12474 SW 134TH AVENUE ADDRESS:
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CITY OF TIGARD j ,, [qM
COMMUNITY DEVELOPMENT DEPARTMENT
13!25 SW Full Blvd.Tipud,Oregon 97223.8199 (503)839.4171
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CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503)839.4171
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$ 2100. 00 JH
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OF CImo" �. 13125 SW Nail Bind, PLNCKRECT #/
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COMMUNCIT DEVELOPMENT DEPARTMENT TipsAOmgon97M PERMIT # /� S _
(503)639-1171 DATE ISSUED
JOB ACORESS: q7 _5.w /3y TAX MAP/LOT ,2,51 _6��c 26v0 `
SUB: ZE /Ch�i�G ffi� LOT: � _ LAND USE:
VALUATION:
OWNER SPECIAL NOTES
NAME: -- r�i� � `1 REISSUE OF:
AI ,KESS: y� S�� ' LAST REISSUE: J_
FLOOD PLAIN/
PHONE: SENSITIVE LAND:
CONTRACTOR APPROVALS REQUIREq
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NAME: PLANNING: Sf, ff a"5`,Z-
ADDRESS: ENGINEERING:
_ FIRE DEPT:
PHONE: --- - Z 7 Z _ OTHER: =t (V -
CONTR. BOARD #: �.��/ 5� EXP DATE:
ITEMS REQUIRED
SUBCONTRACTORS: PLUMB: _ ih LIST/SUBCONTRACTORS: r _
MECH: ��/r BUS TAX:
ARCH/ENGINEER CALCULATIONS:
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NAME: ��/�/� SuJc�st� _ _ TRUSS DETAILS: —
ADDRESS: 'J�y AI W // '4 SOTHER:
PHONE: "7 SO -7,4,X- 7S 33/
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�- PROPOSED BLDG. USE: t� _
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Received By: Date Received:
PERMIT # ACCT # DESCRIPTION AMOUNT AMOUNT PD. CAL. DUE
M.5 .S v3q 10-432 00 Building Permit Fees l��/-S.,'r �S,57
10-431 00 Plumbing Permit fees � •SZ' ;o
10-431 01 Mechanical Permit Fees
10-230 01 State Building Tax (5%)
Building2Z-2-
Plumbing 7 J
Mechanical ,''• /�'
10-433 00 Plans Check feel -
Building ;�Z S
Plumbing
Mechanical —�
10-2.30 06 fire
_SG'IZyJ o,2b% 30-202 00 Sewer Connection �' 0')
30-444 00 Sewer Inspection 3�-
25-448- 02 Commercial TIF Fees
25-448-04 Industrial TIF fees
25-448-06 Institutional TIF Fees
25-448-03 Office TIF Fees
25-448-01 Residential Traffic fees
25-448-05 Mass Transit TIF Fees
52-449 00 Parks System Dev Charge (PDC) _T:o d_ v J
31-450 00 Storm Drainage Syst Dev Chrg
(SSDC)
24-445-01 Water Quality (Fee it lieu of)
24-445-02 Water Quantity (Fee in lieu of)
�-' TOTAL i51qLft
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CIlY OF T.IGARD -- RECEIPT OF PAYMENT RECEIPT No. 193-24167/1
CHECK AMOUNT : 5091. 84
AME a WESTDALE CONSTRUCTION CASH AMOUNT % 0. 00
DDRESS 0 PAYMENT DATE v 06/24/93
SUP3DIVISION w
11JRPOSE OF F-IAYMF--I\IT AMOUNT I'-AID PURPOSE OF PAYMEH*r AMOUNT PAID
UILDIN(3M` 445. 50 PLUMBING PERM 147. 50
ECHANICAL PE 4 .`. 00 ST. BUILD PER 31. 76
-LAN CHECK FE 50. OR SEWER I.ISA ?100. 00
EWER INSPECT 35. 00 PARKS SDC 500. 00
NORM DRAIN SDC 280. 00 RESIDENTIAL _r Rel FFIC FEES 1350. 00
ASS TRANSIT TIF FEES 110. 00
_OT 1*74 MORNING HILL 8
12474 SW 134TH
OTAI. AMOUNT PAID 5091. 84
•
C;i. T'✓ OF T 1 GoPRD RFC;F I PT OF' POYME NT RE't:I=I PT NO. z 4,3---`4008- 1
C HECIK AMOUNT 00
NAME z WF9)"I'Ufil..,h C:ON(STRUCTION CI 914 AMOUNT « IA. 00
PL)1)RF G 1.3 s 8447 5W 68TH PL PnYME:'NT I AIF a 0!5/14/93
9 7''"'_.
