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Permit
I ' I. ELECTF; I O;�li_ F ' � Fair' I T G rERNIT $r: 'ELC 6 - -► l,_,7 • COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED:, 0 / 2 /90 • 13125 S Hall,Blv Tigar Oregon 97223.9199, (503) 639 =4171 - , J ' PARCEL:. 1.5 34DC-O02000 . ' .SITE ADDRESS,...: ..: '1,216:0 SW SCROLL'S FERRY' RD - -SUBDIVISION , . , ZONING.0 -G - , - `-.BLOCK.... � •L , .• OT.. o c • . . • I , ,.Proje,Ct Description: Install 1 Service or 'feeder an'ni_20 branch Circuits. - , - - RESI`DENT•IAL'UNI,T-_....__ .. -TEF4P C VC,'FELDERr5- .- - - -- . -- •---- 'MI'SCELLANEOUS - -. ' 1000 _SF O)R..LESS:•...,. -: 0. '0 • - 20O amp_ °-'•0 •' -• PUMP/IRRIGATION.... 0 :I . I , EACH ADD' L ZOOS = . .. 0 201,- 400 amp....:..-...:: 0 SIGN /OUT LINE ' LTG... , ' • LIMITED ENERGY.. s . k- ' ' 401 — .6l0 'a,mo... ' e ,_ . • 0• SIGNf-iL•/PANEL.. •.. 0 - ' 'NANF.i hil /''S•VC /F154... 0 6014-amps -1000 volts 4: 0 ELI - NOR LABEL'-t10).... fcl .. __--SERVICE/FEEDER - -• -• -- - C I RCU I T6 -, -- - - - (l'DD`' L 'INSPECTIONS--:- - 0 ' . 200 amp. a..... 1 ' . W /SERVICE GR FEEDER: 20 PER INSPECTION,..: 0 4.01 •- ',•0O' amp . - 0 - - 1st W'a ";R'JC OR FDR:. 0. PER FIO;CJ,i-: - 0 I •T 001,- 600 amp. : 0 EA ADD' 1_ BRNCH CIRC: 0 - , -IN. PLANT' . ^ 0 • ,ia :1 ,--• 101x700 asap. _ .... 0 __. -- :••--- •- - -PLAN REVIEW SE€ TION----------- -_-__._.__._.. - -_ 10003• am p r v o.l . , . = 0 =4' RCS UNIT' ). , 80+0• V.CLT , NC t1I NAL:.. : Reconnect on i yr.: o . 0 ,. • - 'SVC /FDR )= 22.5 . AMPS.',.: CLAss REAISPEC DCC.,: . Owner:. •• - - - -- -- •--------- - -• - -- ' , -• - -- - - •- •-- •_------ - - - - -- FEES --- .___.�:.._ • _-�_._•_ 6 5Iri - Y_ - • - , type.. amount h, . date • rec_pt • - . '121E4. SW SCROLLS FcRRY RD. - - '. - • , - Pki Il" "1E44 00 C�Tz • 0,3/a0/9E:%.- ' ' ' PCT 'r . 8.. 00 CJS 03/; 0 9G. 56 a 06 • •• - TIGARD 'OR 91223. _ ' • - . -. Cdntractor^ -----7.--s---'-,-' ___._.__ - -•- ___ -- _....- -- _ -_� -• FRONTIER C: IER ELECTRI ' - ' ,' : • - - ' 1) , 168. 00 TOTAL. . O -BOX, 1518 ', - • • --- • - - -•- . R = I'r {ED INSPECTIONS - - - - -- =i Ri: "51- sAi'1 OR 97030 . . Cei'ii.ng •Cover Eis {�r,' 7 'a:r: ,, �;c? Phan,.;. #:.771--,414 Wa] l `Covers .iec:t' l F 1'a] Meg #„-.: - • . .. . - • .This :wait prrui is issued ,subject' to the regillations''criii ained in the. - .- __ i igard Municipal. Lode, State - of Ore.,'5peciaity Codes and a: 1 other r , , �'t r'm i t t e e .S i gna t ! :r`e • ' app1ic,:bh Taw:. 141 work, will be done : ire acc r- dance" with - ' • apprer p d- plans. 'Tads peraic will' aspire if work is• not : startei �, - ,'' L - ' ' : ' 'inthin� 18%;d of issuance, Cl ." 7.f. wor'ii is suspended for gore ,- L/%G• -def ..5 ,,-. T - - • __ __ than it days. - •. • • . I sued By , . I , -'-�� • - -- _• :• 7 - -. - .��... - _._ 1 ` , Y._. •._ -- -- :--- •-- •- r- ._-_- •-- .._.. - ._ ..- _' .. - -+"_ — ,�•-.. • a • -OWNER. • I r'V'ST l�(.�i._.(•tiT'I O)I,i ONLY- ,,, "'the Inst is being Made on -• proper - t•y I on which is',; .intended For sal,` ease?, - or. - . . • OWNER" S SIGNATURE: _ ' • - - �...�.�— ..._ -._._ DATE ' �_ ' :- -- _ _ ._.__-- :_- ___ -,_. -_ ._ _-_- __ --CONTRACTOR INSTALLATION ONLY---- NLY _ .- . _- _.•___: -_ -2--__ _ - •- __•_.o.:- __-. -- ' I :3IG ;A7:URE OF 3UPR. ELE'C',N: oN, aPP /ica froii, '- - bOTE I.'..?-4/ --: 96 -• • : LICENSE N3E NO - ' ' _ - • I. , Gall' far��i?ispertion 6,39' -,639 _ ` .__.: ` Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # 4'- 77a06 Permit # f /r4Q5'- 0 /6 7 V ill'' Phone (503) 639 -4171 � FAX (503) 684 -7297 Date Issued :?