16060 SW KING CHARLES AVENUE w.r
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7
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16000 SW King Charles
Maint. 131c1r
CITY OF TIGARD BUILDING INSPECTION DIVISION
MST
24.Hour inspection Lino: 639-4175 Business Line: 639-4171 -
2 BUP
Date Requested ✓ ARI PM BLD
Location� (,U 5 Suite — --___ MEC
:;ontuct Person Ph l Z !3(��J FLM _—
Contractor —__ _ Ph SWR
B IU LDING 1t. ,int/Owner _ ELC Z_-- U/G
♦Retaining Wall^ -�— — � ELR
Footing Access.
Foundation FPS _
Fig Drain --.— — --- SGN
crawl Drain Inspection Notes: -
Slab ---- ----- ------ SIT
Pcst&Beam —
Ext Sh, th/Shear _
Int Si-leath/Shear _ —
Frdmirg -- - - _ ----- ..�----- --- -- -- —
1,isulaticn
I ywall (Jailing
Firewall
Fire Sprinkler
Ala,rr,Fire
Susp'd Ceiling _ y -- -----_-_------- -
Misc: - ---- --- - ---- — - _.� _.�------- ----- -
Final
PASS PART' FAIL ---- -----_� .. -- ---- - -- -----
PLUMBIAG
Poet&Br:am
Under SIi.b
-546-- ------ ------ — - --_- ---- ---- —
Top Out
Water Servic.
Sanitary Sewer
Rain r•nIns
Final
PASS PART FAIL
MECHANIC AL ------- ----- -�
Post& Beom 9 _ ` - ---------- - - - -
I?ough ',i
GasUri - - - - ---------- -- - _-- -- - - ._.
Smoke Dampers
Fina;
P ? FAIL
ELECTRICAL - --- _ --- -- - - - - - --- -
Service
'bG
/Stab
Low Vritage _
r ire Alarm
S PART FAIL ______
SITE
Backfill/Grading ---- — --
Sanitary Sewer
Storm Drain [ J Reinspection fee of$ _required beforb next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin [ ]Please call for reinspection RE: __---- _ [ J Unable to Inspect-no access
Fire Supply I Dnp
ADA
Approach/Sidewalk _;&
Other Date -� O _ _In3pprtce, __ — _ Ext
Final -
PASS PART FAIL 00 NOT REMOVtc this Inspection record from the job Jte.
CITY OF T I GA R D ELECTRICAL PERMIT
DEVELOPMENTJERVI�CE$
PERMIT#: ELC2002-00109
AIL DATE ISSUED: 3/15/02
13125 SW Hall Blvd., Tirdrd, OR 97223 (503) 639-4171
31TE ADDRESS: 16060 SW KING CHARLES MAINT. PARCE'_: 2S 115BB-03900
SUBDIVISION: BUILDInI('l
ZON,NG:
BLOCK: LOT : JURISDIf PION: KIN
Proiect Description: Installe". n of 2 branch circuits.
RESIDENTIAL UNIT TEMP SRVC/rEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 emp: PUMP/IRRIGATION:
EACH ADD'L 500SF• 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/SVC/FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER — BRANCH CIRCUITS
— _ ADD'L INSPECTIONS
0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR-
401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT:
601 - 1000 amp: PI AN REVIEW SECTION _
1000+ amp/volt: >=4 RF'' UNITS: > (100 VOLT NOM_INA_L:
Reconnect only: _ SVC/FDP. >= 225 AMPS: CLAS-3 AREA/SPEC OCC: _
Owner: Contractor:
KING CITY NO 4 BROADWAY ELECTRIC;-COCHRAN INC
OWNERS OF ALL LOTS 626 SE MAIN
PORTLAND, OR 97214
Phone: Phone. 234-6564
Reg#: LIC., 00072942.
