Permit ... CITY OF T ELECTRICAL PERMIT
�� o., iI � DEVELOPMENT SERVICES PERMIISSUEDLC 80369
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171
PARCEL: 15133DB -09200
SITE ADDRESS...:13375 SW SUMMERWOOD DR
SUBDIVISION •SCHOLLS FERRY ROAD TOWNHOMES ZONING:R -25
BLOCK • LOT •018 JURISDICTION: TIG
Project Description:
- -- 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 • 0
MANF. HM/ SVC /FDR..: 0 601 +amps -1000 volts.: 0 MINOR LABEL (10)...: 0
- - -- SERVICE /FEEDER - - -- - - -- BRANCH CIRCUITS -- -ADD'L INSPECTIONS - --
O — 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: 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
BOWEN REAL ESTATE GROUP type amount by date recpt
BANK OF AMERICA BUILDING PRMT $ 35.00 JSD 07/07/98 98- 307118
121 SW MORRISON #1000 5PCT $ 1.75 JSD 07/07/98 98- 307118
PORTLAND OR 97204
Phone #:
Contractor:
SHARPE ELECTRIC INC $ 36.75 TOTAL
22605 SW RIGGS
REQUIRED INSPECTIONS
BEAVERTON OR 97007 Rough —in Elect' 1 Final
Phone #: 642 -7937 Elect'1 Service
Reg #..: 000815
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 s .rted within 180
days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow t• - rules adopted by
the Oregon Utility Notification Cen er. Tho e rules are set forth in OAR 952 -001 -0010 through OAR 952- 001 -1987. .,:u ma obtain a copy
of these rules or direct quest': s to �i': /.y calling ( )246 -1987.
Permittee Signature: i ,/ / / Issued By:
.7 1 • Iiiiiiiii r
OWNER INSTALLATION ONL
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 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD Electrical Permit Application Plan Ch
13125 SW HALL BLVD. Recd By - y
Date Recd OZ Was a s e
TIGARD OR 97223
Date to P.E.
Phone (503) 639 -4171, x304 Print or Type Date to DST , /, _
Inspection (503) 639 -4175 Permit # ELWAI
Fax (503) 684 -7297
Incomplete or illegible will not be accepted Called 9--6
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Name (or n ame of business) (� Service included: Items Cost Sum
1 Address / 3 3 5 `1� V)� wte ✓�Oc �� 4a. Residential - per unit
1000 sq. ft. or less $110.00 4
City/State /Zip r ll n Each additional 500 sq. ft. or
Commercial El Residential LJ portion thereof $25.00 1
JJJ Limited Energy $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
(Attach copy of a I urrent lice - ) 4b. Services or Feeders
Electrical Contractor I .tit u. _Di1 • l/1 Installation, alteration, or relocation
/ J 1 200 amps or less $60.00 2 -
Addre ac�l LCJ� l! g S 201 amps to 400 amps $80.00 2
City d�= �'�Zip 'T 401 amps to 600 amps $120.00 2
Phone N o. ,'i ca-"y q3 601 amps to 1000 amps $180.00 2
Job No. Over 1000 amps or volts $340.00 2
Reconnect only $50.00 2
Elec. Cont. Lice. No. ...1V . 7 C Exp.Date f0 -i1 -4�
OR State CCB Reg. No. I. 1 g Exp.Date S 4c. Temporary Services or Feeders
COT Business Tax or Metro . o2S3i Exp.Date Installation, alteration, or relocation
200 amps or less $50.00 2
201 amps to 400 amps $75.00 2 -
Signature of Supr. Elecn 5 C / � 401 amps to 600 amps $100.00 2
3 1 �/ Exp.Dat fb - 1 - g Over 600 amps 1000 volts,
License No. ) see "b" above.
Phone No. 0 L a - Ci 1 7
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.
Address Each branch circuit $5.00 2
City State Zip b) The fee for branch circuits
ty p without purchase of
Phone No. service or feeder fee.
First branch circuit l $35.00 S - . 0 0 2
The installation is being made on property I own which is not Each additional branch circuit $5.00 2
intended for sale, lease or rent. 4e. 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
3. Plan Review section (if required):* Signal circuit(s) or a limited energy
panel, alteration or extension $40.00 2
Minor Labels (10) $100.00
-
Please check appropriate item and enter fee in section 5B.
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
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 $55.00
-
* Submit 2 sets of plans with application where any of the above apply. 5. Fees: Ob
Not required for temporary construction services. 5a. Enter total of above fees $
5% Surcharge (.05 X total fees) $
NOTICE Subtotal $
5b. Enter 25% of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Trust Account # $ G ‘ 1
Total balance Due
I: \OSTS \ELC96.APP Rev 9/96
Page No. 1 CASE HISTORY FOR CASE NO.: ELC98 -0369
SHARPE ELECTRIC INC
13375 SW SUMMERWOOD DR
07/17/98
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
•
ELCB001 Application Received / / / / 07/07/98 PASS JSD 07/07/98 JSD
ELCB003 Permit created / / / / 07/07/98 PASS'JSD 07/07/98 JSD
ELCB500 (F) Issue permit / / / / 07/07/98 PASS JSD 07/07/98 JSD
ELCB700 Rough -in / / / / / / 07/07/98 JSD
ELCB730 Elect'l Service / / / / / / 07/07/98 JSD
ELCB799 Elect'l Final / / / / / / 07/07/98 JSD
•
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