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Permit CITY ° I GAR ) ELECTRICAL PERMIT 4 PERMIT #: ELC2000 -00438 .6 - DEVELOPMENT SERVICES D ATE ISSUED: 7/31/00 ` 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S126C0-01107 SITE ADDRESS: 09785 SW WASHINGTON SQUARE RD D -12 SUBDIVISION: WASHINGTON SQUARE ZONING: C -G BLOCK: LOT : JURISDICTION: TIG Project Description: Installation of 3 branch circuits 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: 2 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: PPR WASHINGTON SQUARE LLC SPARK ELECTRICAL CONSTRUCTION P.O.BOX 21545 4508 NE 123RD SEATTLE, WA 98111 VANCOUVER, WA 98682 Phone: Phone: 701 -7822 Reg #: LIC 143886 SUP 4394S ELE 26 -997C FEES Required Inspections Type By Date Amount Receipt Elect'l Service PRMT DEB 7/31/00 $48.20 0004123 Elect'l Final 5PCT DEB 7/31/00 $3.86 0004123 Total $52.06 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 uires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 - 0010 through 0 • - 952 - 00 14 80. You may obtain copie • es • - s or direct questions to OUNC at (503) 246 - 1987. PERMITTEE'S SIGNATURE ` / ISSUE BY' ' — o 0 W - INSTALLATION ONLY The installation is being made • n 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: VS 9 7 3 Call 639 -4175 by 7:00pm for an inspection the next business day CITY OF TIGARD Plan Ch ck # Electrical Permit Application Recd B 11r 13125 SW HALL BLVD. TIGARD 97223 Date Recd - /.B Date to P E Phone (503) 639 -4171, x304 Date to DST - �/t Inspection (503) 639 -4175 Print of Type Permit# L� 0 J Fax (503) 598 - 1960 Incomplete or illegible will not be accepted Called 1. Job Address: ��,,// 4. Complete Fee Schedule Below: Name of Development 2 d 1 / � % #( Number of Inspections per permit allowed iL Name (or name of business) Service included: Items Cost Sum 4 ' Address 9 ''s w�4 ;n 4a. Residential - per unit City/State /Zip / ..' 1000 sq. ft. or less $ 117.75 4 Each additional 500 sq. ft. or portion thereof $ 26.75 1 Commercial Er Residential ❑ Limited Energy $ 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 se). Installation, alteration, or relocation Electrical C ntracttor k Lam / o ea..) , A. "' 200 amps or less $ 64.25 2 Address 4 'f ', , 4/ 12 S'&' 2..--e 201 amps to 400 amps $ 85 50 2 City �/ � e, e,b m- State a ',4 Zip 9 pd' Z 401 amps to 600 amps $ 128.50 2 ty �Pi't p 601 amps to 1000 amps $ 192.50 2 Phone No. (r. .7) 5. ./- 7d2 2 Over 1000 amps or volts $ 363.75 2 Job No. Reconnect only $ 53.50 2 Elec. Cont. Lice. No. 2 6 - ,647 Exp.Date 4c. Temporary Services or Feeders OR State CCB Reg. No. ,VS 8f 6 Exp.Date Installation, alteration, or relocation COT Business Tax or Metro No. , ( '.Date 200 amps or less $ 53.50 2 � / 201 amps to 400 amps $ 80.25 2 Signature of Supr. Elec'n .. /, 401 amps to 600 amps $ 100.00 2 Over 600 amps to 1000 volts, see "b" above. License No. 43 Exp.Date Phone No. AV 722 4d. Branch Circuits New, alteration or extension per panel a) The fee for branch circuits 2b. For owner installations: with purchase of service or I feeder fee. Print Owners Name Each branch circuit $ 5.35 2 Address I b) The fee for branch circuits without purchase of service City State Zip or feeder fee. Phone No. First branch circuit / $ 37.50 37 - S Each additional branch circuit _ Q $ 5.35 /p , -7?") The installation is being made on property I own which is not 4e. Miscellaneous v � - intended for sale, lease or rent. (Service or feeder not included) Each pump or irrigation circle $ 42.75 Owner's Signature Each sign or outline lighting $ 42 75 Signal circuit(s) or a limited energy (if required):* panL alteration or extension $ 60.00 3. Plan Review section 1 . Minor Labels (10) $ 100 00 Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over 4 or more residential units in one structure the allowable in any of the above Service and feeder 225 amps or more Per Per hour h our on $ 50.00 $ 50 00 System over 600 volts nominal In Plant $ 59.00 Classified area or structure containing special occupancy as described in N.E.C. Chapter 5 5. Fees: q "g 5a. Enter total of above fees $ / 0 * Submit 2 sets of plans with application where any of the above apply. 8% Surcharge (.08 X total fees) $ 3 - $ SD Not required for temporary construction services. Subtotal $ 5b. Enter 25% of line 5a for NOTICE Plan Review if required (Sec 3) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account # CO AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $ 5 i:\dsts\forms\electric.doc -.CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171 BUP Date Requested / AM PM BLD Location 9 S' . S .3 1 4✓ AJ441 5,` R & 'Qc/(Suite / / Z MEC Contact Person Ph PLM Contractor Ph SWR BUILDING Tenant/Owner ELC o2 'ki' - Cre/ 1 43 Y 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 GU ( /U�"'�L. En Drywall Nailing Firewall Fire Sprinkler 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 PASS FAIL ECT Nice Rough In t", UG /Slab Low Voltage Fire Alarm F' PASS 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 � / - ep 7 Inspector Ext Final PASS PART FAIL DO NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24 - Hour Inspection Line: 639 -4175 - Business Line: 639 - 4171 BUP Date Requested AM PM BLD w Location C f 7 g') � Wa54 Suite /2-- MEC Contact Person Ph 70/ 7k Z L PLM Contractor Ph SWR BUILDING Tenant/Owner ELC 2 ui —v0 Q air 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 • _ _ /Ari 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 PASS PART FAIL �E TRIC ice Rough In UG /Slab Low Voltage Fire Alarm ORO 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 ns P D Inspector Ext Final PASS PART FAIL O OT REMOVE this inspection record from the job site.