Permit , I " ' ?
IN
.: CITY OF TIGARD
COMMUNITY DEVELOPMENT PERMIT
ELECTRICAL
D ATE ISSUED: PERMIT #: ICAL PERMIT 6 9/7/2007
7TIGARD` 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 101 AD -00400
SITE ADDRESS: 06665 SW HAMPTON ST 200 ZONING: MUE
SUBDIVISION: WEST PORTLAND HEIGHTS LOT : 034 JURISDICTION: TIG
PROJECT: HAMPTON OAKS
Project Description: Reconnect only.
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: SIGNAUPANEL:
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:
HAMPTON OAKS LLC E C COMPANY
6665 SW HAMPTON PO BOX 10286
2ND FLOOR PORTLAND, OR 97296
TIGARD, OR 97223
Phone: Contact #: PRI 503 - 220 - 5377
FAX 503 - 295 -3012
FEES
Description Date Amount Reg #: ELE 26 -45C
IELPRMTI ELC Permit 9/7/2007 $66.85 LIC 49737
[TAX] 8% State Surcharge 9/7/2007 $5.35 SUP 3924S
Total $72.20 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 m y obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: ij��� f Permittee Signature: �� /' 1iC l—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.
09/06/2007 20:22 5032205347 PAGE 01
Electrical Perinit A • ilea R I � TM
. _ fill, r E ? ` 't P +FUR OFF : x t ti9 dY . '' j
City of Tigard I. 1 0 � � ,, ,, , r ._. • .„ � iltfl; ,ompi,� usr U,�f Y ,. 4 4 '
( Received it �'+ q w � , , ,
13125 S W Hail .Blvd., Tigard, OR 97223 9 � � �'� �' " � + -�1:, 1
Phone: 503.639.4171 Fax: 5 03.598.1960 S E P 0 7 20 ! Pl new
s l �� Pm t No,: ��p�o
Inspection Line: 503.639.4175 „ ' > gam/By: Other Pc :j4� " %''l �'' Date Permit
Internet www.ci.ti
gard or us CITY OF TI ,. lido y/,ny
��',.rr v � Notified/Method ed See Page 2 for
i aF ..iT 1v f Ati i ,� M t 1 �, . 5 ; , t a, . UP d Suppicmentgt inform... ' .. :i t' ..a. ,ht 11,,M,.a,,!,, , .�:�; ti t <�t ,,,�(t �i, i/ +4, ,5,,9 °`} rr it 1'' /'rj, a� 1 ,rJJt
El l� u .., r,..rta..,, .�. ,.:, )(?ilk ;.�a;, ti j.41 :Jf7 Ii�Frlrll 5.4,i{1',rPa Fr�Brrl{1ii�,tKS n ,e i } },�,
A ddition/ :n r t/w y., {}�7 s ai f ryk lr ,�)i I
❑ Addition/alteration/replacement Please check all that 1 � �" ,' ^'' � ••'.. "
Demolition ❑ Other; �p
❑Se rvice over 225 amps,
1 . a } �{ }'t G q �i. -gii. ) r . m. 0 „ e . r rJ "; v iv i. - rating n' 1 °Hazardous location
N ! 14,iicitig,A l �G. t+ fSFa t;s ...t:.T � T( 7n ,Y jY7• �6 gg, e SK I df ` r ]N,V;. 1,1 s '' .r "7 ❑Service over 120 amps - rating ❑BUildng over 10,Op� sq. (t.,
�..,.r. :._c, l,.t,„ I/ _. .;. /. i; - } -.,. e;.. X 3 ?. „- r N. of 1 -
an 2- family dwellings 4
❑ 1- and 2 - family dwelling g or more new residential
S ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi family ❑ Master builder L � , ,, ( , ❑ Other ❑ Build tng over three stories a00 amps or more
(�>
. i. F . � .s i{,' 1,rS „A zR"�j1N £si tki . (4 s ;i . q J r y ., ,,u � f; �V 7 3 {.L .. 4 it 1 ..,., > Js 31>, . is cri , r � {t i x ,
,( ❑Occupant load over 99 persons ❑.Manufactured structures or
. w s/; e : 4:a' .,,•r..4,:, +s } „ ! ?• JEgress /h RV park
Job no.: 16'! o p q_ 1 U Job site address: CC C s St..) �tigr j d.� ❑Iicalrb - care facility °Other: _ City /State/ZIP: t
” Submit 2 sets of plans with any of the above.
