Permit , • ,, ' OFTIGARD EI- ECTRICA °Er�i;1�.T' `'' ..
• . /t,,,.� . : i S �Ei_r�r I?I7 :
p ' DAT,_ ISSUED n : / 1'3797
' �. 13125 SW H a lh BI v T l g a r d ,, OR 97223 ( -0171 , ,
. - • ' A zCEL 1 a,1'25DD -1� g 0
SITE ADDRESS., . o 096,90 'SW, VENTURA CT,'
�I SI `'N .. .
.., , h tt SQUARE ECGT
:UEDI'V E • ". o, ta.2 r .. ,
`� ..� P i�l aC "i O�:u TES' NO. Ella T hli R' -� ;_ - �
install :a��fui
" ' .. . c'n ., , LOT o .., '' . _ o ... •
- :�1_C1G!• . � _ °_ a '., . � � ,s .i�GC-� TUFT SD TT��S
Pro, ect DL : or�i ntr insi i 7 maceI' fl%�. ,
.__ RESIDENT lAL' UNI - r-,---_ - - - - i lri it 'SRVCi'1= 1- _EL7E:I�iS _.__J4T,SCEI.:L_AIV.EUIJ S•- '-___ -- ,
000.,SF OR LESS. , -' ,0'• Iti .. : :: - : - ''ZIlzi a; mp.., .. , . e 21 PUMP/ IRRI GAIT,I ON. . ..• .,
EACH ADD' L ,t2I21SFe . . ><,.. 201 ._. 400 amp.... , .. g 0 SIGN /OUT LTiN'E LTC. 0.
I IMI1 ENERGY...'.,.''. , ;' " 401 --• 6OIZI amp,, ..... 1 SIGNAL /PANEL'.. I. ' -
''MANF. ,l -Ht\1i SVC' /F DR.. =7_t C;0i tarn ps-_1i?I00 vo'lts.'. 2`_ •, . MINOR; ,L „ (?i
RLEt 1 o ,' 6, .'
. - -- . ---- •-SE.R V I CE FEEDE R -' - -- - - - - -F CiANlCH CIRCUITS• - - -•- - - A?)U' L' I NS�.ECT 1 ON5-_ ,% ,
0 - ;�Ih_ .aMp ... 0 W/OERvicE', OR,' FEEDER : 0' PER I'hbPEL �•',x1O . .. 0'
2'01 •1 "am :'p, ., ., o .' 0 . , 1st W /0 ' SRVC OR FOR . 1 PER • HOt..1R,.. „ . .. •,`
4011' -•, 6021 amp.. _ . a . 0 EA ADD' L BRNCM' 'C I RC ; 121 I N PLRNT. . , I,'
. -
-- • - - - - -'
-DI' - 4'1k`� amr�... `. � IZi -----=- - -'- -- ,-,FLAN REVIEW �SECTi'UN--= -__'.� ---- ,--- "--- - -...-
�_ 1 1� i
' '1,00 a m ip: �a v 1 t 99 . . _ • 0 ;) =4 R
1 + ES,: ! iN I'TS.... . - . , g , , . ' ' ) ; 600 VOLT NOMINAL. . . ,.
'Reconnect only, ...., 0 - SVC /FDR r= `25 AMPS— . , . CLASS AREA/SPEC..00C.- ' '
C1;sier = __....._.- ..:-- _------- - - ---- - _�._ ' _.. - -:_ .. - _.__
JIMMCGLOTHI a ' . type amount by„ .dat''e• . rec '
t3Y'" SW VENTURA CT - . . F;RM I . 35:r212 JSD' 1 1 / t3!), 7 57'-',-;',30.0505
TItGARD OR 97cW23 5PCT $ 1. 75 _!SD 11'/13/` 7 '37-- 3005015 ti
Pl1 pTle�' - �`', ,'.
' r'act o r' g . -.. - - - - -- •- ---- - — 7 ' 7' --
E o nt — • —. — -- ' '' ' ;--L:-.—..- - ----, - - -- -- •-- --- •--- -•---r- - , '-• • -
F' .1f RGT ,CALL . MCCALL •' HEAT I NIG f ' i; 36. 75 TOTAL , . , ' .
