Permit •
. .. CITY OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC97 -0549
' Itil: DATE ISSUED: 018/12/97
- - 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171
PARCEL: 25102 AA -00602
SITE ADDRESS— . 211960 SW PACIFIC 1 -IWY
SUBDIVISION. ,. , ° TICARD HIGHWAY TRACTS 7ONING CBD
BLOCK. .. ° � ° ° ° ° ° LOT. ° ° . ° , .. ° ° , .: 10 JURISDICTION: TIG
•
Project De scr i pt ion : Add two (2) services or feeders (200 aap or less) and 30
branch circuits.
- - -- RESIDENTIAL. UNIT - - - -- °- - -- TEMP SRVC/FEEDERS---- - --
1000 SF OR LESS.. : 0 0 - 200 amp ° 0 PUMP/ IRRIGATION. _''71
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. ° ° . ° ° ° 2 . W /SERVIC,E OR FEEDER: 30 PER INSPECTION° ° ++ ° . ° 0
201 -- 400 amp. .. ...: 0 1st W/O SRVC OR FDR °: 0 PER HOUR °.. ° °. °.. °.: 0
401 - 600 amp ..... .: 0 EA ADD'L BRNCH CIRC2 0 IN PLANT. ° ° °.. ° ° ° ° °: 0
601 - 1000 amp. ° ° . ° : 0 -... --------- - - - - -- -PLAN REVIEW SECTION - •----- - ---•-
1000+ amp /volt° ° ° ° ° : 0 ) =4 RES UNITS° ° , > 600 VOLT NOMINAL-2
Reconnect only ° 0 SVC /FDR )= 225 AMPS-2 CLASS AREA /SPEC OCC° :
Owner ----------------
ANAN ENTERPRISES INC. type amount by date recpt
+ i 9 SW-PACIFIC W ., t::+ - -:-7, ••+• r'r-r :� r i :, ?r.-]_+ 'D7-202,199
1 1 Jt =II.t h 'i - I•' I? 1•t'! '- ? C_ ( +L. +a •L ° (' v1._1.r 'L.+ J (, .L,L r .r :
TIGA RD OR 97223 5PCT $ 13.50 GEO 08/12/97 97- 298199
Phone #:
Contractor: --------- -- ABC ELECTRIC CORPORATION $ 283.50 TOTAL •
135 NE 9TH •
-------- REQUIRED INSPECTIONS --- • - -• --
PORTLAND OR 97232 Ceiling Cover Underground Cove
Phone ;f: x233- 7551.. Wall Cover Elect's Service
Req #o -2000002
This peroit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans.. This peroit will expire if work is not, started within 18OE
days of issuance, or if work is suspended for aore th.. 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by
the .Oregon Utility Notification Center. Those rul • are set forth in OAR 558 -1 1-2aiw through CAR 352 -1487, You gay obtain a copy
of these rules or direct questions t^ x'11+2 .ing (5r)246-1987. /
Perrteittee signal _rr �, ._.._ __._. ._ 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:
__._.._.___.. -• :._CONTi�ACTOi3 INST,nLLRTION ONLY.
----_'__---- j ._..__ .._.__._..__.
SIGNATURE OF SUPR. ELEC' N: ��`-'" ( _ DATE: V
LICENSE NO2
F - r••- r- -I^ +-I- - }•----'r•- r- .;...i... .------- I--i-- I••- t�- }•-F•-}-- r- -r- -I -r-- -I- ---1---- .. }.- Fi-i-- - - t-- h^ 1--}•--- i-- r- -I- ••F- I- - }•----- .}..:.- 1 -} F Fi } F } } I '�- } I h I 'r
rail by R91/I0t n_ m_ r,r :=.n in .z:nor•1-•inri noorlwr•I i71-rrti Hour 1-+ttain, cc r-lzv
.� }.-r-- hi-�--I-- i-- F'r= r-.a.- tie..- s.- t•. a.- �-h-'-'- 1 - -I-- t- +- h - f - ;-- F- I••- s..;,.. a. �... 1.. �--1--'.--:-;}. i...}.: a. }.. I... r_.. F:}•- 1-- 1-+-'.-- F•-!••• i-- h+. c..}.. i..{.- F- r-- i••-}•-}.- ti •- a.- t••.a.- G.- t.._}..,}.�.:.y.
\ Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
� .� � Ai, c Permit # o - -' 9 - 5q9
�I Phone (503) 639 -4171 Date Issued
" " FAX (503) 684 -7297
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 Avv�ra j Foca- 4 Sp.t Number of Inspections per permit allowed
•
Address 1 1 kkv 0 SW r Pty 1 F AIA- 1 Service included: Items Cost(ea) Sum
City/State/Zip - 1 - 16p,--10. . c. ( 4a. Residential - per unit 4
1000 sq ft or less $110 00
Name (or name of business) A Mlk:. --) ���� `t .S .A Each additional thereof 500 sq ft or
portion thereof $25 00 1
-
Commercial. Residential El Limited Energy $2500
-
Each Manurd Home or Modular 2
Dwelling Service or Feeder $68 00
2a. Contractor installation only:
4b. Services or Feeders
Installation, alteration, or relocation 00 2
Electrical Contractor A PL E=t re -r ate. 200 amps or less I- $60 00 IU) •••• 2
Address 1" u F qri Ak,..R._ 201 amps to 400 amps $80 00 2
401 amps to 600 amps $120 00 2 -
City 14:YL A n State G (L Zip 4127-2. 601 amps to 1000 amps $180 00 2
Phone No. 2.13 - 7S - S - 1 -
Over 1000 amps or volts $340 00 2 Contractor's License No. 24 2.c_ Reconnect oonly $50.00
Contractor's Board Reg. No. 0600 "Z-Vr 4c. Temporary Services or Feeders
`� Installation, alteration, or relocation 2
Signature of Supr. Elec'n ,1 ,ac. , ( env v�-51., amps or less $50 00 2
License No. /32 S Phone No.233 7551 201 amps to 400 amps $75 00 - 401 amps to 600 amps $100 00
Over 600 amps to 1000 volts
2b. For owner installations: see 'b' above
4d. Branch Circuits
Print Owner's Name New, alteration or extension per panel
Address a) The fee for branch arcurts with
City State ZI purchase of service or feeder fee. 2
ty p Each branch arcuit ' $5 00 / SO
Phone No. b) The fee for branch circuits without
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 circurt(s) or a )united 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 ins $35 o0
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 $ 21 D
5% Surcharge (.05 X total fees) $ I ')I Si
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ '2% 3 '1%
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25% of Itne 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 $ 2.83
■adi omd.NN.cym.gp
Page No. 1 CASE HISTORY FOR CASE NO ELC97 -0549
AMAN ENTERPRISES, INC
11960 SW PACIFIC HWY
02/17/99
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
ELCC001 Application received 08/12/97 / / 08/12/97 08/12/97 GEO
ELCC003 Permit created 08/12/97 / / 08/12/97 08/12/97 GEO
ELCC500 (F)Issue permit / / / / 08/12/97 PASS GEO 08/12/97 GEO
ELCC700 Ceiling Cover 08/12/97 / / 09/08/07 souffet cover on outside approved SOUF MJR 09/08/97 MJR
ELCC700 Ceiling Cover / / / / 12/29/97 Ceiling cover OK PASS BRP 12/29/97 B *P
ELCC730 Elect'1 Service 09/28/97 / / 09/24/97 ? cover approved PASS MJR 09/28/97 J *H
ELCC799 Elect'1 Final 08/12/97 / / 12/31/97 PASS BRP 12/31/97 J *H
ELCC800 Case Finaled / / / / 12/31/97 PASS BRP 12/31/97 J *H