r,URr.'rI E" OP P(IYMEN V ANCILINT F='A I D PURPOSE OF PAYMENT AMOLJN-r r,-A I U
Q, F'I_{.�N C Hl C;k F'"F' ri-4�.'R 4'_ II►« 00
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It-474 SW t.34 rH, MOPIJtN( HILL, 8, t_r.;7' 1.74
TOTAL. AMOUNT r=w r) - - W —) 250« 00
CITY OF TIGARD
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Onpon 97223.8199 (503)839-417+
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CITY OF TIGARD BUILDING INSPECTION NOTICE
spection Line (Rec 0 Phone): 9379�-44175 Business Phone: 639-4171
Inspecti n: r�Ylr•(i1 C�� / r ,
Footing Susp. Ceiling Sprin . Rough-in pNSdw
Foundation Plbg. Underslab 71ec
h. Rou Fireplace
Post/Beam Stru Plbg. Top Out . Ro FINAL:
i
Post/Beam Meeh, San. Sewer Gas Li -Bldg.
P!bg. Underfloor Rain Drain Fra -Plumb.
Alarm ter Line Insul4tion -Mech.
Underflr. Insul. She r Wali / Gyp. Bd. -Elect.
Date Requested: - �� T me: AM PM
Address: —7
Builder. _ Per V CG 3
THE FOLLOWING COR ECTIONS A E REQUIRE
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Inspector: Date:
APPROVED DISAPPROVED APPROVED SUBJECT TO ABOVE
_Call For Reinsp.
JMS'ECTION NOTICE
City of Tigard Building Department
13125 811 Hall 31vd. Tigard, Oregon 97223
Inspection Lin* (Rec-o-Phonm)s 639-4175 Business Phone: 639-4171
Inspection:
Footing Plug. Underel.ab Hoch. Rough-in Appr/Sdwlk
Found. Plbg. Top Out Gas Line F :
Post,'Beam 3truct. San. Sewer Framing �-
root/Beam Mech. Rain Drain Innulation -Plumb.
P.'bg. Underfloor Mater Line Gyp. Bd. -Qfroh,
Dat* Requmetmd: L j' J J Time: ((��-
Addrenss \,"1�( ( ��{ _ Permit #s
Builders V.Jf
TAE FOLL�C M' 10UNCl'ICKS ARE REQU I RED:
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Inspector's Dates
V APAAOVSD DIAAPPROVED __ APPMAIND SULINCT TO ABONIL
�` •r Call For Reinep.
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CITY TIFIC-�TE OF TIGARD CEROCCUPANC06r
Y
PERMIT #. . . . . . . : MST93 -13341
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 10/27/93
13 25 SW Hall Blvd.Tigard,Oregon 97223*8199 (503)639-4171
PARCEL: 2S.104AC-.03000
SITL 1,2414 'j'- ,3
W 14TIH "Vill-
SUBDIVISION. . . . .- MORNING WILL 8 ZONING:R-25
BLOCK. . . . . . . . . . : LOT. . . . . . . . . . . . . : 174
CLASS OF WOPK. :N[-.W
TYPE OF USE:. . . :SF
OCCUPANCY GPP. ,i[?3
OCCUPANCY LOAD: 123 4
TENANT NAME. . . :
Ftemrlr k : r-,A'm i
WESTI)ALE CONST
8447 SW 68TH PL.
PORTLAND OR 97223
Phone #: 293--P072
Lontr'actov-s
WESTDALE CONSTRUCTION
8447 GSW 68TH PLACE
PORTLAND OR ')7223
Phone #. 645-7197
Rey #. . : 21345
Occupancy of the above i,pfev,enred building .1 % hereby given, and cev^tifies
the compliance with thp State Of Ot-eyon Specialty Codms for- the group,
occupancy, and use under- which the r-efet-encecl p mit ova i E.5 ued.
