Permit CITY O T I G A R D ELEC'r,21CHL PERMIT
PERMIT #: CALPERMIT 5
DEVELOPMENT SERVICES DATE ISSUED: 6/5/00
_' 4 11 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 103AB -05200
SITE ADDRESS: 12220 SW SWEENEY PL
SUBDIVISION: WALNUT GLEN ZONING: R-4.5
BLOCK: LOT : 010 JURISDICTION: TIG
Project Description: Install 1 branch circuit in single family 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: 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:
HA USER ELECTRIC
2375 SE 174TH
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 KJP 6/5/00 $37.50 HANDRECP Elect'l Final
5PCT KJP 6/5/00 $3.00 HANDRECP EXPIRED
Total $40.50
N
re-
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 r4
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.
f ,Q
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
BUP - Building Permit ELC - Electrical Permit
J Inspection Description Date Passed By 4 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 J Inspection Description Date Passed By
Firewall Low voltage
Tilt -up panel Electrical final
Masonry/Reinforcement
Framing
MFG - Structure set -up MEC - Mechanical Permit
Insulation
Drywall nailing - s1 Inspection Description Date Passed By
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 4 Inspection Description Date Passed By
Engineering acceptance Sanitary sewer
Final inspection Final inspection
INSPECTION RECORD - BUP, PLM, SWR, ELC, ELR, MEC, SIT PERMITS
CITY O F TIGARD GA R D ELECTRICAL PERMIT
+. PERMIT #: ELC2000 -00295
11 DEVELOPMENT o (503) 639 -4171
SERVICES DATE ISSUED: 06/05/2000
- 13125 SW Hall
PARCEL: 2S 103AB -05200
SITE ADDRESS: 12220 SW SWEENEY PL
SUBDIVISION: WALNUT GLEN ZONING: R -4.5
BLOCK: LOT : 010 JURISDICTION: TIG
Project Description: Install 1 branch circuit in single family 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: 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:
HAUSER ELECTRIC
2375 SE 174TH
PORTLAND, OR 97233
Phone: Phone: 503 - 762 -2126
Reg #: ELE 26 -950C ORIGINAL
LIC 122682
SUP 3833S
FEES Required Inspections
Type By Date Amount Receipt
Elect'I Service
PRMT KJP 06/05/200C $37.50 HANDRECF Elect'l Final
5PCT KJP 06/05/200C $3.00 HANDRECP'
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 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: C' DATE:
LICENSE NO: 3133 S
Call 639 -4175 by 7:00pm for an inspection the next business day
I
07/27/99 TUE 08 :24 FAX 503 598 1960 CITY OF TIGARD
Z; 002
' , I1OF TIGARD , Electrical Permit Appl ED
13125"3W HALL BLVD. �� Plan CheGcY
erm '
Recd By
TIGARD OR 97223 Date Recd
Phone (503) 839 -4171, x304 MAY 3 o Date to P.E.
Inspection (503) 639 -4175 F+ Data to DST
Print of Type H� � y o Q permit eeLC ZEI� - �zi.5-
Fax (503) 598 - 1950 Incomplete or Illegible will n�@ �cce tact
p Called
1. Job Address: \ /� 4. Complete Fee Schedule Below: •
Name of Development t X b Or 1 - I ,Q 4\ %,In I I (0 Number of inspections per permit allowed
Name ( ) (rve mar? yma Service included: Items Cost Sum 4
Address /?,..9,90 .1 . cCe.p! pL. aa. Residential _par unit
CitylState2ip q/} ()y�c 1000 sq. ft or less $ 117.75
Each additional 600 sq. R or 4
Commercial ❑ Residential A e_) Ga(t>z +Conn, pociorith8 $ 26.25 _ 1
Limited Energy 5 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 44i,, ' Z-4 /ec! . ...7 • zoo amps or less $ 6 4.25
Address , d739 ,Cf. 7'24/4-‘ 201 amps to 400 amps $ 85.50 2
City 47 State ar zip �j 7a 3 401 amps to 600 amps $ 128.60 2
Phone No: --x„,› -al 601 empe to 1000 amps $ 102.60 2
Job No. • Over 1000 amps or volts $ 363.75 2
ry � I) I Reconnect only 5 53.50 2
Dec. Cont. Lice. No. , ''C9 q�C-- Exp.Date j . 00 T /4c. Temporary Services or Feeders
OR State CCB Reg. No. e2ga__ : xp.Date Wm B 0 " Installation, alteration, or relocation
COT Business Tax or Metro No. zoo amps or less
a Exp.Date ( Di 0/ $ 53.50
201 amps to 400 amps $ 80.25 2
Signature of Supr. Elec'n (g am 401 amps to 600 amps $ 1 07.00 2
/ Over 600 amps to 1000 volts,
License N. . ? '
3 Exp.Date /6/09, b'1 sea "b" above.
Phone No. -. n (,,,4 - .4 1'".(0 4d. Branch Circuits
New, alteration cur extension per panel
a) The fee for bra circ uits
2b. For owner installations: with purchase of service or
Print Owner's Name • fatrder
Each branch circuit $ 5.35 2
I Address b) The fee for branch circuits
! I without purchase of service
City State Zip
Phone NOe' or feeder fee.
. i First branch circuit / $ 37.50 3 g S
Each additional brand circuit $ 5.35
The installation is being made on property I own which is not cue, 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 °Wine lighting $ 42.75
•
Signal dreult(s) or a limited energy
3. Plan Review section (if required):* panel, alteration or extension $ 60.09
Minor Labels (10) S 107.00 _
Please check appropriate item and artier fee in section 5B. 41. Each additional Inspection over
4 or more residential units In one structure the allowable In any of the above
Service and feeder 225 tmpy or more Per Inspectio S 50.00
Syetem 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:
of the above apply. Ender total of above total $ '
' Submit 2 sets of plans with application whore any hY pply. Surcharge (.05 X total fees) S U d
Not required for temporary construction services. Subtotal S
NOTICE I 6b. Enter 25% of One 5a for
Plan Reviow if rewired (Sec. 3) S i
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal S
IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Anoint # /l
AT ANY TIME AFTER WORK IS COMMENCED Total balance Due $ 7 Q . S �
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