SUP 3447S
_ ELE 37-546C
FEES— _ — _ _ Required Inspections _
Type 131' Date Amount Receipt Wall Cover
PRMT C7 3/15/02 $53.50 2720020000( ReF
Elect'l
5PCT CTR 3/15/02 Q4.28 2720020000( Final
---- Total $57.78
chis Permit is issued subject to the regulations contained in the 1 igard Municipal Code,State of OR. Specialty Codes and all othe! pplicable
laws. All work will he done in accordance with approved plans. This permit will expire if work is not started within 180 days f issuance, or if
Nork is suspended for more than 180 days. ATTENTIOe n law requires you to follow rules adopted by the Oregon U'inty Notification
Center. Those rules are set forth in L,,,.952-001-0(110 rnugh OAR 952-001-0080. You may obtain copies of Viese rules or dnoct questions to
Permit Signatures N sued By:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is riot intended for sale, 'ease, or rent___.
OWNER'S SIGNATURE: DATE:--
-------CONTRACTOR
ATE:__-- CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. EIEC N: DATE:---
LICENSE NO: y
Call 639-4175 by 7:00pm for an inspection the next business day
ElectrieW Permit Al lication
Date received: _ °ermit no.:
City of Tigard' Projecdappl,it I, Expire date:
Ciry ofTigar,i Andress: 13125 SVHall Blvd,Tigard,OR 97223 Date issued: — By: Receipt no.:
Phone: (503) 639-4'71
Fax: (503) 598-1960j X UP 1;1 UAFjJ Case file no.: Payment type:
Land use approval: 3001NIn DMTOO _ I--
Ll.
U I &2 family dwelling or accessory U Commercial/industrial U Multi-family U Tenant improvement
New construction ❑Ad(lition/alteration/replacemcnt U Other: _ U Partial
Job address: - "' Jj't)6 Bldg.too.: Suite no.: Tax map/tax lot/account no.:
Lot: I Block: Subdivision:
Project name: Ute 1`^4V` &L_DC I Description and location of work nn premises:
Estimated date of completion/inspection: i3n _ 2. p M A.�-7.
t,t
je CA, I Fee Max
Bt. rir name: D ,ctiptlon ray. (ea.) Tota! no.lm,r�
C- —�- New residmtW-single or mulll-famlly lk -
AddrL-s: 2 �'- Mo�� dweaingunh.lnchidesattached garage.
City:— s State:b� ZIP. �-2 1 Service included
Phonc%:Z$ 234-L-5 Fax:23$ 24 E-mail: 1000 sq.;t.or leas
Each additional 500 sq.ft.or portion thereof _
CCB no.: -L�-Z Elec.bus,lie,no:37-SL— Limited energy,residential 2_
City/metro lic.r .: Lirnilei,ruergy,non-usidential 2
Fr:h,manufactured home or modular dwelling
Signature of su rvising a ectri,an(required) Date r oc erviceand/or feeder 2
Sup.elect,name(print): — Licrrurno ll Services or feeders-Installation,
alteration or relocation:
200 snips or less 2
Name(print): / l 201 amps to 400 amps - 2
P fit=_I��-, II �( V I L ' t-� 401 amps to 600 amps 2 _
Mailing address: 611 amps to 1000 amps 2
City_ State: L ZIP: river 1000 amps or volts _ - 2
Phone: x: E-mail: Reconnectonly 1
Owner installation:The installation is being made on property I own Tempor�rysrlerallrvices m,orror ers-
which is not intended for sale,lease,rent,or exchange according to 2 hilar on le.,s (an,orrelocauon:
ORS 447,455,479,670,701. 201 amp:or less 2
201 amps,�40'1 amps 2
Owners signature: Date: 401 to 600 an.p.• 2
Branch circuits-new,alteration,
or extend •r panel:
Name: A. Fee for r, .ch circuits with purchase of
Address: service or feeder fee,each branch circuit 2
City: Slate: ZIP: A Fee for branch circuits without purchase
of service or feeder fee,first branch circuit 2
Phone: Fax: E-mail: --
- Each additional branch circuit
Mise.(Servlce or feeder not Inclyded):�
U Service over 225 amps-commercial U Health-care facility Each pump or imgatiop circle_ _ 2
U Service over 320 amps-rating of 1 del U Haurdouslocation Each sign or outline lighting 2
family dwellings U Building over 10,000 square feet four or Signal circuit(s)ora limited energy panel,
USystem over 600volts nominal more residential units in one structure niteration,orexicusion• _ -_— 2
