Permit CITY OF TIGARD RD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00131
DEVELOPMENT SERVICES DATE ISSUED: 2/16/2006
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13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 2S103BB-08200
SITE ADDRESS: 12280 SW 124TH AVE ZONING: R -4.5
SUBDIVISION: LAKE TERRACE LOT : 009 JURISDICTION: TIG
Project Description: 3 branch circuits.
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: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 2 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
FRITZ BOYCE SUNSET HEATING & COOLING
12280 SW 124TH 0607 SE IDAHO
TIGARD, OR 97223 PORTLAND, OR 97239
Phone: 503 - 550 -7273 Contact #: FAX 503 - 234 -0439
PRI 503 - 234 -0611
FEES
Description Date Amount Reg #: ELE C117
[ELPRMT] ELC Permit 2/16/2006 $60.15 LIC 161085
[TAX] 8% State Surcharge 2/16/2006 $4.81 SUP 4638S
Total $64.96 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 N otification 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 -80 4.
Issued By: Permittee Signature: f aG ti t
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.
Feb 14 06 04:32p p,2
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City of Tigard Received �, �l j v Permit No. i 4 - 00 1 1
13125 SW Hall Blvd., Tigard, OR 97223r r� Plan Review
Phone: 501639.4171 Fax: 503.598.1960 1" 4 2006 '" " 1 Z`` I Date/B : Other Permit: '
Inspection Line: 503.639.4175 � .,' ' � t ' D ate Ready/By:
Internet www et ugard or us Nottted/Method I � BI SeePage2for Supplemental Information
CITY OF TIGARD
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3 � � f f ms s. `, : + o� r a w ;'-x,,... . z - i apply: _.. _xt.;.uc....r.3 ., {; ....+•ate. F
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❑ New construction ® Addition/alteration/replacement Please check all that a pp
['Service over 225 amps, comm'l ❑Hazardous location
❑ Demolition ❑ Other ❑Service over 320 amps - rating DBuildng over 10,000 sq. ft.,
�� '"� ci ' "` '` ' '� ' r " ` r , i of 1- and 2- family dwellings 4 or more new residential
� s � -j l..� .. �. �. 0, N s. c r c . ��.�n a.P �',., „.. .; ;:¢rf .. ...-
1- . an d 2- famil dwel ❑ : C /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
['Building over three stories ['Feeders, 400 amps or more
❑ Multi family ❑ Master builder ❑ c Other DOccupant load over 99 persons OManufactured structures or
- -:st � � - t : r r s T yr r "�I „x T. '"3`'x r. ' " ` -' kT ; --' D Egress/lighting plan RV ark
C` L14 f1 } . :4; 5 .,. ... .... ...... .+.. tr a � wvCVw E']...s=.3+w «.etzsia ra.'Sti$'w. "..:.,- -• 4.,..v. Ya4' p
�- \ni:c- . -, l _ 1'L "h, , ti ❑Health care facility DOther:
Job no. : -- ` . 1 . _,7 J ob site address: i i , i ,,�, � ; 1 , - ,, , ? _ �- Submit? sets of plans with any of the above.
F" a- The above are not applicable to temporary construction service
City/State /ZIP: `r1 tip ` ) t-'1 I , � -? -"7 :v `R //y�+v
Suite/bld ./a t. no.. l Project name: ti ` e ' ` I
g P J > �� ; " (-L.; ^D Description l Qty. Fee. Total 1
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: 1 Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 I
Limited energy, residential 75.00 2
Tax map /parcel no.: �. Fa Limited energy, non - residential 75.00 2
g 7 +' x� l „ , Each manufactured or modular
dwelling, service and/or feeder 90.90 2
• ^� t ' , . . r . . , ‘ t� ( 1 kJ) r # t t Services or feeders installation, alteration, and /or relocation
J 200 amps or less 80.30 2
ux s ?M ar k,i, w �.�., s, t : . ,` `lV' ' ' "" r 0[ amps to 400 amps 106.85 2
; qtr 1 t � ,Ik - 4:1 :.M.... . -, s ; : .. ? :iii~_. . ..4,._.. ., ... _ ,.._. . s ,, . 401 amps to 600 amps 160.60 2
t 601 amps to 1,000 amps 240.60
2
1 Over 1,000 amps or volts 454.65
Address: ,) -- ` c \ ` t i , -, ;f 1 .,` -
Reconnect only 66.85 2
Cit /State /ZIP: 2
y - 1 /, / , t r' - � 2 7 7) Temporary services or feeders installation, alteration, and /or
relocation
Phone: (S1,2 ) C,d 1 , • "j E"? 1 Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that l own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits new, alteration, or extension. per panel
e r �� vt � _ A Fee for branch circuits with
Vt;a Nt c ey .S r y v pa : , :,.rte,. tV''' ., i -t ', +,z*e d "_• t - ^ x '
• - � • - � " ° "� �` w �- � •' serv or feeder fee, each 6.65 '-
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, t 46 85 + 2
first branch circuit t Lila;
Address: Each addi branch circuit F ? _ 6.65 1 s) - 7L 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) I Fax: : ( ) Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited-
y . - �� m xm- m- • - -�,s ,mot.+ t Nr rrs j a. :+•'• * t, H" ', ,,++�"+� e 'tom r` energy panel, alteration, or
`R" . t y R V v , i5s4,N i '....r 4c4t !4kr4 '., Ze',x1 -.. 4 . "s. .. .. ..i ... ."�t'. :_.., .. extension. Describe: Page 2
Business name: Sunset Heating and Cooling q'//3/0k2
>
Each additional inspection over allowable in any of the above
Address: 0607 SE Idaho ^
0 Per inspection 62.50 to
City/State/ZIP: Portland, OR 97239 \ ,O , Investigation per hour (t hr min) 62.50
Phone: (503) 234 - 0611 ' , Fax (503) 234 \ V Industrial plant per hour 73.75
'.,
CCB Lic.: 161085 Electrical Lic.: C117 Suprv. Lic.: 4638S Subtotal '' •C
Suprv. Electrician signature, required: `" J Plan review (25% of permit fee)
"i . .f< State surcharge (8% of permit fee) L} .
Print name: 19.041/11:i ESS Date: *` . (/
j / TOTAL PERMIT FEE t(, � W
Authorized signature: ` This permit application n empires if a permit is not obtained within 180
n _ days after it bas been accepted as complete
`
Print name: CtL' 1 1 t.....„ k b »Q' 1(i- -- Date: z- 7 i q L. t•a-2 • Fce methodology set by Tri-County Building Industry Service Board
•• Number of inspections per permit allowed.
is 1Building \Pcrmits\ELC- PermitApp.doc 12103 440- 1615T(10/02/COANWEB