Permit CITY OF TIGARD ELECTRICAL PERMIT
Ak DEVELOPMENT SERVICES PERMIT #: ELC98 -0134
DATE ISSUED: 04/08/98
._ " � �.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 - 4171
PARCEL: 2S101DA -00101
SITE ADDRESS...: 131'30 SW 68TH PKWY `A
SUBDIVISION :TRIANGLE CORPORATE PARK ZONING:C —P
BLOCK • LOT •003 JURISDICTION: TIG
Project Description : Installing first branch circuit and 10 add'l branch circuits
- -- 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 • 1
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/O SRVC OR FDR.: 1 PER HOUR : 0
401 — 600 amp • 0 EA ADD'L BRNCH CIRC: 10 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
GERDING /EDLEN DEVELOPMENT type amount by date recpt
4650 SW MACADAM AVE PRMT $ 85.00 B 03/23/98 98- 304334
STE 200 5PCT $ 4.25 B 03/23/98 98- 304334
PORTLAND OR 97201 PRMT $ 40.00 JSD 04/08/98 98- 304785
Phone #: 5PCT $ 2.00 JSD 04/08/98 98- 304785
Contractor:
PHOENIX ELECTRIC CO $ 131.25 TOTAL
7379 SW TECH CENTER DR.
REQUIRED INSPECTIONS
TIGARD OR 97223 Ceiling Cover Elect'l Service
Phone #: 684 -3600 Wall Cover Elect'l Final
Reg #..: 000522
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 188
days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to Poll. the rules adopted by
the Oregon Utility Notification Center. Those rule are ,j t forth in OAR 952-881 -0010 through DAR 952 '„ 1'; . You may obtain a copy
of these rules or direct questions to OUNC by cal ng F 1246 -1987.
L
Permittee Signatur / Issued By:I�
il l
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
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CIT( F TIGARD O ELECTRICAL PERMIT
PERMIT #: ELC98 -0134
A DEVELOPMENT 6
ELOPMENT SERVICES DATE ISSUED: 03/23/98
-- 13125 SW Hall Blvd., Tigard, PARCEL: 2S1O1DA - 00101
SITE ADDRESS...: 13190 SW 68TH PKWY �` �t t kb
SUBDIVISION :TRIANGLE CORPORATE PARK ZONING:C —P
BLOCK • LOT •003 JURISDICTION: TIG
Project De scr i pt ion : Installing first branch circuit and 10 add' l branch circuits
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS - 0 0 — 200 amp • 0 PUMP /IRRIGATION : 0
EACH ADD'L 5O0SF...: 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: 10 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
GERDING /EDLEN DEVELOPMENT type amount by date recpt
4650 SW MACADAM AVE PRMT $ 85.00 B 03/23/98 98- 304334
STE 200 5PCT $ 4.25 B 03/23/98 98- 304334
PORTLAND OR 97201
Phone #:
Contractor:
PHOENIX ELECTRIC CO $ 89.25 TOTAL
7379 SW TECH CENTER DR.
REQUIRED INSPECTIONS
TIGARD OR 97223 Ceiling Cover Elect'1 Service
Phone #: 684 -3600 Wall Cover Elect'1 Final
Reg #..: 000522
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 - 001-6010 through OAR 952-601-1987. You may obtain a copy
of these rules or direct questions to 0161C by calling (503)246 -1987.
Permittee Signature: Issued By: •
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended f r
sale, lease, or rent.
OWNER'S SIGNATURE: /9V\ kk(A4115)1 - DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' N: DATE:
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
s
CITY OF TIGARD Electrical Permit Application Plan Check
13125 SW HALL BLVD. Rec'd By
Date Rec'd Z3
TIGARD OR 97223
Date to P.E.
Phone (503) 639 -4171, x304 Date to DST n
Inspection (503) 639 -4175 Print or Type Permit #6V AI - 6 (3
Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development /21AA)' z / F'Qg e y Number of Inspections per permit allowed
Name (or name of business) ( U1(rS , Df h i ){ Service included: Items Cost Sum
Address 13( 9 5-4) 4i.h" ar 4a. Residential - per unit
1000 sq. ft. or less $110.00 4
City /State/Zip 1 71.2 4 11.- Each additional 500 sq. ft. or
Commercial Ill Residential El Limited Energy $25.00
Each Manuf'd Home or Modular
Dwelling Service or Fee ERR nn
2a. Contractor installation only:
(Attach copy • II current licenses) 4b. Services or Feeders
_ I alteration, or relocation
Electrical Contractor :.. \a ' �4 200 amps or less $60.00 2
Address �__ ttyr o ' 201 amps to 400 amps $80.00 2
City 1'7 14 .r = State Or Zip 1 07 223 401 amps to 600 amps $120.00 2
Phone NC' l - 3 4•40 601 amps to 1000 amps $180.00 2
Job No. 21.>5 -. Over 1000 amps or volts $340.00 2
Reconnect only $50.00 2
Elec. Cont. Lice. No. 3Siblzk Exp.Date
OR State CCB Reg. No. 5Z2 'J Exp.Date 4c. Temporary Services or Feeders
COT Business Tax or Metro No. Exp.Date Installation, alteration, or relocation
200 amps or less $50.00 2
201 amps to 400 amps $75.00 2
Signature of Supr. Elec n Q 401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No. / S Exp.Date see "b" above.
Phone No. 4d. Branch Circuits
New, alteration or extension per panel
2b. For owner installations: a) The fee for branch circuits with
purchase of service or
Print Owner's Name feeder fee.
Address Each branch circuit $5.00 2
b) The fee for branch circuits
City State Zip without purchase of
Phone No. service or feeder fee.
First branch circuit / $35.00 S 2
The installation is being made on property I own which is not Each additional branch circuit /D $5.00 5 .5 2
intended for sale, lease or rent. 4e. Miscellaneous
(Service or feeder not included)
Owner's Signature Each pump or irrigation circle $40.00 2
Each sign or outline lighting $40.00 2
3. Plan Review section (if required):* Signal circuit(s) or a limited energy
panel, alteration or extension $40.00 2
Minor Labels (10) $100.00
Please check appropriate item and enter fee in section 5B.
4 or more residential units in one structure 4f. Each additional Inspection over
Service and feeder 225 amps or more the allowable in any of the above
System over 600 volts nominal Per inspection $35.00
Classified area or structure containing special occupancy Per hour $55.00
as described in N.E.C. Chapter 5 In Plant $55.00
* Submit 2 sets of plans with application where any of the above apply. 5. Fees: s .
Not required for temporary construction services. 5a. Enter total of above fees $
5% Surcharge (.05 X total fees) $
NOTICE • Subtotal $
5b. Enter 25% of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Trust Account # qq �
�/ dJ
Total balance Due $
I: \DSTS \ELC96.APP Rev 9/96