Permit CITY OF TIGARD
ELECTRICAL PERMIT
. . .COMMUNITY DEVELOPMENT Permit #: ELC2010 00321
•711CARD• 13125 SW'Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/30/2010
Parcel: 2S112BC08200
Jurisdiction: Tigard
Site address: 8178 SW CAROLE CT
Subdivision: Lot: 0
Project: Tyler
Project Description: (2) branch circuits forfurnace and NC.
Owner: FEES
TYLER, DAVID W & LISA M Quantity Description Date Amount
8178 SW CAROLE CT -
TIGARD, OR 97224 2 crt Branch Circuits 06/30/2010 $63.60
wo /Purchase Service or
PHONE: • Feeder
1 ea 12% State Surcharge - 06/30/2010 $7.63
Electrical
Contractor:
A TEMP HEATING & COOLING INC
16000 SE EVELYN ST
CLACKAMAS, OR 97015 -9519
PHONE: 503- 650 -5014
FAX: 503- 557 -2990
Type of Use: SF
Class of Work: ALT Type of'Const:
Occupancy Grp:
Total $71.23
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable .law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the irules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OAR 952 - 001 -0100. You may obtain t eapy"of the-rules or direct questions to OUNC by calling 503.246:6699 or 1.800.332.2344.
Issued By / -ice Permittee Signature: ! -,4,e.
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m. for an inspection that.business day.
This permit card shall be kept in a conspicuous place,on the job site until completion of the project. •
Approved plans are required on the job site at the time of each inspection.
•
RECEIVED
Electrical F_tr>n�r ' 9 201 , -',. , , °..`.. N t_l. l _er, i5, uNl , ,,ti, ,� ., , ,
l r � 0� Tigard Re / V: Permit No.:
,
- ' . g iiR F TIGARD ontw$,: w i a
'!' 13125 SW iIUll.Blvd., Tigard, t�tkt �I72 9i _ _ �'
- ; •
a o ax:M1 "11 it l DIVISION Olhar Parnait: , ec 201,,,4i 'l' I L` A R : " Rhone 503,639,4171 F Inspot ion Line: 503,639,4173 Date'Rcady /By; 121 Se Page 2 fur
3; ° °, , :w ,' Intern L: www.tigard or.gov NotifiedJMethod: , Supplematut lnfdn latish,
3S : , . n , , . , r," a ':'a' l � I ,, � „e r,:, ,�,nn�,,,,n Ln,P "'. r, 1�*t5 „aa +a„ „� ,., � n � t , � , ��* ; -„�, ,�, I ,w,. n,vrnr rv,.,r, „ ,� a ,
a lY�'1>sl , v I`I11)�Y ,1f, h,di,fl+,:,,,, w N,1 I ff yyi ,Ye' Y il' i 4 �, 1 , "rT'it y ry .a 1'; Y ":�,
1(, I n i 1.11 .it,li : a •l� I , ! .li.,, 4ii' .. 1+ i + i l l ¢¢91 fI yy ly g� I Af d I ga , r trl� r r Ill �} .I i ..1.�i1 f I7 ��� . . P 4 �, Ilri ' '''' { I1 ^�'. i, I�
u , a.,dr�'rl p�'tlilyl��i!1e111iI�,r�1 r., i , ,„4,•;LI 0,, ..Y m ` , ,. , „. , , ,i ,dili.., Ili ! #III , .9d11� �. :i I �, 1191 ��.4 , !� 1 f )� :::1Nl' 1i,, : ::, :rr {U..? ,,,,.A' av,A, ∎(,1l: :,1 ,'t��:S4,.. ::'rI,1� +,:1, :: :1
❑ New constructit 't Ej Addition /ulceration /replacement Please c1i ck all thul apply (submit z seta of p1;i,ag'w /ituuu cheekud b LQw):
❑ Service' or fender 400 amps Or meta (w) Building over dare stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards, •
.4 l+ 1 { I I i)) f ill I,j c �, i t �t{a' 9i tinily}, `ieil, 01∎ ril (i*fly(7� ( t r ' 1 r. + excuods 10,000 w El at 150 volts oc Floating buildings,
V.,01.0'.) , 111.0. ; , +,l,Y 1,1 r y111 ∎',I , . li (I 10^lp p; 700rwrv.1!1h1I11` r rcr, IiR119lrr(1f'l Plf!`I1 �i. 1 t I,' ( ) 1 4 -0+ 0A r' s less e'0 6t'OUlld, of exceeds 14,000 I",:] Commercial-use atgioultural
0 1- and 2- Stonily !welling D Commercial /industrial 0 Accessory building amps for all other, installations. buildings.
