Permit CITY OFTIGARD
1 DE VELOPMENT SERVICES ELECTRICAL PERMIT
"� l w it A PERMIT #: ELC97 -001 !
W _:_.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 01 / 09 / 97
PARCEL: 2S1O1DB -i010i
SITE ADDRESS...: 07420 SW HUNZ I KER ST #B
SUBDIVISION.... n • ZONING :C- -P
BLOCK........... LOT.. — — . — . .
Project Descri_pt ion: . INSTL• 3 BRANCH- CIRCUITS
-- _RESIDENTIAL UNIT - - - -.' „ - -- TEMP -S.RVC /FEEDERS - - - -. . MISCELLANEOUS
1000 SF OR LESS....: 0 0 - 200- amp; ... ....: 0 PUMP /IRRIGATION. „ .: 0
EACH ADD' L 500SF...: 0 . 20.1 - 400 amp..— > .. - .. s 0 . • . SIGN/OUT LINE .: 0
LIMITED ENERGY.....: 0 401 - 600 amp.......: 0 SIGNAL /PANEL.......: 0
MANE. HM/ SVC /FDR.._: 0 -. 60°1. +amps. =1000. volts.: 0 MINOR LABEL (10) ...: 0
- - -- SERVICE /FEEDER - -__ -__- BRANCH CIRCUITS -- -ADD'L INSPECTIONS-- -
0 - 200, amp........:. 0 , W/SERV ICE OR. FEEDER: .0 PER INSPECTION.....: O
201 -- 400 amp.. , ...: 0 1st W/O SRVC OR FDR.: 1 PER HOUR.... < ...... „ 0
401 - 600 amp..---... e • 0 i. EA. , ADD." L B.RNCH, .CI RC 3.. - IN- PLANT... n .......: 0
601 - 1 000 amp.....: 0 PLAN REVIEW SECTION------- _
1000+ amp /volt.....: 0 , > =4 RE'S UNITS— — .....:. . > 600 VOLT NOMINAL.. .
Reconnect only.....: 0 SVC /FDR > -- 225 AMPS..: CLASS AREA /SPEC OCC. :
Owner: . - -• ., . FEES ,
QUANTUM COMMERCIAL MNGMT type amount by date recpt
111 MAIN ST . . .. . ' PRMT , $ - 45.00, TAT .01/09/97 97- 288722
STE 306 5PCT $ 2.25 TAT 01/09/97 97- 288722
VANCOUVER WA 97660 •
Phone #< 306- 699 -2333
Contractor: _.-
PHOENIX ELECTRIC CO $ 47.25 TOTAL
7379 SW TECI -i. CENTER DR.
., , . .- - - - - -- REQUIRED INSPECTIONS
TIGARD OR 97223 Ceiling Cover Underground Cove
Phone • #: 503- 684 -3600 , ... , Wall Cover . Elect' 1. Service
Reg #..: 2647
This permits is issued subject to the ; regulations ,contained In the ,! _ „,90,, 4r-
Tigard Municipal Code, State y ate of, Ore. Specialt Codes and .all other Perm. t t1.:g.n ure -
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.eore . I 1'i,
than 180.days. . • • . • • • . Issued By
- - -- -OWNER INSTALLATION ONLY '---.--- -..-
The installation i s being made . o.n• „property -I. own which„ • i..s, not intended for
sale, lease, or rent. .
OWNER'S SIGNt1TURE:;._ . DATE: •
.
__ _- -- - -- CONTRACTOR INSTALLATION ONLY -- - - ---
SIGNATURE. OF SUPR. -. EL.EC' N.:. . , . DATE
LICENSE NO:
... C.al I . for inspect i.on . -„ 639- 4175-. L. . J.
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd. n
Tigard, OR 97223 Permit # e L 91- i 0
�` ° "Iq�I�P�IV1 ° , Date Issued I �! )57
�I I i Phone (503) 639 -4171
6- FAX (503) 684 -7297
CITY OF TIGARD TDD No. (503) 684 -2772
Inspection (503) 639 -4175
1. Job Address: , A r ' - 4. Complete Fee Schedule Below:
Name of Development "1, \ 0)'1 - S,- tY.D Number of Inspections per permit allowed
Address1C-1. -0 v' =5U.i LL - .,Z\ ,C Service included: Items Cost(ea) Sum
City/State/Zip , O2.. C 1 - 1 - -; 4a. Residential - per unit
1000 sq. ft. or less $110.00 4
Name (or name of b iness) \Arc rfitlYl rxr.T iet J Each additional 500 sq. ft. or
Commercial Residential ❑
cc JJ portion thereof Limited Energy $25.00 1
Each Manuf'd Home or Modular $25.00
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only: .
4b. Services or Feeders
P hC e r \ y, I alteration, or relocation
Electrical Contractor 2 am or less $60.00 2
Address tSt_� \�",v, ( :; -- � 201 amps to 400 amps $80.00 2
r
City \ v \ l %l-'� 401 am to 600 amps $120.00 2
601 amps to 1000 amps s StateC?�� Zip am $180.00 2
�t
Phone s . 1` , Over 1000 amps or volts $340.00 2
Job NO � ^ [}\-`' Reconnect only $50.00 2
0
contractor's license NO. 4c. Temporary Services or Feeders
Contractor's Board Reg. No. `,') �- � Installation, alteration, or relocation 2
Signature of Supr. Elec'n 200 amps or less 2
License No 4'7 /of phone No. '�.4.3- -Ile(`, 201 amps to 400 amps $50.00 2
401 amps to 600 amps $75.00
Over 600 amps to 1000 volts $100.00
. 2b. For owner installations: see "b" above.
4d. Branch Circuits
Print Owner's Name New, alteration or extension per pane
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 fee for branch circuits without
The installation is being made on property I own which is purchase of service or feeder fee. 2
not intended for sale, lease or rent. First branch circuit $35.00 �, (}
Each additional branch circuit $5.00 a t i
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 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
NOTICE 5% Surcharge (.05 X total fees) $ r'�
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ ,4-1-W.)-
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. wordlcomdeNeiec- ❑ Trust Account #
$
prm.app �-
Balance Due $ 4"1. AS
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /Flr /Slab Plbg. Top Out Insulation
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other: G
Date: ' ` 3 () 1 l I A.M. P.M. Entry:
Address: / Z 0 ' ,' , n_2
Tenant: i ® I Ste: M
BUP:
Con /Own: ekeSLa. -/Y ' MEC:
PLM:
ELC: % t 7 It
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: 47.7"c'94)
7 - 0QD.2., =
....-________1_fbnt CT cw . - t
Inspector� G! cZ -e( / Date: / ,j � � 4 /( ,,,_ A PPROVED _ DISAPPROVED /CALL FOR REINSP. CO