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12435-12437 SW HALL BLVD-2 .. i .,: ,�a:��pA,Y«',ltzifi�R'+Inp^71pA1N��1 �Mwlt+"�w,r'7tMYMV.AAYI�M�Kt'9f'�- g ''M�.� � �� �MkileRM#71�ud*1+5�A*+R'M'W �4*�e'wc a e�„c�a het* —f:MRtrn w4Ww•.sr.n'w>i.�w r� v �A��,� ,!' +$S;. � ,Y', .' X. 5:` 3( "'�4��,�0.',-'� { !h;' '' ,�`�r' R.. �'��4:� At fir. �1 �rF'��:�..-� � F*.(f�.. ;`'Vff�,W:�'�,* r r ,.J ,..: � , � '.,� •; � .� � r• Y t.J4: • i` �'� \` N ��� I ., � ����'�. i 1��. �`. ,�� ti j� I •I ,,* 1 1' � •• �� �: r � �I r '�*• .L'. .. �,6. .� 11 �� l �+ �• + 1 y. ,r f . .. r � � ��� _. �, . : . .. a i f. CITY OF TIGARD BUII_DINC:. INSPECTION NOTICE Inspection Line Rec-O-Phone): 635-4175 Business Phone: 1639-4171 .I Inspect P - Footing Su-r Coiling Sprink. Rough-inf Appr/Sdwlk ndation PIL,u. Uncle slab ,�ec'4r�R^1_1gh iq'' Fireplace Fou � Post/Beam Struct. Plbg. Top Out Elec. Hough-'n FINAL: Post/Beam Mech. San. Sewer Gar. Line S Plbg. Underfloor Rain Drain Framing , Plumb. { i Alarm Water Line `nsulation -Meeh. Underflr. Insul Shear Wail Gyp. Bd. Elect. / s Date Requested: l( 1 I e) _Time: AM PM Address: Builder: Permit #:0n� r THL FOLLOWING CORRECTIONS ARE REOUIRE Vispector:_ Date: PPROVED !DISAPPROVED __APPROVED SUBJECT TO ABOVE Call For Reinsp. Y v i. oil— oil 1 1-11 00%, BUILDING PERMIT CITY OF TI %7j6%RD I-'ERMIT #. . . . . . . : BUP95-0448 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 10,1-11/95 13126 SW Hall Blvd,Th,ard,Oregon 97223.8199 (&IM 4 3944117411 PARCEL: :=S I V12AA-•035k S I TI` ADDRESS. . . : 12437 SW I-AAL.L BLr�% SUB.DYVISION. . . . : ZONING: CFD BLOCK. . . . . . LOT. . REISSUE: FLOOR AREAS----- -- --- _ EXTERIOR WALL CONSTRUCTION CLASS OF WGRK. :ALT FIRST. . . . : s f N: S: E: W: s I"YI'F. OF U�iE. . . :S)l4ecor^m SF_CC?ND. . . : s'F F'RO1"ECT OI-'f NINGC !- ---____-•-- TYPE OF CONST. .-5N 5r" N: S: E: W: 1 OCCUPANCY GRP. :R: T'01 AL.--_ ---: 0 s•F ROOF CONST: I-I R[= REQ T? : OCCUPANCY LOAD: BASEMENT. : S f AREA SEF'. RA'rUD: � S'T0P. : HT. : r t GARAGE. . . . s f 0(;C:L.I SEP. RATEL : B SMT?: ML?.Z?: REOD SETBACKS----- FLOOR ETBACKS-----___.__-_. -- FLOOR LOAD. . . . ' I:3s f I_E1=T: ft RGHT: ft FIR SF'I-I,L: SMOK DET. . w DWELLING UNIT;=: FRNT: ft RE=AR: ft FIr. AL.RM: HNDICP ACC: BE'DRMS: SATHS: IMP LJRFf1CF. : F11?O CORR: PARKING: VAL_U11. $ : 2200 Remarks : additional insulation to uae reyn.i.iremF'ntz. for weatherizati.on orogram I Owner^: _________.____________._..___.___._.__._______._._. . --_..._ _.._.._____ - F SUMP type amon_tnt by fate recpt .1._'+-7 PRMT g 3B. Fo JHF 10/31/95 95--2--'7c 301 SI MALL BLVD SPCT 11; 1. 94 BGN 10/31/95 95-272321 iGARD OR 97224 Phone #: 503-6313--3950 a Contrao t c"• OWNER 1 f F'lfnne # 'k 40. 43 TOTAL Recd #. . ; 000000 REQUIRED INSPECTIONS This permit is issued Subject to the regulations contained in the Insr_rl at ion Insp Tigard Nunirival Code, State of Ore. Specialty Codts end all other Final Inspection; applicable laws. All work will be done in accordance with app,ovr., plans. This permit will expire if work is not started __..____��.y �_•_•___�___,_ �____ wi.hii 180 days of issuance, or if work is suspended for more than 180 days. I 1-mittee Signatr_tre: ,.r Call for inspection - 639--4175 Commercial Building Permit Application City of Tigard • 1.3125 SW Hall Blvd, Ti►yard, OR 97223 (50.? -4171) 639 I Jobsite Address: 1Z VZ 7 �'Ckj � LUp ✓ Office Use Only Tenant: _ _ _ _ Suite# /_�. u wi i 3 Valuation: Z2D O el" PlancklRec # —__ Permit # _ �'� "1`� t4����ri • Owner: � , Map & TL w Address: /_gW&��c�'�ia F.t /J,c,— Aparovals_Reguired Planning Phone: Q�G -2 Q t z ole 'C's 0 - 3 9 Sa _ Engineering Other �� I,,Ll�d✓+� — Contractor: _ - „� 4�+t- , Address: /2 of 'f___ �,�iZI Type of const: Occupancy class: _ Phone. - o- aZ -�', /9_ ._ Sprinklered? Yes Contractor's License # _ (attach cony of current Oregon license) Sq. ft. of project: lanae . l Contact name & phone: _ Storyist�nd, etc.) loesess�o _ Proposed use: Architect/Engineer: Previous use _QC FIX,_ 12-14,21 Address, - - Note: Plumbing & mechanical plans must be submitted at time of building permit application. Phone: __.�.- --- --- JOB DESCRIPTION: VDD A ai/aA,e &Vr-fe4il1-r dbZZ&-A- -2 _ Appiican; Signaturef& Phone number - Received by I(t. L�l t Date Rece+ved: h ' �,r���iMtW7�' ;� .��`r�g,v •,-! `�, �M;,. .;, .. ,.:.. .6tfi,+ ��, .,., } (,"y�fy,°, �' ;��?.c�w,..�:�. AV" Permit 0 Account Description Amount Amt. Pd. dal. Due 1 Bldg. Permit (BUILD) t Plumb. Permit (PLUMB) i Mach. Permit (MECH) �� t State Tax ('TAX) Bldg: Plumb: Mech-. Plan Check (PLANCK) _ of Bldg: Plumb: Mech: Sewer Connection (SWUSA) _ Sewer Inspection (SWINSP) _ Sparks Dev '.;haNa (PKSDC) Residential TIF (TIF-R) Mass Transit TEF (TIF-MT) Commercial TIF (TIF-C) Industrial TIF (TIF-,) I Institutional TIF (TIF-IS) Office TiF (TIF-0) Water duality (WQUAL) i Water Quantity (WQUANT) Fire Life Safety (FLS) Erosion Cntrl Permit (ERPRMT) Erosion Planck/US.", (ERPLAN) _ Erosion Plar.cklCOT (EROSN) r � TOTALS: w r I r, y�} a :y 4•: I( id t 11Y I'll I I I o I I NJ !"''• r _. it�i1 • i!I t F' I IrrI1.lU1'i i r 1�1f1Mf-: a I3t.1r�IF-', (�I)r'(E11..() 1:: ! :►:�.�1 1 +'aNl1!1)r•I I r l' F�j,>1)(�F�:;f;�; R 6'{1 k;(1'�. J(a''Si:' 1-!(1'�I�'Ik id I l'l l 1 k.: .t 4.1/ .^�l d `;•1`,.� FIJt~Lh i. .1.IV IIN l'1 Il'11't I ;l' +,I(" ! 11Y{',y( N 1 r}I'✓a!111 1 (-'1'11.1+ 1'1 J1.1't.C•ri- sit 1'1+', Wl..l'f I (-11411111j I r'11.1 tr x I 1o'43 7 ('iW 1411-1. Ol .'''I). 1 I i �J y,��[R �� .�, y. ... .,.�,..e+cwsk'MMP++"\IK.AANr'waa+iks�s(•rJ"��MAIMN , @�r�"'k�.uU �\,IW►,�!4Y a^l 'h'ff'lkl�Tq< 4w. t.'++"+w/8.r �n en. v� -r�.+ -.a:a wa +.' �" - � "r �.,'4 {�{'.?'� \ �i �,��°v��j - �{,•�'.'.• .ua3.4 .ii. 'Utl�' � ;1� � R :.�r' �:�:. f \clf1-:r� •4� � air 41 t' Fes' 1 i 1 1 11: } f4lyll it 1114 1 I j ". i ; r ;. MECHANICAL PERMIT CITY OF TIGARD PERMIT #. . . . . . . : MEC95--0367 COMMUNITY DEVELOPMENT DEPARTMENT DATE ISSUED: 10/1;3/ 95 A 13125 SW Holl Blvd.Tigard,Oregon 97223.6'99 (503)639-4171 PARCEL: 2S 102AA-•03500 SITE ADDRESS. . . 1243.7 SW HALL BI_VE- SUBDIVISION. . . . : �yZONING: CPD l L3LOC1A. . . . . . . . . . _______.__._.__.-_____LOT. . . . . . . . . . . . . ______-___._._____.�!`�'�'-��rn.,F=_�L•(�Y r.__.______.______.__... CLASS OF WORK. . :ALT FLOOR 17URN. . . . : '-VAP COOLERS: T'YP'E OF USE. . . . :COM UNIT HL OCCUPANCY JE:IVT" FANS. . . : 1 ! OCCUPANCY GRP. . :B. VENTS W/O APDL VESIT rYSTEh1G,: STORIE`). . . . . . . . : BOILERS/COMPRE=SSORS HOODS. . . . . . . : FUE:I.. T Yk'ES- ---___.