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11375 SW ERSTE PLACE
ELECTRICAL PERMIT
CITY OF T DATE PERMIT ISSUED:C96-0297 05/113/96
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 07223.8100 (603)830-4171 PARCEL: S 103DB-09500
SITE ADDRLI-3S'. . . : 11375 SW ERSTE P11_
SUBDIVISION. . . . : GENESIS NO. 3 ZONING:R-4. 5
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . ..80
Project Description: Installing two branch cir-cuits.
---RESIDENTIAL UNIT---- ---TEMP aRVC/FEEDERS---- ------MISCEI_ L-ANEOUS--•---
1000 SF OR LESS. . . . : 0 0 — 200 amp. . . . . . . : V, PUMP/IRRIGATION. . . . : 0
EACH ADD' I_ 5006F. . . : 0 201 — 400 amp. . . . . . . . 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : 0 401 — 601 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
,-------SERV ICE/FEEDER.---- _____BRANCH CIRCUITS•------ -•----ADDr L INSPECTIONS—--
2012,1- 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 400 amp. . . . . . : 0 1st W/0 SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0
401 - 600 amp. . . . . . : 0 EA AT)D' L BRNCH CIRC: I IN PLANT. . . . . . . . . . . a 0
601 1000 amp. . . . . : 0 ------------------PLAN REVIEW SEC`f10N-----_________.__._
1200+ amp/volt. . . . . : 0 )=4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: ------------------------------------------------------ FEES -------------_--__
HONEYCUTT type amount by date recpt
2137E SW ERSTE PLACE PRMT >1 40. 00 CJS 05/13/96 96-279283
5P(".T E 2. 00 CJS 05/13/96 96-2.7928:3
T I GARD OR 97224
Phone #:
Contractor:PHOENIX r LECTR IC CO $ 42. 00 TOTAL
PO BOX 1432
------- REUUIRED INSPECTIONS -------
TUALATIN OR 97062 Wa) 1 Cover Elect' 1 Final
Phone #: 503-692-5882 Elect' 1 Service
Reg #. . : 5i=:288
This perait is issued subject to the regulations contained in the
Tigard Municipal Code, Mate of Ore. Specialty Codes and all other Permittee Si gnat i_1re
applicable laws. All work will be done in accordance with
Approved plans. This perait will expire if work is not started
within 198 days of issuance, or if work is suspended for Gore r
than 188 days. I s s m e d By
INSTALLATION ONLY—_
T'he installation is being made an property I own which ir not intended for-
sale,
orsale, lease, or rent.
OWNER' S SIUNATURL: DATt.' .
INISTALLATION
S I GIVAT URE OF SUPR. ELEC' N: .-QI7 QQolicr.t�n IIA I E : _513
LICENSE NO: /
Call for inspection — 6-19--4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # 1G �9�1��
Permit # .€LI-a6
Phone (503) 639-4171 Date Issued 5 , �. 26
FAX (503) 684-7297 Issued by d2t
CITY OF TIGAPD TDD No. (503) 684-2772
Inspection (503) 639-4175 _
1. Job Address: 4. Complete Fee Schedule Below:
Name of Developpmeent- !1-1A Number of Inspections i.er permit allowed —
Address �� T-.1 �� `� __ Servico Included Item Cost(ea) Suri
City/State/ZipL 1 4a. Rerideniat- per unit
t000 ase .)It � I««« $1 1000
Each adds )nal 500 rwj 11 or
Name (or name of business) _ portion thereof $25 00
d
Commercial ElI Residential I actenufd $2500
—
-arh Msul'd Home or Modular -�
Dwelling Service Or 1-Boder $6600
2a. Contractor installation only: 4b.Services or Feeders
,��`r.� I,raIaNAGan atlernhr,m or relorelrrn
Electrical Contractor_ �L>f J 200 amps or less $60 00 2
;{ 201 amps to 40U A npr $8000 _ 2
Address �..L 401 sines to 600 amps $120 oo _ 2
City StateD Zip 60t amps to 1000 amps $16000 2
Phone No. Over 1000 amps of Volta 534000 2
Contractor's License No. Reconnect o,dv a5ono
Co tra\c^t0 s Board Reg. F o._ 4c.Temporary Services or Feeders
�C�v Installall(",alterAtron or «I r-ahon 2
Signature of Supr. Elec'n_-W 200 amps or less $50 00 _ 2
201 Amps to 400 amps
License No.��/ as e N0. $7500 2
on401 Amps to 600 smrA �_— $loo 00 _^
Over 600 amps to 10(to+oNs
2b. For- owner installations: see W nbove
Id. Branch Circuits
Print Owner's Narne _ -!sw nfletahon or extension per penal
Address —T a) the lee for hrarv;h circuda with
purchase or service or At ok r Itre. ?
City, State Zip, — , Earl1 blanch circuit _ $5 00
I
Phone No. b)rho les to,brarx;h circuits without ,
The installation is being made on property I own which is purchase or aervree or Aw.w rse. 2�) os-
flrst brarrh c«upt $35 00 1 l
not intended for sale, lease or rent. Each «1
additional bnch arrud $5 oo —
Owner's Signature _ 40. Miscellaneous
(Service or feeder not included)
3. Flan Review section (if re7uired): i ,cti pump or ungnlron cirri" $4000 _ _
Erich sign or oulbrn lighting ^_ $4000
SignAl ctmud(s)or a limited anergy `
Please chock appropriate It-.%m and enter fee in sPr;tlon 58. panel alteration or extension $4000
4(x more raoidonttal un,tr i one structure Minot Lab«fe(to) $10000
Service and feeder 225 amps or more
41. Each additional inspection over
System over 600 volts nominal
the allowable in any of the above
Gid�aiited area or structure containing special occupancy
----- Per inspection $3500
as described in N E C Chapter 5 per hour !'15 00 —__-_
In Plant $55 00
Submit 2 sets of plaits with application where any of the above
apply. Not required for temporary construction services. S. Fees: 0C)
NOTICE Sa. Enter total of above tees $ �_
5%Surcharge 1 05 )(total tees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subrotat $ _
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter ?5%of line A Ior
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review It requued(Sec 3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ _
COMMENCED 0 frust Account 0 $ �1
Ralonre. r)JE $