Permit .CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -10023
44 DEVELOPMENT SERVICES DATE ISSUED: 3/3/2006
--a 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S102A6 -01200
SITE ADDRESS: 09305 SW COMMERCIAL ST 7 ZONING: R -25
SUBDIVISION: VIKING APARTMENTS LOT : 064 JURISDICTION: TIG
Project Description: Electrical reconnect
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:
BRIAN COLLING
13835 SW HALL BLVD
TIGARD, OR 97223
Phone: 503 - 705 -2295 Contact #:
FEES
Description Date Amount Reg #:
[ELPRMT] ELC Permit 3/31/2006 $66.85
[TAX] 8% State Surcharge 3/31/2006 $5.35
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 forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these r or direct questipns to OUNC at
503 -246 6699 or 1-800 -
Issued : ! Permittee Signa re:
OWNER INSTALLATION ONLY
The installation is being made o .r•perty I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: 41110111b ' 615MI 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.
2006 03/03 10:04 TEL 5036203194 _ , el 003
1. I
gleCtliCALLIerninit ADOCaltlen '4.010.11.,-.,•4° 1. -'1'1 1 1'4 .,,,,' :V : :, V -- r l : ^ 1
-, )0 J • 1!: ( , 1' i 1 1,
City of Ti .. '" E 1VED A
Received 1
....*: 1 panning°, eLex06—/O0.2 3
13125 SW Hall Blvd., Tigard, OR 9 .•
4.1 Nan Ievieb,
Phone: 503.639.4171 Fax 503.598.1950 c 1
, Orbs-Pamir
lesPecrion Um: 503 o 2006 ,.!:";41:
.639A175 M A , :;',..., „DrY:
1 . _ ,_.... , .Letwly /Ort„-- i in Sele PiltE 2 tar
Internet: www.a.tigard.or.us I . .... . . : /7 • 1 Suppinmeand Inronandos
FIAN REVIEW
0 New eensnnetion 0 . D C 1 Cl iacemen M t ----- Please check all the IOW
El D lemoition jeolier;
°Semitic ova 225 amps, cumnf 1 OHmardous location
liaServiee over 320 =Vs- rating EiBuftdag over 10 000 sq. ft
CATEGORY OF COPISITRICTION - * : and 241smily dwelfmgs 4 or mare new res idential
01- and 2-family dwelling 0 Cammereiailindustrial 0 Accessory building EISYstelo ever 6 00 was nominal °nib in me gni:We
0.Idulti-farnily 0 Mester Ifil 0 Other: 0 °Building over three stones [Weeders, 400 amps or more
00eamant load over 99 pawns Ohlamffacturol gnomes or
Jots sna ovroattamoN AND LocanoN 1 CiEgfesFAighti plan RV padr
Job no.: Job site adriteSS: 1??Ct r 51 c e., ,, c. .. ,-. plicallia-cam fraity Daher
Submit _X sets avian with any ofthe above.
—..
City/State/la': „ ' p. ?- 2 2,,, i I The above are Dot applicable to temporary assnuction service.
/ .. 1
Suite/bldg./apt no.: -7- Project nem: iii..12/, 0,,, 4pr5 FEE* SCHEDULE
merosena f ow. i irefe j Tao I '”
Cross streeddirectams tojob site: d .6 1
rt ze vet 54 ...7 //)-,,.....0.071 New redden:lel shale- or ntalti-fandly dentin rods.
beindes attnebed garage.
145.15 4
Subdivision: I 1 Lot no.: ... I Egt WWI SOO scI it Or ;lanky 33A0 1
I Limited energy, residattial 75.00 2
ix mapfparcel no.: 1
I Limind energy, non-residenlial 75.00 2
Each anamfactured or modular
I dwelling. service sordior harder 90.90 2
P-ao PI ft ex Pi r"./ c.-V1
1 Soviets or feedas inelallation, alteration, and/or relocation
1 I 200 amps or less 80.30 2
if PROPKRTY MOS . I . 4 .... -__.0._ 1 201 amps to 400 amps 106.85 2
1 401 amps to 600 amps 160.60 2
, , ' 1
Name: ; i (-0 i I .• ri 9 i I 601 amps 10 1.000 amps 240.60 2
Address: tje /S s'ok) i /f/t/c/ I Ova 1,000 amps or yobs 454_65 2
City/Statc/ZIP: 7 p ) 0 / _4-2- 3 I Reconnect only 1 6 6-0S 66 OS z
I Temporary services or feeders lastallotton, alteration, and/or
1 relbeation
Phone: (SD 3 ) , .5- - _ 2,2-- Fax: (4 ) ' ..1.2 - . 200 amps or less 66.85 1
Owner inenidintion: This installation IS being made on property that 1 own which is no amps to 400 amps . 100.30 2
intended for sale. 17_ or =hinge, an: to ORS 447, 449, 00, and 1,
401 amps to 600 amps 13335 2
Owner signature: ,7_....--- fa-- Date:2 . e 6 Breath circuits- nar, allantion, or abrasion. per panel
grceNsrAcr Faggots . , . A. Fee for branch circuits' with
service a feeder ee, each .
Business 11Eane: i t ? 1 1 7 , 7 h 5
. ! 1 branch circa* 6.65 2
B. 1 Pee for branch amts
Conta /
ct name: e j Ce 1 ' 1 . wabasa saysce Or ftedor he.
4615 2
first branch &nit
Address: /J5 >7 >6) ii /574.e., il ' 1 Bads WW1 branch cirazit 6.65 2
_
City/State/VW: / 0 l e 9 722.3 C 9,,,4) . - 9 1 1 NMI:enamors Decrvice or feeder Dot eacInded)
1 Pump or irrigation circle 53.40 2
I Sign or confine lighting 5340 2
E-mail: Coll.-7" 0- axe) 6-e5/ IA C.-? I Signal eircoiNs) or limited-
=tension. Desonbc: Page 2 2
Business name: I
Address:
. Each addithoud laspection over allowable in any of tbe above
Pa inspection 62.50
City/Star/VP: 1
Limitation per hour (Usual* 1 6250
Phone: ( ) I Far ( ) 1
Industrial ph= whom . 73.75
ELECTRICAL menu FEES*
CCB Lic.: ElectriatI Lie: Suprv. Lie,: I
Subtotal
Suprv. Electrician signature, required: Plan review (2596 of permit fee) h
Suae notinage (1196 of pamit fee)
Print name: l Date:
TUTAL PERMff FEE
Authorized signature:
rib patois appanidra crown Bo permit is ewe ohesned vied's' NO
dem :Mar 4 hos Imo egrepsed as essapkee
Print name: I Dale: • Fee isethodokey ax by TriCoasay Banding !Mosey servn 2 Boord
Oe va..-
1