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Permit ELECTRICAL PERMIT - 'CITY O F T I GAR D • DATE I ISSUED: 05/07/96 COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: CS 1 14AD -01 300 13125 SW Hall Blvd. Tigard; Oregon 97223.8199 (503) 839 -4171 SITE ADDRESS...: 08887 SW WAVERLY DR SUBDIVISION ° WAVERLY ESTATES ZONING:R -12 BLOCK LOT •012 Project Description: Installing one service or feeder to 200 amps. • - -- 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 ° 1 W /SERVICE OR FEEDER: 0 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 R&W PARTNERS type amount by date recpt 12540 SW 68TH PRKWY PRMT $ 60.00 CJS 05/07/96 96- 279066 SUITE B 5PCT $ 3.00 CJS 05/07/96 96- 279066 TIGARD OR 97223 _ Phone #: 503 - 639 -2639 Contractor: • GRF ELECTRIC 'b 63.00 TOTAL 15460 SE PARADISE LN -- REQUIRED INSPECTIONS MULINO OR 97042 Wall Cover Elect' 1 Final Phone #: 503- 829 -4146 Elect' 1 Service Reg #..: 101543 This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Ore. Specialty Codes and all other Permittee Signature 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 GIl rI� ,ScJ m //- 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: (74 G"9p / /,cc, f[ ©n DATE: ..5-7-q6 LICENSE N0: Call for inspection - 639 -4175 L - - - d Community Development ELECTRICAL PERMIT APPLICATION ,.... 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # q6-,)79064 Permit # F[c9,� n 6 i1�„ +q�V1ii 96 � Phone (503) 639 -4171 Date Issued 5 - - _'j '` FAX (503) 684 -7297 CITY OF TIGARD TDD No. (503) 684 -2772 Issued by Cha, -lec seti,,, :.,,e- P Ins ection (503) 639 -4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed ' �) /' , / p Address � I S 1A,/ Wal erl� P r• Service included: Items Cost(ea) Su City /State/Zip . 1 - 1 - 3 a rt , 0 1` q---) 2Z2-y- 4a. Residential - per unit 4 y� 1000 sq ft or less $110 00 — Name (or name of business) R ®b I y r / A LZ Gr, Each additional 500 sq ft or 1 portion thereof $25 00 Commercial ❑ Residential R Limited Energy $25 00 — Each Manufd Home or Modular 2 Dwelling Service or Feeder $68 00 2a. Contractor installation only: 4b. Services or Feeders n n Installation, alteration, or relocation 2 Electrical Contractor 1 J (� 1 C ._ 200 amps or less $60.00 2 Address 1 5 , i r r 201 amps to 400 amps $80 00 2 ' 401 amps to 600 amps $12000 2 — City 7 4 t n I I ;n n' State n re Zip 7O y- r, 601 amps to 1000 amps $180 00 2 — Phone No. 8-2q --tp ;(7(f4--k7fre--, Over 1000 amps or volts $34000 2 Contractor's License No. Reconnect only $50 00 Contractor's Board Reg. No. / 0 i 5 `t 3 4c. Temporary Services or Feeders Installation, alteration, or relocation 2 , Signature of Supr. Elec'n e 200 amps or less $50 00 2 $75 00 2 License No. 3 [�0 - S Phone N is �' 201 amps to 400 amps — 401 amps to 600 amps $100 00 Over 600 amps to 1000 volts 2b. For owner installations: see "b' above Print 4d. Branch Circuits rint 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 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. 1 3C-- First 2 not intended for sale, lease or rent. branch circuit $3s o0 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 imgation 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 M ino r 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 $3500 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: 3 NOTICE 5a. Enter total of above fees $ 5% Surcharge (.05 X total fees) $ — 77 - 7 7 5 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) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. ❑ Trust Account # $ Balance Due $ 3 gyp 7 wot i Zmd.NNae app CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line: 639 -4175 Business Phone: 639 -4171 - Footing Rain Drain Cover /Service FINA • Foundation Water Line Ceiling - Plumb. Post/Beam Mech. Shear /Sheath Framing gates► Plbg.Und /FIr /Slab Plbg. Top Out Insulation *la Post/Beam Struct. Mech. Rough -in Gyp. Bd. -Bldg. San. Sewer Gas Line Appr /Sdwlk Reins. Other: /14- • c C3 3 3 v fdatac5) Date: 5 I (I A.M. P.M. Entry: Address: O (1 $1 LU Tenant: Ste: q � BUP: Con/C: 9 le-R" �� d Cv l MEC: PLM: ELC: THE FOLLOWING CORRECTIONS ARE REQUIRED: ELR: • Ins actor: Date:, /97t PPROVED DISAPPROVED /CALL FOR REINSP. CF CO