The URL can be used to link to this page

Permit CITY OF TIGARD ELECTRICAL PERMIT 13 COMMUNITY DEVELOPMENT Permit #: ELC2010 00541 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/01/2010 Parcel: 2S103DA05900 Jurisdiction: Tigard Site address: 10590 SW COOK LN Subdivision: FANTASY HILL Lot: 13 Project: Bishop Project Description: Service replacement. Owner: FEES BISHOP, WILBUR A AND MARTHA E Quantity Description Date Amount PO BOX 23832 TIGARD, OR 97281 1 ea Services or Feeders - 200 10/01/2010 $100.70 amps or less PHONE: 1 ea 12% State Surcharge - 10/01/2010 $12.08 Electrical Contractor: BADGER ELECTRIC INC. 4415 NE SANDY BLVD STE 205 PORTLAND, OR 97123 PHONE: 503 - 288 -4756 FAX: 503- 493 -7173 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Total $112.78 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 rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952- 001 -0100. You - o • am - •• • • • .• . rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. r / Issued By: _, Permittee Signature: — — . _41 J 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. CaII 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. CITY OF TIGARD ELECTRICAL PERMIT Permit #: ELC2010 -00541 COMMUNITY DEVELOPMENT Date Issued: 10/01/2010 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S103DA05900 Jurisdiction: Tigard Site address: 10590 SW COOK LN Subdivision: FANTASY HILL Lot: 13 Project: Bishop Project Description: Service replacement. 10/27/10: Reprint permit to add (1) 200 amp feeder and (9) branch circuits. DLH Owner: FEES BISHOP, WILBUR A AND MARTHA E Quantity Description Date Amount PO BOX 23832 1 ea Services or Feeders - 200 10/01/2010 $100.70 TIGARD, OR 97281 amps or less PHONE: 1 ea 12% State Surcharge - 10/01/2010 $12.08 Electrical 1 ea Services or Feeders - 200 10/27/2010 $100.70 Contractor: amps or less BADGER ELECTRIC INC. 9 crt Branch Circuits w /Purchase 10/27/2010 $66.78 4415 NE SANDY BLVD STE 205 Service or Feeder PORTLAND, OR 97123 0 ea 12% State Surcharge - 10/27/2010 $20.10 Electrical PHONE: 503 - 288 -4756 FAX: 503 -493 -7173 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Total $300.36 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 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 a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: d )`1-e--- Permittee Signature: i/ll d97 Ct9 / 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 603.639.4176 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. SEP -29 -2010 10:113A FROM:BADGER ELECTRIC,INC 503- 493 -7173 TO:50359B1960 P. City of Tigard ECE D' s 1I 7e1 t d /377— Permits.: Etcelr*l— (36,5'1/ 13125 SW Hall Blvd., Tigard, OR 9 plan Review Phone: 503.639.4171 Fax: 503.598.1960 s r c? Z d \u n Date/By: Other Permit 1 ..; , ; ` ,.; , Inspection Line: 503.639.4175 S C 2 Dam Ready/By: 1u See Page 2 for Internet: www.tigard•or.gov Notifeed/Method: Tj C I ® Supplemental Information E OF wo�1 OVT1GA PLAN LAN REVIEW ❑ New construction Addition/altera t aft that aPplY ( t j sets of plans wlaema checked below): O Service or feeder 400 amps or more 0 Building over three stories. ❑ Demolition 0 Other where the available t>iult current l] Marinas and boatyards. CATEGORY OR CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. less to ground, or exceeds 14,000 0 Caatmaciel•use agricultural f - and 2- family dwelling ❑ Commercial/industrial 0 Accessory building amps for all other installations. sanding.. ❑Multi- family 0 Master builder 0 Other O Fire pump. O Installed= of75KVA JOB SITE INFORMATION AND LOCATION A Baer separately derived system. 