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6614 SW KINGSVIEW COURT-1 E 6614 SW KINGSVIEW CT CITY OF TIGARD DEVELOPMENT SERVICES P1..JJMB1Nr7 PERMIT PERMIT #. . . . . . . : PLM9A-016'� ANIUMUM 13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 WATF. ISSUED: 06/15/98 PA RCEL c I S t 25DA—I 1200 173ITF ADDRESS. 06614 SW KINGSt.,IEW f,:'l" :!UBD I V I S 101':. . CHARLES ESTATES ZONING: P - 4. !-* B, L.0 C;�. . . . . . . . . . L.nT. . . . . . . . . . . . . .007 11JRISDT(,'TI0N: TIA3 Or- WORK. . :ALT (.30RBAGE DISPO GALS. 0 110Bl1_E Hf-',*,;;-'7 SPOCE9. : 0 TyPF- OF 1JSJ7. . . . SF WASHING MnCH. . . . . . 0 BACKFLnW PREVNTRS. . : I OCCUPANCY ('SRF'. . :R3 F*LOOR DRAINS. . . . . . 0 TRAPS. . . . . . . . . . . . . : 0 STORIES. . . . . . . . : 0 w('.vrF'.H HEATERS. . . . . 0 CATCH BASINS. . . . . . . : 0 E I YT(.JRES-,--- 1..,AUNDRY TRAYS.....: 0 SF RAIN DRAINS. . . . . : V1 SINKS. . . . . . . . . . 0 URINALS. . . » . . . . . . : 0 GRFASF TRAPS. . . . . . . 0 _AlIPTOR 0 T1 i r.-R FI X RES. . Tula/SHOWFRS. . 0 SEWER LINE (ft ) . . . 0 WATER r-1-013ETS. 0 W(-) ['EfR LINE (ft ) . . ,, 0 DISHWr.GHFR_9. . . . 1 0 RAIN DRAIN ( ft ) . . . 0 Remar,ks . r)dd )-esi.c,ential barkfl.,)w prevention clevire. Ovinor-: FFFS SOLL Y BOWELS type amcii-mt by date i­erpt 6614 SW KINGSVIEW COLIRT FIRMT t, 15 00 C-tEO 06/15/98 98--32165 5 ? TT(3PRD OP 97223 5PrT 0: '75 GEO 06/15/98 9(3---'30652'3' GREENSHIEL.DS I-ANDSCAPTNr) ROYAL CT WES'r LININ OR 97068 $ 15. 75 TnTAL RFP.IJIRFD TWPECTIONES This permit is issued subject to the regulations contained in the Rr-,/B;Ackf I t)w Pr,ev Tigard Municipal Code, State of Ore. Specialty Codes and all other Fina] ITispecticttl applicable laws. All w0 will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law relluires you to follow rules adopted by the Oregon Utility Notificaticr, Center. Those rules are set forth in OAR 952-I001I010 through WR 952-000I-0080. You say obtain copies of these rules or direct Questions to OtNE by calling + .4- ++++4-++-++ +++++++++++++++ ++ + ++-1 +++++++++++4-+++ ++ 1 1 ++++4......4-++++++++++4 C II 639-4175 by 7 :00 p. m. f n v, an i n s p e c:t i.c)n ii P rJ r, A t ti P ii�-,x t b 1-i S i ii e r., 5 C.1 iA y .1.+•+•+ F++• -4++++4-++4-4 f +++++++4++•+-+++++4.+++++++-F-+++•+•+ +.}+4-++++4.+++A-+++4-++++ i•+•+•+ CITY ©5 FIGARD Plumbing Permit Application Plan Check « _ 13125 SW HALL BLVD. Commercial and Residential Rec'dBy_ TIGARD, OR 97223 Date Recd (503) 639-4171 Date to P.F. _ Print or Type Date to DST Incomplete or illegible applications will not be accepted Permit Related SVR Called_ Name of DevelopmenUProiect On back Indicate Work Performed by fixture. Job /-�o w -/\r's FIXTURES vndlihdual) QTY PRICE AM Address Street Address,r suite Sink 9 OU ,' 1elc N U r k Lavatory 9.00 Bldg# /State Zip - -- " 0 or Tub/Shower.:omb. 9 00 NOMP 7 Shower Only 9.00 // — Water Closet 9 00 Owner Mailing A�resa Suite (Ji�hwasher �04• s.00 �C J c ,� C i qtState Garbage Disposal 9.00 y/ Zlp Phone _ 4 , Washing Machine 9.00 Na Floor Drain 2' 9.00 3" 9.00 Occupant Mailing Address Shite 4, 9.•to City/State Zip Phone Water Heater O conversion O i:ke kind g.(p -__ Laundry Room Tray 9.01, Nam , Urinal -- -- _ 9.00 Cl r Other Fixtures(Specify) 9.00 Contractor Mallin, ddreaa - Quite — - -i 9.00 J Prior to permit City/Slate Zip Phone _ 9.00 issuance,a copy t 30.00 of all licenses are Oregon Const,Cont.Board Lic.