Permit (8) CITY OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC98 -0055
4f1 DATE ISSUED: 02/04/98
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- a. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171
PARCEL: 281O1BB -00400
SITE ADDRESS...:11844 SW PACIFIC HWY
SUBDIVISION • ZONING:C —G
BLOCK • LOT • JURISDICTION: TIG
Pr o.j a ct Description : Add four (4) branch circuits to an existing tenant occpy.
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS • 0 0 — 200 amp • 0 PUMP /IRRIGATION • 0
EACH ADD'L 500SF...: 0 201 — 400 amp • 0 SIGN /OUT LINE LTG.. 0
LIMITED ENERGY • 0 401 — 600 amp • 0 SIGNAL /PANEL 0
MANF. HM/ SVC /FDR..: 0 601 +amps -1000 volts.: 0 MINOR LABEL (10)...: 0
- - -- SERVICE /FEEDER - - -- - - -- BRANCH CIRCUITS -- -ADD'L INSPECTIONS-- -
0 — 200 amp • 0 W /SERVICE OR FEEDER: 0 PER INSPECTION • 0
201 — 400 amp • 0 1st W/0 SRVC OR FDR.: 1 PER HOUR • 0
401 — 600 amp • 0 EA ADD'L BRNCH CIRC: 3 IN PLANT • 0
601 — 1000 amp • 0 PLAN REVIEW SECTION
1000+ amp /volt • 0 > =4 RES UNITS > 600 VOLT NOMINAL..:
Reconnect only • 0 SVC /FDR >= 225 AMPS..: CLASS AREA /SPEC OCC.:
Owner: FEES
ENTERPRISE RENT —A —CAR type amount by date recpt
11844 SW PACIFIC HWY PRMT $ 50.00 GEO 02/04/98 98- 303050
TIGARD OR 97223 5PCT $ 2.50 GEO 02/04/98 98- 303050
Phone #:
Contractor:
JOHANSEN ELECTRIC INC $ 52.50 TOTAL
10948 SE VALLEY VIEW TERRACE
REQUIRED INSPECTIONS
CLACKAMAS OR 97015 -000 Ceiling Cover Underground Cove
Phone #: 698 -8031 Wall Cover Elect'1 Service
Reg #..: 000515
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon 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 the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952- 001 -1987. You lay obtain a copy
of these rules or direct questions to OUNC by calling (503)246 -1987.
Permittee Signature: e zaa ,, Issued By•
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:
CONTRACTOR INSTALLATION ONLY
S I GNATURE OF SUP R. ELEC' N : DATE : �Z — q- f8 ----
LICENSE NO : C 5 -5
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
4 Community Development ELECTRICAL PERMIT APPLICATION
' 13125 SW Hall Blvd.
Tigard, OR 97223 Permit # EGG`' - 1 /r --O°53
�rrlpl� i .. t � Date Issued
A i Phone (503) 639 -4171
FAX (503) 684 -7297
CITY OF TIGARD TDD No. (503) 684 -2772
Inspection (503) 639 -4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Address , I e 4-4 4 F )iQ r / C' C �C .. Service included: Items Cost(ea) Sum
City /State /Zip ► I @ara O g 7 223 4a. Residential - per unit
J 1 \ 1000 sq. ft. or less $110.00 4
Name (or name of business) teXPf ISQ_, ( Each additional 500 sq. ft. or
portion thereof $25.00
Commercial X Residential ❑ Limited Energy $25.00 1
Each Manurd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only: .
