Permit CITY OF TI GAR D ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC97 -0586
DATE ISSUED: 08/27/97
"J' = - -.. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639-4171
PARCEL: 1S136CC —CHOO1
SITE ADDRESS...:O8364 SW PFAFFLE ST
SUBDIVISION -CARRIAGE HOUSE APARTMENTS ZONING:R -12
BLOCK • LOT • JURISDICTION:
Project Description : Installing one temporary service or feeder and 7 add'l
branch circuits
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS • 0 0 — 200 amp • 1 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
MANE. 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.: 0 PER HOUR • 0
401 — 600 amp • 0 EA ADD'L BRNCH CIRC: 7 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
ANDREWS MANAGEMENT LTD type amount by date recpt
4000 SW KRUSE WAY #270 PRMT $ 85.00 B 08/27/97 97- 298716
LAKE OSWEGO OR 97035 5PCT $ 4.25 B 08/27/97 97- 298716
Phone #:
Contractor:
JARMER ELECTRIC INC $ 89.25 TOTAL
5105 SW 45TH
REQUIRED INSPECTIONS
PORTLAND OR 97221 Rough —in Elect'l Final
Phone #: 246 -5381 Elect'l Service
Reg #..: 000069
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 188
days of issuance, or if work is suspended for more 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- 881-8810 through OAR 952-981 -1987. You may obtain a copy
of these rules or direct questions to OUNC by calling (583)246 -1987.
Permittee Signature: /tom /i Issued By: e' PlAji
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: 6VVN off(I/ArvN. DATE:
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 6:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
CITY OF TIGARD Electrical Permit Application Plan Check #
13125 SW HALL BLVD. Rec'd By VO
-
TIGARD OR 97223 Date Rec'd 4 -n-17
Date to P.E.
Phone (503) 639 -4171, x304 Date to DST
Inspection (503) 639 -4175 Print or Type Permit # F LC 6 11 - f O
Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Cloi.".A. V G�� / ✓..-P Number of inspections per permit allowed
Name (or name
/
e of business) AA./ dlLti
- rJ /1 - 1 l /t 6 I • Service included: Items Cost Sum
I
O`
Address 3 ( ' �- Lc/ p�4 (. C. 4a. Residential - per unit
1000 sq. ft. or less $110.00 4
City /State /Zip "11..4 / 4 Each additional 500 sq. ft. or
Commercial ❑ Residential ❑ Li portion thereof $25.00 1
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
Installation, alteration, or relocation
Electrical Contractor . AIM t 0 I 1 . In 200 amps or less $60.00 2
Address S I b S L.) t 5 201 amps to 400 amps $80.00 2
City.., n,,,.. Q State p Q. Zip 9'), I 401 amps to 600 amps $120.00 2
Phone No. A 4 - I (o' S R 1 601 amps to 1000 amps $180.00 2
Job No. Over 1000 amps or volts $340.00 2
Elec. Cont. Lice. No. _alp_ L Exp.Date I b i i 19 7 Reconnect only $50.00 2
OR State CCB Reg. No. le (V Exp.Date 3 � 9 4c. Temporary Services or Feeders
COT Business Tax or Metro No. s • .. -..Dat t blgl Installation, alteration, or relocation b
200 amps or less t $50.00 2
201 amps to 400 amps $75.00
Signature of Supr. Elec' / /��� 401 amps to 600 amps $100.00 2
1 , • Over 600 amps to 1000 volts,
License No. 3 %"1 y 5 xp.Date see "b" above.
Phone No. a tip 5 ..FC 1 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 Owners Name feeder fee.
Address Each branch cir $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 �' 2 •
The installation is being made on property I own which is not Each additional branch circuit $5.00 T 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: S5
Not required for temporary construction services. 5a. Enter total of above fees $ 7.-<- 5% Surcharge (.05 X total fees) $
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 # $ 0 . LS
Total balance Due
I: \DSTS \ELC96.APP Rev 9/96
Page No. 1 CASE HISTORY FOR CASE NO.: ELC97 -0586
ANDREWS MANAGEMENT LTD
08364 SW PFAFFLE ST
04/27/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Done Date By
---- --- - - - -- --- - --
ELCD001 Application received / / / / 08/27/97 RECD B 08/27/97 BON
ELCD003 Permit created / / / / 08/27/97 PASS B 08/27/97 BON
ELCD500 (F)Issue permit / / / / 08/27/97 PASS B 08/27/97 BON
ELCD700 Rough -in / / / / 08/27/97 Schedule 40 PVC not approved where FAIL BRP 09/04/97 J *H
subject to physical damage (ART 300 -4,
347 -3(c), 347 -2(d), 300 -5(d).
Applies to site lighting for carports at
8388 & 8364 Pfaffle.
ELCD799 Elect'l Final / / / / 09/17/97 PASS BRP 09/18/97 J *H
ELCD800 Case Finaled / / / / 09/17/97 PASS BRP 09/18/97 J *H
ELCD920 Miscellaneous action / / / / 09/18/97 Called for 2nd final, already done. PASS BRP 09/19/97 J *H