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—8383 SW UEEANN COURT .�
CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL r..,ERMIT
13115 SVS Hall Blvd., Tigard,OR 97223 (503)639.4171 r-`FRM I T #: El-C97-0115
DATE I^cUED: OE/ ::6/97
PARCEL:
_:)T TE ADDRE=SS. . . : 0832 Z, SW DEEANN CT
IJIM)T V T S T CIN. . . . : F I NI_EY PARK Z ON T NIG:R--7
DI_OCK. . . . . . . . . . LOT. . . . . . . . . . . . . :V 1..�
r:'ro jecct Description: instl C branch ci.rci.tits
- -RE SIDENT IA[ UNIT---- ----TEMP SRVC/FEEDERS.--_ -------MISCELLANEOUS------
'1000
---•—MISCELLANEOUS- .._.__'1000 SF OR 1_F SS. . . . : 0 0 - 200 ramp. . .. . . . . : 0 PUMF'/T RFl T GGT T nN.. . . . . 0
MACH ADD' L 500SF. . . : 0 201 40'h amp. . . . . . . : 0 SIGN/OUT LINE L TG. . i 0
...11ATTED ENERGY. . . „ . : 0 401 CJ00 :a-mp. . . . . . . . 121
MANF. HIM/ SVC/FDR. . : 0 E;0I +amps--1000 Vo l':s. : 0 MINOR LABE=L ( 1.0) . . . : 0
_.- . -.SERVTCE/FFE:DFP - - - E!RAhICN r:TPCLJTTS-_._......_ ___ .-ADD' 1_ TNSPECTNINF,
- 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0
201 - 4.00 .imp. , . . . . : 0 10- W/n 9R'!C OR Fl)R. . 1 PER HOUR. . . . . . . . . . . : Vj
401 - 600 amp. . . . . . : 0 Eh ADD' L r-ARNCH CIRC: 1 IN PL.ANT. . . . . . . . . . . .. 0
X01 - 11Z►01h amp. . , . . : it _. _.._.. .. _. REV 1�=W iE[;'T'T ON_.... __..__._..._.._._.
1000+ amp/volt:. . . . . : o )=4 RE'S UNITS. . . . . . . . : > 600 VOLT NOMINAL. . :
Reronnerf,, only.. . . . . ill 9VC/FDF? > ''2�`; AMPf3. . . ri.nsri Al2FA/rr'F:r" or:C'. .
Owner: --.-___.__.__-_________________________.__---_._____-__._..._. FEES
flon AKAMIAN t • pr t y date reccpi;
93133 SW DEEANN CT PRMT 40. 00 TAT 02/28./97 97-291025
9PC:T 1 00 'TAT 021'7,81r17 91 29 t 0F"5
TIGARU OR X37=
1711-inFN I x F7!..SCT R I C [:n $ 42. 00 TOTAI...
7379 SW TECH CFNTE.R DR.
---- -- RFDUIRE'D INGPECTIONS - - -
F IIaARI') OR Ceiling C;ovpr• Unde,,groi.ind Cove
Ohone #: 503-684-3600 Wall Co% er E12ct' 1 Service
r7eg it. 6It7
This permit is issued Subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and al'. other 171pr• i gnat�.irj
applicable ''Laws. All work will he done in �cc.,-dance with
approved plans. This permit will expire if work is not started j
Within 180 days of issuance, or if work is suspended for more
han 188 days. I S S I.t
...OWNER INSTAI_t..PI'TON (3\11-Y...... _.... .__._._____.__....
The installation is being made on property I own which is not intended fo►•
,.a l e, l va:;P, Or rant.
I WNER' S r I GNATURE^: DATE:
TN',3TA1. L P.TTC';J ONLY .. . .__._...._--_ _..._._..._ _ ..._._.
+;NATL►RE: `lF SUPR. ELEC" N: DATE:
f'f'NO3F. NO:
CACI fnr inspection S394 175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SVJ Hall Blvd
Tigard, OR 97223 Permit #
Date Issued
Phone (503) 639-4171
FAX (503) 684-7297
CIT" OF TIGARD TDD No. (503) 684-2772
Inspectinr (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development___ --_�`l Number of Inspections per permit allowed
Address` 3 Wit— �t' Servirr, Included Items Cost(ea) Sum
CitylStatelZip `_-\— � 4a. Residential -per unit
l� 1 C 1000 sq. ft or less $11000
Name (or name of business,}�,Qh 1 VY��v\ Each additional 500 sq,n or
portion thereof $2500
Commercial n Residentia y�J Limited Energy $25 no _
` Each Manufd Home or Modular
Dwelling Service or Feeder $8800
2a. Contractor installation only:
4b. Services or Fczders
Electrical COntraCtQl \ Installation,atterotlon,or relocation
G 200 amps or le-•s $6000
AddrerSS 201 amps to 40u amps $80 00
City �� State ZI ) 401 amps to 100 amps
-�-- pf--�-"�•= 601 amps to 1000 amps $12000
190.D(1
Phone _ r.er 1000 amps or volts $34000 _ 2
Reconnect only $50 00
Job NO. �(�� - ---- - —
contractor's license NO. •j L-
— 4c. Temporary Services or Feeders
Contractor's Board Reg. No. t) Installation.alteration or relocation
Signature of 5upr. Elec'n ip 200 amps or less
,/ 201 amps to 400 amps 450 00 7
License No.e�/Yas one No 1G r,_< 401 amps to 600 amps �_ 575 00 ^" 7
Over 600 amps to 1000 volts $for 00 --
2b. For owner installations: see"b"above
4d. Branch Circuits
Print Owrier's Name_— New,alteration or extension per pane
Address a)The fee for branch circuits with
City StateZip purchase of service or feeder tea.
Each brar ch circuit $500
Phone No. b)The fee for branch circulls without
The installation is being made on properly I own wr:-:h 1$ purrhassofservice orfeeder fee.
not intended for sale, lease or rent First branch ctrcun I $3500 —Iks,DO
Each addltle-al branch circuit = $500
Owner's Signature_- _ ,-- 4e. Miscellaneous
(Service or feeder not Included) `
3. Plan Review section (if required): Each pump or Irrigation circle $4000
Each sign or outline lighting 34000 -
Signal circult(s)or a limited energy
Please check appropriate itern and enter fee in section 58 panel,alteration or extension $4000
4 or more residential units in one structure Minot I abets 1101 $100.00
Service and feeder 2.25 amps or more
System over 600 volts nominal 4f.Each additional inspection over
Classified area or structure containing special occupancy the allowable in any of the above
as described in N E C Chapter 5 Per Inspection _ $3500
Per hour S55 Oil _
in Plant $5500
Submit 2 sets of plans with application where any of the above —
apply. Not required for temporary construction services. 5. Fees: 1,
NOTICE Ba. Enter total of above fees $ TC• UU
5%Surcharge (05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS. OR IF Sb. Enter vi r A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Reevieww if f required (Sec 31 $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ —
COMMENCED m«me.a.L Trust Account #
Mt^�tl
Balance Due E <