Permit CITY OF T ELECTRICAL PERMIT
i g , DEVELOPMENT SERVICES PERMIT #. ELC98 0008
� Intgli DATE ISSUED: 01 /06/98
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 2S112DC -01500
SITE ADDRESS...:15615 SW 74TH AVE #130
SUBDIVISION :FANNO CREEK ACRE TRACTS ZONING :I —P
BLOCK • LOT °006 JURISDICTION: TIG
Pro.j ect Descri pt i on : Install 2 branch circuits without feeder.
- -- RESIDENTIAL UN IT - - -- ----TEMP SRVC /FEEDERS - - -- MI SCELLANEOUS
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 • 0 1st W/0 SRVC OR FDR.: 1 PER HOUR : 0
401 — 600 amp • 0 EA ADD'L BRNCH CLRC: 1 IN PLANT : 0
601 — 1000 amp 0 PLAN 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
CATTLEMAN'S FOODS type amount by date recpt
15615 SW 74 AVE - PRMT $ 40.00 DRA 01/06/98 98- 302310
SUITE 100,130 5PCT $ 2.00 DRA 01/06/98 98- 302310
TIGARD OR 97224
Phone #:
Contractor:
MIKE'S ELECTRIC $ 42.00 TOTAL
17050 SW SHAW STREET
REQUIRED INSPECTIONS
BEAVERTON OR 97007 -1813 Ceiling Cover Elect'1 Service
Phone #: 649 -6991 Wal Cover Elect'1 Final
Reg #..: 000502
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon 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 the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001 -0010 through OAR 952 -001 -1987. You may obtain a copy
of these rules or direct questions to OUNC by calling q3) -1987.
110 /
Permittee Signature: Issued By: A 6. ✓i,L___
- - - -- 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 : DATE: /
— c2% t
LICENSE NO: Cf & q 5
++++++++++++++++++++++++++++++++++++++++++++++++++ + + +-1- + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + ++ + + + + + + + + + + + + + + + + + + + + + ++
I.
Community Development ELECTRICAL PERMIT APPLICATION
% 13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Permit # et - ?6
.:.,. �j'� Phone (503) 639 -4171 Date Issued / - to -7'Z
Issued by
^`'° FAX (503) 684 -7297 CO....., j-,
CITY OF TIGARD TDD No. (503) 684 -2772
Inspection (503) 639 -4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Address 15615 S W 74 t h A v e 1 30 Service included: Items Cost(ea) Sum
City/State/Zip T i cl a n d 0 R 9722:3 4a. Residential - per unit 4
1000 sq. ft. or less $110.00
-
(or name of business) Cattleman' s S t. P a k 1
Each additional 500 sq. ft. or
Name
( ) portion thereof $25.00
Commercial ® Residential 0 Limited Energy $25.00
Each Manuf'd Home or Modular 2
Dwelling Service or Feeder $68.00
2a. Contractor installation only: 4b. Services or Feeders
Installation, alteration, or relocation 2
Electrical Contractor MIKE ' S ELECTRIC 200 amps or less $60.00 2
-
Address 17050 S W Shaw St. 201 amps to 400 amps $80.00 401 amps to 600 amps $120.00
2 - Ci BPa iPrtnn State pp Zip 97007 601 amps to 1000 amps $180.00 2 -
Phone No. 649-6991 Over 1000 amps or volts $340.00 2
Contractor's License No. 5 f� R R S 3 it -1 8 C Reconnect only $50.00
Contractors Board Reg. No. 50209 4c. Temporary Services or Feeders
Installation, alteration, or relocation 2
Signature of Supr. Elec'n 200 amps or less $50.00 2
-
License No. 11695 Phone No. 649 6 9 91 201 amps to 400 amps $75.00 2
401 amps to 600 amps $100.00
Over 600 amps to 1000 volts
2b. For owner installations: See •b• above.
4d. Branch Circuits
Print Owner's Name New, alteration or extension per panel
Address a) The tee for branch circuits with
purchase of service or feeder fee. 2
City State Zip Each brash 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. 2
not intended for sale, lease or rent. First branch circuit 1 $35.00 35.0O
Each additional branch circuit 1 $5.00 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 $40.00
4 or more residential units in one structure Minor Labels (10) $100.00
S ervice 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:
NOTICE 5a. Enter total of above fees $ 49 . n fl,
5% Surcharge (.05 X total fees) $ 7 n n
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ it 2 _00
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 Subtotal $
COMMENCED. ❑ Trust Account # $
Balance Due $ 4 2 , 0 0
woeconWaNaMovmspp
•
RECEIVED
JAN 0 5 1998
COMMUNITY DEVELOPMENT
CITY OF TIGARD BUILDING INSPECTION DIVISION •
24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171
•
Date Requested: /— l Z / – 7f A.M. P.M. MST:
Location: 15(o/5 5k) 14th afte , BUP:
Tenant: Suite: ()O Bldg: MEC:
Contractor: - 191A � Ls �62..e �,Q _ C Phone: 6 '� — 6 F7J PLM:
Owner: Phone: LC: , 5 OOO$
///' � ,, /
i bit 1 / ELR:
V A r / // /_A SIT:
BUILDING BLDG (con't) PLUMBING MEC • C • , V
_ - SITE
•
Site Post/Beam . Post/Beam Post/Beam Sewer /Storm
Footing Roof UndFI/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump • Volt
Approved Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved 'I o • • @ roved Not Approved
FINAL FINAL FINAL (ITN • FINAL
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CI Call for reinspection einspection fee of $ required before next inspection i Unable to inspect
f `
Inspector: Date: /---- / — ` Page of