Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2010 -00551
T I G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/07/2010
Parcel: 2S112CA08000
Jurisdiction: Tigard
Site address: 7668 SW ASHFORD ST
Subdivision: RENAISSANCE WOODS Lot: 6
Project: Minniti
Project Description: (2) branch circuits for landscape lighting.
Owner: FEES
MINNITI, EDWARD BLAIR Quantity Description Date Amount
MINNITI, TERESA, 7668 SW ASHFORD ST
TIGARD, OR 97224 2 crt Branch Circuits 10/07/2010 $63.60
wo /Purchase Service or
PHONE: Feeder
1 ea 12% State Surcharge - 10/07/2010 $7.63
Electrical
Contractor:
MICHAEL RAFFAELL CONSTR INC
P.O. BOX 1673
OREGON CITY, OR 97045
PHONE: 503 - 632 -6720
FAX:
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $71.23
Required Items and Reports (Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952- 001 -0010 through OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: ie. ∎�
- ■■ Permittee Signature: �__� / /
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' Date:
•
LICENSE NO.
CaII 503.639.4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
10/05/2010 23:46 5036326732 MICHAELRAFFAEL PAGE 03/03
10105/2010 14;14 5035981960 CITY OF TIGARD PAGE 01/03
E lectrical Pe glut ,A,pplieati t -C ' 1 . 1 �2 , , l i. i. r a :.. ...1, r, . . i 1
City of Tigard ,, ,2 Received , � permit No.: e d - , ss (
13125 SW Hail Blvd,, Tigard, OR 97223 OCA oTher ?emit;
,f�luaa :503.639,4171 Flue 103.190.1960 gyp ,
a Inspection Line: 503.639.4175 I ' , � 10 Sea Page 2 far
tn temcr: www.tigmd -or$ov c '1 O; v1S1� � ��', RmDOlemeobltnlonuAtton
or U�� • • ..PLAT REVIEW ._
Q New construction Addition /alterati
Please cheek all that apply (snamk erns of plea Wham chocked below):
a servios or feeder Opp amps estate 0 Banta over three none&
❑ Demolition 0 Other: "Amato available fhah manna MAO= and baatymds.
CA61'F orb elY$1'RiJC`•t'1bri • math t 0.000 amps et 150 volts or 1:1 Fly building-
• le„, ro . 1, a.w.. 1411111 ❑ e5, .Jill use embalmed
❑ 1 - and 2- family dwelling ❑ CommcreiaVindustrial 0 Accessory building mope for all other installations tailcanes.
Q Multi - fatuity ❑ M a s t e r b u i l d e r CI Other: ❑ Sire p u m p , 0 leetellation of 75/(VA or
.TOR' Sent 1 AT IOrl AV*.. 60C A'lkfl'r' O Emergency i ew m . taw E % - l de-r ryltem.
.. _ - __
D Addihion ar aevr motor loan a D `A ". 1`", ' 1 3 _
Job no.: Job site address: - u>i� or more' ash
• . a 'i ! A • SIR or more roddentiel parka CI Remvmlonal date n atte.
City /SttltelLlP: pQ • 8esdtb tar. ArJ11Nna. 0 Swply voltage for more than
urdt' Pr 9 7 1
- ❑ Hazard= locations. ono wits nominal.
Suite/bldglaptno.: Project name: A ( / 0-01.,NNif punier CIT feeder NO amps ammo,
" ltec.8Ct2D1)LE
Cross street/directions to job sits owerhptlae Lod I re.. I ram 1 •
New residential 9Ingle.or multi-family dwelling atilt.
Jndudee attached garage.
Subdivision: I Lot 11o.: 1.000 sq. n. or 1e22 166.54 -- 4
Ea add'i 500 eq. ft or portion 33.92 1
Tex map/parcel no.: Limited energy, residential 73 2
. • pESGStlloriON OF woltlr< (with above K. ft)
Limited energy, multi-Emily 75.00 2
r � P_ �1 residential (with above era. tea
r Services or Feeders iastanatioa, alteration, and /or relm:other
200 amps or less 100.70 2
OWNER . I , 0 TENANT • 20I amps to 400 amps 13356 2
401 amps to 600 amps 200.24 2
Name' _ 60T amps to 1,000 =pa 201,04 2
Address: Over 1,000 amps or volt' 552.26 2
City/State/MP Te Temporary semen or feeders installation. elteration.and /or
neation
Phone: ( ) 1 Fart: ( ) 200 amps or lei 59.36 1
Owner Installation: This installation is befog made on property that I own which is not 201 arms to 400 amps I 1 25.08 2
intended for sale. lease. rent. or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168 2
Stanch circuit; - new, alteration, err etteRmon, panel
Owner signature: Date: A. Poe Ibr b tanen circuits wi 14
0 APPL1CAT4 , : 1. . -.. ,
. Q CCN'tAGT 1 each branch cite
Business name: B. Fee Ibr branch circuits without
. ... pewee or feeder fee, first
Contact nom c h circuit 56,18 t
nc:
' Reran add'l branch circuit r,` 2 •
Address: Miscellaneous ( service or feeder not Included)
Each ma u eenecd or modular
City/State/ZIP: dwelling, service and/or feeder 67,84 2
Phone: ( ) I Fax:: ( ) ReeontecIonly 67.34 2
E tramp or rrrlgarton erele 67,84 2
CO��� Sign or outline lighting 67.84 2
• Signal Arcnit(s) or limited-energy
l3vsm n * - C ` -M 1 c - e.. L I � it CO A-1 1 ' Each a dditio 4 In Inspection , tints: 2 _ a
� / Each additional 6rarrehtllnn ever allowable in env Of tilt above
Addres p 4... Additional inspection (1 hr man) 66,25/ br
Tnvc, at;on (1 burin) 66.25/ hr
City /StatetZW: O R e ,. . -
G. I '7 .__ o q 7 p 'yS industrial p1arR (I hr min) 78,1 S/ hr ■
Phase: S 0 1 6 4 2 . - G 7 A n Fu: 5_01) 612.-6 7, 31 ., bapectklas for Which no Sea ie 90,00/ M
rrer,;ficalay listed e6 hr min)
CCB Lic.: ii f r� 3 Electrical Lic.: a . „ Suprv. Lie -: , ELEC8'1UC"rtt p' 1A " g' P
slim. Electrician signature, rcgoired: t p l 1 1 / , / I5 ,
Subtotal: S el
�` [. j U 1 Ptmr review (25% of permit fcs)
Print name I &kA 'P. I._ A I24Fioft 1 -/ ' Dale~ f ' "d /0 State mane (12% pf imrnit he); 7
Aethory .1 Aritmrrc
TOTAL Pt1tMITFI;E, `�
Thb permit spplhatlon wool if a permit 1* nor oprerpco wi !so
Print name: Dane days alter it hes beer unwed on eeerptere.
• Number of Merpeetiona allowed per permit.
01.11da.yh\•rvanmriSLC h•enn doe 07/01 MO 440.431 R(. IIe3 QM/91171
Art 1((