Permit ELECTRICAL PERMIT
PERMIT #: ELC96-0438
-�.�'� � 1� OF � � ��"� � ~� � � � �m�wr�' n��n��m�"
DATE ISSUED: 07/12/96
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd Tigard, Oregon 97223.8199 (503) oom��r�
� ' ' PARCEL: 2S103BC-07100
SITE ADDRESS...: 12250 SW LANSDOWNE LN '
SUBDIVISION....: FYRESTONE • ZONING:R-4.5 •
BLOCK..........: LOT.............:10
Project Description: Installing three 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 - 400 amp.......: 0 SIGN/OUT LINE LTG..: 0
LIMITED ENERGY.....: 0 401 - 600 amp.... . .. : 0 SIGNAL/PANEL.......: 0
MANF. HM/ SVC/FDR..: 0 60H-amps-1000 volts.: 0 MINOR LABEL (10)...: 0
----SERVICE/FEEDER---- ----BRANCH CIRCUITS ---ADD'L INSPECTIONS---
69 - 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: 2 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 -
JAMES PHILLIP type amount by date recpt
12250 SW LANSDOWNE PRMT $ 35.00 CJS 07/08/96 96-281380
5PCT $ 1.75 CJS 07/08/96 96-281380
TIGARD OR 97223 PRMT $ 10.00 CJS 07/12/96 96-281591
Phone #: 5PCT $ 0.50 CJS 07/12/96 96-281591
Contractor: — ------ - - - -
WESTSIDE ELECTRIC 47.25 TOTAL
7518 SW MACADAM AVE
• ------- REQUIRED INSPECTIONS
PORTLAND OR 97219 Wall Cover Elect'l Final
Phone #: 503-245-3385 Elect'l Service
Reg #. . : 13306 -- -- -
This permit is issued subject to the regulations contained in the _______
Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee Signature
applicable laws. All work will be done in accordance with
approved plans. This peroit will expire if work is not �tarted
. ^ •
within 180 days of issuance, or if work is suspended for oorp �-'�/���
than 1:4 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: 672L _ DATE:
LICENSE NO: _
Call for inspection - 639-4175
•
^-� -- - - -
L^�
OF TIGARD ELECTRICAL PERMIT CITY ~� PERMIT #: ELC96-0438
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 07/08/96
1o1oamw Hall awa. Tigard, Oregon 9722308199 (503) 639-4171
PARCEL: 26103BC-07100
SITE ADDRESS...: 12250 SW LANSDOWNE LN
SUBDLVISION. . . . : FYRESTONE ZONING:R-4. 5
BLOCK ^ LOT ........ ..'..:10
' Project Description: Installing one branch circuit.
_______
---RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---- MISCELLANEOUS
1000 SF OR LESS ^ 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.1 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: 0 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
JAMES PHILLIP type amount by date recpt
18250 SW LHNbDUWNE PRMT $ 35.00 CJS 07/08/96 96-281380
5PCT $ 1.75 CJS 07/08/96 96-281380
TIGARD OR 97223
Phone a:
Contractor: — — — -- -----
WESTSIDE 'ELECTRIC• $ 36. 75 TOTAL
7518 SW MACADAM AVE
REQUIRED INSPECTIONS
PORTLAND OR 97219 Wall Cover Elect'l Final
Phone #: 503-245-3385 Elect'l Service _
Reg #..: 13306
This permit is issued subject to the regulations cuntained,in the .
