Permit •
CITY OF T I G A R D ELECTRICAL PERMIT
PERMIT #: ELC2000 -00415
;re. DEVELOPMENT SERVICES DATE ISSUED: 7/24/00
- J 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S125DD-10000
SITE ADDRESS: 09590 SW VENTURA CT
SUBDIVISION: WASHINGTON SQUARE ESTATES NO.3 ZONING: R -4.5
BLOCK: LOT : 108 JURISDICTION: TIG
Project Description: Installation of one branch circuit for new a/c unit.
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:
MURPHY, SCOTT E + CYNTHIA L GRF ELECTRIC
9590 SW VENTURA CT 15460 SE PARADISE LN
TIGARD, OR 97223 MULINO, OR 97042
Phone: Phone: 503- 829 -4146
• Reg #: LIC 76751
SUP 1655S
ELE 3 -484C
FEES Required Inspections
Type By Date Amount Receipt
Elect'I Service
PRMT DEB 7/24/00 $37.50 0003903 Elect'l Final
5PCT DEB 7/24/00 $3.00 0003903
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 - - or direct questions to OUNC at (503)
246 :1987.
PERMITTEE'S SIGNATURE ISSUED = , / / _,�„
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:
nn, CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: — DATE:
LICENSE NO: /cPcs S
Call 639 -4175 by 7:00pm for an inspection the next business day
CITY OF TIGARD l h r
13125 SW HALL BLVD.
P C Electrical Permit Applicatlo Re , Reed it
TIGARD OR 97223 11' 0 rl k I, Date Recd 7 -PH - O0
Date to P.E.
Phone (503) 8394171, x304 C e Date to DST
inspection (503) 639-4175 Print of Type Permit A ezeg<w.co v 5
Fax (503) 598 -1980 Incomplete or illegible will not be accept d Called
•
1. Job Address: 9 5 c10 4. Complete Fe , Schedule Below: •
Name of Develop nt t G r c. u Lk- A- L. Number of Inspections�er permit allowed
Name (or name f business) Service Included: Items Cost Sum 1
Addre oVn( J L t�-- . ntis
? ' 4a. RealdsI - per un
City /StaterZtp f o-r-K .zwt. c... (,�
4" ZZ3 10 sq. ft. or less $ 117.75 4
Each additional 500 sq. ft. or
potion thereof $ 28.25 1
Commercial ❑ Residenda 3 - d p Limited Energy $ 80.00
Each Manufd Home or M • • ular
2a. Contractor installation only: Dwelling Service or F . _ • or 5 72.75 2
(Pilot to permit Issuance, applicants must provide contractor license 4b. Services or Feeders
information for COT dtata bale). Installation, alteration, or : location
Electrical Contractor IV V eC iG 200 amps or less $ 64.25 2
Address S54 �, Q d t . SP r • 201 amps to 400 amps 5 85.50 2
401 amps 10 600 amps S 128.50 2
City M �,�.:�� State 42/2_.. Zlp 4 7 r ?t7 � Z-- 601 amps to 1000 amp $ 192.50 2
Phone No. k2-9 - '/-I 'fie a tj2q - C 7 .7 raver 1000 amps or • $ 363.75 2
Job No.
Reconnect only f 53.50 2
Elec. Cont ice. N. 2.118 1 C Exp.Date v I 0 ! 0 . 4e. Temporary Services or Feeders
OR State CCB Reg. No. ? (a ? 5 Exp •Date VA) Installation, alteration, or ocadon
COT Business Tax or Metro No. 3 a Z t xp.Date 1 }1 0 200 amps or less 53. 2
5
201 amps to 400 amps 5 80.25 2
401 amps to 600 amps T 107.00 _ 2
Signature of Supr. E l e c n ( . ._ Over 600 amps to I • . • votes,
woo °b" snows.
License No. 1 iii K.,<-_ . Exp.Date J C>" n, 4d. stanch Circuits
No. g "ii.? New, alteration or esronsl . per panel
a) The foe for branch • . 'Is
2b. For owner installation: wire pwr is a of ` or
Nader fee. 2
Print Owner's Name +r Each brands droll $ 5 •
b) The fee for branch outs
Address withoutourGlsse • service
City State Zip , or feeder fee.
Phone No. _ First branch circuit l $ 97.50 71 ,
Each additional bra .- circuit $ 5.3
The installation is being made on property I own which is not 4.. Il111sceiansous
intended for sale, lease or rent. (Service or feeder not in • ad)
Each pump or irrigation de $ s
Each sign or outline lighti g S 42.76
Owner Signature Signal dreuit(s) or a Urn , • energy
panel, alteration ore .. nsion $ 80,00
3. Plan Review section (ff required):* Minor Labels (10) 5 107.00
Please check appropriate Item and enter fee In section 58. 4f. Each additional Ins • on over
the allowable In any of above
4 or more residential units In one structure Per inspection $ 50.00
Service and feeder 225 amps or more Per Hour $ 50.00
System over 600 woke nominal In Plant -- S 59.00
Classified area or structure containing spacial occupancy as 5, Fees:
described in N.E.C. Chapter 6 ea. Enter total of above _ , s
$ .50
* Submit 2 sets of plant with application on twhe any of the above apply. 5% Surcharge (.05 x • tal fees) 1 3 ? C' tal S
Not required for temporary constntction services. Bb. E Subtotal
of line as •
NOTICE Plan Revlon if maul • (Sec. 3) _
Sub oW � $
PERMITBECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED T rust Account • l �l J ' P
1S NOT COMMENCED WITHIN 180 GAYS, OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS $ p .
Al' ANY TIME AFTER WORK IS COMMENCED. Total balance Due
& 37
Z0 . 39 Gd . 3Id1D313 3ZI9 Lt'LSSZ8E09 Lt:80 0002 /bZ /t.0
8/22/00 Activities for Case #: ELC2000 -0041
5
3:31:34 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes •
ELCA001 Application received 1st faxed application apparantly i
7/24/00 DEB DONE No Hold DEB 7/24/00
misplaced, 2nd application
received this date.
ELCA003 Permit created 7/24/00 DEB DONE No Hold DEB 7/24/00
ELCA730 Elect'I Service No Hold DEB 7/24/00 r
ELCA799 Elect'I Final No Hold DEB 7/24/00
ELCA500 (F) Issue permit 7/24/00 DEB DONE No Hold DEB 7/24/00
ELCA510 (F) Reprint permit 8/15/00 ZZZ DONE No Hold ZZZ 8/15/00
`t f
r
i
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION DIVISION •
24-Hour l'hspection Line: 639 -4175 Business Line: 639 -4171 MST
BUP
Date Requested ?--/ ( AM PM BLD •
Location � 0 5 w (h Y'V�4 r A.. f l Suite % 1 s'lt.� � %` :
MEC L
Contact Person Ph .2g7 - ZG S( PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC 2 O( -00 L/ /)
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 -
Insulation
Drywall Nailing
Firewall
Fire Sprinkler 7 �-4,e
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
P FAIL
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage
Fire Alarm
ina
SS PART FAIL
•
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 r ° 49 Inspector Ext
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.