Permit CITY OF T I GA R D ELECTRICAL PERMIT
PERMIT #: ELC1999 -00443
�r�lj4c DEVELOPMENT SERVICES DATE ISSUED: 7/21/99
= - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S 104BD -05200
SITE ADDRESS: 13788 SW WALNUT LN
SUBDIVISION: ROSE MEADOWS ZONING: R -7
BLOCK: LOT : 011 JURISDICTION: TIG
Project Description: First branch circuit
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 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 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:
BARRY ALLEY WEST SIDE ELECTRIC CO INC
13788 SW WALNUT LANE 1834 SE 8TH AVE
TIGARD, OR 97223 PORTLAND, OR 97214
Phone: Phone:
231 -1548
Reg #: LIC 13306
SUP 1556s
ELE 26 -135c
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT BON 7/21/99 $37.50 99- 317 -033 Elect'I Final
5PCT BON 7/21/99 $2.62 99- 317 -033
Total $40.12
ORIGINAL
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.
Permit Signature: /91/V (� paid Issued By: Are (d 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 �I�NS�TALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: (3Y` I (L'�d ) DATE:
LICENSE NO:
Call 639 -4175 by 7:00pm for an inspection the next business day
JUL -20 -99 05:26 PM WEST SIDE ELECTRIC 503 736 0677 P.01
CITY ¢ F � lIGARD Electrical Permit Application Recd By 4 �
13125 SW HALL BLVD.
Date Reed TIGARD OR 97223
Date to P.E.
Phone ,503) 839 -4171, x304 Date to DST
Inspection (503) 639-4175 Print of Type Permit 0 4/11 ,pdy L(
Fax (503) 598 -1960 Incomplete or Illegible will not be accepted caned
t. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of inspections per permit allowed
Name (o name of business) Al � / /I� N 0 M IF.I+ , ' Service Included: Items Cost Sum y
Address . . SI_ =f. 11_ f r%l/. i � / 4a. Residential - per unit
1000 eq. fl, or less $ 117.75 4
City /Slat: ip . �� /EMS!] y : Each q. fl. nal 500 sq. ft. or
portion thereof $ 28.25 1
Comme 'el 0 Residential 1 • Limited Energy $ 60.00
Each Manufd Home or Modular
2a. C . ntractor installation only: Dwelling Service or Feeder I 72.75 2
(l rior to • milt 'spinner', applicants must provide contractor license 4b. Services or Feeders
Ei 1 ormatl • n for COT data base). Installation, alteration, or relocation
ectrl , Contractor � _co mo .� 4 _ 200 amps or less $ 84.25 2
AOdres ri=�' - . 201 amps to 400 amps $ 85.50 2
401 amps to 600 amps $ 128.50 2
City t'. / G.'i tats Zip a 72/ 801 amps to 1000 amps S 192.50 2
Phone No. - 3/' Over 1000 amps or volts S 383.75 2
Job No. /2E1 - btra. Reconnect only $ no 2
Elec. Colt. Lice. No. .26-/_31 Exp.Date 4c. Temporary Services or Feeders
OR State CCS Reg. No, / 3 O Exp.Date Installation, alteration, or relocation '
COT Bu )Iness Tax or Metro No. Exp.Dete 200 amps or less 5 63.60 - 2
201 amps to 400 amps S 90.25 2
Signature of Supr. Elec'n 401 amps to 600 amps S 107.00 2
C Over 600 amps to 1000 volts,
License No. 1 ' s Exp.Date see "b^ above.
•
Phone h O. 37- /s V...17- sd. Branch Circuits New, alteration or extension per panel
• a) The fee for branch circuits
2b. For owner installations: with purchase of service or
feeder fee,
Print Owner's Name Each branch circuit 5 6.36 2
Addres b) The fee for branch circuits
without purchase of service I 6i✓
silty State Zip ' or reader fee. 7
Phone O. First branch circuit �1 $ 37 2
Each additional branch circuit . $ 5.35
The Ina Ration is being made on property I own which Is not 40, Miscellaneous
Intende for sale, lease or rent. (Service or feeder not included)
Each pump or Irrigation circle $ 42
Owner's Signature Each sign or outline lighting 5 42.75
Signal dreull(s) or a limited energy
J. • Plan Review section (if required):* panel, alteration or extension 5 60.00
� Minor Labels (10) $ 107.00
Pleas ! check appropriate Item and enter fee In section 5B, 4f. Each additional Inspection over
4 or more residential units In one structure the allowable In any of the above
Service and f eeder 226 amps or more Per Inspection 5 60.00
Per hour .$ 60.00
System over 600 volts nominal In Plant $ 69.00
Classified area or structure containing special occupancy as
described in N.E.C. Chapter 5 5. Fees: C^
6a, Enter total of above fees $ JV
' Submit 2 sets of plans With application where any of the above apply. 5% Surcharge (.05 X total fees) $
. Not re wired for temporary construction services, Subtotal $
6b. Enter 26% of line 6a for
NOTICE • • Plan Review if required (Sec. 3) •• S
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal S
IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR I �j7 x �
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF '180 DAYS Trust Account 0 11 U _ 11 A
AT ANY 'TIME AFTER WORK IS COMMENCED. Total balance Due $ Cr.l ,
1
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