__..___._ 0... HF'. . . . : DOMES3. I NC I N: 3-15 HP. . . . . COMbIL. INCIN: � IIAX INPUT: BTU 15--30 ISP. . . . : REPAIR UNITS: { F IRE DAMPERS?. . : 30---50 Hr'. . . . : WOODSTOVES. . : GAS PRE956RF. . . . 50+ HP. . . . CLO DRYERS. . - NO. OF UNITS------------ AIR HANDLING UNITS OTHER UNITS. : FURN ( 100K BTU: (- 10000 r•fm : GAS OUTLETS. TURN ) =100K BTU: > 10000 cfm : Remarks : Installing 12 vent fans in apartment 1.tvits. Owner: -- -- ----___._______._.__._._________.___._.__-____._ _.___.-- FEES RON BL11P type amol.lnt by date recpt PO L40X 1652 PIPMT $ 46. 00 B 10/23/95 95-271973 3PICT $ 21. 30 B 10/2:'3/":5 95--2719 7,3 TUALATIN OR 970C: 2 Phone #: I Cont rar_t or: ._.._........OWNER Phone #: 48. 130 TOTAL Reg #. . : 00001-10 REQUIRED INSPECTIONS ------This permit is issued sub iect to the regulations contained in the Mechanical Insp Tigard Municipal Code, State of Ore. Specialty Codes and all other Mi. sc. Inspection applicable laws. All work will be done in accordance with Final Inspection approved plans. This permit will expire if work is not started within 160 days of issuance, or if work is suspended for more than 160 days. Pprmi.t wee ligT _t'1W z • I ;stAed By : Call for, inspection - 639--4175 City of Tigard MECHANICAL PERMIT Planck/Rec. # 13125 sw Hall Blvd. APPLICATInN Permit # Tigard, OR 97223 (503) 639-4171 t escnption A y, ,x ) _r• /)) '' Lc l l�C. V Table 3A Mechanical Code QTY PRICE AMT Job L � J 0 r f I I 1) Permit Fee U a 10.00 Add ess i4 2-) Supplemental Permit 3.00 IL..I,. •m•W buMM) urnace to fOO,000 BTU 1) incl. ducts &vents 6.00 .. aFurnace 100,000 BTU + Owner I -7 Lr) Lj >r+� ` 2) incl. ducts &vents 7.50 • Floor Furnance (,t(r t 3) incl. vent 6.00 Nomew •"bum"") -" Suspended heater, wall eater 4) or Floor molanted heater 6.00 r • Add�N • ent-lot inc. In Occupant 5) appliance permit _ 300 repair of heating, re ng. 6) cooling, absorption unit 6.00 • or er or comp, Feat pump, air cond. 7) to 3 HP; absorp unit to 100K BTU 6.00 r, n ••• Boiler or comp, heat pump, 77 7-77— . r �._ " �j 8) 3-15 HP; absorp unit to 500K BTU 11 00 Contractor Y, ; oyer or comp. 5eat purnp, air con . 9) 15-30 HP; absorp unit 5-1 mil BTU 1500 •• 1t�r'r„ Boiler or comp, eat pump, air cond. 10) 30-50 HP; absorp unit 1-75 and BTU 22.53 hereby acknowledge that I have read this application, t at i e Boiler or comp, heat pump, air con . inf;rmation given is correct, that I am the owner or authorized 11) > 50 HP; absorp unit 1 75 mil BTU 3750 aaent of the owner, that plans submitted are in compliance with --7In ing unit to State laws. that I am registered with the Construction Contractors 12) 10,000 CFM 450 Board, that the number given is correct. (If exempt from Slate Air handling unit registration, please give reason below.) 13) 10,000 CTM + 7.50 Non po able 14) evaporate cooter 4.50 ant fan connects 15) to a single duct IT 3 Ventilation system not 16) included in appliance permit 450 Hood seryed7y 17) mechanical exhaust 4 50 Describe work new L addi!i-o-n--7 a terauon (_ repair U Commercialor industrial to be done residential non-residential (� /;) , 'j" 18) typo incinerator 30.00 Existing use of -�- ter .e.. woo stove. water budding or property�,,�1,),L]-'J- 191 ,,eater, solar, clothes dryers, etc. 4 50 Proposed use of 20) Gas piping one to four outlets 200 building or property -- 21) More than 4-per outlet (each) 2 00 Type of fuel -oil O natural gas LPG electric Q NOTICE I, Minimum Fee $25 00 SUBTOTAL Lj Y' Ot) < PERMITS BECOME VOID IF WORK OR CONSTRUCTION Fl, AUTHORIZED I;, NOT COMMENCED WITHIN 160 LAYS, OR 5% SURCHARGE fjj' li IF CONSTRUCTIOi: OR WORK IS SUSPENDED OR —` ABANDONED FOR A Pl::R:C!) OF 180 DAYS AT ANY TIME PLAN REVIEW 25% OF SUF,TOTAL I '%r-TER WORK IS C:MMENCED - — TOTAL Special Conditions Date Issued "1C61MC9T4MEGHPVIT , } I 4v r��i ■ � ._..3 � 1''`•� ro'�k�zCf�'jnr.caY'��ie+YF!�a•:�.� �,+mJ�'rCJ�',' ., - .. ,.,�,,.. . _.. _... .. .. ry i D VIA spi et l cl Pit god a 1 i I! i 4K^'/"�' ?05? .I'7 h e I 1. 1 i ~ f i f.:I I UH (,:11, fi1vl111.,N t a hf 1., No 1M IALlMP, P(AW11—D C;F1'H F-1MOUN F Fi1)ttl';t :i:s c P(l MIX 1_tFIif: TU 11.FaTAN CM ;.il.IHDI VfON n 4J•�1�tf:�i'' . F=URF Ubt: t14- f'OVW N I F-►I'It IO14 1 1.10 1 1.1 1,I 10 A t'-,t ++ f'1I'r till 1'4 1 r.-►t+111+-IN I i 'lf:.l"IIF1N.tl:Fll. PY., i f I s, 10 1 t-AI UNi 1 V4J h ,r'.. .t;1 ' 1 J fl 1�t C t. 7 'I ,I T � CITY OF TIGARD �r ! `. COMMUNITY DEVELOPMENT DEPARTMENT 13125 SW Hall Blvd.Tigard,Oregon 97223.9199 (503)839-4171 r,n nr r-t r.r f Trt ;'11"I c ? ;thrM i-• ,moi... , ,,.._ ,...-. . ......... .... ..•., ^ •_ ' '•'•1•.'Y' .(:,, t" 1 1,.. r. , r.'1 '^.. r^�••.I/1 r!r{?1./ r r-T ., ...- 1!• r'Tl w T'-,- I r, -4 r1 +�'1 /''�- ntr< _y;D!C+�•/. ioT1F .•w r rrni I T PT-T) t Nt,T'rrrT T r,hl^• r7n 4 W&F rl�' � ,. n 1 Commerciaw Building Permit. Application City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 (503) 639-4171 a Jobsite Address:. nn I`�u rr� Suite# Office Use O ;. Tenant: aT- 1 I 6 0 D Planck/Rec # Valuation J fT— Permit # Owner: rr Map & TL # Address: �- W ) l G�� __, Approvals Requirad Plwinlrg Phone: Engineering -, Other Contractor: zJ Address: Sa � s C�1 Type of const: O'=pancy class: Phone: 1110 -091? J� 1 ' Spnnklereo7 Yes No Contractor's License #_ S (o 3 � (attach copy of current Oregon license) Sy. ft. of project: me: Contact na & phone: f fO cu W b , f I (M Irl //26,10W Sto (1 st,)2nd, etc.) Proposed use: Arch itecU!,ngineer: Previous use. Addre;s: V— Note: Plumbing & mechanical plans must be submitted at time of building permit application. Phone JOB DESCRIPTION: � J J J I z VI h. /�G1 i o App icanSignatureF�hone number Received by: , Date Received Permit# Account Description Amount Amt. Pd. Bal. Due Bldg. Permit (BUILD) so Plumb. Permit (PLUMB) - i Vech. Permit (MECH) State Tax (TAX) Bldg: Plumb: Mech: Plan Check (PLANCK) Bldg: Plumb: Mech: Sewer Connection (SW USA) Sewer Inspection (SWINSP) Parks Dev Charge (PKS DC) Residential TIF (TIF-R) Mass Transit TIF (TIF-MT) Commercial TIF (TIF•C) Ind istrial TIF (TIF-1) Institutional TIF TIF-IS) Office TIF (TIF-O) 1 Water Quality (WQUAL) — L Water Quantity (WQUANT) _ Fire Life Safety (FLS) S is Erosion Cntrl Permit (ERPRMT) Erosion Planck/USA (ERPLAN) Erosion Plar,ck/COT (EROSN) ^� - TOTALS: ��/ • '1 ' ____ _ -.. ���.•�w�...r.. �r�.r r�- .•..�.r��+.�r�.�..�.� .�.�....�. _w.-.ter.ren.�•.�w...