0 Addition of new aew m otorof ❑ "A ", "E", "1- 2 ", "I.7 ", Job no.: I Job site address: 1099 0 s coil., uj. 100HP or more. O six or tonne =idealist ut+it.. 0 Recreational vehicle perks. City/State/ZIP: O Health-care facilities. 0 Supply voltage for more than -..--' O Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: 1 Project name: /r� , 5 � J � p (3 Service a theskr 600 asps m m .54,5,51*... ma• CJ FEE SCHEDULE Cross street/directions to job site: . ,, , „ .u. V. Tm.t • New reddential logic- or main- family dwelling unit. Includes attached garage. Subdivision: I Lot no.: 000 sq. it or less 168.54 4 map/parcel no.: Ea. add'i 500 sq. R. or portion 33.92 1 Tax rrla P/pa Limited energy, residential DESCRIPTION OF WORK (with abovo sq. IL) 75.00 2 Limited energy, multifamily 75.00 2 n�1 residential (with above eq R ) Ap 2w Service or feeders Installation „alteration. and/or relocation 200 rumps or leas 100.70 , - 102 ❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 turps 133.56 2 401 amps to 600 amps 200.34 2 Name: 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or Vohs 552.26 2 D services or feeders Installation, alteration, and /or Ciry /State/ZIP: Phone: ( ) I Fax: ( ) 200 amps or less 59.36 , I 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that 1 own which is not 401 amps to 599 amps I68.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits - new, alteration, or extendon, per panel Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT 1 ❑ CONTACT PERSON above service or feeder fee, 7.42 2 each blanch circuit Business name: 0. Fee for branch circuits without service or feeder fee, fast 56.18 2 Contact name: branch circuit Each ndd'I branch circuit 7.42 2 Address: Miscellaneous (service or feeder not Included) City/Slate/ZIP: dwe 67.84 2 Phone: ( ) I Fax: : ( ) Reconnect only 67.84 2 Pump or Irrigation circle 67.84 2 E -mail: Sign or outline lighting 67.84 2 CONTRACTOR Signal circuit(s) or limited Business name: • (t(1C panel, olteration� or extension. _ Page 2 2 1��-' Eacb additional inspection over allowable In any of the above Address: 441 S K. 'A '4 Additional inspection (1 hr min) 66.25/ hr - 9 0, `,,r (412-1-3 Industia M l mm 1 ) 78.8/ hr Ci ty /StateJZIP: (� InduIndustrial iel pleat um p hr min) 78.18/hr Phone: (5 155) 29h,....-15-1 I Fax: (5 4 -1113 Inspections for which no to is 90.00/ hr specifically listed (h hr min) CCB Lic.: `51,„j� 1 1 Electrical Lic.: ; .. 5 - ) , Suprv. Lic.: 54133 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: /� Subtotal: `[Y, �� .•.., ? >�• Plan review (25% permit fee): . Print name: -”' x,D GMF- I Date: State surcharge (12% of permit fee): 1 L..V TOTAL PERMIT FEE Authorized signature: This permit application aspires if a permit is am obtMiaifat (� day. aver it bar been accepted u comp e. Print name: I Date: • Number of inspections allowed per permit. • `�V( 1:1buiklin Wc*mitr∎ELGlmnihApp.daa 07/01/10 . 440.46191(11a)S/COMAVEa TOcitc (G5C,r- /( •C n Oi , - cr rLe- c--I,nc. OCT -26 -2010 12:54P FROM:BADGER ELECTRIC, INC 503 - 493 -7173 TO:5035981960 P.2 Roe �a2� /0 0 O5711 I S ;4 131 City of Tigard Dar�ev: /0A7 /0 . Permi t N°46 2 5 SW Hall Blvd ,Tigard, OR ' c @ 0 P lan Review �1 V Other Noah: 503.639.4171 Fan: 503.59&19 61W 6+ may: Other Page 2 for Inspection Line: 503.639.4175 ,, . v GPRO kirk, � I l Supplemental See Pae 2 Information intemel www.tigard-or.gov 1., Notified/Method: E OF WOrh¢ \� \SkOV. PLAN REVIEW �` �� Please check all rag apply (submit j eels of plans Winans checked below): ❑ New construction Addi6on/atteratincement ° Semite or feeder 400 amps or more 0 Building over three stories. ❑ Demolition ❑ Other: where the available faun current 0 Marinas and