Loading...
Permit C ITY OF TIGARD ELECTRICAL PERMIT s t PERMIT #: ELC2003 -00683 DEVELOPMENT SERVICES DATE ISSUED: 11/18/03 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S125CD-08100 SITE ADDRESS: 09839 SW LANDAU PL SUBDIVISION: TIGARD WOODS ZONING: R-4.5 BLOCK: LOT : 007 JURISDICTION: TIG Project Description: Install (3) 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: 2 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: MCGRAW, GREG BEAR ELECTRIC 9839 SW LANDAU PL. P.O. BOX 389 TIGARD, OR 97223 DONALD, OR 97020 Phone: 503 - 244 -4302 Phone: 503 - 678 -1355 Reg #: LIC 20919 ELE 24 -107C FEES SUP 3162 -S Description Date Amount Required Inspections [ELPRMT] ELC Permit 11/18/03 $60.15 [TAX] 8% State Surcharge 11/18/03 $4.81 Rough - • Elect'l Final Total $64.96 • This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Speaalty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246-6699 or 1 -800- 332 -2344. Issued By: _ ZwietA Permit Signature: CT'1 af24( OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: .3l / c C_ Call 639 -4175 by 7:00pm for an inspection the next business day NOV. 17. 2003 ' 12:2 9 PM' S AV I N'4,r -e. c,4s ___. ._.______ 2._.... E�'�ctr tai 'o�JII FO1 OFF; N0, NL • i viii.' , -:10 Received ( / Electrical - } 4 .- - I - P Datc/py /( O O.5 Permit No. :a , W 3 -6296 � 3 city of Tiaayrd q Planning . ppro al Sign ri N 1 ( Date /$y: PermitNo,: 13125 SW Hall Blvd_ I�t VV 1 2003 Plan Review Other '.,.' Tigard, Oregon 97223 CITY OF TI A - (] Date/By; Permit No.: Phone: 503-639-4171 Post -Review Land Use Internet: www.ci.tigard.or_us O N J +J� Contact Case No.: . - - Juris.: El sec Page 2 for 24 -hour Inspection Request: 503- 639 -4175 -� Contact Name/ly];etb / ► Su pp l ez�tea tel Information. ?:; k .:%;�'i4• i4 ',TYRz ;,� O ter' � , ? + �'v ;� }: 'e;•" �C '' '•y .M . ,�' :,`• =�t.; �;`� RK' " ";;�!;P���.. 1�;.,;�q , as,,. c' �'. '�,a�n��.,,.;.P��I;R����'l0" checkT'[' tliatipRf� '�'� ":,�:'a.��r;.�":'r;�4., ❑ New construction Demolition © Service ova 225 amps- ❑ Health -care facility commercial 0 Hazardous location Addition/alteration/replacement Other: . } ❑ Service over 320 amps-rating of ❑Building over 10,000 square feet, +. "'„ `` = fir ;' A ';: �1�'Jt`ii; l C.,Pi . E�Q0ItYLOII<. ,F' hvi" f':i: ''i, " I & 2 family dwellings four or more residential units in ri 1 & 2- Family dwelling ❑ Conunercial/Industrial ❑ SYscoim over 600 vol nominal • one structure ❑ Building over three stories ❑ Feeders, 400 amps or more I♦ Accesso Buildin• ❑ Multi -Famil ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park n Master Yr Builder r Other: El Egress/lighting plan 17 Other; _ 'f- ;�`:''f"iq,u_ ?fJ VWS; .1 �r� 01 A`TOO agirrO,C r'",'1l; r.:,' „!1 :s, , Submit sets of plans with any of the above. Job site address: `� $ utl I-Arl A PL�}t,I Lys k ;, The above arc not applicable to temporary construction service. r'• ^• ±a4 r 0 0 F+yc, +.i ty. ✓,;z'x way rckion54edux5: Suite #: i Bldg. /Apt. #: Number of inspections per permit allowed Project Name: 5 es i E 12F5 /0aN`C— Description Qty Fee (ea -) Total 1 i Cross street/Directions to job site: New residential - single or multi- family per J dwelling unit. Includes attached garage - g0o-4' L41.00n4 sT, i Service included! - - , 1000 sq- ft- or less . 145 -15 4 _ Each additional 500 sq. ft. or portion thereof - 33.40 . 1 Subdi'trision: l Lot #: Limited energy, residential 75.00 2 Limited energy, non residential 75.00 2 Tax map/ areel #: E ac h manufactured ome or modular dwelling -+ 1' �,a ;:t;,�t , , ”, a sk ;.' s, '�.' ^ fir: and/or feeder 90.90 2 ;:�yl.�';;•4� ri.1r'�1':1�'� ,�.c1u`l ^:�� 9���,`�'�' Jlw �7- '.J.76r.