Permit CITY OF TIGARD ELECTRICAL PERMIT -
RESTRICTED ENERGY
d � . �l� DEVELOPMENT SERVICES PERMIT #: ELR2000 - 00273
� 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 11/16/00
SITE ADDRESS: 15065 SW 103RD AVE PARCEL: 2S111CB 03700
SUBDIVISION: MARION ESTATES ZONING: R -3.5
BLOCK: LOT: 010 JURISDICTION: TIG
Project Description: Installation of landscape irrigation control. Job No. 00 6044 - P
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA/TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: IRRIGATION : X HVAC: PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS:
Owner: Contractor:
DRAPER, DOUG AND KAREN M PROGRASS LANDSCAPE SERVICES
15065 SW 103RD AVE 29895 SW KINSMAN RD
TIGARD, OR 97224 WILSONVILLE, OR 97070
Phone: Phone: 682 -6076 E t E' •
Reg #: LIC 6136
FEES Required Inspections
Type By Date Amount Receipt Low Voltage Inspectio
PRMT CTR 11/16/00 $75.00 2720000000 Elect'I Final
5PCT CTR 11/16/00 $6.00 2720000000
Total $81.00
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This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. 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
require -yo . ollow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 - 001 -0010 thr. gh OAR 952 - 001 -0080. You may obtain copies of these rules or direct quest. ns to OUNC at (503)
246 -1 L ....._____ . .
Issue , h , , - ■- j_C ; Permittee Signature J g _ LA • e, \;
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
• ElectriCal Permit Application
Date received: //- /4 - 0 Permit no.: &L,Q/o _ 00./7,3
- ,+,-� ;'Ills City of Tigard RECEIVED Project/appl.no.: Expire date:
City ofTigard Address: 13125 SW Hall Blvd, Tigard OR 97223 Date issued: By: Receiptno.:
Phone: (503) 639 -4171 NOV , r 2°°r3 Fax: (503) 598 -1960 Case file no.: Payment type:
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Land use approval: ��U�1
COMITY TY PE OF PERMIT ���EL 0 ?P,I�PIT
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`Si 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Mult family CI Tenant improvement
❑ New construction ❑ Addition/alteration/replacement ❑ Ot ❑ Partial
. - JOB SITE INFORMATION ', x ,:.:., .,
Job address: / 5'6j6, 5 «)p/ A-up Bldg. no.: Suite no.: Tax map /tax lot/account no. :(js 5 D
Lot: !Block: 'Subdivision: • _
Project name:kq,,rer) ,-Ya_p -' I Description and location of work on premises: taf iS'ea e, i rr/^i9-a- -7 Oyu
Estimated date of completion/inspection: I / - . C0 6 / 1•er' • f, _:, E€? AE OI :AI'PL1GA OIN - , r -.,; _ �. FEE H u - -`..,- . _ • Job no: 0 - 6 "- ii . Fee • Max
Business name: /- ro&rJS. L(,1r1[f S ca lo e zelc., ,Description Qty. (ea.) Total no. insp
New residential - single or multi - family per
Address. ?B IS ( elr) S'TfltL& _D dwelling unit. Includes attached garage.
City: W //Wry/ Jl e„, I Statede I • ZIP:g767 Service included:
Phone:G3 ( A - 667 ax: t Et -9F E -mail: 1000 sq. ft. or less • . 4
Each additional 500 sq. ft. or portion thereof
CCB no.: L013 -t0 I Elec. bus. lic. no: Limited energy, residential 2
City /metro lic. no.: 003„V Limited energy, non- residential 2
/ // — /3 -0d Each manufactured home or modular dwelling
• ' Signature of supery sing electrician (required) Date Service and/or feeder 2
Sup. elect. name (print): E / ,, r rt_ti License no: Services or feeders — installation,
alteration or relocation:
�• PROPERTY OWNER ,
' -- , • - 200 amps or less 2
Name (print): 201 amps to 400 amps 2
401 amps to 600 amps 2
Mailing address: 601 amps to 1000 amps '447 "d f .' (e a , • 2
City: State: ZIP: Over 1000 amps or volts 4=1./ 4=1./ t4 I B txs 2
Phone: I F. : I E -mail: Reconnect only 1
Owner installation: Th ' stallatio is being made on property I own Temporary services or feeders - ..
which is not inten for sale, lease, rent, or exchange according to llation, alteration, or relocation:
200 amps or less 2
ORS 447, 455, 9, 670, 701.
