Permit CITY OF TIGARD ELECTRICAL PERMIT
,� i DEVELOPMENT SERVICES PERMIT #: ELC98 -0368
R '� ��
:�•+I- � :_.. 13125 SW Hall Blvd., Tigard, OR 97223 503 639.4171 DATE ISSUED: 07/06/98
PARCEL: 1S134BC -00600
SITE ADDRESS...:1239O SW SCHOLLS FERRY RD
SUBDIVISION •PP1993 -057 ZONING:C —G
BLOCK • LOT •002 JURISDICTION: TIG
Project Description : Install 26 additional branch circuits.
- -- 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: 25 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
CHRISTENSON ELECTRIC INC type amount by date recpt
111 SW COLUMBIA PRMT $ 160.00 GEO 07/06/98 98- 307100
SUITE 480 5PCT $ 8.00 GEO 07/06/98 98- 307100
TIGARD OR 97223
Phone #:
Contractor:
CHRISTENSON ELECTRIC INC $ 168.00 TOTAL
111 SW COLUMBIA
STE 480 REQUIRED INSPECTIONS
PORTLAND OR 97201 Elect'l Service
Phone #: 241 -4812 Elect'l Final
Reg #..: 000458
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 (503)246 -1987.
Permittee Signature: iel 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 Q �
SIGNATURE OF SUPR. ELEC' N : �.,.J DATE: 7 - O - 1v
LICENSE NO: 873-
.�
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
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1
CITY OF TIGARD EliraPermit Application Plan Check #
13125 SW HALL BLVD. Rec'd By
TIGARD OR 97223 JUL - 6 1996 Date Rec'd
Date to P.E.
Phone (503) 639 -4171, x304 COMMUN1P! DEV��p t " Type Date to DST
Inspection (503) 639 -4175 Permit # 01-C frtr'c3G25
Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called
1. Job Address: 4. Complete Fee Schedule Below:
REFERENCE BLDG PERMIT 97 -0539
Namefv Number of Inspections per permit allowed
Name (or name of business) SCHOLLS SOFT CLOTH CAR WASH Service included: Items Cost Sum
I
Address 12390 SW SCHOLLS FERRY RD 4a. Residential - per unit
1000 sq. ft. or less $110.00 4
City /State /Zip TIGARD 97223 Each additional 500 sq. ft. or
Commercial Residential El Limited thereof $25.00 1
Limited Energy $25.00
JIM @620 -2184 CAR WASH OFFICE 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
1 SW COLUMBIA, SUITE 480 200 amps or less $60.00 2
Address 201 amps to 400 amps $80.00 2
Cit PORTLAND State OR Zi 91201-5886 401 amps to 600 amps $120.00 2
Phone No. 503- 241 -4812 601 amps to 1000 amps $180.00 2
Job No. 220-5197 Over 1000 amps or volts $340.00 2
2 6 -34C
Elec. Cont. Lice. No. Exp.Date Reconnect only $50.00 2
OR State CCB Reg. No. (10458 Exp.Date 4c. Temporary Services or Feeders
COT Business Tax_or No. 5246 Exp.Date Installation, alteration, or relocation
200 amps or less 2
201 amps to 400 amps $75.00 2
Signature Of SU 401 amps to 600 amps $100.00 2
873S Over 600 amps to 1000 volts,
License No. Exp.Date see "b" above.
Phone No. SU3- L41 -481Z
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 circu $5.00 2
City State Zip b) The fee for branch circuits
tY p without purchase of
Phone No. service or feeder fee.
First branch circuit 1 $35.00 35 . 2
The installation is being made on property I own which is not Each additional branch circuit - Z5 $5.00 125 . 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: 160.
Not required for temporary construction services. 5a. Enter total of above fees $
5% Surcharge (.05 X total fees) $ 8.
NOTICE Subtotal $ 168.
5b. Enter 25% of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $ 168 .
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Trust Account #
Total balance Due $ 168.
I \DSTS \ELC96 APP Rev 9196