U Building ever three stories U Feeders,400 amps or more *Description:
U occupant load over 99 persons U Manufactured structures or RV park Each additional Inspection over the allowable In any of the above:
U EgressAighting plan U Other. -- Perinspection
Submit sets of plan,,with any of the above. Investigation for _
71he Above are not applicable to temporary construction service. other
Not all lurisdiet„xks areerN credit cards,please cell Jurisdicdkkn for more informPermit fee.................... $utinn. Notice:This permit application i
U Visa U M,:sterCard expires if a permit is not obtained Plan review(at __ %) $ 'g
Credit card nornber:_- _ / / within IRO days after it has been State surcharge(8%p) ....$ Y
Expires accepted as complete. TOTAL ....... $ 7�
N uric of cardholder as shown on credit card
--- Cardholder siartmurc Amount 4r 41619(GUI COM)
j�I.Alfi
Electrical Permit Fees: Limited Energy Fees:
Complete Fee Schedule Below: TYPE OF WORK INVOLVED -RESIDENTIALY
j� Restricted Energy Fee...................................................... $"•.u0
Number of Insprsctlons per permit allowed (FOR ALL SYSTEMS)
Service Included: Items Cost Total Check Type of Work Involved:
Residential-per unit
1000 sq.ft,or less _ $145.15 4 Audio a.d Stereo Systems
Each arddilional 500 sq.ft.or
portion thereof $33.40 1 L 1 Burglar Alarm
Limited Energy $75.00
Each Manufd Home or Modular Garage Door Opener'
Dwelling Service or Feeder _ $9090 _ 2
Services or Feeders ❑ Heating,Ventilation and Air Conditioning System'
Installation,alteration,or relocatior
200 amps or less $80.30 2Vacuum Systems'
2.01 amps to 400 amps J_ _ $106.85 2
El
401 amps to 600 anrps _ _ $160.60 _ 2
601 amps to 1000 amps _ $24060 2 Other
Over 1000 anrps or volts $454.65 2
Reconnect only � $66.85� '-
Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY
Installation,alteration,or retocatlon Fee frn each system.......................................................... $75.00
200 amps or less _ $66.85 —_ 2 (SEE OAR 916-260-260)
201 amps to 400 amps $100.30 2
401 amps to 600 amps _ $13375_ 2 Check Type of Work Involved:
Over 600 amps to 1000 volts,
see"b"above. Audio and Stereo Systems
Branch Circuits ❑ Boiler Controls
Now,alteration or extension per panel
a)The f-e for branch circuits
with,wrchase of service or Clock Systems
feeder fee.
Each bra ch circuit _ $6 65 _ 2 Data Telecommunication Installation
b)the tee for oranch circuits
without purchase of service Fire Alarm Installation
or feeder fee.
First branch circuit _ $4685 _ `�'
Each additional branch circuit $6.65 HVAC
Miscellaneous F–] Instrumentation
(Service or feeder not included)
Each pump or Irrigation circle $53.40 _ _ ❑ Intercom and Paging Systems
Each sign or outline lighting $53 40 _
Signal circuit(s)or a limited energy
panel,alturation or extension $75 ju Landscape Irrigation Control'
Minor I abets(10) __ $125.00
Medical
Ench additional inspection over
the allowable In any of the above ❑ Nurse Cells
Per Inspection $62.50
Per hour _ $62.50
In Plant $7375 �� Outdoor Landscape Lighting'
Fees: .'rotective Signaling
Enter total of above fees $ ? ,S) n Other
8.4 State Surcharge $ G►� __ Number of Systems
2511.'ran Review Fee
see-Plan Review"sectior.on $ No licenses are requlrerl Licenses are required for all other Installatn,^
front of application ��—
Fees:
7 u tal Balance Due $
Enter total of above foes $�
❑ Trust Account p_ 8%State Surcharge
Total Balance Due $
i:%dsts\forms\etc-fees doc 10/09100
15/2002 09:40 503639377/ CITY OF KING CITY PAGE 02/02
KING CITY
153003.W 116th.lvenue, King City,Oregon 97224-3693
Phone-15031639.4082•FAX(503;639•$771
Notice To Contractors Working In King City
Due to an intergovernmental aereement t,ith the City of Tigard, many building rela*.ed permits
for projects in King City are issued and inspected by the Cite of Tigard.
