14825 SW SUNRISE LANE moi► ,� `�I�
14825 SW Sunrise Lane
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CITY C�1 T I G i"�R D ELECTRICAL PERMIT _
PERMIT#: ELC2002-00119
DEVELOPMENT SERVICES DATE ISSUED: 3/21/02
13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 PARCEL: 2S105DD-01600
SITE ADDRESS: 14825 SW SUNRISE LN
SUBDIVISION: ZONING: R 7
BLOCK: LOT : JURISDICTION: URH
Proiect Description: Service change and (3) branch circuits.
RESIDENTIAL UNIT TEMP SRVC/FEEDERS _ _ MISCELLANEOUS___
1000 SF OR LESS: 0 - 200 amp: —PUMP/IRRIGATION.
EA,,;H ADD'L 500SF: 2.01 - 400 amp: SIGN/OUT LINE I.TG:
LIMITED ENERGY: 401 - Ef10 amp: SIGNA !PANEL:
MANF HM/ SVCi FDR: 601+,-,mos - 1000 volts: MINOR LAPEL (10):
SERVICE/FEEDER BRANCH CIRCUITSADD'L. INSPECTIONS ___
0 200 amp: 1 W/SERVICE OR FEEDER: 3 PER INSPECTION:
201 400 amp: 1st W/O SRVC OR FDR: U 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 UCC: _
Owner: Contractor:
I'JMAN, LESLIE WILLIAM ANDFRSONS INTEGRITY ELECTRIC
CAROL A 18435 SW PACIFIC HWY
14825 SW SUNRISE LANE STE D
TIGARD, OR 97224 TUALATIN, OR 97062
Phone: Phone: 524-4681
Reg#: SUP 3770S
LIC 91410
ELE 34-363C
FEES Required inspections _
Type By Date Amount Receipt Rough-in
PR.M3 CTR 3/21/02 $100.25 2720020000( Elect'I Service
Elecl'I Final
5PC2 CTR 3/21/02 $8.02 2720020000(
Total $108.27
This Permit Is Issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applio8ble
laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 day.3 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 952-0011 080. You may obtain copies of these rules cN Jlre 1 questions to
Ir
Permit Signature: Issued By: \ d
OWNER INSTALLATION ONLY
The ins A—ition is being made on properly I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: _— _ DATE:
CONTR CT INSTALLATION ONLY —
� C) —
SIGNATURE OF SUPR. ELEC'N: _ _.__ .._ DATE: 2
LICENSE NO: y772�� --- �—
Call 639-4175 by 7:00pm for an inspection the next business day
Electrical Permit Application
Ftereceived: 3 /4 60
City Of Tigard Ploject/appi.no.: i Expire date:
City of Tigard Addrells: 13125 SW Hall Blvd,Tigard,OR 97223 Date issued: By: Receiptno.:
Phone: (503) 639-4171 —
Fax: (503) 598-1960 Case file no.: Payment type: _!
Land use approval: _
464 &2 family dwelling or accessory U Commet cial/i ndustri al U Multi-family U Tenant improvement
U New construction ,ZfAddition/alteration/repl tccnu•nI U Other. U Partial
JOB SITE INFORMATION.
"am]oh address: 14E2:i riur!e aro.: Tax map/tax lot/account no.:
Lot: I Block: Subdivision:
Project name: I Description and location of work on premises:,-,E:,,
Estimated date of coni Ietion/inspection: 3l z' ;
ON I WWII
Job no: Fee Max
Business name: Dmcrlpflon 01 a Total no.Ins
v \[l'-v s'f y t lfc-�� Z New residential-single or multi family per
Address: ��r C' tit^=-� _ dwelliogunit.Includes attachedgarage.
Citi ,� - Stark,'\Q ZIP:9 -1 1 ( I_ Servlcekrclurlovl:
Phone:6, --(<, 7C) Fax>i / (, c-`1 E-mail: ach aq.ft.or les:.
�' Elec.bus.Iic.no: Isach additional SW s .ft,or portion thereof
CCB no.: 1( 1 `' S I 3 .3 C- Limited energy,residential 2
Oily/metro II;.no.: Limited energy,non-residential 2
Foch manufactured home or modular dwelling
Signature of supervising electrician(required) Date Service and/or feeder 2
Services or feeden-Installation,
Sup.elect.name(print):\ u I u case no:
alteration or relocation: vv,,
13'ROPERTY OWNER 200 amps at less
Name(print): 401
amps to 4(N)amps 2
401 snips to 600 amps 2
Mailiny address: 601 amps to IOW amps —_ 2
City: Slate: ZIP: Over IWX)amps or volts 2
Phone: Fax: I E-mail: Reconnect only
Owner installation:The installation is being made on property I own Temporary aerviceaorfeeders-
which is not intended for sale.lease,rent,or exchange according to Inatallation,alteration,arrelocation:
2amps or leas 2
ORS 447,455,479,670,701
20011 amps to 411(1 maps2
Owner's signature: Date: 401 to 6(w ata s 2
Branch circuits-new,alteration,
or extension per panel:
Name: A. Fee for branch circuits with purchase of
Address: _ service or feeder fee,each branch circuit-- /' _2
ZIP: B. Fee for branch circuits without purchase
City: SIAIC
of service or feeder fee,first branch circuit: 2
PI10ne: FAX: E-mail: F.ach additional branch cin w
I at ma NEU, Mbc.(Service or feeder not Included):
U Service over 225 amps-commercial U Ilydth clue tucthly Each pump or irrigntion circle 2
U Service over.120 amps-rating of 1&2 U tiazardouslocation Each sign or outline lighting 2
family dwellings U Building over 10.(xx)square feet four or Signal circuit(%)or a limited energy panel.
