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Permit CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT „,,,„„,„,t,„, �~�~ ~ ~~~~~~" ^~^~~^~ ^ ~~~~" "� "~~�~=" PERMIT #: ELC97-0134 13125 SW Hall Blvd., - -' ~-` '' DATE ISSUED: 03/06/97, PARCEL: .2S1 12CD-0iN00 RITE ADDRESS..,: 07735 SW DURHAM RD SUBDIVISION....: DURHAM ACRES ZONING:R-12 BLOCK..........: LOT.............:2 Project Description: INSTL TRAFFIC SIGNAL AT 79TH & DURHAM JOB # 62216-01 INSTL 1 SERVICE/FEEDER & 3 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..: 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......: 1 W/SERVICE OR FEEDER: 3 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 $ 75.00 TAT 03/07/97 97-291323 5PCT $ 3.75 TAA 03/07/97 97-291323 TIGARD OR 97223 Phone #: 639-4171 Contractor: -- - - - - ELECTRICAL CONTRUCTION CO $ 78.75 TOTAL PO BOX 10286 REQUIRED INSPECTIONS PORTLAND OR 97296 Ceiling Cover Underground Cove Phone #: 503-244-3511 Wall Cover Elect'l Service Reg #..: 49737 ' � � � �/�' This �r*.is issued subject to the regulations contained in the, � ,^� Tigard MuoicipatCode State of Ore ,Specialty Codes and. all other Perm i e S.ignat applicable laws. All work will be done in accordance with \ ' / approved plans. -This permit will expire if work is not started , � ~� within 18e days of issuance, -nr if work is suspended d for uore than 180 days. Issued By // ------------ ----------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, for inspection - 639-4175 . ��. C - . .. Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. n Tigard, OR 97223 Permit # .L 77 - 0/3 :r., • T v .' :I . . Date Issued _�i " : Phone (503) 639-4171 ` ' FAX (503) 684 -7297 CITY OF T1GARD TDD No. (503) 684-2772 • .. Inspection (503) 639-4175 1. Job Address: 2 4. Complete Fee Schedule Below: Name of Development City of Tigard 77 3D SuJ k) )l Number of Inspections per permit allowed Address 79th & Durham -- NE Corner Lit4it1 - _-_ 7 Service inctudect Rams Cost(ea) Sum City /State/T.rp Tigard, OR 4a. Residential - per unit 1000 sq. ft. or less $110.00 a Name (or name of business) Traffic Si; al Service Each additional 50D sq. It. or portion aired S25.00 Commercial © Residential ❑ 525 (Jilted Energy toy 00 Each Manure Hone or Modular Date: 2/26/97 Job # 62216 -01 Dueling Service or Feeder w 2 .00 2a. Contractor installation only: 4b. Services or Feeders trmta6tlon. alteration, or relocation Electrical Contractor Linnco Electric Company 200 saps or l ess 1 560.00 60.00 2 Address PO Box 925 201 amps to 400 ears 560.00 2 City Albany State OR Zip 97321 401 am to 600 arms *120.00 2 601 amps to 1000 sus 2 Phone No. ( 541) 926 -4266 5540.00 2 Over 1000 amps or voes ss4o 00 Job NO. 62216 -01 Rammed only *50.00 2 contractor's license NO. 22 - 15C 4c. Temporary Services or Feeders Contractor's Board Reg. No. 4 7 7 , or relocation Signature of Supr. Eie :'n 200 amps or less 2 201 amps to 400 *50.00 2 License No. 3257S Phone No. ( 541) 926 -4266 401 s to 600 , T $ 575.00 2 - Over 600 arms to 1000 voles *100.00 2b. For owner installations: sea "tr above. 4d. Branch Circuits Print Owner's Name Mew. aeration or extension per pane Address a) the tee for branch circuits with urchase d sarvrce or feeder fee. City State Zip p Each brand, drat, 3 *5.00 15.00 Phone No. b) The tee for branch Ceases **bout The installation is being made on property I own which is purchase ofservior rb 2 n First t 535.00 2 trench not intended for sale, lease or rent Each aaaeo,,.l brands Mud $500 Owners Signature 4e. Miscellaneous (Service or feeder not uhcsuded) 2 Each pump or irysrdon usrce $40.00 2 - 3. Plan Review section (if required): Each man or =Ina agtelisq $40.00 Signal cranes) or • limited energy 2 Please check appropriate item and enter fee in section 5B. pinta 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 41. Each additional Inspection over Classified area or structure containing special occupancy the allowable in arty of the above as described in N.E.C. Chapter 5 r"peC6"' 535.00 Per hour $55.00 In Ptah $55.00 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: NOTICE 5a. Enter total of above fees s 75.00 5% Surcharge (.05 X total fees) $ 3 75 PERMITS BECOME VOID IF WORK OR CONSTRUCTION . Subtotal s AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR IF '`b- Enter 25% of fine A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR P Review if required (Sec.3) s A PERIOD OF 180- DAYS AT ANY TIME AFTER WORK IS Std $ COMMENCED. -....s.vr ❑ Trust Account a ..�. $ Balance Due $ 78.75 CITY OF TIGARD BUILDING INSPECTION DIVISION 24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 Date Requested: C ('>‘ G \ 1 A.M. P.M. MST: Location: .1 77 3 `j BUP: Tenant: A �; (1 / 1 Suite: Bldg: MEC: Contractor: �',/� , r Phone: PLM: Owner: Phone: ELC: 7 6 1 3 t ELR: SIT: BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRI SITE Site Post/Beam Post/Beam Post/Beam Covert_____ Sewer /Storm Footing Roof UndFl/Slab Rough -In Ceiling Water Line Slab Framing Top Out Gas Line Rough -In UG Sprinkler Foundation Insulation Sewer Hood/Duct Reconnect Vault Bsmt Damp Drywall Storm Furnace Temp Service MISC. Masonry Ceiling Rain Drain A/C UG Slab Shear /Sheath Fire Spk1r /Alm Crawl/Found Dr Heat Pump Low Volt Approved Approved Approved Approved Approved Appr /Sdwlk Not Approved Not Approved Not Approved Not Approved Not Approved FINAL FINAL FINAL FINAL FINAL r i / - cf., ,y, P / lf' P r' �c -7 -- / t 5-L-re.sr ` < / 21-e 4 ‹- --- c::3 if t • G (......-- 0 Call for reiinspnspec Lion ✓ 0 Reinspection fee of $ required before next inspection 0 Unable to inspect Inspector: !v ' ' e -7 G' -C ( J' Ck (- Date: 7- x- r - 7 Page of