If your permit application DOES NOT REQ(;IRE PLAN REVIEW. simply complete the
appropriate application legibly and submit it to the King City staff. The King Cit1 staff wall
collect all fees an,- fax rhe appl-*ration to the Citi of Tigard. Ciro oF Tigard staff%will then create
the permit, issu-- the permit. a,:d perfomi inspections. Piease inu'ica:e on the permit application
whether you v ould like the Tigard staff to call you w-hen the permit is ready for issuance or
%�herher you )refer it to `--e mailed without any notification. Any incomplete or illegib!,
application will be retuned fo King Cin staff fer correction and i:o processing will occur imril a
conplete. le?iiole application is received.
If your pernit application DOES REQUIRE PLAN REVIEW, this form must be signed by a
King Cin,staff person. King City staff will simple sign this form inc:icating land use approval.
Take this signed form to the City of Tigard Development Services Counter located at 1312; SW
Nall Blvd, Tieard, to submit applications and plans. Development Services Technicians am
available at 639-4171 h:xt. 304 should you have any questions concerning subtrlittal
requirements. All permit fees wall be assessed and collected at the City of Tieard.
The Cite of King Citv hereby authorizes applicant to pursue permits at the City of Tigard
Building Department for the following project: _ Z 4cc0,
located at:
King City Representative 3 / —
1 Mrs hCi11stDOC
CITY OF TIGARD BUILDING IW-r-CTION DIVISION MST
24-HourInspention Lane: 639-4175 Business Line: 639-4171 —
BUP _
---Date Requested AM_ PM ___ BLD —
Location ^.� �' Ste✓ ��- C'11 4 Suite MEC —
Contact Person _ / Ph �-Zel �'N�'�'' PLM
Contractor X17 ., i� = ten >^G��J _ Ph SWR
BUILDING Tenant/Owner rLC
Retaining Wall ELR
Footing Access: FPS
Foundation
Ftg Drain SUN
Crawl Drain Inspection Notes: --- —
Slab ----_ SIT
Post&Beam -- ----------------�-- ---------------
Ext Sheath/Shear
�In',Sheath/Shear
rraming - _—- -- -- -- - --- --- -..— - --- ---
loc•ilation
Drywall Nai';ng
Firewall
Fire Sprinkler --
Fire Alarm
Susp'd Ceiling ---------- -- --
Roof
Esc: --------------- - — -
Nnal --- —
PASS PART FAIL_ ----- --- �' -
P[UMBING
Post 8 Beam --- ----- — ---i
Under Slab
Top Out ------- — - ---
Water Service —
Sanitary Sewer
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post& beam
Rough In
Gas Line - - -
brnoke Dampers
Fina! - ------- -- -- --
iART FAIL
Service ---- --- -- -- -- - - ----
Rough In
UG/Slab
Low Voltage
Fire --- —� --..- - -- - -...- -- --
SS -OAR1 FAIL -- - - -- - ------ - — ---
E .� _
Backfill/Grading - ---
Sanitary Sewer
Storm Drain [ ] Reinspectinn fee of$ _--required before naxt Inspection. Pay at City Hell, 13125 SW Hall Blvd
Catch Basin [ Please call fof minsrf tion RF Unable to Inspect-no access
Fire Supply Line - - - --- T
ADA
Approach/Sidewalk Date - �'f Inspector Ext
Other -
Final
PASS PART PAIL 00 NOT REMOVE this inspection record from the job site.
CITYOF TIGARD ELECTRICAL PERMIT
PERMIT 0• ELC2001-00036
DEVELOPM =NT SERVICES DATE ISSIJicD: 1/19/01
13125 SW Hall Blvd , Tigard. OR 97223 (503) 639-4171 PARCEL: 2.S115BB-03900
SITE ADDRESS: 16060 SW KING CHARLES MAINT.
