Permit a CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2010 -00434
[ G AR i 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/20/2010
T
Parcel: 2S101AB02704
Jurisdiction: Tigard
Site address: 7410 SW BEVELAND RD
Subdivision: HERMOSO PARK Lot: 28
Project: James Shook CPA
Project Description: (2) branch circuits for replacement of rooftop units.
Owner: FEES
TRIANGLE PROPERTIES OF TIGARD LL Quantity Description Date Amount
7410 SW BEVELAND RD
TIGARD, OR 97223 2 crt Branch Circuits 08/20/2010 $63.60
wo /Purchase Service or
PHONE: Feeder
1 ea 12% State Surcharge - 08/20/2010 $7.63
Electrical
Contractor:
ERIC OLSON ELECTRIC COMPANY
10013 NE HAZEL DELL AVE PMB 432
VANCOUVER, WA 98685
PHONE: 360- 609 -4901
FAX: 360 - 693 -2980
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $71.23
Required Items and Reports (Conditions)
This permit is - • • • _ •• to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in - ccordance with ap• oved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. A - ENTION: Oregon law =s you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 0010 through OAR 952 -00 -I 100. • • ay obtain a copy of the rules or direct questions to OUNC by callin! = . 4:.6699 or 1.800.332.2344.
'1 f f �
Issued = V� • � / Permittee Sig re: �f '�G — -+ ■
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
_ SIGNATURE OF SUPR. ELEC' -i / / Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the Job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
EL ECTRIC PAGE 01/02
08/19/2010 23:48 13606932980 OLSON
Electrical Permit Application 1,.,, ni , II(.1:1:si:()7\ IN
City of Tigard Received
Date/B : 8 Ao /0 _IN Permit No.: e
0 3y
. ,,i,,sw Hall Blvd. Tigard, OR 97P43.1G 2 0 2010 Km+ Review
1111 ' Phone: 503.639.4171 Fax 503.598.1960 Dt/li ; Other Pennit Hee ,/0-00V/5
r 1 ( - ; A iz ) I Linc: 503dlor639g.04v175 Date Rendy/By: Anis: 171 See Page 2 for
• • -
Notified/Method: Supplemental information
777.77.:q.WWr4.41 .'lNOW.715#A04$.:::.;-,;"`"::. Y'.::'..1::;::..):::.!!. '?A'..,.:.!.':..WIY...4.4.lt.0*..A%1Ork.;,,Iit......:i,
0 New construction 0.7.4 Addition/alteration/replacement Pint check rill that apply (anhinit 2 rata of plans whims checked below)!
0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other:
where the available &nit current 0 Marinas and boatyards. • •
..,4_,..,_,..i„„,„,.....,....„,_..i..::11.1**01.0 '..;I: ..,.:; : '.; r csa ceed° r0 at oun 0 amPf4r° " or sinoeingbdidings, .
0 1. and 2-family dwelling JJ Commercial/Mdus - 1 - ff "Ae .,,, f a g O ilte r m. instagliti b agncil '
0 Multi-family . 0 Iviaster builder 0 Other . El Fire pump. 0 installation of 75 KVA or
larger separately derived oystem.
!,:':!:'' ',.7'.:: '..-f.''...'..,.40#1:#1,4,3,*(101";t!oly1.4.Atior.i,;:::', ' 0 Addition of now molar load of 0
Job no.: 00332 I Yob site address: 7410 SW Reveland Rd 1 ookiP OT MOM. rampancy
0 Six or more residential units. 1::i Recreational vehicle wake.
City/Statc/ZIP: Tigard, OR 97223 ED Flealth facilities,
. 0 Supply voltage fix mom than
-- —____ 0 Hazardous locations. 600 volts nominal.
Suite/bldg./apt. no.: J Project name: James L Shook, CPA 0 Service or feeder 600 amps OT more.
— :::; ..', .f.,.„ ,:::14 :.YE.C ,, .*".: \ ::: . '...;
Cross street/directions to job site SR 217 to Exit 6; East on W Pacific Hwy; . on ICSSinntii.Mii6nii *
New residential single or multi dwelling unit.
