10315 SW HILLVIEW STREET �3n
O
W
N
I �Lj In in (u r— :•
c, uj n
r1 r1
:3,;zu
vi -moi -1 r 1
ru
ct n) rr N U r h P. n)
n r+ :T _1 b =1 C :� a' :3r a;
r1 F+• R) cr n "7 N U) P. Cco
rr L, J N r_-
:T_LEI N [ ti Pm I- ct
ri
n) N H.
C)
J7 F-' J I O Z7 i I(T7
n1 n N•
''f I NO H C17
y I L7 • rr (f)
U R) ct• 4 I-+
m (D n)
N� 0 Imo.i r�l
tSI
I rJIr
T_ '(j
(7 27 I'7 rD
is I r
''1 -'7tltnu7c7r.-) ''l _, tn �; 1, r C
• tr N rrIM
R1 �1 N N• N (q W• r7
O .7 y C' E: N• r1 �f (� H 7 ty r
nI Cl 7 H N r, N (D O I-'• r r 7
O C (D C). N T. I O
(A U N( Uti rJ U h;
r7 ''f I a (U r r f-
�1 N E� ty -I H ! I'•
d C U) O N,
a tfMCD o +�
rr (p
fTl
1
b
ITI
ISINIS MSIA 77IH MS STCOT
� /� _ELECTRICAL PERMIT
CITYOF T I ro.. AR D �PERMIT#: EL01999 00482
DEVELOPNIE.NT SEWCES !TATE ISSUED: 8/5/99 '
13125 SW Hall Blvd., Tigard, OR 97223 (503; 639-4171 PARCEL: 2S102CC-01600
SITE ACDRESS: 10315 SV( HILL VIEW ST ZONING: R-3.5
SUPDIVISION: FRELEON HEIGHTS 140.2 LOT : 019 .IuRISDICTION: TIC
BLOCK:
Prniect Description: Residential electrical aiteration
TEMP SRVCIFEEUt=RS s MISCELLANEOUS
_ RESIDENTIAL UNIT ____TEMP pUMPIIRP.'GATiUhJ:
SF UR LESS: �0 - 200 amp:
EACH A FO 500SF: 201 - 400 amp: SIGNIGUT LINE LTG:
1000
401 - 600 amp: SIGNAL/PANEL:
LIMITED ENERGY: MINOR LABEL. (10):
MANE HMI SVC/ FDR: 601+amps - 1000 volts:
SERVICE/FEEDER BRANCH CIRCUITS __ADD'L_INSPECTIONS__ _
- - --� — ^^ — �
0 - 200 amp: 1 WISERVICE OR FEEDER: 3 PER '"ISPECI'ION:
201 400 amp: 1st WIO SRVC OR FOR: PER HOUR:
EA AUDI. BRNCH CIRC: IN PLANT:
401 - 600 amp: _
601 - 1000 amp: PLAN REVIEW SECTION
>-4 RES UNITS: 600 VOLT NOMINAL_:
1001+ amplvolt: GLASS AREA/SPEC OCC:
Recn
c, nect Only: SVC/FDB >=225:AMPS: ---
Contractor:
Owner: OWNER
MARGIE DORTON
10315 S'X HILLBIEV\r ST
TIGARD, OR 97223
Phone: 503-624-5072 Phone:
Reg#:
_FEES M� __ __� Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT SON 315199 $80.30 99-317423 Elect'I Final
SPCr BON 815199 $5.62 99-317423
--= Total $85.= 0 R
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 wo,fc ivill be done in accordance with approved pians. This permit will 1. nre If work is not started within 180 days of issuance,or if work is
rues are
elforth�iii OAR 952-001-0010 than 180 ATTENTION:
OAR 952 01-0080. You,-Lay obtain copies oo follow rules f fth se rules Oregonby the rectllity q questions toon Center OUNC at(50 ase
rules are se
246-1987. ,{
Is-iiedBy:E
Lit
&4,4-t—
permit Signature: � ��.. - —'
_ OWNER INS'�'.LLATION ONLY -
The installation is being made on property I awn which is not;ntcdoded for sale, lease, or rent.
,e�
;� DATE:
OV INER'S SIGNATUPE: _c-1 1l � 61✓ r _ y
CONTRACTOR INSTALLATION ONLY `_DATE:-
SIGNATURE OF SUPR. ELEC'N: -- ------- —'�
LICENSE NO:
Call 639••4175 by r:00pm for an Inspection the ne:"•t business day
CITY OF TIGARD Electrical Permit Application Plan Check#
13125 SW HALL BLVD. Rec'dBy�Ff-A-3—
TIGARD OR 97223 Date Recdy57q
Phone(503)639-4171, x304 Date to P.E.
