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Permit 4 CITY OF T ELECTRICAL PERMIT gym. NL � ;� DEVELOPMENT SERVICES PERMIT it: ELC98 -0436 __'� ='�L� 13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 DATE ISSUED: 07/30/98 ' PARCEL: 1S133DD -04400 i SITE ADDRESS...:11577 SW SHOREVIEW PL SUBDIVISION •VILLAGE AT SUMMER LAKE PARK 3 ZONING:R -4.5 BLOCK • LOT :083 JURISDICTION: TIG Pro.j ect Description : Installation of electrical service and 3 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 • 1 W /SERVICE OR FEEDER: 3 PER INSPECTION • 0 201 — 400 amp • 0 1st W/O 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 MASSOUD MOLLAGHAFFARI type amount by date recpt 11577 SW SHOREVIEW PL PRMT $ 75.00 DEB 07/30/98 98- 307847 TIGARD OR 97223 5PCT $ 3.75 DEB 07/30/98 98- 307847 Phone #: Contractor: MASSOUD MOLLAGHAFFARI $ 78.75 TOTAL 11577 SW SHOREVIEW PL REQUIRED INSPECTIONS TIGARD OR 97223 Rough —in Elect' 1 Final Phone IS: 524 -5578 Elect'1 Service Reg It..: 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: Or • . ires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 'x'-0010 through w' 952-901 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246 -1987. Permittee Signature: (0 �`'� %�C' Issued : : 01 IL;/ OWNER INSTALLATION ONLY The installation is being made on prope ty I own which is not intended for sale, lease, or rent. - i OWNER' S S I GNATURE : _i L/ ,;! '/ ,I ///3"/" DATE: 2- 310 - " J r 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 C eck # A_ 13125 SW HALL BLVD. Rec'd 11,0 • TIGARD OR 97223 Date Recd _?� Date to P.E. Phone (503) 639 -4171, x304 Date to DST ...-----' Inspection (503) 639 -4175 Print or Type Permit # �L - f 04 Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name (or name of business) M d.IQ )1DL 41 Service included: Items Cost Sum I �l '/ I \ per n Address f'�J' 7 - 7 � /��y ��� � 4a. Residential - pe unit City /State /Zip -77 A-4. U D 2. C/ 7 2-3 Each additional 500 sq. ft. or �� ^ 5 - 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: (Attach copy of all current licenses) 4b. Services or Feeders Electrical Contractor Installation, alteration, or relocation p0 200 amps or less $60.00 O' 2 Address 201 amps {0 400 amps $80.00 2 City State Zip 401 amps to 600 amps $120.00 2 Phone No.. • 601 amps to 1000 amps $180.00 2 Job No. Over 1000 amps or volts $340.00 2 Reconnect only $50.00 2 Elec. Cont. Lice. No. Exp.Date OR State CCB Reg. No. 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 2 201 amps to 400 amps $75.00 2 Signature of Supr. Elec 'n 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No. Exp.Date see "b" above. Phone No. 4d. Branch Circuits New, alteration or extension per panel 213. For owner installations: a) The fee for branch circuits with purchase of service or OU Print Owner's Name 4SSOd b /Y1O AG H F\FFMI feeder fee. � . Address 1 I s'W' sXOrev,�P p . • Each branch circuit 3 $5.00 2 � � 1 b) The fee for branch circuits - (s City -' State D. Zi q 71 2 3 without purchase of Phone o. 52,1_5 S 7r J service or feeder fee. First branch circuit $35.00 2 The installation is being made on property I own which is not Each additional branch circui $5.00 2 intended for sale, lease or rent. 4e. Miscellaneous / /j �/ � _� < < (Service or feeder not included) Owner's Signature .t s ! Each pump or irrigation circle $40.00 2 Each sign or outline lighting $40.00 2 3. Plan Review section (if required):* Signal circuit(s) or a limited energy panel, alteration or extension $40.00 2 Minor Labels (10) $100.00 Please check appropriate item and enter fee in section 5B. 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 System over 600 volts nominal Per inspection $35.00 Classified area or structure containing special occupancy Per hour $55.00 as described in N.E.C. Chapter 5 In Plant $55.00 Submit 2 sets of plans with application where any of the above apply. Jr. Fees: 75' °° Not required for temporary construction services. 5a. Enter total of above fees $ , 5% Surcharge (.05 X total fees) $ , NOTICE • Subtotal $ 5b. Enter 25% of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $ NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY ❑Trust Account # < D ,-15 TIME AFTER WORK IS COMMENCED. $ Total balance Due I: \DSTS \ELC96.APP Rev 9/96 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP c.