4b. Services or Feeders • � � / G Installation, alteration, or relocation
Electrical C tra t0 ' In
• I J .._ t ' 1 � t✓t:�% It _, 200 amps or less $60.00 2
Address ID� Q IPA/ Q i t P.Ifi(' 201 amps to 400 amps
$80.00 2
401 amps to 600 amps $120.00 2
City /, . St 66 tee Zip Qon /t7 601 amps to 1000 amps $180.00 2
Phone No. t - . I Over 1000 amps or volts $340.00 2
Job NO. Reconnect only
$50.00 2
contractor's license NO. •- ati- ' 2 ) C' . 4c. Temporary Services or Feeders
Contractor's Board Reg. No r9 3 Installation, alteration, or relocation
Signature of Supr. Elec'n 200 amps or less 2
S 201 amps to 400 amps $50.00
License No. 0 �� S Phone . I oRc7 - $ h �l 401 amps to 600 amps $75.00 2
I'M w pl lle- Over 600 amps to 1000 volts $100.00
. 2b. For owner installations: see "b" above.
4d. Branch Circuits
Print Owner's Name New, alteration or extension per pane
Address a) The fee for branch circuits with
purchase of service or feeder fee. 2
City State Zip Each branch circuit $5.00
Phone No. b) The fee for branch circuits withou
The installation is being made on property I own which is purchase of service or feeder fee. / 2
not intended for sale, lease or rent.
First additional circuit br $$5.00 J Q. Each addltional branch circuit �j $5.00 � ') ---
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or irrigation circle $40.00 2
Each sign or outline lighting $40.00
Signal circuit(s) or a limited energy 2
Please check appropriate item and enter fee in section 5B. panel, alteration or extension $40.00
4 or more residential units in one structure Minor Labels (10) $100.00
Service and feeder 225 amps or more
System over 600 volts nominal 4f. Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N.E.C. Chapter 5 Per inspection $35.00
Per hour $5555.00 00
In Plant $55.00
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees:
5a. Enter total of above fees $ 50
NOTICE 5% Surcharge (.05 X total fees) $ 2_,
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Reevivi of
if required (Sec.3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. worakomde t&eo ❑ Trust Account #
prm.app
Balance Due $ G •� r,J
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Page No. 1 CASE HISTORY FOR CASE NO.: ELC98 -0055
ENTERPRISE RENT-A -CAR
11844 SW PACIFIC HWY
06/12/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
- --- - -- -- - --- -- ---
ELCC001 Application received / / / / 02/04/98 RECD GEO 02/04/98 GEO
ELCC003 Permit created / / / / 02/04/98 DONE GEO 02/04/98 GEO
ELCC500 (F)Issue permit / / / / 02/04/98 PASS GEO 02/04/98 GEO
ELCC720 Wall Cover 02/04/98 / / 02/05/98 5/8 -inch sheetrock will require boxes to PASS BRP 02/05/98 J *H
be set 5/8 -inch off stud. Box extenders
to be installed in existing. This is to
provide firm surface for mounting
switches and plugs at final. Section
380 -10 (b) and 410 -56 (e) NEC. Rough in
approved; box mounting will be checked
at final.
ELCC799 Elect'l Final 02/04/98 / / 02/18/98 PASS BRP 02/18/98 J *H
ELCC800 Case Finaled / / / / 02/18/98 PASS BRP 02/18/98 J *H
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1 /20 /00 Activities for Case #: ELC98 -00055
• 1:31:32 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCC001 Application received 2/4/98 GEO RECD GEO 2/4/98
ELCC003 Permit created 2/4/98 GEO DONE GEO 2/4/98
ELCC720 Wall Cover 2/4/98 - 2/5/98 BRP PASS J'H 2/5/98 5/8 -inch sheetrock will require
boxes to be set 5/8 -inch off
stud. Box extenders to be
installed in existing. This is to
provide firm surface for
mounting switches and plugs at
final. Section 380 -10 (b) and
410-56 (e) NEC. Rough in
approved; box mounting will be
checked at final.
ELCC799 Elect'I Final 2/4/98 2/18/98 BRP PASS J'H 2/18/98
ELCC500 (F)Issue permit 2/4/98 GEO PASS GEO 2/4/98
ELCC800 Case Finaled 2/18/98 BRP PASS J1-$ 2/18/98
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