Permit CITY O F T I GA R D ELECTRICAL PERMIT
PERMIT #: ELC2008 -00171
COMMUNITY DEVELOPMENT DATE ISSUED: 3/26/2008
TI ARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 104AD -03802
SITE ADDRESS: 12630 SW WALNUT ST ZONING: R - 4.5
SUBDIVISION: WALNUT CROSSING SUBDIVISION LOT : JURISDICTION: TIG
PROJECT: CASA TERRA
Project Description: Reconnecting service.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: WISERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: 1 SVC /FDR >= 225 AMPS: CLASS AREA /SPEC OCC:
Owner: Contractor:
CASA TERRA LLC. DEXHEIMER ELECTRIC INC
PO BOX 1082 10639 SE FULLER ROAD
CLACKAMAS, OR 97015 PORTLAND, OR 97222
Phone: Contact #: PRI 503 - 786 -0886
FAX 503 - 786 -2040
FEES
Description Date Amount Reg #: ELE 26 -321C
�I?LI'RM'I I I.3LC Permit 3/26/2008 $66.85 LIC 43935
'TAXI 12 %, State Surchar 3/26/2008 $8.02
SUP 2514S
Total $74.87 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. 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 rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: , Permittee Signature: — - r _ */^-,
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 an inspection that business day.
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.
apRtrical Permit Application ,....,.._, , M 914,,,Tilm, il!.=•, z..,; ,I,A;W:41.'
-k., • 1 0 r..5 .!!'.1' 1 :15.;.7,N,r .',...`..!..7,,." .:4:'`'.c..gf+:.!1;;:.:.' '',
l eWI City of Tigard a
IV v Nts.*.fregiol• ,- 4tir. .• L _, *.st,,..aisavklk..T.,"„,*-4.... ..4
DaTB )
. 17 80 1
l PcnnitN*" 1727 !..C40_.:;___"" Qd 1 7 (
4, 5 SVI Wall Blv.'1... Tigat.. CnI 9 CE •:, .r10 4 Plipi Revrew i
• !Ma Pcrmis A
4_3 4 ?b?50)4 SOS 63S.4 • 7; 7sx: 50.59, L96 AR 2 4 tuuu riztrffy_. j- 11 - - 4 -
e.t el,.,, !rtSpordan Lino! .5t!..i t.:j 9. o 75 am Rcw..17/3y. IMP: ' . CV FRIZO r
r04;!4•Vlig.4;111r i WI IV" .Li-1) ■.V , - -1 . k B oil fietiNtrOwt : ■ ___ Supplemental Information
i str;:TtiO -- .. terut . • -6,et:va c.ct Pi' atzk et UL apply 31 2 leS 02 plans miitrfat rilitaiind 1,10,
, ! ni:Scrvi44 a Itcza 400 any, or Impt M Suildin ovcrtirca oitirso,
I D Demolition • atticr: . i wtrre riv. a‘rai:oto:c ezol: i.,47c..314 0 M4/4041 or,c, tooryarto, ,
oATESOXF OF coNsTRItTION (y:2 :0XO aroOr. It iir2 %ATI at 0 Sooting tiohdlop.
.,..----.............. 1 :ton T.:: groz7O, or suocfis 14,00G C:I Corcir,crouse agricuhursi 1
I 10 J.- arid 2.fanaUy dtveliirts ,..J C_Cf11111.Cf ;,. A cctswry uLnIcinz, i I skruz for nli One ill3CVACono. buildings.
; 0 Ivkilti-farh;y r:_l Ni2:4::::' blizr 7 :. TJ Crthcr: : , CI :Fir; ;Purrs, (31.stAllrnion of 71 TC,VA or !
,------,---. - ." : , DErnermcy syncin. iaigcr separarcty Ovivd. raslcur.;
JCM srrE INFORMATION .qs."41) LOCATION : • ., c! cow rmator :.t111 or
IT. - ,- -. c... : Ilio! Cr NON vmvpaccy.
,Id =•• 1 . lle2,. j 2 6,3 5 w . rp )t)(11.1 (I r 0: • 0 si:: or more rccri3emol arytIV. r0 Itescreatiorsi veticle mica.
- .- _
...52:-.1.1...f` O __ : 0 gefrir.r.esde speAdos.
, . 1:15upply volt:as:lb, moll: tap
____ ! 0 iiscrooal ocri4rf. WO voln Doming, 1
Stiterr iclg./apt, no,: 1 Pi%+ (tarry:: ; p Service or Gorier SOO Iftps or MOTU. i
.. i fEE SCEEDULE i
Crass stutidirccti".Nns to job si:r7 _ ....._nrojkOn.o...............___L&Ntj_LITD1111 i • ....
