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9790 5W COOK COURT
CITY OF TIGARD BUILDING INSPECTION DIVISION
24-1-Iour Inspection Linc: 639-4175 Business Phonc. 6394171
Date Requested: �) z_- __--- --- A.M. P.M. MST:
l.ocation: BUR
Tenant:v -- Suitc:, Bldg: __--- MEC:
Contractor 6j, +Q � _—_- _-_ - Phone: _ - - -71 PLM: ---
Owner: Phone: ELC: d �
ELR:
SIT:
BUILDING BLDG(con't) PLUMBING _ MECHANICAL — ELECTIUCA SITE
Site Post/Beam Post/Beatn PostMeatnover/Service Sewer/Storm
Footing Roof UndFVSlab Rough-ht Ceiling s Wal,--r line
Slab Framing Top Out Gas I.ine Rough4n 116 Spnnkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Datnp Drywall Storm Furnace Temp Service MISC.
Masoluy Ceiling Rain Drain A/C UG Slab
Shear/Sheath Fire SpkIr/Alm Crawl/Found Dr heat Pump Low Volt
Approved Approved Approved ov Approved
Appr/Sdwlk Not Approved Not Approved Not Approved of Approved Not Approved
FINAL FINAL FINAL AL FINAL,
44,&-- - -- _
"1('11111,0 reinSlr;0ti pit ❑Reinspection fee of'S___,--_ required before next inspection 0 Unable to inspect
of--
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CITY CIF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT
PERMIT #: EL C98-028;
)IN&7,2041ft 13125 SW Hall Blvd., Tigard,OR 97223 (503)639.4171 DATF ISSUED: 05/28/98
PPRCEL: 2SI14BA-07100
SITE ADDRESS. . . :09790 SW COOK CT
SUBDIVISION. . . . %COPPER CREEK ZCfNING:R--4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :013 JURISDICTION: TIG
Pro j ect Description: Installation of I branch circuit.
---------------------------------------------------------------------------------------
UNIT----- ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS----
1000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 PUMP/IRRIGAT;ON. . . . : 0
EACH ADDIL 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----- ----ADDIL INSPECTIONS—,
0 — 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECT TON. . . . . : 0
201 — 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : 0
401 — 600 amp. . . . . . : 0 EA ADDIL BRNCH CIRC: 0 11\1 PLANT. . . . . . . . . . : 0
601 — 1000 amp. . . . . : 0 ------- ---- -------PLAN REVIEW SECTION---------------.-.
1000+•
N----------------
10004- amp/volt. . . . . : 0 )=4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . -
Reconnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: FEES ---_----------_-._.
TOM WIDDOWS type aMOUnt by date reept
9790 SW COOK CT PRMT $ 35. 00 DEB 05/28/98 98-306e87
TIGARD OR 97223 5PCT $ 1. 75 DEB 05/28/98 SB-3060h7
Phone #:
Lontract or-.-
WILLAMETTE. ELECTRIC INC $ 36. 75 TOTHL
PO BOX 230547
------- REQUIRED INSPECTIONS
1IGARD OR 97281 Romgh- in Elect' l Final
Phone #: 624-3631 Elect' ] Service
Reg #. . : 000750
This persit is issued subject to the reyulations contained in 'he Tigard Municipal Code, State nf Oregon Specialty Codes and all other
applicable laws. All work will be done in accordance with approved clans. This persit will expire if work is not started within 180
days of issuance, or if work is suspended for sore than 189 days. ATTENTION: Oregon law requires you to follow the rules adopted by
the Ortgor, Utility Notification Center. Those rules are set forth in OAR %2-01-010 thr BAR 952-*1-1987. You say obtain i copy
of these rules or direct questions to OUNC by calling 60246-1987.
Permittee Signature: Issi-ted B
----------------------- INSTALLATION ONLY---------__----__—_____ ---
The installation is being made an property I own which is not intended for
sale, lease, or rent.
