6620 SW VENTURA PLACE 6F,?0 Sl."' 'Jentura fllace
1
CITYLAITY OF ! 1GARD ELECTRICAL PERMIT
PERMIT #: ELC2002-00589
' DEVELOPMENT SERVICES DATE ISSUED: 1117/02
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S125DD-01300
SITE ADDRESS: 06620 SW VENTURA PL ZONING: R-4.5
SUBDIVISION:
BLOCK: LOT : 033 JURISDICTION: TI
Project Description: Branch circuit to hot tub.
_ RESIDENTIAL UNIT s TEMP SRVCIFEEDERS - ^` MISCELLANEOUS_
1000 SF OR LESS: — 0 - 200 amp: PUMPIIRRIGATIOW
EACH ADO'L 500SF: _01 - 400 amp: SIGNIOUT LINE LTG:
LIMITED ENERG": 401 - 600 ainp: SIGNALJPANEL.
MANF HMI SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICEIFEEDFR - BRANCH CIRCUITS J -_- ADD'L INSPECTIONS
0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st WI!)SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
- -._.____ _ --�
1000+amp/volt. � — >=4 RES UNITS: >600 VOLT NOMINAL:
Reconnect only: SVC/FDR>=225 AMPS: _,- CLASS AREAISPEC OCC:
Owner: Contractor:
SHELL,CARL J+AMY L C.l CONNER
6620 SVS VENTURA PL 3755 SE 150TH AVE.
'TIGARD,OR 97223 PORTLAND,OR 97236
Phone: Phone: 503-515-1097
Reg#: ELE 26-1134
_ FEE_S_ _ — ---- _---
Descriptionl� Date- Amount _ Required Inspections _
J1:1 IIRMTJ ELC krnvt $46'85 Rough-in —i- -
I:�SJ K state Tar I 1 7.u? $3.75 Flecfl Final
Total $50.60
This Permit Is Issued subject to the regulations contained in the Tigard Municipal Code,State of OR.Specialty Codes aryl all other applicable lows. f II
work will be done in accordance with epproved plans. This permitwill expire if work is not started within 180 days of issuance,or if mr suspeod
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oreeggon Utillty otification - o e ru s are
forth in OAR 952-001-0010 through OAR 952-001-0100. You may obtain copies of these rules(of dfru'C_ es s to OU at,103) 95 9 or
-
1-800 32-2344. \ C
Issued By: .�� c t .y( _ �_ �t _ Pormit Signature`.k
OWNER INSTALLATION ONLY
the installation is being made on proporty I own which is not intended for sale, lease, or rent.
OWN'ER'S SIGNATURE: _.. _—_ — DATE:—
CONTRACTOR
ATE:CONTRACTOR INSTALLATION ONLY
J
SIGNATURE OF SUPR. ELEC'N: __. A Lti - ' C� f L _ DATE: _
LICENSE NO: — -- --- — ------- ------ - _—
Call 639-4175 by 7:00pm for an inspection the next business day
Metrical Permit Application
Date received:i 1 _O Z Permit no.: /G
City Of Tigard Project/appl.no.. Expire date:
Citvu(Tigard Address: 13125 SW Hall Blvd,Tigard Of 7223 Date issued: Bye i Receiptno.-
Phone: (503) 639-4171 -
Fax: (503) 598-1960 / Case file no.: Payment type:
Land use approval:
1
1 &2 family dwelling cr accessory U Commercial/industrial U Multi-family U Tenant improvement
U New construction U Addition/ellcration/rcpl,u cmcnl U Other: _ U Partial
JOB SITE INFORMATION
Job address: Q no.: SU lie It().: Tax Wrap/tax lodaccount no.:
-Lot: 131ctck: Suhdivision:
Project name: Description and location of work on premises:Fjj7r "m'g'r—Z 1=t'ri C
-
[;stintated elate of contple(ion/inspection 7 _ --
" ON FEE SCHEDULE
Job no: rte nta�
Business name: Description (Jty. (ea.) 'Iola) no.Insp
1lr New residential-single or multi-family per
Address: I` dwelling unit.Includes attacher)gnrage.
