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Permit CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98 -0360 --,- � I 13125 SW Hall Blvd., Tigard, OR 97223 503 639 -4171 DATE ISSUED: 07/01/98 PARCEL: 1S133DB -00900 SITE ADDRESS...:11588 SW SHEFFIELD CIR SUBDIVISION •BRITTANY SQUARE NO. 2 ZONING:R -12 BLOCK • LOT •033 JURISDICTION: TIG Project Description : Installation of 2 branch circuits. Job No. 2063 -351 - -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS 1000 SF OR LESS • 0 0 — 200 amp • 0 PUMP /IRRIGATION : 0 EACH ADD'L 5O0SF...: 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: 1 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 JEFFERY LAROCHE type amount by date recpt 11588 SW SHEFFIELD CR PRMT $ 40.00 DEB 07/01/98 98- 306972 TIGARD OR 97223 5PCT $ 2.00 DEB 07/01/98 98- 306972 Phone #: Contractor: PHOENIX ELECTRIC CO $ 42.00 TOTAL 7379 SW TECH CENTER DR. REQUIRED INSPECTIONS TIGARD OR 97223 Rough —in Elect'1 Final Phone #: 684 -3600 Elect' 1 Service Reg #..: 000522 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 thro R 952-191-1387. You may obtain a copy of these rules or direct questions to OUNC by callin (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: ,�Q(,Q `� D�+-�� DATE : 7 -/11( LICENSE NO: ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + ++ + + + + + + ++ • JUN -30 -98 TUE 03:33 PM PHOENIX ELECTRIC CO FAX NO. 15036843611 P. 02 L CITY OF TIGARD Electrical Permit Application Plan Ch- 13125 SW HALL BLVD. Rec'd B Am.. . 7 1 0 Date Recd _'!]fit. TIGARD OR 97223 Date to P.E. "*"."----- Phone (503) 639 -4171, x304 Date to DST ------ Inspection (503) 639 - 4175 Print or Type Permit IV eLe-- k 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 i Name (or name of business n - C>r� a- Service included: Items Cost Sum Address \\ 177-- \ ( .& _) C�\\ / h t - ' ,\,. 4a. Residential - per unit _ I� 1 1000 sq. fl. or less 5110,00 4 City/State/Zip r ) c� r`Q Jll� . L � Each additional 500 5q, ft. or e � portion thereof $25.00 1 Commercial ❑ Residential L'c1. Limited Energy $ Each Manut'd Home or Modular ti4a►A�\ a L�=�_ (. SL A � Dwelling Service or Feeder $68.00 2 2a, Contractor installation only: (Attach copy • f all current licenses) - 4b. Services or Feeders Electrical Contract. ► • • ► r �,• - I alteration, or relocation Address ' 9 911.A..,) - •.1.. 200 amps or less $60.00 2 - _ 201 amps to 400 amps $80.00 2 Clay - State O(- ? - Zip -3 401 amps to 600 amps $120.00 2 - Phone Na ' l osiqt -1 --\ nC' o. - 601 amps to 1000 amps 5180.00 2 Job No. O ":-.)-,e5 1 €1() )�r� Over 1000 amps or volts $340.00 2 - Reconnect only $50.00 2 Elec. Cont. Lice. No. (-' -(- G Exp. ) ate OR State CCB Reg. No. 'S 7 ?- Exp.Date 4c. Temporary Services or Feeders COT Business Tax or Metro No. Exp.Date Installation, alteration, or relocation 200 amps or less $ 2 Signature of Supr. Elec'n (93 a5- 201 amps to 400 amps $75.00 2 �` 401 amps to 600 amps 5100.00 2 l/ Over 600 amps to 1000 volts, License NC / df Exp.Date see "b" above. Phone Nr Q " -j U 4d. Branch Circuits New, 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. Each branch circuit 55.00 2 Address b) The fee for branch circuits City State Zip without purchase of Phone No. service or feeder fee. X1 DV First branch circuit \ $35.00 2 The installation is being made on property I own which is not Each additional branch circuit t Moo 00 2 intended for sale, lease or rent. 4e. Miscellaneous (Service or feeder not Included) Owner's Signature Each pump or irrigation circle $40.00 _ 2 Each sign or outline lighting 540.00 2 3, Plan Review section (if required): a Signal circuil(s) or a limited energy panel, alteration or extension $40,00 2 Minor Labels (1o) $ 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. 