Permit . .
��� OF � ELECTRICAL PERMIT � l0 `�N�r� = � PERMIT #: ELC96-0209
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 04/10/96
13125 SW Hall Blvd. Tigard, Oregon 97223°8199 (503) 63e-4171
PARCEL: 25114AB-10900
SITE ADDRESS...: 16142 SW 93RD AVE
SUBDIVISION ^ KNEELAND ESTATES NO.2 ZONING:R-4.5
BLOCK''.......': LOT ^138
Project Description: Install two branch circuits for a residential house.
__________ _ ______________ ____________________ _
---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......: 0 1st W/O SRVC OR FDR.: 1 PER HOUR...........: 0
401 — 600 amp......: 0 EA ADD'L BRNCH CIRC: 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: —
JACQUELINE BRADLEY type amount by date recpt
16142 SW CLINTON PRMT $ 40.00 CJS 04/10/96 96-277995
5PCT $ 2.00 CJS 04/10/96 96-277995
TIGARD OR 97223
Phone #:
Contractor: — ------ — — — -----------
REDS ELECTRIC CO INC $ 42.00 TOTAL
2002 SE CLINTON ST
------- REQUIRED INSPECTIONS -------
PORTLAND OR 97202 Wall Cover Elect'l Final
Phone #: 503-233-6467 Elect'l Service
Reg #.': 04443
This permit is issued subject to the regulations contained in the _ ____
Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee Signature
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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 issoance or if work is suspended for more
than 18Q 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: '
- INSTALLATION ONLY -----
SIGNATURE OF SUPR. ELEC'N: m// �� 1 7/—/0- /, � DATE: ���-
LICENSE NO: ___ ----
Call for inspection — 639-4175
A
4 -08 -1996 12:00PM FROM RED'S ELECTRIC 503 23 P_1
Community- Developmenti ___ ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd_
Tigard, OR 97223 Planck/Rec. #
Permit # ELC46 otOQ
J IDItil" . Phone (503) 639 -4171 Date Issued '1 -10- 96
FAX (503) 684 -7297
CITY OF TIGARD TDD No (503) 684 -2772 Issued by 'Liar /E'J Sc�r.,'ot°1`
Inspection (503) 639 -4175 .
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development �- } Number of Inspections per permit allowed
Address /h i Li 2- 5 91 J'] Service included: hems Castttsay • Sum
City /State /Zip 9xl� 92,2.2.... 4 a- Residential - per unit 4
1000 sq. ft. or less $110.00
Name (or name of business) �� SJ. Each additional t sq. It. or
0 Donlon thereof $25,00 t
Commercial 0 Residential Limited Energy $25.00
Each Maned Home or Modular 2
' Derailing Service or Feeder $88.00
2a. Contractor installation only:
4b. Services or Feeders
Installation. alteration, or relocation 2
Electrical Contractor �A ? � 200 amps or less $80.00 2
Addr'ss D , . 201 amps to 400 amps $8000 2
401 amps to 600 amps $120,00 2
City . 1 4 4 , 0 1 State Zip - 801 amps to 1000 amps $180.00 2
Phone No. T, 'a e/.72 / Over 1000 amps or volts $34000 2
Contractor's License No. '—/ L'� . Reconnect only $50.00
Contractor's Board Reg. No 'l' f't 4c. Temporary Services or Feeders
Installation, alteration, or relocation 2
Signature of Supr. Elec' .:�.._ . , ,� / /f g s:i 200 amps or lees $50.00 2
/y /1 �' i 201 amps to 400 amps $75.00
License NO.� f! S'�3 • Phone No_ 401 amps to 600 amps $100.00
Over 800 amps t0 1000 volts
2b. For owner Installations: s4 'a' above.
4d. Branch Circuits
Print Owner's Name New, alteration or extension pot panel
Address a) The lee for branch circuits rirfr
City State Zip 'urch°e° o' service or Medic tee. 2
P Each branch circuit $5.00 -
Phone No. b) The lee for branch circuits without
The installation is being made on property I own which is purchase of service or redo► ran. f _; 2
First branch circuit 1 $35.00 2
not intended for sale, lease or rent. Each additional branch circuit 1 $5,00
Owner's Signature 4e. Miscellaneous .
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or irrigation Girds $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, ateration or extension $40.00
4 or more residential units in one structure Minor Labels (10) 5100.00
Serv and feeder 225 amps or mom
— System over 600 volts nominal 4f. Each additional inspection over
Classified area or structure containing special occupancy the allowable in sny of the above •
as described in N.E.C. Chapter 5 as iropecson yes o0
Per hour $55.00
In P1501 $55,00
Submit 2 sets of plans with application where any of the above
apply. Not required for temporary construction services. 5. Fees: #.1p.
NOTICE 5a. Enter total of above fees $
5% Surcharge (.05 X total tees)
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED I5 NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25% of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review it required {Sec,3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. 01 Trust Account I $
05'%3 T—
Balance Due $ df
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
PIbg.Und /FIr /Slab Plbg. Top Out Insulation lec
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other: IQ
Date: L �" e'3' C ! c' A.M. P.M. Entry:
Address: ` / 6 Z c7 3 . /j./°
Tenant: Ste: MST:
r BUP:
Con /Own: MEC:
PLM:
ELC:
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
` I Cam' (YL
r AP
Inspector: /- / � - �. _ Date?
. 4' APPROVED DISAPPROVED /CALL FOR REINSP. CO
5/1/00 Activities for Case #: ELC96 -00209
1:53:18 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCA001 Application received 4/5/96 CJS RECD TMP 4/10/96
ELCA003 Permit created 4/5/96 CJS PEND TMP 4/10/96
ELCA500 (F) Issue permit 4/10/96 . CJS PASS CJS 4/10/96
ELCA510 (F) Reprint permit 4/10/96 CJS 4/10/96
ELCA800 Case finaled 4/23/96 MJR YES MJR 4/23/96
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