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Permit CITY OF TIGARD DEVELOPMENT ELECTRICAL PERMIT ~�m���~=~��" "=�~n�" SERVICES PERMIT #: ELC97-0070 - 13125 SkK Hall Blv� Tigard, OR97223850W639-4/7/ DATE ISSUED: 02 /1 0 / 9 7 .' • PARCEL; 15126DC-701001,. SITE ADDRESS...: 09335 SW LEHMANN ST SUBDIVISION....•:.LEHMANN..ACRE TRACT • ' 4: ~ ZON1NG:R-4.5 BLOCK..........: LOT— ..........:2 Project Description: instl 2 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__`, 601+a �-1008} ol�s.��0 . , 'MJNOR. LABEL, ,(10)~,~`�0, ----SERVICE/FEEDER---- ----BRANCH CIRCUITS ---ADD'L INSPECTIONS--- 0 - 200 amp..... 0 VI/SERVICE ��} � PER. INSPECTION • ' - - ' . `.� 201 - 400 amp......: 0 1st W/O SRVC OR FDR.: 1 PER HOUR...........: @ 401 - 600 amp......: 0.-� EA, ADD' L BRNCH CI RC: 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 MARCIA TOBEY type amount by date recpt 9335 SW LEHMANN:ST `'�� , PRMT $ 40.00 TAT 02/05/97 97-289969 5PCT $ 2.00 TAT 02/05/97 97-289969 TIGARD OR 97223 Phonp Contractor:'` -------- CHANDLER ELECTRIC INC $ 42.00 TOTAL . 3521 SWCARSON REQUIRED INSPECTIONS PORTLAND OR 97219 Ceiling Cover Underground Cove Phone #: 245-7774 ' . Wall Cover Elect'l Service Reg #..: 000949 This .permit, is, issued subject-to therego\ations contained, in�e��"\�� 1ko,'.; Codes, wther ^� P gn atm applicable laws. All work will be done in accordance with approved pbms.. ,This, permit, will within 180 days•olissoance, or if 'work s sus fpr.moro ` ��'' �� 4 AL than 18N-days.` ' ` ' ^ , . ..'Issued By '�/ ^ --- - --OWNER INSTALLATION ONLY----" - The installation is being, made om-property. I' own' which is not ihtended for sale, lease, or rent. OWNER'S SIGNATURE:,, DATE: ---------- CONTRACTOR INSTALLATION ONLY- SIGNATURE OF SUpR,_ ELEC' N: _ . • , LICENSE NO: _ Call for inspecti�h. 639- 44.75 s . ` 4- ` Community Development ELECTRICAL PERMIT APPLICATION A 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # ��"' 1 U� i fi' Permit # 6L-oTh - 3LJ 70 _.� �� Phone (503) 639 -4171 Date Issued bp CITY TIGARD FAX (503) 684 -7297 Issued by TDD No. (503) 684 -2772 S Inspection (503) 639 -4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development L.-n Number of Inspections per permit allowed Address q -r . �S S VO. L. 0-vi. Service included: Items Cost(ea) Sum City/State/Zip t v`(t q 122 3 4a. Residential - per unit 4 ti or less Each additional r s $110.00 Name (or name of business) 6. rC i C b 6 \1 Each sq it. or portion thereof $25.00 1 Commercial ❑ Residential ❑V-- 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 Na,iitiiiv- / Installatior alteration, or relocation 2 Electrical Contractor ,y°t-[ ; „ 200 amp or less $60.00 2 Address 3 5'2 f a e-S ty� 201 amps to 400 amps $80.00 2 City P 0 State Ole__ Zip 9 /7L % e' 401 amps to 1000 $180.00 600 amps $120.00 2 601 amps to 1000 amps Phone No. ' 4 - 7774 Over 1000 amps or volts $340.00 2 - Contractor's License No. 2 - - 5 - 2 C- Reconnect only $50.00 Contractor's Board Reg. No c D' , 4c. Temporary Services or Feeders ,� Installation, alteration, or relocation 2 Signature of S r. Elec' ,-:� 1.. 200 amps or less $50.00 2 License No. �` Phone Na2. 77 y 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 Print 4d. Branch Circuits rint Owner's Name New, alteration or extension per panel 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. First branch circuit $35.00 2 Each additional branch circuit $5.00 �j� 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 inspectio $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/���� 5a. Enter total of above fees $ NOTICE 5% Surcharge (.05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ '1- 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 $ •. c wedbpnd.NaNc. m.epp /d CITY OF TIGARD ILDING 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. Plbg.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: ers Date: .��Wefillit A.M. •P.M. Entry: Address: Tenant: Ste: MST: , 0) /, J B U P: /Own: 02 �i/ � EC: 74' a ELC: � 1 O II THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: 7V 4(Z 1 , f tee( M e�s 16 ©c ew -e % dr/ _ I g AZ'S — IRS a-7e:1 Inspector: ,2M/ CG C> / � � t Dater — � f X APPROVED DISAPPROVED /CALL FOR REINSP. 46 CO