* F, p. ate Sewer-each additional 100' 25.00 required if j- � � i �v Water Service-1 st 100' 30.00 expired In COT Plumbing Lic.• xp.Date database Water Service-each additional 200' 26,00 Nanie Storm d Rain Drain-1st 100' 30.00 Architect Storm&Rain Drain-each additional 100' 25.00 or Mailing Address Suite Mobile glome Space _ 25.00 Commercial Back Flow Pre rentlon Device or Anti- 25.00 Engineer City/Slate Zip Phonr, Po'lution Device Residential Backflow Prevention Device. 15.UU Describe work New O Addition G Alteration O Rep;.t O AtIv Trap or Waste Net Connected to a Fixture 9.00 to be done: Residential _ Non-rr ddentlal O C ----- 9.00 A��tlonal despipti n of work: etch Basin M A <A J / r i Insp.of Existing Plumbing --- 40.00 1 /�) ;�' ( ,y4 r r Q % c7.ti per/hr Specially Requested Inspections 40.00 ormr Existing use of Rain Drain,Finale family dwelling 3Q.00 building or property Groase Traps 9.00 Proposed use of QUANTITY TOTAL )7 building or property! Isometric or riser diagram Is required H Ouanity Total it >9 NOMA ,. "SUBTOTAL I hereby acknowledge that I have read this application,that the information given is rorrect,that I am the owner or authorized agent of the owner,and 6%SURCHARGE that plans submitted are in compliance with Oregon State Laws. 91gature, wner/Agent -� Date "PI-AN REVIEW 25%OF SUBTOTAL *{'�= r•.>r�_:. Required onIV 0 fixture qty.total Is>9 rtaCt Person ams • -�. TOTAL 4• Phone f,/' 6 •Minimum permit fee is$25+5%surcharge,except Residential Backflow :2 / Prevention Device,which is E15+5%surcharge "All New Commercial Buildings require pians with Isometric or riser diagram and plan review t',dM&\vhjrnbnpv doc 5l5M PLEASE COMPLETE: Fixture Type - Quantity by Work Performed New Moved Replaced Removed/Capped ink _ Lavatory _ Tub or Tub/Shower Combination Shower Only Water Closet _Dishwasher ___al _ Garbage Dispos Washing Machine Floor Drain 211 4" - Water Heater Laundry Room Tray Urinal Other Fixtures t:, .)ecify) COMMENTS REGA.DiNU ABOVE: W „ ,;,n,yo-,._ ,•;mn CITY O F T I G A R D MECHANICAL PERMIT' DEVELOPMENT SERVICES PERMIT #. . . . . . . : MEC98-0295 13125 SW Hall Blvd,, Tigard,OR 91223 (503)639-4171 DATE ISSUED: 07/214/9B PARCEL: IS125DA-11200 SITE ADbKc�SS. . . : 06614 SW VINGSVIEW CT SUBDIVISION. . . . : CHARLES ESTATES ZONING: R-4. 3 BLOCK. . . . . . . . . . . LOT„ . . . . . . . . . . . . :007 JURISDICTION: TIG CLASS OF WORK. . %OTR FLOOR TURN. . . . ; 0 EVAP COOLERS: 0 TYPE OF USE. . . . :SF UNIT HEATERS. . : 0 VENT FANS. . . ” 0 OCCUPANCY GRP'. . :R,-, VENTS W/O APPL-. 0 VENT SYSTEMS: 0 STORIES. . . . . . . . : 0 BOILERS/COMPRESSORS HOODS. . . . . . . : 0 FUEL TYPES--_._________-- 0-3 HP. . . . : I DOMES. INCIN: 0 :GAS 3-15 HP. . . . : 0 COMML. TNCIN: 0 MAX INPUTs 0 BTU 15-330. HP. . . . 0 REPPIR UNITS: 0 FI RE DAMPERS?. . : 30-50 HP. . . . 0 WOOFSTOVES. . : 0 GAS PRESS 1RE 50+ HP. . . . 0 ("-Lj DRYERS. . : 121 NO. OF U!'' AIR HANDLING UN I TS OTHER UNITS. : V., FURN ( 1.00K U: 0 1.0000 r-fm : 0 GAS OUTLETS. : 0 FURN ) =-1001-, FAIL.H, 0 10000 cfm : 0 Remarks : Instal lation of a/c uric. OWTIPr: FEES SARA BOWLES type amoo.int by date reept 6614 SW KINGS VIFw cl FIRMT $ 25. 00 DEB 07/24/98 98--307642 TIGARD OR 97223 5PCT $ 1. 