.1 AG6FF-71
BUILDING INSPECTOR BUILDI OFFICIAL
PIOST IN CON SPICUOU1,3: PLACE
'00 DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON I LAND DEVELOPMENT SERVICES DIVISION #350-12
155 NORTH FIRST, HILLSBORO, OR 97124
COUNTY. \� PHONE: 503/640-3470
OREGON ` INSPECTION REQUESTS (24 hours): 503/640-3561 or 693-4415
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Permit # : 05042726 F'ro3ect # : P0033091. Status APPROVED Page 1 of 2
Applied : 07/21 /93 Issued 07/11/93 Expires 02/12/94 10/26/93 08 : 26
RESE:LEC
Permit_ Title SFR - NEW HOUSE OTH
Description Begun : 07/21/93
Jab Address 12474 SW 134TH AV T1
Owner Name I N:PECT 10N -- T I GARD Region D
Applicant. Nam. DICK 'S ELECTRIC
Phone numbei 648--9080 Valuation : 0 Approved_
Inspwctor ( chili is Reject.rd
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'nrpelcted by _ _.... -_�....___ Dat a
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ReglleF
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-' Final Electrical
0/26/9.3 R1 JM REINSPECT
10/22/93 RI PM , KEY IN E'0UNDATION VENT
10/15/9 ? RI MJF HEAB ! ! I1I11Iii
10/15/9,Y r,N WJB No ACCESS
10/13/93 RI MJF KEY PUN VNT RIHT 520--r,602
10/13/93 DN Hb 4 CORRECTIONS - SEE PILE
DEPARTMENT OF LAND USE & TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SERVICES DIVISION #350-12
155 NORTH FIRST, HILLSBORO, OR 97121
COUNTY, PHONE: 503/640-3470
OREGON INSPECTION REQUESTS (24 Flours)- 503/640-3561 or 693-4415
Permit # : i'r`'Ject # : PC(133091 ,-Latus APPk&JEI) Page I af. ;!
Applied : 07/21 /93 Issue,- 07/21/93 Expires 02/12/94 10/'. 3/93 08 . 17
RFSELEC
Permit Title SFR - NEW HOUSE Orli
Description $equn : 07/21 /93
Job Address 12474 SW 134TH AV T1
Owner Name INSPECTION - 111G'AkD Region I1
Applicant Name DICK' S ELECTRIC
PhonF number 64$-•9080 Valuation : U Approved._w
Inspector Comments Refected *01i
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I nspec�F g by .. _...__ � _`...� '`�- Date ,
LIJ Inspection Requested:
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+ Final Electrical
IU/1 :3/93 RI M.JF KEY FF)N VNT RGHT 520-5602
' CEPARTMENT OF LAND Uf &TRANSPORTATION
WASHINGTON LAND 55 NORTH L RSTEDIVISION
HILLSdORO,ORNT SERVICES
COUNTY INSPECFV)N REQUESTS: 503/640-3561/693-4415
PHONE: 50 !648-8761
,•+ OREGON Page 1 OL 1
Date 07/21/93
Time 11 : 40
Permit 'Type Residential Electrical Permit Permit # 05042726
Permit Status APPROVED 'applied 07/21/93
Situs Address 12474 SW 134TH AV TI Issued 07/21/93
Permit Title SFR - NEW HOUSE Completed
Permit Descr. To Expire 01/17/94
Project Title SFR - NEW HOUSE Project # POU33091
Project Descr. * EROSION
I '
Parcel Number : 2S1TI - Land Use District
Valuation 0
Legal Descr.