201 amps to 400 amps 2
Owner's signature: Date: 401 to 600 amps 2
ENGINEER 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
City: I State: I ZIP: B. Fee for branch circuits without purchase
of service or feeder fee, first branch circuit: 2
Phone: / `Fax: E -mail: Each additional branch circuit:
PLAN REVIEW (Please check all that apply) Misc. (Service or feeder not included):
0 Service over 225 amps - commercial 0 Health - carefacility Each pump or irrigation circle / 2
❑ Service over 320 amps- rating of I &2 ❑ Hazardous location Each sign or outline lighting 2
family dwelling ❑ Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel,
❑ System over 600 vollts more residential units in one structure alteration, or extension* 2
❑ Building over thr tqrs ❑ Feeders, 400 amps or more *Description: •
❑ Occupant load over 99 persons ❑ Manufactured structures or RV park Each additional inspection over the allowable in any of the above:
❑ Egress/lightingplan ❑Other. Per inspection' I I I
. . Submit _ sets of plans with any of the above. Investigation fee • -°
The above are not applicable to temporary construction service.. — Other - • .- -. - • - • - - .. -- }
Permit fee $ - - 7 : o . - ;
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application- _
❑ Visa ❑ MasterCard expires if a permit is not obtained Plan review (at _ %) $
8% e , °D
Credit card number: I / within 180 days after it has been State surcharge ( ) •••• $ o0
Expires accepted as complete. TOTAL $ I '
• Name of cardholder as shown on credit card
$
Cardholder signature Amount 440 -4615 (6/00/COM)
Electrical Permit Fees: • Limited Energy Fees:
• TYPE OF WORK INVOLVED - RESIDENTIAL ONNL'Y
Complete Fee Schedule Below: Restricted Energy Fee ( $75.0
Number of Inspections per permit allowed (FOR ALL SYSTEMS) \\ '------/
-- Service included: Items - Cost- Total If Check Type of Work Involved:
Residential per unit -
1000 sq. ft. or less $145.15 . . . 4 n Audio and Stereo Systems
Each additional 500 sq. ft.'or • -
portion thereof $33.40 _ 1 n Burglar Alarm
Limited Energy $75.00
Each Manufd Home or Modular I Garage Door Opener Dwelling Service or Feeder $90.90 2
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Services or Feeders n Heating, Ventilation and Air Conditioning System*
Installation, alteration, or relocation
200 amps or less $80.30 2 n Vacuum Systems
201 amps to 400 amps $106.85 _ 2
401 amps to 600 amps $160.60 2 _
e
601 amps to 1000 amps $240.60 2 Ot /, , 5� e, fr - r i c , . l kyy)
Over 1000 amps or volts $454.65 2 `' ��/ c ` 7
Reconnect only $66.85 2 Con. ¢re) f (er
Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY
Installation, alteration, or relocation
200 amps or less $66.85 2 Fee for each system $75.00
201 amps to 400 amps $100.30 2 (SEE OAR 918- 260 -260)
401 amps to 600 amps $133.75 2
Over 600 amps to 1000 volts, Check Type of Work Involved: •
see "b" above.
Audio and Stereo Systems
Branch Circuits
New, alteration or extension per panel • I I Boiler Controls
a) The fee for branch circuits
with purchase of service or
feeder fee. ' n Clock Systems
Each branch circuit $6.65 2
b) The fee for branch circuits • n Data Telecommunication Installation
without purchase of'service -
or feeder fee.
• Fi re Alarm Installation
First branch circuit $46.85 Ti
Each additional branch circuit $6.65
HVAC
.Miscellaneous •
(Service or feeder not included) n Instrumentation
Each pump or irrigation circle / $53.40 5 3,d
Each sign or outline lighting $53.40 n Intercom and Paging Systems _-.
Signal circuit(s) or a limited energy
panel, alteration or extension $75.00 •
Minor Labels (10) $125.00 ' n . Landscape Irrigation Control
Each additional inspection over n Medical
the allowable in any of the above
Per inspection $62.50 n Nurse Calls
Per hour $62.50
In Plant $73.75 •
Outdoor Landscape Lighting
Fees:
5-3 4/0 n Protective Signaling
Enter total of above fees $
r 7 Ti Other
8% State Surcharge ` $ Li • D" /
Number of Systems
25% Plan Review Fee
See "Plan Review" section on $ No licenses are required. Licenses are required for all other installations
front of application.
Total Balance Due' -
$ 57 .1v7 Fees: . .
Enter total of above fees $ - � -
• D Trust Account #. • - _ _ -.. .. . .
• - • 8% State Surcharge . .. $ p � ~ co
Total Balance Due $ `� i . a) `
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i:\dsts \forms \elc- fees.doc 10/09/00
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