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Permit r t,ITY OF TIGARD ELECTF�+,CA4_ P.EJ MIT PERMIT #: ELC2000 -00385 ,r, DEVELOPMENT SERVICES DATE ISSUED: 7/1G/00 '�� �� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S 103AB -04800 SITE ADDRESS: 11455 SW SHROPE CT SUBDIVISION: WALNUT GLEN ZONING: R-4.5 BLOCK: LOT : 006 JURISDICTION: TIG Project Description: Installation of (1) branch circuit w/o feeder 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: 1 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: SVC /FDR >= 225 AMPS: CLASS AREA /SPEC OCC: Owner: Contractor: MILES SCHLESINGER ATLAS ELECTRICAL CONTRACTORS 11455 SW SHROPE 4403 SE ROETHE RD TIGARD, OR 97223 MILWAUKIE, OR 97267 Phone: Phone: 659 - 2212 Reg #: SUP 2581S LIC 00001532 ELE 3 -2C FEES Required Inspections Type By Date Amount Receipt Elect' Final PRMT GWL 7/10/00 $37.50 0003581 5PCT GWL 7/10/00 $3.00 0003581 EXPMED Total $40.50 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All t 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. ra PERMITTEE'S 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: Call 639 -4175 by 7:00pm for an inspection the next business day OQ Cr BUP - Building Permit ELC - Electrical Permit Inspection Description Date Passed By I Inspection Description Date Passed By Footing /Setback Underground cover Foundation walls Wall cover Footing drain Ceiling cover Waterproof bsmt walls Electrical rough -in Slab Electrical service Crawl drain Electrical final Underfloor insulation Post/beam structural Shear walls /anchors ELR - Restricted Energy Permit Roof nailing I Inspection Description Date Passed By Firewall Low voltage Tilt -up panel Electrical final Masonry /Reinforcement Framing MFG - Structure set -up MEC - Mechanical Permit Insulation Inspection Description Date Passed By Drywall nailing Post/beam mechanical Suspended ceiling Gas line Engineered soils Mechanical rough -in • Welding Lab Final Fire damper Concrete Lab Final Duct work Bolting Lab Final Smoke detector Fireproofing Lab Final Mechanical final Structural observation Final inspection PLM - Plumbing Permit Inspection Description Date Passed By BUP - Fire Protection System Permit Plumbing underslab .4 Inspection Description Date Passed By Crawl drain Sprinkler underfloor /slab Post/beam plumbing Sprinkler rough -in Plumbing top -out Sprinkler final RP /backflow preventer Fire alarm final Rain drain Storm drain Water service SIT - Site Permit Sanitary sewer Inspection Description Date Passed By Culvert/catch basin Footings Pump /fill septic tank Foundation walls Plumbing final Sprinkler supply lines Sprinkler underfloor /slab Catch basin /Manhole SWR - Sewer Permit Engineered soils I Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection Final inspection INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC SIT PERMITS CITY OF T I G A R D ELECTRICAL PERMIT PERMIT #: ELC2000 -00385 AO- + , �, DEVELOPMENT O ITigard, O ERV SERVICES 639171 DATE ISSUED: 7/10/00 13125 / PARCEL: 2S 103AB -04800 SITE ADDRESS: 11455 SW SHROPE CT SUBDIVISION: WALNUT GLEN ZONING: R -4.5 BLOCK: LOT : 006 JURISDICTION: TIG Project Description: Installation of (1) branch circuit w/o feeder 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: 1 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: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: MILES SCHLESINGER ATLAS ELECTRICAL CONTRACTORS 11455 SW SHROPE 4403 SE ROETHE RD TIGARD, OR 97223 MILWAUKIE, OR 97267 Phone: Phone: 659 -2212 Reg #: SUP 2581S LIC 00001532 ELE 3 - 2C FEES Required Inspections Type By Date Amount Receipt Elect'l Final PRMT GWL 7/10/00 $37.50 0003581 5PCT GWL 7/10/00 $3.00 0003581 Total $40.50 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. 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 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 SIGNATUR 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: Call 639 -4175 by 7:00pm for an inspection the next business day CITY O� TIGARD Electrical Permit Application Plan Check # 1B12 SW HALL BLVD. Rec'd By Ma : ) TIGARD OR 97223 RECEIVED Date Rec'd to - 30 -ac) Date to P.E. Phone (503) 639 -4171, x304 JUN 3 0 2000 Date to DST Inspection (503) 639 -4175 Print of Type Permit# bL 2d' -"9 35' Fax (503) 598 -1960 • Incomplete or illegible WUOltlitlikitai tdu+1 Called Ma: 11G d 1.. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name (or name of business) Service included: Items Cost Sum I Address 11455 SW Shrope 4a. Residential - per unit City /State /Zip Tigard, Oregon 97233 l Each dd ft. or additional s $ 117.75 4 sq. ft. or portion thereof $ 26.75 1 Commercial El Residential ® Limited Energy $ 60.00 Each Manufd Home or Modular 2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 2 (Prior to permit issuance, applicants must provide contractor license 4b. Services or Feeders information for COT data base). Installation, alteration, or relocation Electrical Contractor Atlas Electrical Contractors 200 amps or less $ 64.25 2 Address 4403 SE Roethe Road 201 amps to 400 amps $ 85.50 2 401 amps to 600 amps $ 128.50 2 City Tigard State Oregon Zip 97233 601 amps to 1000 amps $ 192.50 2 Phone No. 659 -2212 Over 1000 amps or volts $ 363.75 2 Job No. 7966 Reconnect only $ 53.50 2 Elec. Cont. Lice. No. 3 -2C Exp.Date 10 /00 4c. Temporary Services or Feeders OR State CCB Reg. No. 1532 Exp.Date 9/3/01 Installation, alteration, or relocation COT Business Tax or Metro No. 2432 Exp.Date 11 /1 /00 200 amps or less $ 53.50 2 201 amps to 400 amps $ 80.25 2 Signature of Supr. Elec'n • .e Iii 1 ._/i ��� 401 amps to 600 amps $ 100.00 2 III Over 600 amps to 1000 volts, • License No. 10915 E'.Date 1 /1 /00 see "b" above. Phone No. 659 -2212 4d. Branch Circuits New, alteration or extension per panel a) The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's Name Each branch circuit $ 5.35 2 Address b) The fee for branch circuits without purchase of service City State Zip or feeder fee. Phone No. First branch circuit 1 $ 37.50 $37.50 Each additional branch circuit $ 5.35 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) Each pump or irrigation circle $ 42.75 Owner's Signature Each sign or outline lighting $ 42.75 Signal circuit(s) or a limited energy 3. Plan Review section (if required):* panel, alteration or extension $ 60.00 Minor Labels bels (10) $ 100.00 Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over 4 or more residential units in one structure the allowable in any of the above Service and feeder 225 amps or more Per inspection $ 50.00 Per hour $ 50.00 System over 600 volts nominal In Plant $ 59.00 Classified area or structure containing special occupancy as described in N.E.C. Chapter 5 5. Fees: 5a. Enter total of above fees $37.50 * Submit 2 sets of plans with application where any of the above apply. 8% Surcharge (.08 X total fees) $ 3.00 Not required for temporary construction services. Subtotal $40.50 sb. Enter 25% of line 5a 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 WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS El Trust Account # AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ 40.50 i:\dsts\forms\electric.doc r t,ITY OF TIGARD ELECTF�+,CA4_ P.EJ MIT PERMIT #: ELC2000 -00385 ,r, DEVELOPMENT SERVICES DATE ISSUED: 7/1G/00 '�� �� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S 103AB -04800 SITE ADDRESS: 11455 SW SHROPE CT SUBDIVISION: WALNUT GLEN ZONING: R-4.5 BLOCK: LOT : 006 JURISDICTION: TIG Project Description: Installation of (1) branch circuit w/o feeder 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: 1 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: SVC /FDR >= 225 AMPS: CLASS AREA /SPEC OCC: Owner: Contractor: MILES SCHLESINGER ATLAS ELECTRICAL CONTRACTORS 11455 SW SHROPE 4403 SE ROETHE RD TIGARD, OR 97223 MILWAUKIE, OR 97267 Phone: Phone: 659 - 2212 Reg #: SUP 2581S LIC 00001532 ELE 3 -2C FEES Required Inspections Type By Date Amount Receipt Elect' Final PRMT GWL 7/10/00 $37.50 0003581 5PCT GWL 7/10/00 $3.00 0003581 EXPMED Total $40.50 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All t 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. ra PERMITTEE'S 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: Call 639 -4175 by 7:00pm for an inspection the next business day OQ Cr