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13680 SW BEREA DRIVE ��
CITI Y O F T I G A R D _ _ ELECTRICAL PERMIT
DEVELOPMENT SERVICES DATE EIS ISSUED: 110/20//1999062.2
•� 13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171 PARCEL: 2S102CC-07200
SITE ADDRESS: 13680 SW BEF-A DR
SUBDIVISION: BEREA ZONING: R-4.5
BLOCK: LOT : 033 JURISD;CTION: TIG
Proiect Description: Install 1 branch circuit in single family dwelling. Job 2069-104
RESIDENTIAL UNIT " TEMP SRVC/FEEDERS MISCELLANEOUSs--�
1000 SF OR LESS: 0 - 200 amp: PUMPARRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
Lli."rTED ENEFGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/SVC/ FDR: 601+amps - 1000 vc- •. MINOR LABEL. (10):
SERVICE/FEEDER BRANCH CIRCUITS _ _ _ADD'L INSPECTIONS
0 - 200 amo: W/3ERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1 st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amu: PLAN REVIEW SECTION_
1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL:
Recc+nnect onl SVC/FDR >= 225 AMPS: _ CLASS AREA/SPEC UCC: _
Owner: Contractor,
ROOTHBY, DARRIN F + MEGAN M PHOENIX ELECTRIC CO
13680 SW BEREA OR 7379 SW TECH CENTER DR.
TIGARD, OR 97223 1IGARD, OR 97223
� P17
Phone: Phone: 684-3600 a
Reg#: LIC 00052288 ��JJJ
SLIP 4140S
ELE 34-247C
FEES Required inspec_tiers_
Fype - By Date Amount Receipt Elect'I Service �~
PRMT KJP 10/20/199 $37.50 99-319227 Elect'l Final
5PCT KJP 10/20/199£ $3.00 99-319227
Total $40.50
This Permit is issued subject tr,the regulations contained in th^Tigard Municipal Cede,State of OR Specialty Codes and all .other applicable laws
All work will bf!done in accordance with approved plans Thi,permit will expire if work is not started within 180 days of issuance,or rf work is
suspended for more than 180 days. Al TENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952-001.0010 through OAR 232.001-0080 You may obtain copies of these rules or direct questions to OUNC at(503)
246-19P7
PERMITTEE'S SIGNATURE -7,r Cujt_t� ISSUED BY: --
_ OWNER INSTALLATION ONLY
The ins'allation is being made on property I own which is not intended for sale, lease, or rent V —
OWNER'S SIGNATURE: _ DATE:---
CONTRACTOR INSTALLATION ONLY _
SIGNATURE OF SUPP ELEC'N:
LICENSE NO: `flyC S
Call 639-4175 by 7:00pm for an inspection the next business day
OCT-20-99 WED 07;31 AM PHOENIX ELECTRIC Co
FAX N0, 15036843011
CITY of TIGARD Electrical Permit Application Rec d By P' 02
13125 SW HALL BLVD. Date Recd
TIGARD OR 97223 Date to P E.
Phone (503)639-4171, x304 Date to DST
Inspection (503)639-4175 Print of Type Permit 0
Fax (503) 596-1960 Incomplete or illegible will not be accepted called
1. Job Address; 4, Complete Fee Schedule Below:
Number of Inspections per twrmit allowed
Name of Development —
Name(or narne of busine_sService included: Items Cost Sum
Address_. �1 t C__�Vc"'
4a. Residential-per unit
\ /y tach ad R or les3 S 117.75 4
City/State/Zip��e��C 31 - Each additional 500 sq.it or
portion thereof S 26.25 1
Commrircial(��t Rcsldentla Limited Enclgy 5 60,00 r
\v`��j Each Mling S Home or Modular r r
�, a. Contractor►n1st-a&l On only; Dwelling Service or Feeder � 72.75 2
(prior to pe,�rrt issuance,applicant:+must provide,contractor license 4b.Services or Feeders
information for conte base). Installation,alteration,nr relocation
Electrical Contractory��j[ � `,{- . i7 200 amps or less S 8425 2
201 amps to 400 mops S BS.SU
Address�� � _. � ' e N SQ^'�Y 401 an pa to 600 amps S 128.50 2
City 7 sl�t� a R ZIP 7LZ G01 amps to 1000 amps S 192.50 2
Phone tVO'�, V,r� Over 1000 amps or volls f 363J5 2
Job No._tL — Reconnect only i 5350 2
Elec,Cont. Lice. No. _ Exp Date 4c.Temporary Services or Feeders
OR State CCB Reg, NO. ___Exp Date Installation,allerattoM or r0ocation
COT Business Tax or Metro No _ EXP.Date zoo amps or less _ s 53.50
201 ,mps to 400 emits S 8025 — - -- - 2
401 amps to 600 amps f 107.00 -
Signature of Supr. Elec'n ;� Over B00 amps to 1000 volts,
� ,''` c- sec"b"above,
License No. __Exp.Dale 4d,Branch circuits
Phone No, _ _ New,alteration or extension per pencil
a)The fee for branch circuils
2b. For owner installations. with purchase of service or
feeder foe.
Print Owners Nettie Each branch circuit S 535 2
- b)The ice for branch circuits
Address _ without purchase or 6ervice
City State__ Zip or feeder fee. ' ^-�
Phone N0. First branch etrcuil S 37.50 e
Each addilional branch circuit S S 35
The installation i6 being made on property I own which is not 40.Miscellaneous
intended for sale,lease or rent. (Sgrvlw or feeder not included)
Each pump or inigstlon circle 3 42.75
Owner s Sign.#tUfe Each sign or outline lighting S 42.75
Signal cireua(s)or a limited anergy
panel,alleraUon or extension S 80.00
3. Plan Review section (if required):* Minor Labels(10) - ,$ 10700
Please check appropriate Item and enter fee in section$B. 4f.Each additional inspection ever
4 m more residential units in one structure the allowable In any of the above
Per Inspection _ f 50 00
•vire end(ceder 225 amps or more Per hour $ 80.00
System over 600 volts nominal In Plant S 5900
_~ _Classified area or r.tructum containing Sheciai occupancy as
described in Sa N E C Chapter 5 Fees;
6a Enter total of above fees S cQ
J-) SO
r Submit 2 sets of plans with applicat(nn where any of the above apply, �%Surcharge(16X total fees) f
Not required for tomporary, construction services sublofal $
Sb Enter 25%of line sa for
NOT ICE Plan Review ij, Cir (Sec.3) f _
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZEO Subtotal $
IS NOT COMMENCED WITHIN 180 DAYS OR IF CONSTRUCTION OR
WORK 15 SUSPENDED OR ABANDONED FOR A PERIOD OF 190 DAYS Trust Account#
AT ANY TIME AFTER WORK IS COMMFNCEO Total balan-:e Due �3 8 $
�2d R J