Permit 2
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ELECTRICAL PERMIT
C � TI
DATE ISSUED: 06/20/96
, COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 9722 3.8199 (503) 639-*171 PARCEL: 2S1 1 1CB-01743
SITE ADDRESS...: 10395 SW HOODVIEW DR
SUBDIVISION....: HOOD VIEW NO.2 ZONING:R-3.5 .
BLOCK ^ LOT :42
Project Description: Installing one branch circuit for a 3Hp air cond. unit.
---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 <1O>... : 0
----SERVICE/FEEDER---- ----BRANCH CIRCUITS ---ADDvL INSPECTIONS---
0 — 200 amp......: 0 W/SERVICE OR FEEDER: 0 PER INSPECTION ^ 0
201 — 400 amp ^ 0 1st W/O SRVC OR FDR.: 1 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 —
ULRICH HUGEL type amount by date ' recpt
10395 SW HOODVIEW DR PRMT $ 35,00 CJS 06/20/96 96-280844
5PCT $ 1.75 CJS 06/20/96 96-280844
TIGARD OR 97223
Phone #: 503-624-3710
Contractor: — —
COOPER ELECTRIC $ 36.75 TOTAL
11845 SE 34TH ST
------- REQUIRED INSPECTIONS
MILWAUKIE OR 97222 ' Wall Cover Elect'l Final
Phone #: 503-653-8803 Elect'l Service
Reg #..: 42918
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee Signature
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 80 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: felc-t //e~i _ DATE: A
LICENSE NO:
Call for inspection — 639-4175
.1 61L(C- •
Community Development ELECTRICAL PERMIT APPLICATION
3 13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # 9r- ar{'oP4/y
,� f i +,,; Permit # FL C96 -0
l +( Phone (503) 639 -4171 Date Issued g- ao - Qt
sA- -i...... FAX (503) 684 -7297
CITY OF TIGARD TDD No. (503) 684 -2772 Issued by (' hr, /Pr S.
Inspection (503) 639 -4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development � �-7 Number of Inspections per permit allowed
Address //0 3 9�Y GV / I/ ! e4 J L7/? - Service included: Items Cost(ea) Sum
City /State/Zip 776 A$ d. OR , 4a. Residential - per unit 4
• 1000 sq. ft. or less $110.00 -
Name (or name of business) U L � / G il t irc L Each additional 500 sq. ft. or 1
/ portion thereof $25.00
Commercial El Residential Limited Energy $25.00
to Each Manuf'd Home or Modular 2
�' � C:29 c - 7/0 Dwelling Service or Feeder $68.00
2a. Contractor installation only: 4b. Services or Feeders
.' Installation, alteration, or relocation 2
Electrical Contractor / ` -s 200 amps or less $60.00 2
Address // _'1 L .. �$ tot amps to 400 amps $80.00 2
�j v
City // , ',4 U �l t 11D Stat Zip77
401 amps to 600 amps $120.00 2
p � z� 1
601 amps to 1000 amps $180.00 2
Phone No. .3- Zr'71 7 Over 1000 amps or volts $340.00 2
Contractor's License No. _ 19 C..-- Reconned only $50.00
Contractor's Board Reg. N • ' / _mom, 4c. Temporary Services or Feeders
Installation, alteration, or relocation 2
� � -
Signature of Supr. Elec'n , _ , 200 amps or less $50.00 2
License No,,-,, ; o o. 201 amps to 400 am $75.00 2
-S S l 5: W 401 amps to 600 amps $100.00
J Cc7 C_/ Over 600 amps to 1000 volts
2b. For owner installations: see 'b' above.
Print 4d. Branch Circuits
rint Owner's Name
New, alteration or extension per panel
Address a) The fee for branch circuits with
purchase of service or feeder fee. 2
City State Zip Each branch circuit $5.00
Phone No. b) The lee for branch circuits without
The installation is being made on property I own which is purchase of service or feeder fee. ,,��^^ 2
First branch circuit $35.00 „1,57,e0 2
not intended for sale, lease or rent. Each additional branch circuit $5.00
Owner's Signature 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 inspectio $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: �.3 ® o
NOTICE 5a. Enter total of above fees $ 4
5% Surcharge (.05 X total fees) $ /
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
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. ❑ Trust Account # $
/'
Balance Due $ 7
wad bomdev\.N°.plm.app
5/17/99 _ Activities for Case #: ELC96 -00399
3:10:32 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. • Level By Updated Notes
ELCA001 Application received 6/20/96 CJS RECD CJS 6/20/96
ELCA003 Permit created 6/20/96 CJS PEND CJS 6/20/96 •
ELCA500 (F) Issue permit 6/20/96 CJS PASS CJS 6/20/96
ELCA920 Miscellaneous action 7/10/96 MJR LOCK , MJR 7/10/96 not home
ELCA800 Case finaled 11/14/96 MJR PASS MJR 11/14/96
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