Permit CITY OF TIGARD ELECTRICAL PERMIT
„„,,, ' l l DEVELOPMENT SERVICES PERMIT #: E PERMIT 702
Al DATE ISSUED: 10/22/97
!,L 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639.4171
PARCEL: 25111DD -09600
SITE ADDRESS...:08715 SW STRATFORD CT
SUBDIVISION -CHESSMAN DOWNS ZONING:R -7
BLOCK • LOT •022 JURISDICTION: TIG
Project Description : Add two (2) branch circuits to an existing single family
dwelling.
- -- 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/0 SRVC OR FDR.: 1 PER HOUR • 0
401 — 600 amp......: 0 EA ADD'L BRNCH CIRC: 1 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
DIGGS, DONALD & DIANNE type amount by date recpt
8715 SW STRATFORD COURT PRMT $ 40.00 GEO 10/22/97 97- 300285
TIGARD OR 97224 SPCT $ 2.00 GEO 10/22/97 97- 300285
Phone #: 684 -2786
Contractor: -- --
DAVID JEROME ELECTRIC $ 42.00 TOTAL
PO BOX 751
REQUIRED INSPECTIONS
HILLSBORO OR 97123 Rough —in Elect' 1 Service
Phone #: 648 -5144 Underground Cove Elect' I Final
Reg #.. : 000360
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 sore 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 through OAR 952 -001 -1987. You may obtain a copy
of these rules or direct questions to OUNC by calling ( 03)246 -1987.
Permittee Signature: 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: DATE : id/AV'?
L I CENSE NO : ept $. 9- 7 ' S _
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + ++ + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + ++ + + + + + ++
JOB #.s(D
L Community Development ELECTRICAL PERMIT APPLICATION
A 13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
I .,„ Permit # � Ge° 9l-6 Ida
P hone (503) 639 -4171
�.1,L �< 11 I Date Issued
CITY OF TIGARD FAX (503) 684 -7297 Issued by
TDD No. (503) 684 -2772
Inspection (503) 639 -4175
1. Job Address: 1 4. Complete Fee Schedule Below:
Name of Developmen Fj 7 f J S � LS Q 14G l 0- Number of Inspections per permit allowed
' Address L--- 77AcAA�� 1'107 S
ccS E7 Service included: Items Cost(ea) Sum
City/State/Zip TIGARD "O R ci -7 L Z `1 4a. Residential - per unit 4
1000 eq. ft. or lees
$110.00
Each additional 500 sq. ft. or
portion thereof $25.00 1
Commercial ❑ Residential I �yJ Limited Energy $25.00
Each Manure' 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 D A J E R O M E E l E (T R T [, 200 amps or less $60.00 2
Address PO BOX 7 51 201 amps to 400 amps $80.00 2
401 amps to 600 amps $120.00 2
City HI L L S B O R 0 State OR Zip q 71 2 '1 601 amps to 1000 amps $180.00 2 -
Phone No. 648 -5144 FAX R4R - c172q Over 1000 amps or volts $c o.00 2
Contractor's License No. q 4 -1 1 q c Reconnect only $50.00
Contractor's Board Reg. No. _ I 4c. Temporary Services or Feeders
Installation, alteration, or relocation 2
Signature of Supr. Elec ��� 200 amps or less $50.00 2
License No. 2 8 7 7 S Phone z 64 8 - 514 4 201 amps to 400 amp $75.00 2
401 amps to 600 amps $100.00
Over 600 amps to 1000 volts
. . Fo owner installations: see •b' above.
4d. Branch Circuits
Print Owner's e New, alteration or extension per panel
Address a) The lee for branch circuits with
City -IF State Zip purchase of service or feeder fee. 2
_ Each branch circuit $5.00
Phone No. b) The lee for branch circuits withou
The installation is be g made on p :. erty I own which is purchase of service or feeder fee. 2
not intended for S- e, lease or rent. First branch circuit $35.00 �� 2
Each additional branch circuit $5.00 S
Owner's Signs I : 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or irrigation cirde $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: c
NOTICE 5a. Enter total of above fees $ - 1 0
5% Surcharge (.05 X total fees) $ 02-/
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) $
'RIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
L .IMENCED. ❑ Trust Account # $ L I Balance Due $ __ _'L3
RECE
00 2, 21997
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CITY OF TIGARD BUILDING INSPECTION DIVISION
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24 -Hour Inspection Line: 639 -4175 Business Phone: 639 -4171 ∎'�
Date Requested: lD -.7--b* - 9 7 A.M. P.M. MST:
Location: 07 f 5 S'60 ___brt_a CL 0 BUP:
Tenant: Suite: Bldg: MEC:
Contractor: 0 - 0 # ' . Phone: a PLM:
„X---Owner: > ' 0 _ C r 7 -(70r_.
n Phone: �� ELC:
�i, .- j : (!J 1 I / r , • ELR:
t r 1 c...4...Z.0 —} SIT:
BUILDING BLDG (con't) PLUMBING MECHANICAL ELECTRICAL SITE
Site Post/Beam Post/Beam Post/Beam ov ervice Sewer /Storm
Footing Rif UndFl/Slab Rough -In Ceiling Water Line
Slab Framing Top Out Gas Line Rough -In UG Sprinkler
Foundation Insulation Sewer Hood/Duct Reconnect Vault
Bsmt Damp Drywall Storm Furnace Temp Service MISC.
Masonry Ceiling Rain Drain A/C UG Slab
Shear /Sheath Fire Spklr /Alm Crawl/Found Dr Heat Pump Low Volt
Approved Approved Approved Approved Approved
Appr /Sdwlk Not Approved Not Approved Not Approved of Approved Not Approved
FINAL FINAL FINAL FINAL FINAL
Z t ) i CA 1 m PA-IvE L+ - I ECOC -1 M.E Al .0 . /zE .Z D — dN' v/� IT
/Nsr/9 Li44. T i nA/ 13 i9-s5'
CC____:
O Call for reinspection einspection fee of $ required before next + inspection O Unable to inspect
Date: /U
Inspector: /� — R F- / xt 7 Page of
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