Permit CITY OF TI GARD ELECTRICAL PERMIT
a PERMIT #: ELC1999 -00640
k * "i� DEVELOPMENT SERVICES DATE ISSUED: 10/27/1999
- 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 10X8 -02700
SITE ADDRESS: 13050 SW PACIFIC HWY
SUBDIVISION: FREWINGS ORCHARD TRACTS ZONING: C -G
BLOCK: LOT : 020 JURISDICTION: TIG
Project Description: Electrical TI - restaurant
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 4 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
ANTONIO CAPONE ADVANTAGE ELECTRIC
13056 SW PACIFIC HWY 8145 SW OLESON RD
TIGARD,•OR 97223 PORTLAND, OR 97223
Phone: Phone: 503 - 891 -9636
Reg #: ELE 34 -510C ORIGINAL
LIC 108699
SUP 4619S
FEES Required Inspections
Type By Date Amount Receipt
Elect'l Service
PRMT DST 10/27/199E $58.90 99- 319387 Elect'l Final
5PCT DST 10/27/199£ $4.71 99-319387
Total $63.61
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.
PERMITTEE'S SIGNATURE 6' \4 A/V(f( l —_ ISSUED BY:A ... 1 ... Q . A..„. 7v _ e _p
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: (f)A 6-74-70--&-CG DATE: /p /a- 83/Y9
LICENSE NO: 9 —s
Call 639 -4175 by 7:00pm for an inspection the next business day
04/23/1995 11:43 5034529636 ADVANTAGE ELECTRIC PAGE 01
1 .1 i
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1A!27'09 WED 18:36 FAX 309 588 1980 CITY OF TIGARD la) 002
CITY 0 : TIGARD Electrical.Permit Application Plan Check a isk
13125 : iW HALL BLVD. I Recd By 81,3
TIGAR1) OR 97223
Date Recd (A 2.1--(11
Phone (E D3) 839 -4171, x3(14 Date to P.E.
Date to DS
Inspectir n (503) 039-4175 Print of Type Permit 0
Fax (50: ) 598 -1980 Incomplete or Illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Cavelopment I Number of Inspections per permit allowed
Name (or I acne of business) ' f . - 1 . - • ' • Service Included: items Cost Sum 4'
Address i 1 CSO .S'.tl IC sa. Residential - per uni R. less
1000 City /State/ tip "� Co A R sq. ft. or
D C) ' , _ Each ad ditional 500 $ 117.75 4
potllon thereof $ 26f 1
Commerci II Residents ❑ Limited Energy $ 60.00
Each Manurd Home or Modular
2e. Cat tractor installation • nly: Dwelling Sendce or f $ 72.76 2
(Prior to pm Tilt Issuance. applicants m , t provide contractor license 4b. Services or Feeders
Infonnsdon for COT dam e ). Installation, alteration, or relocation
Electrical t ontrSCtor A d• t ?A el , n-,rlCd 200 amps or less $ 64.25 2
Address _ 3 1 L�l 0 _ � . - 201 amps to 100 amps $ 11.50 2
1 r 401 amps to 600 amps $ 126.50 2
City StHUd - Zip Z 601 amps to 1000 amps
5 192.50 2
Phone No. « L -'16 36 Over 1000 amps or volts $ 363.76 2
Job No. _:: 0. ,-,,_ Reconnect only $ 53.50 2
Elec. Cont Lice. NO. _ - e.•. xp.Date 0 de. Temporary Sendces or Feeders
OR State I :CB Reg. No. r .. ., Exp.Date L Installation, alteration, or relocation
COT Bush ass Tax or Metro No. Exp.Date 200 amps or less $ $5 80.23 53.50 2
ntrA
2
Signature if S EIeC'n �_ 401 amps to 600 amps $ 107.00 2
8� Supr. / r Over 600 amps to 1000 volts, 201 amps to 400 amps
sec 9," license Ni .
�D ! S Exp.Date D rcuit
Phone No. 4g oI. f - y 1 New, Branch Circuits
6 New, alteration or extension per panel
I a) The fee fOr branch circuits
2b. For owner Installations: with purchase of service or
feeder fee.
Print Ownt es Name Each branch circuit _ S 5.36 • 2
b) The fee for branch circuits
Address „. _ without purchase of service
City Stele Zip or feeder fee.
Phone No. . _ First branch circuit ' _ 5 37.50
•
Each additional branch circuit ti $ 5.35 4 -2 : i ... r
The install, Hon Is being mark on pro arty I own which is not se. Miscellaneous
intended ftr sale, lease or rent.. (Servlko or feeder not included)
Each pump or Irrigation circle $ 42.75
Owners S ;nature Each sign or outline lighting $ 42.75
Signal dr uIl(s) or a Wiled energy
Pimp Review section (ifire uired : * ae • ohs (10) or eetension $ 00.00
3. P /
1 . Q J Minor Labels (10) S 107.00
Please c leek appropriate Item an enter fee in section 58. 41. Each additional Inspection over
4 x more residential unts In one tructure the allowable In any of the above
S twice and feeder 226 amps or More Per Inspection $ 80.00
Per hour $ 50.00
S 'stem over 600 volts nominal II In Plant 5 59.00
_ C ossified Brea or struct ire containing special occupancy as
c ascribed in N.E.C. Chapter 5 1 5. Fees: c � r
ea. Enter total of above tees S c.7
e Submit 2 sets of plans with ScplIcationl where any of the above apply. not 0a Surcharge (.05 X total fees) $ L
'smut rut ed for temporary co istruetl+ services. r3./ iI - Subtotal $
NOTICE I i ab. Enter 25% of line sa for
N Plan Review if required (Sec. 3) I
PERMITS 'COME VOID IF WORK OR C NSTRUCTION AUTHORIZED Subtotal S
B
IS NOT COB MENCED WITHIN 110 DAYS. OR IF CONSTRUCTION OR
WORK IS SI SPENDED OR ABANDONED OR A PERIOD OF 180 DAYS ❑ Trust Account d
AT ANY TIM AFTER WORK IS C OMMEN ED. Total balance Due $ a1,12_
1: \dsts \fortns\dtcctrla.doc
12/09/1999 Activities for Case #: ELC1999 -00640
9:56:23 AM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCC001 Application received 10/21/1999 BON RECD No Hold BON 10/26/1999
ELCC003 Permit created 10/26/1999 BON DONE No Hold BON 10/26/1999
ELCC117 DST Post - Review complete 10/26/1999 BON DONE No Hold BON 10/26/1999
ELCC400 (F)Ready to issue 10/26/1999 BON • DONE No Hold BON 10/26/1999
ELCC730 Elect'I Service 10/26/1999 10/26/1999 No Hold BON 10/26/1999
ELCC799 Elect'l Final 10/26/1999 10/26/1999 11/23/1999 BP PASS No Hold DGW 11/23/1999
ELCC500 (F)Issue permit 10/27/1999 KJP DONE No Hold DST 10/27/1999
ELCA700 Rough -in 11/10/1999 11/10/1999 11/10/1999 BP PASS No Hold VT 11/10/1999 Rough in - Pass.
ELCC800 Case Finaled 11/23/1999 HAP PASS No Hold DGW 11/23/1999
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