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Permit CITY OF TIGARD ELECTRICAL PERMIT - RESTRICTED ENERGY 111' DEVELOPMENT SERVICES PERMIT #: ELR2000 -00076 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 04/11/2000 SITE ADDRESS: 11686 SW PACIFIC HWY PARCEL: 1S136CD-01700 SUBDIVISION: ZONING:. C -G BLOCK: LOT: JURISDICTION: TIG Project Description: Speaker wire and antennae wire 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: • HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: : X TOTAL # OF SYSTEMS: 2 Owner: Contractor: P & F PROPERTIES RED'S ELECTRIC CO INC 834 W ST CLAIRE 2002 SE CLINTON ST PORTLAND, OR 97205 PORTLAND, OR 97202 Phone: • Phone: 233 -6467. Reg #: SUP 2059S LIC 000044 ELE 26 -152C FEES Required Inspections Type By Date Amount Receipt Elect'I Service PRMT BON 04/11/200C $120.00 0001322 Elect'l Final 5PCT BON 04/11/200C $9.60 0001322 Total $129.60 OGINAL 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 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -1987. a ` Issued by L L , QJ{/�-- Permittee Signature ova AC am. # 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 QY\ , l DATE: /.�G t`�fZl LICENSE NO: • Call 639 -4175 by 7:00 P.M. for an inspection needed the next business day • 04/10/2000 14:06 2331281 REDS ELECTRIC CO PAGE 01 08/09/99 MON 11:28 FAX 503 598 1960 CITY OF TIGARD 11002 - CITY OF TIGARD Electrical Permit Application PI�r Gh adc ' 13125 SW HALL BLVD. Recd By • • TIGARD OR 97223 P etwv , Oats Reo d - -? 000 Phone (503) 898 -4171, x304 1 Qp Date to P.E. eLc / 9x/"007.' Date to DST Inspection (503)639.4175 Print of Type Permit# 57 -0 - 7(o Fax (503) 598 -1960 Incomplete or Illegible will not be accepted Called 1. Job Address: 4, Complete Fee Schedule Below : Name of Development Numbw of Inepscflona per permit allowed Name (or name of business) Service Included: Items Cost Sum '1 Address 1/6 go . it/ %/ j'!4. _ 4e. Residential - Of unit Clry /Statealp / 1 000 aq. n or less $ 117,75 4 Each additional 500 so, ft, or Commercial Residential ❑ portion thereof 26.75 1 Limited l nergY 5 $ 00.00 Each Mani d Home or Modular 2a. Contr Installation only: . Dwelling Service or feeder ' $ 72.75 2 (Prior to permit Issuance, applicants must provide contractor license ab. Service a or Feeder.. htbrmetpon for COT data ease). ineelladon, alteration, or relocation Electrical Contractor ' _ ,I ' • - . 200 amps or less 3 04.25 2 Address _._.- .S - r4 201 amps to 400 mope $ 85.50 2 City y} State OP LP t� 71�� 401 amps to 800 amps 5 128.50 ^ 2 Phone No_ ". u--iy+ 7 ! 601 amps to 1000 amps $ 1sa_s0 2 Over 1000 amps or volts $ 353.71E 2 Job No ? A /stir Reconnect only 6 53.50 , 2 • Elec. Cont. Lice. No. .4e Exp.Date /,O44 P 4c. Temporary 3en r lcas or Feede OR State CCB Reg. N. 'V's Exp,Date L / /0,p Inalallation, alteration, orrelocation COT Business Tex or Metro No. J6 9S ,E sate 200 9mDa or legs 5 53.50 2 201 amps to 400 amps $ 80.25 2 • Signature of Supr. Eleo'n _ ." ,! _; 401 amps to 600 amps � 5 107.00 2 / Over 000 amps to 1000 voile. Oe License No. A (2 (5' Exp.Date /0 - / -- O/ sae "b° above. Phone No„ j� ? - y6� 4d, Branch Circuits New, alteration or extension per panel • 0) The fee for brooch circuits 2b. For owner Installations: with punches' or sandCe or feeder fee. Print Owner's Name _ Each branch dreult' $ 5,35 2 • Address b) The tee for branch circuits City Stake � Zip without purchase of service . , or feeder fee. Phone No, F1 Gt branch circuit 5 37.50 EaSh additional branch circuit 5 6.36 The Installation is being made on property I own which Is not 4a. blis auaneoua intended for sale, lease or rent. (Service or reader not inducted) . Each pump or Irrigation dale $ 42.79 Owners Signature _ _ Each al9n or outline '• , _ 8 42.75 Signal clroull(s) . : u. = !2 3. Plan Review section (if,requlred): ` Minor Labels ell (( (10) ton o and nn $ 60.00 1 Z� $ 107.00 Pio**, check appropriate c Item and enter fee in section SB. 4E Each additional Inspection over ��p�„ , _ � 4 w �...�� w we or more residential units in one structures the allowable in eny, otitis above CAW Servloe and feeder 225 amps or m Per inspection 5 60,00 More Per hour $ 60,00 System over600 volts nominal In Plant $ 58.00 - Classified area or structure containing special occupancy as described In N.E.C. Chapter 5 5. Fees. w 6a. Enter total of above fags $ r Submit 2 sets of plans with application where any of 1ha above apply- C% Surcharge (.05 X total tees) $ 711.p 00 Not required for tameorrary wnstruction eervlcas. Subtotal $ jJOTICE der. Enter 25% or line Sa for Plan Review rt required (Set. 3) 3 PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED 1 $ is NOT COMMENCED WITHIN 189 DAYS, OR IF CONSTRUCTION OR / r [ 7� WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS 0 Trust Account 1 L( `t AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due , $ 129 iAciat lermslctec ric.doc 05/18/2000 Activities for Case #: ELR2000 -00076 3:27:39 PM Assigned Hold Updated ` Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes ELRC001 Application Received 04/11/2000 BON DONE No Hold BON 04/11/2000 ELRC003 Permit Created 04/11/2000 BON DONE No Hold BON 04/11/2000 ELRC730 Elect'I Service No Hold BON 04/11/2000 . ELRC799 Elect'I Final 05/01/2000 CD PART No Hold AKJ 05/01/2000 main floor finaled, reschedule final for basement and speaker wire ELRC500 (F) Issue permit 04/11/2000 BON DONE No Hold BON 04/11/2000 ELRA799 Elect'I Final 05/17/2000 CD PASS No Hold JMT 05/18/2000 data entered by Jeanne per conversation with Chuck D ELRA800 Case Finaled 05/18/2000 JMT DONE - No Hold JMT 05/18/2000 • Page 1 of 1