- Or c - ) - 4 3 The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: I R (� Project name: r =` y, r � �, rF1 % L s x.i i.. r I 9 "F d Lry 'rr� r F i ° 4° t
/mil/ V � 7a w . •� (j Pr � � S x ....., . ,.... .. a .,., rr...�.,..,,, rj £ �r.Y �J: _�l ,,� s .!4 ,.., , ,,e. rl "(;� �k
Description Qty. Fee. 'rout El
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
W 1,000 sq. ft. or less 145.15 4
Subdivision; Lot no,: Ea- add'l 500 sq. ft. or portion 33.40 1
__ . - Limited energy, residential 75.00 2
Tax map /parcel no
"i� r�r �4 1 /s? f } y 11
'M r, +a' b^x^s x rn r S { J - l't Gv Limited energy, non-residential 75,00 2 .
p � l> r i + 1(�r�j` c.i „.,t ,,r �' fN C 0 .(f)tt � ?i ry �i ',) �L 7`n J'i Each manufactured or modular
hd 1tl, i,:r tt ,,a,ltit4., .,` r '. ha. f� d+t Rn £:} r.
`K. ,..s tn � - �1 : — , ;;,711 r..Q. ., ar. , �I 7.
1 w r 4 -...; f C . . ... � : � 1
i .y.-G) \ 1 dwelling, service and/or feeder 90.90 I 2
" ,14 , ev 1 � S_ C l t C- '^ �r Servicts or feeders installation, alteration, and/or relocation
RN” e 4 b f4 200 amps or less 80.30 2
1`g t,si, , ..y.,•: (1�? r zr F'ut y rr, , r r rrr rrtr 201 amps to 400 amps 106.85 2
) 99{ }£ F}7 J !u I t , 1 ;2 .1 iS f :; , i -, /sr, ), I ,1 r i S y r
� if N . 1 1 ,yt i'' i S t �. 1, .. P1 l5i r, , tt'''1 ./ 'it C}i,R. � "
i�f N ` ` � - • � � 401 amps to 600 amps 160.60
601 amps to 1,000 amps In 240.60
Nozzle:
Address: Over 1,000 amps or volts 454.65 2
— ._..__..._...._ Reconnect only ! 66.35 2
Ci /State /ZIP: Temporary services or feeders installation, alteration, and/o
relocation
Phone. ( ) Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 10030 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 f z
•
Owner signature: _ B ranch circuits - new, alteration, or extension, per panel .•
•
, 4I jr1 Jfi. a r t r { , 7. 1}1 p 1 ', H 15 7 3 it � i s , ,ii..., n i f . j .. rr `.. ,i n .t !� �"{ A. Fee f0f h cUtts4 Wllf!
x . li 4s 'fi , r, 'r4` i c f l x � ' { i r r 4x,k r� "—J ,aS Jl ft { {,� 7i r .sire
...,..;l.x.h ,4.,, :,:i: ,, t,. .: 7 , x, . ,,, - ;.. '4 . g , . ` , . . 9 t i„ r,,.,s. ,r,,.,._4 3 .1..,f,Y, r. tro.. ,_ ...:..,,.,w,.^.1 service branch
or f irc
feeder f ee , each
Business name: • branch circuit 6.65 2 4
• • B. Fee for branch circuits
Contact name:
without service or feeder fee,
each branch circuit 46.85 2 .
Address: 5ach tide branch circuit 6 -65 2
City/State/ZIP: NlisceUaneous (service or feeder not included)
Pump or irrigation circle 53.40 2 • {.
Phone: ( ) Fax:: ( ) Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited -
77 � t a ft "x -ro u t i , l r rt 9 t i t t� } ii i r c " M iy" ,up„x 6. , " , r ,:i k. b�.� � T' 3 energy Panel, alteration, or
Ei .it I l i t ,.n. f t ,r,tid:, > .`r` E . ? 4'n..._.C.,..,. r } . 0 t . Y" , „- ti „4 , . ...f :y .,.'!_.i.axs:. extension. scab get
., . ...,w.._. ........ ....., a e- Page
name: V CO 1
E ach additional inspection over al lowable in any of the above
I.
Address: P G Q [6'11..1 Per inspection 62.50 f
City /State/ZIP: \ ON(” c):1 a (1 Investigation per hour (1 br min) 62 50
a
Industrial plant per hour 73 75 MI
Phone: (SS'l ) ada0 - S �"�1� Fax (Sal ) ,a`N5 -303/ ; i
. . A art . � 7PF i ill` r ' l tI rr i s- f t r r i, r'si(1
a. , v . ncr, . rt .. , n? . , , 1 ... . ,, .. . � ene n�'7k { J .. .. �. .lti£d,
CCB Lic.: Lt - Suprv. Lie.: 37 4 Subtotal C C . .C.'
Suprv. Electrician signature, regttir • . 10 ) Q Plan review (25% of permit fee)
�� � 1 ' / . State surcharge (8% of permit fee) S. '
Print name: sate; �d '7 +�^
• . .. ._ 0' - : TOTAL PERMIT FEE 13
Authorized signature: this permit application expires if a permit la not obtained within ISO
days ants it has been accepted as complete
-
Print name: Date: • Fee methodology set by Tri- County Building industry Santee Boars
•' Number of inspections per permit allowed
440- s613T(IOioz/COM/WfiB
Ne, ,,iaine■pertNts43tc- Pemutnon.doe 12/03