Permit CITY OF T I G A R D ELECTRICAL PERMIT
PERMIT #: ELC1999 -00364
_ 61,9, 1 DEVELOPMENT SERVICES DATE ISSUED: 6/21/99
13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S103CD -05500
SITE ADDRESS: 11640 SW TERRACE TRAILS DR
SUBDIVISION: TERRACE TRAILS ZONING: R -4.5
BLOCK: LOT : 012 JURISDICTION: TIG
Project Description: Add two (2) branch circuits to an existing dwelling.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: 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 W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
ROBERT BUCHANAN PHOENIX ELECTRIC CO
11640 SW TERRACE TRAILS DR 7379 SW TECH CENTER DR.
TIGARD, OR 97223 TIGARD, OR 97223
Phone: Phone: 684 -3600
Reg #: LIC 00052288
SUP 4140S
ELE 34 -247C
FEES Required Inspections
Type By Date Amount Receipt Wall Cover
PRMT GEO 6/21/99 $42.85 99- 316282 Elect'I Final
5PCT GEO 6/21/99 $2.14 99- 316282 �
Total $44.99 ORGtNA
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 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 rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987. /J
Permit Signature: Issued By: .p.
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: C !/ DATE: (
LICENSE NO: y 5
Call 639 -4175 by 7:00pm for an inspection the next business day
JUN -18 -99 FRI 02:09 PM PHOENIX ELECTRIC CO FAX NO, 15036843611 P. 02
R ECEIVED Check #
CITY OF TIGARD Electrical Permit Application Rand Plan Che e By
13125 SW HALL BLVDtiJ 1 81999 Date Recd
TIGARD OR 97223 fl Date to P.E.
Phone (503) 639.4171, � DEVELOPMENT Print or Type Date to DST
Inspection (503) 639 -4175 Permit # Fe e ilfg -66 3GV
p ) Incomplete or illegible will not be accepted Called,
Fax (503) 684-729 .
1. Job Address: 4. Complete Fee Schedule Below:
Number of Inspections per permit allowed
Name of Development
Name (or name of business)T ,`'1c t,( r6\ t eVt.- ,AAckt' Service included: Items Cost Sum
L ('Address �
� -, - Q � ' ' 4a. Residential - per unit
ty /State /ZI l� 1000 sq. It. or less $110,00 a
Ci . �, \• OX-- Lq---7 �' }� Each additional 500 sq. ft. or
p
• ' sid E thereof
$25,00 t
Li portion mited Energy nergy $ 25 . 00
Commercial _ . c \. =r : ' 1V Each Manutd Home or Modular
✓�- G s Dwelling Service or Feeder $65,00 2
(1-‘:7-1_,.
. o ntraetor instal only: 4b. Services or Feeders •
1. (Attach copy Installation, alteration, or relocation
Electrical Contractor' .. 200 amps or lass $60.00 -. 2
_ (' •. r� V 201 amps to 400 amps $80.00 2
Address t fate Zip 401 amps to 4 00 amps - $120.00 2
City _ - 601 amps to 1000 amps $160.00 2
Phone N•. �►� over 1000 amps or volts $340.00 2
Job No. ' ' - - r w x
Elec. Con Lice. No. � � f � r g p.Date Recon $50.00 2
OR State GCB Reg. No. , Exp,Date 4c. Temporary Services or Feeders
Installation, alteration, or relocation
COT Business Tax or Metro No. Exp.Date, 200 amps or less $50,00 2
_ • 201 amps to 400 amps $75.00 2
Signature of Supr. Elec'n . c i 401 amps l0 600 amps $100.00 2
Over 600 amps l0 1000 volts,
License No._
c-7 / 4 C S Exp. Date see "b" above,
Phone No. 4d. Branch Circuits
New, alteration or extension per panel
2b. For owner installations: a) The fee for branch circuits with
purchase of service or
feeder fee.
Print Owner's Name_ Each branch circuit $5.00 2
Address____ b) The fee for branch circuits
City State Zip without purchase of 3 7 451°
Phone No._
irs feeder fee. � - .
T First t branch circuit I $35.00 2
E additional branch circuit 3 $5.00 � 2
The installation is being made on property I own which is not S.' `
intended for sale, lease or rent. 4e. Miscellaneous
(Service or feeder not included)
Each pump or Irrigation circle $40.00 2
Owner's Signature_ Each sign or outline lighting $40.00 2
(if required):* . Plan Review uired i
Section f re : Signal circuit(s) or a limited energy
panel, alteration or extension $40.0o $40
- 2
Minor Labels (10) _
Please check appropriate item and enter fee in section 59. Each additional Inspection ver
o e
4 or more roeldential units in one structure 41 the allwabl io any of she abo ov e
Service and fonder 225 amps or more Per inspection $35.00 $55.00 over $00 volts nominal Per hour $35.00 .
Classified area or structure containing special occupancy In Plant $55.00
as described In N.E.C. Chapter 5 .7, ----
* Submit 2 sets of plans with application where any of the above apply. S. Fees:
Enter total of above lees $ r
Not required for temporary construction services. 5a. 5% Surcharge (.05 X total fees) $ /war,
Subtotal
5b. Enter 25% of line 5a for $ Z,P
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if rectuired (Sec.3) $ a
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY Trust Account it ��
TIME AFTER WORK IS COMMENCED. $
Total balance Due 1/ `I -cl
1:A05TSI5Lcec.Arr Raw w00