City: State ZIP: p %erviceincluded:
Phone ' 1 nr. mail' -- IMY)sq.It.or less _ _ a
- — � Rach additional 5(x)sy It.or portion Ihercof _
CCB no.: ,lec.bus. ic.no: —
Limitedencrg ,rrsjdcnunl 2
r 1 lie.no.
Limited energy,non-residcnlial 2
Each manufactured home or modular dwelling
S-Ig na re ofsuperyisin ccncia,(rc uircd) I c Service and/or feeder _—_ 2
Sup.elect.name(print) r icensemr2"z Services or feeders-Installation,
alteration or relocation:
2(10 amps or less 2
7Name(print): 201 amps to 400 amps 2
li
401 amps to 600 amps _ 2
iling address: Q 601 amps to 1000 amps 2
Stale' ZIPover 1000 amps or volts 2
one. l:-mail: Rea ,cctotdyvner installation:The in v a of Tempnraryservlcesorfeedero-
I i"S'f1Zer4 _ �, C tt�`' InNallNlon,alteration,orrelocation:
ex
417.
2(11)amps or less 2
ORS 411;tT/ (1.Zf�1. -- 2111 aup�h,al 111,unps 2
O vner's si+nal _ Date: F401 to 600 amps
Branch circuits-new,alteration,
_ or extension per panel:
NaMe: _- A Fee for branch circuits with purchase of
A service or feeder fee,each branch circuit 2
City: - "br; R. Fee for branch circuits without purchase
of service or feeder fee,first branch circuit NG 2
Phone: ax F.-tiiati: Bach additional branch circuit:
Mbc,(service orfeedernotlnclu e :
UServicco nips-c«nnni-rcial UIIcidtlrWwcfacihty Each pump or irrigation circle 2
OScr ov 32LLangnFyaTin) ++I � Each sign or outline I ighting 2
issblot ydwcllings U Building over l0.lxx1 square feet fou or Signal circuit(s)or it limited energy panel.
U systen Volts pununal more reside a operation,or extension• Wyoffbove-:
- 2_
mri
Qoverthrecsu, cs Tet ets 4W am . ormore •Itescrrpuuu
kcupant load over+ Maaufacturcd structures or i tom"' Each additional Inspection over the allowable In
UEgress/' f _.. )](inter' __ - Perinspectior `
Sub Wit. Laps w t anf-01 brafsuM Invettilia0un fee
pp cable to temporary conxtntction ser' e. Other
all jut1wicilons accept credit canto,please call jurisdiction for mese innmaoon.rcNotice:•lilis permit application Permit fee.....................$ `t'`
of
_
U Visa U MasteWard expires if a permit is not obtained Plan review(at — %) $
Credit card number __ � —L�— within 190 days after it has been State surcharge(8%)....$
Expires accepted as complete. TOTAL . $
Nairn of cu$iolder u shown on Vv ill cud
Cardholder signature Amount 4404615 WXYCOM)
ELECTRICAL PERMIT FEES: LIMITED ENERGY PERM!T FEES:
-- —�—�Y TYPE OF WORK INVOLVED -RESIDENTIAL ONLY
Complete Fee Schedule Below: Restricted Energy Fee...................................................... $75.00
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 —_ T $145,15 _ 4 Audio and Stereo Systems'
Each additional 500 sq.ft.or
portion thereof $33.40 _ 1 Burglar Alarm
Limited Energy $75.00
Each Manufd Home or Modular Garage Door Opener'
Dwelling Service or Feeder _ $90.90 2
Services or Feeders j Heating,Ventilation and Air Conditioning System'
Installation,alteration,or relocation
200 amps or less $80.30 2 Vacj tum Systems'
201 amps to 400 amps $106.85 2
401 amps to 600 amps $160.60_ 2
601 amps to 1000 snips $240.60 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
Tempalteration,or relocation Fee for each system.......................................................... $75.00
Installation,
200 amps or less $66.85_ _ 1 (SEE OAR 918-260-260)
201 amps to 400 amps $100.:10 Check Type of Work Involved:
401 amps to 600 amps _ $133.75 i z yP
Over 600 amps to 1000 volts, Audio and Stereo Systems
see"b"above.
