Permit CITY F T I G A R D ELECTRICAL PERMIT •
‘ A YIk DEVELOPMENT SERVICES DATES ISSUED: 0909/19 990466
ref II 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1 S134BC -00101
SITE ADDRESS: 12144 SW SCHOLLS FERRY RD
SUBDIVISION: ZONING: C -G
BLOCK: LOT : JURISDICTION: TIG
Project Description: Add a 401AMP - 600AMP service and 86 branch circuits.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: 86 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: 1 EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
WILLIAM W. SAUNDERS, TRUSTEE TURC ELECTRIC
2155 KALAKAUA AVE STE 500 995 SW HIGHLAND DR
HONOLULU, HI 96815 GRESHAM, OR 97080 -6352
Phone: Phone: 661 -8872
Reg #: LIC 00088541
SUP 3970S
ELE 26 -825C
FEES Required Inspections
Type By Date Amount Receipt Ceiling Cover
5PCT DST 09/09/1999 $41.20 99- 318217 Wall Cover
PLCK DST 09/09/1999 $147.15 99- 318217 Underground Cover
ORI
A
PRMT DST 09/09/1999 $588.60 99- 318217 Elect'I Service ( L
Elect'I Final
Total '.776.95
This Permit is issued subject to the regulations con ained in the Tigard Municipal Code, State of OR. Spedalty Codes and all other applicable laws.
All work will be done in accordance with ap• oved p :ns. This permit will expire if work is not started within 180 days of issuance, or if work is
suspended for more than 180 days. ATTEN' ION: •regon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OAR 952 - 001 -0010 thro • h OA" 952 - 001 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -1987. /
PERMITTEE'S SIGNATUR ISSUED BY: /,
ith R INSTALLATION ONLY
The installation is being made on property I ow is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
• R INSTALLATION ONLY C�
SIGNATURE OF SUPR. ELEC'N: DATE: 9
9 ?
LICENSE NO: 3' 0 -S •
Call 639 -4175 by 7:00pm for an inspection the next business day
CITY OF TIGARD Electrical Permit Application Plan Check# 7- c 3G
- 13125 SW HALL BLVD. Rec'd By a-
TIGARD OR 97223 Date Rec'd - /�� 1
Date to P.E. F - 2$`
Phone (503) 639 -4171, x304 D to DST D - 99
Inspection (503) 639 -4175 Print of Type Permit# 9 - 00 5/44,
Fax (503) 598 -1960 Incomplete or illegible will not be accepted Called . 5'" 6- ? 9
1. Job Address: /� 4. Complete Fee Schedule Below:
Name of Development ° i S . 0 i Q 'Li _ f., Number of Inspections per permit allowed
It
Name (or name of business) Service included: Items Cost Sum
Address l 2/ Li ii S W 50004. FC 2,e) 4a. Residential - per unit
City/State /Zip V i ' AA 1' ( �, ow 1000 sq. ft. or less $ 117.75 4
Each additional 500 sq. ft. or
portion thereof $ 26.25 1
Commercial Residential ❑ Limited Energy $ 60.00
Each Manufd Home or Modular
2a. Contractor installation only: Dwelling Service or Feeder $ 72.75 2
(Prior to permit issuance, applicants must provide contractor license 4b. Services or Feeders
information for COT data base). ,� _ _ Installation, alteration, or relocation
Electrical Contractor `T-UR -e E _ C 0 200 amps or less 3 $ 64.25 2
Address W6 O( 5 //A 5/1-' 201 amps to 400 amps $ 85.50 2
401 amps to 600 amps I $ 128.50 /,Ztr1 51) 2
City State fi‹._ Zip Q ' 7 0 ,8 0 f7f./ 601 amps to 1000 amps $ 192.50 2
Phone No. ,66 / --0 8 7 - Over 1000 amps or volts $ 363.75 2
Job No. Reconnect only $ 53.50 2
Elec. Cont. Lice. No. 2. , : xp.Date 1 O - O( - �f' 4c . Temporary Services or Feeders
OR State CCB Reg. No. r ]! Exp.D 2 -�t -d0 Instal lation, alteration, or relocation
COT Business Tax or Metro No. r ' Exp.D / /-&'- r 200 am or less $ 53.50 2
201 amps to 400 amps $ 80.25 2
Signature of Supr. Elec'n 401 amps to 600 amps $ 107.00 2
N Over 600 amps to 1000 volts,
License No. '34 7 0_5 Exp.Date lb -(9/ D I see "b " above.
