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9400 SW OAK STREET a 0 N Q ns N '14 1 it 9400 SMI Oak St �\ CITY �� �'���� ELECTRICAL PERMIT (C PERMIT#: ELC2000-00401 ' DEVELOPMENT SERVICES DATE !SSUED: 7/20/00 13125 SW Fail 11vd., Tigard, OR 97223 (503) 639-4171 PARCEL: 1S1.35AC-03400 SITE ADDRESS: 09400 Sb K ST SUBDIVISION: ASHBROC.., FARM ZONING: r,-P BLOCK: LOT : 017 JURISPIC1ION: TIG Ptoiect Description: Intallat;on of 2 branch circuits. RESIDENTIAL UNIT TEMP SRVC/FEEDERS — MISCELLANEOUS _- 1000 SF OR LESS: 0 200 atop: PLIMP/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 FFFDER PER INSPECTION:' 201 400 amp: 1st W/O SRWOR FDR: 1 PER HOUR: 401 600 amp: EA ADD'L BRN,H CIRC: 1 IN PLANT: 601 - 1000 amp. _ _ PLAN REVIEW SECTION _ _ 1000+ amp/vc!t. >=4 :RES UNrrS: > 600 VOLT .q MINAI_- Re nnect only: SVC/FDR >= 225 AMPS: CLASS AREA/SPEC QCC: Owner: Contractor: ORLAND LTD ELECTRIC GROUP ING,'THE 5410 SW MACADAM AVE #100 4726 SE MI.WAUKIE AVE PORTLAND, OR 97201 PORTLAND, OR 97202 Phone: Phone: 232-2499 Reg#: SLIP 2546S LIC 00043851 ELE 26-445C __ — -- FEES _ _ —_ —Required Inspections Type By Date Amount Receipt _ Rough in 5PCT DLH 7/20/00 $3 43 0003855 Elect'I Final PRMT DLH 7/20/00 $42.85 0003855 -- Total $46.28 This Permit is issued subject to the regulations contained in the l rgard Municipal Cade State of OR Specialty Codes and all other applicable laws All work vill be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or rl work is suspended for more than 180 days ATTEN TION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952.001-om 0 through OAR 952.001.0080 You may obtain copies of these rules or direct questions to OUNC at(503) 246-1Qr,7 PERMITTEE'S `AGNATURE ISSUED BY: -- _ OWNER INSTALLATION ONLY _ The installption is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DAl'E: — —. CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELFC'N: DATE:—..-- LICENSE NO: Call 639-4175 by 7:00pm for an inspection the next bnsiw+ ss day CITY OF TIGARD Electrical Permit Ap '�>3Sn Plan Check# 13125 SW HALL BLVD. Recd By TIGARC OR 97223 i 1 'Z��© DateRec'd yob Sit, Date to P.E. Phoria (503)639-4171, x304 `� ��OeN- Ds;e to DST Inspection (503)639-4175 Print of Type � �� �' �/ Pem,it#�4C.?m --Do y0/ Fax (50 i) 598-1960 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development-- _ Number of Inspections per permit allowed Name(or name of business) Service included: items Cost Sum Address �7���� 4a. Residential-per unit �r City/State/Zip _ "-T/rs���1� 1000 sq.ft.or less s 117.75 4 Each additional 500 sq ft or portion thereof 16 28.25 1 Commercial ❑ Residential Limited Energy _ $ 60.00 _ Each Manufd Home or Moduler 2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 ` 2 (Prior to permit issuance,applicants must provide contractor license 4b.Services or Feeders Information for COT data base). Installation,alteration,or relocation Electrical Contractor e «tf:c. InG 200 amps or less _ $ 64.25 2 AddIE ,,,�, ��_ 201 amps to 400 amps _ $ 85.50 _ 2 5 401 amps to 600 amps $ 128.50 2 Cityre -_State Zip - �. 601 amps to 1000 amps. $ 192.50 2 Phone No. 3k3a- 3'f 9111 Over 1000 amps or volts $ 363.75 2 Job No. !:U 3 2 S Reconnect only $ 53.50 _ 2 Elec.Cont. Lice No. a& Exp.Date- 10-1 -1119 4c.Temporary Services or Feeders OR State CCB Reg. No. y,3t}'�i/ Exp.Date jj-I&-0117 Installation,alteration,or relocation r �p n_,I-qq 200 amps or less $ 53.50 z COT Business Tax or Metro Na. Date-L 201 amps to 400 snips $ 80.252 ., .�/�s, "�' 401 amps to 600 amps $ 1011.00 - 2 Signature of Supt. Elec'n Over 600 amps to 1000 v As, License No. L fs" Exp.Date 4.)C)/ sea"b"above. -G'� Branch ClrCLIIIIIIII bove. Phone No. __- 'y "�"� ��'� New,alteration or extension per panel a)The fee for branch circuits 2b. For owner installations: with purchase of service or feeder fee. Print Owner's NameFacl branch circuit $ 5,115 M Address b)The tee for branch circuits -- without purchase of service city____. _-,--.-_State Zip or ferfder fee. �7 Phone No._ r; - �� _ First Lranch circuit $ 37.50 J Each alditional branch circuit /' $ 5.35 The installation is being made on property I own which is not 4e.Miscellanaous intended for sale, lease or rent. (Service or feeder not included) Each pump or irrigation circle $ 4275 Owner's Signature—._.. Each sign or outline lighting $ 42.75 i Signal circuits)or a limited energy 3. Plan Review section (if required):* panel,alteration or extension -_ $ 00 Minor Labels(10) $ 10701.00 Please check appropriate item and enter fee In section 5B. 4f.Each additional inspection over _4 or more residential units in one structure the allowable In any of the above Service and feeder 225 amps or more Per Inspection $ 50.00 -- --- Per hour $ 50.00 -� System over 600 volts nominal In Plant $ 5000 _ _ __Classified area or structure containing special occupancy as described in N E C Chapter 5 5• Fees: y' 5a.Enter total of above tet c $ c. - * Submit 2 sets of plans with application where any of the above apply. -61"urcharge(05 X total fees) 14, /gyp y � $ Not required for temporary construction services. Subtotal $ �j 6b.Enter 25%of line Ba for NOTICE Plan Review if wired(Sec 3) S PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $ IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS Q Trust Account# AT ANY TIME AFTER WORK IS COMMENCED total balancer Due � $ I�dsts\form%\electtic doc