Loading...
12370 SW DUCHILLY COURT N w 4 C) N c n n 0 c 12370 5W Duchilly Court CITY OF TIGARD ___—_ELECTRICAL PERMIT PERMI i#: ELC2002-00636 DEVELOPMENT SERVICES DATE ISSUED: 12/12/02 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S110BB-01200 SITE ADDRESS: 12310 SW DUCHILLY CI ZONING: R-1 SUBDIVISION AMES ORCHARD BLOCK: LOT : 013 JURISDICTION: TIG Project Description: Add (1)branch circuit for 10 recessed lights. RESIDENTIAL UNIT TEMP_SRVCIFEEDERS _ MISCELLANEOUS 1000 SF OR LESS: 0 200 amp: PUMP/IRRIGATION: EACH ADD'L 50%jSF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNALIPANEL: MANF HM/SVC/FDR: 601+amps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVi.,E OR FEEDER: PER INSPECTION: 2011 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLA_N_REVIEW SECTION •1000+ amp/volt: — =4 RES UNITS: > 600 VOLT NO,'ViINAL- - Reconnect only: _ SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: KLUNE,JOHN G + LOIS A TRUSTEES OWNER 12370 SW OUCH ILLY CT IIGARD,OR 07124 Phone: Phone- Reg #: FEES _ Description Date Amount _ —_ __T465 Required Inspections ilil.l'RM fi l I t I' rnn, I' I.'. n' y$46.t35 — — ------- — i 12 12 n $3.75 Rough in Elect]Final Total $50.60 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 if 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 a t forth in OAR 952-001-0010 through OAR 952-001-0100. You m>>obtain copies of these ruleg; rdirect questions to OUNC at(503) 246-66P9 or 1.800-332-2344. Issu By: ��-t� j Permit Signature: `, , -- _ \' / - OWNER INSTALLATION ONLY - The installa Ion is being made on prop rty I own which ,s not intended for sale, lease, or rent. OWNER'S SIGNATURE: k �'� _ — -- DATE:_ -- i CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR ELEC'N: LICENSE NO' -- - - -------- -- --_----- ------ - ::all 639-4175 by 7:00prn for an inspec't,on the next business di y Ueetrical Permit Jkpplication Uatereceived:/ IIO` Permit n-.� I ? City of Tigard Project/appl.no.: date: Cirvq%7'igurd Address: .3125 SW I Jall Blvd,Tigard,OR 97223 Phone: (`iO3) 639-4? I Date issued: .13A Receipt no.: Fax: (503) 598-1960 Case file no.: Payment type: Land use approval: LJ I &2 family dwelling or accessory L7 Commercial/utduslnal U Multi-family U Tenant improvement U New construction MAddition/al(era(ion/re placement J Other:_ U Partial INFORMATION( Job address: Bldg,no.: Suite no.: Tax map/tax lot/account no.: L,04; 3 Block; Subdivision: A.,ee?y Cin C r/w .. Project name: 'Te' Iocrdion of work on premises: plc e e,ss 64 L. r /�, Estimated date of complclion,'inspcctinu - - ,••y tt I Job no: I ec Max Business nanic: _ !`,,criptiorn _ (tfy. (ea-) tidal nn.insp Address: Net r mldernaal-single or multi-famll Iry r dncllbng unil.Include~altac•hed garage City; Stale: I ZIP: Service included: Phone: -- -Fax: &mail: loot)sq.ft.or less t CCU no.: Elec.bus, lie.no: Each additional 5W sq.II.or porton thereof -- — Limited energy.residential 2 City/metro lie.no.: I.inniiedenergy,non-residential 2 _ Each manufactured home or modular dwelling Si nature of su r ng electrician(required) Date Service and/or feeder 2 Sup.elect.nunte(print): Liccnseno: I Servlcesorreeders-Installation, PH t alleratlon or relocation: 200 amps or less 2 Name(print): 7,--,^rye. 7 t ._. 201 amps to 41`10 amps 2 Mailing address: /z w S�,• / ,., r> c c y ! 401 amps to 0110 amps _ 2 —7 601 amps to 10(10 Amps 2 City: (�i9,.�J StatC:�- ZIP: cy 7 7 1 V Over 10(10 amps or voles 2 Phone: ,C'3G-,moi y3,5"r Fax: ;,f—F- E-mail: Reconnect only Owner installation:The installation is being made on property I own Tecgrorary serslc•esorfeeders- which is not intended for sale, ase,rent,or exchange according to Installation,alteratlot,or relocation: ORS 447,455,479,670,701. �/ / 2W amps or Icss 2 /Wy.