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Permit CITY OF TIGARD 4 . ,� ELECTRICAL PERMIT °'��'ll DEVELOPMENT SERVICES � PERMIT #: ELC97 -0302 A19I- 11. 13125 SW Hall Blvd., Tigard, OR 97223 (503) 6394171 DATE ISSUED: 05/20/97 PARCEL: 1S126OC- 01107 SITE ADDRESS...:O9499 SW WASHINGTON SQUARE RD SUBDIVISION • ZONING:C —G BLOCK • LOT JURISDICTION: Project Description: Binyon's Eye World Job 8586T - -- 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 2 W /SERVICE OR FEEDER: 80 PER INSPECTION • 0 201 — 400 amp • 0 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 WINMAR PACIFIC INC type amount by date recpt PO BOX 21545 PRMT $ 520.00 JSD 05/20/97 97- 294764 SEATTLE WA 98111 5PCT $ 26.00 JSD 05/20/97 97- 294764 Phone #: Contractor: TUALATIN ELECTRIC $ 546.00 TOTAL PO BOX 655 REQUIRED INSPECTIONS WILSONVILLE OR 97070 Ceiling Cover Elect'l Service Phone #: 682 -2955 Wall Cover Elect'l Final Reg #..: 000656 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other Perm i t t e e Si n t ure 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. Issue. jay OWNER INSTALLATION ON 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: LICENSE NO: • Call for inspection — 639 -4175 i ■• C OF TIGARD Electrical Permit Application Plan Check # Rec'd SW HALL BLVD. Re d By �� TIGARD OR 97223 Date Recd />�/ Y AO Phone (503) 639 -4171, x304 Date to P.E. ( ) Date to DST Inspection (503) 639 -4175 Print or Type Permit # ‘LG `77 Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called -03o 1. Job Address: 4. Complete Fee Schedule Belo `' ' "' S �u� e � .4747"...___ Name of Development UjtiS� i vltc" Number of Inspections per permit allowed Name (or name C of business) An S �JEwdY U Service included: Items Cost Sum ( Address 11 / / G 5 . "ii ' 11J SS\ n5>i"ty\ St . tee,/ 4a. Residential - per unit City /State/Zip -T 3 Ard `` /S . 1000 sq. ft. or less $110.00 4 i 3 Each additional 500 sq. ft. or Commercial Residential ❑ portion thereof $25.00 1 Limited Energy $25.00 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 Co I nstallation, alteration, or relocation /3 41C Contractor �� a QC�t'�L 200 amps or less $60.00 iad 2 Address F 0 • O I( (1.55 201 amps to 400 amps $80.00 2 City ■AlA.Scxm.);1\t State OR Zip 9! or) Q 401 amps to 600 amps $120.00 2 Phone No. Sc33 (pea- a955 601 amps to 1000 amps $180.00 2 Job No. _5-642-r Over 1000 amps or volts $340.00 2 Elec. Cont. Lice. No. . " ZOO C Exp.Date 10 01 cl-7 Reconnect only $50.00 2 OR State CCB Reg. No. 5 . 0 Exp.Date 4 'au 1 46 4c. Temporary Services or Feeders COT Business Tax or Metro No. 2.1 Exp.Date Co/ ti1 i � Installation, alteration, or relocation 200 amps or less "� $50.00 2 201 amps to 400 amps $75.00 Signature of Supr. Elec'n " 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No. � 3 S Exp.Date (0' `; $ see "b" above. Phone No. tvsdd- ,g. 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. Q i' Address Each branch circuit 6 ° $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):* 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: G X Not required for temporary construction services. 5a. Enter total of above fees $ 2-(c) 5% Surcharge (.05 X total fees) $ NOTICE Subtotal $ 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 # 016 Cei Total balance Due $ rte, fij 00 I. \DSTS \ELC96 APP Rev 9/96