Permit CITY OF TIGARD
DEVELOPMENT
ELECTRICAL PERMIT
~�"��"�"-~=" "�"~~"�" =°°�""�"=~"�~� PERMIT #:^ELC97-0269
AL tJ/25'SW Hall Bhu�7i�rd��S?�� /��)����/7Y
Tigard, ` -' DATE ISSUED: 05/07/97,
PARCEL.: 2S112AB-00500
SITE ADDRESS.. .,:'@7300 SW LANDMARK LN ~
, ` . ZQNING:1—H
BLOCK..........: LOT.............: JURISDICTION: TIG
Pro ject Description: ONE BRANCH AND TEN BRANCH CIRCUITS
- --RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- MISCELLANEOUS
1000 SF OR LESS • 0 0 — 200 amp.......: 0 PUMP/IRRIGATION....: 0
EACH ADD'L 500SF...: 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: 10 �. 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
PIKE AWNING type amount by date recpt • .
7300 SW LANDMARK ' PRMT $ 85.00 ,JMH 05/07/97 97-294244
TI8ARD OR 97224 5PCT $ 4.25 JMH 05/07/97 97-294244
Phone #:
' Contractor: ---
LEAR ELECTRIC $ 89.25 TOTAL
PO BOX 573
REQUIRED INSPECTIONS
GRESHAM OR 97030 Ceiling Cover Underground Cove
Phone #: 665-9840 Wall Cover Elect'l Final
Reg #..: 000522
This, permit is issued subject to the regulations contained in the
Tigard' Municipal Code; State of Ore.' Specialty Codos-andxall other Perin itte gnature'
applicable laws. All work will be done in accordance with � ,
approved plaos. This permit' will expire if work is 'not. started
within 18N days of'issuance, or if work is suspended for more � a � ' 41414 _
than 180 days. rsued 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:
LICENSE NO:
'___' - ' _-__'--- __ ___
• Call for inspection — 639-4175
- Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd. 7 J /� 1 /_(a'
Tigard, OR 97223 Permit # C� (J �((J "1/
iH Date Issued
1 Phone (503) 639 -4171
""� y "° FAX (503) 684 -7297
CITY OF TIGARD TDD No. (503) 684 -2772
• Inspection (503) 639 -4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development PIKE AWNING Number of Inspections per permit allowed
Address 7300 S.W LANDMARK . LANE Service included: Items Cost(ea) Sum
City /State /Zip TIGARD, OR 4a. Residential - per unit
1000 sq. ft. or less $110.00 4
Name (or name of business) PIKE AWNING Each additional 500 sq. ft. or
portion thereof $25.00
Commercial IX Residential ❑ Limited Energy $25.00
Each Manufd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
4b. Services or Feeders
L EAR ELECTRIC C INC. Installation, alteration, or relocation 2
Electrical Contractor 200 amps or less $60.00
Address P.O. BOX 573 201 amps to 400 amps $80.00 2
City GRESHAM State OR Zip 97030 401 amps to 600 amps $120.00 2
y 601 amps to 1000 amps $180.00 2
Phone No. 503 - 665 -9840 Over 1000 amps or volts $340.00 2
Job NO. 97 -286 Reconnect only $50.00 2
contractor's license NO. 26 0Y -
5 2 2 7 8 4 c. Temporary Services or Feeders
Contractor's Board Reg. No. Installation, alteration, or relocation
Signature of Su(�r. Elec' - ./ ■ ,_..c. _ 200 amps or less 2
License No. 37`86S ,` Phone No. 50'- 665 -9840 201 amps to 400 amps $50.00
pp/ 401 amps to 600 amps $75.00 2
7 /\V I T� V MUM q2- p Over 600 amps to 1000 volts $100.00
. 2b. For owner installations: 1 see "b"" above.
4d. Branch Circuits
Print Owner's Name New, alteration or extension per pane
Address a) The fee for branch circuits with
purchase of service or feeder fee. 2
City State Zip Each branch circuit $5.00
Phone No. b) The fee for branch circuits without
The installation is being made on property I own which is purchase of service or feeder fee. 2
not intended for sale, lease or rent. First branch circuit / $35.00 35',0'C
Each additional branch circuit / 0 $5.00 . -0,Q
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or irrigation circle $40.00 2
Each sign or outline lighting $40.00
Signal circuit(s) or a limited energy 2
Please check appropriate item and enter fee in section 5B. panel, alteration or extension $40.00
4 or more residential units in one structure Minor Labels (10) $100.00
Service and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N.E.C. Chapter 5 Per inspection $35.00
Per hour $55.00
In Plant $55.00
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees:
5a. Enter total of above fees $ ,, 5. CV
NOTICE 5% Surcharge (.05 X total fees)
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ �;j.
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25% of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $ $`
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ 1.5-
COMMENCED. wmdcon,deNNeo- ❑ Trust Account #
$
pun.app
Balance Due $ &y',a,5-
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
Location ) 300 C Suite MEC
Contact Person i Ph PLM
Contractor `4 -UV\ CLf L Ph (149. g r y 0 SWR
BUILDING " tl, Tenant/Owner P I Ice ._ }4 ELC 7 7'OO2t 9
Retaining Wall ELF. 9?-00369
Footing Access: n /
Foundation �, �� 0 / . FPS
Ftg Drain ( SGN
Crawl Drain Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
•
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
Roof
Misc:
Final
•
PASS PART FAIL
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
Final
PASS PART FAIL
Service
Rough In
UG /Slab -
Low Voltage
Fi arm
ASS 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 r 4 "
Other Date �S 4611P Inspect° Ext
Final
PASS PART FAIL 0 NOT REMOVE this inspection record from the job site.