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9180 SW HALL BLVD.
WACO
CITY OF T I G A R A ----ELECTRICAL PERMIT
PERMIT#: ELC1999-00613
f DEVELOPMENT SERVICES DATE ISSUED: 10/15/1999
13125 SW Hall Blvd., Tiqard, OR 97223 (503) 639-4171 PARCEL: 1S126130-02101
SITE ADDRESS: 09180 SW HALL BLVD
SUBDIVISION: ZOIJING:
BLOCK: LOT : JURISDICTION: WAC
Proiect Description: Install 8 branch circuits to existing commercial building.
F_ RESIDENTIAL UNIT TEMP S_R_VC/FEEDERS MISCELLANEOUS
1000 SF OR LESS: _ 0 200 amts: i PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 400 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 600 arms: SIGNALWANEL-:
MANF HMI SVC/ FDR: 601+annus - 1000 volts: MINOR LABEL (10):
SERVICE/FEEDER _ BRANCH CIRCUITS_ _ADD_'L. INSPECTIONS
0 200 amp- W/SERVICE OR FEEDER: _ PER INSPECTION:
201 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: l
401 600 amp: EA ADD'L BRNCH CIRC: 7 IN PLANT•
601 - 1000 arnp: PLAN REVIEW SECTION
1000+ amp/volt: >=4 RES UNITS: > 600 VOLT NCAM.INAL
_ Reconnect onjy: SVCIFDR >=225 AMPS: CLASS AREA/SPEC OCC: _
Owner: Contractor:
BEIM + JAMES PROPERITES III BROADWAY ELECTRIC-COCHRAN INC
15 SW COLORADO AVE, BLDG 1 #G 626 SE MAIN
BEND, OR 97702 PORTLAND, OR 97214
Phone: Phone: 2346564 Q
Reg #: LIC 00072942 ORIGINAL,
SUP 3148S
ELE 37-546C
FEES Required Inspections
Type By Date Amount Receipt Elect'I Service
PRMT KJP 10/15/199E $74.95 99-319120 Elect'I Final
5PCT KJP 10/15/199f: $6.00 99-319120
Total $80.95
L.__
This Permit is issued subject to the regulations contained in the Tigard Municipal Code,State of OR. Specialty Codes and all other applicable laws
All work will be done in accordance with approved plans This permit will expire if work is not started within 180 days of issuance,or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952-001-0010 through OAR 952-001-0080. You may obtain copies of these rules ct questions to OUNC at(503)
246-1987.
PERMITTEE'S SIGNATURE -rn ISSUED BY:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: (9,"- `-, , �'�' _ DATE:
31 3 y.s
LICENSE NO: ------------ —•
Call 639-4175 by 7:00pm for an inspection the next business da%,
REC"l ftunity Development ELECTRICAL_ PERMIT APPLICATION
13125 SW Hall Blvd.
hard, CSR 97223 PIanCWf�er,. #
t�CT 1 Permit # �i LLC
MOMFAX
(503) 639-4171 Date Issued —
FAX (503) 684-7297 Issued by ---
CITY OF TIGARD TDD No. (503) 684-2772
Inspection (503) 639-4175 __.— ---- ------
1. job Address:` 4. Complete Fee Schedule Below:
�, 1-v- �```7�� T' Number of Inspections per permit>lllowed
Name of DevelOpmenl_ T---�T� Items cost(ea) Sum
Address -� +ate' �rvice included
-. 4
�� 5 40. Residential- Per unit
City/State2ip 1 t� ,o0o hq
ESA — It or less $11000 _
_
1� CAV portionn thereof Each a f $2600 s9 It or $2500
Ihare
Name (or name of business)_ t,mded Energy
Commercial Residential❑ Each Manut d Home or Modular sem,00
Dwelling CervtM or Feeder
2a. Contractor installation only: 4b.services or Feeders 2
irntnllation,alteration,m relocation u p 00 2
�A�_� - TL�C 200 amp6 or les6 $8000
2
Electrical Conntrai i ` �_�I _ __ ?of amps to 400 amps $12000
2
Ad `4" ` ---�� Jot amps to 1300 amps $18000 2
�tatl' ZIp� .�- nl -Polo 1000 amps 2
City —� CNet 1000 amps or volts $$50 00
Phone N Z:- [�=' —rC_- aaronnPd only s5o 00
Contractor's License No. ��LI �_ 4c. Temporary Services or Feeders 9
Contractor's Board Reg. No. wla0 am or lost, or relocation
"�"'�— ?OD amps or lass --• $5000
201 amps to 400 amps $�5 on
Signature of Supr. EI c'n�____ y,0000
License No. S Phone 1`4 _. 40, amps to amps
t amps
Oval 600 tulips l0 1000 volts
cies'b'above
2b. For owner installations: I 4d.Branch Circuits
y•>
New,alteration of extension per panel
Print Owner's Nam@
_ e)The Iae lot bfanrh circuits with (2 1
Address puroha"of oervke or boder Ne.
CIt)I State Zip _-. Each branch rarcud An
T+'"0
b)The Ise for branch circuits wlth.0 2
Phone No. purcheoo of sorvke or Node f. S ;' j 7 54
The installation is being made on property I own which is Fit"branch circuit t3
Each additional branch arcus
not intended for sale, lease or rent.
4,e.Miscsllenaous 2
Owner's Signature — (Service or feeder not included) 2
Each pump or Irrigation circle $4000
Each sign or outline lighting $4000 ?
3. Plan Review section (if required): Each
cucuil(s)or a$united energy
raUon or extension $4000 —
Please check appropriate item slid enter fee in section 513. M,pacel,1,aafler%(ln1 $10000
4 or more residenhal units 1n one structure
_ Service and feeder 225 amps or more I 41 E arh additional inspection over
System over 600 volts nominal the ailowablP in any of the above sir oo —_
Classified area or structure containing special ocrupnncy tra,„x;te w' E5b oo as described in N E G Chapter 5 Per hour
In Plant
Submit 2 sets of pians with application where any of the above
construction services. 5. Fees: r� y rj
apply. Not required for temporary _
bs. -liter total of above fees $ �---�-�.e*•
NOl ICC %Surcharge(Oe X total fees) $
ubtotol --
PERMITS BECOME VOID IF WORK OR CONSTRUCTICN 5b. Enter 25%of line< ,or
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Plan Review it required(Sec 3) $
$
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal — —
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS u Trust Account tl $
COMMENCED.
Balance Due S
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