Permit A‘i CITY OF T ELECTRICAL PERMIT
DEVELOPMENT SERVICES PERMIT #: ELC98 -0645
. !+ iI) I 13125 SW Hall Blvd., Tigard, OR 97223 (503)639-4171
DATE I SSUED : 10 / 26 / 98
PARCEL: 29112AD -00900
SITE ADDRESS...:14800 SW SEQUOIA PKWY
SUBDIVISION • ZONING:I —P
BLOCK • LOT • JURISDICTION: TIG
Pro.j ect Description : Add one (1) branch circuit to an existing conercial tenant
occpy. Job no.221 -6328
- -- 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 • 0 W /SERVICE OR FEEDER: 0 PER INSPECTION • 0
201 — 400 amp • 0 1st W/O SRVC OR FDR.: 1 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
THE HOME DEPOT USA, INC. type amount by date recpt
601 SOUTH PLACENTIA PRMT $ 35.00 DEB 10/26/98 98- 310285
FULLERTON CA 92631 -0039 SPCT $ 1.75 DEB 10/26/98 98- 310285
Phone #: •
Contract or:
CHRISTENSON ELECTRIC INC $ 36.75 TOTAL
111 SW COLUMBIA
STE 480 REQUIRED INSPECTIONS
PORTLAND OR 97201 Ceiling Cover Elect' 1 Service
Phone #: 241 -4812 Wall Cover Elect'1 Final
Reg #..: 000458
This peroit 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 peruit will expire if work is not started within 180
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- 001-0010 oug R 952 -001 -1987. You nay obtain a copy
of these rules or direct questions to OUNC by callin (503)246 -1987. '/
Permittee Signature: ,te,,e10 Issued By: -i'
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: , AjQQ , . ` _A /_" • DATE: /d - off —e
LICENSE NO: g73.3
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
RECEIVED
-
CITY OF TIGARD Electrical Permit AppUea4• Plan Ch
13125 SW HALL BLVD. OCT 1 5 19 ° Recd e
TIGARD OR 97223 ate Rec'd 7'- !! - '�4
!]": . �1U;�ITY ora,c l3i ,' , . ..TI AUG A�� � 1°� ; iLL p � Date to P.E.
Phone (503) 639 -4171, x30 Print or T .p0� Date to DST
1 . °!;' rim ' Permit # • Inspection (503) 639 -4175 Incomplete or illegible will not be accep
Fax (503) 684 -7297 Called Vo r - D1 p
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development HOME DEPOT Number of Inspections per permit allowed
Name (or name of business) HOME DEPOT Service included: Items Cost Sum
Address 14800 SW SEQUOIA PARKWAY 4a. Residential - per unit
TIGARD OR 97223 1000 sq. ft. or less $110.00 4
City/State/Zip Each additional 500 sq. ft. or
Commercial la Residential ❑ Li portion thereof $25.00 1
Limited Energy $25.00
QUESTIONS? CONTACT JON WIMBER 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
Electrical Contractor CHRISTENSON ELECTRIC, INC. Installation, alteration, or relocation
Address 111 SW COLUMBIA, SUITE 480
200 amps to or less $60.00 2
201 amps to 400 amps $80.00 2
CityPORTLAND State OR Zip 97201 -5886 401 amps to 600 amps $120.00 2
Phone No. 501- 241 -4812 601 amps to 1000 amps $180.00 2
Job No. 221 -6328 # Over 1000 amps or volts $340.00 2
Reconnect only $50.00 2
Elec. Cont. Lice. No. 26 -14C Exp.Date
OR State CCB Reg. No. 00458 Exp.Date 4c. Temporary Services or Feeders
COT Business T o No. 5246 Exp.Date Installation, alteration, or relocation
200 amps or less $50.00 2
Signature of Su lec'rt'�� _. _�1 ' 201 amps to 400 amps $75.00 2
Si
g • ' ` 401 amps to 600 amps $100.00 2
8 10
Over 600 amps to 1000 volts,
License No. 873S Exp.Date see "b" above.
Phone No. 503 -241 -4812
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 Owner's Name feeder fee.
Address Each branch circuit $5.00 2
-
City State Zip b) The fee for branch circuits
ty p without purchase of
Phone No. First branch i or f eeder fee. 1 $35.00 35 2
The installation is being made on property I own which is not Each additional branch circui $5.00 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. 5. Fees: 35.
Not required for temporary construction services. 5a. Enter total of above fees $
5% Surcharge (.05 X total fees) $ 1
NOTICE • Subtotal $ 36.75
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 $ 36.73
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Trust Account #
Total balance Due $ 36.75
I: \DSTS \ELC96.APP Rev 9/96