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Permit ELECTRICAL PERMIT �� OF � PERMIT #: ELC96-0617 � � ~�� ~ ~ DATE ISSUED: 09/27/96 COMMUNITY DEVELOPMENT DEPARTMENT 1u1usmw Hall Blvd. Tigard, Oregon y72o°o1ne (503) 639-*171 PARCEL: 1S135BC-00201 SITE ADDRESS...: 10765 SW GREENBURG RD SUBDIVISION. ... : ZONING:C—G BLOCK..........: LOT.............: Project Description: Installing three branch circuits. ------------- ----- ---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.......: 0 MANF. HM/ SVC/FDR..: 0 681+amps-1000 volts.: 0 MINOR LABEL (10)...: 0 ----SERVICE/FEEDER---- ----BRANCH CIRCUITS----- ---ADD'L INSPECTIONS--- 0 — 200 amp......: 0 W/SERVICE OR FEEDER: 0 PER INSPECTION.....: 0 201 — 400 amp... . .. : 0 1st W/O SRVC OR FDR. : 1 • PER HOUR. ... . . . . ... : 0 401 — 600 amp......: 0 EA ADD'L BRNCH CIRC: 2 IN PLANT...........: 0 601 — 1000 amp.. ... : 0 -----------------PLAN REVIEW SECTION--- -- 1000+ amp/volt. . ... : 0 >=4 RES UNITS.. . ..... : > 600 VOLT NOMINAL..: Reconnect only. . . . . : 0 SVC/FDR >= 225 AMPS..: CLASS A REA/SPEC OCC. : Owner: -------- ----- FEES — ---- 7 — ELEVEN (SOUTHLAND) type amount by date recpt 10765 SW GREENBURG RD PRMT $ 45.00 CJS 09/27/96 96-284460 5PCT $ 2.25 CJS 09/27/96 96-284460 TIGARD OR 97223 Phone #: Contractor: — -- ----- — ------------------- ELECTRICAL DIMENSIONS INC $ 47.25 TOTAL PO BOX 12146 3961 SW WILLAMS AVE ------- REQUIRED INSPECTIONS ------- PORTLAND OR 97212 Wall Cover Elect'l Final Phone #: 503-282-7255 Elect'l Service Reg #..: 44008 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 d plans. This it will expire if work is not started approvn p ams. s perm w exp re wor � no � n within 18Ndays of is»uance, or if work is suspended for nore V > ' than 180 days. ` I ssued 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: cf LICENSE NO: Call for inspection — 639-4175 ' 4 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # q6- aRt ,' it l ' i Permit # eir c(6•- 06''17 .� 1'1 Phone (503) 639 -4171 Date Issued 4- a 7 ci6 \ � - "" FAX (503) 684 -7297 1l ,p - �e- CITY OF TIGARD TDD No. (503) 684 -2772 Issued by t �,� IP C Sc_��r» r arr7 Inspection (503) 639 -4175 \ f 1. Job Address: 4. Complete Fee Schedule Below: Name of Development -0/ Number of Inspections per permit allowed Address /0 7C S S . W. 67E.E5A.)/51-Jtei Al Service included: Items Cost(ea) Sum City /State/Zip - TiqoriAo 4a. Residential - per unit 4 1000 sq. ft. or less $110.00 Name (or name of business) 7// (SacJTN•oAvb) Each additional 500 sq. ft. or 1 portion thereof $25.00 Commercial ❑ Residential ❑ Limited Energy $25.00 Each Manufd Home or Modular 2 Dwelling Service or Feeder $68.00 2a. Contractor installation only 60 / 5 a 4b. Services or Feeders Installation, alteration, or relocation 2 Electrical Contractor � GZ - IC.JG�c. `i7 /f.'t�' 4,Lio 200 amps or less $60.00 2 Address S96 / ,(), /.cj /GcmaAcr 201 amps to 400 amps $80.00 2 401 amps to 600 amps $120.00 2 City Rparcre wa State c k¢3 Zip 97 2:7-1 601 amps to 1000 amps $180.00 2 Phone No. 26 2.- 7 2.5S g b Over 1000 amps or volts $340.00 2 Contractor's License No. t�Tyr s I 11 Reconnect only $50.00 Contractor's Board Reg. No. 4_4_4)0 4c. Temporary Services or Feeders Installation, alteration, or relocation 2 Signature of Supr. Elec'n '- - Phone No. , �/i� % 201 amps to 400 amps 200 amps or less $50.00 2 $75.00 2 License No. � Z� Z -7Z 401 amps to 600 amps $100.00 Over 600 amps to 1000 volts 2b. For owner installations: see •b• above Print 4d. Branch Circuits rint Owner's Name New, alteration or extension per panel Address a) The fee for branch circuits with City State Zip purchase of service or feeder fee. 2 Each branch circuit $5.00 Phone No. b) The tee for branch circuits without The installation is being made on property I own which is purchase of service or feeder fee. ' 2 First branch circuit / $35.00 3 - . 2 not intended for sale, lease or rent. Each additional branch circuit 'li $5.00 / p, �- 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: NOTICE 5a. Enter total of above fees $ 45.. o1" 5% Surcharge (.05 X total fees) $ 2. t 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. ❑ Trust Account # $ Balance Due $ 41, 2SS wadkpndev\olecprm.app CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested AM PM BLD i Location Suite MEC Contact Person r �' h PLM Contractor Ph c>lgc - 702,c5 SWR BUILDING Tenant/Owner - 7 ) 1 ELC % © 6 Retaining Wall _ - EL I — Footing Foundation Access:-- j FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam .74 Ext Sheath /Shear J �''- ��`�`zj!f ' Int Sheath /Shear Framing Insulation Drywall Nailing "1.4't� .' Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final ` PASS PART FAIL PLUMBING / 1 / I lvrnaLa/ei Post & Beam Under Slab y 7 a 5 5 Top Out C1 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 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 reinspection RE: [ ] Unable to inspect - no access ADA Approach /Sidewalk D ate '7 Other / - 7 9;, Inspector Ext Final PASS PART FAIL . DO NOT REMOVE this inspection record from the job site.