Permit -� r---- "
4°0 C � �K OF II ����m���-��_� ELECTRICL ~ � � ���°" "°� =��' PERMIT #: ELC98-0216
DEVELOPMENT SERVICES =~"��n�u~��. .�."�n�n ~�»�"x�n~��n�~� DATE ISSUED: 04/27/98
. '..-... 13125SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
PARCEL: 16125CD-07200
SITE ADDRESS....:09734 SW LANDAU PL
SUB DIVISION....:LANDAU WOODS ZONING:R-4.5
BLOCK..........: LOT.............:009 JURISDICTION: TIG
Pro ject Description: Installing first branch circuit and 1 add'l branch circuit
---_-------_---------------_----~---_--_—'---_---------------_------_-_.----_--
---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUa-----
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 ---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 H8UR............: 0
401 — 600 amp......: 0 EA ADD'L BRNCH CIRC: 1 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 ----------------
STEVE MENTZER type amount by date recpt
9734 SW LANDAU PL PRMT $ 40.00 B 04/27/98 98-305264
TIGARD OR 97223 . 51:: $ 2.00 B 04/27/98 98-305264
Phone #:
Contractor: ----------------- '-------
BECK ELECTRIC INC � $ 42.00 TOTAL
'
9318 SE CHURCH ST
------- REQUIRED INSPECTIONS -----
CLACKAMAS OR 97015 Rough—in Elect" 3. Final
Phone #: 656-7396 Elect'l Service
Reg #..: 000026
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 180 days. ,ATTENTION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-1987. You may obtain a copy
of these rules or direct questions to OUNC by calling (503)246-1987.
Permittee Signature hV6-- ffrtetc.01 ssued By _ `��
-------------- ---- ----�-------| WNER INSTALLATION • ONLY-----------------------------
The installation. :Ls being made on property I own which is not intended for
sale, lease, or rent.`
OWNER SIGNATURE: DATE: DATE: „__
--------'---------------CONTRACT0R INSTk-LATION 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
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
. . .
•
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd. RECE Tigard, OR 97223 Planck/Rec. #
/�, � �!� I _, Permit # Ft_C ° � `C� 0
._41. A it Phone (503) 639- 4171\PR 2 l 1998 Date Issued 2-1 fi ,
,, r ,.._, .
CITY :O.F;TIGARD `; „ . .. . - _ )ss . _ . � .%'44„:.-':.-. ' , ,
FAx.(503) 684 7297 . ' ed , by.' { (
--'1:-;-`r . ,UT•, No ;(503) 68, J ,- 2i- 1- 1 ';! . . ., r' 1: -,:;,; :: _ _, ,_. - 1: . _,
w" ; •. rr4, - ' ' - `,; ;.f 5S.A .�, I n,'spectionfs_(503) 639 4t:�5 '. ). r ):, •..
:. 1. Job Address: 4. Complete Fee Schedule Below: - .
Name of Development f. "f c V & J t ki-z O r Number of Inspections per permit allowed
Address ? 73 5 S 14) 1,Ct. act V FL Service included: Items Cost(ea) Sum
City /State/Zip / ' 4 rd Q 1Z 6 I - r (et L I 4a. Residential - per unit 4
1000 sq. ft. or less $110.00
Name (or name of business) • Each additional 500 sq. ft. or
portion thereof $25.00 1
' Commercial ❑ Residential El Limited Energy $25.00
Each Manuf'd Home or Modular 2
Dwelling Service or Feeder $68.00
2a. Contractor installation only:
4b. Services or Feeders
�� j 1 t Installation, alteration, or relocation 2 .
Electrical Contractor c- L 'z•-c_tr' i c._ 200 amps or less $60.00 2
Address 9 3 i g � E C. R (,L. f' c. k.. 201 amps to 400 amps $80.00 2
City C, 4 C k i v n e S State 6" zip C) y a / S • 401 amps to 600 amps $tzo.00 2
•7 p 601 amps to 1000 amps $180.00 2
Phone No. (. 6 7 ("3 9' Over 1000 amps or volts $340.00 2
Contractor's License No. 3 - 6'C, Reconnect only $50.00
Contractor's Board Reg. No. 4 7 4c. Temporary Services or Feeders
Installation, alteration, or relocation 2
Signature of Supr. Elec'n f •• b I Ar/f' 200 amps or less $50.00 2
License No. /: ' r Phon. o. 201 amps to 400 amps $75.00 2
401 amps to 600 amps $100 00
JO 6 &o n/ Over 600 amps to 1000 volts
2b. For owner installations: see 'b' above.
Print 4d. Branch Circuits
rint Owner's Name
New, alteration or extension per panel
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 . y - 2
Each additional branch circuit -� $5.00
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 inspectio $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:
NOTICE 5a. Enter total of above fees $ %2 0?
5% Surcharge (.05 X total fees) $ c 2r pd
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
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 $
COMMENCED. CI Trust Account # $
Balance Due $
wad 4,wrd.N*NCprm.app
Page No. 1 CASE HISTORY FOR CASE NO.: ELC98 -0216
STEVE MENTZER
09734 SW LANDAU PL
06/16/98
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
ELCA001 Application received / / / / 04/27/98 RECD B 04/27/98 BON
ELCA003 Permit created / / / / 04/27/98 DONE B 04/27/98 BON
ELCAl20 HOLD (explain in notes) / / / / 04/27/98 hold final inspection, see my note, and HOLD JT 04/27/98 JT
see 1994 permit
ELCA500 (F) Issue permit / / / / 04/27/98 PASS B 04/27/98 BON
ELCA799 Elect'l Final / / / / 06/05/98 hold final inspection until 1994 permit PASS TLP 06/08/98 J *H
has approved final. I did call
homeowner, 244 -6819 and left a message
to please call me for an explanation.
jeanne t.
Different owner - can't hold electrical.
Approved new circuit.
ELCA800 Case finaled / / / / 06/05/98 Circuit approved for air conditioner. PASS TLP 06/08/98 J *H
•
l 532 7../7
- l( r"&' .'� "��� ,.�
.(0,3 iz) 5Cittdaie WWFP e-----
CITY ORD BUILDING INSPECTION DIVISION . l r' ‘
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 /< r
1
J
Date Requested: � /
�0 A.M. ■ .
11
Location: q 73 4 5,-(4) • 614 _ta,e,L.- BUP:
Tenant: - � C•�� Suite: Bl : MEC: ?' oaz-o
Contractor: , AN I C.f� (� • '_ k . te e/ Phone: 6 _ 1 � 1' 7 PLM:
Owner: Ste.it'e./ 1 Phone: D / `-/' — 6 d / 9 / ELC: 9g ® z/ 6
L,0-' -/ - _2_(7,5 636,6 ELR:
SIT:
BUILDING BLDG (con't) PLUMBING I CHAIVICAL 4-0331rir SITE
Site Post/Beam Post/Beam Pos eam ` ce Sewer /Storm
Footing Roof UndFl/Slab Rough -In • " Water Line
Slab Framing Top Out Gas Line UG Sprinkler
Foundation Insulation Sewer Hood/Duct ti, _ t Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain / .cfD UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr ,Heat Pump Low Volt
Approved Approved • pproved • -- Approved
Appr /Sdwlk Not Approved Not Approved ' of • roved `o • •'roved Not Approved
FINAL FINAL FIN of I AL FINAL
0-Call for-reins tio�1 - - - - - O- Reinspection fee-of $ - - req fired • - fore next inspection - - - - - - -0- Unable -to- inspect - - — — -
Inspector: Date: 4 Page of
OP