Permit CITY OF T I G A R D ELECTRICAL PERMIT
PERMIT #: ELC1999 -00477
41111, PERMIT
DEVE H PM S ERs SERVICES 639 -4171 DATE ISSUED: 8/2/99
L PARCEL: 1S134BC -00101
SITE ADDRESS: 12144 SW SCHOLLS FERRY RD
SUBDIVISION: 1G" ZONING: C -G
BLOCK: L . JURISDICTION: TIG
Project Description: Temporary service of 200 amps or less.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: 1 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 WIO SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVCIFDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
WILLIAM W. SAUNDERS, TRUSTEE TURC ELECTRIC
2155 KALAKAUA AVE STE 500 995 SW HIGHLAND DR
HONOLULU, HI 96815 GRESHAM, OR 97080 -6352
Phone: Phone: 661 -8872
Reg #: LIC 00088541
SUP 3970S
ELE 26 -825C
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT DEB 8/2/99 $53.50 99- 317333 Elect'l Final
5PCT DEB 8/2/99 $3.75 99- 317333
Total $57.25
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 wgrk 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 r :: • • • = • • the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may ob -in copies of these r -s ordirect questions to OUNC at (503)
246 -1987.
Permit Signature: Ar gliggi ued 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: ` -Q-e „60. C /'ldz _ DATE: 4
LICENSE NO: 7o5
Call 639 -4175 by 7:00pm for an inspection the next business day
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd. � �� _ CC y 7
Tigard, OR 97223 Permit #
,��,�dyri �., Date Issued $" a' - '7
.
FAX (503) 684 -7297
CITY OF TIGARD TDD No. (503) 684 -2772
Inspection (503) 639 -4175
1. Job Address: , -( ` . J 4. Complete Fee Schedule Below:
Name of Development
, , � C',(0,L t S \ u iv I bi- Number of Inspections per permit allowed
Address 121 Su) 7..111)1; r Ci (V r Service included: Items Cost(ea) Sum
City /State /Zip iE I • L50, (y OK - I -1) : 4a. Residential - per unit
1 1000 sq. ft. or less $110.00 4
Name (or name of business) Each additional 500 sq. ft. or
portion thereof $25.00 1
Commercial Et Residential El Limited Energy $25.00
Each Maned Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
' 4b. Services or Feeders
_ Installation alteration, or relocation
Electrical • ntractor l l 200 amps or less $60.00 2
Addres • • Ina 201 amps to 400 amps $80.00 2
,p / 401 amps to 600 amps $120.00 2
City Iw �.�� '� ZIP 601 amps to 1000 amps $180.00 2
Phone No. Pligl Over 1000 amps or volts $340.00 2
Job NO. Reconnect only $50.00 2
contractor's license NO. oZ(a 7 (. k,--( S 4c. Temporary Services or Feeders ' .5
Contractor's Board Reg. No. d Installation, alteration, or relocation `' •
Signature of Supr. Elec'n _ /_ 200 amps or less I �� 2
Lice No. flj R,A,C,5 Phori o. E � , i . 201 amps to 400 amps $50.00
401 amps to 600 amps $75.00 2
/ b -1 - °I Over 600 amps to 1000 volts $100.00
. 2b. For owner installations: see „b„ above.
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
Phone No. b) The fee for branch circuits withou
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 circus $35.00
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: 2. 5
5a. Enter total of above fees $
NOTICE 5% Surcharge (.05 X total fees) $ "7 5
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
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) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. rcrdkomdevleleo- ❑ Trust Account #
$
prm.app P'S .
Balance Due $ 7'
•
10/08/1999 Activities for Case #: ELC1999 -00477
10:40:40 AM
•
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCC001 Application received 08/02/1999 DEB DONE No Hold DEB 08/02/1999
ELCC003 Permit created 08/02/1999 DEB DONE No Hold DEB 08/02/1999
ELCC730 Elect'I Service 08/02/1999 08/02/1999 No Hold DEB 08/02/1999
ELCC799 Elect'I Final 08/02/1999 08/02/1999 08/04/1999 CD PASS No Hold AKJ 08/05/1999
ELCC500 (F)Issue permit 08/02/1999 DEB DONE No Hold DEB 08/02/1999
ELCC800 Case Finaled 08/05/1999 .AKJ DONE No Hold AKJ 08/05/1999
•
•
Page 1 of 1