- a (- 96 CITY OF TIGARD TDD No. (503) 684 -2772 Issued by L /a /ef 5cA." , dt Inspection (503) 639 -4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Address / Z I (co 51 5 04 [,L 5 leiegY Service included: Items Cost(ea) Sum City /State/Zip —► f/ 6 1 ri) 4a. Residential - per unit 4 1000 sq It or less $110 00 Name (or name of business) SIJBLJA Y Each additional 500 sq ft or portion thereof $25 00 1 — Commercial B' 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 IA/Jr (E2 ELEG f G 200 amps or less I $60 00 60. dv 2 Address Pa BOAC /5785 201 amps to 400 amps $80.00 2 City 6726,54#1711 State dX Zip 97o3O 401 amps to 600 amps $12000 2 ry p 6 01 amps to 1000 amps $180.00 2 771 Phone No. Over 1000 amps or volts $340 00 2 - Contractor's License No. 3-4,2.-c- Reconned only $50 00 Contractor's Board Reg. No 52e co 4c. Temporary Services or Feeders Installation, alteration, or relocation 2 , Signature of Su r. Elec'n 200 amps or less $50 00 2 $75 00 2 License No. / Phone No.'YJ f 201 amps to 400 amps 5�G 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 purchase of service or feeder fee. 2 City State Zip Each branch circuit 2 G $5 00 /00. OG 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 $3500 2 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 irngation arde $40 00 2 Each sign or outline lighting $40.00 - Signal cucuit(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 Plant $5500 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 $ x(00. n 0 5% Surcharge (.05 X total fees) $ . oc) 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 $ l6$ . DO rachancloNelse-prm app CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639 -4175 Business Phone: 639 -4171 Footing Rain Drain Cove ervice 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: /7 ° sal. �it ce Date: F /3/ 7. A.M. P.M. Entry: Address: /#2, l c t 5 Q `/5 �I i Tenant: Ste: MST: BUP: Con /Own: MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: A je-Pj _chp 1/` er2 /9 4-to f�s 6 i^ 1,( 4 - �YX C(f P s Inspector:, , �. r ( / ?,., C (2 Date: - 9 - `3/ - *" . _APPROVED A DISAPPROVED /CALL FOR REINSP. CF CO Des 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 ( -Elecj Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr /Sdwlk Reins. Other: II Date: Sl I 1 t. 9 (e, A. . P.M. Entry: Address: f2 • / to o - q=ga - Pi s Tenant: _ - - ± ..._....../111: Ste: MST: BUP: Con /Own: % F__, + MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: . / C a t CGZ / (c 1/142 l ey /"‘Z,1 -- e--.00 1 Inspector: U - . 4 -.iv Date �7— c A APPROVED _ DISAPPROVED /CALL FOR REINSP. Cfp CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639 -4175 Business Phone: 639 -4171 Footing Rain Drain ov Service FINAL: Foundation Water Line eilin - 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: j J I (g 19 A. IY P.M. Ent : Address: S - 2.-- - 2.-- ! � / / �j� tj' ' • cC � Tenant: Ste: MST: ..��----rr BUP: Con /Own: /I.CJla.) P. 1 MEC: PLM. 7 /" tf(p ELC: THE FOLLOWING CORRECTIONS ARE R EQUIRED: ELR: C c C ( \ C --JP._ c i i .-----7 / (../-(=' e" e'sr r.---9 4--'..- ---.'"2 ; r f '� Inspector: 1 c 1— . e Dater / — APPROVED _ DISAPPROVED /CALL FOR REINSP. CF CO CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639 -4175 Business Phone: 639 -4171 Footing Rain Drain over ervic 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: L/ /p_ (9 t A.M. • P.M. Entry: Address: D't <o !`rte: .mil 1 Tenant: ` V te: MST: de r BUP: Con /Own: h MEC: PLM: 11 ► — i.-{ I `-fiO ELC: %7 THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: Go - e r n ip f r -e e.. L'"(;_ N e 1/1©0 ' r Z,.., ' r i�Fnl - L e5 •T r .5e rue i -I— Inspector: /■ r ‘C-4P C,c • Date: c o PPROVED _ DISAPPROVE LL FOR REINSP. ' CF CO ifal CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639 -4175 Business Phone: 639 -4171 Footing Rain Drain ♦variggp 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 Other: Date: - A.M. P.M. Entry: Address: _.A.: i AZ-41.w • I Tenant: Ste: MST: BUP: Con /Own: -7 , J / , E a MEC: I I / l ELM: THE FOLLOWING CORRECTION b ARE REQUIRED: ELR: d / , < I' 4.1 l - -t' cy 1" - , Inspector: 771j f C e t° / Xt.( Date: .k APPROVED _ DISAPPROVED /CALL FOR REINSP. CF CO gli"