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13884 SW MARCIA DRIVE-1 MS b88£T l a a m Q � H � U a l!J E J 3 LO q LA 00 13884 SSV MARCIA DR CIT` OF TIGARD DEVELOPMENT SERVICES 13125 SW Hall Blvd., rl9ard,Off 97223(503)639-4171 ELECTRICAL PERMIT - RESTRICTED ENERGY PERMIT #: ELR98--0249 DATE ISSUED: 09/08/98 PARCEL: 29104BA-04700 SITE ADDRESS. . . : 13884 SW MARCIA DR SUBDIVISION. . . . :CASTLE HILL #2 ZONING:R-12 PD BLOCK,. . . . . . . . . . . LOT. . . . . . . . . . . . . :080 JURISDICTN: TIG Project Description: Kirby -------------------- A. RESIDENTIAL-------.--- B. COMMERCIAL------------------- AUDIO & STEREO. . . : AUDIO & STEREO. . : INTEPCCA & PraGING. . : BURGLAR ALARM. . . . : X BOILER. . . . . . . . . . : LANrsCAPE/IF,RIGAT. . : GARAGE OPENER. . . . . CLOCK. . . . . . . . . . . : MEDICAL. . . . . . . . . . . . HVAC. . . . . . . . . . . . . . DATA/TELE COMM. . . NURSE CALLS. . . . . . . . . VACUUM SYSTEM. . . . : FIRE ALARM. . . . . . : OUTDOOR L.ANDSC LITE: OTHER: . . HVAC. . . . . . . . . . . . . PROTECTIVE SIGNAL. . . INSTRUMENTATION. : OTHER. . : TOTAL # OF SYSTEMS: 0 Owner: -------------------- ------------------ -- FEES MICHAEL KIRBY AND LORI KIRBY type amount by date recpt _ - 13884 SW MARCIA DR PRMT $ 40. 00 JSD 09/08/98 98-308935. TIGARD OR 97223 5PCT $ 2. 00 JSD 09/08/98 98-308931 Phone #: Contractor: ------------------------------------------------------- ------------------ AI_L'TEC SECURITY $ 42. 00 TOTAL PO BOX 55310 ------ REDUIRED INSPECTIONS --------- PORTLAND OR 9722238-5310 Ceiling Cover Low Voltage Tnsp Phone #: 331.-2620 Wall Cover Elect' 1 Final Reg #. . : 001188 This permit is issued subject to the regulations contained in the Tigard Plunicipal Code, State of Ore. Specialty Codrs and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if Mork is not started within IN days of issuance, or if work is suspended for more than IN days. ATTENTION: Oregon law reAuires you to foil rule #dopted by the Oregon Utility Notification Center. Tho 'rules are set forth in OAR 952-001-9018 through OAR 952-991-9981. Vou m obtai ies of these rules or direct questions to it (503)246-1987. �r /o Tssued by � — 't� Permittee Si�� IL ` R --.-__- -__----------L-'------OWNER INSTALLATION ONLY------------------------------ I-- The installation is being made on property I own which is not intended for sale, lyase, or rent. � � OWNER' S SIGNATURE: DAT'E; J F5 -------------------CONTRACTOR INSTALLATION ONLY------------------------------ 5 J SIGNATURE OF SUPR. ELEC' N: DATE LICENSE NO: +++++++++a-+++++++.,.%+.++++++++4.+++++++++++++++++++++++++++++++++++++++++++++++++++ Call 639-417` by 7:00 P. M. for an inspection needed the next business day ++++++++.++++•++++++++++++++++i•++++++++++++++++-1•++++++++++++++++-F+++++++++++++++++ 7 Community Development RESTRICTED ENERGY E�TRICAL APPLICATION 13125 sw Hall Blvd. RECEIVED %-or Tigard,OR 97223 PERMIT Phone(50 639-4171c.t-D _ R 19980ATE ISSUED — FAX (5016�4-2772 84 7297 u—- TDD No. CITY OF TIGARD Inspertion ) 6304775:1 TY mvri ow, IMUED 8Y / ? PLEASE COMPLETE ALL SECT/IONS 1. LOCATION OF INSTALLATION 4. TYPE OF WORK CL-- lir ► LIP, Adtir s RESIDENTIAL—•Restricted Enemy Fee . . . . . . . 140.0 -2 � � � -2�-Z� (FOR ALL SYSTEMS) 7 City d Stale Zip check Tyne of Work limAys-d: r'f RMIIS ARE NON IRANSI f RAfltt ANI:NON-REFUNDAIII1 AND ERPIRE If WORK ❑ Audio and Stereo Systems IS Not STARIFI)WITIIIN Iflo DAYS Or ISSUANCE OR If WORK IS SUSPENDED FOR Burglar Alarm 190 I)AYS ❑ Garage Door Opener' 2. CON T RACTOR APPLICATION ❑ Heating,Ventilation and Air Conditioning System' Contractor ALLLCc SCCUi'.i:Ly--Type —. ❑ Vacuum Systems' ❑ Other --- — -- Address PO (lox 55310 — Portrlandt-OR 97238— 10 Date — �j- 1� (� COMMERCIAL— Fee for R O1 system . �44SlIl '.Q--- ,,.