Permit Al Itio CITY OF T ELECTRICAL PERMIT
PERMIT #: ELC97 -0788
DATE ISSUED: 11 /26/97
%1 �, ;i �; i � DEVELOPMENT SERVICES
PARCEL: 2S115AB -01900
SITE ADDRESS...:162O0 SW PACIFIC HWY #L
SUBDIVISION • ZONING:C —G
BLOCK • LOT • JURISDICTION: TIG
Project Description : Installation of ten (10) branch circuits to Animal House
store.
- -- RESIDENTIAL UNIT - - -- -- -TEMP SRVC /FEEDERS - - -- MISCELLANEOUS
1000 SF OR LESS • 0 0 — 200 amp • 0 PUMP /IRRIGATION • 0
EACH ADD'L 500SF...: 0 201 — 400 amp • 0 SIGN /OUT LINE LTG..: 0
LIMITED ENERGY • 0 401 — 600 amp • 0 SIGNAL /PANEL • 0
MANF. HM/ SVC /FDR..: 0 601 +amps -1000 volts.: 0 MINOR LABEL (10)...: 0
- - -- SERVICE /FEEDER - - -- - - -- BRANCH CIRCUITS -- -ADD'L INSPECTIONS-- -
0 — 200 amp • 0 W /SERVICE OR FEEDER: 0 PER INSPECTION • 0
201 — 400 amp • 0 1st W/0 SRVC OR FDR.: 1 PER HOUR • 0
401 — 600 amp : 0 EA ADD'L BRNCH CIRC: 9 IN PLANT • 0
601 — 1000 amp • 0 PLAN REVIEW SECTION
1000+ amp /volt • 0 > =4 RES UNITS • > 600 VOLT NOMINAL..:
Reconnect only • 0 SVC /FDR >= 225 AMPS..: CLASS AREA /SPEC OCC.:
Owner: FEES
ANIMAL HOUSE type amount by date recpt
16200 SW PACIFIC HWY PRMT $ 80.00 TJH 11/26/97 97- 301292
#B -2 5PCT $ 4.00 TJH 11/26/97 97- 301292
TIGARD OR 97223 -0000
Phone #:
Contractor:
ST JOHNS ELECTRIC INC $ 84.00 TOTAL
4415 NE MINNEHAHA
REQUI RED INSPECTIONS
VANCOUVER WA 98661 Ceiling Cover Elect'1 Service
Phone #: 360- 693 -5100 Wall Cover Elect' 1 Final
Reg #..: 000431
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of Oregon Specialty Codes and all other
applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180
days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by
the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001 -0010 through OAR 952-1-1987. You may obtain a copy
of these rules or direct questions to OUNC by calling (503)246 -1987. _
Permittee Signature: 0' afri G!assued By: Litt 4475.0-1"--"
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for
sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' N: ar ,1i(Ah � DATE: /1 /944 7
LICENSE NO: 30 . 2 4 ` _ !J
++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + ++ + + + + + + + ++
Call 639 -4175 by 7:00 p.m. for an inspection needed the next business day
1'++++++++++++++++++++++++++++++++++++++++++++++++ + + + + + + + + + + + + + + + + + + + + + + + + + + + + + ++
QITY OF TIGARD Electrical Permit Application Plan Check # N/4
13125 SW HALL BLVD. Rec'd By T Hanirtin
Date Recd it 240 /
TIGARD OR 97223 Date to P.E. I
Phone (503) 639 -4171, x304 Date to DST 97
Print or Type
Inspection (503) 639 -4175 Permit # E - 8
Fax (503) 684 -7297 Incomplete or illegible will not be accepted Called ,rro.ai.Qt d _
1. Job Address: t- ��,�,/ L ,� 4. Complete Fee Schedule Below:
-
Name of Development - mini) )�E C nt . Number of Inspections per permit allowed
Name (or name of business) frA)/h4 . Ouse. Service included: Items Cost Sum
I
Address /6200 �(,(,. ielk/PG L UG-/ P 82 4a. Residential - per unit
/yam /2/� 1000 sq. ft. or less $110.00 4
City/State /Zip
`(t: '1iW Each additional 500 s q ft. or
Commercial 4 Residential
El Limited thereof $25.00 1
Limited Energy $25.00
Each Manuf'd Home or Modular
Dwelling Service or Feeder $68.00 2
2a. Contractor installation only:
(Attach copy of all urrent license I �,�r,A' 4b. Services or Feeders