Ownir INSPECTION - TIGARD Construction OTH
Applicant Name DICK'S ELECTRIC Classification 900
Applicant Addr. : 8907 ;W HILLSBORO HWY Occupancy
HILLSBORO OR 97123 Validated by EB
Ap,.)licant Phone: 648-9080 Inspector Area
CONTRACTOR : DICK' S ELECTRIC Lic. C 34-95C 648-9080
Fee description Units Fee/Unit Ext fee Data
-----------------------------------------------------------------------------
Square Footage [Enter Sq. Ft . ] 1900 115 . 00
Subtotal Electrical Fees : U 115 , 00
State Surcharge of 5% 0 5 , 75
Total Electrical Fees : U 120 . 75
*** Fees Required *** *** Foes Collected & Credits ***
---------------------------- --------------------------------------- -----
Rc,ceipt No , Date Payment
07/21/93 120 . 75
TOTAL THIS DA'Z'E ********* 120 . 75
Fees : 120 .75
Adjustments : . 00 Total Credits : . U0
Total Fees : 120 . 75 Total Payments : 120 . 75
Balance Due: . 00
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J NOTICE: This permit becomes null and void If the work or construction for whlct d Is Ivued Is not commenced within 100 days. Once construction ties slaried,
the permit becomes null and void II construction is Interrupted for r period of 180 days. I certify that the Informatlon presented by the applicant and
his agent or agents In support of this permit Is true and corec:to Ina best at jur knowledge I acknowledge that the Building Department's reliance
upon false and misleading Information may Invalidate this rermll. All provlslons of applicable laws and ordinances governing the construction and use
J
of this building or structure will be compiled with whether or not specified on the plans or noted on the plans correction sheets. I acknowledge that
the granting of a permit does not grant authority to access private property or to use easements. I further acknowledge that the use or occupancy of
the structure or building permitted depends upon my calling for Inspections at various Ilmea during the process of cunalruc,Ion and the building
Inspection staff verifying complianr a with the various codes. Use or occupancy of the building or structure permitted prior ro approval by the
Building Department Is solely at the risk of the applicant and such use or occupancy Is revocable until all Inspect-, vgjinsments are satisfied and
approval is given by the Building Official I further acknowledge that s Ilen may be placed on the I Iopert, the permit in Issued
specifving that the use or occupancy of the building or stricture Is provisional and revoc7 �n
l tllon of II In Ilan requirements
APPLICANT'S SIQNA R
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WASHINGTON COUNTY ELECTRICAL. PERMIT
Department of Land Use & Transportation
Electrical Inspection Section
155 North First Avenue. #350-12 APPLICATION
Hillsbo:o, Oregon 97124
Information: (503) 610-3470 Fax: (503) 693-4412 Project/Pe,-.m
Number � -L 7��G' DatePLEASE PRIN
Please compl• - 4. Complete Fee Schedule below
J. Location of Installation Number of Inspections par permit allowed 4
Address_4a_gZr-/ C-v 134/ Service included: Items Cost(ed.) Sum
Buildind A. Residential-per unit - /Sea Ff
City _c Suite No. �
Tenan N me � 1000 sq.n,or less —_ $85.00 ` 4
(if commercial) �� r nn_ %'Til`� � Each additional osq.n --
or portion thereof $15.00
Tax Lot Map No. _ _ Limited Energy $20.00 1
Each Manut'c Home or Modu,ar
Thomas Map Book: Page: Section: Dwelling Service or Feeder $40.00 2
Directions _ B. Services or Feeders
Installation,alterations or relocation
200 amps or less $50.00 2
Commercial u` Residential 201 amps to 400 amps $60.00 2
401 amps to 600 amps $100M 2
601 amps to 1000 amps $130.00 2
2a. Contractor installation only: Over 1000 amps or volts $300.0c 2
Electricai CU tLactorLle Reconnect only $40.00 2
Addre '
-,, 2 �' -r N �u, C. Temporary Servicee or Feeders
Date Job Number Installation,alteration or ralocMion
Property Owner 200 amps or IP3s $40.00 2
- ?01 amps to 400 amps $55.00 2
Contractors Lirense No. >5 01 amps to 600 amps $80.00 2
Contractor's Bc.and Reg. No. — �/ 2 i/ Over 600 amps:o 1000 volts nee•e•above
r" D. Branch Circuits
Signature of Sup'�r.,�Ele��c.'n ,�,���
'�._7 L— Picone No - t? New,alteration or extension per panel
License NO. r,• a) The fee for branch circuits with
purchase of service or feeder toe.