«w�...�....�r..+.r�r�. + I G1. TV t!I I1l-i1114D Fit-1..f:: JPI t11 1'PVAIr:NI RfL'FAP ,Ai t=,1;, r'/k1t1.74 - I LA 11.•1..;1<, Hilll J1..IN 1' , i oid. I NiTl+11: 1t l.•:,I:JL 61m.: 1•!ULI .0W W I fUJ.11.1W 1 :11 I,c 13 i11 f tf+11.t1.il'•I I lt'i. k)0 5iA1,5 SW C.W:IICv; kll b+i!'r'h'iffJI t)1IIf ii.l L 11)1 V 1 t-i t 111A 5 a L.rll'.F_. C.]Lifrll;lilly O t-'t.{I:C' 1IF {•'f•f'rlYff CQI f4PlkILINI I 'i ++ iI t 'I_INil . lcik. til IlkYrf0+1I 11\1I PI=IIA) s BLI i 1 I i ,• , 1311. i t+111( l► Pl k 0. 1 TOTAL f;Mt•11.041 1.1141D ,Q CITY OF TIGARD } STOP WORK ORDER BUILDING DIVISION 1312 SW 11.4i_,l. E3LVU., TIGARD, OR 9712..3 639-4171 JOB ADDRESS: j -A L) _PERMIT OWNER:_ 6 CONTRACTOR: YOU ARE IN VIOLATION OF THE FOLLOWING: w M. AND HEREBY NOTIFIED THIS DAY OF 19 ( AT _ THAT NO MORE WORK SHALL BE DIE ON THESE PF�Eio"!, ESJUNTIL THE ABOVE VIOLATION HAS BEEN CORRECTED AND VERIFIED BY THE CITY COF,RECTIONS SHALL BE MADE WITHIN DAYS OF THE ABOVE DATE, FAILURE TO COMPLY WITH THIS NOTICE WILL RESULT IN THE ISSUANCE OF A CIVIL INFRACTIONS SUMMONS. -DO NOT REMOVE THIS NOTICE- - BUILDING INSPECTOR ......,,, ,�W,�a.,,.....,,,.„...,w ,.,,,.rx`rau.w..�'«rt��'».,,.mt:,.4;or� rtttl�,W►uia,NlaMwcwP;n:R't��s'IiWVY.N4:x[rres�oMaw�-uw.wrron,m.:..�.._.........,--__----- _. f ry I ul 1I i ��11.x 7Y ^u Mov it]lg�' 'iFF f 4v i"T •:�r � ,- �l ;15p�1 it jt h rY{II t L ti ✓*'f.:.:�- r �+}Ari".r � �,i!r;( i�',i^�.{ R.iq i NS ti>�v I /f !r CITY OF TIGARD BUILDING INSPECTION NOTICE Inspection Line (Rec-O-Phone): 639-4175 Business Phone: 639-4171 Inspection: J - . • Footing _f�! Susp. Ceiling Sprink. ough-in Appr/Sdwlk Foundation Plhg. Underslab Mech. Rough-in Fireplace Post/Be,--n Struct. Plbg. 'Top Out 40 Rough-in FINAL: Post/Beam Mech. San. Sewer Gas Line -Bldg. Plbg. Underfloor Rain Drain Framing -Plumb. Alarm Water Line Insulation -Mech. Underflr. Insul. Shear Wall Gyp, Bd. Date Requested C C _Time: AM PM Address: Builder _ r_S S_Permit #: C THE FOLLOWING CORRECTIONS ARE REQUIRED: U 37 t` "r—c- 1;e lam' -� 5'y — — s Y Inspector: -�— > —APPROVED DISAPPROVEDAPPROVED SUBJECT TO ABOVE _Call For Reinsp. Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 F'anck/Rec. # ( Permit # L- L- c I'5- In_VZ'G- Phone (503) 639 4171 Date IssuedI CITY OF TIC;ARD FAX (503) 6134-7297 Issued by ;i,� • TDD No. (503) 684-2772 Inspection (503) 639-4175 I 1. Job Address: 4. Complete Fee Schedule Below: Name of De v ip nt J _ Number of Inspections per permit allowed Address Service included: Items Cost(ea) Sum City/State/Zip > .-t , (la 4s. Residential-per unit 4 1000 sq It or lose $11000 Name (or name of business)_ Each additional 500 aq It or 1 portion thereof $2500 1 Commercial❑ Residential❑ Limited Energy :2500 Each M9nu1'd Home or Modular 2 to Dwelling Service or Feeder =8800 2a. Contractor Installation only: 4b.Services or Feeders 1 y�- Installation,alteralcon,or relocation 2 Electrical Contractor 200 amps or leas $6000 2 Address ('jJ a 201 amps to 400 amps $8000 2 City State401 amps to 600 amps $120 00 2 601 amps to 1000 amps $180.00 2 ) Phone No. C3 Over 1000 amps or volts $34000 o i C—tractor's License No. _ -� — neo^^ad only $50 00 {t Contractor's Board Reg. No. _pr`p 4c.Temporary Services or Feeders Installation,alteration,or relocation 2 Signature of SUpr. Elecltf14- (J /Zk'��. _ zoo amps or lase $5000 License No. ; a _ Phone No,(-: f -iris ` 201 snips to 400 amps $7500 2 401 amps to 600 amps $10000 Over 600 amps to 1000 volts I 2b. For owner Installations: sea W above 4d.Branch Circuits Print Owners NameNew,aHeralwn or extension per pan Address a)The 'or branch circuits with 1 city State--- zip purchase of service or Nader fie. 2 (. Each branch Grcul $500 Phone No. b)The lee for branch circuits without The installation is being made on property I own which is purchase of service or feeder fee. 2 i. �� not intended for sale, lease or rent Fcmt brarrh circuit $3500 -3S 2Each addAionat branch arcuit $600 i Owner's Signature 4e. Miscellaneous (Service or feeder not included) 2 3. Plan Review secti(n (it required): —_ _—_ h Each pump or trngetion iris $40 Ofl 2 q Fsch sign or outline lighting $4000 _ Signal circuit(s)or s limited energy 2 Please check appropriate item and enter foe in section SB, panel,alteration or extension $4o no 4 or more residential units in one structure Minor LaWs(10) $10000 __—Service and feeder 225 amps or more System over 600 volts nominal 41. Each additional inspection over l Classified area or structure containing special occupancy the allowable In any of the above Per irnpecrwn $35 00 as described in N E C Chapter 5 _ Per hour f55 00 Submit 2 sets of plans with applicstior where an,of the above In Plant $5500 apply. Not required for temporary construction services. S. Fees: NOTICE So. Enter total of above fees $ ?� S 5%Surcharge(05 X total fees) $ 'Z PERMITS S PERMITS BECOMr VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter 25'/of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ A PERIOD OF 180 DAYS AT A14Y TIME AFTER WORK IS Suhtotol $ COMMENCED ❑ Trust Account N $ 1 f Balance Due $ : I r— - j Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 972.23 Planck/Rec. # Permit # F, L 1 C, - (-) 3. S Phone (503) 639-4171 Date Issued _ r 11 S`r CI*Y OF TICiARD FAX (503) 684-7297 Issued by • TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development `�?�� /?.k.�,. Number of Inspections per permit allowed Address . 3 7��/�L� ���e Service included Items Cost(ea) Sum Ci /State/Zi ty p ��C-�'!,_',�-r(' �1.1�-' 4a. Residential-per unit 4 1000 aq It or lose $11000 Name (or name of business Each th rel f sq h or 1 ) portion on Iheeol $25.00 Commercial❑ Residential ❑ Limited Energy $2500 r Each Manut'd Home or Modular 2 Dwelling Service or Feeder $88.00 28. Contractor Installation only: 4b.Services or Feeders Installation,alteration,or relocation 2 Electrical Contractor 200 amps or lass $6000 2 Address 17� 7 201 amps to 400 amps $8000 401 amps to 800 wipe $120 DO city - u ) State 1�v1'- Zip 801 amps to 1000 amps _ $180 DO 2 Phone No. Over WOO amps or volts $34000 2 Contractor's License No. Reconnect only $5000 _ _ I Contractor's Board Reg. No. .