Permit CITY OF TI G A R D ELECTRICAL PERMIT
PERMIT #: ELC1999 -00522
g'AWl DEVELOPMENT SERVICES DATE ISSUED: 8/24/99
I I 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
PARCEL: 25111 DD -10700
SITE ADDRESS: 08610 SW STRATFORD CT
SUBDIVISION: CHESSMAN DOWNS ZONING: R -7
BLOCK: LOT : 033 JURISDICTION: TIG
Project Description: Add two (2) branch circuits to an existing dwelling.
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: 1 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: •
BREWER, JOSEPH A III + STEPHAN WEST SIDE ELECTRIC CO INC
8610 SW STRATFORD CT 1834 SE 8TH AVE
TIGARD, OR 97224 PORTLAND, OR 97214
'Phone: Phone:
231 -1548
Reg #: LIC 13306
SUP 1556s
ELE 26 -135c
FEES Required Inspections
Type By Date Amount Receipt Wall Cover
PRMT GEO 8/24/99 $42.85 99- 317892 Elect'l Final
5PCT GEO 8/24/99 $3.00 99- 317892 -
Total $45.85 ORIGINAL
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 - � ISSUED BY: . / 7
OWNER INSTALLATION ONLC
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: O71 • DATE: �
LICENSE NO: l 5 SG S V
Call 639 -4175 by 7:00pm for an inspection the next business day
RUG -23 -99 03:58 PM WEST SIDE ELECTRIC 503 736 0677. P.01
CITY ; TIGARD Electrical Permit Application Reed By
1i'12 SW HALL BLVD.
TIGA D OR 97223 Date Reed
DateDate to P.E.
DST
Phonel(503) 639 -4171, x304 to
Ins edion (503) 639- 4175 N.
A
Permit 00‘-e /fl99- osR
P Print of Type Pe
Pax (533) 598 -1960 Incomplete or Illegible will not be accepted . . Caned
1. Jab Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Name (4 name of business) 'fit 131�rJ Z _ S ervice Included: Items Cost . Sum
Address 8610 Su.) STR,Altrein,O cr. 4 a. Residential - per unit
City /Ste Z ip �'IrGA¢� / ate 4'17 -24 woo aq. n. or tees S t 17.75 4
Each additional 500 sq. ft. or
• Comme lel 0 Residential portion thereof $ 26.25 Limited S 60.00
Each Manurd Energy Home or Modular
2e. C n trector installation only: Dwelling Service 0r Feeder $ 72.75 2
(Prior to rnit Issuance, applicants must provide contractor license 4b. Services or Feeders
Informe n for COT data base). 11 Installation, alteration, or relocation
Electri Contractor - I ♦ e C. - . �7^I L 200 amps or less $ 64.25 2
Addres . r Am�� � .4, , 201 amps to 400 amps S 85.50 2
City LM State • j� � 401 amps to 1000 amps 800 amps
801 amps to 1000 S 128.50
$ 192.50 2
t� p 2
Phone No. 3 - / .r 7 Over 1000 amps or volts $ 383.75 2
Job No. X23 - on. Reconned only $ 53.50 , 2
EleC. Co it. Lice. No. 26 / - Exp.Date 4c. Temporary Services or Feeders
OR State CCB Reg. No. . . U Exp.Date installation, alteration, or relocation '
COT Business Tax or Metro No. ,Exp.Date 200 amps or less S 53.50 2
201 amps to 400 amps $ 80.25 2
Signatur 3 of Supr. Elec'n 401 amps to 600 amps $ 107.00 2
Over 600 amps to 1000 volts,
see "b" above,
License Vo,��g Exp.Date ad. Branch Circuits
Phone No. /� /S y New, alteration or extension per panel
e) The tee for branch circuits
2b. F r owner installations: with purchase of se ieS or
feeder fee,
Print O er's Name Each branch circui 5 5 .3 5 z
•
Address. b) The fee for branch circuits
without purchase of service
City State Zip or feeder fee.
Phone o. First branch circuit (' $ 37.50
Each additional branch circuit t S 5.35
•
The inst Ilation Is being made on property I own which Is not 4e, Miscellaneous
Intende 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. P n Review section It ulred panel, alteratlo or extension $ 60.00
M inor Labels (10) • 5 107.00
Pleas 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 imps or more Per Inspection S 50.00
1 re Per hour $ 50.00
System over 800 volts nominal In Plant $ 59.00 •
Classified area or s tructure containing special occupancy as
described in N.E.C. Chapter 6 Fees: S 65. Enter total of above fees $ 42 . 2 sets of plans with application where any of the above apply. 11p4 Surcharge (.05 x total fees) $ '3.00 ulred for temporary construction services. Subtotal $ _
Bb. Enter 25% of line 6a for
NOT1Ct • • Plan Review if required (Sec. 3) • $
PERMIT BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED sub I
I$ NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR 2 3c'
• WORK 15 SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS Trust Account 0
AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ AS , 66
i \dalatrnn3slrlectrie.dna •
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date � Requested 1 1 I AM 1� PM BLD
O
Location E(.10 a • Suite MEC
Contact Person itiWkieLta, Ph 2,3/'/Ls - ei PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC / — J S22
Retaining Wall ELR
Footing Access:
Foundation n / - FPS
D
Ftg Drain UQ )4-714 SGN
Crawl Drain Inspection Notes:
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
PASS PART FAIL
ELECTR L
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
PART FAIL
E
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 9
Approach /Sidewalk Date / 7 �? Ins Ext
Other _
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.