HomeMy WebLinkAboutPermit (36) CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit#: ELC2023-00512
T t G A R T7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 8/23/2023
Parcel: 2S107DA05000
Jurisdiction: Tigard
Site address: 16504 SW PERTH RD
Project: South River Terrace Subdivision: SOUTH RIVER TERRACE PHASE 2 Lot: 105
Project Description: Street light service installation near the intersection of SW River Terrace and SW Noosa Ct.
Contractor: NORTHSTAR ELECTRICAL CONTRACTORS Owner: TAYLOR MORRISON NORTHWEST LLC
11055 SW CLAY STREET 703 BROADWAY ST STE 710
SHERWOOD, OR 97140 VANCOUVER,WA 98660
PHONE: 503-612-0840 PHONE:
FAX: 503-612-0891
FEES
Quantity Description Date Amount
Specifics: 1 ea Services or Feeders-200 08/23/2023 $100.70
amps or less
Type of Use: COM 1 ea 12%State Surcharge- 08/23/2023 $12.08
Electrical
Class of Work: OTR
Type of Const:
Occupancy Grp:
Total $112.78
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the
180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may o in a coov the rules or direct auestions to OUNC by calling 5 32.1987 or 1.800.332.
Issued By: - Permittee Signature: di/
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale,lease or rent.
OWNER'S SIGNATURE:
Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection,
Electrical Permit Application RECEIVE FOR OFFICE USE O\I t
Received
City W ITigard , re„ rl_ .l a' -• Uatcn _ / ��
13175 51C I1a1t.2439"I'I-tn: 03 9S.I r 2 3 2023 Plan RC%By:set /
= Phone: i113.71%.2439 Fax: 503,i9s',19GU Doti lie. R<I:ned Permit a:
Inspection line: 50.639.4175 OF TIGAR Rr,1J)patclny; � sapp®sn rage 2 fur
T I G A R D Intemet: nwN.tigard-or.gos CITY I1 1 \oliYx'.b'1.hxt: EMI klwralnl InGsmafilm
TYPE OF WORN$Ufl INO DIVISION PLAN REVIEW
' New construction ❑.lddiiioniallerulion replacement Please l inL all Mai appI1 lNibienl 2 see or plans x items necked):
0 Senicee in feeder 411)amp.or mane 0 nuihtnl,;met three xwtic;.
❑1)e,nolilion ❑Other: ttlxvc the audible I Loh cunwul 0 11.nina.mid lenn),nJs.
CATEGORY OF CONSTRUCTION micmts In.mnl amps at Igo Lull.or ❑I loathe!Middle!,
❑ I-and'--family dwelling �('omnlcrcial/industrial ❑Accessory building h+.,min+wnt.on euetd.l�ulw ❑I Vlllllll'1\IJI-lILL'Jrr iruko. I
arms.hn AI otita instillation, buntlines.
❑Multi-family 0 Master builder ❑(Met: 0 rue pimlp. ❑hbmlhmon of 1511 KVA to
_ JOB SITE INFORMATION AND LOCATION 0 I`uergemy system. largerss'ynu:nely dented
Job F:��! 1 Job site a(ItIRSv . ,- 0 Addition or net mimic toad al *skin.in.
4�ly-y-) nnlnP or mine. ❑-,1•...I.'..,,..•..,_}••.
(it 'Slaler7.iP• i Sn Of IOW nsidenika MINN. Ixrupiux').
y • 1C 1 txlC J'1,�R r; III U rT�r/ ^/ _ ah-lv urtc,. 0 Rsirenuunl%(i a paiLs
Suite/bldg./apt.4: Pnljeel name rls Oita/maims k,cauum. ❑savoy sohaec fin nine Iron
q���� h2iVQ.7�[D�S+�-r M ❑xel<iee ul keder tam minis r N Untie. 6(11)Mdd a amgaI-
('rosy streeudirectimu to job site: t.J.0 RiV.attic ire. `.. i FEE SCHEDULE
CisiO
uript(ve _.. I 3 -1' I.__I'.Ph I TMa1 I
IIYUC� V.A. IkNew•residential single-or multi-family dwelling unit.
