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9555 SW MURDOCK STREET-1 � 1 m0mw MS 5556 cn Y V O M � 15 0 cn W in N An 9555 SW MURDOCK ST CITY O F I GA R® _ ELECTRICAL PERMIT DEVELOPMENT SERVICES DaTE ssulE�: 2/i/©2oo2 00041 13125 SN Hall Blvd., Tigard, OR 97223 (503)639-4171 PARCEL: 2S11113D-00405 SITE ADDRESS: 09555 SW MURDOCK ST SUBDIVISION: DARMEL NO. 3 ZONING: R-3.5 BLOCK: LOT : 020 JURISDICTION: TIG Protect Description: Installation of(1) branch circuit for gas furnace. Job No. 02-0202 RESIDENTIAL UNIT TEMP SRVCIFEEDERS MISCELLANEOUS 1000 SF OR LESS: 4 - 200 amp: PUMP/IP-'I(,ATION: EACH ADD'L 500SF: 201 - 4011 amp: SIGNIOUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNALJPANEL: MANF HM/SVC/FDR: 601+amps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER T BRANCH CIRCUITS - —. ADD'L INSPECTIONS _ 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O 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 AREA/SPEC OCC: Owner: Contractor: MYERS, ROBERT W TR+ SPRINGER ELECTRIC LLC EARLINE M TR PO BOX 365 9555 SW MURDOC:K ST CORBETT,OR 97019 TIGARD, OR 97224 Phone: Phone: 503-695-2472 Reg#: ELE 3-440C LIC 129201 SUP 3977S FEES Required Inspections Type By _ Date Amount Receipt Rough-in PRMT CTR 2/7/02 $46.85 2720020000( Elect'I Final 5PCT CTR 2/7/02 $3.75 2720020000( Total $50.60 This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and PI 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 yw Mf0t;Wruleg,adopted by tto Oreqon Utility Notification Center. Those.rules are set forth In OAR 952-001 0010 through OAR 952 001- X80. You may obta h cops of these rules or diced questions to Permit Signature: \Jssucid By:44�/i& ' m C7 _ OWNER INST.4LLATIQ2K ONLY _ The installation is being made on property I own which is not Otended for sale, lease, or rent. OWNER'S SIGNATURE: __ DATE: CONTRACTOR INSTALLAT13N ONLY SIGNATURE OF SUPR. EL.EC'N: DATE: LICENSE NO: 5X776_ Call 639-4175 by 7:00pm for an Ins;,ectlon tho next business day Electrical Per m-- A.pli ication jDatereceived: rmitwj. of -0 City of Tigard Projcci/appl.no.: - Expire date: O'iryreffignrrl Address: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: I Phone: (503)639-4171 p ecei tno.: _ y' Fax: (503) 598-1960 Case file no.: Paymenttype: Land use approval: — =family welling;or accessory U Commercial/indusinal U Multi-family L-11-enant improvement U Non U Add ition/allerationheplacem a U Other:_ -ttial Job address: 55 S Ail bl mC Bldg.no.: Suite no.: Tax map/tax lot/account no.: _ Lot: Block: Subdivision: Project name:K,,6e nc tis Description and location of work on premises:C'pq/!e' ygie �opw0ft -ro Estimated date of com letion/ins ction: C.- Job no: Oa 0.;1,-O L tree Description . (ea. 'Dotal no.lm Business name: 0. ?tP 1C LLC_ Newresiderrthl-d olgirormiki-farrellyper Address: P.o . ( J6 dwellingwdt.leel.reaaifa<hedPralle. City: aox-b etr state:pp, zip: q 70 1 Sera-. tnel.Aa.� Phone:4, S-d 7a_ Fax: QS•,ly 7 E-mail: I(xxl sq.R.or b_.s 4 � Each additions 500 sq.ft.or portion thereof _ CCB no.: .7p Elec.bus.lic,no: j - y0 C_ Limitedener nxidential _ 2 _ 67' iC.L S D ,5,3 7 Limitedenergy,non-residential 2 _ _p y - Each mnnufactured home or modular dwelling -- - -- Stgnaturc of su rvism n. d) Date Service and/or feeder 2 _ — rnocense UServices or feeders-Installation, Sup.elect.Warne(print) S alteration or relocation: 200 amps or less 2 Name(print) 201 ato.nps 400 amps 2 401 amps to tial amps _ _ Mailing address: 601 amps to 1000 amps 2 City; State: ZIP: � Over 1000 amps or volts 2 Phone: Fax: Email Reconnect only I Owner installation:The installation is being made on property !ON... Terecpororyservlcesorfeederx- installation,cher ation,or relocistion: which is not intended for sale,lease,rent,or exchange according to 200 amps or less _ 2 ORS 447,455,479,670,701. 201 amps to 400 amps 2 Owner's signature: Date: 401 to 600 ams 2 Branch circahs-new,rdteration, or extension per parcel: Name: A. Fee for branch circuits with purchase of ldservice or feeder fee,each branch circuit 2 Adrw,ss: State: ZIP: B. Fee for branch circuits without purchase first branch circuit: Q City: of service or feeder fee, $ 1 p 2 Phone: Fax: E-mail: Each additional branch circuit: Misc.(Service or feeder not inchrded): N U Service over 225 amps-commercial ❑Health-car-%scility Each pump or irrigation circle _- 2 U Service over 320 amps-rating of IR2 U Harnrdouslocation Each sign oroudinettghting 2 Jfamily dwellings U Building over 10,000 square feet four or Signal circuit(-)or a limited energy panel, U System over 600 volts nominal more residential units in one structure alteration,or extension* _ 2 U Building over three stories U Feeders,400 amps or more *Dewri tion_ Ill U Occupant load over 99 persons U Manufactured structures or RV park Each additional bmgwdkm over the allowable In my of the above: J U Egresstlightingplan U Other --- Perinspection %bnfh____sets of plans with anq of the above. Investigation fee The above are not applicable to temporary collatr>,ctlon service. other Permit fee.....................