6777 SW BONITA ROAD BLDG D-1 i
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6777 SW BONITA RD.
BLDG D- SHELL ONLY
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CITY OF TIGARD
DEVELO!'AMENT SERVICES
13125 5W H&H 81 id.,Tigard,OR 97223 (503)639.4171
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Community Development ELECTRICAL PERMIT APPLICATION
13125 SW Hall Blvd. /n1
Tigard, OR 97223 Permit #
Date Issued
Phone (503) 639-4171
CITY OF TIGARD FAX (503) 684-7297
TDD No (503) 684-2772
Inspection (503) 639-4175
1. Job /address: r4. Complete Fee Schedule Below:
Name of Development _ Number of Inspections per permit allowed
Addres,/{ / -,y�1,{,1�Y�-.�CI';�t 4/14/ Service included Items Cost(ea) Sum
City/State/Zip1 L �� .�- 4a. Residential -per unit
1000 sq, ft or less $11000
Name (or name f business) � Lr lIt'
Each additional 500 sq it or
—/ rr"�II portion thereof 325 00
Commercial X Residential LJ 1-imiled Energy $2500
Each Manurd Home or Modular
Dwelling Service or Feeder $6800
2a. Contractor installation only:
---- 4b. Services or Feeders
�- !nstallellon.alteration,or relocation
Electrical Contractor
200 amps or less JL $6000 v�V ✓/-1
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Address% /y'6 1.:e10
201 amps to 400 amps $80 00
City '9' State Zip 4/ 401 amps to 600 amps :120$12000 2
601 amps to 1000 amps
Phone No.6, l�C10 _- I Over 1000 amps or volts _ $34000 2
_'3,y
Job NO. 1 � ` Reconnect only $5000
contractor's license NO. -26 / 4c. Temporary Services or Feeders
Contractor's Board Reg. No. 6t- L6 Installation•alteration,or relocation
Signature of Supr. Elec'n 1 (T���/r —` • �� 'r.tr,.— 200 amps or less
L201 amps to 400 amps $5000 2
License No. _ !'�, _ Phone No,�yrf� ,� � 401 amps to 600 amps $7500 `� 2
Over 600 amps to 1000 volts $100 00 — ----
2b. For owner Installations: see"b"above
4d. Branch Circuits
Print Owner's Name wew,alteration or extension per pane
Addressa)The fee for branch circuits with 2
City Slue_ Zip__ purchase or service or feeder fee
Each branch circuit $500 _
Phone No. h)The fee for branch circulls without
The installation is being made on property 1 own which is Fust bran or circuit or reader tee.
not intended for sale, lease or rent. First breach cal branch
03500
F..ech additional branch circa+t $500
Owner's Signature 4e. Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (if required): Each pump or xr!galion circle :4000 _ 2
Each sign or outline lighting $4000
signal circull(s)or a limited energy
Please check appropriate item and enter fee in section 513. panel,afteratlon or extension S4000 `
_4 or more residential units In one structure Minor Labels(10) $10000
_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 `errr hour hourinsptwn $3500
$5500
dant $5500
Submit 2 sets of plants with application where any of the above
apply. Not required for temporary construction services. 5. Fees:
NOTICE 5a. Enter total of above fees
5%Surcharge (.05 X total fees)
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal S
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b, Enter 25% of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR flan Review if required (Sec 3) $ _
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. Trust Account p
S Balance Due $ � `_
MEMORANDUM
CITY OF TIGARD, OREGON
TO Trish Toedtemeier
FROM. Jill Aldrich
DATE March 13, 1996
SUBJECT 6777 SW Bonita
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In researching the above building for sewer permits and applicable sewer fees and DU equivalents, I
discovered the following information, which indicates that this building has underpaid sewer system
development Fees by $5200 00 and sewer DUS, by 3. Please adjust your billing from 4 DJ's to 7 DU's
Per David Scott, Building Official, we will not be collecting the sewer system development fees
HISTORY
Permits Fixture
Value_Added DUs Added DU SubTotal Sewer Paid Sewer Due
SWR90-0334 0 0 1 (Credit)
PLM91-0003 19 1 19 1.19
SWR91-0007 1
PLM91-0048 41 2.56 3.75
S WR91-0066 2
PLM92-0006 31 194 5.69
NONE NONE $300000
PLM94-0071 11 69 6.38
NONE NONE
PLM95-0171 3 19 5.57
SWR95-0329 NONE $220000
PLM96-0039 4 25
SWR96-0084 6.82 NONE
TOTAL 6 82 DUs= 4 SWR Pd
7 DUs $520000
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