SUBDIVISION. BUILDING ZnWING:
BLOCK: !OT : JURISDICTION: KIN
Proiect Description: Installation of(1) 200 amp service, (1) 125 amp feeder and (2) branch circuits.
_RESIDENTIAL UNIT _ _ _ TEMP SRVC/FEEDERS_ MISCELLANEOUS
11000 SF OR LESS: 0 - 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS_ ADD'L INSPECTIONS
0 - 200 amp: 2 W/SERVICE OR FEEDER: 2 T PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: _ SVC/FDR >=225 AMPS: CLASS AREA/SPEC OCC: �f
Owner: Contractor:
KING CITY NO 4 DOUGLAS (-:, CLAPSHAW ELECTRIC
OWNERS OF ALL LOTC) 1722 17TH AVE
FOREST GROVE, OR 97116
Phone: Phone.
Reg#: EI_E 34-4100
LI(; 107185
SU40 3870S
FIFES _ Requimd Inspections
Type By Date Amount Receipt I
-- � p_ Wall Cover
MFNU CTR 1/19/01 $173.90 2720010000( Elect'I Service
5PCT CTR 1/19/01 $13.91 2720010000( Elect1 Final
Tetal $187.81
This Permit issued subject to the regulations contained in the Tigard Municipal Code, b;?te of OR Specialty Codes and all other applicable laws
All work will b�,done iii accordance with ?noroved plans This permit will expire if work is not started within 180 days of issuanc or if work is
suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Centb- Those
rules are set forth in OAk 952-001-0010 through OAR 952-001-008L). Yvu may obtain copier,f these rules ordirect questions to OUNC at(503)
246-1987 �' )
PERMITTEE'S SIGNATURE ��/ i ISSUED BY:
OWNER INSTALLATION ONLY
The installation is being made on roperty I own which s not intended for sale, lease, or rent.
OWNER'S SIGNATURE: _ _ _ DATE:
CONTRACTOR INSTALLATION ONLY _
SIGNATURE OF SUPR. ELEC'N: DATE:__
LICENSE NO:
Call 63.E-4175 by 7:00pm for an inspection the next business day
01/19/01 FRI 10: 15 FAX 503 598 1960 CITY OF TIGARD
Electrical Permit Application i
Datercc�!ved: Permit no.:
City of Tigard Lhnjccduppl.no.: Ezpiredate: �
C.iryu/('igarJ Address: 13125 SW Hall Blvd,Tigard.OR 91223 ,
Phone: (503)639-4171 Rec:ei tt
Date Issued: y:B 1 no,; h „
Fax: (503) 598-19611 Case file no.: 1 Payment type:
Land use ippr rival:
j
U 1 &2 family dwelling or,accessory �?ninm'.I'cinlAndustrial U Multi-family U Tenant improvement
U Now construction U Additie n/alteiationh•eplacemepi D Other:—_ U Partial
Job address: U Y.
� Ll y Fildg.no.: Suite no.: 7'ax map/tau lot/account no.:
Lot: 81ock: Subdivision:
Project name: ,. CL,.,, Uescri(tion;tn 1;, :,nitan of work oil premises: —
Estimated date of c'.)ml)jet ion/inspcctioil: i fie+ n.., 5✓C /- /'9j
'ob nu: �j
rrc nrrry
usiness nam( - Urgrriplinri 4JIy. (est) I'otnl no ius a
-
ddrLss: 7 .I He»reddeolial-shigle or muni-feaiilr Iver
---- -.__ � � •_--- -.--_ ... dwrllingruaif.,nrludrrnHmnrdgarage.
'lly. tAUQ SlaA�lnaV
:ServiceIncluded:
G 1000-r it or IcssJ, -- L ch Nd t�tionat Soo aq,ft..rr portion Ihertof 4
CCB no.:—�Q+�1.� L,c4. Lus.lie.no: _
-- --- Lim.ledenergy,residrn4al 2
it tcl,�t hc.no.: Lhnirrdener y,uca-resiJrntial 2 ,
��-•-` _ - _-_ J (y Eac•hitianulectured home ornwdulardwclGng
'iIjjl I❑r it's
erws rig el lfi(.1811(•equina) ti.,/' / / Service�ndlor feeder 2
Sup elrr name(printq __ 8cntcesarfecderq-imtnliatlan, r
JO alteration or relocation: �I" tF
1
2lNf amps to less
Namc( t int): C r' r 201 gulps In 400 am e —�
-P►a _C;�_A ssa , .