- ! New residential single- or mall-family dwtIliat Pair. i
1 trtzlndot UttiCitett Virago. ,
Subdivision. ; lAt no. 1,000 sq. it. or Jess ! 143.15 4 i
----- _„. 1_13]. larld'I Saisq. ft. ar portrm . 33.40 1
Tax riapiyarcct to.; i
_, i Lirnitad ri. Crge, Mbiacnfial : 75.00 1 . 2
' 131CL OF IVOrt 1 . _ as, 11,)
1 ................-- multi ,. 1 • 7
---
1 'R e ,--nwyv e(- . Se'ttriScL__-. re av ft.)
sArtial !wlti; bce sq. i ! 7500 2i
.__-------,. _I
---- i Savviest Or feeders lastaliatton. alreret,00, aadier relocation
17 orrityTor less 1 2
i 80.30
- ---, , . )
i CIVINT.5 - 11__ 0 TENANT 1 , 201 srnps to 400 art7...s i 106.g5 2
1
1 ; 403 111791i 609 arlp ; 160.60
2
N agle! . ■-----
___ ----- ---1 artlyor. I.000 arrrott 240 .. .60 . 2
. 601 1
Addrzs5: _1 1 Ova! 1,000 amps or vo. J 45463 _
. 2 I
The wary services or feeder.; installation, alteration, snusior
CitY/Slaleal 1 : LIIlotattios _ ,,,._ .
Phone! ( ) ' 7 tut . is •
I , : 200 amps or toss 1 66,85 i ; 1
,
, ,, is , 2,01, ajm-s :0400 tim?c 100.30 I I -.
.
Owner iristallation; Th i.:. inSt31.14...o i'3 bo:rtz.. made cr. ;roperty eta: 1 van whiO.. , . .
irttruied for ALI.. ;.casc, rent, nr 4,r..zbarre,c, 4coidirtg to CRS 447, 449. 571 and 701. "Ps to 5 ' 9 2111 22__2 -
Branch circuit's - artv, zdterstion, Pr estcnnica • • shtl
, Cv. slgoature.: _._ __ Date . ______ A. Pee for banal, titsuis v, 7
-
0 APPLICANT 1
. 71 CONTACT PERSON atom nuvicc GI fboder
r.--- - -- i eir:h branch circuit 1
1 "atZtuess :tame. 1 - i5Wr tgancb circuits
1
, _
t-__- -------- withme roxvinc or icuice ke,
Cm.ract 761.MC" first branch oirenit
1_-_----.- - Saoll sat branch eroult CO 2
MOP" .6 v --.• 1Wceltante1i s service or feeder not included
, Ci:VStaleiDP: .ttch manufactured or Ir.ocutar * Po.90 11111.1
-- 1 aim tx
oil LIT, service itLicr reader
_-___
Phone: i', ) , F....tt: : ,', ) 34conflaa only : 45d.S5
- .4
- .
I E-rnail:
• Pump or irisationcacte . 53.40 :. ., .
! • CCNTRA.CTOR i &Er, Qf 010 ali: Hell= . 53.40 '2
- 5',2nal otrcus) cr lirolto. - i ,
9 usilc 35 .. -pc E1 -e rul_c_iii energy panel, alteration or
eremcion. Daserrse= i Pap 2 1 • 2
, .
,
! EaciTadditionoj ;1160CC6037 Onr Sat able in f tile above
City/StatWZIP; iN + ( . yet 0 2 .........Dil_27 1 Z. 2, 2- 777T'TsP4'"41'62-5°,:----------:711E:===l111:::::-
i ? hon -- q 884. ; 7X{: • 50 i 8( . 0 !ye) I rm: hour O. lir m al) ! 62.50 .
trclurtriol plant per hour '7175 L [
i
CC! Lie.; 4 5 / 3 Electrical c-i■t.; _ ( .4 s . Lic .: Aii i i s .
, ----- I ELECTRICAL PERMIT FgES
--.---
S
i Supxv, E1 sisnw.c:c. fOurc'cl: 1 C.
------- - ----- i ) Tahreview (2wi, of tiertr.iTe): 1 -
t c■ .
rarrke'.D 2z _ H. cts Dare __
i •
, _____.: 1 St= Anion; (12% of pc
!'------- -
• 1- • L TOTAL PE-V1T PEE: 174.i , y 7
I Auttorizi S:glat1.170: .._
i ....- . "- ..- • 7ho permit a iTlionton mots n II Perm? i ,, Oe abinierd within iS
nt e:
[ For. rom. . Date; lays after it biM heel accented as cnimmte.
:__. - . - ,....... - ' Nurnbc: or sa.spectons altowzi per permit.
4.0 .44 1 . i 1. CA
Td Wc1E2:170 800E bE '.-teW �1798L : 'ON XU.d '3NI Dla1D313 d21.413HX3G : woa_d
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2008.00171
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/2&12008
Phone: (503) 639 -4171 iffoilvoiA
Inspection Requests (24 Hrs.): (503) 639 -4175 411.
INSPECTION WORKSHEET FOR DATE: 4/8/2000 TIME: 7:00AM PAGE: 22
SITE ADDRESS: 12630 SW WALNUT ST CLASS OF WORK:
SUBDIVISION: WALNUT CROSSING SUBDIVISION LOT #: TYPE OF USE:
PROJECT NAME: CASA TERRA
DESCRIPTION: Reconnecting, service_
OWNER: CASA TERRA LLC., PHONE #:
CONTRACTOR: DEXHEIMER ELECTRIC INC PHONE #: 503
Inspection Request Scheduled For: Date: 4/9/2000 Pour Time:
Code # Inspection Description — Confirm • Contact # Message
115 Electrical se►uice 068031 -01 503. 93&2577 Y
Cor - - omments/ - uctions:
Q. cot,
vvnA
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cr r v a Lg Date: 9-11 Phone #: (503) 718-1A