1650 NE LOMBARD . - - - - . ,.
. - - - -- - - REQUIRED' �'I,NSF'CCTION3 --,--'-L. -
'POR?•l_AND OR. 97E '':I. • ' ,. Rough i o El ec�"'I 'Final'
Prone 4 231-331'1 1'1 .,, " Undergr ^oun1:, Coe
'
Reg fit. e 012.11020 , '' '
This - Derail is issued subject •to.tne �t;egulations contained i
: in the Tigard iun cipal Code, State of. Oregon, Specialty Codes arid all other
applicable laws, 'All work. will be done. in ar_'.rdance.with approved plans. - This pernit will expire if 'stork is .'not 'started. within 180
days of issuance, or if work is suspended - Jr Aare - than' 1c" "days, - ATTENTION : .Oregon :taw, requires you, to follow the rules . adopted„, by ' .
t Ore 't . •t th' ' 952-001-Q1010 throe h OAR 95? -6 i -1,A' '1711 may obtain a copy, �: she Oregon L.ili:y.'P.otifieaton,'Cen�er,. �I�� /r -ules ar��set 'fnr,, in.-Or, g p,, '
of tl+ess rules, or direct: questions to 51'' . r.,�iinr '3), 48-1927',
e'e yin ittee Siuna•L�_ii�.e- ". ' , 4' Is.s'ued 0D
, ,,,.....' ' , , " ' ' - 4111• . ' -. " ,
'v. .. a® j h
7-- p- - ,- - - - = ;OWNER IN;S AL _ATT'ON ONLY- ;.- - =
- - - - - . -- - -•
e �t,:
Th i.nst al 1 ,, a on is. " e, , i-
on ; or�i:
o I own Wtiicln' is n inb nc'eo
.sa.1e 1ea.s,e . or, r'en t „ . . . . •
' OWNE_R',S,'SIGNATURE;a . '.- - ' _ DATe=.e - ._, ' _.
- - - _... ---7-- -- CONTRACi INGTRLLA T IOM' ONi_--f - -- ,
_ .- __... - _ _ _ _ 1L_ _-__. --__- - -•
SIGNATURE OF„ S'.iP'R•,. ELEP DP ,(
•I t +-1 -+ i--7-4 1- -4•-1_..1.. +4 --I - - '.4.+. i- -1_..I- , 1 , .,r.:�.{..+- I• +-: -{-4 +++ 4- i--1 --I-., + +.;•.+-1 -9-F'• +;-I- -1-+y. -- I- + +_:.; .1..-1-- 1•+•{--1 -, I- - 1 x! 1 1 4 -I- ':' " l- -1-
• r- Celi,l '6�S- -41 p',I- .7o0IZI p', for an ins;oecti'-on - nsede : the next hiusi'ness 'da
-�-+ f •,i -+, -:. ••.- -i- +•1: -
} ?i Fi 7'r +I`•�'a �`E +• {'k + + +i. +{f ;i 1+ i-a i +4 +Id +4 ! f +i...;ti� i•{;1• + +4+i i i =i t..�,��•} t..1..4.t F
09/30/97 TUE 14:14 FAX 504 598 1960 CITY OF TIGARD (j002
, �CtT1OF T IGARD Electrical Permit Application Plan Check #
13125 SW HALL BLVD. -:,,,,--"-- Recd By
TIGARD OR 97223 Date Recd I
Phone (503) 639 -4171, x304 Date to P.E
Inspection (503) 639 -4175 Print or Type Date to DST
Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called (1- �S�
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Name (or name of business)Jr m C6 -/. h r 7 Service included: Items Cost Sum
I
Address r O m L G U j' L.c) V e,_ Cr Z 4a. Residential - par unit
City/State/Z07 i o /. d. r e2 ae 9 7 2 .. 3 t 000 sq. Each additional 500 sq. It or
Commercial ❑ Residential portion thereof $25.00 I
Limited Energy $25.00
Each Maned Homo or Modular
2a. Contractor installation only: Dwelling Service or Feeder $08.00 2
(Attach copy of all current licenses) 4b. Services or Feeders
Electrical Contractor Ft r ', -I- [Cl! / ( 7N /7i? / / Installation. alteration, or relocation
Add ft, S A/E 2...o/.. i /7�c r� 200 amps or less $60.00 2
City State Zj 201 amps to 400 amps $80.00 2
p 972 // 401 amps to B00 amps $120.00
Phone No.__ as / - 3 3 / 601 amps to 1000 amps 2
$1eo.0o 2
Job No. / 7i, (,, Over 1000 amps or volts $340.00 2
