Permit ., • .•f , CI "■ o'F T IGARD E LECI "F�'ICt�L: PERMIT
DE VELOPMENT SERVICES PERMIT #: EL.C9`3 -0064
U'' " ' „ ').
i' fi l �. DATE ISSUED: 02/08/99
• .. . • 13125 SW Halt Blvd., Tigard, 01T97223 (503) 639 - 4171
PARCEL a 2S 1' 1,3AB -00300
SITE ADDRESS— : 16075 SW UPPER BOOKIES FERRY RD
' ,SUBDIVISION. °.. '. -: FANNO CREEK, ACRE TRACTS . ZONING :,I , L. ,
B,LOCE< LOT I21 '° 6” JURISDICTION: T I G: • ' •
Pro!j,ect ' De scr i pt i on : Install a 200AIW or less service /feeder. ,
----- RES IDENTIAL UNIT = -: -= -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS--- -° --•-
1 000 SF OR LESS ° 0 0 - 200 am p. . ° . -° ...: 0 • ,, PUMP / I RR I GAT ION— ° ° : • 0
.EACH ADD' L.. 500SF. ° ° : 0 . ' • .201 -; - 400 amp— ° ° : 0„ ' , , SIGN /OUT LINE LTG. ° :' 0
LIMITED' ENERGY • ° . 0 401 ' - 600 amp • 0 • , • SIGNAL /PANEL° ° °'° ., : ' VI
MANF. HM/ SVC/FDR. : 0 601 +amps -1000 volts.: 0 MINOR LABEL •,( 10) ° °. .. : 0
-•- - -- SERVICE /F.EEDER - - -- - - - - - BRANCH CIRCUITS • - -- -ADD' L ''INSPECTIONS-- -
'6 - "200 a m p . . ' : .1 . t4/SERVICE OR ,FEEDER _ 0 ' 'PER INSPECTION ' 0
201 - 400 amp ' : 0 ' 1st W/O SRVC `-OR FDR° : •0 . PER HOUR •
• 401 ,- 600 ,arnp° .. ° : ° ° : 0 '' EA ADD' I_ BRNCH CI RC: 0 IN PLANT. ° ... ° ° ° ° ° : 0
601 - ,1000' amp 0 - , PLAN REVIEW SECT ', , _ - - --
100eff- amp/volt ° 0 ) =4 RES .UN ITS. ° ° ° . ° : ' ) 600 VOLT NOM INAL.•.
Reconnect. only° ° ° °' ° : .0 SVC /FDR ) = ' 225 AMPS.. : CLASS AREA /SPEC OCC° e
Owner: --------- - -- - - -- -- -,- _- FEES - - - -- -- -
NORTHWEST LANDSCAPE INDUSTRIES type amount . by date recpt, .
1607.5 SW UPPER BOONES FERRY ROAD PRMT $ , 60.00 GEO 02/08/99 99- 312753 .
'TIGARD - OR 97224 5PCT 3° 0 GEO 02/08/99 99731275 .
Phone #: - . ' . I
Contract or ° ----- - - - - -- • -- - -- ,
' WILLAMETTE ELECTRIC INC ' , $ , 63. 00 TOTAL '
' PO 'BOX 230547 ' ' , .
REQUIRED INSPECTIONS - - = - -- '
TIGARD 'OR 97281 '
pho'e.. #: 624 -3631
:n _
'. Re o #. e : 000750
This permit is issued'subject to the:regulations contained in the Tigard Municipal Code, , State of Oregon Specialty Codes and all-other
applicable law's., 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 pore 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 952-001 -0010 through OAR 952- 001 -1987. .You may obtain a copy
' of these. rules or direct questions to by callinn (503)246_ 1987„
' ./1 , . , ., .
Y
' Permittee : Si gnatur ^e,: / Tssued Bye_ r / :: -
--
- - - - - -- OWNER. I,NSTALLAT I ON ONLY ' -- .
The installation is -,being made . on' 'property ,'I on which i not„ intended for
ale, lease, ' or 'rent. ', . . ' •
OWNER'S SIGNATURE : ' . • ' ' ' DATE :' , — ' .
_. .- -- ._ - CONTRACTOR INSTALLATION ONLY---- -- --- - •
-- -�-'
---• ---------- - - - -•-- '
SIGNATURE OF SUPR° ELEC' N•: 7 DATE : ' '', iZ - ' ,
LICENSE NO: 9!v --S _� - ,
+ + + + +- 4 + +-1-+ + + + + + +4--1 1- + + +- 1- + + +4 = -1-44- -++++-i-±+++++++++++ 9-++,++- I -+ + ++ ++-i:4- + +•t-F + + + + + ++-I- + ++
• Call 639- -41.75 by 7':00 p° m° fo'r an inspection needed the next business day • ;•
+- 1- 4• + ++ J-+ - -I-
h + ++ + + + + +++ +- I- +:+ + + + + + + ++
-1 +- 1-+++
.- t- + + ++ + + -H +++ - f
+++-+ •I
- 1- + + +• + + + +-1- + ++ +•f + +•f + +++• '
' 0 . A ir 4 . '
' ' - . • 1
RECEIVED
CITY (� TIGARD FEB 0 81999 Electrical Permit Application Plan Check #
13125 SW HALL BLVD. Rec'd By
TIGARD OR 97223COMMUNITY DEVELOPMENT Date Rec'd
Date to P.E.
Phone (503) 639 -4171, x304 Date to DST
Inspection (503) 639 -4175 Print or Type Permit #
Incomplete or illegible will not be accepted
��q�oob�
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) / 4.T1.,,04 c r ZA c-Q Service included: Items Cost Sum
Address 7(00 7 S 1 'i Ore.. & f.(y fU 4a. Residential - per unit
1000 sq ft or less $110.00 4
City /State /Zip 7 r f I+R V) Each additional 500 sq. ft. or
Commercial El Residential El 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 Contractor 1.A) . II A H. e) ? ! Ir e ; rt r c / Installation, alteration, or relocatio f.
Address P a /_i� +x 2 ? a s-'F 200 amps or less i $60.00 2
201 amps to 400 amps $80.00 2
City - T - , SS :1 n State G iL Zip 9 a z6 t 401 amps to 600 amps $120.00 2
Phone N8. • 6 74 - 3 C 3 / 601 amps to 1000 amps $180.00 2
Job No. • 4 20 Over 1000 amps or volts $340.00 2
Reconnect only $50.00 2
Elec. Cont. Lice. No. 3 4 - 7 fr3G_ Exp.Date /0- f -9 9'
OR State CCB Reg. No. 7 5 S 9' Exp.Date ' -6 -5 ' 4c. Temporary Services or Feeders
COT Business Tax or Metro No. /.5 E p.Date s - I • f9 Installation, alteration, or relocation
200 amps or less $50.00 2
Signature of Supr. Elec'n AG-. -- 201 amps to 400 am $75.00 2 -
401 amps to 600 amps $100.00 2
s to 1000 volts,
Over 600 amps
License No / 4 5 Exp.Date le) - l - 0 1 see "b" above.
Phone No to -2. Vl - 36 3 /
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 Each 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): * 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: 3 .0 o
Not required for temporary construction services. 5a. Enter total of above fees $
• 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 # 6 3 .?_.1
Total balance Due $ a
I \DSTS \ELC96 APP Rev 9/96