Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC98 -0407
, DEVELOPMENT 6
SERVICES DATE ISSUED: 07/20/98
= - ---
13125 SW Hall Blvd., Tigard, OR 97223 (503) PARCEL: 1S134BC -00600
SITE ADDRESS...:1239O SW SCHOLLS FERRY RD
SUBDIVISION •PP1993 -057 ZONING:C —G
BLOCK • LOT •002 JURISDICTION: TIG
Project Description : Installation of electrical to commercial tenant.
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS • 0 0 — 200 amp • 0 PUMP /IRRIGATION • 0
EACH ADD'L 5O0SF...: 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 • 1 1st W/O SRVC OR FDR.: 0 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
SCHOLLS SOFT CLOTH CAR WASH type amount by date recpt
12390 SW SCHOLLS FERRY RD PRMT $ 80.00 DLH 07/20/98 98- 307475
TIGARD OR 97223 SPCT $ 4.00 DLH 07/20/98 98- 307475
Phone #:
Contractor:
CHRISTENSON ELECTRIC INC $ 84.00 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 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 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 952-091-0010 through OAR 952-901 -1987. You may obtain a copy
of these rules or direct questions to OUNC by calling (503)246 -1987.
Permittee Signature: /1/¢ /L &�/ Issued By: 4?
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER'S SIGNATURE: /11/9- DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: /f7✓ f"/ /e/ -TjON / DATE: 7 Z .V?,
LICENSE NO:
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
•
CITY 0,F TIGARD Electrical Permit Application Plan Check #
13125 SW HALL BLVD. RECE VET' Rec'd By L1
4 ADDITIONAL ELC98 -0368 Date Rec'd 7 /2SJ9'f
TIGARD OR 97223 Date to P.E.
Phone (503) 639 -4171, x304 JUL 2 9 1998 BLDG PERMIT 97 -0539
Print or Type � 6/' Date to DST
0
Inspection (503) 639 -4175 �O�� ; mie�f� , le�t��n5��jillegible will not be accept Permit # .. 9® 7
Fax (503) 684 -7297 Called
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Name (or name of business) SCHOLLS SOFT CLOTH CAR WAS Service included: Items Cost Sum
Address 12390 SW SCHOLLS FERRY RD 4a. Residential - per unit
1000 sq. ft. or less $110.00 4
City /State /Zip TIGARD OR 97223 Each additional 500 sq. ft. or
El Limited thereof $25.00 1
Commercial El Residential
Limited Energy $25.00
QUESTIONS ?CONTACT JIM HOLCOMBE Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
STEVE (Attach copy of all current licenses) 4b. Services or Feeders
Electrical Contractor CHRISTENSON ELECTRIC, INC. Installation, alteration, or relocation
or
Address 111 SW COLUMBIA, SUITE 480 200 amps to less $60.00 2
201 amps to 400 amps 1 $80.00 RO _ no 2
City PORTLAND State OR Zip 97201 -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 -5603 Over 1000 amps or volts $340.00 2
Elec. Cont. Lice. No. 26 -34C Exp.Date �i / VP Reconnect onl $50.00 2
/o
OR State CCB Reg. No. 00458 Exp.Date £7'/59 4c. Temporary Services or Feeders
COT Business Tax or Metro No. 5246 Exp.Date Installation, alteration, or relocation
200 amps or less $50.00 2
201 amps to 400 amps $75.00 2
Signature of 'ripr. lee' �1.__ _ _.' 11■■■• , 401 amps to 600 amps $100.00 2
Over 600 amps to 1000 volts,
License No. 873 Exp.Date /d/// 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 E branch circuit $5.00 2
b) The fee for branch circuits
City State Zip without purchase of
Phone No. service or feeder fee.
First branch circuit $35.00 2
The installation is being made on property I own which is not Each additional branch circuit $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) :*RURAL ELECTRIC Signal circuit(s) or a limited energy
xn INSTALLATION HAS BEEN THRU PLAN CHECK UNDER panel, alteration . or extension $40.00 2
Minor Labels ((110) ) $1000.. 0 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. S. Fees:
80.
Not required for temporary construction services. 5a. Enter total of above fees $
5% Surcharge (.05 X total fees) $ 4
NOTICE • Subtotal $ 84.
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 $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Trust Account #
Total balance Due $
84.00
I.\DSTS \ELC96 APP Rev 9/96