Permit ' l
. � • ' , ELECTRICAL PERMIT '
. PERMIT #: ELC96-@124
� �~°�� � �� �^���~ � � ������ ' DATE ISSUED: 02/27/96
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COMMUNITY ,DEVELOPMENT DEPARTMENT
PARCEL: 29112DA 0N700
1o1�mm*�omm.nmw�.��� 97223.8199 . -
SITE ADDRESS.. �665W SW REDWOOD LN ' -
4���1m3 ' `
SU8DIVISION. .'. . : ZONING: I-P
BLOCK..........: . LOT............. : '
Project Description: Install one signal circuit or a limited energy panel.
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---RESIDENTIAL UNIT-.--.--- ' ---TEMP SRVC/FEEDERS---- -----MISCELLANEOUS-----
1000 SF OR LESS 2.0 0 - 200 amp.......: 0 PUMP/IRRIGATION. ... : 0
EACH ADD'L 500SF. . . : 0 201 - 400 amp. . . . . . . : 0- SIGN/OUTLINE LTG. . : 0
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LIMITED' ENERGY.-....: 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL.......: 1,
MANF. HM/ SVC/FDR..: 0 601+amps-100a 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 FEM.: 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.:
O wner: - --- -- ---------------------- F ES � '-----------
IMAGEBUILDERS type amount by ,date recpt
6650 SW REDWOOD LN '` ` PRMT $ 40.00 CJS 02/27/96 96-276342
SUITE 200 5PCT $ 2.00 CJS 02/27/96 96-276342
TIGARD OR 97223 . � � , ' `
Phone #: •
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Contractor: --------------- , . _____________ ----� --
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BACHOFNER ELECTRIC, INC, . $ 42.00 TOTAL
55 SE MAIN . ' �
. ------ REQUIRED INSPECTIONS
'PORTLAND OR 97214 , . Elect" l Service _________ ____
Phone #: 503-233-2006 , Elect' Final �____
Reg #.. : 445,69 ' . � � '
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This permit is, issued m
i��� subject to � regulations contained _ ______ __
Tigard Municipal Code, State of Ore. Specialty codes and all other Pemittee Signature • '
applicable laws. All work will be done in aecordao:» with
approved plans., This permit will expire if-work is not started '
. within 180 days of issuance, or if work , is' suspended for oore 64 ___ ______
than !8W day,. . , Issued By
- �-------------------- OWNER INSTALLATION ONLY-- -------- '
The installation is being made , on `oderty' I own which is not intended for
sale, lease,' or rent. '
OWNER'S SIGNATURE:. __ • _ ' _ ' DATE: _' ,
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--- ------ -CONTRACTOR INSTALLATION ONLY -------- ' -----
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' SIGNATURE OF SUPR. ELEC'N: ' __ ___ DATE: ' �_- •
LICENSE NO: _.________ . . � . _______ ___ _____
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. Call for inspection - 639-4175 ,
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Job #0541
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- Comitiunity Development ELECTRICAL PERMIT APPLICATION
Alio 13125 SW Hall Blvd.
Tigard, OR 97223 Permit # F/r 96 - 2i a L/
-t - Date Issued a- a7 - 96
4,4110i1 I Phone (50 3) 639 -41 71
FAX (503) 684 -7297
CITY OF TIGARD TDD No. (503) 684 -2772
Inspection (503) 639 -4175
1. Job Address: 4. Complete Fee Schedule Below:
Name of Development Number of Inspections per permit allowed
Address 6650 S.W Redwood Lane #200 Service included: Items Cost(ea) Sum
City/State /Zip Portland, Oregon 4a. Residential - per unit
1000 sq ft. or less $110 00 4
Name (or name of business) Imagebuilders Each additional 500 sq ft or
portion thereof $25.00 1
Commerp I 0 Residential 111 Limited Energy $25.00
Each Manurd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
4b. Services or Feeders
Electrical Contractor Bachofner Electric, Inc. Installa
200 amps oreless n, or relocation $60 00 2
Address 55 S . E Main St. 201 amps to 400 amps $80 00 2
$120 00 2
401 amps to 600 amps
City Portland State Or Zip 97214 601 amps to 1000 amps $180 00 2
Phone No. 233 -2006 Over 1000 amps or volts $340.00 2
Job NO. 0541 Reconnect only $so 00 2
contractor's license NO. 26 -451C 4c. Temporary Services or Feeders
Contractor's Board Reg. No. 44 _ . • Installation, alteration, or relocation 2
Signature of Supr. Elec'n / . _ .:,. R,WI 200 amps or less 2
$50.00
License No. 201 amps to 400 amps -
17695 Phone o. ' 401 amps to 600 amps $75.00 2
Over 600 amps to 1000 volts $100.00
2b. For owner installations: see "b" above.
4d. Branch Circuits
Print Owner's Name New, alteration or extension per pane
Address a) The fee for branch circuits with
purchase of service or feeder fee. 2
City State Zip Each branch circuit $5 00
Phone No.' b) The fee for branch circuits withou
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 circuit $35.00
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 irrigation 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 1 $4000 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 $35.00
Per hour $55.00
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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 $ 40.00
NOTICE 5% Surcharge (.05 X total fees) $ 2 _ 00
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Reevivi ew if required (Sec.3) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. ..e,...mdec. ❑ Trust Account #
p'm app
Balance Due $ 42.00