� G� `T'� 4c.Temporary Services or Feeders --'--2 ('� Installation,aheration,or relocation 2 Signature of Supr. Elec' 200 amps or less $5000 2 201 ampe to 400 amps $75 00 2 r License No. f`1 Phone No.6,:��� G i.1- 401 amps to 600 amps $10000 I Over 800 amps to 1000 volts i 2b. For owner Installations: see W above 4d. Branch Circuits Print Owner's Name New,alleratwn or extension per panel Address a)The fee for branch circuits with city_ State__ Zip purchaoa or service or boder W. 2 Each branch circuit $500 Phone No. b)The foo for branch ctrcutr,without f The installation is being made on property I own wn cl I is purche"o/service or boder Am. _ 2 not intended for sale, lease or rent. First branch circuit l~ $35 00 3 S 2 Each additional branch circuit $500 i Owner's Signature 4e. Miscellaneous (Service or feeoer not included) 2 i 3. Plan Review section (if required): Each pump or irrigation u;, $40 DO 2 •.•h--^nr outline;ughtin,, $4000 ud(s)or r t milad energy 2 Please check appropriate Item and enter fee in section SB. I 4aration c�extension $4000 i 4 or more residential units in one structure ria(10) $10000 Service and feeder 225 amps or more System over 600 volts nominal 4 h,additional inspection over Classified area or structure containing special occupancy Ih dowse le in any of the above i as desrribed in N.E.0 Chapter 5 Per in pection Per hour $5500 In Plant $55 00 Submit 2 sets of plans with application where any of the above —' apply. Not required for temporary construction services. $. Fees: NOTICE 5s. Enter total of above fees $ _ ; ; I 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 WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ _ COMMENCED ❑ Trust Account rA i Balance Due $ :3� J 5 r -� Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # Permit # T. L-C' Phone (503) 639-4171 Date Issued 17/ FAX (503) 684-7297 Issued by - , • CITY OF TIGARD TDD No. (503) 684-2772 --� — Inspection (503) 639-4175 7. Job Address: 4. Complete Fee Schedule Below: Name of Development L Number of inspections per permit allowed -- 7�1_� / /� __. Address Service included: Items Cost(ea) Sum ' 4 �a. Reoidential• unit 4 City/State/Zip�.,�.'-l�i� -�-s. �L -_ 1 O sq ft.or less $11000 Each sddAioral 500 aq It or Name (or name of business) portion thereof $2500 1 Commercial❑ Residential Limited Energy $2500❑ Each ManufA Homo or Modular 2 Dwelling Service or Feeder $6800 2a. Contractor Installation only: 4b.Services or Feeders Installation,allegation,or relocation 2 Electrical Contractor 200 amps or less $6000 2 G ) !h �� 201 amps to 400 amps Address $89 00 - 2 �� •� 401 amps to 600 amps $120 00 2 Gity Statt Y ! Zip 7 �_� 50I amps to 1000 amps $180 9c 2 Phone N0. - Over 1000 amps or volts $34000 2 Contractor's License N0. "- Reconnect only $5000 Contractor's Board Reg. No. f' 4c. Temporary Sfirvices or Feeders Installation,aflerabon,or relocation 2 .y Signature of Supr. Elec'%-�-�- �'� ' 200 amps or lase $50 00 _ 2 r License No. �r_.n t Phone No. —>✓>r 201 amps to 400 amps �- 100$7600 a _ ��. � 401 amps to 1100 amps $100 00 Over 800 amps to 1000 volts 2b. For owner installations: see'b'above 4d. Branch Circuits Print Owner's Name New,aderation or extension par pant Address a)The lea for branch cirrnmo with Purchase of service or Moder Me. 2 City State Zip__ Eich branch arcuA $500 Phone No. b)The foa for branch arcude without The installation is being made on property I own which is pwchaee of service or Mader be. i 2 First branch not intended for sale, lease or rent. additional circuit ✓ $95 00 2 � Each dAional el branch circuit V 00 Owner's Signature 4e. Miscellaneous i (Service or feeder not included) 2 3. Plan Review section (i/ required): Each pump or irrigation circle $4000 2 Each sign or oulhne I,ghting L40 00 Y Signal c muif(s)or a limited energy 2 r Please check appropriate item and enter fee in section 5B. panel aBerabon or extension $40 on ' 4 or more residential units in one shucture Minor i.abels(10) $Ina Do Service and feeder 225 amps or mots _ System ov:x 600 molts 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 Par hour hourinspon $3500 $5500 In Plant $5500 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: NOTICE So. Enter total of above fees $ J Z 5%Surcharge(.05 X total fres) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ 5b.Enter 25%of lino A for AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan PRAew if required(Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED. ❑ Trust Account N $ r. Balance Due $ Ck" I C Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd, Tigard, OR 97223 Planck/Rec. # Permit # F17 C Ak, Phone (503) 639-4171 Date Issued CITY OF TIGARD FAX (503) 684-7297 Issued by TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development ` t_� r Number of Inspections per permit allowed /' Address l 7 / -. ✓ -6 Service included: Items Cost(ea) Sum City/StatelZip !-,_ [P'— Ia. Residential-per unit 4 1000 aq It or leas $11000 Name (or name of business) Each additional 500 aq It or 1 portion thereof $2500 Commercial❑ Residential❑ limited Energy $2500 Each MAnul'd Home or Modular 2 Dwelang Service or Feeder $6800 2a. Contractor Installation only: 4b.Services or Feeders Installtoon,alteration,or relocation 2 Electrical Contractor L. � 200 amps or leas $6000 2 Address L+� L"L 201 amps to 400 amps $eo 00 2 y, 401 amps to 600 amps $120 00 2 City �i S.ate Zips i�� '� 601 amps to 1000 amps $18000 2 Phone No. C✓S~ Over 1000 amps or voha $040DO 2 Contractor's LIC@nS@ No. - — Reconnect only $5000 40 Contractor's Board Reg. No, D 4c.Temporary Services or Feeders Installation,alteration,or relocalkon 2 Signature of Supr. Elec'n'- '(J. t C 200 amps or leen $50 00 2 License No.� Phone No. Chi$-� 201 amps 10 400 amps $7500 2 _ 401 amps to 600 amps $10000 Over 600 amps to 1000 Vohs 2b. For owner Installations: see•b•above 4d. Branch Circuits Print Owner's Name New,alle,ahon or extension per panel Addrpss A)The lee for branch cirLijits with City State Zip purchsee of awylce or bed-or be. 2 Each branch circuit $5 00 Phone No. _ b)The tee for branch circwtc without The installation is being made on property I own which is purchase of service or boder be. " . /` 2 First branch circinl $35 00 _ 2 not intended for sale, lease or rent. Each Additional branch circuit $5 00 Owner's Signature 4e. Miscolloneous (Service or feeder not included) 2 3. Plan Review section (it required): Each pump or irrigation circle $40 DO 2 Each sign or outline lighting $40 00 Signal circuit(s)or a limited energy 2 Please chec%appropriate Item and enter fee In sectio 5B. panel,Alteration or extension $4000 4 or more residential units in one structure Minor I_atsls(10) $10000 Service and feeder 225 amps or more System ever 600 volts nominal 41. Each additional inspection over Classified ares or otructure containing special occupancy the allowable in any of the above as described in N.E.0 Chapter Per inspection $3500 Par hour $6500 Sul.mit 2 sets of plans with application where any of the above In Plant $55 00 apply. Not required for temporary cone'ruction services. 