Permit �� PERMIT #: ELC98 -0448
� �� „na, � ',:CITY OF TIGARD ELECTRICAL PERMIT
� ` � ,i � DEV ELOPMENT SERVICES DATE ISSUED: 0e/03/98
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 25111DA -01300
SITE ADDRESS °° °:08605 SW LODI LN
SUBDIVISION- ...:APPLEWOOD PARK NO. 1 ZONING:R -7 PD
BLOCK - LOT °009 JURISDICTION: TIG
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: 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
ALLEN, JAY & JUDY type amount by date recpt
8605 SW LODI LN PRMT $ 35.00 JSD 08/03/98 98- 307948
TIGARD OR 97223 5PCT $ 1.75 JSD 08/03/98 98- 307948
Phone #:
Contractor:
GARNER ELECTRIC $ 36.75 TOTAL
21785 SW TUALATIN VALLEY HWY
SUITE L REQUIRED INSPECTIONS
ALOHA OR 97006 -1248 Rough –in Elect'1 Final
Phone #: 591 -1320 Elect'1 Service
Reg #. ° : 001211
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 wi approved plans. This permit will expire if work is no tarted within 180
days of issuance, or if work is suspended for morhan 180 d- ATTENTION: Oregon law requires you to foil' the rules adopted by
the Oregon Utility Notification Center. Those rules a set • '# h in OAR 952 -001 -0010 through OAR . You may obtain a copy
of these rules or direct questions to I %Ncallin 15031-P..-1987.
s
Permittee SignatLre° Al 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: DATE:
LICENSE NO: _
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++- 1-+++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
AUG -03 -98 01: 22 PM GARNER. ELECTRIC 503 642 7925 P.
i'. Community Development ELECTRICAL PERMIT APPLICATION --
13125 SW Hall Blvd. � I / C/ / � , / /
Tigard, OR 97223 Permit # i t_c9 "
v .,,, (,; i it, Date Issued
. ) ji Phone (503) 639-4171 /" 1
FAX FAX (503) 684-7297 v
CITY OF TIGARD FAX
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 e-- .S 6 Lo D f Lia/E Service included: Items Cost(ea) Sum
City /State /Zip 7ltA A g1722 `'I 4a. Residential -
. per unit
�
1000 sq. ft. or less 5110.00 µ a
Name (or name of business) fS(1nh 6 e.4) / /L' .rrJ Each additional 500 sq. In or
portion tltefeof 725.00 -
Commercial ❑ Residential Ili Limited Energy 725.00 t
Each Manufd Home or Modular
Melling Service or reeder 568.00 2
2a. Contractor installation only:
4b. Services or Feeders
Installation, alteration, or relocation
Electrical Contractor _IA( tip- 7 , G -, 200 amps or l ess �o.00 2
Addr City 1l.e S D Ifs t State Q2.- Zip WA u 6 - 201 amps to 400 amps 380,00 2
i Od 401 amps to 600 amps 5120.00 2
Phone No. 601 amps to 1000 amps 3160,00 2
q ' `t SS i. o 1000 amps or volts 7340.00 2'
Job NO. Reconnect only 550.00 2
contractor's license NO. 3V -O s1:. 4c. Temporary Services or Feeders
Contractor's Board Reg. / 2 ! S `)
g Inatailation, alteration, or relocation
Signature of u r. El C'n / 200 amps or less
1 �a
Li No.S hone No. at1552- 201 amps to 400 amps 160.00 0 r r y. ,, °r ,y, .
401 amps to 600 amps 675.00
Over 600 amps to 1000 voles $100.00
2b. For owner installations: see "b" above,
Print Owner's Name New, Branch Circuits
New, ealteration o extension or extenn
sion per pane
Address sl The fee for branch circuits with
City State Zip purchase of service or feeler fee. a
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 purcnase service orFevre' fee, ( 2Cr 2
First branch circuit 7315.00 = If?:::: t
not intended for sale, lease or rent, each additional branch circuit 75.00
Owner's Signature 4a. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each gamy or Irrigation circle 740.00 a
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 340,00
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 41. 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 .00 -_
Per hour 356.00
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:
t'a. Enter total of above fees $
‘1";$, .
NOTICE 5% Surcharge (.05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Fob, 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. woralcomdevtelec 2g Trust Account fr
om..m i a l t 5.4 $
Balance Due $ I p-1,S
c i 6 .: F 5 , c. /. cr , - . ,
Page No. 1 CASE HISTORY FOR CASE NO.: ELC98 -0448
ALLEN, JAY & JUDY
08605 SW LODI LN
09/08/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
ELCA001 Application received / / / / 08/03/98 FAX JSD 08/03/98 JSD
ELCA003 Permit created / / / / 08/03/98 PASS JSD 08/03/98 JSD
ELCA500 (F) Issue permit / / / / 08/03/98 PASS JSD 08/03/98 JSD
ELCA700 Rough -in / / / / 08/04/98 PASS TLP 08/05/98 TLP
ELCA730 Elect'l Service / / / / / / 08/03/98 JSD
ELCA799 Elect'l Final / / / / 08/04/98 PASS TLP 08/05/98 TLP
ELCA800 Case finaled / / / / 09/01/98 09/01/98 JT