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9395 SW COLONY CREEK COURT
n CITY O F TI G A R DELECTRICAL PERMIT
PERMIT#: ELC2002-00183
i.M7,�411,M DEVELOPMENT SERVICES DATE ISSUED: 4/24/02
13125 SW Hall E.Ivd.. Tlqard. OR 97223 (503) 639-4171 PARCEL: 2S112BB-00900
SITc ADDRESS: 08395 SW COLONY CREEK CT
SUBDIVISION: COLONY CREEK ESTATES, ZONING: R-7
BLOCK: r OT : 005 JURISDICTION: TIG
Proiect Description: Install 1 branch circuit in new sunroom.
_ 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!rNNEL:
MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER _BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 260 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. BRNCI CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION _
1000+ amu/volt: >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC/FDR >=225 AMPS: Cl ASS AREA/SPEC OCC:
Owner: Contractor:
WRINKLE, OLETA W OWNER
8395 S N COLONY CREEK CT
TIGARI!, OR 97223
Phone: Phone:
Reg#:
_ FEES Required Inspections
Type By Date Amount Receipt Wall Cover
5PCT CTR 4/24/02 $3.75 2720020000( Elect'/ Final
PRMT CTR 4/24/02 $45.85 2720020000(
Total 11;50.60
This Permit is issued subject to the regulations contained in the'figErd Vwiicipal Code,State of OR. Specialty Codes and all other applicable
laws. All work will be done in accordance with approved plans. This pe rnit will exp;ra if work is not started within 180 days of issuance, or if
work is suspended for more'han 180 days. ATTENTION Oregon i:.:•.requires you to follow rules adopted by the Oreyon Utility Notification
Center "those rules are set`orth in OAR 952-001-0010 through OAR 952-001-0080 You may obtain copies of these rules or direct questions to
Permit Signature:, L f,tom, Issued By: ' [Z ( /i�?
OWNER INSTALLATION ONLY
Ttie 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: _— i" ik-ILi- 1_- __ _ DATE----
LICENSE
ATE-LICENSE NO: —
Call 639-4175 by 7:00pm for an Inspection the next business day
0o vo la l
Electrical Permit Application
Date received: r'z,,4 �, Permit no,
City of Tigard project/appl no.: _ Expire date:
CityojTigard Address: 13125 SW Hall Blvd,Tigard,OR 97223 late issued: — By: Receiptno.:
Phone: (503) 639-4171
Frx: (503) 598-1960 Case file no.: Paymcnttype:
Land use approval:
.�1 &2 family dwelling or accessory U Commercial/industrial U Multi-family U T.;nant improvement
U New construction U ddition/alteration/replaccmcnl U Other:,_ U Partial
Job address: CA I,,Clr-, SVj I�U idk'•no, Suite no.: Tax map/tax lot/account no.:
Lot: I Block: Subdivision: --
Project name: I Description and location of work on premises: 1 t _ C_t Q_C "i
Estimated date of completion/inspection:
i
.lob no: i�(� vee Max
�1- — Description Qty. (ea.) 'total no.lnsp
Business name: New ren.idential-%ingleormuhi-family per
Address: dwellingunli.Includes attached Rm ale.
City: State: ZIP: _ Service included
Phone: Fax: E-mail: 1000 84.u.°'less
Each additional 500 sq.ft.or portion thereof
CCB no.: Elec.bus.lic.no: Limited energy.residential
City/metro tic.no.: _ Limited energy,non-residerlial
Each manufactured home or modular dwelling
Signature ofery
su isin electrician wired) Date Service and/or feeder _ 2
Sup.elect.name(print): I., e„ r.o„ Servlces orfeedera-Installation,
alteration
200 l _ —
200 amps or less _ 2
201 amps to 400 amps
Name(print): } — 2
401 amps tc 600 amps
Mailing address: - 601 amps to 1000 amps 2
City: fi ,Aic SlateC,P I ZIP: r' -7 a a.3 75ver 1000 amps or volts _ '-
Phone: _ -) i E'S Fax: I E-mail: Reconnect only I
Owner installation:The installation being made on property I own Temporary services or feeders-
Installatios,alteration,or reloentiow
which is not intended for sale,lease,rent,or exchange according to 200 amps or less 2
ORS 447,455,479,670,701. 201 amps to 400 amps _-- ---— 2
F- —-- --
Owner's si naturt!k ( � I?aIC: _i _ 401 to 600 ams 2
Branch circuli%-new,alteration,
or extension per panel:
Name: _ A. Fee for branch circuits with purchase of
—
Address: service or feeder fee,each branch circuit _ 2
City: Slate: 'LII': B. Fee for branch circuits without purchase
_ - - of service or feeder fee,first branch circuit _ 2
Phone: 1'a.0 E-mail: Each additional branch circuit:
mical Misc.(Service or feeder not Included):
U Service over 225 maps-commercial U Health-care facility Each pump or irrigation circle _
U Service over 320 amps-rating of 1&2 U Harnnfous location Each sign or outline lighting
family dwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel.
