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10372 Svi BONANZA WAY
CITY OF TIGARD
EPERMIT #:LECTRICAE
ELECTRICAL PERMIT
DATE ISSUED: 06/13/96
COMMUNITY DEVELOPMENTDEPARTMENT
13125 SW Hall Blvd.Tigard,Oregon 97223.8199 (503, 334-4171 PARCEL: 29114BC-03800
SITE ADDRESS. . . : :bW BONANZA WAY
SUBDIVISION. . . . : RIVERVIa4 ESTATES NO. 2 ZONING:R-7 PD
BLOCK • LOT •075
Project Description: Installing one branch circuits.
----RESIDENTIAL UNIT--- - ----TEMP SRVC/FEEDERS-- - •-----MISCELLANEOUS------
1.000 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 • 401 - 600 amp • 0 SIGNAL/PANEL • 0
MANE. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
-...----SERVICE/FEEDI.R---- --- -BRANCH CIRCUITS -- )D' L INSPECTIONS--
0 - 200 amp. : 0 W':5ERVICE OR FEEDER: 0 PCP 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
501 - 1000 amp • 0 -_. -__----PL.AN REVIEW SECTION---------------
1000+ amp/volt • 0 ) =4 RES UNITS • > 600 VOLT NOMINAL. . :
Reconnect only • 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. :
Owner: _.____.___.___._..____._______. .__ FEES ___...
DON WILSON type amount by date recpt
10372 SW BONANZA PRMT $ 35. 00 CJS 06/13/96 96-280582
SPOT $ 1. 75 CJS 06/13/96 96-2805L3::'
TIGARD OR 97223
Phone #:
Contractor. ---- _.
_.
BOUNES FERRY ELECTRICAL $ 36. 75 TOTAL
PO BOX 628
REGIUIRD INSPECTIONS - -.._- ---
WILSONVILLE OR 97070 Wall Cover Elect' l Final
Phone #: 503-682-4936 Elect' l Service
Reg #. . : 88482 ----- ___
This permit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes end all other Permittee Signature
applicable laws. All work will be done in accordance with
approved plans. This permit will expire if work is not started
within 18e days of issuance, or if work is suspended for more
than 180 days. I s sued By
_.____..__._.---------•-.-- -...._.-_..__....- -OWNER INS1 ALLATION ONLY-______.________
The installation is being made on prcperl;y I awn which is not intended for
sale, lease, or rent.
OWNER' S SIGNATURE: DATE:
__------------__CONTRACTOR INSTALLATION ONLY ---- _
SIGNATURE. OF SUPR. ELEC' N: Qll _ Qpphcate 1. �_. DATE:
LICENSE NO:
/
Call for inspection - 639•-4175
PLot c,k5 Q Vic (.-e - l >z or 1 As pQ k-t.or\
Community Development ELECTRICAL PERMIT APPLICATION GM
13125 SW Hall Blvd.
Tigard, OR 97223 Permit # EL ' 7` t:,_%.' ,'
Date Issued E- /3- -/G
pia
; li Phone (503) 639-4171
FAX (503) 684-7297
CITY OF TIGARD TDD No. (503) 684-2772 A/c kook-
OOk- Lt
p
Inspecticn (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of (J Gent D0 Cl J r\\cjQ ( Number of Inspections per permit allowed
Address ( 0 Y1 2 ', ud 6f f'CJ\7 C Service included. Items Cost(oa) Sum
City/State/Zip `C kcia -i� 0 r 4a. Residential -per unit
t l 1 1000 sq. ft. or less $110 00 4
Names (or name of business)_ c l C r 41/'�\S0 Each additional 500 sq ft or —
portion thereof $25.00
Commercial LI Residential Limited Energy 32500 — 1
Each Manuf'd Home or Modular
Dwelling Service or Feeder 588 00 2
2a. Contractor installation only:
[�� C f I • 4b. Services or Feeders
Electrical C9 ntractor WQl1(Z`� 1 Q1('1( C_l¢C-Af l(U\ Installation, orles alteration,or relocation
200 amps or less $00.00 2
Address V 0 8 ( 2`6 201 amps to 400 amps __ $80.00 2
City W • a . D State Ul Zip Ot r�p 10 401 amps to 600 amps $12000 2
' / • CO601 amps to 1000 amps $180 00 2
Phone No. 6 2 '4 COver 1000 amps or volts 8340.00 2
Job NO. Reconnect only 350.00 2
contractor's lice NO._: •""22 -
�� ,,,� --- 4c. Temporary Services or Feeders
Contractor's Board Reg. No.' C5 - , i Installation,eltrration,nr relocation
Signature of Supr. Elec'n _ ... '��'�� ���� 200 amps or less 2
License No. I 1 0 • -hone No. ; -'- I , 201 am o 400 amps $5000 2
• a 401 amps to 800 amps $75.00 2
Over 600 amps to 1000 volts —
$100.00
2b. For owner installations: see"b"above.
