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Permit cy OF TIGARD ELECTRICAL PERMIT ��E��U�U��U��U��~��U�R��U��U�� PERMIT #: ELC97-0292 14/ 13125 SN/��v��auiOR97�0��)�9�/7/ DATE ISSUED: 05/23/97 �� PARCEL: 15133DC-18000 �� - SITE ADDRESS...:13134 SW TAMERA LN SUBDIVISION....:VILLAGE AT SUMMER LAKE PARK ZONING:R-12 BLOCK ^ LOT.............:35 JURISDICTION: TIG Project Description: instl 1 branch circuit // joh # ? _ ---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- MISCELLANEOUS 1000 SF OR LESS....: 0 0 — 200 amp ^ 0 PUMP/IRRIGATION : 0 EACH ADD'L 500SF...: 0 201 — 400 amp ^ 0 SIGN/OUT LINE LTG..: 0 LIMITED ENERGY : 0 401 — 600 amp.......: 0 SIGNAL/PANEL.......: 0 MANF. HM/ 8VC/FDR. . : 0 601+amps-1000 volts.: 0 MINOR LABEL (10). . . : 0 ----SERVICE/FEEDER---- ----BRANCH CIRCUITS ---ADDvL INSPECTIONS--- 0 — 200 amp - 0 W/SERVICE OR FEEDER: 0 PER INSPECTION.....: 0 201 — 400 amp : 0 1st W/O SRVC OR FDR.: 1 PER HOUR........... : 0 401 — 600 amp - 0 EA ADD'L BRNCH CIRC: 0 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 -------- WAYMAN NORDSTROM type amount by date recpt 13134 SW TAMERA LN PRMT $ 35.00 TAT 05/22/97 97-294956 TIGARD OR 97223 5PCT $ 1.75 TAT 05/22/97 97-294956 Phone #: Contractor: — — — — — JPC ELECTRICAL SERVICES INC $ 36.75 TOTAL 4040 SE INTERNATIONAL WAY ------- REQUIRED INSPECTIONS MILWAUKIE OR 97222 Ceiling Cover Underground Cove Phone #: 654-3325 Wall Cover Elect'l Service Reg #..: 000937 This permit is issued subject to the regulations contained in the ^~~~ 1 / Tigard Municipal Code, State of Ore. Specialty Codes and all other Pe ignatur' 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 " AA/ a—, 1 , L^ ^.IIK than 18N days. Iss ed By `nr ----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: 5— 73^-�� /�� LICENSE NO: ^f��»�� Call for inspection — 639-4175 Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. --1 Tigard, OR 97223 Planck/Rec. # rn Permit # LLCg7. D 9- / 11' I�j`\ 73 Phone (503) 639 -4171 Date Issued / Zl� ` n -' �+` FAX (503) 684 -7297 Issued by �� . ITY OF TIGARD TDD No. (503) 684 -2772 Inspection (503) 639 -4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development j Number of Inspections per permit allowed Address /3i 3 5 r *Tamer 0 L V Service included: Items Cost(ea) Sum City/State/Zip 1 1 l�C,/ , V/2 ''74?.3 4a. Residential - per unit 4 /,/ ��,� n,�,,,,/ 1000 sq. It or less $110.00 Name (or name of business) �(,(, '0 JYUf�F:( -I'� 1l Each additional l 500 sq. ft. or portion thereof $25.00 1 Commercial ❑ Residentia igl Limited Energy $25.00 2 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2a. Contractor installation only: 4b. Services or Feeders I nstallation, alteration, or relocation 2 Electrical Contractor, l PC E I e e- r • Cal l S t v' i Ce5 200 amps or less $60.00 2 . AddressA4 I ) S E t�ir,rfnfli c.) no 1 t,vCA ' ik!} Id"I 201 amps to 400 amps $80.00 2 City r ; l f, xtQ 1\e- State b Zip 1,� �� 401 amps to 600 amps $120.00 p 1 601 amps l0 1000 amps $180.00 2 Phone No. to '5 '3 D. J Over 1000 amps or volts $340.00 2 Contractor's License No. 34 - 310- (, Reconnect only $50.00 Contractor's Board Reg. No. ()Ci 3 4c. Temporary Services or Feeders / j:� Installation, alteration, or relocation 2 Signature of Supr. Elec'n 200 amps or less $50.00 2 License No. I, S /hone No.. . ` . 201 amps to 400 am $75.00 401 amps to 600 amps $100.00 Over 600 amps to 1000 volts 2b. For owner installations: see 'b' above. 4d. Branch Circuits Print Owner's Name New, alteration or extension per panel Address a) The fee for branch circuits with purchase of service or feeder fee. 2 City State Zip Each branch circuit $5 00 Phone No. b) The fee for branch circuits without The installation is being made on property I own which is purchase of service or feeder fee. < U 0 2 not intended for sale, lease or rent. First branch circuit $5.00 3�: 2 $ Each additional branch circuit $5.00 Owner's Signature 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or irrigation circle $40.00 2 Each sign or outline lighting $40 00 Signal circuit(s) or a limited energy 2 Please check appropriate item and enter fee in section 5B. panel, alteration or extension $40.00 4 or more residential units in one structure Minor Labels (10) $100.00 Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional inspection over Classified area or structure containing special occupancy the allowable in any of the above as described in N.E.C. Chapter 5 Per inspection $35.00 Per hour $55.00 In Plant $55 00 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: NOTICE 5a. Enter total of above fees $ 35 ,c 5% Surcharge (.05 X total fees) $ i PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Sb. Enter 25% of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. ❑ Trust Account # $ Balance Due $ _3 wad‘comdaNaWcpm.app r CITY OF TIGARD BUILDING INSPECTION DIVISION ,I 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: - ` 0`5 kl A.M. P.M. MST: Location: 1 3 (3 I ,211,.e.,.._: BUR: Tenant: Suite: Bldg: MEC: Contractor: Phone: / L �`7 -- � PLM: Owner: Phone: ELC: / 7 cd-,,D, ELR: SIT: BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE Site Post/Beam Post/Beam Post/Beam Cover /Service Sewer /Storm Footing Roof UndFl/Slab Rough -In Ceiling Water Line Slab Framing Top Out Gas Line Rough -In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt Approved Approved Approved , . :. Approved Appr /Sdwlk Not Approved Not Approved Not Approved of A.'roved Not Approved FINAL FINAL FINAL - LN .1 w FINAL Aro Ogg /JoME 7 M c 10 ,' 3 a 7 -,z_5'- ? 7 EXPIRED Call for reinspectio II R einspection fee of $ required before next inspection O Unable to inspect Inspector: Date: 2 ` A(...4 V — [ / Page of CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested ,, AM PM BLD ( Location 1 31 1 �G e( L Lir) Suite MEC Contact Person Ph PLM Contractor . J /� C, A.r,C',Ph (S —332-5 SWR BUILDING Tenant/Owner 1 p✓4-",/ p\/OL'1 (Trio4 EEO s r?'OO2 9 � Retaining Wall ELR Footing A Foundation NOT REQUESTED FPS Ftg Drain Crawl Drain I FOUND DURING RESEARCH DtrZi SGN Slab NO INSPECTION(S) FOUND IN FILE SIT Post & Beam l /' � Ext Sheath /Shear Int Sheath /Shear Framing Insulation Drywall Nailing Fire Sprinkler Fire Alarm Susp'd Ceiling Roof of EXPIRED 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 Service Rough In UG /Slab Low Voltage �.:. ',Fire Alarm . -S PART FAIL SITE 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 Other Date VS/en) Inspector ✓ A°° Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.