Permit + CITY OF TIGARD ELECTRICAL PERMIT
' • COMMUNITY DEVELOPMENT
PERMIT #: ELC2007 00353 • A:t. DATE ISSUED: 5/22/2007
4tle» 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S104BA -12200
SITE ADDRESS: 13566 SW MARCIA DR ZONING: R -12
SUBDIVISION: CASTLE HILL NO. 3 LOT : 152 JURISDICTION: TIG
PI'.OJECT:• CRAIG
Project Description: (2) branch circuits for a/c and GFCI plug.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF •')R LESS: , 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD't..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: 1 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:
ANDY CRAIG HEBERLE ELECTRIC
13566 SW MARCIA DR 18645 SW FARMINGTON #326
TIGARD, OR 97223 ALOHA, OR 97007
Phone: 503 - 806 -1211 Contact #: PRI 503 - 628 -2095
FAX 503 - 628 -3076
FEES
Description Date Amount Reg #: ELE 34 -160C
[ELPRMT] ELC Permit 5/22/2007 $53.50 LIC 152342
[TAX] 8% State Surcharge 5/22/2007 $4.28 SUP 30535
Total $57.78 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: � dL `, Permittee Signature: ftpp ; (jA,Ani
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.
05 /22/2007 08:24 5036283076 HEBERLE ELECTRIC INC PAGE 01
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City o� Tigard --- ELL, +� • r `;� '. - Received • Perini. N�. — jib 5
13125 SW Nall Slvd Tigard, R197223 Review
It91 7223 ' Permit.
ermit.
Phone: 503.639.4171 Fax: 503.598,1960 H,.,t', r /( Datc/B . 11 .. -I_• - 9 ,
Inspection Lint.; 503.639.4175 p , a,Y ` 7, 2 0 01 -:l.lr l : . D ate Aortdy I • RI See Page2 for
Internet: wivw.ci.tigard.or-us 1 ' ' ► ,-- '' Notifiod/Mettmod (3 Stspernentel lnformation
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P ^• �i . : � i:. . �r � • r �is4 ry 4 i . I iT' .,r 40.4rm ,' ..�i `-r ,9,p, ..v'�n.,,,, �T1',1 ! r,- ,. )1SOri Ji�lfl.. �^ ,,.,,, . ' • • �Qi
❑ New construction i dition /altertittoV .r 'ii' Cat Please check all that apply.
- ❑ Scrvice ova 225 amps, comm'1 DHazardous location
0 Demolition [].Odher ❑Service over 320 amps -- rating ❑Buildng over 10,000 sq. ft.,
r r t7ri ° " }P ii� � t "` a ; , r,� y ' (1 , 1i „ .�
-' � , r
� +u o � J{ 1:
'' of 1-and 2- family dwellings 4 or more now residential
� r' - � a l h +l
IL 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑Sexier over 600 volts nominal units in one structure
Q Multi- Il+mily Q Master builder 0 Other: ❑Building over throe stories ['Feeders, 400 amps or more
_ h ❑17ceapant load over 99 personas ❑Manutheturod structures or
Ci" r •? � 2 frli: ��YK�F r••t t t'? I j Y��,F L" e l f ii s r"' 't' i V ,01 t g `
.�,•� iy�h �,� fi � a. � �•� „T ,.< • ❑Egra9s/lighting plan RV park
Job no.: Job site address: 1 3546 $W hn� d4 '}7i2 Health -care facility ❑Odter:
Submit j seta of plane with any of the above.
Ciry /State /ZJ 9'7 2.23 The almvc arc not applicable to temporary construction service.
Suite/bldg. /apt, no.: Project name: CN `L .. A., ac •� ,...a�t r -; ; �a ^1•ri -4-27 � ;; .
D racr l pd a en Qty. Fee. Tntsi
Cross street /directions to job site: ', feS'ir:•• A 4 New residential single- or multi - family dwelling unit.
Incindcs attached garage.