5. Fees: U� Not required for temporary construction services. 5a, Enter total of above lees $ _:22 5% Surcharge (.05 X total fees) $ NOTICE Subtotal $ 5b. Enter Review relayed line 5a for - / PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan lan Review iF rerPd (Sec.3) 5 (// NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal (1 J 5 g , ..> IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. El Account # y���'Y�6 /� � Total balance Due I:\DSTS \ElC06.APP na, 9/95 03/21/2000 Activities for Case #: ELC98 -00360 12:05:06 PM Assigned Hold Updated Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELCA001 Application received 06/30/1998 DEB FAX DRA 07/01/1998 ELCA003 Permit created 07/01/1998 DEB DONE • DRA 07/01/1998 ELCA700 Rough -in DRA 07/01/1998 ELCA730 Elect'I Service DRA 07/01/1998 ELCA799 Elect'I Final NOTE JT 01/13/1999 1/13/99 inspection request • (research) sent to Chuck ELCA500 (F) Issue permit 07/01/1998 DEB DONE DRA 07/01/1998 ELCA510 (F) Reprint permit 07/01/1998 DEB DONE DRA 07/01/1998 ELCA920 Miscellaneous action 03/17/1999 WDJ MAIL WDJ 03/17/1999 ELCA920 Miscellaneous action CANC No Hold CD 04/07/1999 ELCA920 Miscellaneous action 04/07/1999 CD No Hold CD 04/07/1999 cancelled by owner ELCA799 Elect'I Final 04/12/1999 04/12/1999 04/08/1999 CD PASS No Hold AKJ 04/12/1999 ELCA800 Case finaled 04/12/1999 AKJ DONE No Hold AKJ 04/12/1999 • i • Page 1 of 1 CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 3 P Date Requested g- 9 AM 1. / PM BLD Location //CP? , S��F �/� Suite MEC Contact Person Ph PLM Contractor &D -A/JX - Ph SWR BUILDING Tenant/Owner ELC 9 (0_36,P Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath/Shear r ��� — ,�,�', ,,q.,r/ Int Sheath /Shear Framing Insulation Drywall Nailing I . _ II 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 ` \yJ Gas Line Smoke Dampers Final P FAIL TRICAL, Rough UG /Slab In Low Voltage Fire Alarm Fin 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 ,- 9g- - Inspector Other Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98 -0360 --,- � I 13125 SW Hall Blvd., Tigard, OR 97223 503 639 -4171 DATE ISSUED: 07/01/98 PARCEL: 1S133DB -00900 SITE ADDRESS...:11588 SW SHEFFIELD CIR SUBDIVISION •BRITTANY SQUARE NO. 2 ZONING:R -12 BLOCK • LOT •033 JURISDICTION: TIG Project Description : Installation of 2 branch circuits. Job No. 2063 -351 - -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS 1000 SF OR LESS • 0 0 — 200 amp • 0 PUMP /IRRIGATION : 0 EACH ADD'L 5O0SF...: 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: 1 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 JEFFERY LAROCHE type amount by date recpt 11588 SW SHEFFIELD CR PRMT $ 40.00 DEB 07/01/98 98- 306972 TIGARD OR 97223 5PCT $ 2.00 DEB 07/01/98 98- 306972 Phone #: Contractor: PHOENIX ELECTRIC CO $ 42.00 TOTAL 7379 SW TECH CENTER DR. REQUIRED INSPECTIONS TIGARD OR 97223 Rough —in Elect'1 Final Phone #: 684 -3600 Elect' 1 Service Reg #..: 000522 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 thro R 952-191-1387. You may obtain a copy of these rules or direct questions to OUNC by callin (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: ,�Q(,Q `� D�+-�� DATE : 7 -/11( LICENSE NO: ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + ++ + + + + + + ++