Permit I TT / �ELECTRICL PERMIT OF PERMIT #: ELC96 -0278
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 05/02/96
13125 SW Hall Blvd: Tigard, Oregon 97223.8199 (503) 839 -4171
PARCEL: 25104BB -01500
SITE ADDRESS...: 14341 SW WINDSONG CT
SUBDIVISION • CASTLE HILL ZONING:R -12 PD
BLOCK • LOT •052
Project Description: Residential to 1,500 Sq Ft.
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS • 1 0 — 200 amp • 0 PUMP /IRRIGATION • 0
EACH ADD'L 500SF...: 1 201 — 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/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
DAVID JOHNSON type amount by date recpt
14341 SW WINDSONG CT PRMT $ 135.00 CJS 05/02/96 96 -278896
SPCT $ 6.75 CJS 05/02/96 96 -278896
TIGARD OR 97223
Phone #:
Contractor:
ROSE CITY ELECTRIC CO INC $ 141.75 TOTAL
4012 NE CULLY BLVD
REQUIRED INSPECTIONS
PORTLAND OR 97213 Ceiling Cover Elect'1 Service
Phone #: 503 - 287 -6164 Wall Cover Elect' 1 Final
Reg #..: 3567
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm itt ee Signature
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 sore (/r /PS �cJien;
than 180 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: O!1 CZP1 {ir) n DATE: 5- a -' �h
LICENSE NO:
Call for inspection — 639 -4175
Community Development ELECTRICAL PERMIT APPLICATION N.
'.,' 13125 SW Hall Blvd.
.. . Tigard, OR 97223 Planck/Rec. # 96 -a 7'896
Permit # FLrg1 -0 7R
4
��� `:� I � i P hone (503) 639 -4171 Date Issued S- @- 96
FAX (503) 684 -7297
CITY OF TIGARD TDD No. (503) 684 -2772 Issued by Cher /es Srl�m;rlt
Inspection (503) 639 -4175
1. Job Address: t��, f',� 1 , ` 4. Complete Fee Schedule Below:
Name of Development -1 ,��v tf� ►� V�0(Th Number of Inspections per permit allowed
Address 1,44 sA 1, W IVL(�S� \I+ ( I Service included: Items Cost(ea) Sum
1
City /State /Z 1 (kI� ? / C1 - 2 4a. Residential - per unit 4
1000 sq ft or less / $110.00 /10
Name (or name osiness) Each additional 500 sq. ft or
portion thereof / $25 00 2.S
. 1
Commercial ❑ Residential ❑ Limited Energy $2500
Each Manuf'd Home or Modular 2
Dwelling Service or Feeder $68 00
-
2a. Contractor installation only: 4b. Services or Feeders
Installation, alteration, or relocation 2
Electrical C. ntractor • • _' .. _ I ! - L 200 amps or less $60 00 2
A • :lab 0 Z.MiG��ttl�.� ; r 201 amps to 400 amps $80 00 2
.�. 1 ., 401 amps to 600 amps $120 00 2 - CIt�� ... St te= ZI • 601 amps to 1000 amps $180 00 2
Phone No. A, • ( • Over 1000 amps or volts $340.00 2 -
Contractor's License No. 2.(p I 3 (` Reconnect only $5000
- Contractor's Board Reg. No. i 4c. Temporary Services or Feeders
/ f Installation, alteration, or relocation 2
Signature of Supr. Elec'n A� ��u / 200 amps or less $50.00 2
License No. — _ 'hone No ► `' / Z:"1 201 amps to 400 amps $75 00 2 - 401 amps to 600 amps $100 00
Over 600 amps to 1000 volts
2b. For owner installations: see •b• above
Print 4d. Branch Circuits
rint 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 fee. 2
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 ser or feeder fee. 2
not intended for sale, lease or rent. First branch arcurt $35.00 2
Each additional branch circuit $500
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or imgation drde $40 00 2 - Each sign or outline lighting $40 00
Signal cucurt(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) $10000
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 $3500 - 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 $ `3S
5% Surcharge (.05 X total fees) $ co. F
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
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.
$
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. ❑ Trust Account #
Balance Due $ Ill I , 7S
-oeconximMisoFm.D
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cov 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. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other:
Date: A . Entry:
Address:
Tenant: / -.te: MST:
BUP:
Con /Own: MEC:
PLM:
ELC: L'
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
c.,,/ 5r r c
�D
Inspector / r _ Date:
APPROVED _ DISAPPROVED /CALL FOR REINSP. CF CO
�i�5y
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.
Plbg.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: _ A.M. P.M. Entry:
Address: ° � s �(
Tenant: J 4«3 i Ste: MST:
Con /Own: C i � MEC:
PLM:
ELC: - ME OLI ;
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
'V ` c �% e I 4 10 iI / 2.■ ;;J
Inspector r . it
� ( Rt.( M Dat 7 --..),—
X APPROVED _ DISAPPROVED /CALL FOR REINSP. CF CO
- f/4,, 5r;
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 Ele .
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other: _ ‘ -4-1
Date. l le , A.M. P. Entry:
Address: / 3 W l L-t'Y --
Tenant: Ste: CAST:
c� 5 5— g/- BUP:
Con /Own: MEC:
PL
ELC: M:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
4 ,..... c.......r W
InspectorC yIA___)(1.0 Date: ik- -y
X APPROVED _ DISAPPROO /ED /CALL FOR REINSP. a CO