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Permit CITY OFTIGARD A, ., DEVELOPMENT SERVICES ELECTRICAL PERMIT N'�I PERMIT #: ELC97 -0093 _- — � 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171 DATE ISSUED: 02/14/97 PARCEL: 1S136DA -01000 SITE ADDRESS...: 11564 SW PACIFIC HWY SUBDIVISION • FRUITLAND ACRES ZONING:C -G BLOCK LOT • 4 Project Description: Electrical work for paint booths. - -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS 1000 SF OR LESS 0 0 - 200 amp • 0 PUMP /IRRIGATION • 0 EACH ADD'L 5O0SF...: 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/0 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 MARK LAWRENCE type amount by date recpt PO BOX 1720 - PRMT $ 45.00 DRA 02/14/97 97- 290449 SPCT $ 2.25 DRA 02/14/97 97- 290449 BLAINE WA 98231 -1720 Phone # : =,.:7t -332 -5800 . 3`b Contractor: D I CK I NSONS ELECTRIC $ 47.25 TOTAL 8449 SW BARBUR BLVD REQUIRED INSPECTIONS PORTLAND OR 97217 Ceiling Cover Underground Cove Phone #: 503 -246 -3550 Wall Cover Elect'1 Service Reg #..: 65534 This permit is issued subject to the regulations contained in the �� C42. .i4. 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 permit will expire if work is not _started within 180 days of issuance, or if work is suspended for more 2 - I 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: CONTRACTOR INSTALLATION ONLY -• SIGNATURE OF SUPR. ELEC' N : DATE: R LICENSE NO: Call for inspection - 639 --4175 CITY OF TIGARD Electrical Permit Application Plan Check 13125 SW HALL BLVD. Rec'd By Date Rec'd ,.9 - / 7 TIGARD OR 97223 Date to P.E. ----- Phone (503) 639 -4171, x304 Date to DST Inspection (503) 639 -4175 Print or Type Permit # L Ui1 " " Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called 1. Job Address: a r V ' &I 13 ce6ra 4. Complete Fee Schedule Below: Name of Development F) - I`7 C fJ Number of Inspections per permit allowed Name (or name of business) I/6 Rt .� /� Service included: Items Cost Sum Address (f 4a. Residential - per unit /� n 1000 sq. ft. or less $110.00 4 City/State/Zip ��✓� i V 2_ �1�� Each additional 500 sq. ft. or Commerciaj.� Residential ❑ portion thereof $25.00 1 �, , ` Each Energy $25.00 Pa ` �.�- �, ► ,� f /�^ 6.- Each Manuf'd Home or Modular Dwelling Service or Feeder $68.00 2 2a. Contractor installation only: 4b. Services or Feeders (Attach copy of all current lic @nses) �� Installation, alteration, or relocation Electrical Contractor 4 _%.. 200 amps or less $60.00 2 e.42 Address 7 .L .4.:-...... ' far 201 amps to 400 amps $80.00 2 City. ei/+ ' State p.2 Zip 9'72/ d ! 401 amps to 600 amps $120.00 2 Phone No. 2 cj 6 - 3 S -c7 601 amps to 1000 amps $180.00 2 Job No. Over 1000 amps or volts $340.00 2 Reconnect only $50.00 2 Elec. Cont. Lice. No. - J L Exp.Date OR State CCB Reg. No. .53 Exp.Date 4c. Temporary Services or Feeders COT Business Tax or Metro No. Exp.Date Installation, alteration, or relocation ,� �► 200 amps or less $50.00 2 Signature of Su r. Elec'r1 ' 201 amps to 400 amps $75.00 2 g p 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No. -? DO ,..s Exp.Date see "b" above. Phone No. ( 94 6- R CS 4d. Branch Circuits New, alteration or extension per panel 2b. For owner installations: a) The fee for branch circuits with I purchase of service or Print Owner's Name feeder fee. Address Each branch cir A $5.00 2 b) The fee for branch circuits City State Zip without purchase of Phone No. service or feeder fee. First branch circuit / $35.00 ?Si , 66 2 The installation is being made on property I own which is not Each additional branch circuit 7, $5.00 /0 e ) 2 intended for sale, lease or rent. 4e. Miscellaneous (Service or feeder not included) Owner's Signature Each pump or irrigation circle $40.00 2 Each sign or outline lighting $40.00 2 3. Plan Review section (if required) :* Signal circuit(s) or a limited energy panel, alteration or extension $40.00 2 Minor Labels (10) $100.00 Please check appropriate item and enter fee in section 5B. 4 or more residential units in one structure 4f. Each additional inspection over Service and feeder 225 amps or more the allowable in any of the above System over 600 volts nominal Per inspection $35.00 Classified area or structure containing special occupancy Per hour $55.00 as described in N.E.C. Chapter 5 In Plant $55.00 - * Submit 2 sets of plans with application where any of the above apply. S. Fees: 1/5- 00 Not required for temporary construction services. 5a. Enter total of above fees $ i 5% Surcharge (.05 X total fees) $ h • A` NOTICE Subtotal $ 5b. Enter 25% of line 5a for PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $ - NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal $ IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY i/-7, a < TIME AFTER WORK IS COMMENCED. ❑ Trust Account # `Z` Total balance Due $ I: \DSTS \E LC96.APP Rev 9/96 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 - Elect. Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr /Sdwlk Reins. Other: Date: .--ii 0 ( D, 7 A.M. P.M. Entry: Address: / /,5 / +_ if - Tenant: Rat . —P/ ,i Ste: MST: BUP: Con /Own: 4 ,mow E i ' MEC: de-tetei PLM o'Z 5/ s.. sy ELC: : v i 0 73 THE FOLLOIG CORRECTIO S ARE REQUIRED: I ELR: -1 ?ce A (7 7, -2---(eCer ; 4 ' 7 f I �© ems Inspector: �/ e Date: � r„, -� APPROVED _ DISAPPROVED /CALL FOR REINSP. 4110 CO 2/14/00 Activities for Case #: ELC97 -00093 3:13:02 PM Assigned Hold Updated Activity Description Date I Date 2 Date 3 To Done By Disp. Level By Updated Notes ELCC001 Application received 2/14/97 DRA RECD DRA 2/14/97 ELCC003 Permit created 2/14/97 DRA PASS DRA 2/14/97 ELCC799 Elect'I Final 2/14/97 2/18/97 MJR PASS MJR 2/18/97 ELCC500 (F)Issue permit 2/14/97 DRA PASS DRA 2/14/97 ELCC800 Case Finaled 2/18/97 MJR PASS . MJR 2/18/97 • • • • • • • • 1 pr Page 1 of 1 • .: • ' ..1r