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9225 SW 70TH AVENUE-1 N a D ro c c� 9225 SW 70"' Avenue CITY ��� �� ������ ELECTRICAL PERMIT \\ PERMIT#: ELC2002-00239 DEVELOPMENT SERVICES DATE ISSUED: 5/29/02 1312.5 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S125DB-00700 SITE ADDRESS: 09225 SVV 70TH AVE SUBDIVISION: SHADY t: ELL ZONING: R-4.5 BLOCK: LOT : 007 JURISDICTION: TIG Proiect Description: Service change 200 amp, 1 branch circuit. _ RESIDENTIAL UNIT TEMP SRV_C/FEEDERS —_ MISCELLANEOUS 1000 SF OR LESS: 0200 amp: PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OU I LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANE HM/SVC!FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 1 W/SERVICE OR FEEDER: 1 PER INSPECTIC.N: 201 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: _ PLAN REVIEW SECTION 1000+ amplvolt: >=a RES UNIT:: v— > 600 VOLT NOMINAL: Reconnect only: — SVC/FDR >=225 AWIPS: CLASS AREA/SPEC OCC: Owner: Contractor: BRAMMER, JAMES H JR + IDA M DICKINSONS ELECTRIC 9225 SW 70TH 8449 SW BARBUR BLVD TIGARD, OR 97223 PORTLAND,OR 97217 Phone: Phone: 246-3550 Reg #: LIC 65534 SUP 3100S ELE 26-140C FEES Required Inspections�i _ Type By — Dace Amount Receipt Rough-in PRMT CTR 5/29/02 $86.95 2720020000( Wall Cover EIPct'I Service 5PCT CTR 5/29!02 $6.95 2720020000( Elf,ct'I Final --�� `total $93.90 This Permit is issued subj ct to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws. All work will be done In accordance with approved plans. This permit will expire H work is not started within 180 days of issuance,or if work Is suspendRd for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 9522-00001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions to Permit Signature` Issued By: OWNER INSTALLATION ONLY _ The instal'otion is being made on property I own which is not intended for sale, lease, or rent. OWNER') SIGNA PURE: ____ _—_ DATE:_.__ -.. CnNTR' AC TOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: � � _f _ �— DATE: LICENSE NO: _ - Call 639-4175 by 7:00pm for an inspection the next business day CCITY�� ®� ������ ELECTRICAL PERMIT I PERMIT#: ELC2002-00239 ®EVELOPMEN1 SERVICES DATE ISSUED: 5/29/02 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171 PARCEL.: 1 S 125DB-00700 SITE ADDRESS: 09225 SW 70TH AVE SUBDIVISION: SHADY DELL ZONING: P.-4.5 BLOCK: LAT : 007 JURISDICTION: TIG Proiect Description: Service change 200 amp, 1 branch circuit. FRESIDENTIALUNIT TEMPSRVC/FEEDERS MISCE'. -ANEOUS 1000 SF OR LESS: —0 200 amp: �— PUMP!IRRIGATION: EACH ADD'L 500SF: 201 400 ainp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL./PANEL.: MANF HM/ SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (101: SERVICE/FEEDER —� BRANCH CIRCUITS _ADD'L INSPECTIONS 0 200 amp: 1 W/SERVICE OR FEEDER: 1 V PER INSPE(,TION: 201 - 400 ars.;-: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLA_N REVIEW SECTION 1000+ amolvolt: — >=4 RES UNITS: — > 600 VOLT NOMINAL: — Reconnect only: SVC/FDR >= 225 AMPS:_— _ CLASS AREA/SPEC OCC: Owner: Contractor: BRAMMER, JAMES H JR + IDA M DICKINSONS ELECTRIC 9225 SW 70TH 8449 SW BARBUR BLVD TIGARD, OR 97223 PORTLAND,OR 97217 Phone: Phone: 246-3550 Reg#: LIC 65534 SUP 3100S ELE 26-140C FEES Required Inspections Type By D.,to Amount Receipt Rough-in PRM T CTR 5/29/02 $86.95 2720020000( Wall Cover Elecl'I Service `'iPCT 'TR 5/29/02 $6.95 2720020000( F_lect'I Final Total $93.90 This Permit is issued subject to the regulations contained In the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire 9 work is not started within 180 days of Issuance,or if work is suspended for more than 180 days. ATTENTION- Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules or direct questions In '�7 r t r. Permit Signaturerx e"l .