Permit CITY OF TI GA R D ELECTRICAL PERMIT
4,04 A, DEVELOPMENT SERVICES PERMIT #: ELC98 -0637
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171 DATE ISSUED: 10/21/98
PARCEL: 15125DD -00000
SITE ADDRESS...:06745 SW VENTURA DR
SUBDIVISION •USA PEDESTAL ON VENTURA DR ZONING:R -7
BLOCK LOT . JURISDICTION:
Project Description : One 200 co service /feeder and one branch circuit.
- -- 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/ SVC /FDR..: 0 601 +amps -1000 volts.: 0 MINOR LABEL (10)...: 0
- - -- SERVICE /FEEDER - - -- - - -- BRANCH CIRCUITS -- -ADD'L INSPECTIONS-- -
0 — 200 amp ° 1 W /SERVICE OR FEEDER: 1 PER INSPECTION ° 0
201 — 400 amp 0 1st W/0 SRVC OR FDR.: 0 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
OREGON ELECTRIC GROUP type amount by date recpt
1010 SE 11TH PRMT $ 65.00 GEO 10 /21/98 98- 310189
PORTLAND OR 97214 SPCT $ 3.25 GEO 10/21/98 98- 310189
Phone #:
Contractor:
OREGON ELECTRIC CONST /GROUP $ 68.25 TOTAL
1010 SE 11TH AVE
REQUIRED INSPECTIONS
PORTLAND OR 97214 Elect'1 Service
Phone #: 234 -9900 Elect'1 Final
Reg #..: 203
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon 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 the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001-0010 through OAR 952- 001 -1987. You may obtain a copy
of these rules or direct questions to OUNC by calling (503)248 -1987. �/
Permittee Signature: /l.�i9� 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 : CAP DATE: /D - /? /-'`z
1/
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ±+
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
1 (y9J ' tY P Commun Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 RE C E1lVEL Planck/Rec. #
Issued by
� � " iu� I,. GAT Permit # b' '
9 _C3
,� �l Phone (503) 639 -4171 2 Date Issued
` FAX (503) 684- 7n7iimr 799L
pate
OF TIGARD TDD No. (503) 684 - 2`!72 /TY DEV E l OPP2E] IsIs
Inspection (503) 639 -4175
1. Job JOB NO.114 1 4. Complete Fee Schedule Below:
Name of Development Unified Sewerage Agency Number of Inspections per permit allowed
Addresssee map Service included. Items Cost(ea) Sum
City/State/Zip Tigard, Or_ 4a. Residential
I -per unit
1000 t $110.00
Name or name of business) Unified Sewerage Each add soo s q tt. cr 1
( ) 9 a portion thereof $25 00
Commerciab x Residential ❑ Limited Energy $2500
x c
Each Manul Home or Modular 2
Dwelling Service or Feeder $68 00
2a. Contractor installation only:
4b. Services or Feeders
Installation, alteration, or relocation 2
Electrical Contractor Oregon Electric roup 200 amps or less 1 $60.00 60.00 2
201 amps to 400 amps $80 00 2
Address 1 n 1 n SF. 1 1 1-h 401 amps to 600 amps $120 00 2
City Pnr1-1 and, State o Zip9721 4 601 amps to 1000 amps $18000 2
Phone No. a 31 9 9 013 amps or volts $340 2
-
50 0
Contractor's License No. 26-95C Reconned only
Contractors Board Reg. No. 2 4c. Temporary Services or Feeders
Installation, alteration, or relocation 2
Signature of Supr. Elec'n v+����# 200 amps or less $50 00 2
License No Phone No. 2 3 4 - 9'9 0 0 201 amps to aoo amps $75 00 2
a 41 L d 401 amps to 600 amps $100 00
Over 600 amps to 1000 volts
2b. For owner installations: see 'b' above
Print 4d. Branch Circuits
rint Owner's Name
New, alteration or extension per panel
