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Permit , • CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC98 -0591 c�i�;� DEVELOPMENT SERVI DATE ISSUED: 10/02/98 - 4171 PARCEL: 2S102CC -01000 SITE ADDRESS...: 13660 SW PACIFIC HWY SUBDIVISION • ZONING:C —G BLOCK • LOT • JURISDICTION: TIG Project Description: Fire Repair: Electrical - -- 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/0 SRVC OR FDR.: 1 PER HOUR • 0 401 — 600 amp • 0 EA ADD'L BRNCH CIRC: 2 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 -- CARL RUBIN type amount by date recpt 520 SW 6TH AVE PRMT $ 45.00 DST 09/23/98 98- 309434 400 5PCT $ 2.25 DST 09/23/98 98- 309434 PORTLAND OR 97204 Phone #: / 'Contractor: WEST SIDE ELECTRIC CO INCA. $ 47.25 TOTAL 1834 SE 8TH AVE REQUIRED INSPECTIONS PORFbAND nR 97244 Rough —in Elect' 1 Final Phone #: 231 -1548 Elect'1 Service Reg #..: 13306 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: Issued 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 : - 4 I '/_ I, ! f /_ ,- +++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + + +' + / + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the nextV business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ CITY OF T PERMITI #ALELPERMT C98IO591 /4, I � el\ DEVELOPMENT SERVICES DATE ISSUED: 09/24/98 13125 SW Hall Blvd., Tigard, OR 97223 PARCEL: 2S1O2CC - 01000 SITE ADDRESS...:1366O SW PACIFIC HWY SUBDIVISION • ZONING:C -G BLOCK • LOT JURISDICTION: TIG Project Description : Fire Repair: Electrical - -- 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/0 SRVC OR FDR.: 1 PER HOUR • 0 401 - 600 amp : 0 EA ADD'L BRNCH CIRC: 2 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 CARL RUBIN type amount by date recpt 520 SW 6TH AVE PRMT $ 45.00 DST 09 /23/98 98- 309434 400 4.1 PCT $ 2.25 DST 09/23/98 98- 309434 PORTLAND OR 97204 Phone #: Contract or: WESTS I DE ELECTRIC, INC. $ 47.25 TOTAL 7518 S. W. 45TH AVE. REQUI RED INSPECTIONS PORTLAND OR 97219 Rough -in Elect' 1 Final Phone #: 503 - 245 -3385 Elect'1 Service Reg #..: ** 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 952401 -0010 through OAR 952 -001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246 -1987. 14- Permittee Signature: Issued By: dall,,a 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 639 -4175 by 7:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ CITY OF TIGARD Electrical- Permit Application Plan Check tit 13125 SW HALL BLVD. Rec'd By TIGARD OR 97223 IS �� Date Re c'd Date to P.E. Phone (503) 639 -4171, x304 Print or Type I �3 Date to DST ^O / Inspection (503) 639-4175 Permit 0 VLG� .S! Fax (503) 684 -7297 • Incomplete or illegible will not be accepted Called 1. Job Address: , 4. Complete Fee Schedule Below: Name of Development /2' 6 //4 •' i4 Number of Inspections per permit allowed Name (or name of business) / TO _ • .. r ' t Service Included: � Items Cost Sum Address 3 2 r J) 4 5. C'/ ii . VS 4a. Residential • per unit ''' 1000 aq, n, or lass $110.00 4 City /State /Zip � Qr �J` II''``��II Each additional 500 sq. ft. or $25.00 U Residenti U portion thereof $25.00 1 Commercial Limited Energy Each Manuf'd Home or Modular 2a. Contractor Installation only: Dwelling service or Feeder $68.00 2 (Attach copy of all currentllce @e / // 4b. Services Or Feeders Electrical C n ctor A 1 ' / / •� E. " � /C Installation, alteration, or relocation Addres r ' 200 amps or less $60. 2 � �+ 201 amps to 400 amps $80.00 2 City Or L +� ' State 4 Zip Wal 401 amps to 600 amps $120.00 2 Phone No. .S 601 amps to 1000 amps $180.00 2 Job No. ' ' -01 Over 1000 amps or volts $340.00 2 Elec. Cont. Lice. No. , ' • Exp.Date Reconnect only $50.00 2 OR State CCB Reg. No. J3 306 Exp.Date 4c. Temporary Services or Feeders COT Business"Tax or Metro No. Exp,Date Installation. alteration, or relocation 200 amps or less $ 50 . 00 2 Signature of Supr. Elec'n 201 amps to 400 amps $75.00 2 - 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No �.