Permit CITY OF TIGARD ELECTRICAL PERMIT
, DEVELOPMENT SE PERMIT #: ELC98 -0699
Iii, DATE ISSUED: 11/24/98
! '.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S112CC -08900
SITE ADDRESS... :08274 SW LANGTREE ST
SUBDIVISION..... :LANGTREE ESTATES ZONING :R -12
BLOCK........... LOT ............. :021 JURISDICTION: TIG
• Project Descri pt i ❑h: Add first branch circuit.
- -- 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: 0 IN PLANT-- 0
601 - 1000 amp.....: 0 FLAN 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
JOE BARNS type amount by date recpt
8274 SW LANDTREE STREET PRMT $ 35.00 GEO 11/24/98 98- 311047
TIGARD OR 97224 5PCT $ 1.75 GEO 11/24/98 98- 311047
•
Phone # :.
Contractor:
CONDUIT ELECTRIC $ 36.75 TOTAL .
1734 NE 60TH COURT
REQUIRED INSPECTIONS
HILLSBORO OR 97124 Elect'l Service
Phone #: 844 -7063 Elect'l Final
Reg #..: 109669
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 1:'
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 952-001-10 through OAR 952 -001 -1987. You may obtain a copy
of these rules or direct questions to OUNC by calling 15031246 -1987. . 40' ,
Permittee Signature: Issued By: 44 % y/�
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.: di-1 0'7 • DATE: / /'�7
LICENSE NO: 4`J U /
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + ++ + + + ++
Call 639 -4175 by 7 :00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + ++ + + + + + + + + + + + + ++
"fig 23 98 08:55a Charles Parker 844 -7581 p -1
/ a 9' l
CITY :
OFT1GARD a h ,
• - ��- ��� Electrical Per mit � , b ` I i 1 - • ■ 1312
YOGA �` ? -•.� " , �,
D . "
Phone (50Ci) 1171, x304 i' =`fir
Inspect[on�(S iB -4175 P rint or Typ W---"- Y
Fax (3) 68-7 Incomplete or Illegible will not be accepte P j
' i
1. Job Address: 4. Complete Fee Schedule, X at
Name of Development ; =
�- E 2 Number of Inspections per p;tn j ,
Name (or name of business) �SD yr
Service included: Items Cost
Address 1" R21 1 4 '5W �V� L e 2 Si- .
� - , • 4a. Residential -per unit - � . `" ` _-
City/Stale/Zip l 5?AaK, 612 ci 12:2_9 1000 sq. ft. or less $110.00-. i
Each additional 500 sq. 11. or
Commercial 0 Residential portion thereof $zs w t : . •
Limited Energy $25.00
Each Manurd Home or Modular }
2a. Contractor Installation only: Dwelling Service or Feeder �' ;i
s@B.00 ., `.
(Attach Wit of ell ire t llamas) 4b. Services or Feeders
Electrical Contractor all 0 ,-../ / .411 Installation, alteration, or relocation • s '`
Addre - = •i a - • �' 200 amps or lass •
Tilly 1'11\ Mt, a State do • 201 amps to 400 amps
Zip 401 amps to 600 amp$ S
Phone No, . 4 u. -1 t) friS 601 amps to 1000 amps sl ..
p itap
Job No
O ver 1000 amps or volts
Elec. Cont. t.10®: Date ■ -/ Reconnect only
OR State . No.
COT Business Tax Metro No. Exp'D8tD I• I�
�� iTn' „ / '� 4c. Temporary Services or Feeders
ate Installation, alteration, or relocation r
200 amps or less $50,00 4n
Signature of Sidi Elect' 9 / 201 amps to 400 amps x,00 ri ,
401 amps l0 600 amps E100.00
Li License N � 4 � I C , :i, Over 600 amps to 1000 volts,
n s N , ¶ q l - ) Exp.Date /a _! - Cl see "b" above.
- 70 (o:_i
4d. Branch Circuits
N ew, 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. ti t
Address Each branch circuit x,0
City • State Zp
b) The tea for branch circuits
Ci tOne No without purchase of ?. '
service or feeder fee.
First branch circuit $35.00 S _� `'Y ;
The installation is being made on property I own which is not Each additional branch circuit $5.00
intended for sale, lease or rent
4e. Miscellaneous •
Owner's Sigrlaturla (Service or feeder not included)
Each pump or Irrigation circle $40.00
Each sign or outline lighting $40.00 sA
3. Plan Review section (if requIied); * I Signal circuit(s) or a limited energy
panel, - alteration or extension NC=
Pleats b item and Minor labels (10) 3yQa x
ter fee In section 56. - °:;
units; in one sb>rchaa 4f. Each additional Inspection over
ertdfeeder225 amps or more the allowable in any of the above y
System o ar €00 volts nominal Per inspection ' $35.00 ; '
C�siaed west or structure containing special occupancy Per hour $55.00 i
as dsesdbsd in N.E.C. Chapter 5 In Plant $5500 ;
CITY OF TIGARD BUILDING INSPECTION DIVISION MST •
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
p BUP
( ∎0 ��// Date Re•uested / r �Z l i A
BLD
Location i P. ,.. i / A !& Suite MEC
Contact Person .-101i2.4- I Ph 7063 PLM
Contractor Ph
.� Y 3 SWR
,BUILDING -- n �,:' p _ Tenant/Owner CO a
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain SGN
Crawl Drain - Inspection Notes:
Slab SIT
Post & Beam
Ext Sheath /Shear •
Int Sheath /Shear
Framing
Insulation
Drywall Nailing 7 r f < eSS
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:µ : °# 'sA .a
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final
FAIL
C TRICAL=:. . ,
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
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
Date ate �l t
•
I Ex
Final •
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.