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CITY CSF TIGARD PERMIT #: EFC96 0417
COMMUNITY DEVELOPMENT DEPARTMENT PATE ISSUED: 06/25/96
13125 5W Hall Blvd.Tigard,Oregon 07223.8199 (503)636-4171
PARCEL: 1 S 135DD-03300
S1 fF. ADCREf35. . . 115'_J5 SW 88TH AVG
SUBDIVISION. . . . : ZONING. R--1
BLOCK. . . . . . . . . LOI.. . . . . . ... . . . . . .
Project Description: Installing one set-vice or, feeder to repair- a meter, base.
---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS------ -----MISCELLANEOUS------
1000 ar OR LESS. . . . : 0 0 - 201lr amp. . . . . . . : 0 F*MP/IRRIBAI ION. . . . : 0
EACH ADD' L 50OS'•'. . . : 0 �_'01 - 400 amp. . . . . . . : 0 SIGN/OUT LINE L-AS_ : 0
LIMITED ENERGY. . . . : 0 401 -- 600 Hmp. . . . . . . : 0 SIGNAL/PANEL. . . . , . . : 0
MANF'. HM/ SVC.'Fl7R. . : N 601-ramps-•1000 volts. : 0 MINOR LAPEL ( 10) . . . : 0
-._.---SERVICE/FEEDER-___-_ -----BFANC'ri CIRCUITS---.--_ ---.--ADD' l- 1NSPEC7IUNS. --- j
0 - 200 amp. . . . . . : 1 W/SERVICE OR FEEDER: 0 PER INSPEC:TION. . . . .. . 0
i_'01 - 400 amp. . . . . . : 0 lst W/O ERVC OR FDR. ; 0 PER HOUR. . . . . . . . . . . 0.,
401 - 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 11\1 PLANT. . . . . . . . . . . .. 0
h01. - 1000 amp. . . . . :
lO'1.r0+ amp/volt, . . , . : 0 ) =4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL, . :
Reconnect only. . . . . : 0 aVC/FDR > = 295 AMPS. . : CLASS AREA/SPEC
Owner. -- - FEES
PARK PLA(7i APARTME.NTS type ainaL(nt by date r,ecpt
SUMMI r PROPERTIES PRMT $ 60. 00 CJS 06/25/96 96-2709E16
1155L Ski 88TH PL 5PCT $ 3. 00 CJS 0t,/25/96 96-270986
TIGARD OR 97223
Phone lt:
Contractor:
CHR: STENSON ELECTRIC INC:: $ 63. 00 TOTAL
10250 SW GREENBURG ROAD
--- ---- RE OU I RE:D INSPECTIONS ---•--
TIGARD OR 97223 Elect' 1 Service
Phone 0. 503-241 -4812 E: 1ect' 1 _--
Reg to;. . : 00540
This permit it issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes ,nd all other Perhitt oe Signature
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if wnr'd is not startod
within 190 days of )ssuance, or if work is suspended for more
than 180 days. Issued By
_..._OWI\IER INST A!I_.AT I Ctl ONLY----------------------_--__....___._--
The installation is being made on pr^oper^ty 1 own which is not intended for
h sals, 1epse, or rent.
V) OWNER' S '3iGh1ArURE: DATE-
---------------------------CONTRACTOR
ATE=:-__---_---_-______________CONTRACTOR INSTALLA'rION
J
Fil
r� S I GNATURE:. OF: SUPR. ELEC' N a _ _Ss 1Z� _. DATE
J
LICENSE NO:
Call for inspect ior, - 639-4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SVV Hall Blvd.
Tigard, OR 97223 Permit # ELC c .2.q i 7
Date Issued Lz-211-- 4E — ---
,� Phone (503) 639-4171
FAX (503) 684-7297 PLEASE NOTE: CONTACT PLAZA GARDEA? APARTMENT MANP.6P;R
CI�iY OF TIf3ARD TDD No. (503) 684 277"
JOHN AT 684-6595 TO INSPECT EQUIPMENT ,BOOM AT PARK PLACE
Inspection (503) 639-41_.5APTS. _EMERGENCY REPAIR PLEASE INSPECT IMMEDIATELY. . . . . . . .
