Permit •
CITY OF TIGARD
ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC98 -0439
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 07/31/98
PARCEL: 25112CB- 10500
SITE ADDRESS... :15436 SW KENTON DR
SUBDIVISION -ASHFORD OAKS NO. 2 ZONING:R -7 PD
BLOCK ° LOT -119 JURISDICTION: TIG
Project Description: Cline
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS : 0 0 - 200 amp ° 0 PUMP /IRRIGATION....: 0
EACH ADD'L 5O0SF...: 0 201 - 400 amp - 0 SIGN /OUT LINE LTG..: 0
LIMITED ENERGY ° 0 401 - 600 amp ° 0 SIGNAL /PANEL - 0
MANF. HM/ SVC /FDR..: 0 601 +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: 0 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 AREA /SPEC OCC.:
Owner: FEES •
JEFF CLINE type amount by date recpt
15436 SW KENTON DR PRMT $ 35.00 JSD 07/31/98 98- 307871
TIGARD OR 97224 -0000 5PCT $ 1.75 JSD 07/31/98 98- 307871
Phone #:
Contractor: •
WEST SIDE ELECTRIC CO INC $ 36.75 TOTAL
1834 SE 8TH AVE
REQUIRED INSPECTIONS
PORTLAND OR 97214 Rough -in • Elect" 1 Final
Phone #: 231-1548 Elect' 1 Service
Reg #.. : 13306
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon 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 1:' days. ATTENTION: Oregon law requires you to follow t ' es adopted by
the Oregon Utility Notification Center. Those rules -re .-t fort n OAR 952- 001-0010 through OAR ',[' '':I' You may obtain a copy
of these rules or direct questions to OUNC b calli g t )246- .
Permittee Si gnat L .
•
,, .
/ Issued B . ...-1� frir
- -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: •
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7 :00 p.m. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + ++ + + + + + + + + ++• + + + ++
CITY Of.-TIGARD Electrical Permit A • • lica lord Plan Check • 4
13125 SW HALL BLVD. Date Recd / � 3I�j
TIGARD OR 97223
Phone (503) 639-4171, x304 JUL 3 y 1998. Date to P.E.
Date to DST
Inspection (503) 639 -4175 Print or Type r, pMENT Permit Fax Fax (503) 684 -7297 Incomplete or illegibf vnll accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Name (or name of business) J`°(r� / / /te\ /9A4 t Service included: Items Cost Sum
I
Address /S - V 2 6 2 6 SGT / D7' 4a. Residential - per unit
1000 sq. ft. or less $110.00
City /State /Zip // / O, l 722" Each additional 500 sq. ft. or 4
Commercial ❑ Residential Li portion thereof $25.00 1
Limited Energy $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
(Attach copy of all current 1ice9ses r 4b. Services or Feeders
Electrical C9ntractor A_ e 31 J / do Cl e /C Installation, alteration, or relocation
.��,�� 200 amps or less $60.00 2 -
Address :/ 201 amps to 400 amps $80.00 2
City Or - « State I Zip 401 amps to 600 amps $120.00 2
Phone No. 2 j - / SL/, V 601 amps to 1000 amps $180.00 2
Job No. 72 r0! Over 1000 amps or volts $340.00 2
Reconnect only $50.00 2
Elec. Cont. Lice. No. G - /3S C Exp.Date
OR State CCB Reg. No. /3306 Exp.Date 4c. Temporary Services or Feeders
COT Business Tax or Metro No. Exp.Date Installation, alteration, or relocation
200 amps or less $50.00 2
Signature of Supr. Elec'n 201 amps to 400 amps $75.00 2
401 amps to 600 amps $100.00 2
�•
Over 600 amps to 1000 volts,
License No /S.-t; S Exp.Date see "b' above.
Phone Nr 23/ / S
4d. Branch Circuits
New, alteration or extension per panel
_ . 2b. For owner installations: a) The fee for branch circuits with
purchase of service or
Print Owner's Name feeder fee.
Address Each branch circui $5.00 2 -
b) The fee for branch circuits
City State Zip without purchase of
Phone No. service or feeder fee.
First branch circuit $35.00 2
The installation is being made on property I own which is not Each additional branch circuit $5.00 2
intended for sale, lease or rent. 4e. Miscellaneous
(Service or feeder not included)
Owner's Signature Each pump or irrigation circle $40.00 2
Each sign or outline lighting $40.00 2
3. Plan Review section (if required): * Signal circuit(s) or a limited energy
panel, alteration or extension $40.00 2
Minor Labels (10) $100.00
Please check appropriate item and enter fee in section 5B.
4 or more residential units in one structure 4f. Each additional inspection over
_ Service and feeder 225 amps or more the allowable In any of the above
System over 600 volts nominal Per inspection $35.00
Classified area or structure containing special occupancy Per hour $55.00
as described in N.E.C. Chapter 5 In Plant $55.00
* Submit 2 sets of plans with application where any of the above apply. 5. Fees:
Not required for temporary construction services. 5a. Enter total of above fees $ 3- i
5% Surcharge (.05 X total fees) $
NOTICE Subtotal $
5b. Enter 25% of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Su - $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY ` ,7 -
TIME AFTER WORK IS COMMENCED. Trust Account if (�
Total balance Due 7 - Jj7 $
I: \DSTS \ELC96 APP Rev 9/96
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
c,7 BUP
Date Requested S'1 3 c 47 AM PM BLD
Location /5 . 360 , I-e..44 1 (. Suite c MEC
2
Contact Person l Ph ;Z1 S 6o PLM
Contractor Ph SWR
BUILDING .r ` "" `'ry _ Tenant/Owner ELC g0
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain Inspection Notes:
Slab SIT
Post &Beam
Ext Sheath /Shear � �� T .� ,« (7 �
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Fire wall /f, / �
Fire Sprinkler A #47.—L1-
# ( /�
Fire Alarm
Susp'd Ceiling
Roof
Misc: �i��C.t </
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer
•
Rain Drains
Final
PASS PART FAIL
MECH4NI
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
Iir?t!
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 /9 Approach /Sidewalk � Other Date /3 Inspector Ext .
Final f
PASS PART FAIL . DO NOT REMOVE this inspection record from the job site.