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8775 SW OAK ST
CITY O TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT Ms ELC:98-0233
13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4111 DATE ISSUED: 0S/0E,/9A
PARCEL: 1S135AA-03702
SITE ADDRESS. . . :08775 SW OAK ST
SUBDIVISION. . . . :ASHBROOK FAPM ZONING:R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . ;012 JURISDICTION: TIG
Pro.j e ct De s cr i pt i o n: INSTALLATION OF 2/9 AMPS OR l ' 9ERYICE, AND OIE 900
CIRCUIT W/TMD ADDI1100- BRANCH CIRCUITS TO SINBLE FAMILY RESIDEIE
--_-----------------------------——--------------------------------------------------
---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS----- -----MISCELLANEOUS--------
1000 E1= OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . 1 0
EACH ADD' L_ 5O0SF. . . : 0 201 — 400 amp. . . . . . . : 0 SIGN/OUT LINE LTO. . s 0
LIMITED ENERGY. . . . . : 0 401 — 600 amp. . . . . . . : 0 SIGNgL/PANEL. . . . . . . a 0
MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . s 0
—----SERV I CE/FEF-DE R----- - ---B 17ANCH CIRCUITS------ ---ADD' L INSPECTIONS---
0
NSPECTIONS---
0 — 200 amp. . . . . . s i W/SERVICE OR FEELERS 0 PER INSPECTION. . . . . a 0
201 — 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0
401. - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 2 IN PLANT. . . . . . . . . . . 1 0
601 — 1000 amp. . . . . s 0 -------------------PLAN REVIEW SECTION-----------------
1000+
ECTION-----------------
1000+ amp/volt. . . . . : 0 >=4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . s
Reconnect only. . . . . a 0 SVC/FDR )= 225 AMPS. . e CLASS AREA/SPEC OCC. :
Owner: --------------------------------------------------- ;-7U-9 ---_----- -------
RANDY CULLINAN type Amount by date recpt
8775 SW OAK STREET PRMT $ 105. 00 DLH 05/06/98 98-305546
TIGARD Of? 97223 SPCT 9 5. 25 DLH 05/06/98 98-305546
Phone A:
Contractors ----•------------------------
H & R ELECTRIC INC $ 110. 25 TOTAL
4130 SW 117TH
STE 441 - ----- REQUIRED INSPECTIONS -----
BEAVERTON OR 97045 Rough—in Elect' l Final
Phone #: 642-4161 Elect' l Service
Reg #. . : 000700
This pereit is issued subject to the regulations contained in the Tigard Municipal Cade, State of Oregon Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This perait will expire if work is not started within IN
days of issuance, or if worN is suspended for more than 199 days. ATIENTIONs Oregon las requires you to follow the rules adopted by
Cie Oregon Utility Notification Center. Those rules arm et forth in OAR 952-01-MI through OAR 952,01-1987. You may obtain a copy
of these rules or dirert questions to by Catliu
12461987.A. Permittee Signature: !" " Issued Bys � 7 �--7lZCl� _
OC
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----------------------.—_._.__—OWNER INSTALLATION ONLY-----------------------------
The installation is being made on property I own which is not intended for
sale, .lease, or rent.
(� OWNER' S SIGNATURE: DATES
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---- - - ---_ ------------CONTRACTOR INSTALLATION ONLY----------------------------
SIGNATURE
---•-----------------------SIGNATURE OF SUPR. ELECT' N s '� _ DATE sF �_ ____
LICENSE NO:
+++++++++++++++++++++++++++++*++++++++++++++++++++++++++++.4•+++f++++++.F+++++++++
Call 639-4175 by 7:00 p. ■. for an inspection needed the next business day
+++++++++++++++++++++++++++++++++++++++++++++++++++fi.++++++++++++++.+++++++++++
CITY OF TIGARD Electrical Permit Application Plan Ctwk$1
13125 SW HALL BLVD. Recd By- -� �`
Date Redd -5
TIGARD OR 97223
Date to P.E.
