Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Permit
41 CITY OF T I G A R D ELECTRICAL PERMIT PERMIT #: ELC2000 -00229 11 DEVELOPMENT RV (503) 639 -4171 ACES DATE ISSUED: 5/5/00 - 13125 SW PARCEL: 2S109DD -90121 SITE ADDRESS: 12625 SW PRINCE EDWARD C17 SUBDIVISION: ZONING: BLOCK: LOT : JURISDICTION: KIN Project Description: Reconnection of electrical service. 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: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: 1 SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: CONNER, GEORGE C + CATHERINE M OWNER BY CARYANNE CONNER 5550 SW MACADAM AVE #215 PORTLAND, OR 97201 • Phone: Phone: OR\O Reg #: FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT DEB 5/5/00 $53.50 0001940 Elect'I Final 5PCT DEB 5/5/00 $4.28 0001940 Total $57.78 • This Permit is issued subject to the regulations contained in the Tigard Munidpal 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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -1987. PERMITTEE'S SIGNATURE ISS UED 1i.� 9,11 . �: ►�' OWNER INSTALLATION ONLY The installation is being made on property I own which i not intended for sale, lease, or rent. OWNER'S SIGNATURE: LA.Q.Q- % 11. 4.410 = &i DATE: • CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 639 -4175 by 7:00pm for an inspection the next business day 04/21/00 FRI 15:37 FAX 503 598 1960 CITY OF TIGARD 1.1.1V1i. ,SF Plan C _ i CITY TIGARD Electrical Permit Appl' Recd : T I r .. 13125 SW HALL BLVD. l')0 Date Recd ' �'� TIGARD OR 97223 May �. Date to P.E. Phone (503) 639 -4171, x304 � ;, < . ' Date to DST r v tio - Inspection (503) 639 -4175 Print of Type fA��' Permit # FLCaieo- Ao'Zp Fax (503) 598 -1960 Incomplete or Illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Number of Inspections per permit allowed Name of Development lZ IKc LA ill CIA Service included: Items Cost Sum y Name (or name of business) 6. 1 - 1 , tfAri the v te' Address I �o Z T r VV t A t.t70,-4 Q Ri 4a. Residential - per unit Iii 1000 sq. ft. or less $ 117.75 4 City /State/Zip i tna� C' Tt1 'tL" Each additional 500 sq. ft. or portion thereof $ 26.75 1 Commercial ❑ Residential ® Limited Energy $ 60.00 Each Manurd Home or Modular 72 75 2 Dwelling Service or Feeder $ 2a. Contractor installation only: (Prior to permit issuance, applicants must provide contractor license 4b. Services or Feeders Installation, alteration, or relocation $ 64.25 2 information for COT data base). 200 amps or less Electrical Contractor 201 amps to 400 amps $ 85.50 2 Address 401 amps to 600 amps $ 1 28.50 2 City State Zip 601 amps to 1000 amps 5 192.50 2 Phone NO. Over 1000 amps or volts $ 363.75 2 Job No. Reconnect only $ 53.50 3 ,l 2 Elec. Cont. Lice. No. Exp.Date 4c. Temporary Services or Feeders OR State CCB Reg. No. Exp.Date Installation, alteration, or relocation 2 COT Business Tax or Metro No. Exp.Date 200 amps or less $ 53.50 201 amps to 400 amps $ 80.25 2 401 amps to 600 amps $ 100.00 2 Signature of Supr. Elec'n Over 600 amps to 1000 volts. see "b" above. License No. Exp.Date 4d Branch Circuits Phone No. New, alteration or extension per panel a) The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. 2 • , ' V Each branch circuit $ 5.35 Print Owner's Name f ■ 4 �A Address .SS K / Ca. ' OA 2.1 s b) The fee for branch circuits without purchase of service City ' CL State 0 2 Zip r ['7 Z O 1 or feeder fee. / I4 ) First branch circuit $ 37.50 Phone No. CS b 3 7.2 - t5 C' �' O Z 2. Co - "7 g' l l Y, C i Each additional branch circuit $ 5.35 1 The installation is being made on property I own which is not 4e. Miscellaneous intended for sale, lease or rent. (Service or feeder not included) A � n � � Each pump or irrigation circle $ 42.75 Owner's Signature ".