Permit i
CITY OFTIGARD
- „,,y DEVELOPMENT SERVICES ELECTRICAL PERMIT
t iJ PERMIT #: F_LC96 -0671
:_ .. 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 10 / 22 / 96
PARCEL: 2511ODB -00700
SITE ADDRESS...: 15532 SW PACIFIC HWY #3
SUBDIVISION • WILLOW BROOK /TIGARD PROMENADE ZONING:C —G
BLOCK • LOT •10
Project Description: INSTL BRANCH CIRCUITS & SIGNAL 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 • 1
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: 18 PER INSPECTION • 0
201 — 400 amp • 0 1st W/O 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..: CLASS AREA /SPEC OCC.:
Owner: FEES
SUPERCUTS type amount by date recpt
15532 SW PACIFIC HWY PRMT $ 190.00 TAT 10/22/96 96- 285492
STE 3 SPCT $ 9.50 TAT 10/22/96 96- 285492
TIGARD OR 97223
Phone #:
Contractor:
COMMERCIAL ELECTRIC CORP. $ 199.50 TOTAL
10928 NE KILLINGSWORTH
REQUI RED INSPECTIONS
PORTLAND OR 97220 -1097 Ceiling Cover Underground Cove
Phone #: 503- 255 -9822 Wall Cover Elect'1 Service
Reg #.. : 6145
This pereit is issued subject to the regulations contained in the ---4 / I G{.f i t oL
Tigard Municipal Code, State of Ore. Specialty Codes and all other Permit ignature
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 sore LAL.�1 ._ V i _ / ` .i/ A
than 180 days. Issu-d 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 SUPR. ELEC' N : DATE:
LICENSE NO:
Call for inspection — 639 -4175
•
Community Development ELECTRICAL PERMIT APPLICATION
. A 13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
, �, ' ,� Permit # eL ?(D- 0161
A . - .� �l Phone (503) 639 -4171 Date Issued /� �(�J /��i
CITY OF TIGARD FAX (503) 684 -7297 Issued by l) I '
TDD No. (503) 684 -2772
Inspection (503) 639 -4175
1. Job Address:
---� 4. Complete Fee Schedule Below:
Name of Development t t4 -17 h tS DC Number of Inspections per permit allowed
Address t 55 32- 5 U- ) PA Fic -WuJ Y 5U CT G G3 Service included: Items Cost(ea) Sum
City/State/Zip \\ GR--b O. 4a. Residential - per unit 4
1000 sq. ft. or less $110.00
Name (or name of business) S oPe_cuTS Each additional 500 sq. ft. or 1
portion thereof $25.00
Commercial EX Residential ❑ Limited Energy $25.00
Each Manul'd Home or Modular 2
Dwelling Service or Feeder $68.00
2a. Contractor installation only: 4b. Services or Feeders
Installation, alteration, or relocation OO 2
Electrical Contractor COMMERCIAL ELECTRICAL CORP . 200 amps or less $60.00 ADD 2
Address 10928 NE KILLINGSNIORTH 201 amps to 400 amps $80.00 2 2
City PORTLAND State OR Zip 97220 401 amps to 600 amps $120.00 601 amps to 1000 amps $180.00 2 -
Phone No. 255 -9822 Over 1000 amps or volts $340.00 2
Contractor's License No. 26 -33C Reconnect only $50.00
- Contractor's Board Reg. No 6145 4c. Temporary Services or Feeders
Signature of Supr. Elec'n
1 Installation, alteration, or relocation 2
200 amps or less $50.00 2
License No. 1745S Phone No. 255 -9822 201 amps to400amps $75.00 2
- 401 amps to 600 amps $100.00
Over 600 amps to 1000 volts
2b. For owner installations: see 'b• above.
4d. Branch Circuits
Print Owner's Name New, alteration or extension per panel
Address a) The fee for branch circuits with Q
City State Zip purchase of service or feeder fee' f e $5.00 { O` 2
Each branch circuit
Phone No. b) The lee for branch circuits without
The installation is being made on property I own which is purchase of service or feeder fee. 2
First branch circuit $35.00 2
not intended for sale, lease or rent.
Each additional branch draft $5.00
Owner' 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 tL0 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: _ _
oa
5a. Enter total of above fees $ '0
NOTICE 5% Surcharge (.05 X total fees) $ `�
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ L'
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Sb. Enter 25% of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. ❑ Trust Account # $
Balance Due $ 9 9 f °-
weeconMaNa•egm.app
Page No. 1 CASE HISTORY FOR CASE NO.: ELC96 -0671
SUPERCUTS
15532 SW.PACIFIC HWY Unit: 3
•
09/15/97
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
ELCA001 Application received / / / / 10/22/96 RECD TAT 10/22/96 TAT
ELCA003 Permit created / / / / 10/22/96 PASS TAT 10/22/96 TAT
ELCA700 Ceiling Cover 10/22/96 / / 10/29/96 slack wires missing on two fixtures PASS MJR 10/31/96 MJR
ELCA720 Wall Cover 10/22/96 / / 10/24/96 no permit label PASS MJR 11/01/96 MJR
ELCA799 Elect'l Final 10/22/96 / / 11/20/96 corrections completye PASS MJR 11/20/96 MJR
ELCC500 (F)Issue permit / / / / 10/22/96 PASS TAT 10/22/96 TAT
ELCC800 Case Finaled / / / / 11/08/96 where is label PASS MJR 11/08/96 MJR
GFCI needs repair
•
•
•
i '