Branch Circuits Boller Controls
New.alteration or extension per panel
a)The fee for branch circuits Clock Systems
with purchase of service or
feeder lee. — ❑
Each branch circuit $8.65 Data Telecommunication Installation
b)The fee for branch circuits
without purchase of service
Fire Alarm Installation
or feeder fee.
First branch circuit $46.85 HVAC
Each additional branch circuit —��— $6.65� ►.
Miscellaneous Instrumentation
(Service or feeder not Included)
Each pump or Irrigation circle , $53.40_ U Intercom and Paging Systems
Each sign or outline lighting $53.40
Signal circuit(s)or a limited energy 00 El Landscape Irrigation Control'
panel,alteration or extension $$25.00
Minor Labels(10) O
Medical
Each additional Inspection over
the allowable In any of the above F-1NurseCalls
Per Inspection _ $82.50
Per hour — $62.50
In Plant $73.75� __ Outdoor Landscape Lighting*
Fees:- r c+_ Protective Signaling
Enter total of a',uvo fees $ ' Other —
e%SI ate surcharge $ ___L��= __ Number of Systems
25%Plan Review Fee No licenses are required Licenses are required for all oti:er Installations
See"Plan Review"section on $ --
front of application
Fees:
Total Balance Due $ .0___
Enter total of abovr, fres 5
LJ Trust Account N 6%State Surcharge f
Total Ralance Due
All New Commercial Buildings require 2 sets of plans.
i:\dsts\fomts\elc-feesAoc 08/30/01
CITY 1 )F TIGARD 24-Hour
n -ILDING Inspection Line: (503)539-4175
INSPECTION DIVISION Business Line: (503)639-4171 MST
BUP _
Received Date Requ ted �� — AM_._ PM BUP
Location 20q4VIA-- �- _Suite MEC
Contact Person Ph(_ ) 5/S—l d �7 PLM _.
Contractor .__ Ph(__ ) _ SWR o
BUILDING _ lenant/Owner _ ELC �o
Footing
Foundation Access: ELC
Ftg Drain ELR -
Crawl Drain ---
Slab Inspection Notes: 2 : Q O SIT _--
Post&Beam o o CJ
Shear Anchors —
Ext Sheath/Shear
Int Sheath/Shear ----' —_--
Framing
Insulation --
Drywall Nailing ------
Firewall
----Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling -- -------—--- - -- -
Roof
Other:._—.-- ----
Final
PASS PART_ FAIL - - ------ -- - - - -- _ -
PLUMBING
Post8 Beam -----------_..--------- . ------- --- --- ------
Under Slab ------- --- - ----- —— - -- - - a_
Rough-In
Water Service
Sanitary Sewer
Rain Drains -- ----- - ----- -- --
Catch Basin/Manhole
Storm Drain
Shower Pan
Other: --
Final
PASS PART_ FAIL
NI _—_—.----- ---- - --
MECHACAL —
Post& Beam --- R
Rough-In
Gas Line
Smoke Dampers
Fina!
PASS PARTL.
FAI
ELECTRICAL__
Service
Rough-In
UG/Slab - —
Low Voltage
Fire Alarm
PART FAIL 1:1Reinspection fee of$_____ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
[1931111116SITE ❑ Please call fur reinspection RE: _ Unable to inspect--no access
Fire Supply Line
ADA
Approach/Sidewalk Dots---+LL-�,��— Inspector. __
Other: --- ---_-------
Final DO NOT REMOVE this Inspection record from the job site.
PASS PART FAIL