Permit CITY OF TIGARD ELECTRICAL PERMIT
illi ° PERMIT #: ELC2009-00076
° COMMUNITY DEVELOPMENT DATE ISSUED: 2/25/2009
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S1 04 D A -06500
SITE ADDRESS: 13136 SW RAPTOR PL ZONING: R-4.5
SUBDIVISION: QUAIL HOLLOW - WEST LOT : 051 JURISDICTION: TIG
PROJECT: DIERINGER
Project Description: Install (2) branch circuits.
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: 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:
BARBARA DIERINGER BULL RUN ELECTRIC INC
13136 SW RAPTOR PL 44715 SE PHELPS RD
TIGARD, OR 97223 SANDY, OR 97055
Phone: 503 - 939 -5800 Contact #: PRI 503 - 668 -4800
FAX 503 - 668 -5045
FEES
Description Date Amount Reg #: ELE C233
[ELPRMT] ELC Permit 2/25/2009 $53.50 LIC 173152
[TAX] 12% State Surchar 2/25/2009 $6.42 SUP 5244S
Total $59.92 ' 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: Q,C25-1Q1 lasZA A 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 603.639.4175 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.
Electrical Permit Application RECEIVED FOR OFFICE USE ONLY
City of Tigard Received
Permit No.: ��++
g Date/B ■ • • 40.. 0 _ L. � �y COCri 10
° 13125 SW Hall Blvd., Tigard, OR 97223 FEB 2 b 2009 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit:
TIGARD
Inspection Line: 503.639 Date Ready /By: Juris: El See Page 2 for
Internet: www.tigard - or.gov CITY O TIGARD Notified/Method: T l l n 1 Supplemental Information
TYPE OF J 'DING DIVISION PLAN REVIEW
❑ New construction ❑ Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
l E 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system.
❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ",
/� 100HP or more. occupancy.
Job no.: Job site address:
13 i 3/ to R xp 'r d� ❑ Six or more residential units. ❑ Recreational vehicle parks.
❑ Health -care facilities. ❑ Supply voltage for more than
'Ti 1 --� ❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description I Qty. I Fee. I Total I •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Tax map /parcel no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.)
Limited energy, multi - family 75.00 2
), ..t., , C I n--.1.4.4./ )T hva 4 CO L ic TS residential (with above sq. ft.)
�� `` Services or feeders installation, alteration, and/or relocation
V AtI QL Ar S Q-e t..1 11- I pa co o'Q_..ert j . es - 200 amps or less 80.30 2
®- PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
Name: 401 amps to 600 amps 160.60 2
Q�-.8 � eL► l I CT4 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City/State /ZIP: Temporary services or feeders installation, alteration, and/or
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 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits — new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
Contact name:
without service or feeder fee, 46.85 1..1 WW2
first branch circuit
Address: Each add'I branch circuit 1 6.65 ( (r, V
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Business name: {, Signal circuit(s) or limited -
VU I.L. Ri, a I...0 j114 , (Aei t energy panel, alteration, or
Address: 1 j� S . (2...N
extension. Describe: Page 2 2
City/State /ZIP: s * i 4, a Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( 49 d Fax: ( Investigation per hour (I hr min 62.50
CCB Lic.: \13i Z Electrical Lic.: 4, 2s 3 I Suprv. Lic.: 5 7 }a s Industrial plant per hour 73.75
'� 1 ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: v,,,�` l d. Subtotal: 53 , SO
Print name: A(' 7 ft-tor ft-tor Date: Plan review (25% of permit fee):
1 YfJG �tA ft -tor surcharge (12% of permit fee): (0 • 4 2
Authorized signature: TOTAL PERMIT FEE: .ei. q 2
Pint name: Date:
This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete.
• Number of inspections allowed per permit.
I:\Building\Permits\ELC- PermitApp.doc 05/23/06 440- 46t5T(II /05 /COM/WEB
Electrical Permit Application - City of Tigard - ' . • . •
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Fee for all residential systems combined $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other:
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system •
(SEE OAR 918- 309 -0000)
Check Type of Work Involved:
El Audio and Stereo Systems
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ , Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
1:I Building \Pennits\E.LC- PertnitApp.doc 03/23/06
CITY OF TIGARD
_,A .