Tigard Municipal Code, State of Ore. Specialty Codes and'all other Permittae .Signature
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. 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: OMea' /°d DATE: •
/,
LICENSE NO: _ •
Call for inspection — 639-4175
--
f .--
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Permit # EL 6 60 ' 3 ,s7
/�4 Date Issued V9-6:
i� 1 Phone (503) 639 -4171 a
A- 6- FAX (503) 684 -7297
CITY OF TIGARD TDD No. (503) 684 -2772 0
Inspection (503) 639-4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number
o Number of Inspections per permit allowed
Address /�5���(,� E' ms° ,� /iA / Service included: Items Cost(ea) Sum
1T 7
City /State /Zip // Ts/ 4a. Residential - per unit
/^ J 1000 sq. ft. or less $110.00 4
J/�i Name (or name of business) /��' /� ii / Each additional 500 sq. ft. or
portion thereof $ 25.00
Commercial ❑ Reside Limited Energy $25.00 1
Each Manufd Home or Modular
Dwelling Service or Feeder $68.00 _ 2
2a. Contractor installation only:
4b. Services or Feeders
Electrical Contractor f
Installation, alteration, or, relocation
�� ' ��� / . , I C 200 amps or less $60 "00 2
Address , '' �s ' A°i 201 amps to 400 amps $80.00 2
1 2 F 401 am ps to 600 amps $120.00 2
City ( State /��Zip $180.00 2
S lel / N'Y Over amps to tps or volts $340.00 amps
Phone No. 2
Over 1000 amps $50.0 2
Job NO. r - � Reconnect only •
contractor's license NO. --/-, 4c. Temporary Services or Feeders
Contractor's Board Reg. No. r Installation, alteration, or relocation
Signature of SuDrr. Elec'n i 200 amps or less 2
,�r
License No._S ,.) one No. J'j� 201
01 amps to 600 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
purchase of service or feeder fee. 2
City State Zip 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. Eat ddch a bit $$5.00
Ea
a additionnal branch circuit 2, $5.00 1 0
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
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: j
5
O
a. Enter total of above fees $ /
NOTICE 5% Surcharge (.05 X total fees) $ sr) _
Subtotal $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enter 25% of line A for •
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Plan Review if required (Sec.3) $
CONSTRUCTION N OR WORK IS SUSPENDED OR ABANDONED FOR Subtot
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS $
COMMENCED. word \comdev1elec. Trust Account #
$
pr,, app i )
Balance Due $ , � S! - L°
• Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Permit # tU99(7(. " ?$
a liwl�lpl8h� (�,\ Date Issued 9�
.' i l 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 Number of Inspections per permit allowed
Address J 2 ,2S S'iti 6e, is S' 424...va ( Service included: Items Cost(ea) Sum
City /State /Zip //41 4a. Residential - per unit
/ 1000 sq. ft. or less $110.00 4
Name (or name of business) o'ne f C � �r� Each additional 500 sq. ft. or
portion thereof $25.00
Commercial ❑ Residential w z °#1y Limited Energy $25.00 1
Each Manufd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
� � 4b. Services or Feeders 2
Installation alteration or relocation
Electrical Contractor re $60.00
200 amp or less
Address - 7'; ' m'�/t , 'e
if
r l -i - 201 amps to 400 amps $80.00 2
City aritt2.. - $120.00 2
State tit Zip ./7) / 9 401 amps to 600 amps
Phone No._ 2 c/F -3 ? "..f Over 1000 to amps volt $180.00 2
Over 1000 amps or volts $340.00 2
Job NO. 9,0 . 7 - CO ; Reconnect only $50.00 2
contractor's license NO. .7 " 3,.S 4c. Temporary Services or Feeders
Contractor's Board Reg. No s l 6 Installation, alteration, or relocation
Signature of Supr. Elec'n Cr: _,1 200 amps or less 2
201 amps to 400 amps $50.00
License No. J Phone No. i d 3 � 401 amps to 600 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
purchase of service or feeder fee. 2
City State Zip Each branch circuit $5.00
Phone No. b) The fee for branch circuits without 2
The installation is being made on property I own which is purchase of service or feeder fee. s� First branch circuit $35.00 > > 2
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 $40.00
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 , ),(
NOTICE 5% Surcharge (.05 X total fees) $ j .
