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I:lrecords\rnicroflrn\largels\building.doc
CITY OF TIGARD PERMIRICAL PERMIT �
r-�rRMIr #: EL..r95--0660
COMMUNITY DEVELOPMENT DEPARTMENTDATE ISSUED: 01/10/96
13125 SN Hall Blvd.Tigard,Oregon 97223.6199 (503)838-4171 PARCEL:
11-L +1✓l�ti�.�, . . . : 14:�31 SW 61ST AVr_-
'.JRDIVISION. . . . : DURHAM ACRES LONINr7:R--4. 3
-_OCP. . . . . . . . . . . LOT. . . . . . . . . . . . . :70
~njoct Descr^iption: Install two br'arlch cir~ck_rit�, to oper~6te outdoor~ hot ti.rb.
_—RESIDENTIAL UNIT----- -----TEMP SRVC/FEEDERS----- _-_._--MTSCELLANEOUS--
ZOO aF OR LESS. . . . : 0 0 - ;.00 ramp. . . . . . . : id PUMP!I RRIGAT ION. . . . : 0
ACIA ADD' L 500SF. . . : 0 201 — 4.00 ,amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
IMITED ENERGY. . . . . : 0 401 _ 600 amp. . . . . . . : 0 SIGNAL/P'AN'EL. . . . . . . ; 0
•�ANf=. HM/ SVC/FUR. . : 0 60l+amp..-1000 volts. : 0 MINOR LABEL ( 10) . . . : 0
..-_._._SERV I CF/FEEDER ._._.._. __.._..-RRAIVCI i C 1 RCIJ I1'S- - - -CiDI3' I_ INSPECTIONS—-
0
NSPECTIONS_.-_0 - 2(,10 amp. . . . . . : 0 W/SE.RVICE OR FEEDER: 0 PER INSP'ECT'ION. . . . . 0
01 — �t00 41m0. . . . . . . j, 1st W/O SRVC OR FDR. : 1 PFR HOUR. . . . . . . . . . . .. 0
401 — 61210 amp. . . . . . : 0 EA ADD' L ARNCH CTRL: 1 .1114 PLANT. . . . . . . . . . . .. 0
601 1.000 amp. . . . . : 0 -- ___._..._________P'LAh4 REVIEW SECT1014-
100111+ camp/volt. . . . . : 0 > =4 RES UNITS. . . . . . . . : ) 600 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 Sl /FDR > :_: 225 AMP'S. . : CLASS ARCA/SPEC OCC. :
Owner~. __...__.______________.____—_._—_..______.._.._._._..____________.__.._ FEES
DELLA fiEL.LA SCHIEBOLD type Amo1-int by date recpt
14551 SW FUST PRMT $ 40. 00 JSD 12/28/95 95-274394
"Tf;ARD OR 07224 SPCT $ 2. 00 JSD 12/28/95 95--27439,1
-lone #:
1E.RrCAN EL.F_CTRIC GERVICE 42. 01T 'TOTAL
BOX 1057
REQUIRED INSPECTIONS
L !,-,wow OR 97140 Ceilino Cover- Elect' I Pinel
lions #: Wall Cover~
n #. . :
is oertzt is issued subiect to the regulations contained in the
.card Municipal Code. State of Ore. 31]eCralty Codes and all other
.A icable laws. All work will be done an accordance with
aroviet plans. This oerait will expire if work is not started
`hit ,AA days of issuance, vr if work is suspended for more
3n 180 days.
-OWNER INS1-ALLATION ONLY _.---
e installation is being made on property I own which is not intended for-
.0e.
orale, lease, or rent.
C14NE P1 3 SIGNATURE: DOTE:
Cf)NTRACTf.lR I NSTA1 L_AT T nN nNL.Y—_....___--._.___—_-_..._-
n,rjN1A'TURF rJF otirr1_Fr" N� OrL ctr /�1� t)PTr�
Call for~ inspection -- 639-4175
CITY OF TIGARD BUILDING INSPECTION NOTICE
Inspection 1_ine (Rec-O-Phone): 639-4175 Business Phone- 639-4171
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Inspection:
Footing Susp. Ceiling Sprink. Rough-in Appr/Sdwlk
Foundation Plbg. Underslab Mech. Rough-in Fireplace
Post/Beam Struct. Plbg. Top Out Elec. Rough-in FINAL-
Post/Beam Mech. San. Sewer Gas Line -Bldg.