U System over 600 volts nominal store residential units in one%tructure alteration,or extension* _ 2
•Building over three stories U Feeders.400 snips or more 'Description:
—
U occupant load over 99 persons U Manufactured structures or RV park Fitch edellional inspection mer the allowable In any of the above:
U Pgrem/lightingplan U Ober .__ —_— — PerinspcLtwn
Submit—_sets of plates with any of the above. Investigation fee__
The above are not applicable to temporary construction service. Other
--------
Not all Jurisdictions accept credit cards ptease call Jurisdiction fm more Inhrmarion Notice:This permit application Permit fee.....................$
U Visa U MasterCard expires if a permit is not obtained Plan review(at _ %) $ c' y
credit card numlw! --i _L.- within 180 days after it has been State surcharge(8%)....$ �f
Expires accepted as complete. TOTAL $
.......................
ame c n r uiho;i on c Ir cry wd --
S _
C oidet aisnanae Amount 44rt4615(fiWCOM)
s�
ELECTRICAL PERMIT FEES: LIMITED ENERGY PERMIT FEES:
Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIAL ONLY
Restricted Energy Fee...................................................... $7500
Number of Inspections per permit allowed (FOR ALL SYSTEMS)
Service included: Items C ost Total I Check Type of Work Involved:
Residential-per unit
1000 sq ft.or less _ $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 F-1 Garage Door Opener'
Dwelling Service or Feeder $90.90 2
Services or Feeders ❑ Heating,Ventilation and Air Conditioning System'
Installation,alteration,or relocation
200 amps or less $60.30 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 _ $464.65 _ _ 2
Reconnect only $68.85 2
Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL- ONLY
Installation,alteration,or relocation Fee for each system.......................................................... $75.00
200 amps or less $66.85 2 (SEE OAR 916-260-260)
201 amps to 400 amps __ _ $100.30 _ _ 7
401 amps to 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
New,alteration or extension per panel ❑ Boiier Controls
a)The fee for branch circuits
with purchase of service or ❑ Clock Systems
feeder fee.
Each branch circuit $665 2 ❑ Data Telecommunication Installation
b)The fee for branch circuits
without purchase of service ❑ Fire Alarm Installation
or feeder lee.
First branch circuit $46.85 _
Each additional branch circuit $6.65 ❑ HVAC
Miscellaneous ❑ Instrumentation
(Service or feeder not include#:)
Each pump or Inigatlnn circle _ $53.40
Each sign or outline lighting $53.40_ ❑ intercom and Paging Systems
Signal circuit(s)or a limited energy
panel,alteration or extension $75.00 _ _ ❑ Land3cape Irrigation Con!,ol"
Minor Labels(10) $125.00
Medical
Each additional Inspection over ❑
the allowable In any )f the above
Per Inspection __-_. $62.50 __ ❑ Nurse Calls
Per hour $6250 ❑
In Plant $73.75 Outdoor Landscape Lighting'
Fees: ❑ Protective Signaling
Enter total of above ft,vit $ _ ❑ Other
8%State Surcharge $ _.__—_ Number of Systems
:5%Plan Review Fee
See"Plan Review"section on $ ' No licenses are required Licenses are required for all other Installations
front of application. — ---- — —
Fees:
Total Balance Due $
-- Futter total of shove foes S
❑ Trust Account N _ - 81,:State Surcharge
Total Balance Due $-
411 New Commercial Buildings requlro 2 sets of plans.
0dstslfmm\eIc-fees.Joc 08/30/01
CITY OF T'IGARE 24-Hour
BUILDING Inspection Line: (503)639-4'75
MST
INSPECTION DIVISION - -_---------.---
� n Business Line: (503) 639-417',
BUP
Received _ Date Requested_ AM— __ PM ___-_ BUP
Locationt.�Yli L x—o_ _quite _ MEC
Contact Person _ rcc �--c _ Ph( _) ,_3 c' '7 3 LS PLM
Contractor �- Ph ( _) SWR -
BUILDING Tenant/Owner —._—�_- _ ELC UC" a U0 11
Footing
Foundation Access: ELC _
Ftg Drain ELR
Crawl Drain --
Slab Inspection Notes: SIT
Post&Beam IN ik
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear
Framing
Insulation s
Drywall Nailing ---- --------------___._-- _— _ _
Firewall �-
Fire Sprinkler —
Fire Alarm
Susp'd Ceiling w --- — —— —------ --
Roof -
Other: -- - ---- -
Final -----
PASS PART FAIL
PLUMBING
Post& Beam
Under Slab
Rough-In
Water Service
Sanitary Sewer
Rain Drains -
Catch Basin/Manhole
Storm Drain
Shower Pan
Other:
Final
_PASS PART FAIL
MECHANICAL
Post& Beam
Rough-In
Gas Line
Smoke Dampers - _-
Final
PASS PART _FAIL - ---
ELECTRICAL
8ervlcw
Rough-In _
UG/Slab —
Low Voltage --
F' Alarm
ina required before next
PART_FAIL E] Reins Reinspection fee of$ — - � Inspection. Pay at City Hall, 13125 SW Hall Blvd.
31TE i _ Please call for reinspection RE: n Unable to Inspect-no access
Fire Supply line
ADA p - g Ins
Approach/Sidewalk — - P - -
Other:
Final DO N07 REMOVE this Inspection record from the job situ.
PASS PART FAIL