4d. Branch Circuits
Print Owner's Name New.alteration or extension per pane
Address a)The fee for branch circuits with
City, State Zippurchase of service or feeder fee. 2
Each branch circuit $5.00
Phone No _ b)The fee for branch circuits without
The installation is being made on property I own which is purchase of service or feeder fee. ? �-, 0 C 2
not intended for sale, lease or rent. Eddch cal br ( f$500 ,)
Eaacchh additionbranch circuli $5 00
-
Owner's Signature - 4e. Miscellaneous
(Service o•feeder not Included) 2
3. Plan Review section (if required): Each pump or Irrigation circle — $40.00
Each sign or outline lighting $40 00 _
Signal circuis)or a limited energy
Please check appropriate item and enter fee in section 5B. panel,alteration or extension $40.00
__4 or more residential units in one structure Minor Labels 1101 $100.00 _
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 Per inapectlon $35 00
Per hour $55 00
In Plant $55 00
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees:
5a. Enter total of above fees $ 3(3 C
NOTICE 5% Surcharge (.05 X total fees) $ i lz.
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal SAblaa
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) S
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED --rt,,"1•004, ❑ Trust Account # !
p.n.PI, i
Balance DueJ1.0 ti
- -_ . _-
r --- -- — - -- -- . -
AERMIT
CITVOFTIGARD DATEI ISSUED: 06/11E9966-0173
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd.Tigard,Dragon 97223.8199 (503)639.4171 PARCEL: 261 14BC-03800
SHE ADDRESS • 103/2 SW BONANZA WAY
SUBDIVISION • RIVERVIEW ESTATES NO. 2 ZONING: R-7 PD
BLOCK LOT -075
CLASS OF WORK. . :ADD FL(.)OR FURN • 0 E.VAP COOLERS: 0
TYPE OF USE -SF UNIT HEATERS. . : 0 VENT FANS. . . : 0
OCCUPANCY GRP . :Al VENTS W/0 APPL: 0 VENT SYSTEMS: 0
STORIES • 0 BOILERS/COMPRESSORS HOODS . : 0
FUEL TYPES------------ 0-3 HP • 0 DOMES. INCIN: 0
: /ELE/ / / .3-15 HP : 0 COMML. INCIN: 0
MAX INPUT: 0 BTU 15-30 HP • 0 REPAIR UNITS: 0
FIRE DAMPERS?. . : 30-50 HP. , . . : 0 WOODSTOVES. . : 0
GAS PRESSURE. . . : 50+ HP. . . . : 0 CLO DRYERS. . : 0
NO. OF UNITS AIR HANDLING UNITS OTHER UNITS. : 0
TURN ( 100K BTU: 0 (= 10000 cfm : 1 GAS OUTLETS. : 0
FURN ) =100K BTU: 0 ) 10000 cfm : 0
Remarks : Installing air cond.
Owner: _.______. ---•-•__-- -• FEES
DON WILON type amount by date recpt
10:372 SW BONANZA WAY PRMT $ 25. 00 CJS 06/11/96 96-280426
5PCT $ 1. 25 CJS 06/11/96 96-280426
T IGARD OR 97223
Phone #:
Contractor:
TRI-COUNTY TEMP CONTROL
13651 SE AMBLER RD
CLACKAMAS OR 97015
Phone #: 777-3874 $ 26. 25 TOTAL
Reg #. . : 72623 •
REQUIRED INSPECTIONS
This permit is issued subject to the regulations contained in the Mechanical Insp
Tigard Municipal Code, State of fire. Specialty Codes and all other Mi sc. Inspect
applicable laws. All work will be done in accordance with Final Inspect ion
approved plans. This permit will empire if work is not started
within 188 days of issuance, or if work is suspended for more _.