Elec. Cont. Lice. No. X t-MS Exp.Date la- d -gam Reconnect onl - $50.00 2 -
OR State CCB Reg. No. Jo zv 3 o Exp.Date 8 - 3 q c? 4c. Temporary Services or Feeders
COT Business Tax or Metro • • :. 1 1e' 4'0 Exp.Date Installation, alteration. or relocation
/ 1/ 200 amps or less $50.00 2
Signature of Supr. Elec' /' �. __ _/ . .1, 201 amps to 400 amps $75.00
401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts. 2
License No_ /5 s L //,� Exp.Date i 0 " I " 9R see °b^ above.
Phone No. 9. ?. 1 - 3 3 1 1
4d. Branch Circuits
N ew, alteration or extension per panel
2b. For owner Installations:
a) The fee for branch circuits with
purchase of service or
Print Owner's Name feeder fee.
Address Each branch circuit $5.00 2
b) The fee for branch circuits
City State ZIP
Phone No. without purchase of
service or feeder fee.
First branch circuit [ $35.00 3 c ,C0 C) 2
The installation is being made on property I own which is not Each additional branch circuit $5.00 2
intended for sale, lease or rent.
4e. Miscellaneous
Owner's Signature (Service or feeder not included)
Each pump or irrigation circle $40.00 2
Each sign or outline lighting $40.00 2
3_ Plan Review section (if required):* Signal circuits) or a limited energy ^-
panel, alteration or extension $40.00 2
Please check appropriate item and enter fee in section 58. Minor Labels (10) $100.00
4 or more residential units in one structure 41. Each additional inspection over
Service and feeder 225 amps or more the allowable in any of the above
System over 600 volts nominal Per Inspection 535.00
Classified area or structure containing special occupancy Per hour $55.00
as described In N.E.C. Chapter 5 In Plant - $55.00
* Submit 2 sets of plans with application where any of the above apply, 5. Fees:
Not required for temporary construction services. 5a. Enter total of above fees $
5°y Surcharge (.0.5 X total fees) $ �1 SS
NOTICE Subtotal $ ?7i . '1
Sb. Enter 25y, of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec .3) $
NOT COMMENCED WITHIN 180 DAYS. OR IF CONSTRUCTION OR WORK ubroral $ Ito. ? K
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY '
TIME AFTER WORK IS COMMENCED. % ' / st Account II 3C0 1
`�• fat balance Due
t .oSi51ELcso.AFR Rev 596
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Request-9d) AM PM BLD
Location / b TO VV — I `f'GC/L&../ &b Suite MEC
Contact Person Pr) 57 0094', /y — CA-C- . Ph .23 J -.33// PLM
Contractor Ph SWR
BUILDING Tenant/Owner ELC 91 7 so
Retaining Wall • ELR
Footing --
Foundation Ac j FPS
Ftg Drain I NOT REQUESTED
Crawl Drain Ins FOUND DURING RESEARCH SGN
Slab NO INSPECTION(s) IN FILE SIT
Post & Beam /�
Ext Sheath /Shear • -s (�2.�1,
Int Sheath /Shear - i
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -
Roof
Misc:
Final
PASS PART FAIL 1I ii_ .�
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
ELECTRICAL
Service
Rough In
UG /Slab
Low Voltage •
Fire At
Fi
ART 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 /9 Inspector / /9 InS ector � Ext
Other
Final !`
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.
a n.