- 201 rw!ps to 4W amps 2 Utvner's si gnature: _ /< - l "Yate: 401 to 6(N)ams , Branch circults-new,allerallon, Name: or extension per panel: - Fee for branch circuits with purchase of Address: service or feeder fee,each branch circuit 2 City: Seale: ZIP7- R. Fee for branch circuits without purchase Phone: Fax: E-mail: of service or feeder fee,first branch nc�uit: ' 2 Each additional branch circuit: 111111 W 11101 TZ Misc.Orm lee or feeder not Included): LI service over 225 anis-commercial U Health-care facility Each pump or irrigation circle 2 O Service over 320 amps-rating of 1&2 U Hozardous locatinn Each sign or outline lighting 2 family dwellings O Building over 1001,0 square feet four or signal circuits)or u limited energy panel. U System over600 v^Its nominal more residential units in one structure alteration,or extension* , U Building over three stories U Feeders,4fW amps or more +icscri tion. U occupant load over 99 persons U Manufactured structures or RV park Each additional Impaction over the allowable In any of the.above: U F:gressnightingplan U Other: _. EachPer pectiun Submit_sets of plat s with any of the above. Investigation fee The above are not applicable to temporary construction service. _ Other - Not all Jurisdlcurra oaccept credit cerdx,please call Juriuii,rian for more infnrmador. Notice''This permit application Permit fee..................... $ _ U Visa U MasterCard expires il'a pennit is not obtained Plan review(at __ %) $ _ Credli card number � --� within IRO days after it has peen State surcharge(8%)....$ Exp1fes accepted as complete. TOTAL $ Name of cardho r as shown on credit cent Cardholder signature Amount - -- 410J611(NOr1TOM) it ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES: - - "_— TYPE OF WORK INVOLVED -RESIDENTIAL ONLY complete Fee Schedule Below: Rosiricted Energy Fee................. ......................... ........ $75.00 Number of Inspections per vertnit allowed (FOR ALL SYSTEMS) Service included: Items Cost Total Check Type of Work Involved: Residential-per unit ❑ 1000 sq ft.or le $145 15 4 ss Audio and Stereo Systems' Each additional 500 sq ft or 1 ❑ portion thereof $33.40Burglar Alarm Limited Energy $7500 Each Manufd Horne or Modular 7 ❑ Garage floor Opener' Dwelling Service or Feeder _ $90.90 Services or Feeders ❑ Heating,Ventilation and Air Conditioning System' installation,alteration,or relocation $80 30 2 200 amps or less _ -- 2 F-1VacuumSystems' 201 amps to 400 amps —_ $106.85 401 amps to 600 amps $160.80 7 ❑ 601 amps to 1000 amps $240.60 Other Over 1000 amps or volts $454.65 _ 2 Reconnect only $66.85 2 Temporary Services or Feeders TYPE OF WORK INVOLVED • COMMERCIAL ONLY Fee for each system.................................. ...................... $7500 Installation,alteration,or relocation (SEE OAR 918-260.260) 200 amps or less _ $66.85 201 amps to 400 amps $100.30 1 401 amps to 600 amps $13375_ Check Type of Work Involved: 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 fee. — ❑ Each branch circuit $G 65 _`_, ___ Data Telecommunication Installation b)The fee for branch circuits without purchase of service ❑ Fire Alarm Installation or feeder fee. $48.85 First branch circuit ❑ HVAC Each additional branch circuit $6.65_ Miscellaneous ❑ Instrumentation (Service or feeder not included) Each pump or irrigation circle $53.40 ❑ Interrr,,n and Paging Systems Each sign or outline lighting $53.40 _ Signal circult(s)or a limited energy ❑ Landscape Irrigation Control' panel,alteration or