Loading...
Permit • L CITY OF TIGARD ELECTRICAL PERMIT - RESTRICTED ENERGY DEVELOPMENT SERVICES PERMIT #: ELR1999 - 00078 Ail `�" . 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 4/12/99 SITE ADDRESS: 09475 SW IVANA CT PARCEL: 1S126DC SUBDIVISION: LEHMANN SQUARE ZONING: R - BLOCK: LOT: 004 JURISDICTION: TIG Project Description: Installation of timing device for irrigation system. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: IRRIGATION : X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: : TOTAL # OF SYSTEMS: Owner: Contractor: e__€- q 2 LA �-i•- ' P€ I C WINDWOOD HOMES 144145 c.0 loifr...&. -A-7 7Jl. 12655 SW NORTH DAKOTA TIGARD, OR 97223 titi-oceb °2 g7 Phone:590 -4700 Phone: (195 370 Reg #: 58 FEES Required Inspections Type By Date Amount Receipt Elect'l Final 1.0w J0c7 /0sP. 5PCT DRA 4/12/99 $2.00 99- 314408 PRMT DRA 4/12/99 $40.00 99- 314408 Total $42.00 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. 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 rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- -0011 .rough OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503) ' 246 1987. �(� 1 Permittee Si nature , �� , _1 $ , ! t Issu d by _ I,,� L.lk , �� g 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: DATE: LICENSE NO: Call 639 -4175 by 7 :00 P.M. for an inspection needed the next business day ■ „ di 114, CITY OF TIGARD RECEIVED EIectrical Permit Application Plan Ch- # • 13125 SW HALL BLVD. Rec'd ■ V, AI/ ' it TIGARD OR 97223 APR 0 9 1999 Date Rec'd 9 Date to P.E. Phone (503) 639 -4171, x DEVELOPMENT Date to DST f� 21999 9 •04Zin Print or Type o Inspection (503) 639 -4175 Incomplete or illegible will not be accepted Permit # , Fax (503) 684 -7297 Called 1. Job Address: // 4. Complete Fee Schedule Below: Name of Development i- ef'lmlli/? %f il ,/".-_ Number of Inspections per permit allowed Name (or name of business) S�GC -Yv /l/14-&14-- Service included: Items Cost Sum Address %3 '75 J 41 - f -r 4a. Residential - per unit � 1000 sq. ft. or less $110.00 4 City /State /Zip V/x!d ,/ / � Each additional 500 sq. ft. or Commercial portion thereof $25.00 1 Re sidential ❑ Li mited Energy $25.00 Each Manufd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: (Attach copy of all current licenses)) " 4b.-Services or Feeders - Eleetrica1 Contractor t6.„,,,e24.-- L�.� " scer / yt_ Installation, alteration, or relocation / ,k* �� /D f, 200 amps or less $60.00 2 Address /9/9,5" S4/�� 201 amps to 400 amps $80.00 2 City S/erWr c d State ©2 Zip 9 7/5'/) 401 amps to 600 amps $120.00 2 Phone No. • /'Z;- ai7D0 x r,( 601 amps to 1000 amps $180.00 2 Job No. Over 1000 amps or volt $340.00 2 Elec. Cont. Lice. No. Exp.Date Reconnect only $50.00 2 OR State CCB Reg. No. 68 Z/ / Exp.Date 6-50- ?V 4c. Temporary Services or Feeders COT Business Tax or Metro No. /5 Exp.Date 7 -/ 97 Installation, alteration, or relocation %`/��� ��� // 200 amps or less $50.00 2 - Signature of S r--Efec"n /�► K�fi/� �• sFd� 201 amps to 400 amps $75.00 2 401 amps to 600 amps - $100.00 2 Over 600 amps to 1000 volts, License No. Exp.Date see "b" above. Phone No. 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 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 circuit $5.00 2 intended for sale, lease or rent. 4e. Miscellaneous (Service or feeder not included) L, Owner's Signature Each pump or irrigation circle / $40.00 L 0 - 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 $ y� 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 $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY �� e.20 TIME AFTER WORK IS COMMENCED. ❑ Trust Account # ----- Total balance Due $ 1: \DSTS \ELC96.APP Rev 9/96