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Permit CITY OF TIGARD ELECTRICAL PERMIT »a; DEVELOPMENT SERVICES PERMIT #: ELC98 w � I� � 13125SW Hall Blvd.,Tigard,OR97223 (503) 639.4171 DATE ISSUED: 08/13/98 PARCEL: 1S136AD -04000 SITE ADDRESS...:115O9 SW PACIFIC HWY SUBDIVISION •VILLA RIDGE ZONING:C —G BLOCK • LOT :007 JURISDICTION: TIG Project Description : Installation of 6 branch circuits. - -- 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: 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 DAVID GREENSPAN type amount by date recpt 11509 SW PACIFIC HWY PRMT $ 60.00 DLH 08/13/98 98- 308231 TIGARD OR 97223 5PCT $ 3.00 DLH 08/13/98 98- 308231 Phone #: Contractor: ROSE CITY ELECTRIC CO INC $ 63.00 TOTAL 4012 NE CULLY BLVD REQUI RED INSPECTIONS PORTLAND OR 97213 Ceiling Cover Elect'1 Service Phone #: 287 -6164 Wall Cover Elect'1 Final Reg it..: 000035 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 OUNC calling (503)246 -1987. Permittee Signature: ,1._ _.Iwo../Zdir Issued By:4 ■ . / ,/ IWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: /09 DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUP R. ELEC' N : 67V 497*4 /e N/ DATE: 00 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 Che t a u HALL BLVD. Reed B TIGARD OR 97223 Date Rec'd $ - P/ -9$ Date to P.E. Phone (503) 639 -4171, x304 Print or Type Date to DST Inspection (503) 639 -4175 Permit # 4 LC9r'Q '/Sa Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called 1. Job Address: IV C--- \ i - e l 4. Complete Fee Schedule Below: Name of Development C Qf p-r� 1 A Jf _ P_K ] ' l Number of Inspections per permit allowed Name (or name of business) ,1 �L 11b /1ui r (Z jU`PAii Service included: Items Cost Sum Address \ \ 't'" Z$C ■c n ..l 4a. Residential - per unit -�� 1000 sq. ft. or less $110.00 4 City /State /Zip ( i fie 7 ( 2-.. �.. L Each additional 500 sq. ft. or Commercial V J Residential El Limited Energy - $25.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: (Attach copy of rent licen 4b. Services or Feeders Electrical Contractor L • \ (✓ Installation, alteration, or relocation i 200 amps or less $60.00 2 Addr 2 �M 201 amps to 400 amps $80.00 2 - City Stat ip IG. 401 amps to 600 amps $120.00 2 Phone No. 7 Co I L 601 amps to 1000 amps - $180.00 2 ! Job Nom Over 1000 amps or volts - $340.00 2 Elec. Cont. Lice. No. _ �1fw Exp.Date I ( i Reconnect only $50.00 2 OR State CCB Reg. No. i Exp.Date EV 4c. Temporary Services or Feeders COT Business Tax or Metro No. �..0 Exp.Date Installation, alteration, or relocation �,.i��' 200 amps or less - $50.00 2 / �� 4� 201 amps to 400 amps $75.00 2 Signature of Supr. Elec 'n r :`.� ! � 401 amps to 600 amps $100.00 2 (, Over 600 amps to 1000 volts, License No _ c= 1 .)-1 S Exp.Date VO `q V see "b" above. Phone Nr ,-,2, 1 la I V) 4d. Branch Circuits _ 1 � � New, alteration or extension per panel 2b. For owner installation . r a) The fee for branch circuits with J purchase of service or Print Owner's Name feeder fee. .� �j� Each branch circuit $5.00 2 Address 4 City State Zip P -,e-, - b) The fee for branch circuits \ ty p without purchase of �,S U Phone No. service or feeder fee. - (I First branch circuit $35.00 2 The installation is being made on property I own which is not Each additional branch circuit $s.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 ( 4: o a * Submit 2 sets of plans with application where any of the above apply. S. 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 $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY _7 r�, TIME AFTER WORK IS COMMENCED. El Trust Account # I /J��`� - - Total balance Due $ I: \DSTS \ELC96.APP Rev 9/96 Page No. 1 CASE HISTORY FOR CASE NO.: ELC98 -0482 DAVID GREENSPAN • 11509 SW PACIFIC HWY 12/09/98 Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done • Done Date By • ELCO001 Application received / / / / 08/11/98 RECD DEB 08/11/98 DRA ELCC003 Permit created / / / / 08/11/98 DONE DEB 08/11/98 DRA ELCC400 (F)Ready to issue / / / / 08/11/98 Ready to issue pending approval of DONE DEB 08/11/98 DRA BUP98 -0316. Electrical permit attached to BUP & MEC paperwork. ELCC500 (F)Issue permit / / / / 08/13/98 reprinted due to system'crash on 8/12/98 NOTE JT 08/19/98 JT ELCC700 Ceiling Cover / / / / / / 08/11/98 DRA ELCC720 Wall Cover / / / / 09/23/98 lock box key would not work FAIL CD 09/24/98 CD ELCC720 Wall Cover / / / / 09/28/98 PASS CD 09/29/98 CD ELCC730 Elect'l Service / / / / / / 08/11/98 DRA ELCC799 Elect'l Final / / / / 11/16/98 PASS CD 11/16/98 CD ELCC799 Elect'l Final / / / / 11/10/98 no ceiling inspection called for, FAIL CD 11/10/98 CD fixtures must be fastened at all four • corners plus 2- support wires installed diagonaly. have open tiles for reinspection. ELCC800 Case Finaled / / / / 11/17/98 PASS CD 11/17/98 J *H ELCC920 Miscellaneous action / / / / 09/24/98 lock on door not working properly, left FAIL CD 09/24/98 CD message with rose city to contact tenant or builder & have unit unlocked for next inspection.