than 188 days,
Permittee Signature: m
issued By: Char ICC___ .?G. mat_._
Call for inspection -- 639-4175
Ci'y, of Tigard MECHANICAL PERMIT Planck/Rec. # (16- 80y&.6
13125 SW Hall Blvd. APPLICATION Permit # TiiQ6-0173
Ti ar , 23
(503) 639-4171
How of OPPlielliftintII escripuon
zwofOP'r'"""" •escrrpuon
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'r K. j„')0.1 I&) Table 3A Mechanical Code CP( PRICE AMT
Job
Address /4-) ') ',LV flan,y, 1,411 I) Permit Fee �0 -0- 10.00
c,�1 ) —
, .G �,, C/L el fa) r 2) Supplemental Permit 3.00
■ f urnace to 1 11,11 i' : 1 I
w-. _ 1) incl. ducts&vents 6.00
"' urnace 100,000 • 1 +
Owner 2) incl. ducts 8 vents 7.50
—"wt.. zo Floor Fumance
3) incl. vent 6.00
"`•»""`"•''i•..`»••1 —' auspended heater,wall heater
4) or floor nu nted heater _ 6.00
ea"z.0«. P'»» vent nJtincl. in
Occupant 5) appl"ance permit 3 00
c'"5.... Ln --Repair of heating, ieing.
6) cooling,absorption unit 6.00
"�"" /i :oi er or comp,heat pump,air cond. -
-,� (Oa4 A�rI E,4Lt/) f)i� jl(}. 7) to 3 HP absorp unit to 100K BTU 6.00
II ••' ��, I I")hone sot er or comp, eat pump,air con..
Contractor I ''11r1')I ��' '\(N� f`- K�( 8) 3-15 HP absorp :nit to 500K BTU 11.00
"' �) re :oi er or comp, eat pump,air con .
V 10 k IA(I II� L1K C,Ql 9) 15-30 HP r.bsorp unit.5-1 mil BTU 15.00 1.1
sal.aD.....A.. f °"r's"• "I _° :•i er or comp, eat pump,air cond.
1 ( L) -"j 1 l'--"- (c 10) 3050 HP absorp unit 1-1.75 mil BTU 22 5U •
I hereby acknowledge that I have read this application, that the .i er or comp,heat pump,air cond.
information given is correct,that I am the^caner or authorized agent 111 >50 HP absorp unit 1.75 mil BTU 31.50 al
of the owner,that plans submitted are in compliance with State •it and ing unit to
laws,that I am registered with the Construction Contractors Board, 12) 10,000 CFM 4.50
that the number given is correct. (If exempt from State registration, •it an.ing unit
please give reason below.) 13) 10,000 CTM+ 7.50
Non portable
14) evaporate cooler 4.50
hent an connect,• -
15) to a single duct 3.00
'enti aeon system not
16) included in appliance permit 4.50
a /' ,; -o•• Hood served by
> ('1 .1.L 4 - �1 !' (/6,:, 17) mechanical exhaust — 4 50
De cribs work new ddition alteration 06 repair 0 ommercial or in.ustna
to be done residential , nortrresidential 0 18) type incinerator 30.00
txisting use of r f� ether i.e.,woodstove,water
building or property -4"r\jfi_LI (Lti Lf.!1 , L , 19) heater,solar,clothes dryers,etc. 4.50
Proposed use of 20) Gas piping one to four outlets 2.00
building or property r.
21) More than 4-per outlet
Typo of fuel-oil 0 natural gas 0 LPG 0 electric r♦
Il 1i- c4
Minimum Fee$25.00 SUBTOTAL J�1,
PERMITS BECOME VOID IF WORK OR CONSTRUCTION
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS•OR 5%SURCHARGE
IF CONSTRUCTION OR WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 180 DAYS AT ANY TIME PLAN REVIEW 25%OF SUBTOTAL
AFTER WORK IS COMMENCED.
TOTAL (�6•."'1—
Speaal Condbons - ---
Date issued 6—JJ-96 by J S
.•Iwnw.
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