BUILDING DIVISION PERMIT #: FLC2009-00076
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 212612009
Phone: (503) 639-4171 _ j et l 1/4
Inspection Requests (24 Hrs.): (503) 639-4175 — ,--...
INSPECTION WORKSHEET FOR DATE: 3/2/2009 TIME: 7: 00AM PAGE: 6
SITE ADDRESS: 13136 SW RAPTOR PL CLASS OF WORK:
SUBDIVISION: QUAIL HOLLOW - WEST LOT #: 051 TYPE OF USE:
PROJECT NAME: DIERINGER
DESCRIPTION: Install (2) branch circuits.
OWNER: DIERINGER, BARBARA PHONE #: 603-939-6800
CONTRACTOR: BULL RUN ELECTRIC INC . , PHONE #: 503-663.4800
Inspection Request Scheduled For: Date: 3/2/2009 Pour Time:
Code # Inspection Description Co ' •• : Contact # Message
120 Elechical rough-in )80952-01 603-660-4800 N
......„ .
Corrections /Comments/ Instructions:
Gila Ikt Er 0 t 2.1 N _ (3F( CAI &LEA .
63 S pbc:NWC\ be" Rt cALS 5kALL- e-olt.1 WITili
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le\RT. 21 , f 9 _ - 4 1 2.! ...
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• 3 - .6'• Wt G- 1\166(..
•-4 -A' [1 PARTIAL APPROVAL fl CANCEL fl NO ACCESS
A - FAIL 4 ,1 CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: GM N (so9, LC Date: Z • 1.- • 1 Phone #: (503) 718- DO
City of Tigard, Oregon Page 1 of 2
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1 Summary I Permt summary I Community I Hazards I Fxolor9r I
13136 SW RAPTOR PL
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Property Owner Info
Tax ID Number: 2S104DA06500
Tax Account Number: R2096142
Site Address: 13136 SW RAPTOR PL
Site City:
Site ZIP: 97223
Owner Address:
Owner City: TIGARD
Owner State: OR
Owner ZIP: 97223
Acres: 0.04
Sq Ft: 1,742.4
Bldg SF: 1,450.00
Bldg Value: $ 126,820
Land Value: 1 99,500
Total Value: $ 226,320
Taxable Ass'd Value: $ 140,870
Sale Price: S 238,900
Sale Date: 06/19/06
Year Built: 2000
District & Community Into
Municipality: Tigard
Tigard Urban Sery Bndry: VES
Tigard Neighborhoods:
L Name Link to Website
Area 11 Area 11 Neighborhood NewS
School Attendance Areas:
L School District Name District Number Elementary School Name Middle School Name High School Name
TIGARD- TUALATIN 23J Woodward Fowler Tigard
Tigard Parks District: VES
Water Service Area: Tigard Water Service Area
Garbage Hauler:
L Hauler Name Residential Hauler Residential Hauler Phone Commercial Hauler Commercial Hauler Phone Dropbox Hauler Dropbox Phone Number Agency
Pride Disposal Pride Disposal (503) 625 -6177 Pride Disposal (503) 625 -6177 Pride Disposal (503) 625 -6177 WASH
Precinct:
L precinct County
402 W
Phone Service Areas: Verizon Bull Mtn
Metro Council Boundaries:
L Metro District Councilor Name E Mail
3 Carl Hosticka hostickac@metro.dst.or.us
CONTACT US
CO, or rward. 13125 SW 11,11 Hhd, 1e14ard, ilk 97223, 50- 619-4171 Inn 41rd Dir9i9 -i5 5
AFTER -HOURS CONTACT
Rihlec WorkNWain 503.619.15541 I'oli:x Nnn- Frnergcr.:3 503- 629 -0111
http:// www .tigardmaps.com /mox52_multimap/ index. cfm? fuseaction = property. summary &C... 3/6/2009