5, Fees: NOTICE 5a. Enter total of above fees $ 33� _ 5%Surcharge(.05 X total fees) $ 1 I 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 WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ _ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS El $ COMMENCED Ll Trust Account fY Balance Due $ ...rr�e.vwK am.ao :u , it ..'4 ti'.i Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # Permit # C C S - 0� _2 Phone (503) 639-4171 Date Issued _ G'�/ ' 1 FAX (503) 684-7297 Issued by CITY OF TIGARD TDD No. (503) 684-2772 i Inspection (503) 639-4175 1. .lob Address: 4. Complete Fee Schedule Below: Name of Development��' ` e Number of Inspections per permit allowed t Address 123 ` �� L ' — Service included: Items Cost(ea) Sum L� `rS.' [2�— 4s. 'Residential-per unit 4 City/State/Zip 1000 eq It orless $11000 Each addiiions)500 sq II or I Name (or name of business)_ portion thereof $2500 } Limned Energy $2500 _ 2 y Commercial❑ Residential❑ Each Manul'd Home or Modular Dwelling Servine or Feeder 58000 : 2a. Contractor Installation only � 4b.So-vices or Feeders ''• 2 ,stallation,alteration,or relocation h Electrical Contractor ` ` 200 amps or less $6000 2 201 amps to 400 ampe $60 00 2 Addregs GrJ ��"`" - 401 amps 10 600 amps $120 00 __ ? City' State,j��I�. Zip,�;�(!' 801 snips to 1000 amps $18000 _ rr+ `C Ovar 1000 amps or volls $34000 2 Phone No. _ Contractor's Li ansa No. — Reconnect only i0� a Contractor's Board Reg. No 2-&2-&Z _ 4c.Temporary Services or Feeders 2 Installation,alteration,or relocation ,� �_Z � 200 amps or less $50 00_ .�� 2 Signature Of SUpr. Ele r✓ 201 amps to 400 amps $7500 _ 2 License No.-;E j_ Phone No. 77 -7y 7 40: amps 10 800 amps $10000 y Over 600 ampe to 1000 volts , 2b. For owner rn da llairions: see•b•above 4d. Branch Circuits j Print Owners Name New alteration or extension per panel Addrt�c. a)The les for branch ormils with 2 Purchase,of service or hodor he. City _ State Zip Each branch circuit f5 00 Phone No. b)The leo for branch circuits without purchase of service or feeder he. F r v 2 The installation is being made on property I own which is First branch urcuit $95 00 J 2 not intended for sale, lease or rent. Each additional brand,circwl $500 _ 1 Owner's Signature 4e.Miscellaneous (Service or feeder not included) 2 Each pump or irrigation circle $4000 2 3. Plan Review section (if required): Each sign or outline lighlmg --' $1000 Signal c•mue(s)or n limited energy 2 Please check appropriate Item and enter fee in section 58. pane!,alteration or extension $4000 4 or more residential units in rine stntcture Minor I.abels(10) $10000 _ Service and feeder 225 amps or more 41. Each additional Inspection over —System ever 600 volts nominal Classified area or structi+re containing special occupancy the allowable In my of the above as described in N hour P E.C. Chapter 5 Per coon $3500 per hour $5500 In Plant $5500 Submit 2 sets of plans with application where any of the above apply. Not required for lempormy construction services. 5, Fees: _ NOTICE So. Enter total of above fees $ 3 5%Surcharge(.05 X total fees) $ jr PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ t AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYC,OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSFENUED OR ABANDONEC FOR Plan Review if required(Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ COMMENCED ❑ Trust Account N $ Balance Due $ •MfYxnld�N�MC�T til i a Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. R Tigard, OR 97223 Planck/Rec. # Permit # Phone (503) 639-4171 Date Issued C)`U S CITY OF TICiARD FAX (503) 684-7297 Issued by TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: I 4. Complete Fee Schedule Below: Name of Development -`j-��r' ,�;� � ? Number of Inspections per permit allowed Address Pi" Cr CC Service included: Items Cost(ea) Sum City/Staie/Zip --��� t�'�'— 4s. Residential-par unit 4 t- 1000 eQ It or lose 61 to 00 d Name (or name of business)_ Each cot ereo1 fnal eq n on $250000 porlwn1Mro1 Commercial❑ Residential❑ umasd Energy $26 00 Each Manut'd Home or Modular 2 Dwelling Service or F oder $158.00 2a. Contractor Installation only: ` 4b.Services or Feeders Installation,alteration,or mlocalion 2 Electrical C -ontractor ` ="t"ne—� - _ 200 amps or less $80.00 2 Address _: 201 amps to 400 amps $8000 _ _ 2 401 amps to 600 amps $12000 _ 2 City State­&C- Zip. �� 601 amps to 1000 amps $180 00 _ 2 Phone No. Z, - ,fit Over 1000 amps or volts $34000 2 Contractor's License No. , - Reconnect only $6000 Contractor's Board Reg. No. �4 4c. Temporary Services or Feadere InstWation,alteration,or relocation 2 Signature of Supr. Elec' f ��Sw`fes v ' n 'p 1 200 amps or lees $5000 _ 2 t License No.. O, S Phone No. 201 amps to 400 amps $76 00 2 4 401 amps to 600 amps $10000 Over 600 amps to 1006 volts 2b. For owner Installations: see•b•above P4d. Branch Circuits Print Owner's Name Now,alteration or extension per panel Address a)The lee for branch cireuds with C City State Zip purchase of wrvke or boder Aeo. 2 Each branch cx:cud $500 Phone No. _ _ b)The lee for branch circuits withM The installation is being made on property I own which is pumhow of sarvka or boder Ne. 1 2 not intended for sale, lease or rent. First branch circuit P5 00 s 2 Each addA onal branch circuit $500 Owner's Signature 4s. Miscellaneous (Service or feeder not included) 2 3. Plan Review section (if required): Each pump or Irrigation circle $4000 2 Each t gn or outline lighting $4000 _ Signal circuits)or a limited energy 2 r Please check appropriate Item and enter Tree in section 5b. panel,alteration or extension $4000 4 or more residential units 1r.one structure Minor Labels(10) $10000 Service and(e-der 225 amps or more Sys!em 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 Per hour $5500 In Plant 555 00 Submit 2 sets of plans with application where any of the above `! apply. Not required for temporary construction services. $. Fees: t NOTICE Ga. Enter total of above fees $ j 5%Surcharge(05 X total foes) $ 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 WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS Subtotal $ — COMMENCED. ❑ Trt,st Account# $ Balance Due $ .wnme.vrr_pm app i Community Development ELECTRICAL PERMIT APPLICATION l 13125 SW Hall Blvd. P Tigard, OR 97223 F lanck/Rec. # Permit # E.L C Phone (503) 639-4171 Date Issued _ FAX (503) 684-7297 Issued by _ '�-' • CITY OF TIGARD TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Lys J Number of Inspections per permit allowed Name of Development `'��1 � Address / .2? c�'��� Service included: Items Cost(ea) Sum � r City/State/Zip_ 'e .t,-t, L Ia. Residential•per unit 4 t000 eq If or lase $11000 Each additional 500 act It or Name (or name of business) portion thereof $2500 ' Li Commercial❑ Residential® Limited Energy !