1,000 sq. R, or less 145.15 ^ 4
Subdivision: 1 Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 - 1
•
Tax map /parcel no. - Limited energy, residential 75.00 2
P )} ,, t om r I , �,, , , I « ?[� F±�'mf «-sQ , '.' l " 1c : rt 1 AK ?��;_, , t� ti : t >,� Limited energy, non-residential 75.00 2 • dr T + ( eV:i a P} d�rl,}Cn . =b , P t f ]:.i t „� ; ' - '41. N 1st :.: t
,� 1 Ch ,4s ,1. ' � ,0. ' .A s.. Each mans fhotured or modular
e / i dwelling, service and /or feeder 90.90 2
�� ` Services or feeders insMllatton alteration, and /or relocation
I . 200 a s or less mu 80.30 _p
$ ti; :5 1i 3.7 ;.� ' t l r ' 7 r rt rra�sw �. yS; IrR ;nay ✓..��{{'� I h r�I �{ P'pp���^ >:•,t._,,;,, • ,t - ..,,. - ,..t:.7,;.;,.: 201 amps to a mps 16 r f: �n A M 0 ..1 I. 4 it P r � . e, ,V'T Yii4 �t�`1. '7y �' �, 1 7�, , u'4;yt y , t'- o , ,(,� ■ 160.60
Name: /�,� �..� „
` :tY � •44 '-‘to , '" , . - 401 om4ts to 600 amps
f”` 1 �i tf f—! + 4 601 am. s to 1,000 am .s _ 240.60 —Q
Address:
Over 1,000
City /Statc/ZiP: Temporary services or feeders lusaillatIon, alteration, and/or
Phone: ( ) qt 6 — i 2— L: Fax:
Owtlor installation: This Insttllation is being made on property that 1 own which is not 201 „ am s 100.30
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. , tunas to 600 amps 133 75 2
Owner signature: ¢ p Branch circuits - new, II Iteration. or extension, .. er . nel
', x:1'4'761 i:l'.,• l :..' 41 � ;171$11*', d , l' '' y + (17r. t • ! ! tlp %. ]ilN k A.Fcc1br branch circuits with
service or feeder fee, each
Business namc: & it'lk lrh branch circuit
6,65 ” B. Pee far branch circuits
Contact name: Z
without aervicgyr feeder fee, / ;
Addres �, s: �Q�P ,AK`l each branch circuit 46.85 4tp,
Fitch add'I branch circuit 1 6.65 `r7
City /State/Z1P: MIsccllnncotts (service or fender not Included)
( ) Fax ) um
Phone. P . or irrigation circle 53.40 2
•
'
E - mail: Sign or outline lightin 53.40
1 ' „ -... Iq UD '` 7t .- .; .. , • limited-
' f ;, : e. $w 4ti1tVK I 5. �`i : Ff L:' `: , j141':'..f:. r•'' panel.
rid'
Business name: Heberle Elec ' Describe: Page 2 2
18C45 SW Farmington fr a, #32b
Address: s
Aloha, Q g Zom _ Each additional ins don over allowable in an of the above
Per inspection
City /State/ZTP; 62.50
Investigation NE 62.50 r
Phone: (f593) (,.zi, - .-ZO q's.- Fax: (Q.9 ) (P'zg_ -7 4.0 industrial plant pa hour = 73.75 . ill
CCB Lie.: l�jZ3 j �. Electrical i..ic.:3� - 0L Suprv. Lit.. IENIT .s 1 ,: °:�:571ER I
• 3.S 53•^ S Subtotal Jai 5 U
Suprv. Electr an signature, required: .` °' , ' ►�I- Plan rcvicw (25%ofpermit fee)
Print name: r 1�� ~ State surcharge (8% of permit the) . ‘4
TOTALPERMITFEE �j �. g
Authorized signature:
Thin permit nppticattnn erptras if a permit Is not Mtaaned within 180
Print name: Date: ' ,
days after It has been accepted at complete
` •ee methodology set by Td -Count Building Industry Service Board
a1t►lttlM - ' Number of inspections per permit lowed 1 Syr
8V'ortnin \8L( - PermilApp.doc !2103 440-4613T(10/02/C010/WED �' -� I Q