Loading...
Permit CITY OF TIGARD ELECTRICAL PERMIT IN ; . COMMUNITY DEVELOPMENT Permit #: ELC2010 -00235 Date Issued: 05/12/2010 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 parcel: 2S1010600400 Jurisdiction: Tigard Site address: 12700 SW HALL BLVD, BLDG# C Subdivision: Lot: 0 Project: Building C Project Description: (4) branch circuits for lighting retrofit • Owner: FEES TCTPI LLC Quantity Description Date Amount 25977 SW CANYON CREEK RD #J WILSONVILLE, OR 97070 4 crt Branch Circuits 05/12/2010 $78.44 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 05/12/2010 $9.41 Electrical Contractor: STONER ELECTRIC 1904 SE OCHOCO MILWAUKIE, OR 97222 PHONE: 503 -462 -6500 FAX: 503 - 659 -4968 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $87.85 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 9 01 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. s// 4 .---( 41. Issued By: _ Permittee Signature: /'Af APP -J i � . 7C 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' Date: LICENSE NO. Call 603.639.4175 by 7:00 a.m. for an inspection that business day. This pennit 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. May. 11. 2010 1:17PM No. 2661 P. 1/2 Electrical Permit Applicati DI CEIVED molt OFFICE USE ONI,1' I I Ci o and s h' f Ti Received • g Date/B : a /d lea ' tit No. : 621 4 020/1? -"®Cy L i r... , , 131 SW Hall Blvd. Tigard OR. 97, 1 1 2 u 1 Q Plan Review a Phone: 503.639A171 Pax; 503.598. patella ; t?therPennh: r'; A U t ) Inspection Line; 503.639,4175 Date Ready/By: lulls' 171 See Page 2 for Internet: ttiww.tigard or.gov CITY OF TIGARD Notified/Melhod; C'S Supplemental Information �"�y N: �(:'!�t,c, TYPE 61J tiN,G DIVISION ,j �• , ■yr y :Ny� '. � ,., � `' Xl. R P+r��i�� 4 k ; �'. ❑ New construction Addition/aIteration/replacement Ploase check all that apply ( submit sets of plane whims checked below): ❑Service or feeder 400 amps or more ❑ Building over three stories. Li Demolition ❑ Other; whore rho available fault current ❑ Marinas and boatyards. 'r .zs r ` " O g p) x0 b 1 exceeds 10,000 amps at 150 volts or ❑ Floating buildings. . -:, .( ? :x" , ''''''.-7=7:^5.1 ' P... , ; 6'' _ , , �,...;,.....;.., .:.. ❑ 1- and 2-family dwelling Kr Commercial/industrial ❑Accesso building less toground, er exceeds oo ❑ Commercial - use agrin,lturel Accessory g amps for all other installations. buildings. ❑ Multi-family ❑ Master builder ❑ Other: ❑Fire pump. ❑ installation of 75 KVA or / . � v y ;;,✓,. °� -a..,rx - �.: ,,n ❑ Emergency system. larger separately derived system. .• . J0)3. S1T,E .AkIrQ4,14r!T e NX- .. ✓?.- 1 ,. '. g8 ..& 'F ;P 0A d b motor ad p .. A .. , "1-2", � _� .,1.3 °, Job no 23 24a3K Job site address: /270 0 31,,,) 4. _ 1001IP or more. occupancy. b Six or more residential trail s. ❑ Recreational vehicle parks. City/State/ZCP: 4. 0/e ❑ Health•care facilities• ❑ Supply voltage for more than ❑ Hazardous locations. GOO volts nominal. Suite/bldg. /apt. no.: fix e I Project name: j3 L Z' 6, ' ['Service or feeder 600 amps or more. C''''' k ': FEZ SCHEDULE Cross street/directions to job site: Description - I Q. 1 Fee 1 Total I • New residential single- or multi- family dwelling unit. • Includes attached garage. Subdivision: I Lot no.: 1,000 sq. ft. or less 168.54 4 Ea. add'l 500 aq. ft. or portion 33.92 1 Tex map/parcel nn Limited energy, residential S : n1rSCl2IPTIO1�t: OF 'dIt1C � ' . ` •� , � _., .. �; r. .,.._. _ (with abets sq. ti.) 67.84 2 /' Limited energy. multi- family he- jfr �/ /71C?rd,E-5 ", i4b 491o47 - residential (with above sq. II.) 67.84 2 Services or feeders installation, alteration, and /or relocation 200 amps or less 100.70 2 . . 0: •)PR 'OIVNEI2 y r s a__ ®::T I1)I4 _ ... : : 7; � , 201 amps to 400 amps 133.56 2 Name: 401 amps to 600 amps 200,34 2 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 City/State /ZIP: Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) I Fax: ( ) 200 amps or less 59.36 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale, least, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2 Branch circuits - new, alteration, or extension, er panel Owner signature: _ Date: A. Fee for branch circuits 1p111: - , EQi� ,...a t above service or feeder fee, APPLICr�NT _ ,.9 each branch circuit 7.42 2 Business name: B. Fee for branch circuits Contact name: without service or feeder fee, 1 56,18 . 5-i de e 2 first branch circuit Address: Each add'I branch circuit 3 7.42 Z-Z, 24 2 Miscellaneous (service or feeder not included) City /State/ZIP: Each manufactured or modular dwelling, service and/or feeder 67.84 2 Phone: ( ) Far :: ( ) Reconnect only 67.84 2 E -mail: Pump or irrigation circle 67.84 2 " ;; . -.,' , `CONTRACTOR ; Signor outline lighting 67.84 2 Signal ciroail(s) or limited - Business name: STONER ELECTRIC, INC. energy panel, alteration, or Address: 1904 SE OCHOCO extension. Describe: Paget 2 Cily/State/ZIP: MILWAU KI E, OREGON 97222 Each additional inspection over allowable in any of the above Per inspection 66.25 Phone: ( 503) 462 -6500 Fax: (503) 659 -4968 Investigation per hour (I hr olio) 66.25 / CCB Lic -: 44823 I Electrical Lic.: 26-122C S Lie-: 3496S Industrial plant per hour 78.18 -y ;: g: m. urll Im 6:3 ="� 4 Suprv. Electrician signature, required: 'tied/44.4 A ^"aw Subtotal: 7g ,..it4 Plan review (25% of permit fee): _- - Print name; MICHAEL FALCONER Date: /© Stato surcharge (12 °,6 of permit fcc); 9. / Authorized signature: TOTAL PERMIT FEE: 97 g.5 This permit application expires NA permit Is not obtained within 180 Print name: Date: days after it has been accepted es complete. - • Number of inspections allowed per permit. LlnuildingTerni ELC- PerrnitApp.ddC IO(OI/01 440-1 615T(1V05/COMMEB