�5 2 Foch Mamd'd Home or Modular Dwelling Service or r.ndor _— SM 00 la. Contractor Installation only: 4b.Services or Feeders r Installation,alteration,or relocation 2 Electrical Contractor 200 amps or leas $6000 2 Address f 201 amps to 400 amps ;.?.n 00 2 401 amps to 600 amps _ $120 oc 2 City State Zip 60t amps to 1000 amps $180.00 Phone No. ! u '- G r S Over 1000 amps or volts $34000 -__ 2 Contractor's License No. Reconnect only $5300 Contractor':; Board Reg. No. y,-9�L) "Z-- 4c.Temporary Services or Feedere Installation,alteration,or relocation 2 Signature of Supr. Elec'n Jay - 0yg� 20o amps or has $5000 _ 2 License No. c) Phone No. ,i cars 201 ampeto400 amps $7500 401 amps to 600 amps $10000 Over 600 amps to 1000 volts 2b. For owner Installations: °°^'b'above 4d. Branch Circuits Print Owner's Name New,alteration or extension per panel Address _ a)The tee for bccnch circuits with fv purcheee of se or hedw he. 2 Cil•7 _ State Zip ervkEach branch circuit $500 Phone No. b)The fee for branch circuits without The installation is being made on property I own which is purcheu of servke or'boder W. 2 not intended for sale, lease or rent. Fes'branch circuit V'l $3500 3 S� 2 Each additional branch circvA $500 Owner's Signature 4e. Miscellaneous (Service or feeder not included) 2 p 3. Plan Review section (if required): Each pump or irrigation circle $40 00 2 Each sign or outline Iig�ghling $4000 - Signal circof(s)or a limited energy 2 Please check appropriate Item and enter tee In section 58. panel,alteration or•Aension $4000 Y 4 or more residential units in one structure Minor Labels(10) $100 00 _Service and feeder 225 amps or more System over 600 volts nominal 4f. Each additional inspection over Classified area or stnxture containing special occupancy the allowable in any of the above as described in N E C Chapter 5 Per inspection $35 00 Per hour $5500 � y In^tail $55 00 1t Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: 4 NOTICE So. Enter total of above fees $ 5%Surcharge(.05 X total fees) $ _ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $5b. Enter 25%of line A for AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF Plan Review if required(Sec 3) $ CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS SrSuu, COMMENCED. U Trust Accountill $ 4 Balance Due $ E waA.wwA.rNw pm� r l� to ` Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # Permit # Phone (503) 639-4171 Date Issued CITY Of TICsARD FAX (503) 684-7297 Issued by t TDD No. (503) 68 -2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed Address—L.I. ? w C �T Service included: Items Cost(ea) Sum r [J City/State/Zip va. Residential-per unit Y 4 1000 aq if or leen $11000 Name (or name of business) Each t erel f sq It or 1 portion on theaol $2500 Commercial❑ Residential❑ Limited Energy $2500 Each Manul'd Home or Modular 2 • Dwelling Service or Feeder $86 00 2a. Contractor Installation on!y: 4b.Services or Feeders Installation,alteration,or relocation 2 Electrical Contracto, e°o"-- C5`4 e_j— 200 amps or lase $6000 2 Address ��� � f' 201 amps M 400 amps -- $8000 2 Ci — State Zi ( '_. ,> 401 amps to 600 amps $12000 2 city p 601 amps to 1000 amps $18000 2 Phone 0._�Z _ _ Over 1000 amps or volte $34000 2 Contractor's License No. :ij � fteconned only $5000 Contractor's Board Reg. No. rj �1 �e, Z 4c.Temporary Services or Feeders (I Installation,alteration,or relocation 2 Signature of Supr. Elec'��� .,E?w � 1 200 amps or lose $5000 2 License No x30-5 S Phone No.G>-3,f� 201 amps to 400 amps i•75 oo _ 2 I 401 amps to 600 amps $10000 I Over 600 amps to 1000 volts 2b. For owner Installations: see W above E 4d. Branch Circuits P,int Owner's Name Naw,alteration or extension p.r panel ) Address _ a)The fee for branc!i circuits wffh city_ State Zip purchase of servke of boder Ara. 2 Each Manch circuit $500 _ Phone N0. b)The fee for March cucudo without The installation is being made on property I own which is purchase of ssrvfco or Hadar Ara. 2 �' 3 } not intended for sale, lease Or rent, First branch circuit $35 00 2Each additional branch citwif S500 Owner's Signature 4e. Misealloneous W (Service or feeder rot included) 2 3. Plan Review section (if required): Each pump or irrigaPon cirQe $4000 2 Each sign or outline lighting $4000 Signal cimuit(s)or a limded energy 2 Please check appropriate Item and Inter fee in stiction 5B. panel,afteration or extension $4000 4 or more residential units in one structure Minor Labels(1n) $100 jo Service and feeder 225 amps or more System over 600 volts nominal 41. Each additional inspection over Classified area or structure containing special occupancy the allowable in any of the above as described in N.E.0 Chapter 5 Per inspection $3500 Per hour $55 0i` _ Submit 2 sets of piers with application where any of the above In Plant $,500v apply. Not required for temporary construction services. $. Fees: NOTICE Ss. Enter total of above fees $ 5%Surcharge(05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal $ AUTHORIZED IS NOT COMMENCED WITHIN 160 DAYS,OR IF 5b. Enter 25%of line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ A PERIOD OF 160 DAYS AT ANY TIME AFTER WORK IS Subtotal $ T COMMENCED ❑ Trust Account# $ Balance Due $ { Community Development ELECTRICAL PERMIT APPLICATION f 13125 SW Hall Blvd. i Tigard, OR 97223 Planck/Rec. # i Permit # `-� Phone (503) 639-4171 Date Issued FAX (503) 684-7297 Issued by ,- -� - r1 • CITY OF TIGARD TDD No. (503) 684-2772 — E Inspection (503) 639-4175 r 1. Job Address: 4. Complete Fee Schedule Below: Name of Development Number of Inspections per permit allowed���� �J �� Address Service included: Items Cost(ea) Sum City/State/Zip c - 4a. Residential-par unit 4 1000 sq 1t or lees $11000 ! Each additional 500 sq It or Name (or name of business) portion thereof $2500Limit ' ( Commercial❑ Residential ElEachr Energy $zS oo Each Manu'd home or Modular 2 r Dwelling Serv,ce or Feeder $88 00 2a. Contractor Installation only: 4b.Services or Feeders Installation,alteration,or relocation 2 Electrical Contractor `�1 vo.