�6 3 Ex'p.Date see "b" above. Phone Nr ;23/- / S"" 6 /.17 4d. Branch Circuits j 2b. For owner installations: � '� N ew, alteration or extension per penal 4 a) The lee for branch circuits with �p� purchase of service or Print Owner's Name _ °�d6J feeder fee. Address Each branch circuit $5.00 2 b) The tee for branch circuits City State Zip without purchase of Phone No. service or feeder fee. / First branch circuit [ $35.00 _ 3 2 The installation Is being made on property I own which is not Each additional branch circuit , $5.00 / 0 2 Intended for sale, lease or rent. 4e. Miscellaneous (Service or loader riot Included) $40.00 2 Owner's Signature Each pump or Irrigation circle Each sign or outline lighting $40.00 2 - r Signal circuits) or a limited energy 3. Plan Review section (if required):* panel, alteration or extension $40.00 2 Minor Labels (10) $100.00 Nii Please check appropriate Item and enter fee In section 58, 4 or more residential units in one structure 4f. Each additional Inspection over Service and feeder 225 amps or more the allowable In any of the above $35.00 _1 System over 600 volts nominal Per Inspection $55.00 T Classified area or structure containing special occupancy Per hour $55.00 as described in N.E.C. Chapter 6 In Plant * Submit 2 sets of plans with application where any of the above apply. 5. Fees: S` -Sp Not required for temporary construction services. 6e. Enter total of above fees $ 5% Surcharge (.05 X total lees) $ NQT10E Subtotal $ 6b. Enter 25°,6 of Line Se for required i _-- $ re PEEWS BECAME VOID IF WORK OR CONSTRUCTION AUTHORIZED l5 80 Q d See.3) NOT COMMENCED WITHIN 1 DAYS, OR IF CONSTRUCTION OR WORK Plan Revl:w II S '. 2 j IS SUSPENDED OR ABANDONED MR A PERIOD OF 180 DAYS AT ANY w! . -'r rel r: s Account # i TIME AFTER WORK IS COMMENCED. Total balance Due CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP c: -- Date Requested . (n '04 / /' AM PM BLD Location !3 cSW P ; 41-w .. Suite Apt 25 MEC U Contact Person • Ph PLM Contractor R / Pec i i j c ` StC Ph 180-- j L73 SWR BUILDING Tenant/Owner 'f/ ' LIrd !A 5 _ � � ELC c�9� Retaining Wall �� 1' ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: SIT Post & Beam F� �t lt V6 ,t '�' Ext Sheath /Shear nrS Int Sheath/Shear Framing Insulation Drywall Nailing P PP.Y` k NEC AR Tl CLE – I D -1 3 p r Firewall / / Fire Sprinkler 9cj, be_ pi- [.[/e �P h / h P Q [J i L °Lr 9'' a n CY p)[ le Y� Fire Alarm v i n Susp'd Ceiling `? v p Roof Misc: Final PASS PART FAIL ` a h c t I' / 0 V I /� � � rot) /' r e .a k r .s / 5- ?7 D f PLUMBING j,(' n a w yi - TT s it or Q e p)4 c p Post & Beam Under Slab Top Out Water Service Rp 0 / 614 5' s — Sanitary Sewer Rain Drains / f / / L Final L (fl `f i n 1/c 5 i( ge l e. p L� r Y / = 1 4 f PASS PART FAIL ` YI MECHANICAL Post & Beam Rough In Gas Line Smoke Dampers Final rA FAIL `L S CTRICAL Sew' ough In a Low Voltage Fire Alarm FAm ig011o 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 0 ' 6 l Inspector Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 1 / BUP 1 Date Requested ! - 3 -mod AM � BLD Location 13 ,f r 7i • MEC r i /.. r ��_.._� Suite Contact Person F AIF Al Ph , 2 -3/ - /5 V. PLM Contractor iN - ]' f, , - �� -�-e. 'h / SWR BUILDING Tenant/Owner P RZ V/ 4 7P 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 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 �t�CTRICAL Service Rough In UG /Slab Low Voltage Fire Alarm " A LS ASS 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 ///0 I Other Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 r/ BUP %�c 23 / ? Date Requested f _ d q' - 9�T AM PM BLD Location / 3l, 60 (7,6 a Z Suite a5 MEC Contact Person )2Lr.ki h 780 PLM Contractor J:�.e.J Ph / - 4z , SWR ,&4 BUILDING Tenant/Owner c3 c: ' / �t/L ELC Retaining Wall ELR Footing Access: Foundation ‘ FPS Ftg Drain ' GC C SGN Crawl Drain Inspection No tes: Slab SIT Post & Beam r /e Q - vt ��1�� J ; -� Ext Sheath /Shear ! T ( iae /2E/p,tve) Int Sheath/Shear Framing Insulation 4/C l Drywall Nailing e X S c°. V Y`q — P)-a �/ / c r i C�. I4 j Q r n ESQ • J Firewall Fire Sprinkler p1 f? / S ti P d Sc r [? C O� Or Z4/ 4? 1/ — Lg 1^1 J,/) — _7(7 Fire Alarm .!_ Susp'd Ceiling Roof �J Misc: Gtr / r) ✓— ItDU5 pi nDVL eor►ip /j {o Final PASS PART FAIL ,[ L PLUMBING C/ r r ' u t r O r� kp rs' A v .2_ e er le) sv ,b J e e / Post & Beam Under Slab C-)4 f yj4C p — Top Out J Water Service Sanitary Sewer Nei ` Rain Drains L i h i� cJ �` e S � ;I Furred rat l/ r1 C /.t>! / L Final JJ // ..J PASS PART FAIL h !! ve_ 7 O r n Q / w, �j /MT - 3 2i -iZ a MECHANICAL /� Post & Beam J Rough In gOrk.P g _'1D4 5'pr - U 1^e. / /Jig / Gas Line Smoke Dampers Final L / ] _ / PASS P�FAIL !14sPeCam`Or) is Jerrrlip / hL$ prDJJ @nJ ELECTRICAL / Service LiJ i/ ?1 ex) / pv r /92P r Y Y/ e w v ' UG /Slab Low Voltage Fire Alarm Final PASS 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 Klease call for reinspection RE: [ ] Unable to inspect - no access ADA Approach/Sidewalk "� c Other Date 9 ( - / Inspector / frL4!y � Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.