Permit CITY OF TIGARD
DEVELOPMENT SERVICES ELECTRICAL PERMIT
" `� d iO''NU�k�'fl� • PERMIT #: ELC97 -0260
,; 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 DATE ISSUED: 05/02/97
PARCEL: 1S133CD -13300
• SITE ADDRESS...:11826 SW TALLWOOD DR
SUBDIVISION.....:PEBBLECREEK II ZONI'NG:R -25
,' BLOCK LOT °24 JURISDICTION:
Project De scr^ i pt ion: instl 1 branch circuit // job #k 1346
- -- 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-- -
- 200 amp • : 0 W/SERV ICE 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 CI RC: 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 --- -- - ---
LISA MCKINNEY type amount by date recpt
11826 SW TALLWOOD DR • •. PRMT $ 35.00 • TAT 05/02/97 97- 294039
TIGARD OR 97223 5PCT $ 1.75 TAT 05/02/97 97- 294039
Phone #:
Contractor:
MCCALL HEATING & COOLING $ 36.75 TOTAL
1650 NE LOMBARD
REG!UIRED INSPECTIONS
PORTLAND OR 97211 Ceiling Cover Underground Cove
Phone #: 231-3311 Wall Cover Elect'l Service
Reg #..: 001020
This peroit'is issued subject to the regulations contained in the .
Tigard Municipal Code, State of Ore. Specialty Codes and - all other • Perm•i tie Si gnat ur
applicable laws. All work will be done in accordance with
approved plans. This permit 'will expire if work isnot started' !�
within IN days of issuance, or if work is suspended for more LAC 14, 1.. 4 -
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: _ (, DATE: Z-- 7
LICENSE NO: _._.._- _— / 3 o L % 4 1
Call for inspection - 639 -4175
,, Community Development ELECTRICAL PERMIT APPLICATION
-- A„ 13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. #
Permit # ELe 5 ?7 (TV(')
z illir Phone (503) 639 -4171 Date Issued .2 -y7
FAX (503) 684 -7297
CITY OF TIGARD TDD No. (503) 684 -2772 Issued by ��
Inspection (503) 639 -4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Address / /g2 4 6 7 /WOOd :7, Service included: Items Cost(ea) Sum
City /State/Zip / 11j f/ V"/� 6 71 2 2. c 4a. Residential - per unit 4
1000 sq. ft. or less $110.00
-
Name (or name of business) t% i ez. /91c/c ? Each additional 500 sq. ft. or 1
portion thereof $ 25.00
Commercial El Residential, ®"- Limited Energy $25.00 - Each Manuf'd Home or Modular 2
Dwelling Service or Feeder $68.00
2a. Contractor installation only: 4b. Services or Feeders
Installation, alteration, or relocation 2
Electrical Contra ea._.. /7 C(4 l / 200 amps or less $60.00 2
s /w5f/ /i
Addre /• / C/Ge -�i - ' 201 amps to 400 amps $60.00 2
- / 401 amps to 600 amps $120.00 2
r, /..�
City e//�7 l.( State 40 Zip , 97.7_1 / 601 amps to 1000 amps $180.00 2
Phone No. ,_---- C-3 - 2_. / - 3,3 / / Over 1000 amps or volts $340.00 2 -
Contractor's License No. 2.-/C 'c7 Reconned only $50.00
- Contractor's Board Reg. No. 7 2._:2-C ' 4c. Temporary Services or Feeders
g Sup r.
Installation, alteration, or relocation
Signature of Su r. Elec'n � _ �' . 200 200 amps or less $50.00 2
/, 3 5 J 201 amps to 400 amps $75.00 - License No. _ 2--„, `hone No..�< 3 / 401 amps to 600 amps $100.00
Over 600 amps to 1000 volts
2b. For owner installations: see •b• above.
4d. Branch Circuits
Print Owner's Name New, alteration or extension per panel
Address a) The fee for branch circuits with
City State Zip purchase of service or feeder fee. 2
p Each branch circuit $5.00
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.
First branch circuit I $35.00
3S. 00 2
Each additional 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 ins $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:
NOTICE 5a. Enter total of above fees $ ?5 00
.
5% Surcharge (.05 X total fees) $ t . 1
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ 4- • 1
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 $ !e, •7 ,5
COMMENCED. ❑ Trust Account # $
Balance Due $ 3(, ,
wad\comd.Naiacpm.app
Job Site Plan
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Additional Instructions: ti3.9,0A, e )4 so k is t 1?___CI
L.,___}
Refrigeration line size ( i tLe-A—IL
Condensate Pump 0-Y--es" No Ull Box New Registers 1-Vil-
C Pads New Grills
Add Return Duct
Add Supply Duct
Special Needs E7U1'0 5/
(7 2')
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RECEIVED
MAY 01 1997
COMMUNITY DEVELOPMENT
5 /9/99 Activities for Case #: ELC97 -00260
8:33:53 PM
Assigned Hold Updated
Activity Description Date 1 Date 2 Date 3 To Done By Disp. Level By Updated Notes
ELCA001 Application received 5/2/97 5/2/97 TAT 5/2/97
ELCA003 Permit created 5/2/97 5/2/97 TAT 5/2/97
ELCA730 Elect'I Service 5/2/97 5/16/97 BRP FAIL J *H 5/22/97 Compressor requires a 30 amp
HACR rated breaker, not a 40
amp as is now in panel.
ELCA799 Elect'I Final 5/2/97 5/16/97 BRP FAIL J *H 5/22/97 Condensate pump is less than
18- inches above garage floor.
ELCA500 (F) Issue permit 5/2/97 TAT PASS TAT 5/2/97
ELCA799 Elect'I Final 8/21/98 BRP PASS B *P 8/21/98
ELCA800 Case finaled 8/21/98 BRP PASS J *H 8/30/98
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