13265 SW CLEARVIEW WAY iY
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13265 Shu CLEARVIEW WY
CITY OF f 1 C A R D ELECTRICAL PERMIT
PERMIT#: ELC2002-00461
DEVELOPMENT SERVICES DATE ISSUED. 9/11/02
13125 SW Hal' Blvd., Tiqard, OR 97223 (503) 639-4,71 PARCEL: 2S104DC-03000
SITE ADDRESS: 13265 SW CLEARVIEW WAY
SUBDIVISION: BENCHVIEW ESTATES ZC !dNG: R-4.5
BLOCK: LOT : 030 JUFJSDIC BION: TIG
Proiect Description: New permit issued for the purpose of final inspection of work done under expired permit, ELC97-00151.
IRESIDENTIAL UNIT TEMP SR_VC/FEEDERS _ MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/O!1T LINE LTG:
LIMITED ENERGY: 401 - 60f amp: SIGNAL/PANEL:
:9ANF HM/ SVC/FDR: 601+amps - 1 J00 volts: MINOR LABEL (10):
SERVICE=/FEEDER _ BRAN-'H CIRCUITS _ ADD'L INSPECTIONS
0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 1
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: __ PLAN REVIEW SECTION
1000+ arrip/vont. >=4 RES UA ITS: > 600 VOLT NCi INAL:
Reconnect only: SVC 1FDR >=225 AMPS: CLASS A! EA/SPEC OCC:
Owner. Contractor:
ERIC LINDQUIST (-)WNER
13265 SW CLEARVIEW WAY
TIGARD, OR 97223
Phone: 503-590-7350 Phone:
Peg #:
FEES Required Inspections
Type By Date Amount Receipt El(:nt'I Final
PRMT CTR 9/11/02 $62.50 272.0020000(
5FCT CTR 9/11/02 $5.00 2.720020000(
Total 7.50
__ --I
This Permit is issued subject to the regulations contained in thb Tigard Municipal Code.State of OR. Specie ty Codes and all other applicable
laws All work will be done in accordance will, approved glans. This permit wiii expire if worK is not starteu withir :90 days of issuance, or if
work is suspended for more than 180 days ATTENTION Oreoon law requires you to follow rules adopted by the Oregon Utility Notification
Center Those rules are set I;orth in OAR 952-01-0010 throu5h OAR 952-001-0080. You may obtain copies of these ruies or direct questions to
Permit Signature: y ; �� L,'� `) Issued By: r
C WNER INSTALLATION ONLY
The installation i-, being made on f soperty I own which is not intendcd for sale, lease, or rent. /
OWNER'S SIGNATURE: 1T_�� � _ DATE:-
CONTRACTOR
ATEtiCONTRACTOR INSTALLATION ONLY
SIGNAL LIRE OF SUPR. ELEC'N: — __—__ DATE:
LICENJE NO:
Call 639-4175 by 7:00pm for an insprc^tlon the next business day
Electrical Permit Application
Date - ed: /i oJ, Petmit no.: 'X lC
City of Tigard Project/appl.no.: �rpi date:
c'n,of l'i/Oral AOdress: 13125 SW Hall Blvd,•Tigard,OR 97223 Date issued: By Receiptno.:
Phone: (503) 639-4171 ---
Fax: (503) 598-1960 Case file no.: Payment type:
Land use approval:
7❑ I &I family dwelling or accessory ❑Commercial/industrial U Multi-tanlil) ❑Tenant improvement
0 New construction ❑Addilion/alteruion/)eplacenx•nI U Other: U Partial
JOB SITE INFORMATION
rob address: �' _�' •�v!F t �. 1116g.no.: Suite nu.: Tax map/tax IoUaccount no.:
I.ot: 13lock: Subdivision:
Project name: _ Description apd location of wort ;,t prem'ses:--;"p Q A)
Eslimated date of completion/inspecli( L&// L�
Job no: fee Max
o66e–Aa name: Description lea Total no.htsp
New residential-single or multi-family pt•r
1!1
Address: dwelling unit.In-Indes attached garage.