� Issued By: 1 c ^ov OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: — DATE: --_ CONTR T R INSTALLATION )NLY -- ---- ---- � 4� _ ----- --- - --- SIGNATURE OF SUPR. ELEC'N:, DATE:- ,- ,.�C_ _ e� — ____---- LICENSE NO: i_=1— >, -- ----- ------ ----- - -- -- - - Call 639-4175 by 7:00pm for an Inspection the next business day Electrical Permit Application �— Datereceived:s•a Pcrmitn0. -LC.�O6, GGt 3� City of Tigard Project/appl.no.: Expire date: Address: 13125 SW Hall Blvd,,ri Bard,OR '.•7223 CityojTigard � Date issued: By: - Receiptno.: Phone: (503) 639-4171 Fax: (503)598-1960 '' Case file no.: Payment type: Land use approval: TYPE OF PERMIT "1 &2 family dwelling or accessory U Commercial/indust ial U Multi-family U Tenant improvement U New construction U Addition/alteration/replacement O Other: _ U Partial JOBSITE IN FORMATION Job address: YB 1 7 Bldg.no.: Suite no.: Tax map/tax lot/account no.: Lot: lock: Subdivision: _ Project nrtmc: Description and location of work on premises: uetl~- Gstirnated date of conlpletion/inspcclion: 111111"DULL Job no: Pm Mav 13451neSS name: [S IN-wription Qf). (ca.) total nn.insp �� Nen rrsidential-shigir or multi-famih Ia•r Address: C 4-111 (,a �� L dnrllinennil.lnrlmb�attarim-dgatat;r. City: q .i Stawe)/1 ZIP: 9 Se"iceincluded: Phone 4/6 3S'S'u I Fax:;/3- E-mail: I(xx)sq.ft.orle, -_- - - —4 Each additional 500 ay.It.or portion thetcol CCA no.: a-S 3 C Glee.hos.lie.no: A � ` �/UC. Limited energy,residential _ _ 2 City/metro lie.no.: Limited energy,non-residential _ _ 2 Bach manufactured home or modular dv.elling ` Service and/or feeder 2 Signature of el r j ��- 5up.elect.name(print): > G' C ! License no:�/( Services or feeders-Installation. ■hcnllnn or relocation: 2lx)amps or Icaa 2 7� 201 amps to 400 amps 2 Name(print): i t/ _ , 401 amps to 600 amps Mailing address: 1 601 amps to IM)a"s __ 2 City: St C: ZIP: Over IWO amps or's.Its i 2 Phone: Fax: E-mail: Reconnect only I Owner installation:The installation is being made on property I own Temporary services orfeeden- which is not inteuaed for sale,lease,rent,or exchange according to Installation,alteration,orrelocation: 2amps less 2 ORS 447,455,479,670. 701. _ 20011 amps to 4(x)amps Owner's signature: Date: _ 401 to 600 nm p s 2 Branch circuits-ne".alteration, or extension per panel: ;AdZ,es11: a : A. Fee for branch circuits with purchase ofservice ur feeder fee,cacti branch circuitity: Slate: 7.IP: B. Fee for branch circuits without purchase of service or feeder fee,first branch circuit: 2hone: Fax: E-mail: Each edditicnol branch circuit: 1lt e.(Service or feeder not Included): Service over 225 amps-commercial U Health-rarefacilityEach pum or im anon circlService over320amps-rating of 1U U Hazardous location Each sign oroutlinelighting familydwellings U Building over 10,M)square feet Cour of Signal circuit(s)or a limited energy panel, U System over 600 voles nominal more residential units In me structure alteration,or extension* _ U Building over three stories U Feeders,400 amps or more •Ikscri tion: tr U occupant load river 99 pencils U Manufactured sit or RV park tach additional Inspection over the allowable In any of the above: U Egress/lightrngplan U other —�- Submit__sets of plan+with any of the above. Investigation fee ^ The above are not applicable to temporary conslruclion service. Other Not rill)udrdictiom accept credit cants,please call JuNsdicrion Im more infonrunan. Notice:This permit application Permit fee...................) $ ' U Visa U MasterCard expires 11'a permit is not ohlaincd Plan review(al ! %) 1s �_ cmd1i card number within ISO days tiller it has been State Surcharge(R%)....$ pres accepted ea complete. x — TOTAL .......................