2b. For owner installations: Each branch circuit $2.00 2
b) The fee for branch circuits without
–r _ purchase of service or feeder fee.
Pnni ZSwner'e ga
r me one :o. irst branch circuit $35.00 2
Each ndd'nl branch circuit_ $2.0 2
Andress E. Miscellaneous (Service or Feeder not included
City Stale Zip Each pump or irrigation circle $40.00 _ _ 2
Each sign or outline lighting $40.00 2
Signal circuit(;)v. i limited
The installation is being made on property 1 own energy pane(,alterntion
which is not intended for sale, lea3e or rent. or extension _—, $40 o0 — 2
�y Owner's signature _T F. Each additional Inspection over the allowable
:r
In any of the above, per Inspection
V) 3. Plan Review section (if required) 00 --
5. Fees
_r A. Enter total of above fees $
5% Surcharge (.05 X total fees) $
Subtotal $
--' B. Enter 25% of line A for
For inspections call Plan Review if required (Section 3) $
640-3561 or 693-4415 Subtotal $
24-hour recorder, Less Bulk Label Fee
one workirtg day in advance of need Balance Due $
This permit becomes null enc:void H the work authorized by the perm"Is not commenced within 180 days from date of issuance
of such permit or H the work su'horized Is suspended or abandonea at any time after work is commenced for a period of 180 days.
Electrical Permits are ron-refundable and non-transferable. 11192
DEPARTMENT OF LAND USE&TRANSPORTATION
WASHINGTON LAND DEVELOPMENT SESVICES DIVISIO'J
155 NORTH FIRST,HILLSBORO,OR 97124
t,,OUNTYINSPECTION!'EOUESTS: 503/640-3561/693-4415
� PHONE: 503/848.6781
Gi?`�70N Page . 1 of 1
Date 10/04/93
Time 13 : 44
Permit Type Residential Electrical Permit. Permit # 05045507
?ermit Status APPROVED Applied 10/04/93
Situs Address 12474 SW 134TH AV TI Issued 10/04/93
Permit Title SFR - ELEC/ONE CIRCUIT Completed :
Permit Descr . To Expire : 04/02/94
Project Title SFR - NEW HOUSE Project # P0033091
Project Descr . * EROSION
Parcel Number 2:51TI - Land Use District :
Valuation 0
Legal Descr, s
Owner : INSPECTION - TIGARD Construction : OTH
Applicant Name i HORIZON ELrCTRIC Classification : 9U0
Applicant Addr. : PO BOX 220 Occupancy : R3
'fUALATIN, OR 97062 Validated by : KF
Applicant Phone: 628-8787 Inspector Are- :
CONTRACTOR : HORIZON ELECTRIC Lic. C 34-182C 628-8787
Fee description Units Pee/Unit Ext fee Data
-----------------------------------------------------------------------------
1st Branch W/out Feeder [Enter #J 1 35 , 00 35 . 00
Subtotal Electrical Fees : 0 35 , 00
State Surcharge of 5% ci 1 .75
Total Electrical Fees : 0 36 , 75
*** Fees Required *** *** Fees Collected 6 Credits ***
---------------------------- ----------------------------------------------
Receipt No. Date Payment
10/04/93 36. 75
TOTAL THIS DATE ********* 36.75
Fees : 36 . 75
Adjustments : . 00 Total Credits : . 00
Total Fees : 36.75 Total Payments : 36 .71
Balance Due: . 00
I
NOTICE: This permit becomes null and void If the work or construction for which It Is issued Is not commenced within 180 days. Once construction has started.