1. Job Address: 4. Complete Fee Scher lu)'fe Below:
1 --
PARK PLACE .APARTMENTS
i Name Ot Develo;�ment� Number Inspections per perrn;' allowed �
Address 11.555 SW 88TH Service included 'tees Cost(ea) Sura
City/State/Zip— TIGARD OR --_ 4a. Residential -per unit
1000 sq. ft. or less o 110 JO 4
Narne (or narle of busine!ss)SUMMIT PROPERTIES Each additional 5sq.n.or 12s o0
portion thereof ^_ -.-,--
Commercial I1 Residential Ox Limited Enegy —_ $2500
METER BASE REPAIR 200A Each Manufd Horne or Modular
Dwelling Service or Feeder $6800 2
,ral. Contractor installation only:
DGN KOST 4b.Services or Feeders
C HRISTENSON ELECTRIC, INC. Installation,altera'lon,or relocation 1 60.
Eh?ctrical Contractor 200 amps or less $6000 2
Addre:'-s 111 Sia COLUMBIA,SCIITE 480 201 amps to 400 amps $8000 _ 2
City� POP;TLAND Sta`,e Olt Zip97201-588 601 amps to 1000 amps --�401 amps to 600 amps $12000 2
$180.00
P'none No 241-481.2Over 100C amps or oohs -- $34000 2
,lob NO. 222-6628 _ Reconnect only -- $5000 — 2
oontraetor'., license NO_ 26-'4C - 4c.Temporary Services or Feeders
Cuntractor'v Boa �e o. _004 - -_ Installation,alteration,or relocation
Signature of Su r ' M 200 amps or less
Phone No [ 201 amps to 400 amps
License No. $50 00
_-8Z3�_—_.__. _3 =t$1�— 401 amps to 600 amps $7500
Over 600 amps to 10.'1 volts $10000 - - -
2b. For owner installations: see"b"above
.
4d. Branch Circuits
Print Owner's Name__._ _ New,alteration of extension per pane
Address _ _ �_ a)The fee for branch circuits with
p.mhsse or service or feeds-roe.
City State Zip Each hranch circuit $'i 00
Phone No.----- b) the fee.'or branch circuits without
The installation Is being made on propeq I own which is purchase of service or fel der roe 1
First branch circuit $3500 7
not intended for sale, lease or rent. Each addhlonal branch clrct h $500 -
Owner's Signature _ 4e. Miscellaneous
(Servi,:e or feeder not included) 2
3. Plan Review section I'f required'• Easy,pa.-of Irrigation circle $4000 -� 2
1' Er.*h sign or outNne lighting —__ $4000 _
c.Ignal circuhls)or a limited energy 2
Please check appropriate Item and enter fee In section 513 panel,alteration or extension $.4o Co
_4 or more residential units in one structure Minor Labels(10) $10000
_ Service and feeder 225 amps or more
N �System over 600 volts nominal
4f. Each additional inspection over
Classified area or structure containing special occupe,icy the allowable in any of the above
as described In N E.0 Chapter 5 Per inspection _ _ $55 00
.~.. Per hour Y f55 00
-.j In Plant $5500 _
CIO Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees:
tit
5a. Enter total of above tees P 60.
-' NOTICE Sen,Surcharge (.05 X total fees) $ _ 3.
PE' BAITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ __ 63�__
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOP Plan Review if required (Sec.3) g
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal g -
COMMENCED. ..ftMe. A- ❑ Trust Account
pm app
Balance Due a 63.
