Permit CITY OF TIGPRD PR ELECTRICAL LC r . ) 1TT _
PERMIT t7. r�CJ�. iL
COMMUNITY DEVELOPMENT DEPARTMENT DATA, ISSUED: lZ1 / 0v/ E.
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171
n C E 2'3 5
CITE ADDRESS...: 127..0 SW Pf CIFIC HWY
SUBDIVISION • FP WINGS ORCHARD TRACTS ZOO +INS:C• -G
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Project Description
—RESIDENTIAL TT NI , -w1 C ir,: ^ •rrrT1 -
S - MISCELLANEOLIL`
1, - 'r' - r j -. �r-.L '�IV1T _. T,- IP' `L�1�(
1000 SF OR LEGS....: 0 0 • 2.00 amp • 0 PUMP/ I RR I SAT I ON....: 'Zl
EACH ADD' L 5 1DSF...: 0 2101 - 400 am 0 SIGN/OUT Tr
,� 0 IGP.:� OLT LIhJE L,..�.. .
LIMITED ENERGY.....: 10 401 -- C100 amp • 0 SIGNAL/PANEL - 0
SVCo I DR.. , 0 £01}-amps-1000 volt,.; ' MINOR LAD-EL (10)...; 'c
---- SERVICE/FEEDER---- - - -- BRANCH CIRCUITS - -- -- -ADD' L INSPECTIONS-- - 200 alai _....... 0 ERV I E OR FEE=DER : 0 • C PER 1 T h,^PECT I Ci'�: 0
221 - 400 a„lp - 0 1st W/O SRVC OR FDR.: 0 PER HOUR 0
401 COO amp • 0 EA P55' L BRNCH C:RC: t.: IN PLANT..... ...... . :2
601 -- 1000 amp..... 0 -- • - -• -- •------ - - - -•- -PLAN REVIEW -
11000+ amp/voIt REG UNITS......... . £00 VOLT NOMINAL..:
Reconnect o n l y : 1 SVC /EDR > = 225 AMPS..: CLASS AREA /SPEC OCC :
ALL TT GLITTERS type amount by date ,
12760 SL: PflCIFlc HWY PRMT $ 52.00 CJS 03/08/96 96- 276778
SPCT $ 2.50 CJS 03/08/96 06- 076773
TISARZ CR ^7222
Phone tt:
Con 'b rapt or: - - -- -- -- -- - _ -_ -__- - - -- - - -- -
rrr+l n r -n r r-r•-r1'� f' c(', nn 1 //'-'
1'. LL`'= l II T I. l-'.1. 1' LI-. .J0L''1 TOTAL
11860 S. W. GREENBURS RD.
rr nr^1 -- - - --- REQUIRED INSPECTIONS • -- - - - --
cR D722.2: E_ _. 1: -:l: L .j - .
Phony' - k#: E03- -339 - 46`7 Elect' 1 Final
Reg ' #. : 27410
This persit is issued subject to the regulations contained in the
Ti;arf Co.e, State of Ore. Specialty Codes and all other Bern i t t e e
appli_ab:e laws. fin or win be done in accordance with
approved pans. This perait will expire if wcrk is not started � ,,
,.ithin 180 2ais of issuan.e, :r if work is sLspended for icre ...4c 2a,�c�
}- 182 Jays. I5Sl-lc By
OWNER INSTALLATION ONLY
The installation is being made on property I or wt -.ic; is not intended for
l.E._.ise, or rent.
OWNER'S S I CNA T URE : DATE:
-- -- -- .---- -.----------CONTRACTOR INOTALLATI ON ONLY - - .
S I CN ;TORE OF CUPR. ELCC' N : pi A i led Df1TE : 3- 8- 96
LICENCE . NO:
Call for inspection -.. 639 -4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # QA- ea 7,S77,17
, �i;, Permit # FLC96-olya
,, l'';� il Phone (503) 639 -4171 Date Issued 3- 9- 96
FAX (503) 684 -7297 /
CITY OF TIGARD TDD No. (503) 684 -2772 Issued by c� /Pl S<<„v, ,off
Inspection (503) 639 -4175
1. Job Address: W .0 . # 5 5 919 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
• Address 12760 S . W . PACIFIC HIGHWAY Service included: Items Cost(ea) Sum
City /State/Zip TIGARD, O R E G O N 97223 4a. Residential - per unit 4
1000 sq. ft. or less $110.00
Name (or name of business) ALL THAT GLITTERS Each additional 500 sq. ft. or
portion thereof $25.00 1
Commercial ® Residential ❑ Limited Energy $25.00 - Each Manurd Home or Modular 2
Dwelling Service or Feeder $68.00
2a. Contractor installation only: 4b. Services or Feeders
Installation, alteration, or relocation 2
Electrical Contractor F R A H L E R ELECTRIC CO. 200 amps or less $60.00 2
Address 11860 S W G R E E N B U R G ROAD 201 amps to 400 amps $80.00 2
City TIGARD G A R D State O R Zip 9 7 2 2 3 401 amps to 600 amps $120.00 2 -
tY p 601 amps to 1000 amps $180.00 2
Phone No. 639 -4627 Overt ea a mpscrVOlts -
$ 40.00 5 2 only Contractor's License No. 34-13 C
Contractor's Board Reg. No. 3 7 1 0 4c. Temporary Services or Feeders
Installation, alteration, or relocation 2
. Signature of Supr. Elec'n ter/ 200 amps or less $50.00 2
$75.00 2
License No. 1816 Z Phone No. 639-4627 201 amps to 400 amps
401 amps to 600 amps $100.00
Over 600 amps to 1000 volts
2b. For owner installations: see 'b' above.
Print Owner's Name RETURN APPLICATION New Branch Circuits
or extension per panel
Address a) The fee for branch circuits with
City StCOPL
purchase of service or feeder fee. 2
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
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:
NOTICE 5a. Enter total of above fees $ 50.00
5% Surcharge (.05 X total fees) $ 2.50
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF Sb. 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 #
$ 52.50
Balance Due $
woN)co°M.NiM°prm.app
4/19/00 Activities for Case #: ELC96 -00142
5:52:17 PM
Assigned Hold Updated
Activity Description . Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCC001 Application received 3/8/96 CJS RECD TMP 3/8/96
ELCC003 Permit created 3/8/96 CJS PEND TMP 3/8/96
ELCC500 (F)Issue permit 3/8/96 CJS PASS TMP 3/8/96
ELCC800 Case Finaled 3/19/96 MJR YES MJR 3/19/96 • •
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Page 1 of 1
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service 411C1P
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: 3 - 19 - ! ( AR. P.M. Entry:
Address: 1 a 7 C O 5 IT
Tenant: Ste: MST:
nn�� '' e BUP:
Con /Own: O-r " aei-y "'�`'`�C MEC:
676-1510 PLM:
ELC:
THE FOLLOW RECTIONS ARE REQUIRED: ELR:
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In pector: / /i///�i' /1��T�I�� Date: /�
A PPROVED _ DISAPPROVED /CALL FOR REINSP. O