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14048 FANNO CREEK DR
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ELECTRICAL
ERIALL961CITY OF TIGARD PMT # EC0492
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/29/96
13125 SW Holl Blvd.Tigard,Oregon 97223.8199 (503)839.4171
PARCEL..: 2.ra! 12E{P-14800
ITL. WUllF2ESS. . . : 14046 SW 1-ANN(1 CREEK DR
) JBD I V I S I ON. . . . : COLONY CREEK NO. 6 7.ON I NG:R-7
"LOCI-1. . . . . . . . . : LOT. . . . . . . . . . . . . : 1 E
'oject De,acription: Installing one branch circ(ait.
- -RCSIDE.NTIAL UNIT----- -- -TFtMP SRVC/FEEDERS--_-- ------MISCELL.ANEOUS---_._
1000 SP OR LESS. . . . : 0 0 200 amp. . . . . . . : 0 PIG:!P/T RR I GAT I ON. . . . : 0
EACH ADDI L 500SF. . . : 0 201 - 400 z:wp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITE=D ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL./PANEL. . . . . . . : in
MANE , FIM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ! 10) . . . a 0
-SERVICE/F=EEDLR--._.-- - -pRANCH CIRCUI-S•_--._-- -- -ADD' L INSPECTIONS.-•_-
0 - 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PIER INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1. PER HOUR. . . . . . . . . . . : 0
401 600 amp. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
601 1000 amp. . . . . : 0 - -----_-_-.__...._._.._._FLAN REVIEW SECTION-----______.__.-... .
1000¢ amp/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Rer.onnect only. . . . . : 0 SVC/FDR > = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: __-____.__._,______-______.________-..______.__ .._______- FEES --.__-____-___---.-
ERIC STEVENS type amoi.Ant by date recpt
14048 SW F'ANNO CREEK DR PRMT $ 35. 00 CJS 07/29/96 96--282218
5PCT $ 1. 75 CJS 07/29/96 96-262218
TIGARD OR 97,223
Phone #:
ContractL. 1 --------------------.--------- ----------------------------------------------
PHOENIX
-----.-- -_-.--__---...____.___-__.______--_______----_PHOENIX ELErCTRIC CO E 36. 75 TOTAL
7379 SW TECH CENTER DR.
REQUIRED INSPEC I ?ONS ...... .
TTGARD OR 97223 Wall Cover E:.lect' i ` inal
Phone #. 1503-684--3600 Elect' 1. Ser—ice
Reg 1#. . . 322138
This permit is issued subject to the regulations contained in the _ _
Tigard Municipal Code, State of Etre, Specialty Codes and all other Permittee S i gnat ure
atiplicable laws. All Mork will be done in accordance with
approved plans. This pereit rill expire if work is not started
within 184 days of issuance, or if mark is suspended for more (J'y"j,
than 188 days. ISSUed By
._ _._ _ ....______._---____._.-___-_-----OWNER INSTALLATIOhJ
The insctalletion is being made on proper-ty I own which is not intended for
sale, lease, pr t-ent.
OWNER' S SIGNATURE: DOTE:
___ __.._-_-______.____-_____CONTRACTOR INSTALLATION
SI( NATURE OF SUF'R. ELEC' N: MCA lv „- DATE:
I CENOE NO:
Call for- inspection 639-4175
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Community Development ELECTRICAL_ PERMIT APPLiCATIOV
13125 SW Hall Blvd
Tigard, OR 97223 Permit # fLc
Date Issued Z aq/ ,
Phone (503) 639-4171
FAX (503) 684-7297
CITY OF TIOARD TDD No (503) 684 2.772
Inspection (503) 639-4175
I. -lob Address: 4. Complete Fee Schedule Below:~
r
Name of Development _ j2 Aj . Nf% r y-'�_ Number of Inspections per permit allowed
Address I-j) UYw\n C I- a ori t r Service included Items Cost(ea) Sum
CitylState/Zlp -J1JJ��.�,_(��-I . (c l c�a�j 4a. Residential -per unit
1, ((� 7 1000 r ; fl or less $11000 4
Name (or name of business) ��) Y f�4 Each addluonal 500 sq.ft of
portion thereof $2500 _
Limited Ennrgy $25 00 1
Commercial ❑ Residential I Each Manurd Home or Modular
Dwelling Service or Feeder $6800 2
2a. Contractor installation only; 4b. Services or Feeders 4
InstallaPon,alteration,or relocation
Electrical Contractor
200 amps or leas $6000 2
Address' l r / ' 201 amps to 4170 amps —�- $8000 _ 2
City -T-kOnAd State 0rim' Zip / 401 amps to 600 amps $12000 2
Fhme No. y r� / �r 601 Amps to ipso amps $180.00 2
iL.�..�( Over 1000 amps or volts $14000 2
Job NO. - -_ 1 Reconnect only $5000 2
contractor's license NO. 4c. Temporary Services c,r r-eeders
Contractor's Board Reg. No. _ Installation,Alteration,o,relocation
Signature of Supr. Elec'n 200 amps or less _ 2
201 amps to 400 amps $5000 2
License No.!E-1/q(3S hone No 401 amps to 800 amps $7500 2
Over 600 amps to ton:,volts $10000 —
2b. For owner installations; see"b"above
4d. Branch (ircults
Print Owners Nagle_ �. New alteration o extension per pane
Address a)The fee for t•ranch circuits with
purchase of service or fender lee 2
City State 7z—1p __ Each branch arcus V 00
Phone No. _ bi The fee for braich circuits without_
C -)C2- 2
The installation is Peeing made on property i own which is purchase of service or feeder fee 31.7, - 2
_ ,
not intended for sale, I@aS@ Or rent. First branch circ A $3500 Faeh additional Branch circuit Y $500
Owner's Signature 4e. Miscellaneous
(Serv)c,!� or feeder not included) 2
krn circle $4000 2
3. Plan Review section (if required): Each pump or IrrlgalEach sign or outline Iplhfing $4000
Signal circuh(s)or a lknRed energy
Please check appropriate item and enter fee in section 513. panel.ekerationor,txtension $4000 _
_ 4 or more residential units in one structure Minor Labels(t0) $10000
Service and feeder 225 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 Pe inspection $3500 _
Per nour $55.00
--
Submit 2 sets of plans with application wnere any of the above In Plant W 00-�
apply. Not required for temporary construction servires. 5. Fees: t
NOTICE 5a. Enter total of above tees $
5%Surcharge (05 X total fees) 3 '
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal E
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OP.ABANDONED FOR Plan RevieN if required (Sec 3) $
A PERICD Or 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. Trust Account III
p1m app $
Balance Due $ 7�.• 7f