Permit _ /
ELECTRICAL PER�IT
� C � � �� OF � ��� P[RMIT � #: ELC-0150
� � � ��w�� nu����m�'
DATE ISSUED: 03/11/96
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223°8199 (503 moe��n
' PARCELz 26103DA 05491
SITE ADDRESS—flu 13425 SW 107TH AVE •
SUBDIVISION....: ZONINS: R-3. 5 �
BL['CK. . . . . . . . . . : LS7. . . . . . . . . . . . . :
Project Description: Branch circuit
---------------------------- ----`-----------------------
--RESIDENTIAL UNIT-- —`-TEMP CRVC/FEEBER3 --- --- ICSELLANEOUS - - --
10210 SF OR LESS....: 0 9 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION....: 0
EAM ADD' L 500SF~ . . : 9 201 - 400 amp. . . . " . . : 9 SI3N/OUT LINE LTC. . : N
LIMITED ENERGY--; 0 401 - 600 amp. . . . . . . : 0 SISNAL/PANEL. . . . . . . : 0
MnNF. HM/ SVC/FDR. . a @ 6014-amps-1000 volts.; 0 MINOR LABEL ( 10) . . . : 0
----SERVICE/FEEDER---- ----BRANCH CIRCUITS----- ---ADD' L INSPECTIONS--
0 - 200 amp. . . . . . 0 W/3EQVICE OR FEEDER; 0 PER INSPECTION--; B
201 - 499 amp. . . . . " : 0 1st W/O SRVC OR FDR. : I PER HOUR. . . . . . . . . . . x 0
401 600 amp. . . . . . : 0 EA ADD'L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 - 1000 amp. . . . . : 0 -----------------PLAM REVIEW SECTION -------
1900^ amd/vclt. . . . . : 9 >=4 RE3 UNIT[. . . . , . . . : > �00 VOLT NOMINAL..;
Reconnect only.....: 0 SVC/FDR >= 225 AMPS..: CLASS AR:A/GPEC OCC.:
Cw�er: -'-''--'--------- -'-------'-- -----' ' - -- ��ES -----'--------'-
ALVIW MC GRIFr type amount by date recpt
1342E SW 1077H AVE PRMT $ 35.90 BON 03/11/0■ MANUAL
SPOT - 1. 75 BON 93/11/96 MANUAL
•TIS2.RD OR 07224
ohone 0 J 629-7243
Contractor: ------------------------ -----------------------------'—'----
3WN17.Q � 35.75 TOTAL
------ REQUIRED INSPECTIONS ------ •
Ceiling Cover Elect'l Service
Phona �z Wall Cover Elect" Final
Reg # ..:
/
�w~ ^� , '
__ This perni| is Isom' s�*:t to the regclatima zunta rod in the ' '
7:.yer:d f::.:7;izi�al Code, State of ere. SpeL [±es and all other Permittee/ Oignature '
applicable laws. All �.ork will be cm:e in accordance with
approved plans. This permit will expire if oork is not started
ait'::io lCt days of issuance, or if zmrk is suspended for sore SvK\46„Le MatkiiiAri ____
thac lilt Jsys. • Issued By
The installation is being made on property I own A!hizh is not intended for
sale, lease, or rent.
OWNER'S SIGNATCR�� ~ -- DATE: .
^�,
'---------------' -------CONTRACTOR Iy�S � _ ��-ATION ONLY-- — --- ------ -- -----
~ .
SIGNATURE OF SUPR. ELEC' %: _____ _ __ DATE: __
LICENCE NO _ __ __ _____
Call for inspection - 639-4175
.
February 1, 1996 CITY OF TIGARD
OREGON
MCGRIFF, ALVIN
13425 SW 107TH AVE
TIGARD, OR 97223
Re: PERMIT #MST94 -0245 at 13425 SW 107TH AVE
have been conducted thi= p project. However, a of 1 t
Inspection(s) hay „�;,Y, or, this r ,ro,.,.,�. �.owe;,,�, we have no rccor�. of my subsequent
or final inspections within the past 180 days.
Please note that permits become void if there has not been an inspection performed for over 180
days. In that case, the Building Division may require a new application and fees to continue work.
The City may also pursue civil enforcement if work has proceeded without inspections or if an
unfinished project is outstanding.
Please advise the Building Division, IN WRITING, within 15 days, regarding the status of this
project. You may request additional time to complete the project.
Respond, IN WRITING, to: Building Division, 13125 SW Hall Blvd., Tigard OR 97223. Be
sure to include the following information:
1. Permit #.
2. Address of property.
3. Your name.
Your day time ti. o'ur da time phone numb er.
If you are ready to schedule your next inspection please call our 24 -hour Inspection Recorder
at 639 -4175. Please call the Building Division at 639 -4171 for information regarding the next
inspection you require.
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 TDD (503) 684 -2772
U
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Permit # EL1 it, -d
/ A i(p,(t Date Issued 7 7 - 1 1 _ 1(p ,4 I l 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 Alvin A Mcgriff Number of Inspections per permit allowed
Address 13425 SW 107th Ave Service included: Items Cost(ea) Sum • . Tigard OR 97223 -3803
City /State /Zip ` - - - 4a. Residential - per unit •
1000 sq. ft. or less $110.00 - 4
Name (or name of business) Each additional 500 sq. ft. or
1 : k ....--
J/ � portion thereof $25.00
Commercial ❑ Residential Irl Limited Energy $25.00 1
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
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
601 amps to 1000 amps $180.00 2
Phone No. Over 1000 amps or volts $340.00 2
Job NO. Reconnect only
$50.00 2
contractor's license NO. 4c. Temporary Services or Feeders
Contractor's Board Reg. No. Installation, alteration, or relocation
Signature of Supr. Elec'n 200 amps or less 2
License No. Phone No. 201 amps to 400 amps $50 2
401 amps to 600 amps $75.00
Over 600 amps to 1000 volts $100.00
. 2b. For owner installations: see "b" above.
r 4d. Branch Circuits
Print ( Alvin McGriff New, alteration or extension per pane
Addrel a) The fee for bran circuits with
City ! Tigard, OR 97223 St .. 2
purchase of service or feeder fee.
Each branch circuit $5.00
Phond 620 -7243 b) The fee for branch circuits without
The in_ .. • vhich is purchase of service or feeder fee. 1 p 2
- First branch circuit $35.00]
not Intenaeo or sale, "le a er rent; / Each additional branch circuit $5.00
Owner's Signature _li � ./�/ Al / 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 $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 $ 3.5, 00
NOTICE 5% Surcharge (.05 X total fees) $ ) , `7
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ 3
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. wordcomdeNelec- ❑ Trust Account #
$ .
prm.app
Balance Due $ 37. -75