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Permit CITY OF TI G A R D ELECTRICAL PERMIT PERMIT #: ELC2000 -00020 I DEVELOPMENT SERVICES DATE ISSUED: 01/12/2000 - - I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S 103CA -00700 SITE ADDRESS: 13265 SW HOWARD DR SUBDIVISION: WOODCREST ZONING: R -4.5 BLOCK: LOT : 014 JURISDICTION: URB Project Description: Add two (2) branch circuits. 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: 1 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: ROSE, DAVID & CHRISTIE WEST SIDE ELECTRIC CO INC 13265 SW HOWARD DR 1834 SE 8TH AVE TIGARD, OR 97223 PORTLAND, OR 97214 Phone: Phone: 231 -1548 Reg #: LIC 13306 SUP 1556s ELE 26 -135c FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRM3 GEO 01/12/200C $42.85 00- 321105 Elect'I Final 5PC2 GEO 01/12/200C $3.42 00- 321105 Total $46.27 ORIGINAL 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 SIGNATURE 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: /" / ? -©c3 LICENSE NO: /5 S Call 639 -4175 by 7:00pm for an inspection the next business day JAN -12 -00 10:29 AM WEST SIDE ELECTRIC 503 736 0677 P.01 CIT OF TIGARD Electrical Permit Application Plan Check 0 _ 13 S SW HALL BLVD. Recd By 71G RD OR 97223 (��G\ � Date Recd Pho (503) ®38.4171, x304 �� �® A Date to P.E. !nap tian (503) 839 -4175 ' N C O ' M � . (/r & '/ Date to DST ,P� c6 e Print of Type �/ Permit /1 gee on — ao?l� o� :Far t -03) 598-1960 M ete or Illegible will not be accepted ' v Called 1. b Address: co \`` 4. Complete Fee Schedule Below: Name .f Development Number of Itlons per permit allowed Name •r name of business) Service Included: Items Cost Sum Addre: - \32 (o ILJ p(1, , ' 4e. Residential - par unit cIty /Sl te/Zlp �C,AfI.fJ iZZ�j 1000 sq. ft. or leas S 117,75 4 Each additional 500 aq, ft. Of 4.omm ..rcial ❑ Residential portion there ergy $ 20.00 1 y L imited Energy $ 60.00 Each Manufd Home or Modular a. • • ntractor Installation only: Dwelling Service or Feeder _ $ 72.75 2 Prior f. .permit issuance, spplIcants must provide contractor license 4b. Services or Feeders ,nforma on for COT data base), �/f .4 Installation, alteration, or relocation A leciri • I Contractor ' �� . - jar - ..- C.. 200 amps or lees $ 6+,25 2 ddy :: • . � � 201 amps to 400 amps $ 65.50 2 ity I rMr a 1 1 « Zip 7 ?/ 401 amps to 800 amps S 128.50 2 801 amps to 1000 amps $ 192.50 2 hone o, 3 Over 1000 amps or Volta S 363.75 2 job No 000\ \'X, Reconnect only . S 63,50 2 Elec. C. t. Lice. No. 6 , - /3 Exp.Date p ac, Temporary services or Feeders OR St.. e CCB Reg. No, l 3 36 Exp.Date Installation, alteration, or relocation COT B sines* Tax or Metro No. Exp.Date 200 amps or less 5 53.50 2 201 amps to 400 amps $ 80.25 2 $i9nat e of Supt'. Elec'n 401 amps to 600 amps $ 107.00 2 Over 800 amps to 1000 volts, (Jcens: No. /s;5 -.5 Exp, Date sips "S" above. Phone o. 3/- /S y , 7 ad, Branch Circuits - New, alteration or extension per panel a) The fee for branch circuits S. r owner Installations: with purchase of service or feeder fee. II • net's Name Each branch circuit S 5.35 2 i!lddres b) The fee for branch circuits without purchase of service ity State Zip or Feder fee, hone o. First branch circuit S 37.50 Each additional branch circuit 1 _ S 5.35 The Ins liation is being made on property I own which is not as. Miscellaneous I itende • for sale, lease or rent. (ServtCS or feeder not Included) Each pump or Irrigation circle 5 42.76 own er'= Signature Each sign or outline lighting $ 42.75 Signal circult(s) or a limited energy P n Review section (if required):* panel, alteration or extension $ 80.00 Minor Labels (10) S 107.00 Pleas check appropriate Item and enter fee In section 5B, 4f, Each additional Inspection over a or more residential unite in one structure the allowable In any of the above Service and feeder 225 amps or more Per inspection $ 50,00 System over 600 volts nominal Per hour $ 60.00 • In Plant S 5e.00 Classified area or structure containing special occupancy as described In N.E.C. Chapter 5 5. Fees: Se. Enter total of above fees S 4 z A 5 ! t Submi 2 seta of plans with application where any of the above apply. 656 Surcharge (.05 X total fees) S 3 42 Not re • ulred for temporary construction services, Subtotal S NOTLGE 6b. Enter 25% of line 6a for • Plan Review if required (Sec. 3) S PERMIT" BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED sub 1 S IS NOT s • MENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR f 3 306, WORK I= SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS Trust Account # AT ANY IME AFTER WORK IS COMMENCED. Total balance Due $ 9 6 - 1 i:dstslfor s \electric.dne CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested // AM PM 1 -.3 BLD Location / 3 2 (S Suite 4 Contact Person Ph LM / � C / -f / , Contractor Ph SWR BUILDING TwontiaatriOr � 402k:?li6 G -- OGG 2_0 Retaining Wall o — 3 3 Y27/ (w) 5 7'-G ?S/('H) ELR Footing Foundation r -- M 9 L�r y� _ _ FPS Ftg Drain ^'� Crawl Drain Inspection Notes: SGT Slab 11111111 SIT Post &Beam , ?))L 4 ` l Ext Sheath /Shear � Q�,/Z�yyt Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Misc: Final PAS P RT FAIL CirLUMBIN Post & Beam Under Slab Top Out Water Service Sanitary Sewer •• Drains t; P FAIL Post & Beam Rough In Gas Line Smoke Dampers • • zT FAIL ECTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm 41 L CA 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 7_ •- (v l�p Inspector ( C ' ' ! r Ext Final (� PASS PART FAIL DO NOT REMOVE this inspection record from the job site.