the permit becomes null am I void If construction Is interrupted for a period of 180 days. I cet+lly that the Information presented by the applicant and
his agent or agents In suptx iri of this permit Is true and correct to the best of our knowledge. I acknowledge that the Bullding Department's reliance
upon false and misleading Information may Invalidate this permit. All provisions of applicable laws and ordinances governing the construction and use
of this building or structure will be compiled with wt.ether or not specified on the plans or noted on the plans correction sheets. I acknowledge that
-' the granting of a permit does not grant authority to access private property or In use easements. I further acknowledge that the use or occupancy of
the structure or building permitted depends upon my calling for Inspections of vorioui times during the procces of construction and the building
inspection staff verifying compliance with the various codes. Use or occupancy of the building or structure permitted prior to approval by the
Building Department Is solely at the risk of the applicant and such use or occupancy Is revocable until all Inspection requirements are satisfied end
appmvaf Is given by the Building Official. I further acknowledge that a Ilan may be placed on the title of the property upon which the permit is Issued
specifying that the use or occupancy of the building or structure Is provisional and revocable until the sallsfaclion of all Inspection requirements.
APPLICANT'S SIGNATURE
WASHINGTON COUNTY ELECTRICAL PERMIT
Department of Land Use & Transportatiot;
Electrical inspection Section APPLICATION
155 North First Avenue, #1350-12
Hillsboro, Oregon 97124
Information: (503)6403470 Fax: (503) 693-4412 Project/Perrnitl. t ) c� 2 14.3
Number .> "�'� / Date
PRINTPLEASE
Please complete all sections, through4. Complete Fee Schedule below
Number of Inspectlons per permit allowed V
1. LocationofInstallation Sei vice included: Items Cost(ea.) Sum
Address L z-�1 Jl�. ` l �� A. New residential-single or multi-family
i .��o per dwelling unit.
City 1 tomL Zip Code 1500 sq.ft.or leas $85.00 -- 4
n Each additional 500 sq.ft
Directions rJ+Ou.- IU �3 /TsT _ or portion thereof $15.00 _
c_i tt lcL P 7 L 1 � � /. 1 Each Manufd Home or Modular
I / Dwelling Service or Feeder - $35.00 2
B. Services or Feeders (10 branch circuits included)
Commercial Residential Installation,alterations or relocation
100 amps or less $35.00 2
Tenant Name 101 arnpe to 400 amps $60.00 2
(if commercial) 401 amps to 600 amps — $80.00 - 2
601 amps to 1000 amps _ $130.00 2
2a. Contractor installation only: Over 1000 amps or volts $300.00 2
l Reconnect only $35.00 2
Electrics o tra or -Cj_...
Address b� C. Temporary Services or Feeders
Date` Job No ber Installation,alteration or relocation
Property wrier k 0 Z SR 201 amps or lase $35.00 _ 2
201 amps to 400 amps $40.00 ._ 2
Contractor's license No. 3 q 1z- 401 amps to 600 amps $80.00 2
Contractor's Board Reg. No. Li r(Z Over 600 amps to 1000 volts see'B'above
Signature of r�. Ejoc'n D. Branch Circuits
License No. Phone No. New,alteration or extension par l
One circuit $35.00 2
Two'—ton circuits $50.00 2
2b. For owner Installations: Each additional ton circuits
or part thereof $15.00 _ 2
TintisNa Phone No. E. Miscellaneous (Service or Feeder not included)
Address Each pump or irrigation circle $36,.00 2
Each sign or outline lighting $36.00 2
tater___ Zip Signal circult(s)or a limited
energy panel,alteration
or extension 2
The installation is being made on property I own
which is not intended for sale, lease or rent. F. Each additional Inspection over the allowable
In any of the above, per inspection
Owner's Signature —__�- _ �� —_— 535.00
V) 3. Plan Review section (if required) 5. Fees
�- A. Enter total of above fees $
-� 5% Surcharge (.05 X total fres) $
Subtotal $
w B. Enter 25% of line A for
Plan Review if required (Section 3) $
For Inspections call Subtotal $ _
640-3561 or 693-4415 Less Bulk Label Fee $ --��
24-hour recorder, Balance Due $
one working day in advance of need
This permit becomes null and void If the work authorized by the permit Is not commenced within 180 days from date of Issuance
of such permit or If the work authorized Is suspended or abandoned at any time after work Is commenced for a period of 180 days.
91ectricai Permits are non-refundable and non-transferable 10/90