Permit •
C I'T'Y OF TI GAR D ELECTRICAL PERMIT
, �� DEVELOPMENT SERVICES PERMIT #: ELC97 -0584
1��' DATE ISSUED: 08/27/97 7
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171
PARCEL: 1S136CC —CHOO1
!, SITE ADDRESS...:O8294 SW PFAFFLE ST
SUBDIVISION •CARRIAGE HOUSE APARTMENTS ZONING:R -12
BLOCK • LOT JURISDICTION:
Project Description : Installing one temporary service or feeder and 7 add' 1
branch circuits
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS • 0 0 — 200 amp • 1 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
I I 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.: 0 PER HOUR • 0
401 — 600 amp • 0 EA ADD'L BRNCH CIRC: 7 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
ANDREWS MANAGEMENT LTD type amount by date recpt
4000 SW KRUSE WAY #270 PRMT $ 85.00 B 08/27/97 97- 298716
LAKE OSWEGO OR 97035 5PCT $ 4.25 B 08/27/97 97- 298716
Phone #:
Contractor:
JARMER ELECTRIC INC $ 89.25 TOTAL
5105 SW 45TH
REQUIRED INSPECTIONS
PORTLAND OR 97221 Rough —in Elect'l Final
Phone #: 246 -5381 Elect'l Service
Reg #..: 000069
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 952401 -0010 through OAR 952-001 -1987. You may obtain a copy
of these rules or direct questions to OUNC by calling (503)246 -1987.
Permittee Signature: 40 t Issued By: e a..(/
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 : (fL 1 � hacA 71-. DATE:
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
, j il Permit # ae ? - o
;� il Phone (503) 639 -4171 Date Issued -'Z� 2
FAX (503) 684 -7297
CITY OF TIGARD TDD No. (503) 684 -2772 Issued by
Inspection (503) 639 -4175
. 1. Job Address: / 4. Complete Fee Schedule Below:
Name of Development C ■ r,� /4011-1-e.._ Number of Inspections per permit allowed
Address g2 , y f ..<4 e f-#-/ Q Service included: Items Cost(ea) Sum
City /State/Zip / e i a J5a._. 4a. Residential - per unit 4
1000 sq. ft. or less $110.00
-
Name (or name of business) / 4Vckl-14) ' /Yt a ; Each additional 500 sq. ft. or
( ) �' 1
portion thereof $25.00 -
Commercial ❑ Residential ❑ Limited Energy $25.00
Each Maned Home or Modular 2
Dwelling Service or Feeder $68.00
2a. Contractor installation only:
4b. Services or Feeders
Installation, alteration, or relocation 2
Electrical Contractor c W ► 0 . _ � 200 amps or less $60.00 2 kip -
• • e - S O �` j , 201 amps to 400 amps $80.00 2 -
City -r`r�l� / ; State I l� Zip�� 1 1 401 amps to 600 amps $120.00 2
sot amps to 1000 amps $180.00 2 -
Phone No. .I(. :) Over 1000 amps or volts $340.00 -
Contractor's License No. Reconnect only $50.00
- Contractor's Board Reg. No. 4 i 4c. Temporary Services or Feeders
Installation, alteration, or relocation r � 2
Signature o3U r. Elec'n � -
200 amps or less ! $50.00 2
License No. T $ ' < Phone • ... r ; 201 amps to 400 amps $75.00 2 - 401 amps to 600 amps $100.00
Over 600 amps to 1000 volts
2b. For owner installations: see •b• above.
Print Owner's Name / 4d. Branch Circuits
New, alteration or extension per panel
Address a) The lee for branch circuits with
City State Zip purchase of service or feeder fee. 2
Each branch circuit $5.00
10 0 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 fetkp
/ 2
not intended for sale, lease or rent. E Eacac h a a ddch circuit $ 2
dditional branch circuit - 5 - - $5.00 Z
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 cimuit(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 $ 6 • v
NOTICE 5% Surcharge (.05 X total fees) $ 4 • Z
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
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 $ 4 q , Z.C
wordlcomdW.M.L prm.vp
Page No. 1 CASE HISTORY FOR CASE NO.: ELC97 -0584
ANDREWS MANAGEMENT LTD
08294 SW PFAFFLE ST
04/27/98
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
ELCD001 Application received / / / / 08/27/97 RECD B 08/27/97 BON
ELCD003 Permit created / / / / 08/27/97 PASS B 08/27/97 BON
ELCD500 (F)Issue permit / / / / 08/27/97 PASS B 08/27/97 BON
ELCD799 Elect']. Final / / / / 09/17/97 PASS BRP 09/18/97 J *H
ELCD800 Case Finaled / / / / 09/17/97 PASS BRP 09/18/97 J *H
ELCD920 Miscellaneous action / / / / 09/18/97 Called for 2nd final - already approved. PASS BRP 09/19/97 J *H