❑ Multi- family ❑ Master builder, p Other: ❑ Fire pump, to installation ol'75 KVA or
ii " +; a � il` ` ) p tl iR 1 �(' t� I 1 1 p {'i' CI8nt0rgency system, larger separately derived system.
, . I? 1111. , % ,lro, 1111 .ta I r v w∎ l � ; ,. . 0 , �f 1 \ *4 , , ,d , ; (, i I , �, .; ' ..1 (, I E „1 ❑ Addition of new motor load a ❑ "A" "E ", "1 -2 "1.3>
Job no.; Job Site address `- I /`t f ( p{`d A ( ) 100HP or more. occupancy.
El
u� Q Six or mote residential units. Recreational vehicle parks,
y /S i 1 ^, , , fJ ( j -`7
d a 97 °") ?4 i ❑ Ht � - th -care facilities. Supply voltage for more than
Cil tate /ZIP :''
600 volts nominal.
Suite /bldg. /apt. no. Project name: . j I 0 3 ^- Srrv, ❑ Service or feeder dla dut G0 0 0 amps or mare:
0 � �y� �,�yy, �'y�� y
il'r11%,_l I)It!t P, Ir Ph y MMliiS +nWOtil ✓ i . &; 11,I Y , ,I{ l ; i 1 1 i
CIoss stroel✓directit Its to Job site: , ne,e,lpttea _ qty. Fun. Total
- ^
New reyideotial single- or multi - family dwelling unit,
- _ Includes attached garage.
Subdivision: Lot no 1,000 so, ft; or less 168.54 4
Tax map/parcel no, add'I 500 sq, ft, or portion 33,92 1
Limited pnor residential
” 11, �I}'lrs, i t, a 1 i �„ r m,,,,, J it l i'xr l fill yll r P r , r By' 67.84 3
11 I, , r r �° 1 ,) i i I i f I +il l
„ h,r,
,lr;1, Y, I , ,,.,'!l I ari11 :P ill bl 40f6 r tlil OAR Ike:i'I1�'�5 il' mill, l , ii I C II1 'i i E;i, ( (w,tb,abovusq. ii.)
i , , �) t {� !l� i,.
le
y � � Limited energy, niulutamily 67.84 - -, 2
1 f 1. (rte aesidenual (witliabove sq.11.