25 DEB 0*7/2',/98 98-307E.42 Phone #: Contractor: PIONEER 0IL 9270 NE GI. ISAN ST _____.____—_---------_____.____....__...._......_._.-- $ ------ $ 26. 25 TOTAL-. PORTLAND OR 97220 P.-ione #: ;-'54-9595 Req #. 0005P78 REQUIRED INSPECTIONS This permit is issued subjert fn the regulations contained in the Cooling Unt Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Final Inspection applicable laws. All work will be done in accordance with approved plans. Th: permit will expire if work is not started within IN days of issuance, or if work is suspended for more than 180 drys. ATTENTION: Oregon law requires you to folio- rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-4C-*I@ through BAR 952-98IAM88. You may obtain copies of these rules or direct questions to DX by calling 144 Permitter_ Si gnat ure YMA'. '/Z Ado, +++++++++--++++++++++++•..........4......4-+++++++++++++++++++++++-'................ Call 639-41'75 by 7:00 p. m. for inspections needpd tho next b.jsiness day -++++++-+++4-+++-4.....4-+++++++++++4....................4-++.......t-++-++-! r++++++•++++++ 06/11/97 14:15 '0503 684 7297 CITY OF TIGARD 12002/002 Pten che&e - CITY OF TIGARD Mech p yi,,Pfrmit Applica'�i�I�s; Ree'd B 13125 SW HALL :LVD, C hiifierriatand Residential oats Rec'dd�& TIGARD OR 97223 -- Oats to P.E. (5034 639.4171, x304Date to DST _ -- Print or Type t. Permit r � o29S� Incomplete or illegible applications will not be accepted Called a o ;.WWM v�nrglW � Description it)C s F oj Table 1A Mechanical Code OTY PRICE Aart' Job 3111`_"t mss+ -1 -f� A) Pen, Fee 4 -O- 10.00 Address Cie ''77:�-3 sk" C"I"A ZIP 1.) Fumace to 100.000.TfU 6.00 including ducts 3 vents Nam tar nems a Bue9 e- 2.) Furnace 100,000 BTU* 7.50 Owner c 5_ I including dues&vents 3.) Floor Furnace (Y/q--5w c I i V 1 f U,' f indudl vent 6.00 r4.) Suspended neater,war Mater 6,00 X17 L 2 3 2 y!r.. C 19.3 or floor mounted heater Nrns for erne ) 5.) Vent not InCllrded in appliance DeMilt 3.00 O.' Jpar+t rah Ararat 6.) 80r'er or cornu,heat pump.air cone. 6.00 ,C to 3 HP:absorb unit to 100K BUT- C4'�9rw see T.) Boiler or oomp,heat pump,air vend. 11.00 3.15 HP:absorb unit to 500K BTU" I Contractor Mom 9.1 Boiler or comp,heat pump,stir concL _ 15.00 i (Prior to _1a 1 S-W HP;absorb unitS.1 mil BTU" iasuance 44"Aeenn applicant ' 12-70 L - - 1 Q0,-A'" 9.) 3050 H Boiler or�absorb vrrt 1heat p -1.75rnil M, :250 must provide-A G4MStrepump.air cond. 37,50 10.) Boiler or aomp,heat contractor h (11 Or O) '2C' ?LSU Ray , a 50 HP:absorb unit 1,75 mit BTI" l ;iaefw, onpan Cans`Cam.Roto Lct Fap,Owe t t,) Air handling unt to 10.000 CFM 4.50 n!;.. -An / '-, I " 27J1for COT tf database). Cor Busnsos nl o 110011111"a pro Owac 12) AWHandling unit 10,000 CFM 7.50 Architect K.rns 13.) Non-oortable evaporate molar 4,50 or Mr"np AOMIMS 14.) Vent fan connected to a sing*duct 3.00 Engineer C4VsWa as ah,no 15.) Ventilationm�not included in 4,50 appliance permit L)"Cnbe watt Nevar- Addkion O Alteration O Repair O 16.) Hood served by mec hanlcW eshaust 4,50 to be dans Rtsk*ft l 0 Na►+eeldentiel O Add?ronal Deatrlplipn of work 17.) Domesbc incneratom 7.50 18) Corrrrreteial or industrial type 30.00 Exatttng use of _ Incinerator buiiding or property_ CSC`a I Citi"?