-ti e� Ear--� 200 amps or lase $6o 00 2 }y Address / Lr✓ � 201 amps to 400 wipe $80.00 2 401 amps to 800 amps $120 00 2 City - �u, State�L Zip a 801 amps to 1000 amps $18000 2 ! Over 1000 amps or volts $34000 2 Phone No. t — � Reconnect only $5000 _ Contractor's License No. =17 _ ), Contractor's Board Reg. No. 1.11)c� L 4c.Temporary Services or Feeders 2 ? Installation,alteration,or relocation 2 i Signature ofSupr. Elec'n" L�t(:-^c 1 c `7L1� d p 200 amps or less $5000 2 I 201 amps to 400 amps $7500 _ License No. Phone No._�,_&X' 401 amps to 600 amps $10000 E Over 800 Amps to 1000 volts 2b. For owner Installations: see•b above 4d. Branch Circuits j Print Owner's Name_ New,altoralion or extension per panel The tee for branch-ircuits with Adrir'o' -- purchase of eervics or Awder be, 2 -ity State Zip Each branch circuit $5 o0 Phone No. b)The lee for branch circuits withavt 2 The installation is being made on property I own which is purchase of eervke or Ased.iir Asv. - cir , not intended for sale, lease or rent. First addrti nal branch �' f35 oc � 2 Each adddionel branch entail $500 Owner's Signature _ 4e. Miscalloneous n (Service or feeder not included) 3. Plan Review section (if required): Each Pump or irrigation tin $40 00 2 Each sign or outlns lighting g 540 00 - Signal circuitts)or a horded energy 2 Please check appropriate Nen and enter fee In section 5B. panel nhoration or wxtenruon 54000 4 or more residential units in one structure Minor I.alsis f10) $ 0000 _ 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 inspas described in N E C. Chapter 5 Per Cor hour hour on $35 00 _ $55 DO In Plant $5500 Submit 2 sats of plans with application where any of the above apply. Not required for temporpry construction services. 5, Fees: NOTICE So. Enter total of above fees $ 5%Surcharge(05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal of AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS,OR IF 5b. Enter vi w line A for CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Plan Review if required(Sec 3) $ Subtotal $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS COMMENCED. ❑ Trust Account If $ Balance Doe $ .tin�.Mw..w nm wo i Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/Rec. # — 0,6A Perr - - 0-3'-7 �? Phone (503) 639-4171 Date Issued FAX (503) 684-7297 Issued by _ � `') • CITY Of TIGARD TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: -- 4. Compligte Fee Schedule Below: 11 Name of !development Air— G �i m PNumber of Inspections per permit allowed Address -�`t 7 .� ��� ' 1� �4 ' Service includec: Items Cost(ea) Sum 4s. Residential-per unit 4 • (illy/State/Zlp_�, 10006c; it Orions $+10 00 Each additional 500 oq It or 1 Name (or name of business) __ portion thereof $2500 Limited Energy $2500 2 - Commercial❑ Residential❑ Each Manutd Home or Modular ()-welling Service or Feeder $80 00 2a. Contractor Installation only: 4b.Services or Feeders Installation,alteration,or relocalfon 2 (� L Sr1/�� -�t�-` 200 amps or less $80 00 2 Electrical ContractorT $60 00 2 ,i 201 amps to 400 amps 2 Address / 401 amps to 600 amps $12000 2 clry Stated Zip C .� 601 amps to 1(`00 amps $16000 2 Phone No. f�� C'r � Over 1000ampr or volts $34000 Reconnect only $5000 t, Contractor's License No. ?- /r,4 C— Contractor's Board Reg. No._ ">� X0 2— 4c.Temporary Services or Feeders 2 Installation,alteration,or relocation 2 Signature of Supr. Elec;rr sic +� Tt- y �)'�'` 200 amps or lose $50 00 2 ,�.��5-- 201 amps to 400 amps $75 00 ;{ License NO. _3c7S s,-t�i Phor'e N0.6.�.7'6"' 401 amps 10 600 amps $10000 _ Over 600 amps to 1000 volts I 2b. For owner Installations: see•b'above 4d.Branch Circuits Print Owner's Name. — New,alteration or extension per panel Address a)The lee for branch Grans with purchaN of service or Meader W. 2 R Ci)(— State Zip Each branch circuit V-00 Phone No b)The leo for branch circuits without The installation is being made on p )perty I own which is purchase of orrice or Mseder,Mie. First branch circuit $35 00 S. 2 not intended for sale, lease or rent. Eai I additional branch circuit $5 00 Miscellaneous Owner's Signature _ 4e.. (Service or foeder not included) '' Each pump or irrigation circle $40 00 2 3. Plan Review section (if required): --- Foch sign or outline fighting $4000 2 Signal circuita)or a limited energy Please check appropriate item and enter fee in section 5B. panal,altarntion or extension $40 00 _ 4 or more residential units in one structure Minor LaMln(+0) $loo o0 Service and feeder 225 amps or more 411. Each additional inspection over System over 600 volts nominal the allowable in any of the above Classified area or structure containing special occupancy Per inspection $35 00 as described in N F_.0 Chapter 5 Par hour $5500 �. fr.Plant $55 00 Submit 2 sets of plans with application where any of the above apply. Not required for temporary construction services. 5. Fees: 5a. Enter total of above fees $ _ NOTICE 51,,Surcharge(05 X total fees) $ 5 subrot4l $ _ PERMITS BECOME VOID IF WORK OR CONSTRUCTION 5b. Enter 25%of line A for AUTHORIZED IS NOT COMMENCED WITHIN 160 DAYS,OR IF Plan Review if required(Sec 3) $ CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR Subtotal $ A PERIOD OF 180 DAYS AT ANY TIME AFTER WORK IS f COMMENCED. ❑ Trust Account# $ Balance Due $ _}rive 1 i .aa�wma.wr.r am xoo k.' 1 �, i I Community Development ELECTRICAL PERMIT APPLICATION 13125 SW Hall Blvd. Tigard, OR 97223 Planck/F3ec. #__ Permit # L G C 9 - 03 Phone (503) 639-4171 Date Issued FAX (503) 684-7297 Issued by `--L - CITY OF TMARD TDD No. (503) 684-2772 Inspection (503) 639-4175 _ 1. job Address: 4. Complete Fee S-cheduln Below: -- Number of Inspections per permit allowed Mame of Development Items Cost(ea) '� / —Y > Address "� 'S '>� �'t ��1` � � S3rvice included: � 4a. Residanlial•per unit 4 City/State/Zip �( ( � M r1 1000 eq h or less $110 00 EU m Each additional 500 sq It or I Name (or name of business)_ '���`. portion thereof f25 00 —_ Limited Energy $1500 7 Commercial�- Residential❑ Each Manu1'd Home or Modular Dwalli.,g Service or Feeder SW 00 2a. Contractor Installation only: 4b.Services or Feeders ' 11 / f Inawlaton,alteration,or relocation Electrical Contractor N C L S'f? �1/ 6 ` r 1 200 amps or lens __ t80 00 _ j �r �l /,/�--/�e-� 201 amps to 400 amps $80.00 _ Address "�7 �(v ) � [L-�1 T L0 �.''