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Permit CITY /OF TIGARD ELECTRICAL PERMIT << PERMIT #: ELC1999 -00337 0f^ DEVELOPMENT SERVICES DATE ISSUED: 6/7/99 r " l 1 1 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171 PARCEL: 2S114BB -12600 SITE ADDRESS: 10492 SW TITAN LN SUBDIVISION: SWANSONS GLEN NO.2 ZONING: R -12 BLOCK: LOT : 067 JURISDICTION: TIG Project Description: Add a first branch circuit 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: 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: MARK ISAKSON BOB'S ACTION ELECTRIC INC 10492 SW TITAN LANE 2700 NE BURTON ROAD TIGARD, OR 97224 STE A VANCOUVER, WA 98662 Phone: Phone: 360 254 - 7200 Reg #: SUP 4322S LIC 00053136 ELE 37 -431C FEES Required Inspections Type By Date Amount Receipt Elect'l Final Total 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. Permit Signature: Issued By: / // „.......70.14..c 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 Gam+ SIGNATURE OF SUPR. ELEC'N: �'"� DATE: - 77 7 LICENSE NO: 413 as Call 639 -4175 by 7:00pm for an inspection the next business day RECENEC Development ELECTRICAL PERMIT APPLICATION .- 13125 SW Hall Blvd, N 0 4 199 9 Tigard, OR 97223 Permit # Z : /`l9j -�3,Z" - �'' '•r ,, E� h one (503) 839-4171 Date Issued ,t+�"P'i }•',,,;. 5 OEVELOPm FAX (503) 884.7297 1 2j C )r:// • ITY O TIGARD TDD No. ( 884 -2772 • Inspection (503) 639 4175 �� 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Mark Isakson Number Of Inspections per permit allowed Address 10492 SW Titan Lane Service Included: Items Cost(ea) Sum City/State /Zip Tigard, OR 97224 4a. Residential • per unit 1000 9Q ft aces. $11000 4 Name (or name of business) Earn eddltlons! 500 .e f1. or portion thereof $25 00 Commercial ❑ Residential © Unified Energy $25 _ t - Each Msnurd Harr or Modular • Oweans Seooeor soda 1{65.00 2 2a. Contractor installation only: 4b. Services or Feeders Electrical Contractor Bob's Action Electric Insl.natan.anaratan «nbeallen a bee 160 00 2 Address 2 700 NE Burton Rd. "A" 201 erhpe to 400 ernes sat) 00 2 City Vancn r State A Zip 98662 401 amp, to Goo amps 3120.00 2 tY tiV� W p fle • 301 amps to 1000 Imps e 00 2 r Phone No., 36n- 254 -72oo Over 1000 erred or e065 134000 2 • Job NO Reeonneel only $50.00 _ 2 • contractor's license NO. ii 5 j 1 j b 4c. Temporary Services or Feeders -- Contractor's Board Reg No. - 03 In•tenetbn, alteration. or reletellon • - Signature of Supr. Elec'n NO amps re lets 2 201 amps to 400 amps 3so 00 2 License No. 4322S Phone N0.360-254-7200 •01 a mps to 4 00•m ok $5000 2 Metro License No. 00003861 Over 600 Imps to 1000voila 1100.00 2b.. For owner Installations: Bea "le above ' 4d. Branch Circuits Print Owner's Name Wow, ,Aeration or eNenslon per pane • Address, a) The tee roe brencn circuits erfth 'City . • State - Zlp punt's.* of woks a body M. 2 Each branch circuit 35 00 3 5 • , ' Phone No. b) the tee to Drench &curs without The Installation is being made on property I own which is pwvh.•.of sonde. or feeder N.. 2 not Intended for sale, lease or rent. rret brunch circuit / , $3500 35.00 2 Each addtlonal br ncr ebwtt $5.00 Owner's Signature _ 4e. Miscellaneous ' (Service or feeder not Included) 2 3. Plan Review section (if reqrequired): Each pump a Mgetbn &da $40.00 2 - Elgin tips Of oullh. nghlhg $40 00 - Signal cIrrult(e)or a tiled energy 2 Please check appropriate Hem and enter fee In section 58. panty, animation or extension :4000 4 or more residential units in one structure sew Lab (10) $100.00 Service and feeder 225 amps or more 41. Each additional Inspection over • System over 600 volts nominal p J Classified area or structure containing special occupancy the allowable In any of the above Per inspection $99.00 as t:n Oe$bed In N E.C. Chapter 5 Per hour $55.00 - In Plant $89.00 Submit 2 sets of plans with application where any of the above . apply. Not required for temporary construction services. 5. Fees: 1 NOTICE 6a. Enter total of above fees $ -:•e6'`37 - j• 5% Surcharge (.05 X total fees) s _ 5-1. PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal s AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR IF 6b. Enter 2596 t)t Ilse A for CONSTRUCTION OR WORK•IS SUSPENDED OR ABANDONED FOR Plan Review N required (Sec.3) s A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal s COMMENCED. ' a.•weseMws ❑ Trust Account f ... _ . . Balance Due $ '36-1.39 it CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested '7 9- 17 AM PM BLD • Location /Q '/ 074,¢,11 / Suite MEC /50f9- v o 77 Z , Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC /9VP- 00337 Retaining Wall ELR Footing Access: Foundation FPS Ftg Drain SGN Crawl Drain Inspection Notes: Slab SIT Post & Beam Ext Sheath /Shear Int Sheath /Shear Framing Inulatio Dsrywalln Nailing lee-e-- / ?Q � OOZ Dwall 7 • Fire wall /2A/A Fire Sprinkler Fire Alarm 0 Susp'd Ceiling !� C� 3 Roof Misc: Final PASS PART FAIL PLUMBING Post & Beam Under Slab Top Out Water Service Sanitary Sewer Rain Drains Final WH L cieam Rough In Gas Line Smoke Dampers Fin ART FAIL CTRICAL STIVrce- Rough In UG /Slab Low Voltage Fire Alarm 4 10111PART FAIL BackfilUGrading 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 O ! Inspector D 7` 9+ / P Itor Other Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site.