Permit CITY OF T ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC98 -01`98
! - I �� 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED': 04/17/98
\67 PARCEL: 2S1O18C- 00.101
SITE ADDRESS...:O85 SW HUNZIKER ST #C
SUBDIVISION ZONING:I —L_
BLOCK . LOT • JURISDICTION: TIG
Project Description : Add first branch circuit and 3 additional branch circuits to
commercial tenant occupancy.
- -- 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 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: 3 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
JOHN SR S KNEZ type amount by date recpt
8185 SW HUNZIKER ST PRMT $ 50.00 DLH 04/17/98 98- 305025
TIGARD OR 97223 5PCT $ 2.50 DLH 04/17/98 98- 305025
Phone #:
Contractor:
ALAN FITCH ELECTRIC. $ 52.50 TOTAL
25973 S MOEHNKE
REQUIRED INSPECTIONS
BEAVERCREEK OR 97004 Ceiling Cover Elect'l Service
Phone #: 503 -632 -4784 Wall Cover Elect'l Final
Reg #..: 001068
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 cild by cal ( a02'6 -1987.
! I
Permittee Signature: '1!//l I L r_o�I 1"� Issued By: A L/M L
'OWNER INSTALLATION'ONLY
The installation is being made on property I own which is not intended for
sale, lease, or rent..
OWNER'S SIGNATURE: elv /97 DATE: YA// 9,P .
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' N : /109 DATE:
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + ++ + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD Electrical Permit Application Plan Check #
13125 SW HALL BLVD. Rec'd By .D L /
Date Recd_ Y//7/ ?f
TIGARD OR 97223 Date to P.E.
Phone (503) 639 -4171, x304
Print or Type Date to DST
Inspection (503) 639 -4175 Incomplete or illegible will not be accepted Permit # E P -0�9?
Fax (503) 684 -7297 Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Name (or name of business) K'N■e l S n+r..i S . SR- Service included: Items Cost Sum
Address 1 b 5 S . 11 , 'kur •l Z\ Kai vt- -1-7 4a. Residential - per unit
City/State/Zip 1 iG.A R,l� Each additional it or less 5 s $110.00 4
ty P Each additional 500 sq. ft. or
Commercial ® Residential ❑ 6 241-4,P1'2-- portion thereof 1
Limited Energy $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
(Attach copy of all current licenses) 4b. Services or Feeders
Electrical Contractor kL -A-A7 1CTt-*N- te_c_I R.-i G Installation, alteration, or relocation
200 amps or less $60.00 2
Address 2-S°I -- S . v 44&) .. C 201 amps to 400 amps $80.00 2
City. State n Zip c i-vr7' -I 401 amps to 600 amps $120.00 2
Phone No. • t 0i1_- q----j 601 amps to 1000 amps $180.00 2
Job No. Over 1000 amps or volts $340.00 2
Elec. Cont. Lice. No. 3 - 3 64- Exp.Date 11? - t -� Reconnect only $50.00 2
OR State CCB Reg. No. n to l Z Exp.Date (0 ' FS- S Y 4c. Temporary Services or Feeders
COT Business Tax or Metro No. '16,o Exp.Date ' Installation, alteration, or relocation
-� , A � 200 amps or less $50.00 2
Signature of Supr. Elec'n ,�� 1 0 E - -- 201 amps to 400 amps $75.00 2
401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No 3 � 7 1 S Exp.Date I V -112 - 9f3 see "b" above.
Phone Nc. (Q 1 - .k}40 - I
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 circui $5.00 2 -
b) The fee for branch circuits
City State Zip without purchase of
Phone No. service or feeder fee.
First branch circuit t $35.00 3S °O 2
The installation is being made on property I own which is not Each additional branch circuit 3 $5.00 l S - 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:
Not required for temporary construction services. 5a. Enter total of above fees $ 5 -
5% Surcharge (.05 X total fees) $ 1. 5v
NOTICE • Subtotal $
5b. Enter 25% of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $
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 # _ S Z. 9
Total balance Due
I: \DSTS \ELC96.APP Rev 9/96
Case Activity Listing 12!2912004 1:08:12PM
TIDEMARK Case #: ELC98 -00198
COMPUTER SYSTEMS, INC.
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ELCC001 Application received 4/17/1998 None RECD DLH 4/17/1998
DLH
ELCC003 Permit created 4/17/1998 None DONE DLH 4/17/1998
DLH
ELCC799 Elect'l Final 5/13/1998 None PASS BRP 5/14/1998 300 -ft run, FLA: 8 amps
J *H
ELCC500 (F)Issue permit 4/17/1998 None DONE DLH 4/17/1998
DLH
ELCC800 Case Finaled 5/13/1998 None PASS BRP 5/14/1998
J *H
Page 1 of 1 CaseActivity..rpt