City: State: ZIP: Serviceincinded:
Phone: Fax: E-mail Icons"l It orless a
Fach addli onal 500 s •ft.orportion thereof
CCB no.: F:Icc.bus.IIC.no: Limited energy,residential 2 —
City/metro IIC.no.: _ Limited energy,non-residential —2�
Each manufactured home or modular dwelling
Si nature of supervisingeF.trician(required) Date Service and/or feeder 2
Sup elect nant-'nriotl Licenser – Services orfeeders–Installation,
alteration or relocation:
11ROPERTV OWNER
200 amps or less 2
Nwe(print);; CV 1(_ ! y)tri 1 201 am a 1!i100 arty& 2
401 amps to 600 amp 2
MaiU-- n�add[Ca/: �"J Lam''l�l� 1 601 an to 1000 am Is 2
City"" —
�.- Over IOW amps or volts 2
PhorW: - FaxE-mail: Reconnect only I
(Avner installation:The installation is being made on property I own Tempnnr•services orfeeden
which is not .mended for save,lease,rent,or exchange according to ln.tallat. alteratlon,orrelocation:
ORS 447,4:i5,47 , 70 01. 200 amps less 2
201 amps to 400 amps 2
s 0?--- —
401 to hIX)inn s �
Branch circuits-new,alteration,
ore%enslon per panel:
Nam=: __ _ _ A. Fee I.,.branch circuits with purchase of
1dd,Css _ _ service or feeder ter.,each branch circuit _ 2
City: _ Slate: ZIP: B. Fee for branch circuits without purchase
of service or feeder fee,first branch circuit: 2
PLAN RIVIVIrW(Plewrie check all that appit.Phone: a� I:-ntail� Each additional branLocircuit:
Mtac.(Service or feeder not Included):
U Service over 225 amps wininerctal U Health-care facility Each punip or irrigation circle _ 2
U Service over 320 nmos-r.',...•of 1&2 O Hazardous location Each sign or outline lighting
familydwellings U Building over 10,000 square feet four or Sipnal cirevit(s)or a limited energy panel.
U System over 60U volts nominal more residential units in one structure alle.ation,c•r extension* ? _�
O Building over three atonias P Feeders•400 amps or more •tkscrition:
U Occupant load over 99 persons U Manufactured strurtures or RV park Each additional hope. on over the allowable in any of the above:
U Fgress/lightingpl n U Other: — Perinspection Z NbetiL Ji
f3rblNil_ sell of plans with any of the ah,-)ve. Invests atign fee _
'Ilse above are not applicable to temporary construction eqrvice. Other —
Not all)udsdicliow ecce,'cteda cans,pleaw call)udrdiction for more information Notice: Ihis permit application Permit fee.....................$
U Visa U MasterCard expires if a permit is not obtained Plan review(at __._ %) $
Credit card number: _ _ _L_L within 180 days after it has been State surcharge(8%) ....$ —
_ t:xptrem accept-d as complete. TOTAL .......................$
Name of cardholder a shown o,,credit card —
_ S _
Cardholder signature —— Amount W-4615(600 COM)
ELECTRICAL PERMITFEES: LIMITED ENERGY PERMIT 'IEFS:
Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY _
P Restricted Energy Fee...................................................... $75.00
Number of Inspections Eer permit allowed) (FOR ALL SYSTEMS)
Service hcluded: Items Cost Total ► Check Type of Work Involved:
Residential-per unit
1000 sq It or less _ $145,15 4 Audio and Stcr,n Systems'
Each additional 500 sq ft.ar
portion thereof $33.40 _ _ 1 E' Burglar Alarm
I-imited Energy $15.00
Each Manufd Home or Modular r
Dwelling Service or Fender $90.90 2 l] Garage Door Opener'
Services or Feeders LJ Heating,Ventilation and Air Conditi,ming System'
Installation,altera,ion,or relocation
200 amps or less _ $80.30 _ 2
201 amps to 400 amps _ $10685 — 2 r Vacuum Systems'
•;,t amps to 601 amps _ $160.60 2
601 amps to 1000 amps $24060 2 Other
Over 1000 amps or volts $454.65 2
Reconnect only _ $66 85 2
Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY
Installatic n,alteration,or relocation Fee for each system........................... .............................. '675.00
100 x rips or less $66.85 2 (SE"OAR 918-260-260)
201 a jos to 400 amps _ $100.30 2
401 amps FUO amps _ _ $133.75 — 2 Check Type of Work Involverl:
Over 600 amps to 1000 vests,
see"b"above. Audio and stereo Systems
Branch Circuits
New,alteration or extension per panel Bollor Controls
a)The fee for branch circuits
,vlth purchase of service or Clo k Systems
feeder fee.
