Permit _ OF EL ECTRICAL PERMIT
C� lY T I GARD PERMIT #: ELC96 -0333
COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 05/28/96
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 639 -4171
PARCEL: 2S 1 12DA -00400
SITE ADDRESS...: 06650 SW REDWOOD LN .
SUBDIVISION ZONING:I —P
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BLOCK • LOT
Project Description: Adding one service or feeder to 200amps and ten branch
circuits for Ford Consumer Finance.
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS 0 0 — 200 amp • 0 PUMP /IRRIGATION • 0
EACH ADD'L 500SF...: 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 • 1 W /SERVICE OR FEEDER: 10 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: 0 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
FORD CONSUMER FIN type amount by date recpt
15350 SW SEQUOIA PKWY SUITE 240 PRMT $ 110.00 CJS 05/28/96 96- 279848
5PCT $ 5.50 CJS 05/28/96 96- 279848
TIGARD OR 97223
Phone #:
Contractor:
BACHOFNER ELECTRIC, INC. $ 115.50 TOTAL
55 SE MAIN
REQUIRED INSPECTIONS
PORTLAND OR 97214 Wall Cover Elect' 1 Final
Phone #: 503 - 233 -2006 Elect'1 Service
Reg #.. : 44569
This pernit is issued subject to the regulations contained in the
Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm i t t e e 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 (iar rle t �lirh.cl7
than 180 days. Issued 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: Cr/ GcpD /irc - DATE: 5 'a.R -9j
LICENSE NO: I<
Call for inspection — 639 -4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Permit # Etcq,- 033 3
,,� �, Date Issued .6 - aR- 46
74� iI Phone (503) 639 -4171
FAX (503) 684 -7297
CITY OF TIGARD TDD No. (503) 684 -2772
Inspection (503) 639 -4175
1. Job Address: __ � 4. Complete Fee Schedule Below:
Name of Development (o (0 v tV GRLQ. �f,0 -0 Number of Inspections per permit allowed
Address SW $i e 38 - P 1c y Bldg. #241) Service included: Items Cost(ea) Sum
City /StateEZip= Tigard, OR u : /e d y/5
-
4a. Residential - per unit
1000 sq. ft. or less $110.00 4
Name (or name of business) Ford Consumer Fin Each additional 500 sq. ft, or
portion thereof $25.00
Commercial ® Residential 111 Limited Energy $25.00 1
Each Manufd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
4b. Services or Feeders
Electrical Contractor Bachofner Electric Installation, alteration, or relocation 55 S.E. $60.00 FO. 2
. E . Main 200 amps to or less $80.00
Address 201 amps to 400 amps 2
City Portland State OR Zip 97214 401 amps to 60 amps $120.00 0.00 2
233 -2006 601 amps to 1000 amps
Phone No. Over 1000 amps or volts $340.00 2
Job NO1936 Reconnect only $50.00 2
contractor's license NO. 26 -451C 4c. Temporary Services or Feeders
Contractor's Board Reg. No 45 Installation, alteration, or relocation
Signature of Supr. Elec'n 200 amps or less 2
License No. 2808S Phone No. 201 amps to 400 amps $50.00 2
006 401 amps to 600 amps $
Over 600 amps to 1000 volts $100.00
. 2b. For owner installations: see "b" above.
4d. Branch Circuits
Print Owner's Name New, alteration or extension per pane
Address a) The fee for branch circuits with
purchase of service or feeder fee. 2
City State Zip Each branch circuit 10 $5.00 50.00
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. East a ddch a blt $$5.00
Each additionnal 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 $38.00
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:
5a. Enter total of above fees 110
NOTICE 5% Surcharge (.05 X total fees) $ 5.5U
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. worncomdme..- ❑ Trust Account #
prm.app
Balance Due $ 115.50
5/19/00 Activities for Case #: ELC96 -00333
2:51:38 PM
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Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
• ELCA001 Application received 5/28/96 CJS RECD CJS 5/28/96
ELCA003 Permit seated 5/28/96 CJS PEND • CJS 5/28/96
ELCA720 Wall Cover 5/28/96 6/27/96 MJR PASS MJR 6/27/96
ELCA500 (F) Issue permit 5/28/96 CJS PASS CJS 5/28/96
ELCC700 Ceiling Cover 6/27/96 6/27/96 MJR PASS MJR 6/27/96
ELCC800 Case Finaled 7/11/96 MJR PASS MJR 7/11/96
ELCC800 Case Finaled 7/11/96 MJR PASS MJR 7/11/96
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