Permit ELECTRICAL PERMIT L.// 9- CITY OF TIGIPAIRD DAREIISSUEDI:C01, /03/96
COMMUNITY DEVELOPMENT DEPARTMENT
13125 SW Hall Blvd. Tigard, Oregon 97223.8199 (503) 839 -4171 PARCEL: 2S 1 04DC- -08700
SITE ADDRESS...: 13285 SW WOODSH I RE LN
SUBDIVISION ° MORNINGSTAR Z.ONING:R -4.5 PD
BLOCK . LOT °024
Project Description: Residential 3,500 sq ft.
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS : 1 0 - 200 amp 0 PUMP /IRRIGATION ° 0
EACH ADD'L 500SF...: 5 201 - 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/0 SRVC OR FDR.: 0 PER HOUR ° 0
401 - 600 amp 0 EA ADD'L BRNCH CIRG: 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
SEQUOIA BUILDERS INC type amount by date recpt
10540 SW LAUREL ST PRMT $ 235.00 CJS 01/03/96 96- 274526
SPCT $ 11.75 CJS 01/03/96 96- 274526
BEAVERTON OR 97005
Phone #:
Contractor:
SEQUOIA BUILDERS INC $ 246.75 TOTAL.
10540 SW LAUREL ST
REQUIRED INSPECTIONS
BEAVERTON OR 97005 Ceilino Cover Elect' 1 Service
Phone #: 646 -4606 Wall Cover Elect' 1 Final
Reg #. ° : 6E3158
This peroit is issued subject to the regulations contained in the _
Tigard Municipal Code, State of Dre. Specialty Codes and all other Perm ittee Signature
applicable laws. All work will be done in accordance with
approved plans. This peroit will expire if work is not started
within lN days of issuance, or if work is suspended for Dore
than IN days. I ssued 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:
CONTRACT R INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' N: . a DATE:
LICENSE ND :
Call for inspection - 639- -4175
Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd.
Tigard, OR 97223 Planck/Rec. # 96- 71/5 � h
,,,w E1.,-6,
Permit # 1/c95 (7 r)7 s
:1 1 Phone (503) 639 -4171 Date Issued /--_:,- 9,
s FAX (503) 684 -7297
CITY OF TIGARD TDD No. (503) 684 -2772 Issued by C�ia, /,- S��fi.;1�
Inspection (503) 639 -4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development / rw( In 1 Zr Number of Inspections per permit allowed
Address 1 -2- g S" C (.f ( 1 -- 0 a Nici,:Y'C ( Service included' Items Cost(ea) Sum
'
City /State/Zi 1 1 rrj� 0 la q 7 .2 4a. Residential - unit 4
City/State/Zip - 1 000 sq or less 1 rr $1 10 00 / /0% V b
, ft
Name (or name of business) Each portion thereof
500 sq ft or / 2 S 00 1
portion thereof S $25 00
Commercial ❑ Residential 7"[ 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 Contractor 200 amps or less $60 00 2
Address 201 amps to 400 amps $80 00 2
City State Zip 401 wipe to 600 amps $120 00 2 - �7 p 601 amps to 1000 amps $180 00 2
—
Phone No. Over 1000 amps or volts $340 00 2
Contractor's License No. Reconnect only $5000
Contractor's Board Reg. No. 4c. Temporary Services or Feeders
Installation, alteration, or relocation 2
Signature of Supr. Elec'n 200 amps or less $50 00 2
License No. Phone No. 201 amps to 400 amp $75 00 2
401 amps to 600 amps $100 00
Over 600 amps to 1000 volts
2b. For owner installations: see 'b' above
Print Owner's Name3Pe� w L 13.3 4d. Branch Circuits
/� t New, alteration or extension per panel
Address I- 2-0S 5\, \NI t-11P-E 1-0 , a) The fee for branch arcuits with
City I i (7,112 -> State be Zip q722_3 purchase of service or feeder fee. 2
Each branch circuit $5 00
Phone No. 5 0 I I b) The fee for branch arcurts 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 circ $35 00 2
/� Each additional branch cram $5 00
Owner's Signatur v4 _ ...1_ �,, 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or irrigation arde $40 00 2 - Each sign or outline lighting $40 00
Signal arcue(s) or a landed 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 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:
5a. Enter total of above fees $ 2 3 U U
NOTICE 5% Surcharge (.05 X total fees) $ — TT - 75"
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 $ __ _,7 .
we. cartWv4Mppm app
iik
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection Line: 639 -4175 Business Phone: 639 -4171
Footing Rain Drain Cover /Service FINAL:
Foundation Water Line Ceiling - Plumb.
Post/Beam Mech. Shear /Sheath Framing -Mech.
Plbg Und /Fir /Slab Plbg. Top Out Insulation - Elect.
Post/Beam Struct. Mech Rough -in Gyp. Bd. _WI
San. Sewer Gas Line Appr /Sdwlk Reins.
Other
Date: 11 I / � 1 A.M. P.M. Entry:
Address: _i= 2 g S L-4-.) (5.--c.... ja?
Tenant: Ste: MST 5 633
o � BUP:
Con /Own: .� —) / — v ! 0 I MEC:
PLM:
es; CI & ' 4— { (00 ELC: OG
THE FOLLOWING CORRECTIONS ARE REQUIRED. ELR: N. -- exe
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Inspector: 2/ C t_ ( 8 L., c ij Date: ■ ^96
APPROVED _ DISAPPROVED /CALL FOR REINSP. CO