Permit CITY OF TIGARD
v
��,,,d, ELECTRICAL PERMIT
� ,�� 41g1 DEVELOPMENT SERVICES PERMIT #: ELC98 -0279
_!,L 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 05/27/98
PARCEL: 2S114D0 -00101
SITE ADDRESS... :17005 SW 92ND AVE
SUBDIVISION....: ZONING : R -4. 5
BLOCK LOT . JURISDICTION: TIG
Project Description : Installing two service or feeders that are pedestal type
services for Tigard Festival of Balloons
- -- 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......: 2 W /SERVICE OR FEEDER: 0 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
CITY OF TIGARD type amount by date recpt
13125 SW HALL BLVD PRMT $ 120.00 B 05/27/98 98- 306048
TIGARD OR 97223 SPCT $ 6.00 B 05/27/98 98- 306048
Phone #:
Contractor:
EVENT LIGHTING SERVICES $ 126.00 TOTAL
DARREN M ERICKSON
1115 SW 78TH ST REQUIRED INSPECTIONS
TIGARD OR 97223 Ceiling Cover Elect'l Service
Phone #: Wall Cover Elect'l Final
Reg #..: 011511
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 -0010 through OAR 952- 001 -1987. You may obtain a copy
of these rules or direct questions to OUNC by calling (503)246 -1987.
Permittee Signature: BYk l( Issued By: 4
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 : O1'� f) ( 4L7CWIeN DATE :
LICENSE NO:
+++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + ++ +.4- + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
r
CITY OF TIGARD Electrical= Werrrrl Application Plan Check #
►.c.�4.o pp
13125 SW HALL BLVD. Rec'd By 0r7tJ -
Date Rec'd 'ET
TIGARD OR 97223 MAY 2 ' 1998 Date to P.E. NA
Phone (503) 639 -4171, x304 Date to DST
C OMMUILl�'r!i L vInTA(P9
Inspection (503) 639 4175 Permit # LC /5
Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called
1. Job Address: 4, Complete Fee Schedule Below:
COOK PARK - i -7006 W 7-
Name of Development Number of Inspections per permit allowed
Name (or name of business) FESTIVAL OF BALLOON' S Service included: Items Cost Sum
Address SW 92ND AVE 4a. Residential - per unit
TIGARD OR 97062 1000 sq. ft. or less $110.00 4
City/State/Zip Each additional 500 sq. ft. or
Commercial Residential ❑ portion thereof $25.00 1
Limited Energy $25.00
QUESTIONS? CONTACT BRUCE ELLIS 612 -8202 W/ FESTIVAL Each Manuf'd Home or Modular
2aD Contractor installation only. .SCOTT CARLSON W /CHRIS ll03gervice or Feeder $68.00 2
C LA (Attach copy of all current licenses) 4b. Services or Feeders PEDESTAL TYPE SERVICES
Electrical Contractor CHRISTENSON ELECTRIC, INC. Installation, alteration, or relocation 2 120.00
Address 111 SW COLUMBIA, SUITE 480 20 amps
201 1 amps to to less $80.00 2
o 400 amps $80.00 2
City PORTLAND State OR Zip 97201 -5R86 401 amps to 600 amps $120.00 2
Phone No. 741-4817 601 amps to 1000 amps $180.00 2
Job No. 222 -4388 Over 1000 amps or volts $340.00 2
Elec. Cont. Lice. No. 26-14C Exp.Date Reconnect only $50.00 2
OR State CCB Reg. No. 4.58 Exp.Date 4c. Temporary Services or Feeders
COT Business T. • i4 -tro No. Exp.Date Installation, alteration, or relocation
200 amps or less $50.00 2
`� 201 amps to 400 amps $75.00 2
Signature of : ,' t ri1L £_ (� 401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No. 87 Exp.Date see "b" above.
Phone No. 241 -4812
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 2
The installation is being made on property I own which is not Each additional branch circ $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. 5. Fees: 120 .
Not required for temporary construction services. 5a. Enter total of above fees $ 6 .
5% Surcharge (.05 X total fees) $
NOTICE Subtotal $ 12h
5b. Enter 25% of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $ 12 b .
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 $
I: \DSTS\ELC96.APP Rev 9/96
10/7/99 Activities for Case #: ELC98 -00279
2:28:40 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCC001 Application received 5/27/98 B RECD BON 5/27/98
ELCC003 Permit created 5/27/98 B DONE BON 5/27/98
ELCC700 Ceiling Cover BON 5/27/98
ELCC720 Wall Cover BON 5/27/98
ELCC730 Elect'I Service BON 5/27/98
ELCC799 Elect'I Final BON 5/27/98
ELCC500 (F)Issue permit 5/27/98 B PASS BON 5/27/98
ELCC730 Elect'I Service 6/8/98 CD [ASS CD • 6/8/98 call for final after equipment is
hooked up.
ELCC799 Elect'I Final 6/11/98 CD PASS CD 6/11/98 final approved for both service's
ELCC800 Case Finaled 7/22/98 JT 7/22/98
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