Services.or feeders installation, alteration „ and/or relocation
200 amps , or 1CSEi 100.70 2
a IY n f, h; 1 i - I r , ai i, . 1
lR lirl�;[ +�NI' "I „' °lh!1 : i1 l Y l + l i� „ I''1� , ,,�11!.irV ° . f, �8 14 ',1 6 , X11 , J ;1�,1,P {Ill :; f 201 a mps LO 400 8111175 133,56 2
Name: f , w �� 401 amps tc 600 amps 200.34 2
D A, d � 0 601 amps to 1,000 amps 301;04 2
Address: SAME A. ABOVE Over 1,000 amps or ” volts 552.26 2
City /State /ZIP: SA VIE AS ABOVE Temporary services or feeders installation, alteration, and /or
relocation
f 4 Fax; { ) 200 amps or less
59.36 I
C - _�: rJ ` �� 201 AAlpsto slaps 125.08 2
Owner installation:. Th1s installation13 being made on property that 1 own which is not —
intended for sale, le tse, rent, or exchange, accordingto ORS 447, 449, 670, and 701. 401 a,nps'W 599 slaps 168,54 2
Y Branch circuits - new, alteration, or exteusion, p(:r panel
Ownersignature: Date! A Fo3 for brunch circuiis,vith
r 14t1i,Y{ Yl.l' d l ) { fa �1 i l ' a i t o ! i� : t .aa r , ' „41 'Pillli' n l i g 1 r a . :,�, ,�„r a ° (' i 1° ;Ij above service or feeder fee,
ru,a H,
eft 1 r tli ; ip fi „d I1 )I : ,. i ,:l., , I i ' ,, '. 01:,, 1 1 11 1 I',di+11a iii ,,,i ,i 114 t irrtm /. :pm6a rpmr. t∎ 1;; 'rod:li� L,I 7,42 2
eac bnaiC }GelrcUlt
Business name: A TEMP HEATING AND COOLING, INC )3, Fee for branch circuits without
service or feeder fee, fast 56,18 CJ'up;t 1,g 2
Contact name: JUL ii , _RAMSEY OR DIANE HATTER brarich t ircuit ,,,,_ _
Each ; dd'Ibranch circuit 1 7.42 i7.42_. 2
Address: 16000;SE EVELYN ` miscellaneous (service or feeder not included)
Each munuGulured or modular
City /Stale /ZIP: Cl., tCKAMAS OR.97015 67 .84 2
dwelling, service and/or feeder
Phone (5(13)1650 -5114 Fax: : (503) 557 -2990 Reconnect only 67.84 2
Pump ur irrigation circle 67:84 2
Email JRAMSEI rgATE11'1PIIEATING COM
_ 9q I Sign or outlinc.lighlin8 67.84 2
rrir
,I)i Il`l,iiiiTi jlll i��';1WiTiil1,1aI �i'I{ i
ia'I;li;rl kOliii pp�� Tertkik ir P 11Y1f1��lfilli1 .,ia W'iI, 4?,ii11 Signal cireiat(s) oriimited- energy
Business natne: A 2 EMP HEATING AND COOLING, INC panel, alteration, or extension. . Pago 2 2
Each additional inspeetiuii over allowable in any of the above
Address: 16000 SE EVELYN Additional inspection (I ht min) 66.25/ he
City /State/ZIP: CL. ,CKAMAS OR 97015 Investigation (1 hr min) 66,25 / hr
Industrial plant (1 hr rain) 78.18/ hr
f'lt� 99 (5113) 650 -SU "4 Fax: (503) 557 29 Inspections lot which Ito f oe i g 90.00/ hr
s
� S � 1ecilicall listed ('4a hr min)
.-u rv. Lic,: 29405 i'�,i11 � r , r I r?
CCB Lie.: 71878 lectrical Lie,: C55 a 1 ,,'IVY 1 1 1 I".1
p _ '��,11 I I, �,.,, a ,,.;1,�,���,I�,dT�a,I,�rl �YII� a���s „I. I. ,l 1'
• Suprv. Electrician s. gnaturn required. 5ubtotalt .;��
..4.----- •—ls Plani i
Vew 25 %of,
I S (25% permit fCC):Y
Priiitiiatne: DON ( UMMINGS Date: 01 /,:9 7 //e State surcharge (12% of permit fee): r1 ' 63
Authorized signatui s TOTAL l'1 1tM11 FEE; a
f �� �) ) , /1 w 1lio i i rirtit ulilillcetien expires ' if a porulit is uol''ublaiiied within 18U
Print naive: JULIE RA-MSE1' Date: ul pi a r"I / Q>• pi a tf a ur it has been a ermi uy uuutnletr.
` r�{f Nwnbcr of inspuotioos allowed per permit.
J Urul,ding \rt Putt, 'pp.dvc 10 /01/09 ,ON 7 \ C1k f\ L _ ` 440 -4e'. 1'1(1 U(.15/(20M/WEB
90 /60 3Jdd CNIlti3H d/431 -d 066Z,L55E0S Le :LO eiez /LZ /9e