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Permit CI TY O TIGARD ELECTRICAL PERMIT PERMIT #: ELC2000 -00355 DEVELOPMENT SERVICES DATE ISSUED: 6/27/00 s V1 I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S 103AB -04500 SITE ADDRESS: 11452 SW SHROPE CT SUBDIVISION: WALNUT GLEN ZONING: R-4.5 BLOCK: LOT : 003 JURISDICTION: TIG Project Description: Installation of one branch circuit. 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: SIGNAUPANEL: MANF HM/ SVCI 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: RIVERSIDE HOMES HAUSER ELECTRIC 11452 SW SHROPE CT 2375 SE 174TH TIGARD, OR 97223 PORTLAND, OR 97233 Phone: Phone: 503 - 762 -2126 Reg #: ELE 26 -950C LIC 122682 SUP 3833S FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT JMT 6/27/00 $37.50 0003298 Elect'I Final r jt' , , ,f 5PCT JMT 6/27/00 $3.00 0003298 ° ° � ` ' 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 rrt 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 IN for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set (14 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 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 th k t . , 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 fmal Masonry/Reinforcement Framing MFG - Structure set -up MEC - Mechanical Permit Insulation I 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 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 fmal Rain drain Storm drain Water service SIT - Site Permit Sanitary sewer -4 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 -4 Inspection Description Date Passed By Engineering acceptance Sanitary sewer Final inspection Final inspection INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC SIT PERMITS CI TY OF TIGARD 1 ELECTRICAL PERMIT PERMIT #: ELC2000 -00355 A " DEVELOPMENT SERVICES DATE ISSUED: 06/27/2000 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S 103AB -04500 • SITE ADDRESS: 11452 SW SHROPE CT SUBDIVISION: WALNUT GLEN ZONING: R -4.5 BLOCK: LOT : 003 JURISDICTION: TIG Project Description: Installation of one branch circuit. 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+ amplvolt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: RIVERSIDE HOMES HAUSER ELECTRIC 11452 SW SHROPE CT 2375 SE 174TH TIGARD, OR 97223 PORTLAND, OR 97233 Phone: Phone: 503 - 762 -2126 Reg #: ELE 26 -950C LIC 122682 SUP 3833S FEES Required Inspections Type By Date Amount Receipt Elect'l Service PRMT JMT 06/27/200C $37.50 0003298 Elect'l Final 5PCT JMT 06/27/200C $3.00 0003298 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 SIGNATURE T ISSUED BY: incLi • T 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 OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2000 -00355 Tin DEVELOPMENT r SERVICES (503) 639 -4171 DATE ISSUED: 06/27/2000 PARCEL: 2S 103AB -04500 SITE ADDRESS: 11452 SW SHROPE CT SUBDIVISION: WALNUT GLEN ZONING: R -4.5 BLOCK: LOT : 003 JURISDICTION: TIG Proiect Description: Installation of one branch circuit. RESIDENTIAL UNIT TEMP SRVCIFEEDERS 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: RIVERSIDE HOMES HAUSER ELECTRIC 11452 SW SHROPE CT 2375 SE 174TH TIGARD, OR 97223 PORTLAND, OR 97233 Phone: Phone: 503 - 762 -2126 Reg #: ELE 26 -950C LIC 122682 SUP 3833S FEES Required Inspections Type By Date Amount Receipt Elect'l Service • PRMT JMT 06/27/200C $37.50 0003298 Elect'l Final 5PCT JMT 06/27/200C $3.00 0003298 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 N otification 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 ISSUED BY: ip a 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 07/27/99 TUE 98:24 FAX 503 598 1960 CITY OF TIGARD / 16 SOU`' CITY OF TIGARD 13125 SW HALL BLVD. C d Date Recd Plan c - k* Electrical Permit Appl TIGARD OR 97223 �� Redd : y ,7� OQ® /.0 - I ,� Phone (503) 639 -4171, x304 Data t o P.E. '`- Inspection (503) 639 -4175 0 N I MEN Data to DST _ ( ) • Print of Type D �v 0 Permit 0 -c:� - a13_55 Fax (503) 598 -1960 Incom lete or Ilse ible will not p p 8 � �e tad called _ G 1. Job Address: _ 4. Complete Fee Schedule Below: • Flame of Development ,,o /2 Number of Inspections per permit allowed • Name (or name of business) . s Service included: Items Cost Sum y Address a S _ Sk o - , CT 4a. ReaidenUal - per unit City/State/Zip L 1000 sq. R or less 117.75 4 portion.thereof $ 26.25 1 r-I� Each additional 600 sq. ft. or Commercial ❑ Residential limited Energy $ 60 00 - ud • Each Manufd Home or Modular - 2a. Contractor installation only: Dwelling Service or Feeder s 72.75 2 (Prior to gonna. Issuance, applicants must provide contractor license 4b. Services or Feeders • information for COT data . Installation, alteration, or relocation Electrical Contractor Atr AIL.. -e 200 amps or less Address • _ 0 G. 201 amps to 400 amps 5 85.50 2 $ 85.50 2 City , ; • S t • Zip 9-7,-) .� 3 401 amps to 600 amps $ 128.50 2 Phone NO. r---V 601 amps to 1000 amps $ 182.50 2 Job No. Over 1000 amps or volts S 363.75 2 Reconnect only $ 53.50 - 2 i Elec. Cont. Lice. No.. v 5 Exp.Date O af► No. ���; 4c. Temporary Services or Feeders OR State CCB Reg. ,�� e_ Exp.Date _ IL�JI r Installation. alteration, or relocation COT Business Tax or Metro No. of Exp.Date (p 1 nl 200 amps or less ________ 53.50 � 201 amps to 400 amps $ 80.25 2 Signature of Supr. Elec'n .�. o� (� 401 amps to 800 amps $ 1 07.00 2 Over 600 amps to 1000 volts, License No. 3'3233 Exp.Date /041, see "b" above. Phone No. _ to '_ - a / �lP 4d. Branch Circuits New, alteration er extension per panel a) The fee for branch circuits 2b. For owner installations: with purchase of service or feeder f ee. Print Owner's Name • Each branch circuit $ 5.35 'i Address • 2 b) The fee f or branch circuits City State Zlp I without purchase of service Phone Note or feeder fee. 7� I First branch circuit f $ 37.50 32- Each additional branch circuit S 5.35 The installation is being made on property I own which Is not - intended for sale, lease or rent. (S 1 ervice ce Miscellaneous (S or feeder not Inducted) Each pump or Irrigation circle $ 42.75 Owner's Signature Each sign or outline lighting S 42.75 Signal drellt(s) or a limited energy 3. Plan Review section (if required):* I panel, alteration or extension $ 60.0 Minor Labels (10) $ 107.00 Please check appropriate item and en.Lr fee in section 613. 4L Each additional Inspection over 4 or more residential units In one struure the allowable In any of the above Service and feeder 225 amps or more Per inspectio $ 50.00 System over 600 volts nominal Per hour $ 50.00 In Plant $ 59.00 _ .Classified area or structure containing special occupancy as described in N.E.C. Chapter 5 5. Fees: 'Submit 2 sets of plans with application where an of the above a 5a. Enter total of above tees S 39 Not required for temporary construction set-Aces. Subtotal f Surcharge (.05 X total fees) S I, Subtotal • $ NOTICE 3b• Enter 25% of line Sa for Plan Review if required (Sec. Si S 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 , ❑ Trust Account # AT ANY TIME AFTER WORK IS COMMENCED 1 Total balance Due $ 4% ' I I . _i: dsls'formslelec1rIc.doc CI TY O TIGARD ELECTRICAL PERMIT PERMIT #: ELC2000 -00355 DEVELOPMENT SERVICES DATE ISSUED: 6/27/00 s V1 I 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S 103AB -04500 SITE ADDRESS: 11452 SW SHROPE CT SUBDIVISION: WALNUT GLEN ZONING: R-4.5 BLOCK: LOT : 003 JURISDICTION: TIG Project Description: Installation of one branch circuit. 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: SIGNAUPANEL: MANF HM/ SVCI 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: RIVERSIDE HOMES HAUSER ELECTRIC 11452 SW SHROPE CT 2375 SE 174TH TIGARD, OR 97223 PORTLAND, OR 97233 Phone: Phone: 503 - 762 -2126 Reg #: ELE 26 -950C LIC 122682 SUP 3833S FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT JMT 6/27/00 $37.50 0003298 Elect'I Final r jt' , , ,f 5PCT JMT 6/27/00 $3.00 0003298 ° ° � ` ' 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 rrt 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 IN for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set (14 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 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