Plbg. Underfloor Rain Crain Framing Plumb.
Alarm Water Line Insulation -Mach.
Underu. Insul, Shear Wall Gyp. Bd. -Elect.
Date Requested:_ ( t , 1. _V Time:-AM F'M
Address:Builder:. Permit ll, � c� Permit q: j 5 e)(0
THE FOLLOWING CORRECTION'S ARE REQUIRED:
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Inspectoi Date:
APPROVED _DISAPPROVED APPROVED SUBJECT TO ABOVE
-,Coll For Reinsp. F143_!,
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Commui *,ty Development ELECTRICAL PERMIT APPLICATION
13121i SW Hall Blvd. L C
Tigard, OR 97223 Permit #
Date Issued _
Phone (503) 639-4171
CITY
FAX (503) 684-7297
OF TIGARD T684-2772
DD No. (503)
I n tio4-45034.6.32 4175
1. Job Address: 4. Complete Fee Schedule Below:
6��-
Name of Development--s —_ Number of Inspections per permit allowed
Address / 1' `.!J ,J L,/ /�s / Service included Items Cast(ea) Sum
r ity/`tate/Zip / �'�ri'4 _ 4a. Residential -per unit
1000 sq. ft.or leas $110 00 4
N:.ne (or name of business) �`C� Cjc-1+.`t `rid Each additional 500 sq.It or ——
portion thereof $2500
.I Commercial ❑ Residential,o, �I Each Energy $2500
�(�i Each Man Home or Modular
S
Dwelling Service or Feeder $66.00
2a. Contractor installation only: ��[J 4b. Services or Feeders
!J s�IFFe � installation,aheration,or relocation
Laectrlcal CO ractor %7( � ! '- 2C0 amps or less $6000 2
Address X IZ)15*17
201 amps to 400 amps -- $60.00 2
City__> Stated_ Zip_ 401 amp41..soo amFg _ _ $120 00 2
601 amps to 1000 amps $1SOW 2
Phone No. a Jy2 4Z I __ Over 1000 amps or volts $340.00 _ 2
Job NO. Reconnect only $5000 _ 2
contractor's license NO. �G�—j�> C�>—�—c/6 4c. Temporary Services or Feeders
Contractor's Board Reg No. Instauatlon,alteration,or relocation
Signator of SL r. Elec'n_ [r zoo amps or less _
gg,,,, r� r • r 201 amps to 400 amps $5000
License t�7o. Phone No. +',� / _ , 401 r.nps to 600 amps -- $7500
10/x87 '0//O//9& C•-9) G611111 -SLC. SP Over 600 amps to 1000 volts $106 00 —
2b. For owner installations: see"b"above
4d. Branch Circuits
Print Owner's Name - New,afteralion or extension per pane
Address a)The fee for branch circuits with
City __- State---- Zip purchase or service or feeder fee.
-- -
Each branch circuit _ $500
Phone No. b)The fee for branch circuits without
The installation is being made on property I own which is purchase of service or feeder fee. r_
not intended for sale, lease Or rent. First branch circuit $35 n0
Each additional branch clicuit �_ $50077)
Owner's Signature 4e. Miscellaneous
(Service or feeder not included)
3. Plan Review section (if required): Each pump or Irrigation circle $4000
Each sign or outline lighting $4000
Signal circulf(s)or a Iimlted energy
Please check appropriate Item and enter fee in section 5B panel,alteration or extension $4000
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 Per inspection $3500
H Per hour $5500
r- In Plant $5500
—'� Submit 2 sets of plans with application where any of the above --
°? oppiy. Not required for temporary construction services.
5. Fees:ED
�—
LL NOTICE Be. Enter total of above fees $
—' 5%Surcharge (05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 8b. Enter 25%of line A for
CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required (Sec.0) $
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $
COMMENCED. .o aromd.awa. ❑ Trust Account #
Dm SDP $
Balance Due a