Permit 1
ELECTRICAL PERMIT
CITY OF TIGARD DATE 02 /21/96
COMMUNITY DEVELOPMENT DEPARTMENT
13126 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171 PARCEL: 2S 1 12D A- 0041210
SITE ADDRESS...: 06650 SW REDWOOD LN *105
SUBDIVISION ZONING :I -P
BLOCK LOT
Project Description: Install six branch circuits.
- - -- 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 0 W /SERVICE OR FEEDER:' 0 PER INSPECTION - 0
201 - 400 amp ..... °: 0 1st W/O SRVC OR FDR.: 1 PER HOUR 0
401 - 600 amp 0 EA ADD'L BRNCH CIRC: 5 IN PLANT 0
601 - 1000 amp ° 0 -- PLAN REVIEW SECTION ---------
1000+ amp /volt ° 0 > =4 UNITS........: > 600 VOLT NOMINAL...:
Reconnect only : 0 SVC /FDR )= 225 AMPS..: CLASS AREA /SPEC OCC.:
Owner: -• FEES ------ - - - - - --
SPEC SPACE type amount by date recpt
6650 SW REDWWOD LN PRMT $ 60.00 CJS 02/21/96 96- 276108
SUITE *105, 133, &, 195 5PCT $ 3.00 CJS 02/21/96 96-276108
TIGARD OR 97223
•
ri:tii1C - n'. -
Contract or: - - - --------
F3ACHOFNER ELECTRIC, INC. $ 63.00 TOTAL •
55 SE MAIN
•
REQUIRED INSPECTIONS
PORTLAND OR 97214 Wall Cover Elect'1 Final
Phone #: Elect'1 Service
Reg it.. ° .
This pernit is issued subject to the regulations contained in the -
Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee Signature
applicable laws. All work will be done in accordance with
approved plans. This pernit will expire if work is not started /
within lea days of issuance, or if work is suspended for pore L�Lar /e.r
than 18® 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: _- ,a,%ec/ DATE: a- a/-46
LICENSE NO:
Call for inspection - 639 -4175
` ' Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # 96 ,a 76/08
A 1., Permit # ELC96 - 0" :1 ICI Phone (503) 639 -4171 Date Issued a- a/- 4
�''` FAX (503) 684 -7297
CITY OF TIGARD TDD No. (503) 684 -2772 Issued by ctiG /ter s��m, �
Inspection (503) 639 -4175
• 1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Address 6650 S - Redwond Redwood Lane Suite's 195,105 Service included: Items Cost(ea) Sum
City /State/Zip Tigard, Oregon & 133 4a. Residential - per unit 4
1000 sq ft or less $110.00
Name (or name of business) Spec Space /H.L Green Each iddt portion thereof 500 sq. ft. or
reof $25 00 1
Commercial ® Residential ❑ 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 2
Electrical Contractor Bachofner Electric, Inc. 200 amps or less $60.00 2
Address 55 S . E Main St. 201 amps to 400 amps $80 00 2 -
401 amps to 600 amps $12000 2
City Portland State Or Zip 97214 601 amps to l000 amps $18000 2
Phone No. 233 -2006 Over 1000 amps or volts $34000 2 -
Contractor's License No. 26-451C Reconned only $50.00
Contractor's Board Reg. No. 44569 4c. Temporary Services or Feeders
� / Installation, alteration, or relocation 2
Signature of Supr. Elec'n l - /,..,G.,,_ ,_J, 200 amps or loss $50.00 2
�
License N09885 r7(pei S Phone No.233 -2 rT 6 201 am to 400 amp $7500 2
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 lee for branch circuits with
City • State Zip Each circui t arwn or $5 2
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 tee. 2
not intended for sale, lease or rent. First branch circuit 1 moo 35.00 2
Each additional branch circuit $5.00 25.00
Owners Signature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or irrigation circle $4000 2 - Each sign or outline lighting $40.00
-
Signal circuit(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) $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 Plain $55 00
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees:
NOTICE Se. Enter total of above fees $ 60.00
5% Surcharge (.05 X total fees) $ 1 nn
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 $ 63.00