Permit an( oF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC96 -0210
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 04/10/96
13125 SW Hall Blvd. Tigard. Oregon 97223.8199 (503 9-4171 PARCEL: 2S 1 12DA -00400
SITE ADDRESS.... 5m. i0 mil! �Ff i l T b -sir' —
SUBDIVISION . 665 LAI / ) ZONING:I —P
BLOCK LO •
Project Description: Install three branch circuits.
- -- 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 MINQR 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/0 SRVC OR FDR.: 1 PER HOUR 0
401 — 600 amp : 0 EA ADD'L BRNCH CIRC: 2 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 DCC.
Owner: FEES
CIRRUS LOGIC type amount by date recpt
6650 SW REDWOOD LN PRMT $ 45.00 CJS 04/10/96 96- 277998
SPCT $ 2.25 CJS 04/10/96 96- 277998
TIGARD OR 97223
Phone #:
Contractor:
BACHOFNER ELECTRIC, INC. $ 47.25 TOTAL
•5 SE MAIN
REQUIRED INSPECTIONS
PORTLAND OR 97214 Wall Cover Elect'1 Final
Phone #: 503 -233 -2006 Elect'1 Service
Reg #..: 44569
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm i t t e e Signature
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started Ch /
within 180 days of issuance, or if work is suspended for more C /z.l� �mK�
than 180 days. I ssued 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 : D/7 OpiP /lrc f., ,4 DATE: y- /D-96
!!
LICENSE NO:
Call for inspection — 639 -4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # 94- 7799R
Aitb4... i i * Permit # ELC96 - o a to
. ��� � � Phone (503) 639 -4171 Date Issued y- /0- 96
FAX (503) 684 -7297
CITY OF TIGARD TDD No. (503) 684 -2772 Issued by Cftar/er Sch rr1, df
Inspection (503) 639 -4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Cirrus Logic .V/05 Number of Inspections per permit allowed
Address 6550 SW Redwood Lane Service included: Items Cost(ea) Sum
City /State/Zip Tigard, oR 4a. Residential - per unit 4
1000 sq. ft. or less $110.00
Name (or name of business) Each additional 500 sq. +t or 1
( ) portion thereof $25.00 -
Commercial 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 2
Electrical Contractor Bachofner Electric 200 amps or less $60.00 2
-
Address 55 SE Main 201 amps to 400 amps $80.00 - 2 -
Portland State OR Zi 97214 401 amps to 600 amps $120.00 2 -
City p 601 amps to 1000 amps $180.00 -
Phone No. 2 3 3-2 0 0 6 Over 1000 amps or volts $340.00 2
-
Contractor's License No, 2 6 - 4 51 C Reconned only $50.00
Contractor's Board Reg. No. 4 4 5 6 9 4c. Temporary Services or Feeders
Installation, alteration, or relocation 2
Signature of Supr. Elec'n _ 7 - 200 amps or less $50.00 2
License No. 28085 Phone No. 3 -2006 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 If above.
4d. Branch Circuits
Print Owner's Name New, alteration or extension per panel
Address a) The fee for branch circuits with
City State Zip Each branch circuit or feeder fee. $5.00 2
Phone No. b) The tee for branch circuits without
The installation is being made on property I own which is purchase of service or feeder fee. 2
not intended for sale, lease or rent. First branch circuit -.. $35.00 3 5 : o O 2
Each additional branch circuit $5.00 T U 3
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:
NOTICE 5a. Enter total of above fees $ 45.00
5% Surcharge (.05 X total fees) $ 2 . 2 b
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ 4 7 . 2 5
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 7 . 2 5
■adband.NWrpm arp
05/30/2000 Activities for Case #: ELC96 -00210
3:56:05 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCC001 Application received 04/05/1996 CJS RECD CJS 04/10/1996 '
ELCC003 Permit created 04/08/1996 CJS PEND CJS 04/10/1996
ELCC720 Wall Cover 04/10/1996 04/12/1996 MJR PASS MJR 04/15/1996
ELCC500 (F)Issue permit 04/10/1996 CJS PASS CJS 04/10/1996
ELCC800 Case Finaled 04/23/1996 MJR YES MJR 04/23/1996
Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /FIr /Slab Plbg. Top Out Insulation ar
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other:
Date: - 3 - A.M. P.M. Entry:
Address: ••• -Ira . ', ii. tgs % :� .�
I _A _ _ /�
Tenant: Ste: /O5 MST:
BUP:
Con /Own: J , MEC:
ELC: 1 • a_ re
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
'4 77 " - - -- A C'' I \ .., ( Tr 7
Inspector: _ - --2 Date: y
A APPROVED _ DISAPPROVED /CALL FOR REINSP. CF CO