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Permit CITY OF TIGARD 1 — C � ELECTRICAL PERMIT Pm rei ;� DEVELOPMENT SERVICES PERMIT #: ELC98 1C 05 " !+L n 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 DATE ISSUED: 08 / i / 98 PARCEL: 2S101DD -00702 SITE ADDRESS...:06900 SW SANDBURG ST SUBDIVISION -SALEM FREEWAY SUBDIVISION ZONING:I —P BLOCK • LOT •004 JURISDICTION: TIG Project Description : Installation of (2) 200 amp or less services and 2 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... • 2 W /SERVICE OR FEEDER: 2 PER INSPECTION • 0 201 — 400 amp • 0 1st W/0 SRVC OR FDR.: 0 PER HOUR • 0 401 — 600 amp : 0 EA ADD'L BRNCH CIRC: 0 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 NEXTEL type amount by date recpt 6900 SANDBURG ST PRMT $ 130.00 DEB 08/31/98 98- 308717 TIGARD OR 97223 5PCT $ 6.50 DEB 08/31/98 98- 308717 Phone #: Contractor: HEIL ELECTRIC CO $ 136.50 TOTAL 8425 SE STARK ST REQUI RED INSPECTIONS PORTRLAND OR 97216 Elect'1 Service Phone #: 255 -4074 Elect'1 Final Reg #.. 000003 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- %1 ru'.• 1'R 952 -001 -1987. You may obtain a copy of these rules or direct questions to OUNC by calli g (503)246 -1987. • Permittee Signature: `' ��,�.c�/, (J Issu-d By: I / 4. is I � ... _ 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 pp Q SIGNATURE OF SUPR. ELEC' N: ,Q,QQ, l d�'U DATE: 0',5/18 LICENSE NO: gib S ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ f 1 ,4, ' Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 (' ^ ^,rIFriffgD1it # L G�'� o5a. ,�� 1 .. Date Issued 8 / � Phone (503) 639 -4171 F, v � FAX (503) 684 -7297 P .0 �� CITY OF TIGARD TDD No. (503) 684 - 2772 �I : "TY �'M'OPr c. � f Inspection (503) 639 -4175 1:' `Jd "',, ..- - •• ••- -- .4: Complete Fee Schedule Below: t1 Number of Inspections per permit allowed Name of bevelopment�!� - 17 4��.� Address 6900 5 w 3 D a att.-- Ill. Service included: Items Cost(ea) Sum City /State /Zip T 9o,,,.cl d--- c l . �3 4a. Residential - per unit r�� / - 1000 sq. ft. or less $110.00 4 /l Name (or name of business) t E L_ CP.L.d -ee. Each additional 500 sq. ft. or portion thereof $25.00 1 Commercial Residential ❑ Limited Energy $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: 4b. Services or Feeders Electrical Contractor _.. X.2.- C{j Installation alteration or relocation ^ 200 amps or less Ot $60.00 /Z� 2 Addres 2.,s t 7 cS�'1►� -1L �(' 201 amps to 400 amps $80.00 2 City State (1v Zip 2 6 401 amps to 600 amps $120.00 2 , 601 amps to 1000 amps $180.00 2 Phone No. SS- -,.7 U Over 1000 amps or volts $340.00 2 Job NO. '7?() Reconnect only $50.00 2 contractor's license NO. fsila 2.6 - UCG 4c. Temporary Services or Feeders Contractor's Board Reg. No. 7 Installation, alteration, or relocation 2 Signature of Supr. Elec'n 200 amps or less 2 License No. 5 Phone No.625540'4 201 amps to 400 amps $50.00 401 amps to 600 amps $75.00 2 Over 600 amps to 1000 volts $100.00 2b. For owner installations: 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 /ee. , 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. Eat ddchal b r br $$5.00 Ea a additionnal anch 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 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 l -c -1 NOTICE 5% Surcharge (.05 X total fees) $ - PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ 5b. Enter 25% of line A for AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 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. woralcomaeNdeo- ❑ Trust Account # $ prm.app Balance Due CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP 001 Date Requested A1A PM BLD Location ?DO SW S/ / / (ji Suite MEC Contact Person c -1 U Ph e, 55 9 7 � PLM Contractor Ph SWR BUILDING Tenant/Owner /1/ ex-4-1 Retaining Wall ELR Footing Access: Foundation / FPS ( �fl Ftg Drain � A 5c.Nr ccl� 4. ,z r Crawl Drain Inspection Notes GLGe , /� Slab Post & Beam �y/� / 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 FAIL Service / gTi In UG /Slab j Low Voltage 1 Fire Alarm Final 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 ( Inspector /� Ext Other 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 / BUP �1 QO p /d Date Rq,sted qu 4 — _ — i AM PM BLD Location 6 140 i Suite MEC Contact Person ,l! & E d, Ph 255 - 7 PLR Contractor ern h SWR BUILDING Tenant/Owner f5 E Retaining Wall ELR ) Footing W Foundation Access: FPS Ftg Drain Crawl Drain Inspection Notes: SGN 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 P T FAIL Service Rough In UG /Slab Low Voltage _,Piro arm Fin S 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 Z Other Date Z / •P Inspector Ext Final PASS PART FAIL O NOT REMOVE this inspection record from the job site. L