� . �, r+ ��.: 1�3f, S;: �• � ;�wl'fi','� "6n�A�•- +�'��,�+$�si� service an I Services or feeders - insrallatIon, L q 6 D0. 1 - 3 L f r L - , ti l ot"/ 0 At o DN E, alteration or relocation: 40 t%1 a c t) r r Fa rL & iA—t PLA) v$ 200 amps to 400 a less 6030 2 �`� pp 201 am•� rora.s 106.85 2 I t1s4a R{1e -lute an F1e2z 1Qwrr 401 amps to 600 amps 160,60 2 , 'jk . 00'' 1 •' rr „. , w 1 s�'l i' ,i log " tiv 601 amps to 1000 amps 240.60 2 x •rs^�h�7� i°�i;7y4t 1if '•X ;+.Y ,u M n Y.4 Over 1000 amps or volts 454.65 2 Name: &Rem $1�.64.mm _ Recoanectonly 66.85 2 Address: 9831 SO LA'N o n-i . J ?c Temporary services or feeders - installation, alteration, Or relocation: City /State /Zip: 'ri (44-0, 01& 200 amps or less 66 -85 1 P1,10fle: *5 z`fi — 4302; Fax: ' 20l amps to 400 amps 100 -30 • .2 co Pl' . �. 4 , y , ,„ 401 to 600 amps 133.75 2 ;1', IDS 4 A 1 7, ) , .:4 i: ° x'4"4 { „ !' {c 51 N'T `;�".��,,' I 60 'vXt�'i'; ,'.;" ;? f Branch circuits - new, alteration, or Name: extension per panel: A. Fee for branch circuits with purchase of Address: Sei,M2 service or feeder fee. each branch circuit 6.65 ,.x 2 City /State /Zip: as - cart c t oZ B. Fee for branch circuits without purchase of service or feeder fee, Fuse branch circuit 1 46.85 /6 ;45 2 Phone: Fax: Each additional branch circuit - .- 5,65 /3 0 2 E-mail: Misc. (Service or feeder not included): • ,' ; i'' t ii' ;, �ii't, MTT •r;''. -031 j,1i i., si t 'TAW c i 4t r Fachptunp o irrigarion circle 53,40 2 Eac s out l i g ht i ng 53.40 2 Job No: Signal circuit(s) or a limited energy panel, Business Name: E�./� R 21c hN e- Description: i on: or extension Page 2 2 _ � 'i'° D Address: p.,/), $max 3E1 - -- -• Ci ly /Sta /Zip D o N fw v2 g ?o 2� Each additional inspection over the allowable in any_of the above: l Per inspection per hour (min. 1 hour) 62 -50 PhoneC503) 1078 - 1355 Fax: (• -0.3 10-78-1)0g Investigation fee; t other CCB Lic. #: h®T/ 9. Lic. #: 2 av'7 w >. b Supervising electric; ' c°- OMM07 01011°c0 1rp• tJlr 'a4 °� ,, aM r��d ` p Subtotal $ Q, / s% required: Co- ,(2 e").--1-e-g Plan Review (25% of Permit Fee) $ Print Name: , Du __ 420.....4.. ___ Lie. #: 6Z State Surcharge (8% of Permit Fee) $ 1 /-61 TOTAL PERMIT FEE , $ fr 9 Authorized A _(_ _ _ _ _ - Pioticc :This- per .mit.application_expires.lf- a .perm1t- is.aos- obtained_withitt Signature: — a, � n Date: 180 days after it has been accepted as complete. *pee methodology set by Tri- County Building Industry Service Board. I'i \ l(� 0l - ' (Please print name) i;\Dsts \Permit Forms\SlcPermitApp.doc 01/03 CITY OF TIGARD 24 -Hour BUILDING Inspection Line: ,(503)139 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received g %// Date Reques ed / AM PM BUP Location q r P' 3 ,42.72- d Z L P2 Suite MEC Contact Person Ph (_ ) £ O 7 P / 3 S 3 PLM Contractor . /5a,aA Cee.r1 Ph ( ) SWR f BUILDING Tenant/Owner ELC 3- On ( �-3 Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath/Shear Framing V Insulation • IrMilftar ara — � Drywall Nailing � 1 < A i �� %:.: _� ____ .rc2�/ 7, - Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling r \ ,� �(( Roof \i �N' \� \ �J \- GO Other: Final PASS PART FAIL PLUMBING ' Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains 1 / Catch Basin / Manhole Storm Drain Shower Pan Other: 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 Final ❑ Reinspection fee of $ required before next inspection. Pay t Ci Hal 13125 SW Hall Blvd. \ PARPART is ' SI �` °: Please call for reinspec ion RE: Unable to inspect - no access - Fire SupplyLine - ADA / t — Approach/Sidewalk Date , `� G 3 inspe �� � � Ext Other: Final DO NOT REMOVE this inspection record om the jo site. PASS PART FAIL l � V 1 ►'1