Phone No. 60 --Q c3/ 2 4d. Branch Circuits
New, alteration or extension per panel
a) The fee for branch circuits
2b. For owner installations: with purchase of service or 6`
feeder fee. �'tt AA
Print Owner's ^'-
s Name Each branch circuit $ 5.35 d/6, -l't/ 2
Address b) The fee for branch circuits
without purchase of service
City State Zip or feeder fee.
Phone No. First branch circuit $ 37.50
Each additional branch circuit $ 5.35
The installation is being made on property I own which is not 4e. Miscellaneous
intended for sale, lease or rent. (Service or feeder not included)
Each pump or irrigation circle $ 42.75 ,
Owner's Signature Each sign or outline lighting $ 42.75
Signal circuit(s) or a limited energy
(if required):* panL e levation or extension $ 60.00
3. Plan Review section
( Minor Labels (10) $ 107.00
Please check appropriate item and enter fee in section 5B. 4f. Each additional inspection over
4 or more residential units in one structure the allowable in any of the above
Service and feeder 225 amps or more Per inspection $ 50.00
Per hour $ 50.00
System over 600 volts nominal In Plant $ 59.00
Classified area or structure containing special occupancy as
described in N.E.C. Chapter 5 5. Fees:
5a. Enter total of above fees $ 6 cs- Ga
* Submit 2 sets of plans with application where any of the above apply. 170 414 Surcharge (.05 X total fees) $ y/ .00
Not required for temporary construction services. Subtotal $
5b. Enter 25% of line 5a for
NOTICE Plan Review if required (Sec. 3) $ /47 f S
PERMITS BECOME' VOID IF WORK OR CONSTRUCTION AUTHORIZED Subtotal $
IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR 147' 1S
WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS ❑ Trust Account #
AT ANY TIME AFTER WORK IS COMMENCED. Total balance Due $44
is \dsts \forms \electric.doc
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. 10/08/1999 Activities for Case #: ELC1999 -00466
10:40:29 AM .
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCC001 Application received 07/15/1999 GEO RECD No Hold GEO 07/28/1999
ELCC003 Permit created . 07/28/1999 GEO DONE No Hold GEO 07/28/1999
ELCC102 Plans routed to Plans Examiner 07/28/1999 GEO SENT No Hold GEO 07/28/1999
•
ELCC110 Plans checked /approved by P.E. • 07/30/1999 CD PASS No Hold CD 07/30/1999
ELCC115 Approved plans routed to DSTs 07/30/1999 CD PASS No Hold CD 07/30/1999
ELCC700 Ceiling Cover 07/30/1999 07/30/1999 09/02/1999 CD PASS No Hold AKJ 09/02/1999 inside soffits and bathroom
ceilings
ELCC720 Wall Cover 07/30/1999 07/30/1999 08/23/1999 CD PASS No Hold AKJ 08/23/1999
ELCC725 Underground Cover 07/30/1999 07/30/1999 No Hold CD 07/30/1999
ELCC730 Elect'I Service 07/30/1999 07/30/1999 09/14/1999 CD PASS No Hold AKJ 09/14/1999
ELCC799 Elect'I Final 07/30/1999 07/30/1999 10/04/1999 CD PASS No Hold AKJ 10/05/1999
ELCC920 Miscellaneous action No Hold CD 07/30/1999
ELCC117 DST Post - Review complete 08/06/1999 GEO DONE No Hold GEO 08/06/1999
ELCC400 (F)Ready to issue 08/06/1999 GEO PASS No Hold GEO 08/06/1999
. ELCC500.(F)Issue permit 09/09/1999 GEO DONE No Hold DST 09/09/1999
ELCC700 Ceiling Cover 09/26/1999 09/26/1999 09/24/1999 BRP PASS No Hold AKJ 09/26/1999 elec install at ceilings pass
ELCC800 Case Finaled 10/05/1999 AKJ DONE No Hold AKJ 10/05/1999 .
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