Permit {
ELECTRICAL PERMIT
OF � tIT DATE ISSUED: 02/12/96
COMMUNITY DEVELOPMENT DEPARTMENT
1u1osmw Hall Blvd. Tigard, Oregon mruuu"o1nw (503) 639-4171 PARCEL: 28101BD-00103
SITE ADDRESS...: 07805 SW HUNZIKER ST
SUBDIVISION....: ZONING:I—L .
BLOCK..........: LOT.............: '
Project Description: Install six 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
MANE. HM/ SVC/FDR..: 0 6014-amps-1000 volts.: 0 MINOR LABEL (10)...: 0
----SERVICE/FEEDER ---- ----BRANCH CIRCUITS----- ---ADD'L 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: 5 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 ----------------
MADISON FURNITURE type amount by date recpt
7805 SW HUNZIKER RD PRMT $ 60.00 CJS 02/12/96 96-275867
5PCT $ 3.00 CJS 02/12/96 96-275867
TIGARD OR 97223
Phone #:
.
Contractor: -------------------------------------------------------------------
OMNI ELECTRIC CONTRACTORS INC $ 63.00 TOTAL
PO BOX 1.746
------ REQUIRED INSPECTIONS ------
LAKE OSWEGO OR 97035 Wall Cover Elect,' 3. Final
Phone #: 503-635-4306 Elect'l Service
Reg #..: 41789
This permit is issued subject to the regulations contained in the ________ _
Tigard Municipal Code, State of Ors. 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 CAa ~ /~ ~ - f` � L~h'
than 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: _____________
----------------------- INSTALLATION ONLY---------------------------
SIGNATURE OF SUPR. ELEC'H: DATE: 2
LICENSE NO: _________ _ _
.
Call for inspection — 639-4175 •
h
.
FROM : OMNI ELECTRIC PHONE NO. : 503 635 1391 Feb. 12 2036 02:05PM P1
4
Community Development ELECTRICAL PERMIT APPLICATION
Hall Blvd.
13125 SWHd
Tigard, OR 97223 Planck/Rec. #' ` a758
Permit # fLC96 0689
' Jl ' Phone (503) 639 -4171 Date Issued a - I). - 46
'" FAX (503) 684 -7297
CITY OF TIIGARD TOD No. (503) 684 -2772 Issued by C%2 r l pr -
Inspection (503) 639 -4175
1. Job Address: JOB NO. 17151 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Address 7805 SW Hun Z i }ce r R d. Service included; Items Cost(ea) Sum
City/State/Zip Ti gar d, OR 97 2 2 3 ' 4a. Residential ,- per unit 4
1000 sci. ft. or lees $11000
Name (or name of business) MADISON FURNITURE Each additional 5oorq,lt.or
portion thereof 125.09 1
Commercial [J Residential 0 Limited Energy $25,00
Each Manut'd Homo or Modular 2
I *elling Service or Feeder $68.00
2a. Contractor installation only: 4b. Services or Feeders
Omni. Electric Cont acto�S
Installation, aharation,orrelacation 2
Electrical Contractor 200 amps or w:c $60.00 _ _ _ . 2
Address PO Box 17 8 8 201 amps to 400 amps sao.i0 2
City La Oswego St ate OR Zip 97035 6 01 amps to100amps ___ $120.00 2
ty P eat amps to tao0 amps $150.00 2
Phone No. 635-4306 Over 1000 amps or volts —
swso.00 2
Contractor's License No. 3-1 8 2 C Reconnect only $50,00
Contractor's Board Reg. N . 41 e' ac. Temporary Services or Feeders
I installation, alteration, or relocation 2
Signature of Supr. Elec'n / •ii;— 200 amx or less $50,00 2
License No. 23455 P'o 1No. 635 -4306 201 amps to 400 amps $75.00 2
401 amps to 600 amps y � $1010.00
Over 600 amps to 1000 woks
2b. For owner installations: see 'b" above
4d. Branch Circuits
Print Owner's Name New, alteration or extension per panel
Address a) The fee for branch circuits erfrh
City State zip purchase of a'vk
s. or hod or fee, 2
tY Each branch circuit 55,00
Phone No. b) The fee for branch circuits ertthout
The installation is being made on properly I own which is purchase of service or herder fee 3 2
not intended for sale, lease or rent. First branch snare $35 2
Ead1 additional branch amid $5,00 7 1
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
Earl sign or outline lighting sao.00
Signal circuit {s) or a limited amino 2
Please check appropriate item and enter fee in section 56. panel, aheration or extension $40.00
4 or more residential units in one structure Minor Label; (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 any of the above
as described in N.E.C. Chapter 5 par irs — $35.00
ap Per hour $55.00
In Plant $56.00
Submit 2 sets of pis wip application where any of the above
apply. Not required for temporary construction services_ 5. Fees:
NOTICE Se. Enter total of above fees $ 60.00
5% Surcharge (.05 X total fees) $ . )0
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 st $
Balance Due $ -0-
�e
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line (Rec -O- Phone): 639 -4175 Business Phone: 639 -4171
Inspection:
�J r
•,�.;._ L ■A� ' . , � — � 1
Footing Susp. Ceiling
Sprink. Rough -in Appr /Sdwlk
Foundation Plbg. Underslab Mech. Rough -in Fireplace
' �
Post /Beam Struct. Plbg. Top Out Elec. Rough -in FINAL FINAL
Gas Line -Bldg.
Post /Beam Mech. San. Sewer Framing -Plumb.
Plbg. Underfloor Rain Drain Fram -Mech.
Alarm
Water Line Insulation
Underflr. Insul. Shear Wall Gyp. Bd.
Date Requested:
Z D Time: AM _PM
Address: Er v S - -
Permit #:"12_
Builder:
THE FOLLOWING CORRECTIONS ARE REQUIRED:
C 2-- 2-
t iu� -30
'--Birifffira°W, -- 4 - A '
, i
G -
. e AP!, Date: Arjr
Inspector: � -
jkAPPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
Call For Reinsp.