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CITY OF TIGARD ELEC rRICAL_ PERMIT
COMMUNITY DE.YELOPMENT DEPARTMENT PERMIT #: ELC96-0339
13125 SW Hall Blvd.Tigard,Oregon 97223.8190 (503)839.4171 DATE ISSUED: 05/30/9(:,
PARCEL: 2S 101 DA-OO9VIO
SITE ADDRESS. . . : 07110 SW FIR LP
SUBDIVISION. . . . : 72ND BUSINESS CTR-YARNS PARK ZONING:G--F'
BLOC'K. . . . . . . . . . e L01.. . . . . . . . . . . . . :8-9 �
Pro,,ect Description: Installing one branch circuit.
--RESIDENTIAL UNIT---- ---TEMP SRVC/FEEDERS---•- -----MISCELLANEOUS—---
100ru SF OR LESS. . . . : 0 0 - 200 amp. . . . . . . : 0 PUMP/IRRIGATION. . . . : 0
EACH ADD' L 5O0SF. . . : 0 201 - 400 amp. . . . . . . : 0 SIGN/OUT LINE LTG. . : 0
LIMITED ENERGY. . . . . : iii 401 .- 600 amp. . . . . . . : 0 -TONAL/PANEL. . . . . . . : 0
MANF. HM/ SVC/FDR. . : 0 601+amps-1000 volts. : 0 ri1NOR LABEL ( 10) . . . : 0
-----SERVICE/FEEDER-- -- ----BRANCH CIRCUITS----- ---ADD' L INSPECTIONS-
0 - 200 amp. . . . . - 0 W/SERVICE OR FEEDER: 0 PER INSPECTION. . . . . : N
201 - 400 amp. . . . . . : 0 1st W/O SRVC OR FDR. : 1 PER HOUR. . . . . . . . . . . : 0
401 - 600 -np. . . . . . : 0 EA ADD' L BRNCH CIRC: 0 IN PLANT. . . . . . . . . . . : 0
bol - 1000 a,op. . . . . : 0 .---.--------------FLAN REVIEW SECTION--------
1000+ amp/volt. . . . . : 0 )=4 RES UNITS. . . . . . . . : ) 6O0 VOLT NOMINAL. . :
Reconnect only. . . . . : 0 SVC/FDR ) = 225 AMPS. . : CLASS AREA/SPEC OCC. :
[lwner. ------------------------------------------------------- FEES ------------- -_.
MKE ENGINEERING type amount by date recpt
7110 SW FIR LOOP PRMT t 35. 00 CJS 05/30/96 96-279999
'jUITE #140 SPCT t 1. 75 CJS 05/30/96 96-279999
l I CARD OR 97223
Phone #:
Cant; actor: ----------_----._---_--.-.-----------.--__._--------.-----------------
P,1OE1 ' ELECTRIC CO L 36. 75 TOTAL
PG B(, 1432
REQUIRED INSPECTIONS - ---
TI)ALATIN OR 97062 Wall Cover Elect' 1 Final
Rhone t�: 503-692-5862 Elect' 1 Service
Reg N. . - 5.X288 -
Thi, perait is issued subject to the regulations ,ontained in the
Tip,d Municipal Code, State of Ore, Specialty Codes and all other Permittee Signature
ava,icable laws. All work will be done in accordance with
approved plans. This perait will expire if work is not started
within 181 days of issuance, or if work is suspended for tore chc�rl AAM', l,� _..
than 188 days, Issued By
--_- -__-.----- -- --.-.___ _______..-OWNi.R INSTALLAI ION ONLY------------ ---------The inStallation is being made on pr-op�r••ty I own which is not intended for-
sale, lease, or- rent .
UWNE R' 9 SIGNATURE: __.,- ^— --._-_._—_— DATE-
INSTALLATION
ATE:INSTALLATION
S I Wi)URE OF SUPR. 7.:1_E.C' N: L,ap?I,fna i-0yn DATE 5-3,0
LICENSF NO:
Call far inspection -- 639-4175
L
f
Community Development ELECTRICAL PERMIT APPLICATION
1312.5 SW Hall Blvd.
Tigard, OR 97223 Permit # t=l696-0239---
Date Issued K 3o 96
Phone (503) 639-4171
CITY OF TIGARD FAX (603) 684-7297
TDD No. (503) 684-2772
Inspection (503) 639-4175
r1 Job Address: 4. Complete Fee Schedule Below:
Name of Developmentmy—1'1.- 'i- f�_ Number of Inspections per permit rllowed
Address ._, ocn Service included Items Cost(ea) Sum
City/State/Zip- � 4a. Residential -per unit
1000 sq ft or less $11000 _ _ 4
Name (or na ie f business)__ Each additional 500 sq ftor $z�00
portion thereof
Commercial Residential ❑ Limned Energy $2500 _ 1
Each Manurd Dome or Modular
Dwelling Service or Feeder $6800 2
2a. Contractor installation only:
4b. Services nr Feeders
Installation,alteration,or relocation
Electric Co acct 200 amps or less $6000 2
Address 201 amps to 400 amps $8000 2
City_ State ZI 401 amps to 600 amps $12000 2
601 amps to 1000 amps $18000 2
Phone 0 _ _ __ Over 1000 amps or volts $34000 2
Job NO Reconnect only $50 00 2
'
contractor's license O.
4c. Temporary Services or Feeders
Contractor's Board Reg. No. _ Installation•alteration,or relocation 2
Signature of Supr. Elec'n 200 amps or leas 2
License N13.G ne No �` — 201 amps to 400 amps $5000 2
_ 401 amps to 800 amps $75.00
Over 600 amps to 1000 volts $100.00
2b. For owner installations: see"b"above
4d. Branch Circuits
Print Owner's Name _ _ _ New,aftemlion or extension per pane
Address a)The fee for branch circuits with
purchase or#@-.,Ice or feeder fee. 2
City State__ Zip` 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 No. / .2
r3� .�
First branch circuit ( $3500 .
not intended for sale, lease or rent. Each additional branch circuit $500
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 circult(a)or a limited energy
Fir ise check appropriate Item and erter fee in section 5B panel,alteration or extension '40.00 _
4 or more residential units in one structure Minor Labels(10) 6100.00
_ Service and feeder 225 amps or more
System over 800 volts nominal 4f. Each additional inspection o•rer
Classified area or structure containing special occupancy the allowable in any of the above
as described in N E C Chapter 5 Per Per hour hour I ,n _ $3500
_ _ $5500
In Plant _ $5500 _
Submit 2 sets of plans with application wt are any of the above
apply. Not required for temporary construction services. 5. Fees:
Be. Enter total of above tees $
NOTICE 5%Surcharge (.05 X total fees) $
PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $
AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF 5b. Enter 25% of line A for
CONSTRUCTION OR WCRK IS SUSPENDED OR ABhNVONED FOR Plan Review H required (Sec.3) S
A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtat.al $
COMMENCED. ❑ Trust Account tk $
p,m Apr
Balance pus a