401 anips it 600 innps 2
Mailing,adcln:ss: -- _(,(li e�ups to 1otlllamps—� 2
City: StafC ZI1' �1-7.
hona Over 10'Nlnngisnrvolty Z—
Pe: FitK, E-mail: yw— � Recunnrctonly
Owner imitallation:The installalietn is being made on lirol>rri „vert Temporary servictaorfeeden-
which is not intended for salt„letlae,rent,or exchange acct (fury to Installation,alteration,orrelurntion:
1 ORS 447,455,479,670,7111. im any%o1 Icss - — 2..
201 snipe, .i4_00&trip% 2
owner"; .41 nature: Dale: _ — -_--
401 n (,1111 amps 2
l!canaria circuits-Herr,alteraHun,
Name:
a1 ritteoaor,per panel:
A. I er for Iv ancii circuits with purchase el IY
Address: scivice m feeder fee,each branch rircvll ,
City: _ Slate: Z t1": H. Fee fur aran:h circuits without purchase --
of service or feeder ler,first branch circuit-. y
unc: Fax: F. nuul: — � _
ligchnddnrnnalhrauchciicuiL - -'
Mtic.(.'Ferifeeorfeedernot included):
U Setvi,x over 223 snips curoutemild U 1111101-rrrefacihty Lech pumper irrigation circle. 2
O Servitr.over 320 nmparnung nr I&2 U I Iazi.rdi m"locatinr, F.nrb sign m outline Ifghtin - 2
fnnriryd:'tllfng' U Iluildtngover 10,010.0SrgnglurcuH(s)Ora RMI led energypanel,
U Syntent met(Mvolts rronunul nKin:Ir,idetalial alteration,or extensinn' •2
U rjuildhig ovtr there eianirs U lretulrrg,1(N1 snips n.,
0 occupant load over 9V persc.an O Munufuctumd stru,t nr•.„ rerr I ksrii,tI ion• __.__ -��3�._ - - - -
Loch additional Itupucnon ovrr the alinwgWe In ata,of the above:
U BNirs/bgluhigplan O Ulher: __- Permspecliun
Submit sets of plans with gay of floe It bore Invrstigstinn fee _ ;
111se above are out applicable to feinporay centre etion.,r•ice,
Net nil palidlcNnto w,:rl,t rrnhi c:adh,plreur,all Iwirdacaen len maa incur Maim, Nol ice:This permit application
Permit fee.....................9i
Uvrsq U MastoiCard cyeses if a pernnt is not obtained I'Itttt review(at ___ e%) $ -
Credit cud number -�--- �- t L_ u dlntt i Hll.lays gilrt it has been Slate suichalge(8%) ....$
_..-_—. — m cepicd lu complete. TOTAL ...... .......$
Heine o t e tare m 11WM11 411 lK 1 cwt """"' f,
mdiwldnr sibngture —
Amu it
440 4113(rMICOM)
r 01 19;01 FRI IU: 16 FAX 503 5V8 1960 CITY OF TIGARU 10:;
Electrical Permit Fees: Limited Energy Fees:
Cum fete Fee Schedule Below;
JYPE OF WORK INVOLVED- RESIDENTIAL ONLY
p Restricted Energy Fee.................... _.— _$70.00
Number of Inspections per permir !:'wed
(FOR ALL SYSTEMS)
Service included: I.ems Cost total
Checti r ype of Work Involved:
Rec.'entlal-par unit
1000 sq.ft.or less f $145.15 v Audio and Stereo Systems
Cach additional 500 sq.ft.or
podir,n thereof $3340 _ L.. Burglar Alarm
Limited L•nergy $75 00 `Each Manufd Home or Modular
Dwelling Service or Feeder $90.00 _ ❑ Garage Uacr Opener'
Services of Feeders L J Heating,Vontllation rind Air Conditioning System'
Installation, or less or relocation _/&0 60
200 amps or loss $80.30
201 amps to 400 amps $108.85__ ❑ Vacuum Systems'
401 amps to 600 amps $16260 1 1
601 amps to 1000 amps $240.60
Over 1000 amps or volt. $464.G5_
Reconnect only $66.85 7 , •1
Temporary Services or Feeders
TYPE OF WORK INVOLVED -COMMERCIAL ON
FeeIor each system..................................................
