Permit '
ELECTRICAL 1
PERMIT #: ELC96-0605
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OF � DATE ISSUED: 09/20/96
COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: 2S113AD-01700
SITF131i2§Akik441NItd" Tigard, Amiga 072408 t99
SUBDIVISION....: ROSEWOOD ACRE TRACTS � NING C
BLOCK ^ LOT :30 �»��� 7 -�
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Project Description: Installing 4 service or feeders and 30 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-1 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 ^ 4 W/SERVICE OR FEEDER: 30 PER INSPECTION.....: 0
201 — 400 amp ^ 0 1st W/O SRVC OR FDR.: 0 PER HOUR : 0
401 — 600 amp ^ 0 EA ADD'L BRNCH CIRC: 0 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 ------ ----
BINGHAM INVESTMENTS type amount by date recpt
3939 NW ST HELENS RD PRMT $ 390.00 B 09/20/96 96-284238
' 5PCT $ 19.50 8 09/20/96 96-284238
PORTLAND OR 97210
Phone #: 224-2676
Contractor: --- --- — ----
VIKING ELECTRIC INC $ 409.50 TOTAL
4326 SE WOODSTOCK STE 518
REQUIRED INSPECTIONS -------
PORTLAND OR 97206 Ceiling Cover Underground Cove
Phone #: 775-3479 Wall Cover lect'l Service
Reg #..: 056527
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This permit is issued subject to the regulations contained in the '_ __ ____ _" ,_ _
Tigard Municipal Code, State of Ore. Specialty Codes and all other Pero ' ee Signature
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. Issued I3y
--- --------------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:
_ ' ___��-__ _ _ .___
— — ----CONTRACl'R INSTALLTION 4 — ------
gilwib,.
SIGNATURE OF SUPR. ELEC' N: �� _ __ �� . '—. ~~ ____
LICENSE NO: _ _ ___ _ ____ ________ ___-_
Call for inspection — 639-4175
•
!' Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Permit # P,C.. et& -0(005' ,4 , �,�n Date Issued 9- us
�rT
.) �_ Phone (503) 639 -4171
FAX (503) 684 -7297
CITY OF TIGARD TDD No. (503) 684 -2772 j
Inspection (503) 639 -4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development cvAe. D CeN4 / Number of Inspections per permit allowed
Address /6 lac _5.4/, 7d Nel Service included: Items Cost(ea) Sum
City/State /Zip fij ,p/td o 2 4a. Residential - per unit
1000 sq. ft. or less $110.00 4
Each additional 500 sq. ft. or
He_ � / 3 ■ �� /
Name (or name o business) ,5 $25.00
,� ,/' � portion thereof 1
Commercial 121• Residential ❑ Limited Energy $25.00
� A ` Each Manufd Home or Modular
�!(� /L /� ✓ �e Dwelling Service or Feeder $68.00 2
2a. Contractor installation onl :
4b. Services or Feeders
r ' Installation, atteration, or relocation u "�
Electrical Contractor N et �� 200 amps or less -! $60.00 34o 2
201 amp to 400 amps $80.00 2
Address c2-6 -, D;.; $120.00 2
i 401 amps to 600 amps
City on as St ated Zip 9 ,aD ( $180.00 2
q 601 amps to 1000 amps 2
Phone No. 7.75 '/ / Over 1000 amps or volts $340.00
Job NO. Reconnect only
$50.00 2
contractor's license NO. t6 -5 9L 4c. Temporary Services or Feeders
Contractor's Board Reg. No ...rd .2 Installation, alteration, or relocation
Signature of Supr. Elec'n _ ,r,\ �17 200 amps or less 2
Li No. 3o$$ S Phone o. )7S- 3779 201 amps to 400 amps $50.00
401 amps to 600 amps $75.00 2
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 fe 2
City State Zip Each branch circuit 3 0 $5.00 JO
Phone No. b) The fee for branch circuits without
The installation is being made on property I own which is purchase of service or feeder fee. 2
First branch circuit $35.00
not intended for sale, lease or rent. Each additional branch circuit $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, atteration 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 M. 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 $55.00
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 $ �o 00
NOTICE 5% Surcharge (.05 X total fees) $ /c1.
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25% of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. word,comdeNeleo- ❑ Trust Account #
$
pm.app
Balance Due $ Q