Report • FILE COPT
SETTING THE STANDARD FOR SERVICE EXCELLENCE
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To:
Company: CHALLENGE ELECTRIC
Phone:
Fax: 503 - 981 -8539
From: Jean Heitschmidt, Building Division
Company: City of Tigard Inspection Division
Phone: (503) 639 -4171, ext. 420, or 639 -4172 between 5 -11 PM
Fax: (503) 624 -3681 (Inspection Division Fax)
• Date: September 15, 1998
Pages including this page: 3
Please obtain a City of Tigard Electrical Permit for work performed by Challenge Electric
at 15345 SW 82nd Place. The mechanical work (Oregon Heating for Jack Coke) cannot
be approved until the electrical work is permitted, inspected and approved. You may
use the City of Tigard Electrical Permit Application copy that follows this message.
Please mail payment, a copy of your CCB license, electrical license and electrical
supervisor's license with the application and request that the issued permit is mailed to
you. To request an inspection use the inspection line recorder, 503 - 639 -4175. If you
prefer you may obtain a permit "over the counter” at City Hall (address below). Please
contact me if you have any questions (after 3:00 pm). Thank you.
503 - 639 -4171, ext. 304 (Development Services /Help Desk)
City of Tigard, 13125 SW Hall Blvd., Tigard, OR 97223
Development Services - Building & Subtrade Permit Counter
8:00 AM -4:45 PM
** PLEASE DELIVER THIS FAX IMMEDIATELY **
.
Page No. 1 CASE HISTORY FOR CASE NO.:'MEC98 -„0364
"
JACK COKE , .
15345 •SW'.82ND Pli,,, ;
-.09/.15/98 •
Action Descripti'on , Req /;2 - Schd /, • J• End/ ''Action- Notes , 1, , Disp By .Update ; Upd
Code ' i- . , Sent. , Done - Done Date By
,
_MECA007:,Application.received . -, '/
/ • /. - -,./ , 08/21/98p • RECD GEO 09/01/98 GEO '
I "MECA008 Create 'Permit,- - / l / . /. /:. . 08/21/98 DONE, GEO, 09/01/98 GEO
MECA050 (F) Ready to•issue /.'„/-,, /-_ /•• 08/21/98 `need additional $3 in fees before PASS GEO 09/01/98 GEO "'
issuance. .
MECA060 (F) Issue, permit /; / , "/. /' 09/01/98'. PASS GEO 09/01/98 GEO
, 'MECA730 Cooling Unt Insp ,-/ - / ' •/' /' / / NOTE: Contacted Patty at Oregon Heating, •09/15/98 J *H
they will.'contact' the , electrician that •
did the work :'and send�"him over._for a
permit., -:Cuatoraer said he - added a '
circuit. I faxed an application to the
. - electrician.'as:`we've asked for it ,
before..
- MECA799 Final Inspection / /•_-- / -'/ / / 08/21/98 GEO
-- 4 '
•
,
CITY OF TIGARD Electrical Permit Application Plan Check #
13125 SW HALL BLVD. Rec'd By
TIGARD OR 97223 Date Rec'd
Date to P.E.
Phone (503) 639 -4171, x304 Date to DST
Inspection (503) 639 -4175 Print or Type Permit #
Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Name (or name of business) Service included: Items Cost Sum
Address 4a. Residential - per unit
1000 sq. ft. or less $110.00 4
City /State /Zip Each additional 500 sq. ft. or
Commercial ❑ Residential ❑ Li portion thereof $25.00 1
Limited Energy $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
(Attach copy of all current licenses) 4b. Services or Feeders
Electrical Contractor Installation, alteration, or relocation
200 amps or less $60.00 2
Address 201 amps to 400 amps $80.00 2
City State Zip 401 amps to 600 amps $120.00 2
Phone No. 601 amps to 1000 amps. $180.00 2 •
Job No. Over 1000 amps or volts $340.00 2
Elec. Cont. Lice. No. Exp.Date Reconnect only $50.00 2
OR State CCB Reg. No. 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 Signature of Supr. Elec'n 401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No. 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
City State Zip b) The fee for branch circuits
ty p without purchase of
Phone No. service or feeder fee.
First branch circuit $35.00 2
The installation is being made on property I own which is not Each additional branch circui $5.00 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. S. Fees:
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 #
Total balance Due $
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