extension $75.00 — Minor Labels(10) $125.00 ❑ Medical Each additional Inspection over the allowable In any of the above $62.50 ❑ Nurse Calls Per Inspection — Per hour _ $62.50 — ElIn Plant $73.75 Outdoor Landscape Lighting' Fees: ❑ Protective Signaling Enter total of above fees $ ❑ Other — — -- 8%State Surcharge $ —_ _--_-__Number of Systems 25'%Plan ri:view Fee � No licenses are required Licenser>,re required for all other :don•. See"Plan f:gview-section on - f,oni of appli abon ------ Fees: Tot,11 Balance Due $ : Eater total of above fees 1[1 s . Trust Account fP _.__..__— ___ 8•/.State Surcharge - — — --� f — Total Balance Due : All New Commercial Buildings reciulre 2 sets of plans. i:\dsts\forms\eIc-fecs.doc 0830/01 n CITU' OF TIGARD 2:1-Hour BUILDING Inspection Line: (503)639-4175 MST INSPECTION DIVISION Business Line: (503)639-4171 � �/ SUP _ Received _ Date Requested `may — AM_ _ PM BUP Location 1�-� 7U �� a!-` 1/ z Suite_ –._ MEC —._— Contact Person — _._ _ Ph(— y C Sj __ PLM Contractor G Ph( —) �9� _ SWR BUILDING Tenant/Owner ELC aV Q Footing Foundation � ELC Access: Fig Drain ELR —__._-- Crawl gain Slab Inspection Notes: �� , SIT Post&Beam Shear Anchors —"^-" -- Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing ---------- ----- ---- -- --- ---- Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling _- - - - ------- Roof Other: --- Final PASS PART FAIL — __ .----------_ - -- --- ------- ---�.._—_._ --- PLUMBING Pont&Beam � LL Under Slab -- --- -- - Rough-In Water Service �— Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain _ ------- -- ---- -- - Shower Pan Other. __...... ----- _ ---- ----------—..--- Final --- -- i PASS PART_ FAIL MECHANICAL — Past& Beam ----- -- --- — Rough-In --- --- --� _- ---�--- -- Gas Line Smoke Dampers ---------- --�- -- Final PAS! PART FAIL CTRICALewv rim - Service bl�la6 Low Voltage Fire Alarm Aeffffn> [_1 Reinspection fee of$ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PART FAIL - __—- Please call for reinspection RE — —__ —_ Unable to inspect-no access Fire Supply Line ADA Approach/Sidewalk Date -TD tcCs__J_�,n c Inspector �_ '�� � � Ext Other: Final DO NOT REMOVE this Inspection record from the job site. PASS PART FAIL CITY OF TIGARD 24-Hour BUILDING Inspection *39,4175 MST INSPECTION DIVISION Business Line: (503)639-4171 _ PUP -- - -- Received _ _ -_-_Date Requested `/� -- AM - PM ____ ___ BLIP Location __- -__ _Suite_- __ MEC Contact Person _ , q, h( ) _-( _� 2— PLM D Contractor _— Ph( ) — 5- ----!j SWR��- — -- BUILDING Tenant/Ownel EL.0 4P Footing E L C _ Foundation Access: Fig Drain ELR - _— Crawl Drain _ slab Inspection Notes: /? —�-_ s!1' --- Post&Beam - Shear Anchors — Ext Sheath/Shear AA Int Sheath/Shear ( — Framing - - - - ---- Insulation Drywall Nailing - -- — ---- Firewall Fire Sprinkler -- --- — --- - --- — Fire Alarm % Susp'd Ceiling — , -- Root Other: — Final PASS PART- FAIL '-- — —__.- -- - PLUMBING _ ___.._.._. Post&Beam Under Slab -- — -- Rough-In Water Service — Sanitary Sewer Rain Drains Catch Basin/Manhole Storm Drain Shower Pan Other: `-- ----- - �— — Final PASS PART FAIT. — — MECHANICAL Pc st&Beam -- Rough-In ---- -- ---�. _- -- ---- — -- Gas Line Smoke Dampers --_— Final PASS PART FAIL -- ELECTRICAL Service Low Voltage Fire Alarm -- (_� Reinspection fee of$_— required before next Inspection. Pay at City Hale, 13125 SW Hall Blvd. PASS PART AIL 1 SITE _ Please call for reinspection RE:,— __---- CJ Unable to inspect-no access Fire Supply Line ADA Date � Inasoctor Ext _ut , �r� f —1�� — Approach/Sidewalk Other:_ Final DCS NOT REMOVE this inspection record from the Job site. PASS PART FAIL