- / t3 7 Date Requested / Er _al — o p BLD AM PM � (S Loca ion . /I5 7 7 JAA-tc -Le&) ,' / Suite MEC Contact Person - /'l l 44477 / Ph 1''86 6 PLM Contractor Ph far., SWR �S BUILDING Tenant/Owner iJ � 36 Retaining Wall ELR Footing Foundation S5, _ Q /� �j FPS Cr Drain 7 x: - ^ 1 w SGN Crawl Drain nspection s: Slab y(�,. SIT Post & Beam / Ext Sheath /Shear 6Z' Int Sheath /Shear Framing Insulation Drywall Nailing Fire Sp . I Fire Sprinkler IN 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 T FAIL ( €LECTRI Service Low Voltage Fire Alarm F e 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 yk?/94e Other Date Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. . CITY OF TIGARD BUILDING INSPECTION DIVISION MST 2 � -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 -- qq d � 6 Date Requested 45 BUP 9 AM PM BLD Location l 15 77 S U i c S •/ / ffiSuite / MEC Contact Person r ,G Ph ,0, 6 PLM Contractor n c-556 ci "- O Ct/ vl Q_Y Ph S`i2.' I - 3 7 Fr SWR BUILDING Tenant/Owner afgP QCf_ O C 7 6 Retaining Wall R Footing Access: ' / r Foundation �'}'�/' ' �• FPS 411 � Ftg Drain / SGN f Crawl Drain Inspection Notes: ' Al 0 (4it, Slab SIT Post & Beam edged 1G ar �m Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall ,' - / Fire Sprinkler S/4 L - wf D Y k-- i�//� D oi c(/ j9 C, ^ "JAS Fire Alarm �/ Susp'd Ceiling Roof Misc: /� Final n . IS - / � me Y - 4 4 .SS PASS PART FAIL / - PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final PASS PART FAIL / I MECHANICAL Post &Beam C I� e G F C 1— 10 S If `4 K Of / 4 W d` DA 6 I Q l i X o, Rough In l�0 u G Fci - PDr l..r f Gas Line U Smoke Dampers Final BASS ''N FAIL l ELECTRICAL ' J Service In d 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 [ ] Please call for reinspection RE: [ ] Unable to inspect - no access ADA Approach/Sidewalk ? /b CJ Other Date _ ` R Inspector at J &1_r?/�. Ext �'lV� Final PASS PART FAIL . DO NOT REMOVE this inspection record from the job site. ARD BUILDING INSPECTION DIVISION MST ur Inspection Line: 639 -4175 Business Line: 639 -4171 BUP 7 - 3/ h ? 3.3Date Requested "3" 3 -(11 J AM PM BLD Location II Ti 50k) 3k�'vii ,GO , L Suite MEC Contact Person r Ph - e 66(/ PLM Contractor Ph SWR BUILDING Tenant/Owner ELC ` ? n 4 G — o436 Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain Crawl Drain Inspection Notes: ,�Q .�� SGN Slab Po ` � �� SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling ,� / ` / Roof / GD / 1,0n � i — �c s Final Misc: S v 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 Servi Rough In I Low age Fire } Alarm PA , 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 A / Approach/Sidewalk n 2 1 ,/ 5� ot oach /Sidewalk n r Date �,/✓ - Inspector A Ext /1 Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. . 4 CITY OF T ELECTRICAL PERMIT gym. NL � ;� DEVELOPMENT SERVICES PERMIT it: ELC98 -0436 __'� ='�L� 13125 SW Hall Blvd., Tigard, OR 97223 (503)639.4171 DATE ISSUED: 07/30/98 ' PARCEL: 1S133DD -04400 i SITE ADDRESS...:11577 SW SHOREVIEW PL SUBDIVISION •VILLAGE AT SUMMER LAKE PARK 3 ZONING:R -4.5 BLOCK • LOT :083 JURISDICTION: TIG Pro.j ect Description : Installation of electrical service and 3 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 • 1 W /SERVICE OR FEEDER: 3 PER INSPECTION • 0 201 — 400 amp • 0 1st W/O 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 MASSOUD MOLLAGHAFFARI type amount by date recpt 11577 SW SHOREVIEW PL PRMT $ 75.00 DEB 07/30/98 98- 307847 TIGARD OR 97223 5PCT $ 3.75 DEB 07/30/98 98- 307847 Phone #: Contractor: MASSOUD MOLLAGHAFFARI $ 78.75 TOTAL 11577 SW SHOREVIEW PL REQUIRED INSPECTIONS TIGARD OR 97223 Rough —in Elect' 1 Final Phone IS: 524 -5578 Elect'1 Service Reg It..: 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: Or • . ires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 'x'-0010 through w' 952-901 -1987. You may obtain a copy of these rules or direct questions to OUNC by calling (503)246 -1987. Permittee Signature: (0 �`'� %�C' Issued : : 01 IL;/ OWNER INSTALLATION ONLY The installation is being made on prope ty I own which is not intended for sale, lease, or rent. - i OWNER' S S I GNATURE : _i L/ ,;! '/ ,I ///3"/" DATE: 2- 310 - " J r 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 ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++