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Permit 1 CilY ELECTRICAL PERMIT T OF TIGARD PERMIT C: EPERMI 'COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 01/23/96 13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 PARCEL: 1 S 1 2 JDD- 056'Z'O SITE ADDRESS...: 09870 SW VENTURA CT SUBDIVISION ° WASHINGTON SQUARE ESTATES NO.2 ZONING :R -4.5 BLOCK LOT -64 Project Description: Install two branch circuits - -- 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 OCC.: Owner: FEES - - - -- -- DAVID SODERQUIST type amount by date recpt 9870 SW VENTURA CT PRMT $ 40 °00 JSD 01/23/96 96- 275220 5PCT $ 2.00 JSD 01/23/96 96- 275220 TIGARD OR 97223 Phone #: Contractor: •- - - PHOENIX ELECTRIC CO $ 42 °00 TOTAL PO BOX 1432 REQUIRED INSPECTIONS --- TUALATIN OR 97062 Ceiling Cover Elect'l Final Phone #: 503- 684 -3600 Wall Cover Reg #° .: 052288 This permit is issued subject to the regulations contained in the -.EA- . .. � -- Tigard Municipal Code, State of Ore. Specialty Codes and all other r i t t e � - applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started 1. c_______.--- within 180 days of issuance, or if work is suspended for more � than 180 days. I sued B -'.---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: DATE: LICENSE NO: Call for inspection - 639 -4175 • ... Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. C / - 0-6 Tigard, OR 97223 Permit # C� , � 1 1 , Date Issued ©/- �` 4 II Phone (503) 639 -4171 FAX (503) 684 -7297 CITY OF TIGARD TDD No. (503) 684 -2772 Inspection (503) 639 -4175 1. Job Address: 4. Complete Fee Schedule Below: , Name of Development y L , N / r V Number of Inspections per permit allowed Address Ca r \ 1 J Ctrl l A 1/CL, CA Service included: Items Cost(ea) Sum City /State /Zip (Di .Qj % Ct�,? 4a. Residential - per unit VV 1000 sq ft. or less $110.00 Name (or name of business) 4-- 'nc, S p Each additional 500 sq ft or portion thereof $25 00 Commercial El Residential `n/ 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 Installation, alteration, or relocation Electrical Contractor I \ • g " � � , / �_ _. 200 amps or less $60 00 2 Address \ r L) � �`�) al :Z��16 201 amps to 400 amps $80 00 2 20 00 2 City /Lri r,J State • V Zip i o?�3 401 amps to 600 amps $1 20 00 2 ■� 601 amps to 1000 amps Phone • • . _ 4 Over 1000 amps or volts $340 00 2 Job NO. 0 Reconnect only $50 00 2 contractor's license NO. 3 4,;74//0. 4c. Temporary Services or Feeders Contractor's Board Reg. No. ( " 2 In stallation, alteration, or relocation Signature of Supr. Elec'n 200 amps or less 2 2 License No.<- / /4/OS' on � 201 amps to 400 amps $50 00 e No , � _.r 401 amps to 600 amps $75 00 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 circuit $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 circult(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.0 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: sctict... 5a. Enter total of above fees NOTICE $ 5% Surcharge (.05 X total fees) $ 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) $ 7 A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. word\comeeNelec- ❑ Trust Account # $ pm app Balance Due $ --- - __ CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639 -4175 Business Phone: 639 -4171 Footing Rain Drain Cover /Service FINAL: Foundation Water Line Ceiling - Plumb. Post/Beam Mech. Shear /Sheath Framing -Mech. PIbg.Und /FIr /Slab Plbg. Top Out Insulation Cle Post/Beam Struct. Mech. Rough -in Gyp. Bd -Bldg. San. Sewer Gas Line Appr /Sdwlk Reins. Other: Date: b l ? ) @ A.M. P. . Entry: Address: : 14 4< . J _L', Tenant: Ste: MST: BUP: Con /Own: f h.6— e-AY\.4. I MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR• lee* Inspector: / C. 4 c' e / L(� Date: C.7 5. ,APPROVED DISAPPROVED/CALL FOR REINSP. CO