Permit ELECTRICAL PERMIT
CITE' F TIGARD
I ° PERMIT#: ELC2007-00281
I ; COMMUNITY DEVELOPMENT
DATE ISSUED: 4/26/2007
TIGARD 13125 SW Hall Blvd.,Tigard,OR 97223 503.639.4171
PARCEL: 2S1 10B D-03600
SITE ADDRESS: 11753 SW ASPEN RIDGE DR ZONING: R-4.5
SUBDIVISION: ASPEN RIDGE LOT: 001 JURISDICTION: TIG
PROJECT: ASPEN RIDGE HOMEOWNERS ASSOC
Project Description: Reconnect sprinkler timer&landscape lighting at the entrance to subdivision. Located behind brick post at north
side of Bull Mountain entrance
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: 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:
CURB,GUY E+SANDRA A TICE ELECTRIC
11753 SW ASPEN RIDGE DR 5405 N. LAGOON AVE.
TIGARD,OR 97224 PORTLAND,OR 97217
Phone: Contact#: FAX 503-872-8290
PRI 503-233-8801
FEES
Description Date Amount Reg#: ELE 26-I26C
[ELPRMT]ELC Permit 4/26/2007 $66.85 LIC 166
[TAX]8%State Surcharge 4/26/2007 $5.35 SUP 2586S
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 may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: �� Permittee Signature:
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.
.._..._ .. .. . ..
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Electrical Permi jlnu 5� `
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Receives Penmt>vo teaao a e�c?8i
City of Tigard Date/ny: , `-
13125 SW Hall Blvd,,Tigard,OR 97Z2 2 4 2007 Plan Review g Other pumit:
Phone: 503.639.4171 Fax: 503.598.1 i ;; - has; b?I See Page 2 for
a�,t ::.•I 1--.,. pate Ready/by:
Inspection Line: 503,639.4175 f.� I , „ ►-- - Noi fic /Method Supplemental Information
Interact: www.ci.tigard.orus L,,I Jt 1 M i l. U
_
3 �: : . R TC41 PLAN REVIEW
l t Please check all that apply:
❑New construction ❑Addition/alteration/replacement []Service over 225 amps,comm'l 013a2ardous location
❑Demolition ❑Other: ❑Service over 320 amps-rating []Buildng over 10,000 sq.ft,
CATEGORY OF CONSTRUCTION - of 1-and 2-family dwellings 4 or more new residential
❑System over 600 volts nominal writs in one structure
[J 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building ❑Building over three stories ❑Feeders,400 amps or more
[]Multi-family ❑Master builder ❑Other ❑Occupant load over 99 persons []Manufactured structures or
JOB SITE INFOEATION AND LOCATION ❑Egress/lighting plan RV park
M
❑Health-care facility ❑Other:
r Job no.:8 0. 21 4 5 Sob site address:}.a.-7&8 SW As_pen Ridge Dr _ Submit 2 sets of plans with any of the above.
City/State/ZIP: 'T'1 a r d OR i 17s3 _ The above are not applicable to temporary construction service.
g r FEE' SCHEDULE
Suite/bldg./apt.no.: J Project nameAs pen Ridge Daytona> 1 Qtr. } Sw. j Totem
New residential single-or multi-family dwelling unit.
Cross street/directions to job site: -- Includes attaebed�arage.
1,000 sq.ft.or less 145.15 4
- I Lot no.: , Ea.add'l 500 sq.R or portion 33.40 1
Subdivision: I - Limited energy,residential 75.00 2
Tax reap/parcel no-: y 1.i �A L..4 /f. --�,'. , limited energy,non-residential I 75.00 2
CRIPTION OF WORK � ,c,. .•;. Each manufactured or modular
dwelling,service and/or feeder 90.90 2
entrance Bull Mtn & Aspen Ridge Dr Services or feeders installation,alteration,and/or relocation
200 an3s or less 80.30 i
reconnect serif Ce - 201 amps ro 400 amps 106.85
w
❑ PROPERTY OWNER 0 TENANT "`
401 amps to 600 amps 160.60 .
Name: 601 amps to 1,000 amps 240.60 .
- Over 1,000 amps or volts 454.65
Address: •
_ Reconnect only 1 66.85 6 6. 8 5
City/State/ZIP: Temporary services or feeders installation,alteration,trod/or
relocation
Phone:( ) Pax:( ) 200 amps or leas 66.85
-Owner installation:This installation is being made on property that I own which is not 201 amps to 400 amps 100.30
intended fur sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 600 amps 133.75 -
Owner signature: _Date: Branch circuits-new,alteration,or extension,per panel
It.A APPLICANT I ❑ CONTACT PERSON A.Fee for branch circuits with
7) ,. - service or feeder fee,each
Busiueas name: ti d �/ • branch circuit 6.65
�.._ l- .� .i_ lull/L_ i`tC �
B.Fee for branch circuits
Contact name: I 142-41g6 . without service or feeder fee, 46.85
each branch circuit -
Address: _ Each add'l branch circuit 6.65
r
City/State/ZIP: Miscellaneous(service or feeder not included)
-Pump or irrigation circle 53.40
Phone.( ) Fax: ( ) Sign or outline lighting 53.40
E-mail: -Signal circuit(s)or limited-
CONTRACTOR energy panel,alteration,or
extension.Describe: Page 2
Easiness name: Tice Electric Co.
Address: 54 0 ■5 N Lagoon Avenue 1 Each additional inspection over allowable in any of the above
-r Per inspection 62.50
City/State/ZIP: Portland, Oregon 97217 Investigation per hour(I hr min) - 62.50
Phone:( 503) 233-8801 Fax:(503 ) 872-8290 Industrial plant per hour 73.75
. - ELECTRICAL PERMIT FEES*
GCB Lic.: 166 Electrical Lie.: 26-126C Suprv.Lic.: 2586S Subtotal 6 6. 85
Suprv.Electrician signature,requieed: 40.)24/. PIan review(25%of permit fee) -State surcharge(8%of permit fee) 5 .3 5
Prim name: John J. Maloney Date: 4/2 /0 7 .
TOTAL PERMIT PEE 7 2,2 0
Authorized signature: This permit application expires if a permit 4 not obtained within I1
days after It has been accepted as complete
Print name: Date: ' Fee methodology set by Tri-County Building bdustry Service Board
'•Number of inspections per permit allowed.
i:lBuildineWenmiulELC-Persslt,& aloe 12/03 440.4615'r(10/02/COM/WEa