-4 1 19.) Raper units 4.50 2Q) Wood stove 4.50 Proposed use of 21.) Cbthes dryer,etc 4 50 budding or property 12) Other anits 4.50 Type of fuel-Oil 0 natural gas O, LPG 0 e*c=O Z3.) Gas piping one to feu outkes 2,00 ji I hereby acknowkdge that I have read this applitai'ion,that the 24 I More than 4-per outlets(e") 50 information given is correct that I am the owner a authorized agent of the owner.that plans submitted are in compli2rice with Oregon State QTY.SUBTOTAL laws. (1� Signelun of t3wrtsrlAgent DateSUBTOTAL �- l 1 Cf 5%SURCHARGE s rC' ^i Contact P on Narne Phone PLAN REVit_4N 25Y.OF SUBTOTAL - TOTAL r:dt 1Vnechprtt dtic (rev 9 '11111Itwainum permit fees us;,S%Sswehw" "'Residential A/C requires sft plan showing pent of unit Nortu b(v I N IS uj r "Ou J 04 cr d FA"St wat ff .............Rif 01I "guilt CITY OF TIGARD BUILDING INSPECTION DIVISION MST 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ----�- �( BUP —Date Requested_" 1 ,AM r\ ,_ PM BLD -- Location_ — - !_fit- _.�. _ �_ ,_ �_ � _( Suite _— EC, (_ Contact Person — Ph MCr!'(?i Contractor Ph SWR BUILDING Tenant/Owner �,� ��L"C� �� � ELC ,, � Retaining Wall ELR CSL Footing Acces Foundation L FPS Ft Drain q,: ` ��/ - � g SGN Crawl Drain Insr�sction Notes- - — -- Slab — ----�� � -- SIT Post&Beam Ext Sheath/Shear Int Sheath/Shear Framing - --_--_-- ----------------- --- -------_- Insulation Drywall Nailing Firewall -- ---- --- Fire Sprinkler ----- - -- ----- --------- -- --- - '7--ire Alarm SUsp'd Ceiling -- --- - -------�_-. -,.�---- -- - Roof Misr, Final - ^------ -- PASS PART FAIL. _-------------------- ----__-. ---- --- _ -_ PLUMBING Post& Beam Under Slab lopOut -----------_..__.----_�._ _.. Water Service Sanitary Sewer Rain Drains Final _ FAIL MECHANICAL. Rough In Gas Line ( ------- ------------------ --- ----- ---- Smoke Dampers �✓ FAIL_ Rough In UG/Slab Low Voltage Fire Alarm - n ASSPART FAIT__ ____----- --_------------_.______..-__.-___------- SITE Backfill/Gradirq -- -- ------ - _- -- --.--- -- --- ------ — Sanitary Sewn- Storm Drain ( )Reinspection fee of$—_ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply l ine ( )Please call for reinspection RE. _._ --- ( ]Unable to inspect no access ADA Approach/Sidewalk ' !7 Other Date _ -�S - Inspector �. � _— Ext Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD BUILDING INSPECTION DIVISION M°r 24-Hour Inspection Line: 639-4175 Business Line: 639-4171 ---- --�— BUP _ '�L —nate Requested 6;- - M _—PM BLE Location {Ut(;J 4 �(,(� / �� bJSuite MEC Contact Person —_ 4 1Ph �" PLM Contractor—� ! 1, t-lr1, 1, Ph � —a '�3� _ SWR -- BUILDING �� Tenant/OwnerELC Retaining Wall — - ELR _ Footing Accese: Foundation ,, FPS Ftg Drain lui Ll is lXC/ SGN Crawl Drain Inspection Noics: --- Slab _ -- SIT Post& Beam -- --- Ext Sheath/Shear _ Int Sheath/Shear — — Framing --._____- -----T-- -- — Insulation Drywall Nailing �_— Firrwall Fire Sprinkler -- Fire Alarm 'Susp'd Ceiling,Rool Mi sc --------- __ -- - — — — -- --- --— Final ---- -- PASS P-AELT FAIL 1) WNW, Post& Beam - —�—.___.__ -_--------- — -------------_.-_._..------------- Under Slab Top Out Water Service Sanitary SewerRala / Drains — - — — -- - -- ---------------------------- Fi PART FAIL ME.W ANIC, L Post& Bean - ------ -- ---- Rough In GasLine _ _ _ ------ --- -—----- - ------- -- --. Smoke Dampers Final -_---__--- PASS PART FAIL ELECTRICAL.