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Permit r CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC97 -0657 �,, DEVELOPMENT SERVICES DATE ISSUED: 10/07/97 -4171 PARCEL: 2S11ODC -0200 SITE ADDRESS...:15532 SW PACIFIC HWY SUBDIVISION •WILLOW BROOK FARM ZONING:C —G BLOCK • LOT :011 JURISDICTION: TIG Project Description: Postal Annex - -- 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: 10 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 POSTAL ANNEX type amount by date recpt 15532 SW PACIFIC HWY PRMT $ 85.00 JSD 10/07/97 97- 299865 TIGARD OR 97223 SPCT $ 4.25 JSD 10/07/97 97- 299865 Phone #: Contractor: ALLIANCE ELECTRIC INC $ 89.25 TOTAL 19590 SW 51ST REQUIRED INSPECTIONS TUALATIN OR 97062 Ceiling Cover Elect'1 Final Phone #: 691 -2222 Wall Cover Reg #.. 000787 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 morelha 1n 80 days. ATTENTION: Oregon law requires you to fo low the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001 -0010 through OAR 952 -601- 987. You may obtain a copy of these rules or direct questions to Pik, b all . (503)246 = 1987. Permittee Signature: ', '`` 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: LICENSE NO: ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day ++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++ ..- Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # x � , , Permit # �j _('_ `77- 06 I "Li. i ll Phone (503) 639 -4171 Date Issued /63 FAX (503) 684 -7297 CITY OF TIGARD TDD No. (503) 684 -2772 Issued b Inspection (503) 639 -4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Tigard Promenade C e n t e " Number of Inspections per permit allowed Address 15532 SW Pacific Hwy. Service included: Items Cost(ea) Sum City /State/Zip T i g a r rf OP 4a. Residential - per unit 4 1000 sq. ft. or less $110.00 - Name (or name of business) Postal Annex Each additional 500 sq. fl. or portion thereof $25.00 1 Commercial Et 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 A l l i a n r P F l P r t r i r 200 amps or less $60.00 2 Address 1qc qn 1q' s w .s1 c t 201 amps to 400 amps $80.00 2 - 401 amps to 600 amps $120.00 - City Tualatin State n lz Zip 97062 601 amps to 1000 amps $180.00 2 Phone No. 6 q 1- 2222 Over 1000 amps or volts $340.00 2 Contractor's License No. 3-31 n r Reconnect only $50.00 - Contractor's Board Reg. No. 7 R 713 4c. Temporary Services or Feeders ,p Installation, alteration, or relocation 2 Signature of Supr. Ele . /e - A 200 amps or less $50.00 2 - License No. 2021S Phone No. 691 - 2222 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. 4d. Branch Circuits Print Owner's Name New, alteration or extension per panel Address a) The fee for branch circuits with Cl State Zi purchase of service or feeder fee. 2 ry p Each branch circuit $5.00 Phone No. b) The fee for branch circuits withou The installation is being made on property I own which is Purchase of service or feeder $ 5.00 fee., 2 not intended for sale, lease or rent. First branch circuit 1 $ 3 5 . 0 0 2 Each additional branch circuit 1 f) $5.00 c () f) f) 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 $ 85.00 5% Surcharge (.05 X total fees) $ 4 2 PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ 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 $ 89.25 -.....g.„.. Page No. 1 CASE HISTORY FOR CASE NO.: ELC97 -0657 POSTAL ANNEX 15532 SW PACIFIC HWY Unit: C -1 12/01/97 Action Description Reg/ Schd/ End/ Action Notes Disp By Update Upd Code Sent Done Done Date By - - -- --- - --- -- -- --- ELCC001 Application received 10/07/97 / / 10/07/97 PASS JSD 10/07/97 JD ELCC003 Permit created 10/07/97 / / 10/07/97 PASS JSD 10/07/97 JD ELCC500 (F)Issue permit / / / / 10/07/97 PASS JSD 10/07/97 JD ELCC720 Wall Cover 10/07/97 / / 10/09/97 PASS BRP 10/28/97 J *H ELCC725 Underground Cover / / / / 10/22/97 Inside floor boxes UG approved /PVC PASS BRP 10/29/97 J *H underfloor slab pass. ELCC799 Hlect'1 Final 10/07/97 / / 11/03/97 not ready DIS MJR 11/04/97 MJR ELCC799 Elect'l Final / / / / 11/05/97 PASS MJR 11/05/97 MJR ELCC800 Case Finaled / / / / 11/05/97 need security permit PASS MJR 11/05/97 MJR ELCC920 Miscellaneous action / / / / 10/10/97 Rough in approved, not specific as to PASS BRP 10/10/97 J *H wall or ceiling.