Permit CITY OF TIGARD ELECTRICAL PERMIT
,,,,., ,, , DEVELOPMENT SERVICES PERMIT #: E PERMIT 485
Allh% �7 n rMf l i ''� DATE ISSUED: 07/22/97
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
PARCEL: 2S102AA-OO6OO
SITE ADDRESS...:1194O SW PACIFIC HWY #C
SUBDIVISION •TIGARD HIGHWAY TRACTS ZONING:CBD
BLOCK...........: LOT •12 JURISDICTION: TIG
Project Description : Installing 10 branch circuits.
- -- 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: 9 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
ALL ABOUT HAIR type amount by date recpt
11940 SW PACIFIC HWY PRMT $ 80.00 DRA 07/22/97 97- 297447
TIGARD OR 97223 SPCT $ 4.00 DRA 07/22/97 97- 297447
Phone #:
Contractor:
MARANATHA ELECTRICAL $ 84.00 TOTAL
CONSTRUCTION
PO BOX 940 REQUIRED I NSPECTI ONS
BEAVERTON OR 97075 Ceiling Cover Underground Cove
Phone #: 591 -5547 Wall Cover Elect'1 Service
Reg #.. : 005742
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 with approved plans. This permit will expire if work is not started within 180
days of issuance, or if work is suspended for sore than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 OAR 952 -001 -1987. You may obtain a copy
of these rules or direct questions to OUNC b calling (503)246 ,
Permittee Signatu-rre: r" ' " Issued B : I / 4 1 ,
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 ,)4AQ ` 4 4 y. DATE:
LICENSE NO:
+ ++ + + + + ++ + ++++ + + + + +++ -I- + + + + + ++ + + + + + + ++ + + + + + + + ++ + ++ + +-I- + -I- + + ++ ++ + + + + ++ + + + + + ++ ++ -F- + ++
Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day
+ + + + + + + + + + +-I- ++++++++++++++- I-+++++++++++- I-+++++++++++++ + + + + + + + + +- I- + + +- I- + + + + + + + + + + + ++
l
CITY.OF TIGARD Electrical Permit Application Plan Check
.13125 SW HALL BLVD. Rec'd B y )0
TIGARD OR 97223 Date Rec'd 7 /1`9' -
Date to P.E.
Phone (503) 639 -4171, x304 Date to DST
Inspection (503) 639 -4175 Print or Type Permit # ��NV r:
Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development A i /'K / /4 Number of Inspections per permit allowed
Name (or name of business) A/ / //,4 /-/•,-e Service included: Items Cost Sum
I
Address // ? 0 --5:1-J• c ;-?- C- /.71(4/1 4a. Residential - per unit
City /State/Zip .7 414 1000 additional or less q $t 10.00 4
Each additit ional 500 s ft. or
El Limited thereof $25.00 1
Commercial la Residential
Limited Energy $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
(Attach copy of all current licenses) 4b. Services or Feeders
Electrical Contractor ►/_ ,tit ia L t • .I ' j { .(-1) . Installation, alteration, or relocation
Ad • - s •, • • - 1 . q 1 200 amps or less $60.00 2
r �f 201 amps to 400 amps $80.00 2
City L_ Lit a' State Zip i`�'���il / 401 amps to 600 amps $120.00 2
Phone No. . -54`I- -7- 601 amps to 1000 amps $180.00 2
Job No. caP5 f Over 1000 amps or volts $340.00 2
Reconnect only $50.00 2
Elec. Cont..Lice. No. . . Exp.Date 1'Dt
OR State CCB Reg. No. Exp.Date �.�9i ,/ 4c. Temporary Services or Feeders
COT Business Tax or Metro N S'c!: ■ • ate 0 Installation, alteration, or relocation
200 amps or less $50.00 2
$75.00
Signature of Supr. Elec' • I 401 amps to 600 amps $100.00 2
201 amps to 400 amps
/ _ Over 600 amps to 1000 volts,
License No. c9', - 3 3 Exp.Date 0 /get see "b" above.
Phone No. .70:5 - .6GI -,551 /
4d. Branch Circuits
New, alteration or extension per panel
2b. For owner installations: a) The fee for branch circuits with
purchase of service or
Print Owner's Name feeder fee.
Address Each branch circuit $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 J •O 2
The installation is being made on property I own which is not Each additional branch circuit 9" $5.00 �5 D 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. 5. Fees: �,�
Not required for temporary construction services. 5a. Enter total of above fees $ DU
5% Surcharge (.05 X total fees) $ -DD
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
TIME AFTER WORK IS COMMENCED. ❑ Trust Account # 6 L. vo
Total balance Due $
I: \DSTS \ELC96.APP Rev 9/96
44'
Page No. 1 CASE HISTORY FOR CASE NO.: ELC97 -0485
• ALL ABOUT HAIR
11940 SW PACIFIC HWY Unit: D
12/01/97
Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
ELCC001 Application received / / / / 07/22/97 RECD DRA 07/22/97 DRA
ELCC003 Permit created / / / / 07/22/97 PASS DRA 07/22/97 DRA
ELCC400 (F)Ready to issue / / / / 07/22/97 PASS DRA 07/22/97 DRA
ELCC500 (F)Issue permit / / / / 07/22/97 PASS DRA 07/22/97 DRA
ELCC700 Ceiling Cover 07/22/97 / / 08/20/97 support cables DIS MJR 08/20/97 MJR
sign and complete permit label
• open splices above bath •
need seizmic cables or clips
no show window plugs
no cirrcuits for hot water heaters
ELCC700 Ceiling Cover / / / / 09/11/97 PASS MJR 09/16/97 MJR
ELCC720 Wall Cover 07/22/97 / / / / 07/22/97 DRA
ELCC725 Underground Cover 07/22/97 / / / / 07/22/97 DRA
• ELCC730 Elect'l Service 07/22/97 ./ / / / 07/22/97 DRA
ELCC799 Elect'l Final 07/22/97 / / 09/08/97 corrections of 08 -20 -97 not complete DIS MJR 09/08/97 MJR
1. reopen ceiling for inspection of
seizmic cables & clips
2. no show window plug - 2nd notice•
3. hot water disconnects to be lockable
4. low volt cable needs support
•
ELCC799 Elect'l Final / / / / 09/11/97 PASS MJR 09/16/97 MJR
ELCC800 Case Finaled / / / / 09/11/97 PASS MJR 09/16/97 MJR
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