$ NM at:jurisdictions accept credit erm cards,please call jurisdiction for ore Information. Notice:This permit application 8 S" U Visa U MasterCard expires if a permit is not obtained Plan review(al 96) _ Credit card number: —L—L—_ within 190 days after it has been State surcharge(8%)....S 3.7.S- Fsp11Os acceptedascomplete. TOTAL $ 5_0 O Now of car older a shown on cm it cra S _ Cardholder signature _- Y Amount 440,4613(60"M) ELECTRICAL PERMIT FEES: LNVI ED ENERGY PERMIT FEES: Complete Fee Schedule Below: TYPE OF WORK INVOLVED-RESIDENTIAL ONLY P Restricted Energy Fee...................... STEW— I— ................................ $75.00 Number_of Inspections per permit allowed (FOR ALL SYSTEMS) Service Included: Items Cost Total Check Type of worn Involved: Residential-per unit 1000 sq.ft or less $14515 4 Audio and Stereo Systems' Fach additional 500 sq A or portion thereof $33.40 1 ❑ Burglar Alarm Limited Energy ��— $75.00 _ Each Manufd Home or Modular Dwelling^ervi a or feeder $90.9n 2 ❑ Garage Door Opener Services or Fenders ❑ Healing,Ventilation and,"+r Conditioning System' installation,alteration,or relocation 200 amps or less —�� $80.30 2 201 amps to 400 amps _ $106-85_ 2 ❑ Vacuum Systems 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 Reoonnect only $616.85 2 Tpmporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY Installation,alteratiur.,or relocation Fee for each r yatem.......................................................... $75.00 200 amps or less $66.85 2 (SEE OAR 918-260-2.60) 201 amps to 400 amps $100.30_ _ 2 401 amps to 600 amps $133.75 2 Check Type of work Involved: Over 600 amps to IOW volts, ^� see"b"above. ❑ Audio and Stereo Systems Branch Circuits New,alteration or extension per panel Boller Controls a)The fee for branch circuits with purchase of service or ❑ Clock Systems feeder fee. Each branch circuit _ $6.65 2 ❑ Data Telecommunication Installatien b)The fee for brand circuits without purchase of servke or feeder fee. Fire Alamo Installation ❑ First Nan&circuit $46.85 ❑ Each additional brain-h circuit �— _ $6.65 HVAC Miscellaneous ❑ Instrumentation (Service or feeder not Included) Each pump or Inigation circle $53.40 Each sign of outline lighting $53.40 L� Intercom and Paging Systems Signal circult(al ora limited energy panel,alteration or extension _ $75.00 ❑ Landscape Irrigation Control' Minor Labels(10) _ $125.00 Each additional Inspection over Medical the allowable In any of the above - Per inspection _ _ $62.50 ❑ Nurse Calls Per hour $62.50 In Plant $73.75 ❑ Outdoor Landscape Lighting" a Fees: ❑ Protective Signaling Enter total of above tees $ ❑ Other N B%State Surcharge $ Number of Systems 25%Plan Review Fee See"Plan Review"section on $ � No licenses aro required Licenses are required for all other installation* front of application. Fees: J Total Bdance Due $ Enter total of above fees $ ❑ Trust Account 1V__s ----- — OK Stott!Surcharge $ Total Balance Due $ i ldsts\formsklc-fees.doc 061/07101 CITY OF TIiGARD 24•Hour BUILDING ® Inspection Line: (503)639-4175 MST ` INSPECTION DIVISION Businesp Line. (503)639-4171 —_—_--- SUP Received Date Requested. _ _ -" Aiv1 PM—_.— ._ SUP Location _—_ �_._ (�t✓fL Ste- SuiteL I a, MEC CoMict Person :_.•�� °'� ) V 1 - �'i /� 7 31 -- PLM Contractor _ --_ Ph(_ ) _ SWR BUILDING- TenanVOwrrer l�Y��� ELC Footing Foundationooess: ELC _2 �C y Fig Drain ELR Crawl Drain Slab Inspection Notes: SIT Post&Beam Shear Anchors --- -- Ext Sheath/Shear Int Sheath/Shear — -� Framing Insulation Drywall Nailing Firewall i Fire Sprinkler — - --— ----- ------- Fire Alarm Susp'd Ceiling - -- — - - -- Roof 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 FAIL - MECHANICAL _-- Post&Beam Rough-In — — ---- ----- - ---- L Gas Line 2 Smoke Dampers -----• -- —_ _____. Final A P PAR FAIL --- - ~ LECTRI AL n Rough-In UG/Slab _. _ ----- ----- --- JLow Voltage -- Fire Alarm r required before ne:d Ins y PART FAIL � Reinspection fee of$ Inspection. Pa of City Hall, 13125 SW Hall Blvd. _ R Please call for reinspwiion ftF:__ C_j Unable to inspect-no access Fire Supply Line ADA r f ( I .�_ Approach/Sidewalk -- U - - — - -bill Other: Final i DO NOT REMOVE this Inspection 4cord trolls the Job sib. PASS PART FAIL