Permit � A CITY OF TIGARD
,„,„,„.,,,,, DEVELOPMENT ELECTRICAL PERMIT
iiii,klit m� n� ~ n�u~ *�o n°" SERVICES PERMIT #: ELC96-0777
Al* 'Al. 13125 SW Hall Blvd., --` "-- ' - DATE ISSUED: 12/11/96 .
' •PARCEL:'2S112AC-01300
' SIT' ADDRESS...:. 14905 SW 74TH AVE . , � - ^
• �GL08[)IVISJT]N:``^u./m FANN8 CREEK. {�
A�R',1TRACTS ',� r'. ''' '.'-,Z NG:I-P` '^.
BLOCK— .... - LOT— ........ ...:17
Project Description: add 1 service feeder & 4 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 ,- 400amp~... .... : 0 ' SIGN/OUT LINE LTG..: 0
LIMITED ENERGY.....: 0 401 - 600 amp.......: 0 SIGNAL/PANEL.......: 0
MANF.. `HM/!SVC/FDR~ 0'� ., ., MINOR LABEL.'(10),.��: 0
----SERVICE/FEEDER---- ----BRANCH CIRCUITS ---ADD' L 1 NSPECTIONS--- '
' @~. _, 200' amp.'. .«� , :n_1 ^^ ' W/BERVICE��OF(_FEEDER: 4.... .|PER' INSPECTION. . . �. : 0 '
201 - 400 amp......: 0 1st W/O SRVC OR FDR.: 0 PER HOUR...........: 0 /
401 -`600 amp— .�.^: 0 EA:ADD'L- BRNCH CIRC�_ 0 `` IN-PLANT, �.,�.., ...~..� 0' •
601 - 1000 amp ^ 0 PLAN REVIEW SECTION -
1000+ amo/volt^, ~. 0 • >=4 RES UNITS— .�.,.... : ~ ' . , ): 600 VOLT: NOMINAL..:
Reconnect only.....: 0 SVC/FDR >= 225 AMPS..: CLASS AREA/SPEC OCC.:
Owner: . ' • FEES
DURHAM/99 ASSOC type amount by date recpt
14905 SW 74TH AVE. . '- ` . ' PRMT$ ''• 80.00 TAT' 12/11/96 96-287535
' 5PCT $ 4.00 TAT 12/11/96 96-287535
PORTLAND OR 97223
Phone#:- ' .
:Contractor: - - ' '
RED'S ELECTRIC CO INC $ 84.00 TOTAL
2002 SE CLINTON ST
REQUIRED INSPECTIONS
PORTLAND OR 97202 Ceiling Cover Underground Cove
Phone #: 503-233-6467'�n • •.' ' .' � ' Wall Cover Elect'l Service
Reg #..: 04443
.
�
0-1b ��
This �� is issued ���^ ����s'�� in �~�r^. -
T����i������. �����.�� ` .` Perni4i. Si gnat ure .•`
applicable laws. All work will be done in accordance with
approved plans. ` This permit iD expire ,if. work is `uot.started. ` ,
within •18Ndays of issuance, , , or if ifwork is suspended .for sore Li , • ,-` ,Litag—d ' '
than 180^days:` ' .: ' ~ , .-', 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:• � • L. ____ DATE _
LICENSE NO: _ ___ _ ^
' . . ' , ` . ., . , , , ; . C a l l for .inspect iqn,,, -r .63974175 . .
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Permit #
Aht■ amaa phltliP I Date Issued
, i Phone (503) 639 -4171
FAX (503) 684 -7297
CITY OF TIGARD TDD No. (503) 684 -2772
Inspection (503) 639 -4175
1. Job Address: '� 4. Complete Fee Schedule Below:
Name of Development c4-0 �/ ,pJ2 Number of Inspections per permit allowed
Address ��� D _ / � Service included: Items Cost(ea) Sum
p i
City /State /Zi r " -- 57k-T-/ (gr '7.2: 4a. Residential - per unit 4
/ r 1000 sq. ft. or less' $110.00
Name (or name of business) Cv9-�G9- 2. , f Each additional 500 sq. ft. or
portion thereof $25.00
Commercial Residential ❑ Limited Energy $25.00 1
Each Manufd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor install tion only:
4b. Services or Feeders
/ I alteration, or relocation
Electrical Contractor -S Fit 4 : 200 amps or less ' $60.00 ILXJ 2
Address SC 201 amps to 400 amps $$80.00 2
401 amps to 600 amps 2
City �B State �}�" Zip 601 amps to 1000 amps $180.00 2
Phone No. 7.3 -ii6J Over 1000 amps or volts $340.00 2
Job NO. • ?27 7 Z Reconnect only $50.00 2
contractor's license NO. " /512L 4c. Temporary Services or Feeders
Contractor's Board Reg. No. Yy � , ■ Installation, alteration, or relocation 2
l/e
Signature of Supr. Elec'n ii s 20 amps or less 2
/ 201 amps to 400 amps $50.00 -Iv License No. �S Phone t (/ 3 . ' 401 amps to 600 amps 8 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
purchase of service or feeder fee. co , 2
City State Zip Each branch circuit $5.00 aQ
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. 2
First branch circuit $35.00
not intended for sale, lease or rent. Each additional branch circuit $5.00
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or irrigation circle $40.00 2
Each sign or outline lighting $40.00
Signal circuit(s) or a limited energy 2
Please check appropriate item and enter fee in section 5B. panel, alteration or extension 840.00
4 or more residential units in one structure Minor Labels (10) $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 inspection $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 $ U
NOTICE 5% Surcharge (.05 X total fees) $ ' D
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
5b. Enter 25% of line A for
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF
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 Subtotal $
COMMENCED. word \comdev\elec. Ii. Trust Account #
$
•
prm.app O
FXE
J) Balance Due $ �1i D
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain over /Service FINAL:
Foundation Water Line Cei ing - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other: /
Date: 42 /2 - 7b _ A.M. P.M. Entry:
,
Address: / % O 54) 7e
Tenant: Ste: MST:
BUP:
Con /Own: MEC:
2-? ° 1')C ELC: 76 - 0797
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
etd
7 ?
s 5c //
r
G7 r,-3 !o/ � � 1 H
Inspector: )9/f cdI cA -P / R cZ J Date: /.2
APPROVED DISAPPROVED /CALL FOR REINSP. CF CO
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phon-• .39 -4171
Footing Rain Drain Cove d0 I FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /FIr /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other:
Date: 12_ 13 �� � 1 � � A.M. P.M. Entry:
Address: / I ? !y 5 4-c__) 7 r
Tenant: Ste: MST:
BUP:
Con /Own: MEC:
PLM: 7 7
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
/lb Aire
Inspector: "9Y'' / C gcee Date:
X 'APPROVED _ DISAPPROVED /CALL FOR REINSP. CF CO