mstalfatcn,alteration,or relocation •••.•... $75.00
200 on,.:s or lest 1'S' /--&V $61-86 _ 2 (ShE OAK 918.260-260)
201 amps to 400 amps $10030 _ � 2
401 amps to 000 amps $131.75 `_ 2 Check`type of Work Involved
Over 600 amps to 11100 vows,
see"b"above. Audlu and Stereo Systems
Branch Circuits
Now,allocation or extension per panel ❑ Boiler Controls
a)The feu fnr branch circuits
with purohose of servlae of 3o I ❑ Clock systems
feeder fee.
Each branch circuit til,i-`' I�. ❑ Uatq Telecommunication Installation
b)The feu for branch ciremits
wlthoof purchase of seryfce f–1 Fire Ah r•.r t nata)IaUon
or feecer fee.
First branch circuli $46.85
Fach Wdilional brerch cirmit $6.65 HVAC
Miscellaneous , E] Instnnnen.ation
(Service or feeder not Includod)
Each pump or Irrigation circun $83.40
Each sign or oullino lighting $5340 -� - Intercom at.1 Paging Systems
Signal circult(s)or a Gmitoc energy
panel,alteration or extension $75.00 ` ❑ Landscape Irrigation Control*
Minor Labols(10) $125.00_
Each additional inspection over W ❑ Medic-of
the allowable in any of the above
Per inspection $62.50 C1 Nurse Calls
I er hour _ _ $6250
In Plan' eu73.75 _ ❑ Outdoor Landora,.e Lighting'
Fees: ❑ F'roinctive Signaling
Enter total of above fees 1�3,90 l I Other
8%Stale Surcharge 4 __13- 1
—!/3. Q
Number of Systems
2ti%Plan Review Fee ,._Iicensrm are required Llm.-ions 9m required for Nil she,In,t
See"Plan Review"seclian on allations
_
front of oppfication. — —
/�
Tots(Balance Due $ Fees:
Enh:r total of above fees
❑ Trust Account 0 � I 8%State Surcharge
_ Tota!Balance nue S_
i:Wsts`.ronnr.\elc-feea.doc 10/09'00
It& K111`*1TGw CITE'
15300 S.W. 116th Avenue,ging City,Oregon 9712,4•'269:3
Phone:(503)6,39.4082•FAX(503)639-:3771
Notice To Contractors `Vorking In King City
Due to an intersovernmental agreement with the Citv of Tigard, many building related permits
for projects in King City are issued and inspected by the City of Tigard.
If your permit application DOES NOT REQUIRE PLAY REVIEW, simply complete the
appropriate application legibly and submit it to the King City staff. The King City staff will
collect all fees and fax the application to the City of Tigard. City of Tigard staff will then create
the permit, issue the permit, and perform inspections. Please indicate on the permit application
whether you would like the Tigard staff to call you when the permit is ready for issuar,c: or
whether you prefer it to be mailed without any notification. Any incomplete or illegible f
application will be returned to King City staff for correction and no processing will occur ur,•il a d
complete, legible application 1. :eceived.
If your permit application DOES REQUIRE PLAIN REVIEW,this form mint be signed by a
King City staff person. King City staff will simply sign this form indicating land use approval.
Take this signed firm to the Citv of';igard Development Services Counter located at 13125 SW
Hall Blvd. Tigard, to submit ap;lications and plans. Development Services Technicians are
a,?ilable at 639-4171 Ext. 304 st,-)uld you have any questions concerning submittal
requirements. All permit fees will be assessed and collected at the City of Tigard.
The City of King City hereby authorizes applicant to purst.e permits at the City of Tigard
Building Department for the following project:
Located at: I b o 6Q SW kn agp'(e5
Cit
King City Represe ative
I DSTS KCMT DOC