Permit A CITY OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC98 -0297
�! 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171 DATE ISSUED: 06 / 01 / 98
PARCEL: 1S133DB -08100
SITE ADDRESS...: 13475 SW SUMMERWOOD DR -4
SUBDIVISION •SCHOLLS FERRY ROAD TOWNHOMES ZONING:R -25
BLOCK LOT °007 JURISDICTION: TIG
Project Description: Electrical addition
- -- 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 ° 0 W /SERVICE OR FEEDER: 0 PER INSPECTION : 0
201 — 400 amp : 0 1st W/O SRVC OR FDR.: 1 PER HOUR • 0
401 — 600 amp : 0 EA ADD'L BRNCH CIRC: 1 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
EILEEN BOLTON type amount by date recpt
13475 SW SUMMERWOOD DR PRMT $ 40.00 B 06/01/98 98- 306179
TIGARD OR 97223 SPCT $ 2.00 B 06/01/98 98- 306179
Phone #:
Contractor:
PHOENIX ELECTRIC CO $ 42.00 TOTAL
7379 SW TECH CENTER DR.
REQUIRED INSPECTIONS
TIGARD OR 97223 Rough —in Elect' 1 Final
Phone #: 684 -3600 Elect' 1 Service
Reg it..: 000522
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 952- 001 -0010 through OAR 952-001-1987. You may obtain a copy
of these rules or direct questions to OUNC by calling (5031246 -1987.
Permittee Signature: (91r`" roktatino Issued 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 IN- TALLATION ONLY
SIGNATURE OF SUPR. ELEC' N : ( - i DATE:
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
JUN -01 -98 MON 04:00 PM PHOENIX ELECTRIC CO FAX NO, 15036843611 P. 02
CITY OF TIGARD Electrical Permit Application Plan Check ;'
cd By �l
13125 SW HALL BLVD.
Re
TIGARD OR 97223 • Date Recd •
Date to P.E. ;'r�
Phone (503) 6394171, x304 Print or Type Date to DST
Inspection (503) 639 -4175 Permit #
Fax (503) 684 7297 Incomplete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development, _ Number of Inspections per permit allowed
Name (or name of business) r C e vn >`L‘ Service Included: Items Cost Sum
Address \ �. P ■4 )7) 4a. Residential - per unit
1000 sq. ft. or less $110.00 4
City /State2ip ��c �rtt l�t� () G - 1 ' Each additional 500 sq. ft. or
portion thereof $25.00 1
Commerc.m., Residenti Limited Energy $ 25 . 00
-
- n Each Manned Home or Modular
- w� r . \ D Y+∎ Dwelling Service or Feeder $68.00 2
2a. Contractor installation only: 4b. Services or Feeders •
(Attach copy 11 current licenses - Installation, alteration, or relocation
Electrical Contracto .. ■ ....--..a J 200 amps or less $60.00 2
Address - )3 a. EDk \.`P p J � rt 201 amps to 400 amps $80.00 2 -
City \ a. State ` p \ 401 amps to 600 amps $120.00 2
Phone No. • .�� ^- � r _ 601 amps to 1000 amps 5180.00 2
Mtt•3
Job No. !e� -T Over 1000 amps or volts 5340,00 2
Reconnect only $50.00 2
Elec. Cont. Lice. No. F-34--- W. Exp.Date •
OR State CCB Reg. No. 52( Exp.Date 4c. Temporary Services or Feeders •
COT Business Tax or Metro No. . Exp.Date Installation, alteration, or relocation
200 amps or less $50.00 2
201 amps to 400 amps $75.00 2
Signature of Supr. Elec'n �
7 4 01 amps to 600 amps $100.00 , 2
-
Over 600 amps to 1000 volts,
License Nc- L G) Exp.Date sea "b" above.
Phone Nr �4 (.. - 4d. Branch Circuits
New. alteration or extension per panel
2b. For owner installations: a) The fee for branch circuits with •
purchase of service or
Print Owner's Name feeder fee.
Each branch circuit $5.00 2
Address b) The fee for branch circuits
City State Zip without purchase of
Phone No. service feeder foe. �_ /�
First rst branch ch circuit \ $35.00 �1`;..3 2
The installation is being made on property I own which is not
Each additional branch circuit 1 $5.00 ... f 2
intended for sale, lease or rent 4o. Miscellaneous
(Service or feeder not Included)
Owner's Signature Each pump or irrigation circle $40.00 2
Each sign or outline lighting $40.00 2
,r Signal circuit(s) or a limited energy
3. Plan Review section (if required):* panel, alteration or extension $40.00 . 2
Minor Labels (10) $ 100.00
Please check appropriate item and enter fee in section 58,
4 or more residential units in one structure 4f. Each additional Inspection over
Service and feeder 225 amps or more the allowable In any of the above $35 00
System over 600 volts nominal Per inspection $35.00
Classified area or structure containing special occupancy Per hour $55.00
as described in N.E.C. Chapter 5 In Plant
* Submit 2 sets of plans with application where any of the above apply. 5. Fees:
Not required for temporary construction services. 5a. Enter total of above fees $ ire/ 5% Surcharge (.05 X total fees) $ v ,���
NOTICg Subtotal $ 4.11111370
Enter 25% of line 5a for $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Soc.3) $ -
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK ubfotal cac
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY 1E1 Trust Account r
TIME AFTER WORK IS COMMENCED. $
Total balance Due
' i :IOSTS'ELCOS APP nw 0/55