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Permit CITY O F TIGARD ELECTRICAL PERMIT PERMIT #: ELC1999 -00343 DEVELOPMENT SERVICES (503) 639- 1 DATE ISSUED: 6/11/99 , Hall Blvd.. PARCEL: 2S114BB -14400 SITE ADDRESS: 10476 SW KENT ST SUBDIVISION: SWANSONS GLEN NO.2 ° ZONING: R -12 BLOCK: LOT : 085 / ISDICTION: TIG Project Description: Add a first branch circuit to an existing dwelling. - �& 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: KEN THORNBURG SHARPE ELECTRIC INC 10476 SW KENT ST 22605 SW RIGGS TIGARD, OR 97224 BEAVERTON, OR 97007 Phone: Phone: 642 -7937 Reg #: LIC 000815 SUP 3344S ELE 34 -217C FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT DEB 6/11/99 $37.50 99- 316077 Elect'l Final 5PCT DEB 6/11/99 $1.88 99- 316077 Total $39.38 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 co o t e : ules or direct questions to OUNC at (503) 246 -1987. Permit Signature: 4 ( ,\), f e ' Issu By: , P _ I 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. LEC'N: - �� �4�'�" DATE: `P LICENSE NO: 33 T Call 639 -4175 by 7:00pm for an inspection the next business day ' li • • i fife f / f ' CJTY OF TIGARD ' Permit Application Plan Check # • Rec'd By . C`_` -- ' 13125 SW.HALL BLVD :;' • Date Rec'd /o' /6 -57;f7 TIGARD OR 972 Date to P.E. Phone (503) 639 -4171, x304 • .1 r' :,. Print or Type Date to DST Inspection (503) 639-4175 Incomplete or illegible will not be accepted ,..,,. , Permit #F� l�i9 -aa 3UJ Fax (503) 684 -7297 1 (Called 4. - /,/) - • • 1. Job Address: ,' 4. Complete Fee Schedule Below: Name of Devel e `"� f~a �� �4 Number of Inspections per permit allowed Name (or r 4 name of Service included: Items Cost Sum • Address 10 914 IS, , +, .. 1' r<,/ Y 0 4a. Residential - per unit el ii.. ' " - ' 1000 sq. ft. or less $110.00 4 City /State /Zip / ( c/ e i[" � p- i Each additional 500 sq. ft. or • f 7 EvI ' =F portion thereof $25.00 1 Commerc ❑, 1, ^ ` ?t Resident Limited Energy $25.00 ti R; + Each Manuf'd Home or Modular C ! - :'�` . 7 ",.y Dwellin Service or Feeder $68.00 2 2 Contractor Installation only: (Attach copy of al current li�)�s r 4b. Services or Feeders r -' 1 f-.-- C � /,), Installation, alteration, or relocatio Electrical Contracto Addre .2 Gtr - Sot) ' IQ " 20 amps to or less $60.00 • 2 s 201 amps to 400 am $80.00 2 City .dl as.!w, . State tone . i/ Zip q lad 7 401 amps to 600 amps $120.00 2 - Phone No.. I f/- p - 11..3 7 601 amps to 1000 amps $180.00 2 ' , . " Job No 4/?) Over 1000 amps or volts $340.00 2 +� .i Reconnect only • $50.00 • 2 • . ' Elec. Cont. Lice. N ' 3 /rnExp.Date lit) // / ' 9 OR State CCB Reg' No'.- ^.�;i�?;J- 'r Exp "r©ate' _ • " 4c: Temporary Services or Feeders COT Business Tax or Metro No. 07_ / Exp.Date:. ""-no 's. Installation, alteration, or relocation ' " '' ,-,' `„ . I f .rr c=' 200 amps or less $50.00 2 ' t f 201 amps to 400 amps $75.00 2 Signature of -Sup Elecn Q � a r " °t, r...tL 401 a m s 2E „i; fsr F,. I c e� a w y .,., .. p to 600 amps $100.00 2 , Over 600 amps to 1000 volts, License No, 3 . 3 C (- d Exp. �,QI s ee "b" above. Phone No. /.:tt , tl . 7 .,°f , ., ; 4d. Branch Circuits • New, alteration or extension per panel 2b. Fo owner installations: • ' a) The fee'for branch circuits with r •'` •' purchase of service or . Print Owner's Name . ' feeder fee. `Address Each branch circuit $5.00 2 - b) The fee branch circuits City State Zip without for purchase orf � 0 �} °' Phone No. ' service or feeder fee. First branch circuit - g $85x00 - s'l 2 The installation is being made on property I' own which is not Each additional branch circuit $5.00.. 2 intended, fortsale, lease or rent. 4e. Miscellaneous . 1 (Service or feeder not included) . • Owner' s, Signature . Each pump or irrigation circle $40.00 2 'f „ °'� f , ,'' � „ Each sign or outline lighting $40.00 2 J } ' 1 /f * Signal circuit(s) or a limited energy 3. Plan Rerrlew section (if required):* panel, alteration or extension $40.00 2 Minor Labels (10) $100.00 Please check appropriate item and enter fee jptSection 5B. • .. 4 or more residential units in one structure 4f. Each additional inspection over Iw t L'.' Service and feeder 225 amps or more the allowable in any of the above • System over 600 volts nominal Per inspection ."; , , r ; $35.0o • 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: :. „7 e-o Not required for temporary construction services. 5a. Enter total of above fees $ 5% Surcharge (.05 X total fees) $ 1, F 1 "NOTICE Subtotal $ ! i 1 ,�< •ti ,,. a I w A ems-,! 0:3 5b. Enter 25% of line 5a for P,ERMIT; V QID�IF WORK�•OR'CONSTRh1CTION / AUTHORIZED IS Plan R eview if re quired (Sec.3) $ NOT _OMM ENCED °1NITHIN . $- NOT COMM- 1'80 OR-IF CONSTRUCTION OR WORK - Subtotal - -- -- -- - - IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY ' TIME AFTER WORK IS COMMENCED. , ❑ Trust Account # $ 5 7 j Total balance Due I: \DSTS \ELC96.APP Rev 9/96 ' . • CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested (e. 2 AM PM BLD Location / 0 t-/-7 Cv "KLe/t ± 4/-7 Suite MEC Contact Person Ph PLM Contractor Ph ,O _ 5 (0,5 SWR 1 BUfLDING - x ;, Tenant/o = r ✓ A ip A LA � __ . ELC l q ' - Retaining Wall I ELR Footing Foundation Access: cLej,L___2 9,`0 d /52_, M, FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab ��l �i E� SIT Post & Beam / Ext Sheath /Shear ..C.p ,"y1 W l 7 Int Framing P� �/'� Q / Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling /)/) f �j Roof l/ r 1 `L' C ! q k 9 e)0— Misc: Final �L PASS PART FAIL „ / 9 99 — O 0 3 i43 ' /„ $v�o 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 rAS PART FAIL • Service Rough In L- UG/Slab Low Voltage Fire Alarm fal, 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 Other Date 2/ 111 Inspector Ext Final - PASS PART FAIL DO NOT REMOVE this inspection record from the job site.