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Permit ",_,, , _ , . ,... CITY OF TIGARD ELECTRICAL PERMIT DEVELOPMENT SERVICES PERMIT #: ELC98 =0560 "�'. �! ; ' 13125 SW Hall Blvd., Tigard, OR 97223,(503) 639,4171 SATE i sSUED : 9/1 - r / 38 p'ARCEL'1 S16C0= 211''107 SITE ADDRESS °,, :095L.6 SW WASHINGTON SQUARE RD ,SUI DIVISION ° : • , . ZON'II\IG:CG ' BLOCK ° ° ° LOT. e ° ° ° ° ° . ° ° ° ° , ' ' JURISDICTION: TIC'. , ',Project ect .De.s.cr ipt'i on : Electricial for a tenant space. , --- RESIDENT'IAL UNIT - --- -- =TEMP SRVC /FEEDERS - -�- _ - - - -- -MISCELLANEOUS 1ZnZ+0 SF OR LESS° . ° ° : 07.0 0 — 200 amp. ° ° ° . ° ° : 0 PUMP /IRRIGATION ° 0 , . - EACH , ADD' L 500SF° :.: 0 201 - 400 amp' . ° ° 0 SIGN /OUT LINE LTG° ° : 1 . .LIMITED , ' : ' 0' 401 = 600 a m p . . . ' . ° ° ° : 0 SIGNAL /PANEL° ° ° ...,. 0 ,MANF HM/ 'SVC /FDR° ° : 0 601" +amps -1000 volts.: 0 MINOR LABEL (10)...: 0 ' - - -- SERVICE /FEEDER - - - -- - - - - -- BRANCH 'CIRCUITS-- --- -- ---.-ADD' INSPECTIONS - -- 0 = 200 anp ° 0 W /SERVICE OR FEEDER: 0 PER'INSPECTION ° ° ° °.: 0 217q._ =,400 amp - ' - , 0 1st 'W /0 SRVC OR FDR.: 0'. PER . . . ; , . . . . ' , . HOUR.— 0 401 - ' 6 1 0 amp : 0 EA ADD' L BRNCH C I RC :. 0 I N PLANT ° . ° ° ° ° . o '. ° .: 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 - - - -- - ELDER- JONES'BUILDING PERMIT '. .type amount by date .'recpt SERVICE, -INC. '. ' PRMT $ 41Z1 °00 GEO 09/17/98 98-- 309,260 ,,, 1120 E',80TH ST; STE 211' •'SPCT $ ' -. 2.60 GEO.09/17/98 98- 309260', BLOOMINGTON, MN, 55420 , . Contractor° . , . - - - -- MEYER SIGN CO OF' OREGON, $ 42e 00 TOTAL ' :.7 X421 'SW LANDMARF�. LN REQUIRED INSPECTIONS, ' 'TIGARD OR 97223' • ' Electll Service 'Phone #: 6E0 -8`00 Elect'1,Fina1 Reg- #. °: 060640 . , ' This,peroit is issued subject to the regulations contained .in the Tigard Municipal Code, State of Oregon Specialty Codes and all other 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 sore than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by , ' the ',Oregon Utility Notification, Center. Those rules are set fort OAR 952- 001 -0010 through OAR 952 -001 -1987. You say obtain, a copy ,• of these rule's or direct questions to OUNC by calli 1.L.a.a.APt . (503) -q„ / , . ■ ' RIe Signature: ,, ,Is - sued By:' A: 4 f . - -- - - - - -- . - -- , OWNER INSTALLATION ONLY-r--7" ' ' -- ' --- • , The ins,ta].lation' i�s; being made o.n, p I own which. is not 'intended for , ' sale,' ;lease, or rent, o - , ' ,OWNER?;5 SIGNATURE: ' DATE: ' ' -- - -- ' ---- 7 -- .7= ------------- H -- CONTRACTOR - ' --. INSTALLATION ONLY' - - - __._- _ - - - - -- • SIGNATURE OF SUPR° ELEC'' N : ______O-A-0 ' ' DATE: . F - /9 - 525 - - /9- 25 + ++ + + ++ +-1 - + + + +i rh ++++++++++,i-++++++++++++:14- F + + + + ++ + +++ ++ + + + + + + +- 1-' + + + + + +-1 t Call 639 -4175 by 7:00, p.m. for an inspection needed the next business day ' + + + + + + +44 + + + +- 1- + + + + ++ t•++ + + + +44 + + + + ++ + + + + + + + + + + + + + +-1- ++ f- + ++ + + + + + + + + + + ++ + + + + + ++ + + ++ -- - - CITY OF TIGARD Electrical Permit Application Plan Check # 13125 SW HALL BLVD. Rec'd By Date Rec'd TIGARD OR 97223 Date to P.E. Phone (503) 639 -4171, x304 Date to DST Inspection (503) 639 -4175 Print or Type Permit #. !� -' - C L ds -d Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called 1. Job Address: 4. Complete Fee Schedule Below: Name of Development L) ag h t n Eon SQ (J&f t , Number of Inspections per permit allowed Name (or name of business) Lane, Th-7 a;A Service included: Items Cost Sum Address C 15 - 36 S i) LOOS h;ngf.or S 1 t , 1Cl",ac 4a. Residential - per unit 1000 sq. ft. or less $110.00 4 City /State /Zip T► cr rC) � © R., ci .. pa 3 Each additional 500 sq. ft. or Commercial P J Residential ❑ 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 • Cwt OF O fe.t erl Installation, alteration, or relocation Electrical Contractor m B e � �1 200 amps or less $60.00 2 Address 7390 Sic,) LAh rvi74 r k ti1 wig, 201 amps to 400 amps $80.00 2 City - I - 1 epr State O 2 Zip 97a93 401 amps to 600 amps $120.00 2 Phone No. 50'3- x,90 - `ii o1CC:• 601 amps to 1000 amps $180.00 2 Job No. 0 1-74 Over 1000 amps or volts $340.00 2 Reconnect only $50.00 2 Elec. Cont. Lice. No. S0 -110' CLC Exp.Date lO - I •-9$ OR State CCB Reg. No. 006401 Exp.Date I.30 - 99 _ 4c. Temporary Services or Feeders COT Business Tax or Metro o. Exp.Date Installation, alteration, or relocation 200 amps or less $50.00 2 Signature of Supr. Elec'n / 201 amps to 400 amps $ 100.0 2 C 401 amps to 600 amps $100.00 2 Over 600 amps to 1000 volts, License No. 6'13 Si v Exp.Date /0 V, see „b„ above. Phone No. C DC> V a0a 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 f $40.00 4 0 , 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: ,i ,., , Not required for temporary construction services. 5a. Enter total of above fees $ i3W 5% Surcharge (.05 X total fees) $ ' 0 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 h TIME AFTER WORK IS COMMENCED. El 4 Trust Account # O' t 00 Total balance Due $ I• \DSTS \ELC96 APP Rev 9/96