U System over 600 volts nominal more residential units in one structure alictO m,or extension•
O Building over three stories U Feeders,400 amps or more •Ikscrition:_ --
U Mcupant load over 99 persons U Manufacture l structures or RV park Inch additional Inspection over the allowable in any of the above:
U 1-gress/lightingplan U Other perins eclion _
Submit__sets of plans with any of the above. Investigation fee _
71ne above are not applicable,u temporary construction service, Other
Not all jurisdictions accept credit cards,please call jurisdiction for mPlan
ore information. Notice:This permit application it e................. ) $ JL4 5
U Visa U MasterCard expires if a permit is nal obtained Plan review(al __ 9F) $
Crcdlt card Bumlxr _ �_ _
�� L __ within 180 days after it has been Stoic surcharge(9%) ....$
Expires accepted as complete. TOTAL .......................$
Now
Naof cerdhoider u shown on c it c
S
- —--c'ardlmlder signature ---- Amount 410.4615(6MCOM)
ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES:
-- --- -- -----
Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY
pRestricted Energy Fee.................................................... $75 50
Number of Inspections per permit allowed (FOR ALL SYSTEMS)
Service included: Items Cost Total Check Type of Work Involved:
Residential•per unit
1000 sq ft or less _ $145 15 4 Audio and Stereo Systems'
Each additional 500 sq ft.or
portion thereof _ $3340 1 Buralar Alarm
Limited Energy $7500
Each Manufd Home or Modular r�
Dwelling Service or Feeder $90LJ
.90 — 7 Garage Door Opener'
Services or Feeders Healing,Ventilation and Air Conditioning System'
Installalicn,alteration,or relocation
200 amps or less $80.30 2
201 amps to 400 amps $106.85 2 F-1 Vacuum Systems'
401 amps to 600 amps $16060 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
Installation,alteration,or relocation Fee for each system.......................................................... $75.00
200 amps or less $6685 „ 2 (SEE OAR 918-260-2.60)
201 amps to 400 amps $100.30 2
401 amps to 600 amps $133.75 2 Check Type of Work Involved.
Over 600 amps to 1000 volts,
see"b"above. Audio and Stereo Systems
Branch Circuits
Nr.w,alteration or extension per panel Boiler Controls
a)The fee for branch circuits
with purchase of service or Clock Systems
reader fee.
Each branch circuit $665 __ 2 Data Telecommunication Installation
b)The fee for branch circuits
without purchase of service Fire Alarm Installation
or feeder fee. /
First branch circuit _ _ $46.85
Each additional branch circuit $6.65 HVAC
Miscellaneous instrumentation
(Service or feeder not included)
Each pump or Irrigation circle _ _ $53 40
.40 _ C� Intercom and Paging Systems
Each sign or outline lighting $5340
Signal circuit(s)or a limited energy
panel,alteration or extension $75.00 0 Landscape Irrigation Control'
Minor Labels(10) _ $125 00
Each additional Inspection over _ Medical
the allowable in any of the above
Per Inspection $62.50 Nurse Calls
Per hour $62.50
In Plant — $73.75 _- Outdoor Landscape Lighting'
Fees: [] Protecth,Signaling
Enter total of above fees $ _ F-1 Other
8%State Surcharge $ /___- Number of Systems
25%Plan Review Fee
See"Platt Review"section on $ No licenses are required Licenses art,required for all other installation
feint of application —
Fees:
Total Balance Due $ �,G WLi
Enter total of above fees
❑ Trust Account# _ 8%State Surcharge s_
Total Balance Due s All New Commercial Buildings require 2 sets of plans.
i:\dsts\f'orms\cic fees.doc 08/70/01
CITY OF TIGARDI 24-Hour
BUILDING Inspection Line: (503)639-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST —_—
BUP _
Received -__ —Da'a Requested— — '7 AM--__-_-.. PM ___ BUP
Location .__ ,s Suite.--- __-_rMEC
Contact Person _ Ph(—___—) _ PLM _
Contractor _. . — Ph( ) _— SWR —_
BUILDING -- -- Tenant/Owner 1 JL --;�� _ --T --_ ELC
Footing
Foundation - ELC
Access:
Ftg Drain
r---- ELR
Crawl Drainer----
Slabpe;tion Note�/� / SIT
Post&Beam "
Shear Anchors - ---
Ext Sheath/SheAr
Int Sheath/Shear - -
Framing ___ �- -----_--�
Insulation
Drywall Nailing __-
Firewall
Fire Sprinkler ----.-- -- - -
Fire Alarm
Susp'd Ceiling 1 - --- -- -
Root
Other: --- ---- - — -- --
Final
PASS PART FAIL -
PLUMBINGr----_. _._.-
Post&Beam N�k ``�► 1 —
Under Siab ��' - m
Rough 'n
Water Service \rQ .1 �� r)1
Sanitary Sewer
Rain Drains -- _-
Catch Basin/Manhole
Storm Drain --- - - - --
Shower Pan
Other: ---
Final
—
_PASS_PART _FALL_ _
_MECH_ANICAL —
Post& E:am
Rough-In
Gas Line -
Smoke Dampers — - --
Final
PASS PART FAIL -- - -- -- - —
ELECTRICAL
Service __� ------ -------- --- - -
Rough-In
UG/Slab
Low Voltage -.-- _-- __..-- ---__ -_----_�_- --- --
�►I�rm
FLAS!�i
LlReinspection fee of$. required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
) PARI FAIL
SITE - Please call for reinspection RE:-_ �� Unable to inspect-no access
Fire Supply Line 1
ADA
Approach/Sidewalk Date
_(
Ext
Other
Final DO NOT REMOVE this Inspection rec:oird from the Job site.
PASS PART FAIL