Permit : CITY OF TIGARD PERMIT
ELECTRICAL
�� �, i DEVW LOPMENo 6 DATE OR , PERMIT ISSUED: 01/21/97
��
PARCEL: 2 S101BC -02501
SITE ADDRESS— : 08200 SW HUNZIKER ST
SUBDIVISION.. .. :° ZONING :I, L,
BLOCK— ........ LOT............ „ .
Project Description :,.,TEMPOARY, SERVICE. •
- -- RESIDENTIAL UNIT - - --- ---- TEMP.SRVC /FEEDERS - - - - - MISCELLANEOUS
1000 SF OR LESS....: 0 0 — 200 amp.......: 1 PUMP /IRRIGATION....: 0
EACH ADD' L., 500$F.. :.: O.; „ L£ - , 4g+0:.- amp, .;;o,:.,., o.:. n.. ....SI.GN /OUT. LINE LTG.. 0
LIMITED ENERGY.....: 0 401 — 600 amp.......: 0 SIGNAL /PANEL.......: 0
MAIUF:.... HM SVC /FpR.. > .,v,a a ! ',..:.,,, M.INOR,;' LAPEL ., ,( ; 10) .....: , 0 ,
- ---- SERVICE /FEEDER- - - -- - - -- BRANCH CIRCUI INSPECTIONS-- -
0.. . 200 am,p.,...µ.. 0, ,.. W /SER,V ICE. OR. FEEDER.oi O ,.. PER ,INSPECTION.. a., 0
201 — 400 amp..... .s 0 1st W/O SRVC OR FDR.: 0 PER HOUR...........: 0
401 — 600' am.p.: o 0 . Eft ADD ?.L BRNCH ,. IN ,PLANT:.,........... 0
601 — 1000 amp.....: 0 _______.___PLAN REVIEW
1000+ amp /volt.....: 0- > =4 RES UNITS......... :. > 600 VOLT NOMINAL,..:
Reconnect only.....: 0 SVC /FDR >= 225 AMPS..: CLASS AREA /SPEC OCC.:
Owner: — -- -- FEES --
OLD WESTERN FOUNDRY type amount by date recpt
8200 SW HUNZIKER RD • . PRMT $ 50.00 DRA 01/21/97 97- 289199
5PCT $ 2.50 DRA 01/21/97 97- 289199
TIGARD OR 97223
Phone #: .
•
Contractor :, -- . — •
BUSY BEE ELECTRIC $ 52.50 TOTAL
BRIAN KELIHER
PO BOX 383 REQUIRED INSPECTIONS
SEASIDE OR 97138
Phone #: 541 -326 -9780
Reg #..: 009217
X/
This permit is issued subject to, the regulations contained in .the,.
Tigard •Municipal: Code ,State4 of.:Qr:,e;;,Specialty, Codes, and.,all , other .., Perm it t e e. Signature
applicable laws. All .work will be done in accordance with
approved plans..,•-,Thi,sveroit. will -expire if worke,,is nut ,started
within 186' °days- of k•i.ss.uance;- or. if-. work is:,.suspended -for, more. � a bs . � .� ��l � 4
than 180 days..:_ - - .ued By
- OWNER INSTALLATION ONLY - - - --
The installation is, being made on property-,I. own which, is not intended for
sale, lease, dr rent. -
OWNER'S SIGNATURE: DATE:
- — CONTRACTOR INSTALLATION ONLY-- -
SIGNATURE„ OF. SUGR. ELEC'N�e, r . DATE: . -..
LICENSE NO:
• Cal. in „s.pect.i.on �� 6397-41.7,5„,„ .
r •
CITY OF TIGARD Electrical Permit Application Plan Chec
13125 SW HALL BLVD. Rec'd Byi
TIGARD OR 97223 Date Rec'd ) ' 2\I - 7
Date to P.E.
Phone (503) 639 -4171, x304 Print or Type
Date to DST
Inspection (503) 639 4175 Permit # G�ic/7-ocr!g
Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Name (or name of business) , J / Service included: Items Cost Sum
I
Address Sa g 0 ./ ,1/1 ` � �! /2-- 4a. Residential - per unit
1000 sq. ft. or less $110.00 4
City/State /Zlp / Each additional 500 sq. ft. or
Commercial ® Residential ❑ portion thereof $25.00 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 c e tenses) ill' 4b. Services or Feeders
7 I alteration, or relocation
Electrical Contr. ctor / / 200 amps or less $60.00 2
Address ' reli0 i 201 amps to 400 amps $80.00 2
City _ .z..0.,./ State Zip ilM�/ 401 amps to 600 amps $120.00 2
Phone No. - -,1 - 2, 3 - 7 3 °- �r'1 601 amps to 1000 amps $180.00 2
Job No. Over 1000 amps or volts $340.00 2
Elec. Cont. Lice. No. 1 5!/ G Exp.Date Reconnect only $50.00 2
OR State CCB Reg. No. 22172.. Exp.Date 4c. Temporary Services or Feeders
COT Business Tax or Metro No. Exp.Dat Installation, alteration, or relocation
200 amps or less $50.00 2
Signature of Supr. Elec'n /0 I _ _ _d 201 amps to 400 amps $75.00 2
401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
/
License No. 7V Exp.Date /
Phone No. - 7_ r i� .t
�G 1 n 4d. Branch Circus s
`l_] 60 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 circuit $5.00 2
b) The fee for branch circuits
City State Zip without purchase of
Phone No. service or feeder fee.
First branch circuit $35.00 2
The installation is being made on property I own which is not Each additional branch circui $5.00 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% Surcharge (.05 X total fees) $
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 $ ----0
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Trust Account #
Total balance Due
I: \DSTS \ELC96.ARP Rev 9/96
L
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 - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other:
Date:0/ �,% - ^ 7 7 A.M. P.M. Entry:
Address: & C9C) 4 y3) `� ( Af!P (-
Tenant: 1 Ste: MST:
BUP:
Con /Own: MEC:
PLM:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
0
i gyr
Inspector: 211 i C: 4 ( Date:
4 /' APPROVED DISAPPROVED /CALL FOR REINSP. CO