Permit CITY OFTIGARD
; „,,,,� DEVELOPMENT SERVICES ELECTRICAL PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PERMIT #: EL C97 - 1
DATE ISSUED: 03/04/97
PARCEL: 25104BB -01600
SITE ADDRESS...: 14359 SW WINDSONG CT
SUDDIVISION....: CASTLE HILL ZONING :R -12 PD
BLOCK..........: LOT ............. :051
Project Description: instl 1 branch circuit
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS....: 0 0 - 200 amp.......: 0 PUMP /IRRIGATION..,. :
EACH ADD' L 500SF. o .: 0 201 - 400 amp..... 0 0 : 0 SIGN /OUT LINE LTG..: 0
LIMITED ENERGY - 0 401 - 600 amp.......: 0 SIGNAL /PANEL.......: 0
MANFO HM/ SVC /FDR.o: 0 601+amps-1000 volts.: 0 MINOR LABEL (10)0..: 0
- - -- SERVICE /FEEDER - - -- - - -- BRANCH CIRCUITS -- -RDD'L INSPECTIONS-- -
0 - 200 amp - 0 W /SERVICE OR FEEDER: 0 PER INSPECTION.....: 0
201 - 400 amp...... 0 1st W/0 SRVC OR FDR.: 1 PER HOUR o oo..9 =.a.o: 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..vo....: > 600 VOLT NOMINAL..:
Reconnect only.....: 0 SVC /FDR )= 225 AMPS..: CLASS AREA /SPEC OCC,:
Owner: -- FEES
HAROLD BRIDGEIYIAN type amount by date recpt
14359 SW WINDSONG- CT - - - - PRMT $ 35.00 TAT 03/04/97 97- 291166
5PCT $ 1.75 TAT 03/04/97 97- 291166
TIGARD OR 97223
Phone #:
Contractor:
HEBERLE ELECTRIC $ 36.75 TOTAL
11610 SW 135TH AVE
REQUIRED INSPECTIONS
TIGARD OR 97223 Ceiling Cover Underground Cove
Phone #: 503- 524 -7059 Wall Cover Elect' 1 Service
Reg #o o : 000428
This peroit is issued subject to the regulations contained in the 40 `1" .e k
Tigard f"unicipsl Code, State of Ore. Specialty Codes and all other Perm'. tee S i gne _re
applicable laws. Rll cork will be done in accordance with
approved plans. This peroit will expire if work is not started
within 1C" days of issuance, or if nark is suspended for core _ L , , % ,.
than 18 days. Issued By
-- 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
A 13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
,� Ya �. Permit # .�y7ti /i
�' ;� II Phone (503) 639 -4171 Date Issued
" FAX (503) 684 -7297 zr
CITY OF TIGARD TDD No. (503) 684 -2772 Issued by
Inspection (503) 639 -4175
1. Job Address: , 4. Complete Fee Schedule Below:
Name of Development 11 Number of Inspections per permit allowed
Address ./ i 3s / SL✓ tA07.soi✓� Service included: Items Cost(ea) Sum
City /State/Zip 1) /t2 614.-- l .. q — 7 ZZ3 4a. Residential - per unit 4
1000 sq. ft. or less $110 00
Name (or name of business)
Each additional 500 " or 1
portion ereo
thf $25 00 -
Commercial ❑ Residential L Energy - $25 00
Each Manurd Home or Modular 2
Dwelling Service or Feeder $68 00
2a. Contractor installation only:
4b. Services or Feeders
Installation, alteration, or relocation 2
Electrical Contractor �+. � f l� 200 amps or less $60 00 2
Address ` I O7 �7/ivvc --£ y V 201 amps to 400 amps $fio 00 2
City t -i State Zi Z Z 401 amps to 600 amps $120 00 2 - tY P 601 amps to 1000
2
$180 00 -
Phone No. 5Z-`/- - 7o fc 7 Over 1000 amps or volts $340.00 2
'
Contractor's License No. 3f— 14o C/ Reconnect only $5000 -
Contractor's Board Reg. No. 4 4Z SZf 4c. Temporary Services or Feeders
NIIIII■
' 01111 Installation, alteration, or relocation 2
Signature of Supr. Elec'n 200 amps or less $50 00 2 -
License No. 3D' 3 S o. �2 —.7011 201 amps;o 400 amps $10000
Over 600 amps to 1000 volts
2b. For owner stalls see 'le above
C 4d. Branch Circuits
Print Owner's Name G Y' N Iteration or extension per panel
Address a) The tee for branch arcuds with
purchase of service or feeder fee. 2
City Zip Each branch arced $5 00
Phone No. 5 — tto& I . 7 b) The fee for branch arcvds withou
The installation is being made on property I own which is purchase of service or feeder fee. I 4� 2
not intended for sale, lease or rent. Fast branch arced $35 00 - 3....) , 2
Each additional branch circuit $5 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 limded 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.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:
NOTICE
5a. Enter total of above fees $ 4
S u 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) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
•
COMMENCED. ❑ Trust Account # $
Balance Due $ moo, -
roed`cOndMMscpm.acp
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
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other: 3//3/17
Date: A.M. P.M. Entry:
Address: / 35 U/
Tenant: Ste: M
BUP:
Con /Own: + MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
•
C
Inspector:
_APPROVED DISAPPROVED /CALL FOR REINSP. CF CO