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Permit ELECTRICAL PERMIT N��ITY OF TIGARD ELCIT C: EPERM DATE ISSUED: 07/23/96 COMMUNITY DEVELOPMENT DEPARTMENT 13126 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839.4171 PARCEL: 2S1 10B( —07300 SITE ADDRESS...: 12155 SW WILDWOOD ST SUBDIVISION....: SHADOW HILLS NO.2 ZONING :R -2 BLOCK........... LOT........ ..... :58 Project Description: One service or feeder to 200amps and a branch circuit. - -- 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......: 1 W /SERVICE OR FEEDER: 1 PER INSPECTION.....: 0 201 — 400 amp......: 0 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 JOHN WEBBBER type amount by date recpt 12155 SW WILDWOOD PRMT 65.00 CJS 07/23/96 96- 281773 SPCT s5 3.25 CJS 07/23/96 96- 281773 TIGARD OR 97224 Phone #: Contractor: TUALATIN ELECTRIC $ 68.25 TOTAL PO BOX 655 REQUIRED INSPECTIONS WILSONVILLE OR 97070 Wall Cover Elect'1 Final Phone #: 503 - 682 -2955 Elect'1 Service Reg *..: 65650 This peroit is issued subject to the regulations contained in the Tigard F;'inicipal Code, State of Ore. Specialty Codes and all other Permittee Signature applicable laws. All work will be done in accordance with approved plans. This peroit will expire if work is not started —c � r �0 within 18© days of issuance, or if work is suspended for core than MS days. Issued By OWNER INSTALLATION ONLY The installation is being made on property I on which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' N: � f2� DATE : . 34b — LICENSE NO: Call for inspection — 639 -4175 1 p e,l/VP. • . Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. #- a8I773 Permit # eLC . 4 0 �ui9 i4 1 Phone (503) 639 -4171 Date Issued a - -. FAX (503) 684 -7297 CITY OF TIGARD TDD No. (503) 684 -2772 Issued by Gl� ar�PC i�, •cf Inspection (503) 639 -4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections pei permit allowed Address P 1 5th \ 1 Ll. )l idt.c rSild Service included: Items Cost(ea) Sum City/State/Zip Tqa rd , 0 2 (4 -1 �1 Lj 4a. Residential - per unit 4 1000 sq ft or less $110.00 Name (or name of business) . ) nh h ►kebhzir Each additional 500 sq ft. or 1 portion thereof $25.00 Commercial ❑ Residential la---- Limited Energy $2500 • - Each Manurd Home or Modular 2 Dwelling Service or Feeder $68.00 2a. Contractor installation only: 4b. Services or Feeders J J/ Installation, alteration, or relocation 2 E l e c t r i c a l Contractor 7 r ) J -1 w /l f I P G T l Y i(, Inc,. 200 amps or less 1 $60.00 (0C' - Address •��S t T) 14m L(Q -Pine 201 amps to 400 amps $80.00 2 • State � � K Zip /� Ci 401 snips to 600 amps $120.00 2 City P % 7Q" 601 amps to 1000 amps $180.00 2 - Phone No. • • _ c7 Over 1000 amps or volts $340.00 2 Contractor's License No. 3Q(n$ C J Reconnect only $5000 - Contractor's Board Reg. No. ..... • I / 4c. Temporary Services or Feeders /� / r, , Installation, alteration, or relocation 2 Signature of Supr. Elec'n 200 amps or less $50 00 2 - �L License No. , eR 3 Phon- ,K. 1 „`*v__,11 �_ 201 amps to 400 amps $7500 2 - �' 401 amps to 600 amps $100 00 Over 600 amps to 1000 volts 2b. For owner installatio - see •b• above 4d. Branch Circuits Print Owner's Name New, alteration or extension per panel Address a) The fee for branch circuits with City State Zip purchase of service or feeder r.. 2 Each branch circuit $5 00 5. W Phone No. b) The lee for branch circuits without The installation is being made on property I own which is purchase of service or feeder fee. . 2 First branch circuit $35 00 2 not intended for sale, lease or rent. Each additional branch circuit $s 00 Owner' Signature 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or imgation circle $40 00 2 - Each sign or outline lighting $40.00 - Signal circuit(s) or a twirled energy 2 Please check appropriate item and enter fee in section 5B. panel, alteration or extension $40.00 t 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.C. Chapter 5 Per ins $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: NOTICE 5a. Enter total of above fees $ (05 00 5% Surcharge (.05 X total fees) $ • PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ (/) �5 AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Sb. Enter 25% of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.3) $ -...: A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. ❑ Trust Account # $ Balance Due $ _,Q rmdl°wnO.NWc im Rip 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 /Flr /Slab Plbg. Top Out Insulation - Elect. Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr /Sdwlk Reins. Other: Date: -7-14 - c-3 A.M. P.M. Entry: Address: / 2' 5, 5 !, z G , / . cl Tenant: Ste: MST: / t BUP: Con /Own: 7£ Q 1 c2 MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: Inspector: C am/ RK cf c! Date: X APPROVED _ DISAPPROVED /CALL FOR REINSP. 4160 CO f' 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 - Elect. Post/Beam Struct. Mech. Rough -in Gyp. Bd. -B . San. Sewer Gas Line Appr /Sdwlk Reins. Other: Date:1 L'{-Q- 7 / 6 - V. A.M. // P.M. Entry: Address: I o• 1 SS S l.L) /'//40,00 z Tenant: Ste: MST: --� BUP: Con /Own: I / fl//f \ (k44- /_/4 -+1ti MEC: PLM: �2– 2i , —�� ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: Not /74::) , Inspector: �� Date: 7 � /Cp _APPROVED DISAPPROVED /C OR REINS CF CO 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/Flr /Slab Plbg. Top Out Insulation - Elect. Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr /Sdwlk Reins. Other: Date:7� A.M. P.M. ntry: Address: ` 5 � id , l ! t3 .0 d Tenant: 1,�� te: MST: BUP: Con /Own:17 ' s et, £/ c ni (. L MEC: PLM: ELC: /0 THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: /1491 A.,1,,,,f :e_ , e ,,- -e 6 - 1 ee r r a e -e a,t I,e 1Ci• L Inspector: Date: 7---/ .2 _APPROVED _ DISAPPROVED /CA R REINS . CF CO tr-i—