Permit - CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2003 -00331
DEVELOPMENT SERVICES DATE ISSUED: 7/11/03
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S135DA
SITE ADDRESS: 11515 SW HALL BLVD
ZONING: C -
SUBDIVISION:
BLOCK: LOT : JURISDICTION: TIG
Project Description: Conversion & addition to exisiting SF to create an ashram.
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: 2 W /SERVICE OR FEEDER: 28 PER INSPECTION:
201 - 400 amp: 1 1st W/O SRVC OR FDR: 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:
BRAHMAPREMANANDA ASHRAM/TEMPLE CAPITOL ELECTRIC CO INC
11515 SW HALL BLVD 11401 NE MARX ST
TIGARD, OR 97223 PORTLAND, OR 97220 -1041
Phone: Phone: 255 - 9488
Reg #: L1C 048748
SUP 3132S
FEES ELE 26 -496C
Description Date Amount Required Inspections
[ELPRMT] ELC Permit 7/11/03 $453.65
[ELPLCK] ELC Pln Rev 7/11/03 $113.41 Rough -in
[TAX] 8% State Tax 7/11/03 $36.29 Elect'I Service
Elect'I Final
Total $603.35
This Permit is iss dsu•'ect to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be- e in accorda •- with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for mo than 180 days. ATTE , TION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
fort n OAR 952 - 001 -0010 throu:h OA; • 2- 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699 or
1- 0- 332 -2344.
Is ued By: . #� i/ % ! /� Permit Signature: w' / �� 4/ e
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. - DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
L 6 -/2- - p3
e i r - • _ 0FFICE_USE.ONLY_
- Electrical Permit Application Date received: Permit no.: �Ge'33/
I U t II V It J Project /app!. no.: e date:
�1 City of Tigard Date issued: ' B i ' l' eceipt no.:
CITY OF TIGARD Address: 13125 SW HALL BLVD, TIGARD, OR u72�23 Case file no.: Payment type:
Phone: (503) 639 -4171 Fax (503) 598 -1960
Land use approval: ('.ITy of TIr A AD ■
CH Ill rilAi, r'stvtnr,,,,,, 1
- ; TYPE OF PERMIT /
❑ 1 & 2 family dewlling or accessory ❑ Commercial /industrial ❑ Multi- family ❑ Tenant improvement Q
® New construction 15 Addition/alteration/replacement ❑ Other: i ❑ Partial V1
JOB SITE INFORMATION .
Job address: 11515 SW HALL City: TIGARD Bldg. No.: Suite no.: Tax map /tax lot /account no.:
Lot: (Block: N/A ISubdivision:
Project name: HINDU HOUSE (Description and location of work on premises: NEW ADDITION ON EXISTING HOUSE
Estimated date of completion/inspection:
. CONTRACTOR APPLICATION ' FEE SCHEDULE , �. '
Job no: 23 -406 Fee Max. . .
Business Name: Capitol Electric Co., Inc. Description Qty. (ea.) Total no. insp `
Address: 11401 NE Marx New residential - single or multi - family per
City: Portland State: OR ZIP: 97220 - 1041 dwelling unit. Includes attached garage. ( l
Phone: 503 - 255 - 9488 (Fax: 257 - 7121 1E darrell@cepdx.com Service included: r }`
CCB no.: 48748 [Elec. b . lic.no: 26 - 496C 1000 sq. ft, or less $ 145.15 4 r '
Cit /metro Iic.no.: N/A Each additional 500 sq. ft. or portion thereof $ 33.40
' 5/14/03 Limited energy residential $ 75.00 2
Signature o supe tsing electrician (required) Date Limited energy, non - residential $ 45.00 2
Sup. elect. name (print): Darrell MCNeeI License no.: 3132 -S Each manufactured home or modular dwelling
'' PROPERTY OWNER • Service and /or feeder $ 90.90 2 ��
Name (print): Services or feeders - installation,
Mailing address: alteration or relocation:
City: State: (ZIP: 200 amps or less . 2 $ 80.30 160.60 2
t.
Phone: Fax: 1E 201 amps to 400 amps 1 $ 106.85 106.85 2
Owner installation : The installation is being made on property 1 own 401 amps to 600 amps $ 160.60 2
which is not intended for sale, lease, rent, or exchange according to 601 amps to 1000 amps $ 240.60 2
ORS 447, 455, 479, 670, 701. Over 1000 amps or volts $ 454.65 2
Owner's signature: Date: Reconnect only $ 66.85 I
',: '.` ENGINEER - . , - Temporary services or feeders -
Name: installation, alterations, or relocation:
Address: 200 amps or less $ 66.85 2
City: State: ZIP: _ 201 amps to 400 amps $ 100.30 2
Phone: Fax: E -mail: 401 amps to 600 amps $ 133.75 2
. ,PLAN "REVIEW (Please check all l
. t
't• ° that apply) Branch circuits -new, alteration,
❑ Service over 225 amps - commercial El Health -care facility or extension per panel:
❑ Service over 320 amps- rating of 1 &2 ❑ Hazardous location A. Fee for branch circuits with purchase of
family dwellings ❑ Building over 10,000 square ft. four or service or feeder fee, each branch circuit 28 $ 6.65 186.20 2
❑System over 600 volts nominal more residential units in one structure B. Fee for branch circuits without purchase
❑ Building over three stories ❑ Feeders, 400 amps or more of service or feeder fee, first 'branch circuit: $ 46.85 2
❑ Occupant load over 99 persons ❑ Manufactures structures or RV Park Each additional branch circuit: $ 6.65
❑ Egress /lighting plan ❑ Other: Misc. (Service or feeder not included):
Submit sets of plans with any of the above. Each pump or irrigation circle $ 53.40 2
The above are not applicable to temporary construction service. Each sign or outline lighting $ 53.40 _ 2
Signal circuit(s) or a limited energy panel,
alteration, or extension* $ 75.00 2
*Description:
Each additional inspectionover th allowable in any of the above:
Per inspection I I $ 62.50 I I
Investigation fee
Other
❑ Visa El MasterCard Permit fee $ 453.65
Credit card number: / / Notice: this permit application Plan review ( ) $ //3
Expires expires if a permit is not obtained State Surcharge( 8% ) $ 36.29
Name of cardholder as shown on credit card $ withing 180 days after it has been TOTAL $
Amount
Cardholder signature accepted as complete. T 6003,35
CITY OF TIGARD 24 -Hour •
BUILDING Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (03) 639 -4171
BUP •
Received q Date 4 71__ L quested `d — 3( AM PM BUP
Location d II S /95#7 Suite. MEC
Contact Person P— Ph ( q7( ) 5 0 7 PLM
Contractor Ph ( ) SWR d U 3 3)
BUILDING Tenant/Owner ELC 3 — dooit9 .
Footing
Foundation ELC
Access:
Ftg Drain ELR -
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
•
Int Sheath /Shear
Framing ((-
Insulation \ �S ci-0 0 d R \ 1 � 6" 1 o n I Y(0 Drywll Nailing ( `
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
/
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
'MECHANICAL
Post& Beam
Rough -In
Gas Line •
Smoke Dampers
Final
ASS PART FAIL
ECTRI' • L _
Service
Rough -In < LCD 2 °' "' 3 . O C 2
UG /Slab
Low Voltage
larm
•AS PART FAIL Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SITE Please call for reinspection RE: Unable to inspect — no access
Fire Supply Line
ADA
Approach /Sidewalk Date Inspe ® t
Other:
Final DO NOT REMOVE this inspection record fr . the job e. •
PASS PART FAIL