OWNER' S SIGNATURE- DATE-
----------------------------CONTRACTOR INSTALLATION ONLY—_—_---_—.____—_----------_
i
S I GNATURE
NLY---------------------------
SIGNATURE OF SUPR. ELECIN: DATE:
LICENSE NO:
4.......*........................I............. .....................r...... 4 4-+4
Call 639--41.75 by 7:00 p. m. for an inspection needed the next bkASi.less day
....4-4...................4-++4................... ..................... .......#-+++
CITY OF TIGARD Electrical Permit Application Plan Check,*-,
13125 SW HALL BLVD. �VCr'j Recd By k1�
TIGARD OR 97223 Date Rec'd
Date to P.E.
Phone (503)639-4171, x304 Print or Type Date to DST ~
Inspection (503) 639-4175 Permit# C
Fax (503) 684-7297 Incomplete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule :Below.
Name of Development Number of Inspections per permit allowed
Name(or name of business) T.\,,, tw1 it Service Included: Items Cost Sum
Address c1 `( � �� :1rS l< C f __ 4s. Residential-pet unit
City/State/zip if A,2 0 O,1 r � 1000 sq.ft or less $110.00 _ 4
� T __� Each additional 500 sq.ft.or
r�aa portion thereof $25.00 1
Commercial Residential tL� Limited Energy $25.00
Each Manut'd Home or Modular
Dwelling Service or Feeder $66.00 2
2a. Contractor installs.+ion only: -
(Arach copy of sli current licenses) 4b.Services or Feeders
Electrical Contractor Installation,alteration,or relocatlon
lw , il.�,.� .� r �/��rN,� /.�c
Address T�'�--/,__ 2 Zi.ter 200 amps or less s $60.00 2
> >. 201 amps to 400 amps $gp,pp
City t�� -State 11 ZIp_�? >t Z� I 401 amps to 600 amps $120.00 p
Phone No.T..Z4 Zb t 1 _ 601 amps to 1000 amps $160.00 2
Job No. &s(1 Over 1000 amps or volts a $340.00 2
Elec.Cont. Lice. No._t 44-2�<_ Exp-Date�e-/ ~`i ef" Reconnect only $50,00 2
OR State CCB Reg. No.__ 2 S-0 Szr Exp.Date_ 7-4-99 4c.Temporary services or I"esders
COT Business Tax or Metro No. I )-XL Exp.Daie d-i `i d' Installation,alteration,o,relocation
200 amps or less $5f'00 2
Signature of Supr. Elec'n___,/J1/_,_ 201 amps to 400 amps $75.00 2
401 amps to 60n amps $100.00 2
OVer E^0 drops to 1000 volts,
License Nr &4 S`- S _ Exp.Date e a 1 : 2A-_ sne"b'above.
Phone N( I u • Z r t i _ - 4d.Branch Ciro ills
New,alteration or extension per panel
2b. for owner Installations: a)The fee lot branch circuits with
purchase of service or
Print Owner's Name_ _ _ feeder fee.
Address_ _- V Each branch circuit $5.00 2
-- b)The fee for branch ciradts
City _ State_ Zip without urchase of
Phone No. service or feeder fee.
First branch circuit $35.00 ? 2
The installation is being made on property I own which is not Each additional branch cit !It i $5.00 �. 2
intended for sale,lease or rent. 4e.Miscellaneous
Owner's Signature _ tce or oedle)Eahpump Irrigation circ $40.00
Each sign or outline lighting _ $40.00 _ 2
3. Plan Review section (if required):* Signal circuit(s)or a limited energy
panel,alteration or extension $40.00 2
Please check appropriate Item and enter fee in section 5B. Minor Labels(10) $100.00-`
4 or more residential units In one structure 4f.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 $35.00
_ CIasslfiGd 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. 5e.Enter total of abo.e fees $
5%Surcharge(05 X total tees) $
NOTICE Subtotal $
5b.Enter 250%of line 59 for
PERMITS BECOME VOID IF WORK OR CONSTRUcriON AUTHORIZED IS Plan Review If reggired(Sec.3) $
NOT COMMENCED WITHIN 180 DAYS,OR IF CONSYRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Trust Account a
Total balance Due `
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