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ELECTRICAL PERMIT ~
- -`-���� � � OF � � �w�n������^�m� PERMIT #: ELC96-0367
DATE ISSUED: 07/08/96
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 9722308199 (503) 63e-4171
PARCEL: 2S101BC-02800
SITE ADDRESS...: 08250 SW HUNZIKER RD
SUBDIVISION....: ZONING:I—L ��
BLOCK..........: LOT.............:
Project Description:
______ ___ _____
---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: 7 PER INSPECTION.....: 0
201 — 400 amp......: 0 1st W/O SRVC OR FDR.: 0 PER HOUR...........: 0
401 — 600 amp.. . . . . : 1 EA ADD'L BRNCH CIRC: G 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..:X CLASS AREA/SPEC OCC.:
Owner: -- — FEES --------- —
JIM SEVERSON type amount by date recpt
29404 SW HEATER ROAD PRMT $ 155.00 CJS 06/12/96 96-280486
PLCK $ 38.75 CJS 06/12/96 96-280486
SHERWOOD OR 97140 5PCT $ 7.75 CJS 06/12/96 967280486
Phone #: 684-0443
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Contractor: ---- ---------- —
ALAN FITCH ELECTRIC • $ 201.50 TOTAL
25973 S MOEHNKE • '
REQUIRED INSPECTIONS
BEAVERCREEK OR 97004 Wall Cover Elect'l Final
Phone #: 503-632-4782 Elect'l Service
Reg #..: 106872
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This permit is issued subject to the regulations contained in the � ______
Tigard Municipal Code, State of Ore. Specialty Codes and all other Permit vee Signatt.re
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 i� suspended for mnro ~+�� ^ � , ____ m� _ _
than 180 days. sued 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: ______
------- CONTRA`TOR INST | ONLY —
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SIGNATURE OF SUPR. ELEC' N: ��10,^ _ x^" DATE: _ ��"�
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LICENSE NO: ��L�'/ ^� . ' -- _____ ___________
Call for inspection — 639-4175 .
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46 • Community Development ELECTRICAL PERMIT APPLICATION
•6-'�� 13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # l75- 53C./ 46
Permit # E1(46 - (3 ' 7
4 j. j1�'( "' Phone (503) 639 -4171 Date Issued
FAX (503) 684 -7297
CITY OF TIGARD TDD No. (503) 684 -2772 Issued by
Inspection (503) 639 -4175 co I /ed 6 -/ L(- 96
1. Job Address: Ow-tem 4. Complete Fee Sche " Bel ow :
Name of Development 4- 4tJ'2-1 (ca. LOA- ootimF' Number of Inspections per permit allowed
Address `62-5 O Sul) i4ikkrr 1 kii- O. 12.4 , Service included: Items Cost(ea) Sum
City /State/Zip T itiyutp be. ci 1-22. - `.>C>lo 4a. Residential - per unit 4
1 1000 sq. ft. or less $110.00
Name (or name of business) Each additional 500 sq. ft or 1
( ) portion thereof $25.00
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Commercial M Residential ❑ Limited Energy $25.00
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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 At-AO FT.-H- etheiti P. 200 amps or less $60.00 2
Address 2Cci l i 5 , }eb%1 4 3 3' CT• 201 amps to 400 amps $80.00 2
401 amps to 600 amps +r $120.00 i2O, - 2
City $E kilr~vl`.C: 2-ie -6, State lore.... Zip q-4,01.4 601 amps to 1000 amps $180.00 2
Phone No. c-,3 1037- 4-11-4 Over 1000 amps or volts $340.00 2
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Contractor's License No. 'S-T c_ Reconnect only $50.00
Contractor's Board Reg. No. 10 to Si 4c. Temporary Services or Feeders l
��** � � Installation, alteration, or relocation 2
Signature of Supr. Elec'n . � A4 )L_ . vT� 200 am ps or less $50.00 2
201 amps to 400 amps $75.00 2
License No. g9- 1 Phone No. 1p3 7 49-1 401 amps to 600 amps $100.00
Over 600 amps to 1000 volts
2b. For owner installations: • sea 'b' above.
4d. Branch Circuits
Print Owner's Name New, alteration or extension per panel
Address a) The tee for branch circuits with
City State Zip purchase of service or feeder fee. 2
�7 l� 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. 2
not intended for sale, lease or rent. First branch circuit $35.00 2
+ 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 $40.00
4 or more residential units in one structure Minor Labels (10) $100.00
i - 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 ins $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 $ ljj,
5% Surcharge (.05 X total fees) $ 1:45
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ 1102 : '45
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) $ 43.1c
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ 2.0% O
COMMENCED. El Trust Account # $
Balance Due $
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Page No. 1 CASE HISTORY FOR CASE NO.: ELC96 -0367
JIM SEVERSON
08250 SW HUNZIKER RD
02/11/99
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
ELCC001 Application received / / / / 06/11/96 RECD CJS 06/12/96 CJS
ELCC003 Permit created / / / / 06/11/96 PEND CJS 06/12/96 CJS
ELCC115 Routed to Plans Examiner / / / / 06/12/96 ROUT CJS 06/12/96 CJS
ELCC120 Plans Approved /Routed to DSTs 06/12/96 / / 06/12/96 PASS MJR 06/12/96 MJR
ELCC400 (F)Ready to issue / / / / 06/13/96 RECD CJS 07/02/96 CJS
ELCC500 (F)Issue permit / / / / 07/08/96 PAID JMH 07/08/96 J *H
ELCC720 Wall Cover 06/12/96 / / 09/12/96 PASS MJR 09/13/96 MJR
ELCC730 Elect'l Service 06/12/96 / / 09/13/96 patch pad and use grounding bushing PASS MJR 09/13/96 MJR •
before calling PGE
ELCC800 Case Finaled / / / / 11/05/96 support loose cables PASS MJR 11/06/96 MJR
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 /Flr /Slab Plbg. Top Out Insulation
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -: -..:
San. Sewer Gas Line Appr /Sdwlk Reins.
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Other: 7/ ,U1.-
Date: ) / c A.M. P.M. Entry:
Address: ;�- //it 1''( Jr /-
Tenant: 'Ste: MST:
BUP:
Con /Own: MEC:
PLM:
ELC: N®
THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR:
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Inspector: r/4 C ‘ ...a. ( X M elc• I Date: /7— ----?4' APPROVED DISAPPROVED /CALL FOR REINSP. ( CF CO