� Service Rough In LIG/Slab ------ ----- -- ------�-. - --- - ------- -- -- Low Voltage Fire Alarm Final — - - - — --- - --- PASS PART FAIL SITE Backtill/Grading Sanitary Sewer Storm Drain J Reinspection fee of$ —required before next inspection Pay at City Hall, 13125 SW Hall Blvd Catch Basin Fire Supply Line ! J Please call for reinspection RF: --- ( J Unable to inspect no access ADA Approach/Sidewalk Other Date — � Inspector _ % _— Ext _ `— Final PASS PART FAIL 00 NOT REMOVE this inspection record from the job site. CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98- 8358 13125 SW Hall Blvd., Tigard,OR 97223 (503)639-4171 DATE ISSUED: 07/01/98 PARCEL: 19125DA.--11200 SITE ADDRESS. . . :06614 SW KINGSVIEW CT SUBDIVISION. . . . -.CHARL.ES ESTATES ZONING:R--4. 5 BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . :007 JURISDICTION: "'IG P,.-,oject Description: Bowles UNIT----- ----TEMP SRVC/FEEDERS--,-- -----MISCELLANEOU3----.---- - 1000 SF OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 PUMP/IRRISATION. . . . : 0 EACH ADD' L 5009F. . . : 0 201 400 amp. . . . . . . : 0 SIGN/OUT LINE LTCi. . : 0 LTMJTED ENERGY. . . . . : 0 401 600 amp. . . . . . . : 0 SIGNAL/PANEL.......: 0 MANF. HM/ SVC/FDP. . : 0 601+amps-1000 volt-S. : 0 MINOR LABEL ( 10) . . . : 0 ------SERV I CF/FEEDER------ ------BRANCH CIRCUITS--------- -------ADDIL. INSPECTICNS­-- -- Vj - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 .201 - "00 amp. . . . . . : 0 1st WIO SRVC OR FDR. : I PER HOUR. . . . . . . . . . . : 0 401 - 600 amp. . . . . . : 0 FA ADDIL BRNCH CIRC: I IN PLANT. . . . . . . . . . . : 0 ('01 - 1000 amp. . . . . : 0 -----PLAN REVIEW SECTION---- •-----------------____. 1000+ ECTION­­---------------------- 1000+ amp/vola:. . . . . : 0 ) :=4 RES UNITS. . . . . , . . . ) 600 VOLT NOMINAL.. . : Reconnect only. . . . . : 0 SVC/FDR 225 AMPS— : CLASS AREA/SPEC OCC. : Owner: FEES SARA BOWLES type amol_lnt by date recpt 6614 SW KINGSYIEW CT PRMT $ 40. 00 JSD 07/01 /98 98-306'366 -( IGARD OR 97223 5PCT $ JSD 07/01 /98 98-306968 Phone #: Contractor: ADAMS ELECTRIC CO INC $ 42. 00 TOTAL 4';40 SE CLATSOP REQUIRED INSPECTIONS PORTLAND OR 97202 Ro1..iqh-j TI Elect' l Final. Phone #.- 234-9651 Elect' I Set-vice Reg 00271005 This pervit is issued subleiA to th; egulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other applicable laws. All work will be done in accordance with th approyed plan;. This pervit will expire if work is not started witnin. In days of issuance, or if work is suspended for iore than !180ys. ATTENTION: Orprion law requires you to fellow the rules adopted by the Oregon Utility Notification Centrr, Those rules are set torth in OAR W-00I-0010 through OAR 9521-01 )%7. You oay obtain a copy of these rules or direct questions to Oiw. by alling (W)446-1987. Pf�rmit:tee Signature: s s 1-i ed Bvv R INSTALLATION The installation is being mads nn property T own which is not intended for, sale, lease, or rent. OWNER' S SIGNATURE: DATE INSTALLATION SIGNATURE OF SUPR. ELECIN: IjATE: LICENSE NO: +++-4-4-+++4-+-++++++++4....................+++++++.+++++++++i ++++++-+++++++.+........ Cal. l. 639-4175 by 7:00 p. m. for- an insppc � ion needed the next bi-Isiness day ++4-+4-4......................4.........4-4+++++.......I......4-+4-+++4 +++++++++-+++++++- 4 CITY OFTIGARD Electrical permit Application Plan Check# 13125 5W HALL BLVD. Recd `= (�O Date Ree cd TIGARD on 97223 Date to P.E. _ Phone (503)639-4171, x304 Date to DST Jff Inspection (503) 639 4175 Print or Type Permit# r Ins (503) (503) 3 incomplete or illegible will not be accepted Called I 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Name (or name of business)s/a�'/+ ��'<.IE.� Service included: Items Cost Sum Address_ �� 7 S w 6SE L•� L 4a. Residential-per unit 1000 sq.ft.or less $110,00 4 City/State/Zip ',-1 E54'C.b f Olt J C' J_ _ Each additional 500 sq.ft.or portion thereof $2r�00 -- 1 Commercial ❑ Residential �j '' Limited energy $2 1 oo -.-._--- Each Mai A'd Home or Modular Dwelling Service or Feeder $6800 -._-- 2a. Contractor installation only: (Attach copy of all current Ilcenseal Ins Services or tiFeeders, _�.I C �� Installation,alteration,or relocatlun Electrical Contractor-A.[-?A I-,S' �=GF=C % 200 amps or less $60.00 _ 2 Addreg 1 3 4�V SIT C.4 ft Z:1. 1 _ _- 201 ami rs to 400 amps _ $80.00 _ 2 City f G F'T i(A.�:U S to L' Zip -�O=�- 401 amps to 600 amps __ $120.00 _ 2 Phone No. .3 , _ _ 601 amps to 1000 amps $180.00 _ 2 Job No. 3 ' - Over 1000 amps or volts -__ $340.00 _� 2 Reconnect only $50.00 Elec. Cont. Lice. No C- Exp.Date ¢- - OR State CCB Reg. No. Exp.Date aJ -/,7 4c.Temporary services or Feeders COT Business Tax Or Metro No./b 7IG. Exp.Date_ - Installation,alteration,or relocation 200 amps or less $50.00 - 2 1,�1 201 amps to 400 amps $75.00 ? Signature of Supl. EIQ� u� - 401 amps to 600 amps $100.00 �_ ? Over 600 amps to 1000 volts, License No. Exp Date/0 see"b"above. Phone No.-� 4d.Branch Circuits New,alteration or extension per panel 2b. For owner installations: a)The fee for branch circuits with purchase or service ur Print Owner's Name ___ ch btee' Each branch circuit $5.00 _. Address-__ b)The foo fur branch circuits City _ State Zip without purchase of _ Phone No.-_ ____ service or feeder les. First branch circuit i 00 The installation Is being made on property I own which is not Each additional branch circuit Z. $5.." T intended for sale,lease or rent. 4e.Miscellaneous (Service or feeder not Included) Owner's Signature______ __. Each pump or Irrigation circle $40,00 Each sign or outline lighting $40.00 3. Plan Review section (it required) Signal 1,alteration or a limned energy - panel,alteration or extension $40.00 Minor Labels(10) _ $100.00 _ Please check appropriate item and enter fee In section 51B. 4 or more residential units in:)ne structure 4f.Each additional Inspection over Service and fender 225 amps or more the allowable in any of the above _J System over t,.,•'volts nominal Por inspection $35.00 Classified area or structure containing special occupancy e'er hour _Y $55.00 as described In N.E.C.Chapter 5 In Plant $55.Uo i `Submit 3 sets of plans with application where any of the above apply. J. Fees: Not required ir,r temporary construction services. 59.Enter total of abcve fees $ s 5%Surcharge(.05 total fees) $ NOTICE Subtotal $ -- 51).Enter 25%of line 6a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review If 1e2utr (Sec.3) $NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK Subtotal $ ------ IS SUSPENDED OR ABANDONED FOR A PERIOD OF'80 DAYS AT ANY Trust Account#___ ____ "J TIME AFTER WORK IS COMMENCED. q Total balance Due 11n3TS\ELC96 APP Rev 0/46