$ � Nrme of cer�al�erisihown on ere It�� crd Cudholdei si jnil rm Amount 404613(&MCOM) ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: --— ----- --" -- TYPE OF WORK INVOLVED -RESIDENTIAL ONLY Complete Fee Schedule Below: Restricted Energy Fee...................................................... $75,00Number of Inspections per permit al:owed)I (FOR ALL SYSTEMS) Service included: Items Cost Total y Check Type of Work Involved: Residential per unit 1000 sq.ft.or less $145 15 ,1 u Audio and Stereo Systems' Each additional 500 sq ft or portion thereof $33.40 1 F Burglar Alarm Limited Energy _ $75,00 Each Manurd Home or Modular _ $9090 ❑ Garage Door Opener' Dwelling Service or Feeder 2 Services or Feeders I �� Heating,Ventilation and Air Conditioning System' Installation,alteration,or relocation 200 amps or less �_ $80.30 ��(�,��� 2 [j Vacuum Systems' 201 amps to 400 amps _ $106.85 2 401 amps to 600 amps $160.60 _ 2 601 amps to 1000 amps $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 Installation,alteration,m relocation Fee for each system.......................................................... $75,0,1 200 amps or less $6685 2 (SEE OAR 918-260-260) 201 amps to 400 amps _ $100.30 2 401 amps tv 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 ❑ Boiler Controls Now,alteration or extension per panel a)the fee for branch circuits with purchase of service or ❑ Clock Systems feeder fee. Each brar.ch circuit $6 65 U` 1 ❑ Data Telecommunication Installation b)The fee for branch circuits without purchase of servlre ❑ Fire Alarm Installation or feeder fee. First branch circuit $46.85 HVAC Each additional bmnch circuit $665-_. ❑ Miscellaneous ❑ Instrumentation (Service or feeder not Included) Each pump or Irrigation circle $53.40 ❑ Intercom and Paging Systems Each sign or outline lighting $53.40 S panel,altal lera)tion oor a r extension sioned rgy _ $75.00 _ ❑ Landscape Irrigation Control' Minor Labels(10) _ $125.00_ Medical Each additional Inspection over ❑ the allowable In any of H1e above ❑ Nurse C.tlls Per inspection $62 50 Per hour -_ $62 50 ElIn Plant $73 75 _ Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ Other 8%State Surcharge S __ _Number of Systems 25%Plan Review Fee ' No licenses are required Llrensess are required for all other Installations re"Plan Review"sri lig 1-11 fnmt of application Fees: Tota!Balance Due s J. {Z Enter torsi u..t^gyp fees $ ❑ Trust Account 1$ 8%State Surcharge i total Balance Due $ All New r onsmercial Buildings require 2 sets of plans. 1:klsts\fomuklc-fees.doc 08/30/01 CITY UIQ TIGARD 24-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION DIVISION Business Line: (503) 639-4171 BUP - — O.i -- L�� �,-tj (11 4 I� - AM----- PMBLIP - ---- - — Received — ----Bate Requested__ Location Suite MEC --- Ph PLM Contact Person - ( ) _— -- - - - - �- SWR -- Contractor Ph( ELC BUILDING Tenant/Owner _-_—_ Footing --~ ELC ___---.------- - Foundation Access: ELR A— --_ Ftg Drain Crawl Drain SIT --- Slab Inspection Notes- Post&Beam —_ --- - -- --. ---- Shear Anchors Ext Sheath/Shear -- Int Sheath/Shear i - - Framii g Insulation Drywall Nailing ----— Firewall _ _ - Fire Sprinkler Fire Alarm _ -- Susp'd Ceiling Root ---- Other: Final -- _ PASS PART FAIL_ _- PLrJMBING - - - _-- -- Post&Beam - - - Under Slab - - — - - ----- Rot-gh-In -- - Water Service --- - Sanitary Sewer Rain Drains - Catch Basin/Manhole Storm Drain Shower Pan Other - - Final - - PASS PART FAIL - - MEGHANICA_L --------- Post& Beam Rough-In Gas Line Smoke Dampers Final p FAIL LEGTRIC n - U a Low Voltage -- - --- ------ — Fire Alarm �� Reinspection fee of required before next inspection. Peg at City Hell, 13125 SW Hall Blvd. PART FAIL Unable to inspect-no access Please call for reinspection RE: -- ---- ❑ Fire Supply Line l 0 ( RXt - ADA Apptoach/Sidewalk L,ate Other: Final DO NOT REMOVE this Inspection record from the lob sites. PASS PART FAIL �.