Subdivision: Lot II: Includes attached garage.
fax map/parcel h: Loam wt.ti.or Ies+ Ils$.54 4
_ El.adtrI 500 sq.n.or,xstiutt 33.92 1
t� r�,� �.j ii
/�r� /�,{rD�•ESC.(R�I OPTION OF WORE (<�- r� I Milted residential 75.I1)Oir 2
1lr~Jitli(Cth t VI �lr l " Ilr q Ir VICX ' (td:nern.'.illi
J I iulikJ ntcrgy.mute-I'amd)
75,{7tl 2
tesitliain:d to int.lane sq.li,i
_ Renewable Energy 0 Sec Page 2
0 PROPERTY OWNER ❑ TENANT Services or feeders installation,alteration.and/or�rresl,o�e�aliro�n
Name
: 211)amps or loss LL 1 II1170 ritz:"r) 2
Address:
201 amp:to 400 amps 133.36 2
---- 4111 amps'to fill)amps 200.14 2
CityfSlalerZlP:_ _ i _�_--- (a)1 snips to 1.(11):sups 31)1.I)4 _ 2
Phone:( I Fat:( i (her 1,000 anryrs or Wits ��_ 552?b 2
--" Temporary services or feeders installation.alteration,Ilndror
Email: relocation
Owner Installation:This installation is being made on prellreny that I own which is not 21N)amps or less 39.J6 I
intended kV sale,lease•rent.or exchange.according to ORS 447.449.0711,and 701. _ RI amps to 400 amps — 125 v4 2
Owner signature: Date; 401 amp+to ion)Imps ------.- Ifi3.54 2
),t APPLICANT Branch circuits-new,alteration_or extension.per rand
❑ CONTACT PERSON
--- ------ - ---- - - A.ha:for branch circuit,side
nam
e:me: tjt--y .y. a1hnc%Mice(+r Yee<lei lie,
-_"_.,t11k+ . _llC�.:1.-I,� �I.�[/7� each hramhcinuil '.42 2
('lxllaet name: Mar-awl �iyy-•,-� B.Fee(hr branch circuits uirhoin
:\ddresi: I t OC.1 - ff••�.t� 4J urvicc nr fe<•<Icr es'.very 56.1 R p
]� t.-lDTI Munch circuit -
City/SutlCr7.1P:� � g- 1 Li P.ndn xid•I brunch circle ,42 2
-"""'=" -'-1 -'---- S1iaccllanlmuz(servire nr feeder nut iarlud<•d)
Phune:(503) Iyi�._c 314a ---1_Fax::( 1 I:aeh111a11111uetunnjni'1111nitllar — —
EII1JIl: .--..--_...__..._. thclliT:_Sell ice ainfor lecdcr
Ylll�0.Dt t.flrflt'Ifln[� VVV&L23-tii't} .C/Sfx{l Reconnect truly (0.114 2
CONTRACTOR Pump or irrigation circle b'1.14 2
Business n:u11c: ^�,'C ��y�/. a� ."� ti;gn Invnnlinc lirhling In".14 2
_—" - ."fJt1.LY {g� oat i]i lX 1r t A 'lam S Sign
el Wine)or limited-elx'rg\'
Address: Ito5S ,. l.l'1- panel.atteralioli,or extension. ❑ See Page 2 2
Cis rtilaIe ZIP; 1 Each additional inspection over agunable in any of the abort
C y• •1�l� iCyrV `'" �O Additional inspaYim 11 hnnm) M,.25.hr
Phone:5031 [pia .Q LT o Fax:( ) investigation 11 hr min)—.-- __-_. _90.00B hr
Email: y I 2 _ 4
industrial plant I I hrruin) "1.I1-hr
-s inspections air which no fir is Minn.hr
COB Lic.: Electrical Lie.: Sum.Lis'.: specifically listed C.:fir mint
�O �-
- -- = � r ��� � b:LFC'1'RICAt. PERMIT FEES
-_.._
Snpr1'.Electrician signature,required:rezAct 5
--- __ Subtotal_ oar .:10_-
Print name: .\1 yip Date:Csl Iipi ❑Plan Review Resu ilea(25",u°rpm-mit)see):
�� � P State surcharge II ton of gem lil key: I ,CV
Authorized signature:(,[Y . %� IOTAL PERM. ELL:JI ��
( This permit application expires if a permit is inn Mrrai and xilhin San
Print name: . ' _b (1 I,rs Date: I j,� days after it bus been accepted as complete.
V .]�Jl 1d {`" • Numlar or nlspeenons sdhnvnl pet permit.
I:nmhlnpl'mnn+I I) Pmn.1 App 1In oaf,hw 1st IH.1721115 4411-405b 11151((ow111