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
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 Subtot $
COMMENCED. wordacmndeNeiec- Trust Account #
m app $
pr
Balance Due $
07 - 08 - 96 10:14AM FROM WEST SIDE ELECTRIC P01
w
-)( rte' P/e C /�/ 4.)// /4 `� / /
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Permit # el- Cg6 -0 4 / ?g
,A q � Date Issued /c9.,/C16' ' - ii P hone (503) 639 -4171 �- ,- � r � ,
- -. FAX (503) 884 -7297 /° C a.-�s
CITY OF TIGARD TDD No. (503) 884 -2772
d Inspection (503) 639 -4175 if-d/yt ,1 t* //
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspection* per permit allowed
Address 122 co snit' d b 'ia . , 4s..e Service included: Items Coat(ea) Sum
A
City /State /Zip / 9er � p 4a. Residential . per unit
./
1000 sq. ft. or less 5110,00 4
Name (or name of business) /1' (y •.. 16 / 4 , Each additional 500 sq, ft. or
Portion thereof 526,00
Commercial ❑ Residential &1 Limited Energy $25.00 1
Each Manufd Home or Modular
Dwelling Service or Feeder 588.00 2
2a. Contractor installation only
4b, Services or Feeders
Installation, alteration, or relocation
Electrical Contract.r / it e e 200 amps or less $80.00 2
O W
Address t ,1,P - " �. • 201 amps to 400 amps '� $80,00 2
City ARMIZOME7 State 77 Zip et 7) / 401 amps to 100 amps 5120.00 2
901 amps to 1000 amps 5180.00
Phone No. ' 1-- . /' r over 1000 amps or Volta $340.00 2
Job NO. ' ,ce(i Z 7 - Q ) 3 Reconnect only $50.00 2
contractor's license NO. P A 3.5- 4e. Temporary Services or Feeders
Contractor's Board Reg. No. s') Installation, alteration, or relocation
Signature of Supr. Elec'n r, 200 amps or lase 2
License No. I j hone N. � j k 201 amps to 400 amps sso.00 2 - 1C � 401 amps to 400 snipe 575,00
Over 500 amps to 1000 volts $100.00
213. For owner Installations: see "b" above.
4d. Branch Circuits
Print Owner's Name Maw, alteration or extension per pane
Address a) The lee for branch circuits with
City State Zip purchase of service or feeder tie. 2
Each branch circuit $6.00
Phone No, b) The fee for branch circuits wlfhouf
The installation is being made on property I own which is purchase of movie. or feeder f e. -, 2
not intended for sale, lease or rent.
First c b 5$5.00
Each n addltlon branch circuit $5,00
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required); E ach pump or Irrigation circle $40.00 2
Each sign or outline lighting 540,00 �.....
Signal clrault(s) or a limited energy 2
Please chock appropriate Item and enter fee in section GB. panel, alteration or extension $40.00
4 or more residential units in one structure Minor Labels (10) 5100.00
Service and feeder 226 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 as Inspection 835,00 -
Per hour ---.....
In Plant $56,00
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 s , 3 .C
NOTICE 5% Surcharge (,05 X total fees) g / ✓
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal g
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 64. E of A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Fl 64. an an Revi ew w if f required (Sec.3) $
A PERIOD OF 150 DAYS AT ANY TIME AFTER WORK IS Sobtot $
COMMENCED, wim..ma.vi.i. Trust Account # $
0 ...pp
Balance Due $
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
Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg.
San. Sewer Gas Line Appr /Sdwlk Reins.
Other: F ` C '
Date: { , ( C I (p A.M. P.M. Entry:
Address: / 2 cam- 5.-- ? ?-�s,.
Tenant: Ste: MST:
BUP:
Con /�w�'r . I44i -- 41111 %/L 1 MEC:
/ i� , PLM:
!, ELC: y^ e, c 08 7
THE FOLLO G CORRECTIONS ARE REQUIRED: ELR:
5 o—rgY filmsf -old -e
050 y 3 I
�.,0 rho .Dei :
Inspector: /I/ r _, 4„ _ i U - Date: 7 -- /e. O
A /1 APPROVED DISAPPROVED /CALL FOR REINSP. CF CO
Jt S