-`C • 7 o f4 N Each sign or outline lighting 5 42.75 . / n Signal cIrcuit(s) or a limited energy (o panel, alteration or extension $ 60 -00 3. Plan Review s 'on (if required):* J Minor Labels (10) 5 100.00 Please check appropriate item and enter fee in section 5B. 41. Each additional Inspection over the allowable in arty of the above 4 or more residential units in one structure Per Inspection $ 50.00 Service and feeder 225 amps or more Per hour $ 50.00 System over 600 volts nominal In Plant $ 59.00 Classified area or structure containing special occupancy as 5 , Fees: described in N.E.C. Chapter 5 $ 53• �� ba. Enter total 01 above fees Submit 2 sets of plans with application where any of the above apply. 8% Surcharge (.08 X total fees) $ MEC Not required for temporary construction services. Subtotal 5 g'i • 18 bb. Enter 25% of line 5e for $ NOTICE Plan Review if required (Sec. 3) PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS. OR IF CONSTRUCTION OR Trust Account # WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS $ AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due is \dsts\fonns \electr i c. doc KING CITY 15300 S.W. 116th Avenue, King City, Oregon 97224.269:3 uffiEssmaimun Phone: (503) 639 -4052 • FAX (503) 639 -3771 Notice To Contractors Working In King City Due to an intergovernmental agreement with the City of Tigard, many building related permits for nroi•ects in Kin r'i_v 1..re issued an d °r.s ect'4 b the Cit o f Ti If your permit application DOES NOT REQUIRE PLAN REVIEW, simply complete the appropriate application legibly and submit it to the King City staff. The King City staff will collect all fees and fax the application to the City of Tigard. City of Tigard staff will then create the permit, issue the permit, and perform inspections. Please indicate on the permit application whether you would like the Tigard staff to call you when the permit is ready for issuance or whether you prefer it to be mailed without any notification. Any incomplete or illegible application will be returned to King City staff for correction and no processing will occur until a complete, legible application is received. If your permit application DOES REQUIRE PLAIN REVIEW, this form must be signed by a King City staff person. King City staff will simply sign this form indicating land use approval. Take this signed form to the City of Tigard Development Services Counter located at 13125 SW Hall Blvd, Tigard, to submit applications and plans. Development Services Technicians are available at 639 -4171 Ext. 304 should you have any questions concerning submittal requirements. All permit fees will be assessed and collected at the City of Tigard. The City of King City hereby authorizes applicant to pursue permits at the City of Tigard Building Department for the following project: Re - tie e - S %e c-f'- ; c / located at: /a402S - -,3 1 /14, Coe/Woo/6f C - King City R4resentative 4-2/ - p(-) 1:' DSTSVXCINST.DOC CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested • S/ 1 oo AM PM BLD Location 2.(0 s (rt ii6- � c 14.06iI a Suite 6 MEC Contact Person K-t`_y Ph 2 - 7 gl ( A Contractor //��' Ph 2 -2 — O SS1 IPA SWR BUILDING Tenant/Owner �C.�Arr 62.6.0 ELC IttiO -7.i Retaining Wall ELR Footing Access: Foundation pe ( I/064(�� till 0GC a FPS Ftg Drain � cs�ll SGN Crawl Drain Inspection Notes: c / �v. condo tAm,d -- Slab o T' SIT Post & Beam Ext Sheath /Shear e.it 4 IAJ)A` w664--- . Int Sheath /Shear Framing Insulation Drywall Nailing Fire wall de—C-69-"1/Ve-e_74 Fire Sprinkler ea, Q Fire Alarm Susp'd Ceiling Roof Misc: Final �_ /� `Z 7 PASS PART FAIL !� /✓ L 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 Services oug In UG /Slab Low Voltage Fire Alarm Fi AS 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 — r7- ©ct-2 Inspector 410) / Ext Other Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.