Address a) The lee for branch circuits with
purchase of service or feeder fee. 2
City State Zip Each branch circuit $5 00 S 0 0
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. 2
not intended for sale, lease or rent. First branch circuit $35 00 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 arde $40.00 2 - Each sign or outline lighting $40 00
Signal cucwt(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) $10000
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 $ 6 5 . 0 0
5% Surcharge (.05 X total fees) $ 'I 7 S
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ 61:1 5
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 # $
w
c c,, alance Due $ 6 8 - 2 5
wadtomdWmiscrrm,epp
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
5 /55.35 Date Requested /o71 / " 9S ,A�M/� PM BLD
Location 6 7 7 S , Y,0 21 L4 6 - Suite MEC
Contact Person ! . ,A_./ 4 , ! a 555: 2655 PLM
Contractor O - C- t i✓T / t�'-f Ph SWR �1
BUILDING Tenant/Owner 4 7t( 7
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 = _ 1«-2_ _ -
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling C—�.4 - --0
Roof
Misc:
Final
PASS PART FAIL
PLUMBING e
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
RL FAIL
CTRICAL5
Service
Rough In
UG /Slab
Low Voltage
rm
Fin
-PART FAIL
S
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 Date �/ Inspector
Other nspecor Ext
x
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
•
SCHEMATIC /
CITY /COUNTY: CITY OF TIGARD
�
i'""'+
(- y 1997 THOMAS GUIDE PAGE: 655 H1
LOCATION: 6755 SW VENTURA PL
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ACCESS: / /
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BOX 4125F211 r;►, BOX p/ /' .
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05600 5059 VENTURA CT I •
D4' 5069 1111110 .. I" � - LEGEND
D7' 5068 D7 ;. .- S ISIV25D S EWER LINE 03300 I .. LOT LINE
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A ISIV i DIAMETER SLOPE LENGTH SW VENTU ACT. 03400 ` ..-- 24' 0.004 33
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26 UNDERGROUND UTILITIES P.1234
SCALE1 ISIV25DD • �' 10 - 6' V WATER NEV NEV EN �Sp
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-
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� -GTE TELEPHONE
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• 03800 / • i r ls1v
7‘ 00900 01000 I Y
MH 5048 ¢ MANHOLE MANHOLE
1S1v25D I / D25 SCALE: ABBREVIATION • O
-- .1, 00800 / 0 I' = 20' A.C ASPHALTIC CEMENT
i = NEV UTILITY NEW SENSOR
.c - .- • .... / , 117 Y� R/V RIGHT CF WAY VAULT OR INSIDE SEVER
R --- wl STORM 1 Iz 3 PVC POLYVINYL CHLORIDE PEDESTAL PIPE
5050 ISIV25DD ..-- 1111 E 6 LP. LIGHT POLE
D7' 02900 5047 / _
. m 1S1W25DD S1 W25DD N'♦ MANHOL
De' �• ' 11 0 0800 PS PUM STATION NEW UNDERGROUND
IS1V25DD i
ISIV25DD W CONDUIT
6755 $W Vv VE YELL
02800 03000 > VENTURA • FM FORCE MAIN •
v v Y I g � +. ' . 1SIV25DD 1S1V25DD 1S1v25DD
01800 01700 01600 D7' DEPTH 7 EASEMENT
EEP EDGE OF PAVEMENT
• _ -_ _._ - - -
VICINITY MAP SITE MAP
.SIGN: SL REVISIONS:
SHEET: 3
SANITARY Q
DRAWN: NL f unified �` ` IT R 1 SEWER MANHOLE NO. 5048
CHECKED: SL
— - agency PERMANENT FLOW MONITOR SITE D022 'ROJECT NO. 4125
APPROVED: TC DATE:MARCH 1998
LATOUREN H• \MY DOCUMENTS \ORAWFILE\MONSITE \BROSO48 DWG