R onto SW 72n Ave and R onto Beveland Rd.
- Includes attached garage.
Subdivision:
Lot no.: 1,000 sq. it. or Is
168,54 j 4
—
Ea. addl 500 so, ft, or portion 33.92 1
Tax map/parcel no,:
Limited energy, msldential
67.84 2
iitt '':1i'; .. r 7... _(with above okit)
20 KW Air handler and Heat Pump re-connect
Limited ti'th1y
vith Owe sckt1)denti . 67,84 2
Services or f iJejs teratfon, and/or relocation
wired rail lighting (3 circuits)
200 amps or Icss 100,70 2
itl ._ ....m..... liFle ; 20 1 cellis to 400 teens 13356 2
401 sopa to 600 =10 111 20034 MI 2
Name: James I,. Shook, CPA
601 amps to 1,000 arms 301,04 2
Address: 7410 SW Reveland Rd
Over 1,000 amps or volts 552.26 2
•
City/State/ZIP: Tigard, OR 97223 Temporary service.; or feeders instalLntion, alteration, and/or
relocation
Phone: (503)670-9863 Fax: (503) _200 amps or less 59.36 1
201
Owner installation: This installation is being made on property that 1 own which is not — mnps to 400 amPs 125.08 2
s 9
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 70i. 401 amp to .59 amps 168.54 2
Branch circuits- ncw, alteration, or e xtensiont.Per panel
Owner signature: Date: A. Fcc ear branch circuits with
4ettt:tk9r::;'.:T.,l:1::tOWI'A(1 :T..r't.:lti6OV6'',',g-;:; ca °b° 1 ; 1° , 2 b: an erv c i h e° °r P fee 7.42 2
Business name: Eric Olson Electric, Inc. B. Fee for branch circuits without
— . service or 1beder fee, first 1 56.18
56.18 2
Contact name: Eric
branch circuit
— Each mid"! branch circuit 1 7.42 7.42 2
Address: 10013 .NE Hazel Dell Ave PMB 432
Miscella s (service oiljeriiiit incInde
ctured or mod
City/State/ZIP: Vancouver, WA 90685 Each manufa ular
67,84 2
dwaingotervice andior feeder
Phone: (360) 609-4901 . Fax: : (360-) 693.2980 Reconnect only . 67.84 2
E-mail: ericalsonelectrIcmallcom Pump or irrigation circle 67.84 2
@g.
Sign or outline lighting 67.84 2
,
.....:::: ;.' .
....,:,!...,..:-..,:.;:,.:.::;.,;:::.,:,,...:‘..!,,:,:.:;: signal cirmitTwirrTlited.energy
Business Ek Olson Electric pan4 alteration, or catenmon, Pap 2 1 2
Each additional inspection over allowable in any of the above
Address: 10013 NE HAM Dell Ave PMB 432
... — tion (1 tir min) Additional ittspection (1 hr min) 6t5.25/ hr
— .
Investiga
City/State/ZIP: Vancouver, WA. 98685 . 66,25/ hr 41
Industrial plant (1 hr min) 78.18/ hr
_
Phone: (360) 609-4901 Fax: (360) 693-2980 Inspections fbr which no tbc is
CCB Lie.: 179408 Electrical Lic.: 37-1053C Supt-v. Lie,: 49105 :,..:,.._,__il,.,ECTJIICAV
Suomi. PERAIIT TEES • : ''. ;;:
mi. Electricia n si gnature., rcquitr.d.-- „ A
,_ ___ Plan review (25% of permit fee):
Print name: Eric Olson Date: 6/2/10 State surcharge (124 of permit fee): 7,63
—
Ilk permit applint ign expires if a pe TOTAL PER rnii MI t T hi T e E t : hu.ned 71.23
Authorized signature: 40 1/ffir
o 1 within 180
Print name: Eric Olson Date: 6/2/10 days after It btu been accepted as complete.
* Number of inspections allowed per permit.
—_-_—_--
lAnuitationermitANSLC.PermitAro.doc 10101/0
4404611'(11/03/COMME0