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Permit CITY OF TIGARD ' DEVELOPMENT SERVICES ELECTRICAL PERMIT PERMIT #: ELC96 -0743 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 12 / 04 / 96 PARCEL: 2S110DB- 00703 SITE ADDRESS...: 15348 SW PACIFIC HWY SUBDIVISION • ZONING: BLOCK LOT • Project Description: SHELL ELECTRICAL FOR LES SCHWAB TIRE STORE SEE ELC96 -0730 FOR TEMPORARY SERVICE PERMIT - -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS 1000 SF OR LESS • 0 0 — 200 amp • 0 PUMP /IRRIGATION 0 EACH ADD'L 500SF...: 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 • 5 W /SERVICE OR FEEDER: 90 PER INSPECTION 0 201 — 400 amp • 1 1st W/0 SRVC OR FDR.: 0 PER HOUR 0 401 — 600 amp : 0 EA ADD'L BRNCH CIRC: 0 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..:X CLASS AREA /SPEC OCC.: Owner: FEES - - -- LES SCHWAB TIRE CENTERS INC type amount by date recpt PO BOX 667 PRMT $ 830.00 JMH 11/21/96 96- 286823 PLCK $ 110.00 JMH 11/21/96 96- 286823 PRINEVILLE OR 97754 5PCT $ 41.50 JMH 11/21/96 96- 286823 Phone #: 541- 447 -9162 Contractor: TUALATIN ELECTRIC $ 981.50 TOTAL PO BOX 655 REQUIRED INSPECTIONS WILSONVILLE OR 97070 Ceiling Cover Underground Cove Phone #: 503- 682 -2955 Wall Cover_ Elect'l Service Reg #..: 65650 This permit is issued subject to the regulations contained in the v, / v Tigard Municipal Code, State of Ore. Specialty Codes and all other P /e/' i t ale e S • gnat ure applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started M within 188 days of issuance, or if work is suspended for more than 180 days. I +-red By 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 SUP R. ELEC' N : DATE: LICENSE NO: Call for inspection — 639 -4175 r vu 11 70A :.__. . ' Community Development ELECTRICAL P R I T APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Permit # 6 t t / 4 �r , yii v ,li.,� Date Issued piatu g 9 a-3-94- br a.. -- . P hone (503) 639 -4171 (OJ FAX (503) 684 -7297 � LL CITY OF TIGARD TDD No. (503) 684 -2772 I -Me f (2- nI 6 ' C. Z ` J(j7) 5 (fl7�3 Inspection (503) 639 -4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development LaJ -cc, k #..... b Number of Inspections per permit allowed Address iS-3 YQ S. L''. / c'cQt r., ii Service included: Items Cost(ea) Sum City /State /Zip 'T LS: 4 ✓d p ' - x'11 x27" 4a. Residential - per unit / / 1000 sq. ft. or less $110.00 4 Name (or name of business) 4-• t--5 -S vh. 6 Each additional 500 sq. ft. or portion thereof $25.00 Commercial Yr Residential El Limited Energy $25.00 1 Each Manufd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: 4b. Services or Feeders Installation, alteration, or relocation 4 Electrical Contractor Ili at aim, icie- vi v : f $60. 2 2 00 amps or less Address r o • �-�', tf- L .5..5 .5..5 r� /1 201 amps to 400 amps $80.00 00 p 2 City {�', / State O ✓t Zip /© / c '7 401 amps to 600 amps $120.00 2 ty /si wiz/it - P $180.00 2 Phone No. 601 amps to amps amps e�9� Over 1000 amps or volts $340.00 2 Job NO. s LI Reconnect only •. 00 2 contractor's license NO. ' W.6 `5 c , 4c. Tern. • . Services of dens d�(l s 41• �' y Contractor's Board Reg. No. . SC - „ I . Insta . on, alteration, or relocatidi J Signature of Supr. Elec'n / rAir~Leir r 0 amps or less __i_ .