Each branch ci :uit $665 2 � Data Telecommunication Installation
b)The fee for brai,ch circuits
without purchase of service
Fire Alarm Installation
or feeder fee.
First branch circuit $4685 f __
Fach additional branch circuit $6.65 HVAC
Miscellaneous Instrumentation
(Service or feeder not included)
Each pump or Irrigation circle _ $5340
Each sign or outline lighting $53.40 v Intercom and Paging Systems
Signal circuit(s)or a limited energy
panel,alteration or extension $7500 _ �� Landscape lmgalion Control'
Minor Labels(10) $12500
Each additional Inspection over [� Medical
the allowable in any of the above
Per inspection $62.50 - Nurse Calls
Per hour _ _ $6250 _
In Plant v� $73.75 _ Outdoor Landscape Lighting'
Nees: Protective Signaling
Enter total of above fees g __.._ -._ Other
8%State Surcharge g — —_ Number of Systems
25%Plan Review Fee
See'Plan Revie,•"section m $ No bcenses aie required Licenses are required for all other installations
front of appli,;.dicn -- —---
Fees:
Total Balance Due
Enter total of above fee' S_
Trust Account tf 8%State Surcharge
Total Balance Duo =�
All New Conlmerclal Buildings require 2 sets of plans.
0dsts\fvr-ms\eir--fees.doc 08/30/01
CfTY OF TIGARD 24-Hour
BUILDING Inspection Line: (503)639-4175
NSPECTION DIVISION Business Line: (563)639-4171 MST
BLIP
J/
Received -_ -Date Request� AM—_ PM--_- BUP
Location _ Lam_— Suite ;-_ MEC
Contact Person -_ __— 1�'� L. - — Ph(__ (/ ) 5 PLM
contractor _— ---- ---- _ Ph( ) _ SWR
BUILDING Tenant/Owner — _ _ —__ _ ELC
Footing
Foundation Access: ELC
Fig Drain r
r Crawl Drain � 7 � � Q 1 C rbt'4( N J 'Yry ���it� ELR _
Slob Inspection Notes: -r SIT _
Post& Beam ;` S-4k_ n(��
Shear Anchors ----- _
Ext Sheath/shear
Int Sheath/Shear -
FramingL'_cam . ------- - - __
Insulation —
Drywall Nailing
Fire,jail --
Fire Sprinkler
Fire Alarm
Susp'd CeilingRoof
Other:Other: —
Final -- U ---_--�-_—� P
PASS PART FAIL --
PLUMBING
Post 8 Beam ---- ---— ---- --
Under Slab -___ d_ ---_------ --
Rough-In
Water Service
aanitary Sewer
Rain Drains -- ---
Catch Basin/Manhole
Storm Drain - - ---
Shower Pan
Other: -------
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 Alarm
ina [] Reinspection fee of$— _require More next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PASS PART FAIL
SITE C� Please call 7ection RE: Unable to inspect-no access
Fire Supply LineADA �Approach/Sidewalk Date ` Inspector _— _—Ext
Other:_ r
Final DO NOT REMOVE this Inspection record rom the-fob site.
PASS PART FAIL