Phone(593)639-4171, x304 Print or or Typ9 Date to DST
Inspection (503)639-4175 Permit sr L ,r"76P-0-93.3
Fax(503)684-7297 Incomplete or illegible will not be accepted called!--_-- _
1. Job Address: / 4. Complete Fee Schedule Below:
Name of DevelopmentA,4l �` Qx -_v Number of Inspections par permit allowed
Name(or name of business) P,%Vi `U I-L1(y A b Service included: Items Cost Sum
Address �� 4e• gsaldentlat-per unit
'0)0 sq.;t.or less $110.00 _ _ 4
City/State/Zip /� L�)�'� �7L Each addotiunal 500 sq.ft.or
Commercial❑ Residential portion thereof $25.00 __ 1
Limited Energy $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feeder $88.00 2
2a. Contractor Installation only:
(Attach copy of @It current Ilp;enses) 4b.Sarvlces or readers
Electrical tractor L"( t C ( Installation,alteration.of relocation �.v
200 amps or les$. _.L sso.00 _ .�- 2
Addr ss 201 amps to 400 amps $60.00 - 2
Cary Sate -ul", p 401 amps to 600 amps - $120.00 __ 2
Phone No. k 601 amps to 1000 amps $160.00 2
- Over 1000 amps or volts $340.00 2
Job NO.
Elec.Cont.Lice.No. Exp.Date- Reconnect only $50.00 2
OR State CCB Reg.No._ _Exp.Date _ 4c.Temporary Services or;seders
COT Business Tax or Met No. Exp.Date Installation,alteration,or relocation
/ , 200 amps of leas $50.00 2
Signature of Supr.Elec'n �,q i1 A )Q 1�i 201 amps to 400 amps � $100.$75.00 _��� 2
�- 401 amps to 800 amps _- 5100.00 2
Over 600 amps to 1000 volts,
License No. --Exp.Date��_ as"b"above.
Phone No. - 4d.Branch Circuits
New,alteration or extension per panel
2b. For owner installations: a)The frre for branch circuits with
purchase of service or
Plant Owner's Name_ _ feeder ha.
Address _ Each branch circuit $5.00 - 2
h)The fee for branch circuits
CityState Zip without purchase of
Phone No. service or feeder►ee.
First branch circuit 535.00 3 3 2
The installation is being made on propWrty I own which is not Each additional branch circult
$s.00 _ 2
intended for sale,lease or rent. 4e.Miscellaneous
(Service or feeder not Included)
Owner's Signature_ - Each pump or Irrigation circle �- $40.00 2
Each sign or outline lighting $40.00 --- 2
3. Plan Review section(i/required):' Signal circult(s)or a limited energy
$40panel,alteration or extension • -- - 2
Minor Labels(10) $100.00 --•-
Please check appropriate Item and enter fee in section 5B.
4 or mora 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 norral Per inspection, $35.00
;o
Classified area or structure c rirtaining special occupancy Per hour $65.00
m as described In N.E.C.Chapter 5 In Plant $55.00
uj *Submit 2 sets of plans with application where any of the above apply. 5• Fees: O�
Not required for temporary construction,enricas. 5a.Enter total of stove fees $
5%Surcharge(.05 X total fees) $ - -
NOTICE Subtotal ___--
5b.Enter 25%of line sa for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if-r-filed(Sec.3) -NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK SubtafalIS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED ❑ t►ba Account it
To'el balance Due $
110STSTLC96 APP Rev 9188
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CITY OF TIGARD BUILDING INSPECTION DIVISION � � 12
24-Hour Inspection Line: 1394175 Business Phone:6394171 (,q? .
I)ete Requested. �1 A.M. P.M,� MST:
Location: L11 .�_ ��-�—k BUPY---
Tenant:_ _ — _ Suite..--Bldg: _ __ MEC:
Contractor: Phone: _ _ PLM: _
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Owner: / PPh�onnee: ELC:
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BUILDING BLDG(const) �PL ING ME CAL ELECIVICAL SITE
Site Poat/Bftm Post/Beam Post/Ilerm Cover/Service Sewer/Storm
Footing Roof t7ndF1/Slab Rough-In Ceiling Water Line
Slab Framing Top out Gas Linc Rough-In U0 Sprinkler
Foundation Insulation Sewer Hood/Ihrct Reconnect Vault
Hsmt Damp Drywall Storm Furnace Temp Serv?.:e It 1qC
Masonry Ceiling Rain Drain A/C IKl Slab
Shear/S!,..,ath Fire Spklr/Alm Cmwl/Found N I lent Pump 14rwY6k_ :a -
Approved Approved Approved Appm �— Approved
EAp:p,/rS-dwlk Not Approved Not Approved Not Approved ?ir i;E-VixI Not Approved
FINAL FINAL FINAL MAI. FINAL
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L7 Call for rein tifffM Reinspection) fee of', required before nnex�tyinspec-tion r_1 IJnable to inspect
Inspector: (lel � ----J� •�--- Date: of_ _�„