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$WMLCtI Atalul) Inrp"tion IM�Q�',�..•__----�.-_---
contrr'ltetr Paid by
sisa cf connection. �,�..�_._.�.. AaaaSan Mt. ..___. Paid___..,,_
O15�iar s1a�Rina ' ,t, r
Construction Pd - 3/21/62 `250.00
A;nq r - $117.00
flupt -
0144.00 Refund $106.00
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• Cornrr,unity Development ELECTRICAL f."ERMIT Ah'NI_ICAT101' �
13125 W Hall Blvd.
Tigard, OR 97223 Permit # _F/.f,l r-Oq/
,)ate ISSL,ecl t7p --
Phone (503) 639-4171
FAX (50'', 684-7297 PLEASE 101ct CONTACT .PLAZA GARDEN APSRIMENT MAYTAIER
CITY OF TIGsARD TDD No. (W3) 684-2772 JOH14 AT 6f 4• �5:595 TC' tWSPECT EQUIPMENT RJOM AT P4YK PLACE
Inspection (503) +339-4175APTS. MERG1;ACY REP0I1t PLEASE INSPECT 14M901ATELY,....... .
1,-, Job Aadnoss y- 4. Compki'te Fee Schedule Below,
PARK PLACE AF'ARTMENTf:
R'ame of DevelOprri6rt_ Number of Inspections per permit alloweu
Addr3S5_ 11555 SW 88TH Service included: Iter.is Cost(ea) Surr
City/State/Zip__T_CARti OR — 4a. Residential urr unit
1000 sq. ft. oriesu $110.00
Name ( Hama of business�'�MMIT PRO'?ERTIES Eachadd,tlonal500sq or
portion thereof *,25.00
�� Limited Enorgy $25 OC 1
Commercial Resident �,}� -----
METF R -BAS tial REPAIR 200A Facts Manurd Home or M%lular
Dwelling Service or Feeler $48 00 2
2a. Contractor installatioli4 only: 4b. Services or Feedma
DON KU::T FHRISTENSON ELECTRIC, INC. Installation,altersmn,or relo.ation 1 f(1
Electrical ':nntracto 200 amps or less $80 00 --
Address ill SW COLUMBIA.SUITE 480 201 amps to 400 amps $80.00 '
City_ _ PORTLAND State OR Zi 97201-588' 401 amps to 600 amps _— $110,00 2
p 601 amps to 1000 amps $160.00 2
Phone No241- 912 Over 1000 amps or volts $340.00 2
Job NO. 222-6628 Reconnect only $50,00 2
contrcctor's license NO. 26-34C 4c. Temporary Services or Feeders
Contractor's Board Reg. N0. r -- Installation alterallan,or reloca!lon
Signature of Suer. E.Wnr,�� �` 200 amps or less
201 amps to 400 amps $50,00
License No.—B 735 Phone No. 24 4,912 401 amps to 600 amps $7300 ---- 2
Over 600 amps to 1000 volts Wo 0 00
21.•. For owner installation-: see°b"above
iu. Dranch Circuits
Print Owner's Name New,alteration or extension per pRie
Address a)The fee for branch circuits with
-- pun'hsso of servlet,or feeder fee. 2
City State 7_Ip� _ Each branch circuit $500
Phone No. ___ b)The fee for branch circuits without
The installation is :eing made on property I own which is purchase of service or feeder Me.
FIr-tnot intended for sale, lease or rent Each
branch circuit $$500
5 —_�
Each additional branch circuli SS 00 00
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 ou111110 119hung $4000 �—
Signal circult(s)or a Ited energy
Pleaue check appropriate Item and enter fee in section 5R. panel,alteration or extension --_ $4000
- 4 or more residential units in one structure Minor Labels(10) $10000
Service and feeder 225 amps ur more
V; System over 600 volts nominal 4f. Each additional Inspection ower
– Classified area or structure containing special occupancy tho allowable in any of the above
our
as described in N.E.C. Chapter 5 Per dlon $35 00
.ger hhoof $5500
—� In Plant $55.00
r Submit 2 sets of plans with application where any of the above -" 4
apply. Not required for temporary construction services. ,As. Fees:
5a. Enter total of above fees 6
NOTICE 5%Surcharge (.05 X total fees) g
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ 115,1
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%of line A for f
CONSTRUCTION OR WUIK IS SUSPENDED OR ABANDONED FOR Plan Review If required (Sec.3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ 1511.`
COMMENCED. WmA omdwkk, CI Trust Account #
$
pm.rq
Balance Due 63.