Electrical Contractor .D805 X� (AZ
Installation, alteration, or relocation
Addre s ilit /S ue !1//itt tfA S� / 200 amps or less $60.00 2
r 201 amps to 400 amps $80.00 2 -
City ilIXvI>L1 I, State 6r12f' Zip 4466 1 401 amps to 600 amps $120.00 2
Phone No. 0-- 12y3 -.S(00 601 amps to 1000 amps $180.00 2
Job No. Over 1000 amps or volts $340.00 2
Elec. Cont. Lice. No.: 3 7 - .35 o C: Exp.Date /o / -9 S' Reconnect only $50.00 2
OR State CCB Reg. No. y 3 J.35 Exp.Date sr- /7-55' 4c. Temporary Services or Feeders
COT Business Tax or Metro No. `f //7 Exp.Date / - /-iA Installation, alteration, or relocation
200 amps or less $50.00 2
-
201 amps to 400 amps $75.00
Signature of Supr. Elec'n �'7d 401 amps to 600 amps $100 00 2
/ t
Over 600 amps to 1000 volts,
License No. 3D2-45 Exp.Date /G/21 Over "b" above.
Phone No. ,360 -4F7-6/Br)
4d. Branch Circuits
New, alteration or extension per panel
2b. For owner installations: a) The fee for branch circuits with
purchase of service or
Print Owner's Name feeder fee.
Address Each branch circuit $5.00 2
b) The fee for branch circuits
City State Zip without purchase of
Phone No. service or feeder fee.
First branch circuit $35.00 35, DO 2
The installation is being made on property I own which is not Each additional branch circuit $5.00 y5,on 2
intended for sale, lease or rent. 4e. Miscellaneous
(Service or feeder not included)
Owner's Signature Each pump or irrigation circle $40.00 2
Each sign or outline lighting $40.00 2
3. Plan Review section (if required):* Signal circuit(s) or a limited energy
panel, alteration or extension $40.00 2
Minor Labels (10) $100.00
Please check appropriate item and enter fee in section 5B.
4 or more residential units in one structure 4f. Each additional Inspection over
Service and feeder 225 amps or more the allowable in any of the above
System over 600 volts nominal Per inspection $35.00
Classified area or structure containing special occupancy Per hour $55.00
as described in N.E.C. Chapter 5 In Plant $55.00
* Submit 2 sets of plans with application where any of the above apply. S. Fees:
Not required for temporary construction services. 5a. Enter total of above fees $ 40.00
5% Surcharge (.05 X total fees) $ _____?_S o O
NOTICE • Subtotal $ 2 n o
5b. Enter 25% of line 5a for
PERMITS BECOME VOID IF WORK OR CONSTRUCTION AUTHORIZED IS Plan Review if required (Sec.3) $
NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK Subtotal $
IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANY
TIME AFTER WORK IS COMMENCED. ❑ Trust Account # _?9,./
Total balance Due $
1: \DSTS \ELC96.APP Rev 9/96
Page No. 1 CASE HISTORY FOR CASE NO.: ELC97 -0788
ANIMAL HOUSE
16200 SW PACIFIC HWY Unit: B -2
06/16/98
Action Description Req/ Schd/ End/ Action Notes Disp By Update Upd
Code Sent Done Dane Date By
- - -- - -- -- --- --- ---
ELCC001 Application received / / / / 11/26/97 RECD TJH 11/26/97 TJH
ELCC003 Permit created / / / / 11/26/97 PASS TJH 11/26/97 TJH
ELCC500 (F)Issue permit / / / / 11/26/97 PASS TJH 11/26/97 TJH
ELCC720 Wall Cover / / / / 01/09/98 Wall rough -in approved. PASS BRP 01/11/98 J *H
ELCC799 Elect'l Final / / / / 01/21/98 Approved subject to low voltage cable PASS BRP 01/21/98 J *H
secured and completion of light.
ELCC800 Case Finaled / / / / 01/21/98 PASS BRP 01/21/98 J *H