Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC98 -0103
�L� ��a DEVELOPMENT SERVICES DATE ISSUED: 03/18/98
=
PARCEL: 1S134BC -00600
SITE ADDRESS...:1239O SW SCHOLLS FERRY RD
SUBDIVISION •MLP93 -0006 ZONING:C —G
BLOCK LOT :002 JURISDICTION: TIG
Pro .j ect Description : Installation, alteration, or relocation of two 200 amps or
less, and one 201 to 400 amp service or feeder, and 30 additional branch circuits
for a new commercial car wash.
- -- 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-- -
0 — 200 amp • 2 W /SERVICE OR FEEDER: 30 PER INSPECTION • 0
201 — 400 amp : 1 1st W/0 SRVC OR FDR.: 0 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
PACIFIC CAR WASH type amount by date recpt
12390 SW SCHOLLS FERRY ROAD PRMT $ 350.00 DLH 03/02/98 98- 303741
TIGARD OR 97223 PLCK $ 87.50 DLH 03/02/98 98- 303741
5PCT $ 17.50 DLH 03/02/98 98- 303741
Phone #:
Contract or:
RURAL ELECTRIC INC $ 455.00 TOTAL
5285 NE ELAM YOUNG PKWY
REQUIRED INSPECTIONS
HILLSBORO OR 97124 Ceiling Cover Elect'1 Service
Phone #: 648 -6696 Wall Cover Elect'1 Final
Reg #..: 000474
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 -801 -1987. You may obtain a copy
of these rules or direct questions to OUNC by callin (5031246-1987.
Permittee Si nature: (� k Issued B : ) L—
9 Y
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 INSTALLATI N ONLY
I
SIGNATURE OF SUP R. ELEC N: (51/‘ l r DATE: 3 (g
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Lail b.`1 -4I(b by I:WW p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Permit # �� d/o
Date Issued t °7 - l�` 6
^ 11.1 Phone (503) 639 -4171
CITY OF TIGARD FAX (503) 684 -7297
TDD No. (503) 684 -2772 7 9-/J Cy t k,
Inspection (503) 639 -4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Address 12390 SW Scholls Ferry Rd Service included: Items Cost(ea) Sum
City /State /Zip Tigard, Or 4a. Residential - per unit
1000 sq. ft. or less $110 00 4
Name (or name of business) Pacific Car Wash Each additional 500 sq ft or
portion thereof $25 00
Commercial Et Residential Ell Limited Energy $25 00 1
Each Manufd Home or Modular
Dwelling Service or Feeder $68 00 2
2a. Contractor installation only:
4b. Services or Feeders
Insta amp, alteration, or relocation
Electrical Contractor Rural Electric,
Inc. 200 amps or less 2 $6000 1 1 1 2
Address 5285 NE Elam Young Pkwy #A900 201 amps to 400 amps 1 $80.00 :DWsIs 2
NI 20.00 2
City Hillsboro State R Zip 971 401 amps to 600 amps $120 2
601 amps to 1000 amps
Phone No. 648 -6696 Over 1000 amps or volts $340.00 2
Job NO. 8006 Reconnect only
$50 00 2
contractor's license NO. 34 -82C 4c. Temporary Services or Feeders
Contractor's Board Reg. No. 7478 Installation, alteration, or relocation
Signature of Supr. Elec'n J ?A 200 amps or less 2
-
201 amps to 400 amps $50.00 2
License No. 4062-S Phone No. 648 -6696 401 amps to 600 amps $75 00 2
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
First branch circuit $35.00
not intended for sale, lease or rent.
Each additional branch circuit �0 $5.00 150.00
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
. xxxx 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:
5a. Enter total of above fees $ 350.00
NOTICE 5% Surcharge (.05 X total fees) $ 17.50
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ 367.50
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) $ 87.50
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ 455. UU
COMMENCED wo,ecom°.Neleo- ❑ Trust Account # 0
prm app
Balance Due 455.00