$ - 2 License No. 3i3 S • r ' hone N • G S2 - j 9 •01 am to 400 am $ 50.00 4 1 amps to 600 amps $75.00 Over • • to 1000 volts $100.00 2b. For owner installations: see "b" above. dp (0 4d. Branch Circuits Print Owner's Name New, alteration or extension per pane Address a) The fee for branch circuits with purchase of service or feeder fee. 2 City State Zip Each branch circuit $5.00 y,tp' Phone No. b) The fee for branch circuits without The installation is being made on property I own which is purchase of service or feeder fee. 2 First additional circuit bit $$5.00 not intended for sale, lease or rent. Each additional branch circuit $5.00 Owner's Signature 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or irrigation circle $40.00 2 Each sign or outline lighting $40.00 Signal circuit(s) or a limited energy 2 Please check appropriate item and enter fee in section 5B. panel, alteration or extension $40.00 4 or more residential units in one structure Minor Labels (10) $100.00 Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional inspection over Classified area or structure containing special occupancy the allowable in any of the above as described in N.E.C. Chapter 5 Per inspection $35.00 Per hour $55.00 In Plant $55.00 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: _ 5a. Enter total of above fees g3(J $ NOTICE 5% Surcharge (.05 X total fees) LH , SZO$ Subtotal PERMITS BECOME VOID IF WORK OR CONSTRUCTION 7 5Z $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25% of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) � ci' •�O A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal f 1 6Z $ �l , l'i COMMENCED. worcftcomdeNdeo- ❑ Trust Account # SL � � $ prm.app C„ R U /0 kAi Balance Due //3 � $ � I cq , Sa MIS Ulle AQa :9 eAL/ _Atli B66° -0/53 /461., ^.Aeiji,("41 Page No. 1 CASE HISTORY FOR CASE NO.: ELC96 -0743 • LES SCHWAB TIRE CENTERS INC 15348 SW PACIFIC HWY 09/17/97 Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By • ELCC001 Application received / / / / 11/21/96 JMH 12/03/96 J *H ELCC003 Permit created 12/03/96 / / 11/25/96 NOTE: NOT ONLY DID ELC CALCULATE AND JMH 12/03/96 J *H PRE -PAY THE WRONG AMOUNT, MJR GAVE THEM A DISC. OR CHARGED BY THE HOUR FOR PLAN REVIEW. REFUND REQUESTED 120396 ELCC120 Plans Approved /Routed to DSTs / / •/ / 11/25/96 contractor will provide fault current PASS MJR 11/26/96 MJR projections NEC 511-3 will be inforced on repair areas contractor has no low -volt installations • • 11 -26 -96 called Dale Conlee, Les Schab, . they will pull ELC and insp. before ceiling cover ELCC400 (F)Ready to issue / / / / 12/03/96 JMH 12/03/96 J *H ELCC500 (F)Issue•permit / / / / 12/04/96 PAID JMH 12/04/96 DST ELCC700 Ceiling Cover 12/03/96 / / 03/12/97 track lights need slack wires PASS MJR 03/13/97 MJR no low volt permits ELCC720 Wall Cover 12/03/96 / / 02/07/97 office PASS MJR 02/07/97 MJR ELCC730 Elect'1 Service 12/03/96 / / 12/19/96 Rebar ok. PASS HW 12/23/96 RB ELCC730 Elect'l Service / / / /, 02/25/97 PASS MJR 02/26/97 MJR ELCC799 Elect'1 Final 12/03/96 / / 03/25/97 NEC 110 -16 requires clearance in front PASS MJR 03/31/97 MJR of panel but is waived per NEC 90 -4, for the conditions. • • ELCC800 Case Finaled / / / / 03/25/97 see final PASS MJR 03/31/97 MJR • ELCC910 Meeting / / / / 02/21/97 meeting with electrician about service PASS MJR 02/21/97 MJR ELCC920 Miscellaneous action / / / / 01/31/97 INFORMATION ON SERVICE AND CLASSIFIED INFO MJR 01/31/97 MJR AREAS • • • •