�,/ (SEE OAR 918-260-160) Property Owner > r b- Ohet k Tvoe of WorlE Involved: El Audio and Stereo Systems Contractor's Board Reg. No. _-` 118839 ❑ Boiler Controls Phone Idf 331-2620 _ ❑ Clock Systems ❑ Data Telecommunication Installations 3. OWNER APPLICATION ❑ fire Alarm Installation O HVAC Print Owner's Name Phone No ❑ Instrumentation ❑ Intercom and Paging Systems Address ❑ Landscape Irrigation Control' Slate Zip ❑ Medical l_.tly ❑ Nurse Calls This permil Is issue)undar OAR 918-120.170.lids applicanl agrees to make only El Outdoor Landscape Lighting' restricted energy installations I I00vtslt amps at less)under this permit and to do the folitnving ❑ Protective Signaling CL 1. Only use electrical licensed persons to do installations where required.(Certain ❑ Other R residential and niher transactions are exempt horn licensing These have I— asterisks(').All others need licensing). N 2. Call for an inspection when all of the installations under this permit are ready lot inspeLoon at 501-639-4175. ❑ —Number, 'Systems ,,j 3. Purchase separate permits for all installations that are ready for inspection when the inspector is out to inspect under this permit 'No licenses are requited. licenses are required for aA other Installatlons. 4. Assume responsibility for assuring that all cornctlons regdired by the inspector - W are done,and J 5. Assume responsibility for calling for a final inspection when all of the 5. FEE co­ctinns are completed. $An The person signing for Ihls permit n USE the applicant or a person a. Enter Fees (/(/ authorized to hind I f� �— b. 5% Surcharge (.05 x total above) $ 'dy Signature' JQTAL $ D Aulhonly if other than .tppli<ant crlERcAP.01r • CITY OF TIGARD DEVELOPMENT SERVICES ELECTRICAL PERMIT 13125 SW Hall Blvd.,Tigard,OR 97223 (503)6394171 PERMIT #: ELC96-0400 DATE_ ISSUED: 11/19/96 PARCEL: 2SI04BA-04700 SITE~ ADDRESS— : 1.3884 SW MARCIA DR SUBDIVISION. . . . : CASTLE HILL #2 ZONINC.:R-12 PD BLOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :O80 Project Description: Install two branch circuits ------------------ ---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- ------MISCELLANEOUS------ 1000 SF OR LESS. . . . : 0 0 – 200 amp. . . . . . . . 0 PUMP/IRRIGATION. . . . : 0 EACH ADD' L 500SF. . . : 0 201 – 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0 LIMITED ENERGY. . . . . : 0 401 – 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0 MANF. HM! SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0 _...-._.__SERVICE/FEEDER- . _- -_-.---BRANCH CIRCUITS----- ----ADD' L INSPECTIONS__._ 0 – 200 amp. . . . . . : 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : 0 201 – 400 amp. . . . . . : N 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0 401 – 600 amp. . . . . . : 0 FA ADD' L BRNCH CIRC: 1 IN PLANT. . . . . . . . . . . : 0 (3O1. - 1000 amp. . . . . : 0 -------------------PLAN REVIEW SECTION------------.-- ..-- 1000+ amp/volt. . . . . : 0 >-4 RES UNITS. . . . . . . . : > 600 VOLT NOMINAL. . : Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLAS, AREA/SPEC OCC. : Owner: ------------------------------------------------------- FEES ------------------ KTRBY type amount by date recpt 11884 SW MARCIA PRMT $ 40. 00 .TMH O6/21/96 96-280849 5PCT $ 2. 00 JMH 06/21/96 96-228OB49 TIGARD OR Phone #: Contractor: -----------------_---------------------------------_---_---_---------- RED' S ELECTRIC CO INC $ 422. 00 TOTAL 2002 SE CLINTON ST REQUIRED INSPECTIONS PORTLAND OR 97202 Ceiling Cover Eler-t' l Final Phone #: 503-233-6467 Wall Cover _ Reg #. . : 04443 This permit is issued subjea to the regulations contained in they _ Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee Signatuioe applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not starte "141w�ff a within 180 days of issuance, or if work is suspended for more than 10 days. I#ued Ry --OWNER INSTALLATION ONLY------------ --•---------------. } The installation is being made on property I own which is not intended for J :ale, lease, or rent. m OWNER' S SIGNATURE: DATE: INSTALLATION ONLY-------------.