -2772 Inspection (503) 639 -4175 1, Job Address: 4. Complete Fee Schedule Below: Name of pevelo.. ent _ _ I i t� Number Of Inspections per permit allowed _ l Address T I. ; ` i / / . •x/1,1,4 /> = Service included: Items Cost(ea) Sum City /State /Zip 1 t a... gd 6 N. g 7a 2 3 4a. Residential - per unit s y / , n 1000 sq. ft or less $11 Name (or name of business) V,I .2„ 4 fa.. /' Each additional 500 sq. ft. or portion thereof $25.00 Commercia 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 //�1. tr� r r / JtJ < f Installation, alteration, or relocation Electrical Contractor 3/71-. / f1l' / i' i 200 amps It less $60.00 2 Address / `� // .s 201 amps to 400 amps $80.00 ////// � -•� $120.00 2 City �! �! �(/! , ♦ f � i P Statep Zip ! . c �7 401 amps to 600 amps 2 p / C $180.00 2 601 amps to 1000 amps Phone No. „S",3- .2?8i9 �� 4-, 5g - / /t, f1 Over 1000 amps or volts $340.00 2 lob-414€1. /=;•51)( / 5 %[ /!/D n Reconnect only $50.00 2 contractor's license NO. N . 3 - -- / - " 4c. Temporary Services or Feeders Contractor's Board Reg. No. _ _ I alteration, or relocation 2 Signature of Supr. Elec'n i` 'Ar , _ _ 200 amps or less 2 License No../ ?6, ' Phone No. 201 amps to 400 amps $50.00 2 4 0 1 amps to 600 amps $75.00 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 $5.00 2 ��11 Phone No. b) The fee for branch circuits without ,3./' p urchase of service or feeder fee. 2 The installation is being made on property I own which is / First $35.00 °-- 2 Each additional not intended for sale, lease or rent. at ddch circuit l branch circuit 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 2 Please check appropriate item and enter fee in section 5B. panel, alteration or extension $40.00 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: 3 7 , 7 a 5a. Enter total of above fees %; NOTICE ,7q1 , rs Surcharge (.05 X total fees) t� tp ;� PERMITS BECOME VOID IF WORK OR CONSTRUCTION ! Subtotal $ 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) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. wordlcomdeNeieo- ❑ Trust Account # • . prm.app 13$ ,. 4. . Balance Du • 70 $ j∎ • : ` � 10 a CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 pC� BUP � ll%LH:U Date Requested , � ' ! / AM PM BLD Location I i Gc /c q (S ��V` Suite MEC Contact Person COOPeA, Ph PLM Contractor Ph (p S3 -g,803 SWR Q BUILDING ' Tenant/Owner V t I l & Pet, ELC )qq % �r q 7 j ' 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 �/fij,l-1 !n 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 CTR Service Rough In UG /Slab Low Voltage • Fire Alarm AZ> 4100 PART SITE Backfill /Grading Sanitary Sewer Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hail, 13125 SW Hall Blvd Catch Basin Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk Date ZO /? 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 / b -1 3 AM PM BLD Location fife) S c / it Suite 4A ,L• z MEC Contact Person Ph 6;,' ' f/i/ PLM Contractor Ph 51 6 SWR BUILDING- ELC /Q Gt' I73 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 ICW 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 LECTRI - ice Rough In R f UG /Slab Low Voltage Fire Alarm F . ' 1 0 6. V 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 C4 l-T /rz3 Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.