.11-- 401 amps to 600 amps $120 UO city State,\,rc Zip 601 amps to 1000 amps $18000 Phone No._ 6, �'y 5' " Over amps or voMs f 00 — Reconnect ed only $$50 5000 Contractor's License No. 7 j.�1 r �� 4a Temporary&:vices or Feeders Contractor's Board Reg. No. © z Inalallelmn,alteration,or reca lotion —� 2 Signature of SU r. Elec`�! `'— �' V)' c IzEz e`2 200 amps or lues $5000 — 2 _ 201 amp°to 400 a,ops $7500 License °nse No. o Phone No. J(,3,-E--c'�5'C� 401 amps to 600 amps S10000 Over Boo amps to 1000%olte 2b. For owner Installations: °'°•b.a`'°"° 4d. Branch Circuits Print Owner's Name New,alteration or extension per panel Address n)The In°for branch circuits with 2 purchase of eervke w feeder fee. City State— ate - Zip Each branch arr_uit $500 Phone N0. _ b)The Ise Im branch riranln wlfhoul The installation is being made on oroperty I own which is purchase of service or""der Ma. _ 500 2 First brave+cucuil not intended for sale, lease or rent. Each additional bran.h circuit S500 I I I Owner's Signature 4e.Miszellansous (Service or feeder not included) 2 �i 2 3. Plan Review section (it required): Each Pump or ungalion circle — $40 00 `— Each sign or outline lighting _ $40 00 2 Signal circuit(s)or a horded energy Please check appropriate item and enter fee in section .SB. panel,alteration or eirlansian $4000 4 or more residential units in one structure Minor Labels(10) $10000 Service and feeder 225 amps or more 4f. Each additional Inspection over System ovw'0o volts nominal the allowable in any of the above Glassifi,A area or structure contain'ng special occupancy Per inspection $3500 l as described in N E Chpr:ar 5 Per hour —_ $55DO — i In Plant $5500 — j Submit 2 sets of plans with application where any of the above I apply. Not required for temporary conalluction services. 5. Fees: 'a. Enter total of above fees $ :3 J NOTICE 5%Surcharge(05 X total fees) $ < i Subtotcl — PERMITS BECOME VOID IF WORK OR CONS!,4UCTION 5b.Enter 25%of line A for AUTHORIZED IS NOT 'OMMENCED WITHIN 180 DAYS,OR IF Plan Review if required(Ser,3) $ CONSTRUCTION OP!"DqK IS SUSPENDED OR ABANDONED FOR Suh )tel $ A PERIOD OF 180 DAY A'ANY TIME AFTER WORK IS COMMENCED Trust Account# $ IBalance Due $ � J i .n..rcar.wvd.c nm o. I . I I 1;1I 'P (4 I1tii•1h't+ — FBF Cf. IIJ1 I'll. PAYMFNI HI, t.f: J.P1 NLI. aM.� ..4:lvlti;: �; I:4W-EV. NMCA N I z r�41.. t70 NAME i IVC:L.C3GN T.T•.T::C.'T Tl:t I.:, 1 N1::. 1"W41 F'1M1.1(.)'V T V.I. 0(0 m ADVRV.- if3 4116 SW AILD T3H11 1A) F'NYME-NT I) iW a Nei! i8/`: 5 LAKE* 0SWE'GO OR S:itJ01)J:V H3 1 ON 1 F'I.JF7PT1W Of- FI O IN 1' PO.1 O t 1l HI11:4 (11- l,H V PII N i (1Mf. UN 1 f-441 U E�I.•EC".'I'R7.l::Fal.. t't:.T7Mt7 Hr:.'tA. 1/rN 1I l N Ft ;-•t . f/Il/t I i I I yW HALL HI VO ]•t I-►I ! 'c 1-1 i.')" ,t.:;i'., Vl,s r'F,, wi•i i!, lh:�tE3, V.I:S'7y� VI;:t36�� V+..?it►J , Gt.�•,,i: , 4i,•,1', ,, 4'i,•,+;..)� V' •itt�,i tSt> I i)I FTI... AMOUNT PAID - + v+t , OIA r E � � I low i I I I I ,. � Community Development ELECTRICAL. PERMIT APPLICATION 13125 SW Hall Blvd. T;gard, OR 97223 Flanck/Rec. # Permit # c,_ I—c, 5 _0-3 _ Phone (503) 639-4171 Date Issued CITY OF TIGIARDFAX (503) 684-7297 Issued by TDD No. (503) 684-2772 Inspection (503) 639-4175 1. Job Address: 4. Complete Fee Schedule Below: Name of Development C,Irj..,^ Number of Inspections per permit allowed Address l �f rJ^ey j�6, Service included: Items Cost(ea) Sum City/State/Zip r - 4s. Residential-per writ 4 tI !_- 1000 act 11 or lase -_ $11000 V Name (or name of business) �6- i Each addAwnel 500 sq It or portion thereof $25 00 1 i0 Commercial ,lesidential❑ Limited Energy $25.00 Each Mar r Modular 2 li Dwellint '@oder f88 on 2a. Contractor Installation only: 4b.Service Foods,-* i Installation,alteration,or relocation 2 Electrical Contractor n� �c� 200 amps or ,rte $so 00 2 Add cess201 amps to 400 amps $6000 — 2 y City_ State�3� Zip_Q�_ 401 amps to 800 amps $120 co 2 801 amps to 1000amps $18000 2 Phone No. U p (,S Q~ Over 1000 amps or volts -- $040110 2 Contractor's License Nu. C Reconnect only __ $5000 Contractor's Board Reg. No. ; C Z 4c.Temporary Services or Feeders �-1�.J Installation,alteration,or rr'ra1i(n 2 Signature of Supr. EI�`� ...E��--tik t�' -7�-e � 200 amps or lees $5000 2 License No. GrTS Phone No. e-3d` c-)(s 3 201 amps to 400 amps $7500 I' —�-- 401 amps to 800 amps $10000 Over 600 amps to 1000 vont 2b. For owner Installations: see W above y 4d. Branch Circuits Print Owner's Name _ New,alteration or extension per p6nol Address n)The toe for branch circuits with City State-- Zip___— parcwr haw of vks a boder be. 2 — Each branch circuit $500 Phone. No. b)The fee 1�r branch arcurts wfthouf The installation is being made on property I own which is putchew of wrvko or boder be. 2 Firsriot intended for sale, lease or rent. Each additional circuit / $$500 ..� 2 Each addAional branch circuit �f $5 00 Owner's Signarure _ 4e. Miscellaneous (Service or feeder not inclowl-ed) 2 3. Plan Review section (it required): Each pump or irrigation arola $40 00 2 Each sign or outline lighting $40 00 Signs J crmuA(a)m a limned energy Please check appropriate item and enter fee in 'action 58. panel,allernhon or a Aeneron $4000 4 or more residential units in one structure Minor LOmIs(10) S10000 Service and feeder 225 amps or more I I System over 600 volts nominal 4f.Each xfditional inspection over Classified area or stnicture containing special occupancy the allowable in any of the above as described in N.E.0 Chapter 5 Per inflection $35 00 Per hour $55 00 l Subm" 2 sets of planIn Plant $55 00s with application where any of the above -- i apply. Not required lot temporary construction seviicos. S. Fees: ) NOTICE 58. Enter total of above fees $ —'" 5%Surcharge(05 X total fees) $ PERMITS BECOME VOID IF WORK OR CONSTRUCTION Subtotal S _ AUTHORIZED IS NOT C:JrrMLNCED WITHIN 180 DAYS,OR IF 5b. Enter 25%of lire A for CONSTRUCTION OR WO''1K IS SUSPENDED OR ABANDONED FOR Plan Review if renuired(Ser.I) $ A PERIOD OC: 180 DAYS AT ANY TIME AFTER WORK IS El $ COMMENCED El frust Accourlt N d Balance Due $ I rirn'Yr.nr1.Y.Wr.pn,@D _., m, Tvyt^rxNCRTt Il e