-------------- W SIGNATURE OF SUPR. ELEC' N: DATE s LICENSE NO: Call for inspection – 639-4175 Community Development ELECTRICAL PERMIT APPLICATION 13125 SAN Hall Blvd. Tigard, OR 97223 Planck/Rec. # Permit # ov Phone (503) 639-4171 Date Issued CITY Off TIOARD FAX (503) 684-7297 ISr-Udd uj TDD No. k503) 684-2772 t, Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development_ i Numbw of Inspootione per permit allowed Address].3 vcyS, SCS' It- �r_���� Service included: Items r.ost(ea) Sum City/State/Zip_1 Sri, 2z Ar— �_3 Ie. Residential•per unit 4 1000 eq It or les@ $'10 OG Name for name of business)_ kt(.,4 Each additional 500 aq 11 or 1 portion thereof $25 Commercial❑ Residential Limned $25 q 2 Each Manuf'd ul'd Nome or Modular Dwelling Service or Feeder sm 00 29. Contractor Installation only: 4b.Services or Feeders f Inalallatan,sMerMron or rotor nlroi — 2 Electrical Contractor a il� _ '200 amps or leas $6000 Address, j _ t7^� 201 amps to 400 ami W 00 _ 2 CI State Zi 401 amps l0 800 ampr (12000 2 tY X_ p 801 ampa to 1000 limps ___� (180 00 _ 2 Phone N0. Over 1000 amps or VON$ $34000 2 Contractor's License No. Aj(; / 4-- Reconnect only 15000 Contractor's Board Reg. No. A'1'-/t/ �� 4c.Temporary Services or Feeders t InMallatron,aMeralion,or relocation 2 Signature of Supr. Elec' 200 amps or hes Iso no 2 _ 201 amps to 400 turps $7500 2 License N0. 5 j Phon O. " 401 amps to I=amps $10000 — Over 800 amps to 1000 volts 2b. For owner Installations: see W above 4a.Branch Circuits Print Owner's Name New,sMerMron or extsrmion per penal Address a)The fee for branch circuits with Purchase of svice or Aesda►be. 2 City_ State_ Zip Earl,hrarch clerrard 1500 _ Phone No. b)The Ise for branch circuits wlthoo The installation is being made on property I own which is pumho a of e1 vko or beds Ase 2 Firs)branch sta $3500 2 not intended for sale, lease or rent. r —1— Each add4ionat brars;h circuit $500 Owner's Signature! _ 4e. Miscellaneous (Service or feeder not included) 2 .9. Plan Review section (i/required): Each pump or irrigation circle -- $4000 2 Each sign or outline lighting "o 00 Signal circuit(s)or it limited energy 2 Please check appropriate item end enter ire In section 5B. panel,allarMion or extension $4000 IL 4 o•more remdential units in one structure Minor Labels(11 0) $10000 Service and feeder 225 amps or more rc 41.Each additional inspection over H __System over 600 volts nominal 1) Classified area or structure containing special occupancy the allowable in any of the above as described in N.E C. Chapter Per inspection —� $3500 Per hair $5500 In Plant �_ $5500 Submit 2 sets of giros with application where any of the above mapply. Not required for temporary construction services. 5. Fees: 6 W NOTICE Be. Enter total of above fees $ yU J --- 5%Surchnrge(.05 X total fees) S 2-47 PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtofai $ _ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b.Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec.3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS subtotel $ COMMENCED. R-Trust Account 0 $ D` Balance Due $ CITY OF TIGARr) 13126 S.W. HALL BLVD. ,l�, i (f v Ca TIGARD, OR 97.:23 I By L IMPORTANT f ERMIT NL-ICE RED'S ELECTR"_t, CO INC 2002 SE CLINT01 ST PORTLAND OR 9720. EI&i,i:lludl Sigriatury Fuini Permit # . . . . : ELC96-0400 Date Issued. : 11/19/96 Parcel . . . . . . : 2S104BA-04700 Site Address : 13884 SW MARCIA DR Subdivision. : CASTLE BILI. #2 Block. . . . . . . . Lot : 080 Zoning. . . . . . . R-12 PD Remarks : Install two branch circuits Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your company sign below and return this Electrical Signature Form prior to the start of work. No electrical inspections will be authorized until this completed form is received. AN INK SIGNATURE IS REQUIRED ON THIS FORM a OWNER: ELECTRICAL, CONTRACTOR: KIRBY RED'S ELECTRIC CO INC N 13884 SW MARCIA 2002 SE CLINTON ST TIGARD OR PORTLAND OR 97202 Phone # : Phone # : 233-6457 Reg #. . : 04443 w xe( #zo59s S*Iu&r e o ervi g e�'f ctric an Please return this completed form to the address above. ATTN: Building Dept. If you have any questions, please call 639-4171, ext. #310