Date to DST_
si 3pection (503)639 4175 Print of Type Permit#� 1- 0 Fax (503) 598-1960, ���lt-b4ZliD Incomplete or Illegible will not be accepted Called
�
t. Job AdJress: 4. Complete Fee Schedule Below:
(�► _ Number of Inspections per permit allowed
Name(or name of business) KlAtILL,c L •� riZ N' Service included: Items Cost Sum
Address p 5 %0',j t t=%jS� 4s. Residential-per unit
City/State/Zip 1 t Com- QT �` 7��' Zj 1000 sq.ftor less $ 117.75 <
Each additional 500 s; r
portion thereof $ 2u!X5 1
Commercial ❑ Residentiai.a Limited Energy $ 6000
Each Manufd Home or Modular
2a. Contractor installation only: Dwelling Service or Feeder $ 72 75 2
(Prior to permit issuance,anNlicants must provioe contras for license 4b.Services or Feeders
infortnaticn for GOT data base). Installation,alteration,or relocation t ,l
Electrical Contractor v 200 amps or less $ 64.25 `7 r ` 2
Address 201 amps to 400 amps $ 85.50 2
401 amps to 600 amps $ 128.50 2
City _ State �T_ip 601 amps to 1000 amps $ 192.50 2
Phone N0. _ Over 1000 amps or volts $ 363.75 2
.lob No. _ Reconnect only $ 53.50 — 2
Elec. Cont. Lice. No. _ Exp.Date 4c.Temporary services or Feeders
OR State CCB Reg, No. Exp.Date Installation,alteration,or relocation
COT Business Tax or Metro No. Exp.Date 200 amps or less $ 53 511 2
201 amps to 400 amps $ 80 25 2
Signature of Supr. Elec'n 401 amps to 600 amps $ 107 0a 2
--- Over 600 amps to 1000 volts,
see"b"above.
:.icEnse No. _ Ex Date ad.Branch Circuits
Phone N0._ _ New.alteration or extension per panel
a)The fee for branch rircults
2b. For owner installations: with purchase of service or
(;�/ feeder fee. r
Print Owner's Name t �& ( L 6 I u� Each branrh circuit $ 5 35 �� 2
� Address t C'+ '.' �j a ,u.,:. r t.-�. v i c• �, �
b)The fee far branch circuits
/ L74rL N State Zi without purchase of service
City__.._._ p or feeder fee.
Phone No. ♦ G L{ cj(.� r�` First branch circuit $ 3750
Each additional branch circuit $ 5.35
The installation is being made on property I own which is not 4e.Miscellaneous ~�
intended for sale,lease or rent (Service or feeder not include J)
�— Each pump or irrigation circle _ $ 42.75
Owner's Signature / t� i, _F t�' jl}` Ltt t� �^ Each sign or outline lighting $ 42.75
II Signal circuit(s)or a limited energy
3. Plan Review section, if required):** panel,alteration or extension — $ 60.00
q / Minor Labels(10) $ 10700
Please check appropriate Item and enter fee in section 50. 4f.Each aaonional Inspection over
4 or more residential units in one structure the allowable In any of the above
-�
Service and feeder 225 amps or more Per inspection $ 5000
hour _ $ 5000
Sys.em over 600 volts nominal In Plant – $ 59 00
_•____C;aasified area or structure containing special occupancy as
described in N E C Chapter 5 5. Fees:
l$0.Enter total of above fees
Submit 2 se of plans with application where any of the above apply. P *Surcharge(05 X.total fees)
Not required for temporary construction services. Subtotal g
5b.Enter 25%of line 68 for
NOTICE Plan Review!f reuired(Sec 3) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal c
IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS El Trust Account#
AT ANY TIME AFTER WORK IS COMMENCED Tot;;uaiance Due $ gJ'
i d.;, bmn.rlr.uii doc
d
CITY OF TIGARD BUILDING INSPECTION DIVISION MST
24-Hour Inspection L..ine: 639-4175 Business Line: 639-4171 —�_--
C, _
- -- Date Requested l// j 9 1� I AMBUP
_ --PM BUP
li
Location_ /L- ��' % �'���U(ett) .� Su to MEC —
Contact Person �Q per- ll., Ph 60,54 L�— 67 PLM
Contractor _ _ Ph SWR r�
BUILDINGTenant/owner _ ELCt1
Retaining Wall ELIR _
Footing
F
C2S5'
Frnmdation FPS _
Ftg Drain SGN
Crawl Drain Inspection Notes ---- —
Slab _—v--.-------- --- SIT
Post&Beam
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation
Drywall Nailing -
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling
R oof
Misc: -
Final
PASS PART FAIL -- --------------_. �_--_---- --------- -----
PLUMBING
Post& Beam
Under Stab
Top Out
Water Service
Sanitary Sewer _—
Rain Drains
Final
PASS PART FAIL
MECHANICAL __---
F'i.st R Bei+rn --
Rough In
Gas Line -- --_—— --- -- -- -- - --—
Smoke Dampers
Final — --- — ---._--- -- --- --- — —,� --__
PASS PART FAIL
Rough
1 —
— b
Rough In
UG/Slab
Low Voltage
Fire Alarm
PASS PART FAIL
Backfill/Brading --� — —
Sanitary Sewei
Storm Drain ( ]Reinspection fee of$ . _—_required before next inspection Pay at City Hall, 1312E SW Hail Blvd
Catch Basin
Fire Supply Line ( ] Please call for reinspection RE: _f� ( ]Unable to inspect no access
ADA C'��
Approach/Sidewalk
Other ._-- Ins Date 4 9 Ext
_._____ Inspector .,.,
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.