8830 SW O'MARA STREET ZS M4W,U NLG 0£13$
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8830 SW O'MARA ST
ELECTRICAL PERMIT
CITY AF TNG7ARD DATEIISSUED:G1 '119/95
COMMUNITY DEVELOPMENT DEPARTMENT PARCEL: cS 102I -01501
19/26 8W H0 OWd,
Tiq.►d,Qr ort 972�1•e10Y_(603 030-4171
Si i L 4-IDDRESG. . . 1%I(:[�,',t(t ,7W (_)� 1�Iral�Fi b I
SUBDIVISION. . . . : EDGEWOOD ZONINE;: R- 5
IALOCK. . . . . . . . . . . LOT. . . . . . . . . . . . . :8
Proiect Description: yt
------------------------------------------------------------------------------------
--RESIDENTIAL_ UNIT----- ---TEMP SRVL/FFFDERS----- ------MISCELLANEOUS-----
1000 SF OR LE:SS. . . . : 0 0 - 200 amp. . . . . . . : 1 PLIMP/I RR I GAT I ON. . . . : 0
EACH ADD' L 500SF. . . : 0 x:01 - 400 asap. . . . . . . : 0 SIGN/OUT LINE LTG, . : 0
LIMITED ENERGY. . . . . : 0 401 - 600 amp. . . . . . . : 0 SIGNAL/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDP..: 0 601+amps-1000 volts. : 0 MINOR I.ALFI.. ( 10) . . . 0
------SERVICE/FEEDER----- ----BRANCH CIRCUITS----- ---ADD' L INSPECTIONS--
0 - ,ROO amrn. . . . . . : 0 W/SERVICE OR FEEDER: 0 PEI? INSPECTION. . . . . : 0
201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : O PER HOUR. . . . . . . . . . . : 0
401 - 600 a^7. . . . . . : 0 EA ADD' L BRNCH CIRC: a IN PLANT. . . . . . . . . . . : 0
601 1000 p. . . . . : 0 ------------------PLAN REVIEW SECTION---__--__-__--_.-_
lsl.a0+ amts/volt. . . . . : 0 ) =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR >= 225 AMPS. . : CLASS AREA/SPEC OCC. :
------------------ S ------------------
wn e . --__..______.____..._----•-------.___.___-- FEES
PEGGY O' FARRELL type amount by date reept
3311 E MERCER PRMT $ 60. 00 B 12/19/95 95-274e89
5PCT $ 3. 00 B 12/19/95 95-274089
SEATTLE AA 98112
Phone #»
Contractor» _-_-___------_-_._--------__-------.--_-------_-_-______----.--
CHANDLER ELECTRIC INC f 63. 00 TOTAL_
3521 SW CARSON ST
------ REQUIRED INSPECTIONS -
PORTLAND OR 97219 Elect' I Service _
Phone #: Elect' 1 Fi-nal
Ren #. . .
a
This perut is issued sub)ect to the regulation. contained in the
Tigard Municipal Cod@, State of Ore. Specialty Codes and all ether erpittee Signature
aonlicable laws. All work will be done in accordance with
anproved plais. This wreit will Wire if work is not started
within 180 says of t,suanc@, or if work is suspended for sore ���`'-�
than 180 days. I s stted By
__...____-•---____.-..__._-_.__._.____.OWNER INSTALLATION ONLY-------.-•----._._.___________.______ _
The installation is being Made on property I own which is not intended for
,ale, lease. or r€ it.
p�
174NER' S SIGNATURE=: DATE s
_
F—
rn
----.--_.---'CONTRACTOR INSTALLATION
�;I GNHTURE OF SLIP R. ELEC N: _ _. _ DATE a
ui LICENSE NO:
Call for inspection - 639-4175
its
Community Deveiopment ELECTRICAL PERMIT APPLICATION
13125 SW Hall ►3lvd.
Tigard, OR 97223 Planck/Rec. #
Permit # S. 007, —
Phone (503) 639-41'11 Date Iscuod
CITY OF TI�3ARD FAX (503) 684-7297 Issued
TDD No. (503) 684-2772
Inspection (503) 639-4175
1- Job Address: 4. Complete Fee Schedule Below:
Name nf Development �j d _ Number of Inspections per permit allowed —
Address�`' _ -r'M A A Service included: Items Cost(ea) Sum
City/State/Zip � — 4s. Residential-per unit
1000 eq fl or Isle $1+000
Name (or name ofbusiness) Each mWillond sort aq 1t or +
_ portion thereof _ $2600
Commercial❑ Residential, Each Energy (2500
Each Menul'd Hume or MudtAty 2
tlwehing E`orvice or Feeder 88800
2a. Contractor Installation only
4b.ssnricss or I-seden
Installation,aherMion,or relocation 2
Electrical Contractor ! [ elegy N L.-w 200 am,,*or leer J_ $e0 00 2
Address C 201 amps to 4(16 ampa sm 00 2
401 amps to 800 amps $12000 2
' City _ State ZIP_ 601 snips to 1000 strips $+8000 2
Phone No. 1~ Over 1000 amps or votes $34000 2
Contractor's License No Reconnect only W 00
Contractor's Board Reg. No. 1c.Temporary services or Feeders
, Ins;allatten,alteration,or relocation 2
Signature of Suer. Elec' i AL 00 amps or less $6000 2
License No.—4,Rg - P A r e No. ;,Cl amps 10 400 amps srs 00 2
01 amps to WO amps -__- %10000
_*or 800 amps to 1000 volts
2b. For owner Installations: see W above
4d. Branch Circuits
Print Owner's Name _ Now,nheration or extension per pent
Address a)Tb"fes for branch circuits wfrh
City V _ State Zip _ Each urcase obranf
d ao or�Amr5 00 2
Phone No. b)The fee for branch ciratiM wlthots
The installation is being made on property I own which is purchase of aerrke or ftm% bo. 2
First branch circuit
not intended for sale, lease or rent. branch
$ 500 2
Each additional
branch arrxtN $$6 00
Owner's Signature 4e.Miscellaneous
(Service or feeder not included) 2
3. Plan Review section (it required): Foth pump or irrigation drde woo 2
Each sign or oulline lighting $4000
Signd circuit(s)or a limned energy 2
Please check appropriate Item and enter fes in section 5B. panel,ahennion or extension $40 00 _
4 or more residential unite in one structure Minor Labels(10) Vno 00 _
a Service and feeder 225 amps or more
System over 600 volts nominal 4f.Each additional inspection over
_„Classified eres or structure containing special occvpar►ry the altowable In any o!the above as described in N E.C. Chapter 5 Per impaction $3600
Pei;lour $6500
In r,leM $6500
J Submit 2 este of plans with application where any of the above
ai apply. Not required for temporary construction services. sl. Fees: (b
NOTICE !is. Enter total of above fees S
W -- 5%Surcharge(.05 X total foes) _
PERMITr BECOME VOID!F WORK O a CONSTRUCTION subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b.Enter 25%o!line A for
CONSTRUCTION OR WORK IS SUSPE4DED OR ABANDONED cr,n Plan Review it required(Sec 3) $
P PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS subtotal $
COMMENCED. ❑ Tnrst Account N $
Balance Due sir i
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