boatyards. CATEGORY OR CONSTRUCTION ION exceeds 10,000 amps o$ ISO malts or ❑ Floating buildings. less to ground, or exceeds 14.000 0 Commeroial-use agricultund -and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building amps reran other installations. bnhdiaga ❑ Fire piano. ❑ Installation of 75 KVA or 13 Multi family 0 Master builder 0 Other: El EmerilimeY mom. larger ecpamtety derived system. JOB SITE INFORMATION AND LOCATION /� 5 CI Addition of new motor Mad of O "A ", "E", "1 -2 ; "1.3 ", 0 ,` 5' I C (� 1 s - I Ix or oo more. occupancy. lob no.: I Job site address: V tN K 1-0) O Six H mom residential milt. ° ❑ Recreational vehicle pasha. CI Heohh.eare facilities. ❑ Supply vohsge for more than Clty/StateIZlP: . O Hamrdous loadions. 600 volts nominal. Suite/bldgJapt no.: 1 P r o j e c t name: 1 : - - ( j S e e . . . ( 0 service er feeder 600 tamps m mom. PEE SCHEDULE Cross street/directions to job site: nartiyfan I Qty. 1 Pe'. 1 Tw+st 1 • New residential single- or mulct- family dwelling rout. /I/t7TE-- - /0 Y A fO ‘44 / 6 / Includes attached garage. Subdivision: 6 r. F- I Lot no.: 1,000 sq. ft. r# less 168.54 4 / Ea. add'1500 sq. 0. or punkin 33.92 I Tax map /parcel no.: 0 Ca- GI.a.TS . ■/,/= -4 d Limited energy. residential 75.00 2 DESCRIPTION OP WORK �+ JI / Ay [.1-072-/ 2 (with above sq. R.) V 11 }, Limited energy, mulii-tbmily I 1 75.00 2 Q� - fY) I C-1 �� residentis vOSq.OJ 1 Servl [design In tstl.Hon and/or relocation / 4 - D 6 TO 6- Z-A0 / 0 — 0 0 5- `/ / /0 /Z 7 //e 200 amps I 1 10370 106 „70 2 ❑ PROPERTY OWNER 1 ❑ TENANT / 201 amps to 400 amps 401 amps to 600 amps 200.34 2 Name: 0V 6o1 amps to ',ono amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation, alteration, and/or City/State/ZIP: relocation 200 amps or less 59.36 1 Phone: ( ) 1 Fax: ( ) 201 amps to 400 amps 1 I 125.08 1 2 Owner installation: This installation is being made on property that 1 own which is not 401 amps to 599 amps 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits - new, alteration or extension, per anal . - r,, Owner signature: Date: A. Fee for branch circuits with r 0 above service or feeder fee, 7.42 4:51 2 ❑ APPLICANT ❑CONTACT PERSON each branch circuit ///��/ B. Fee for branch circuits without Business name: service or feeder fee, first 56.18 2 branch circuit Contact name: Each add•I branch circuit 7.42 , 2 Address: Miscellaneous (service or feeder not Included) Each manufactured or modular 67.84 2 City/State/ZIP: dwelling, service and/or feeder Reconnect only 67.84 2 Phone: ( ) I Fax: : ( ) Pump or irrigation circle 67.84 2 E - mail: Sign or outline lighting 67.84 2 CONTRACTOR Signal circuits) or limited-energy 2 panel, alteration, or extension. Page 2 Business name: Each additional inspection over allowable in any of the above Address: 44 t 5 • f�J� s+/t'i o"j � om g �. V �( Additional inspection (1 hr min) 66.25/ hr J) 66.25/ hr (111A-3 investigation (1 hr min) City/State/ZIP: �(„ Industrial plant (I hr min) 78.18/hr : _) 22A Sao I Fax: ('rj) ' - 1 13 Inspections far which no fee is 90.00/ hr 1 ..1 s •fecal listed 1/4 hr min 3 CCB Lic.: , ` s Electrical Lic.: '7� " f S u P rv. Lic.: ski-35 I , ELECTRICAL PERMIT FEES Subt Suprv. Electrician signature, required: `� O. / . /� "701 Plan review (25% of permit fee): /0 < t an _ I Date: 1 �)1 z (o' � 0 State surcharge (12% of pumit fee): ' t Print name: .Q Inc TOTAL PERMIT FEE: Authorized signature: This permit application expires Ifs permit 6 not obtained within 190 dap after it bas been accepted as complete. 1 �� Print name: I Date: • Number of inspections allowed per prxrn G il. n 5 ,/ r, ilApp.doo 07101110 . 440461 77(1Ua7KOMIWEa 0 / � N-