Permit CITY OF TIGARD ELECTRICAL PERMIT
o COMMUNITY DEVELOPMENT Permit #: ELC2010 -00611
T i G A R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/29/2010
Parcel: 25111 CD04100
Jurisdiction: Tigard
Site address: 9500 SW BRENTWOOD PL
Subdivision: SUMMERFIELD NO.9 Lot: 500
Project: Catto
Project Description: (1) branch circuit for photovoltaic system.
Owner: FEES
CATTO, ELVIN & JANICE Quantity Description Date Amount
9500 SW BRENTWOOD PL
TIGARD, OR 97224 1 crt Branch Circuits 10/29/2010 $56.18
wo /Purchase Service or
PHONE: Feeder
1 ea 12% State Surcharge - 10/29/2010 $6.74
Electrical
Contractor:
WEST SIDE ELECTRIC CO INC
1834 SE 8TH AVE
PORTLAND, OR 97214
PHONE: 503 -231 -1548
FAX: 503 - 736 -0677
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $62.92
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 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 arez 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. •11101110 1
Issued By: ' . _� 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.
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.
Oct 28 2010 6: OOPM West Side Electric 503-736-0656
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Electrical Permit A i 'o EcEivE II ,..:,.,.,,.,..,...,.. 4 1 \ I 1 :::•-‘1,4'
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City of Tigard Received
Parnit No. • ,,,, 0—
ii 13125 SW Hall Blvd., Tigard, OR 97223 OCT 2 9 L010 Date/B : i iN
• Plan Ravi ow /Jrir : 4 ( I
Phone: 503.639.4171 Fax: 503.598.1960 , - . Dateaty: Other Pemvit: ( ko... 0 dip*
1 ,, inspection Line: 503.639.4175 CITY OF TIGARD Li"oRelteh June SI See Page 2 for
Internet wwwtigard p4hfied/rd, - 17:ro j Supplemental Loformation
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0 New construction rgrA ddit ionta her ation/re placement Please check all that apply (submit & sets of plans wliterna checked below):
0 Service or feeder 400 am or more 0 Building ova three stories.
0 Demolition 0 Other: where the available fault ClifiCOT 0 Marinas and boatyards.
.i.i.:•, - I.e. , ' i 0,1 .v•t•:;;, , • ;:- '. nI,": ?.. '''iraliarA . .;r4y.:. exceeds 10000 amps at 150 volts or 0 Floating buildings.
..l'Atl;A:4If.... • ... '..!•.:.;:. C'; lieisw?.;:-'- , - ..• ''.. ..'',",iri:Iii,,,,11•7i1M1'1144t1,1,;,::•':. less to grotmd, or exceeds 14.000 0 Commercial agricultural
OK
1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. buildings.
f alli Multi-family 0 Master builder 0 Other: ID Fire pump. 0 Installation of75 KVA or
0 E me rg en cy system.
443••ij.;•iir;10:
,,, -- ,....,,191M1 , .. ,t6i
• i...- •i'.i• ,..! ,_. . ... . _ larger separately derived systm-
e
,i. , ... • :..ptivaart_ :,,.... ‘,....; ., ,...: .,.7514ftitf,- , :.;-,-. , .; .. ;I ,■A'N L.1 Addi ot new motor load of
Job no.: J506 tS Job site address: c4500 SIGI grediaat IP/. 100HP or more.
a Six or more residential unite. occupancy.
0 Recreational vehicle parka.
City/Stadia?: riga"--1(Ael 9 72Z Cf 0 Healtheue facilities. 0 Supply voltage for more than
0 Hazardous locations. 600 volts nomina/.
Suite/bIdg.tapt. no.: • Project name: (" 0 Service or feeder 600 arnps or more
4
Cross street/directions to job site: Desorptioa Oh. Fee. Total I '
New residential single- or multi-family dwelling unit
includes attached garage. _
Subdivision: 1 Lot no.: 1.000 sq. ft or less 168.54
4
Ea add '1 5013 sq. fl. or portion 33.92 1
Tax mapiparcel no.: Limited energy, residential
ar -;
:iiv.17:Q3:1-: (with above sq. ft) :t....i.,,,ii:.!, 75.00 2
,-,. • : ,...i ,,,:awtgoii.7.: ............... 17..45 '•.• ' -•-,-." . • i v ' ,...,,:.•,.l . , '''••• 14,,, i.-?..illii:' ,, ' , ."i.-"4'_•.r"••• ,,, r-
Limited energy, multi-family
75.00 2
&CO h'," A n c)/ 44p . residential (with above Sq. ft.)
Servkes or feeders installation, alteration, and/or relocation
200 amps or less 100,70 2
'",,
th '''..P1W;itP, -1 rot am arn
ps so 400 ps 133.56 2
,...4%.,7.1sIrroz;v7fortatTrre'l."'"ors'surr.,g11.,rarmit,l,ii ,...i. . ,........ . • .....:4 - 0 4....;:t.,....-
401 amps to 600 amps 200.34 2
Name:
601 iunps to 1,000 amps 301.04 2
Address: Over 1,000 amps or volts 552.26 2
Temporary services or feeders lastalladon, alteration, and/or
City/State/ZIP: relocation
Phone: ( ) I Fax: ( ) 200 amps or less , 59.36 1
t
Owner installation: This installation is being made on property that 1 own which is not 201 amps o400 amps 125.08 2
401 amps amps
intended for sale, lease, rem, or exchange, according to ORS 447, 449, 670, and 701. to 599 _ 168.54 2
, Branch circuita - new, alteratiott, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
L '0 l'f li Si ' 7:= ...** .,-2,, AV:a.g1;2 above service or feeder fee. . 7.42
each branch circuit \ 2
Business mune: B. Fee for branch circuits without
service or feeder fee, first / r
c--4,--.
Contact name: branch circuit / 56.18 2
. Each aderlbranch circuit 7.42 2
Address: . , Miscellaneous (unic( or feeder not included)
Each manufactured or modular 1
City/State/ZIP: dwelling, service and/or feeder 1 67.84 2
Phone: ( ) 1 Fax: : ( ) Reconnect only 67.84 2
Pump or irrigation circle 67.84 2
E-mail: Sign OT outline lighting 67.84 2
StAtiM & & or lo
panel. alteration, or extension. , Page 2 2
Business nal": West Side Electric Co. , Inc . Each addldonal Insnection over allowable in any of the above
Address: 1834 SE 8th Ave . Additional inspection (1 hr min) 66.25/ hr
investigation (1 hr min) 6625/ hr
City/State/ZIP: Portland/OR/ 97214 Industrial plant (1 hr min) 78.18/ hr
Phone: (503) 231-1548 I Fax: (503) 736-0677 Inspections for which no fee is
90.00/ hr
s listed (4 lu min
CCBLic.: 13306 1 Electrical Lic.: 26-135c 1 Suprv. Lic.: 4654- S ., .'.•'.::?:4::::::;;:aittlr , — • ' ''.5.': %.,: ,•'': ...;.:) "ii :;'::::§1.::„.i;
Subtotal: C 6 Zit
Suprv. Electrician signature, required:
Plan review (25% _permit fee):
Print name: Randall F Roberts I Date: / /e) 28//0 State surcharge (12% of permit fee):
TOTAL PERMIT FEE: 6e... 9 t
Authorized signature: This permit &policed= expires if a permit is out obtained within 180
days after It has been accepted as complete.
Print narne: Date: • Number of inspections allowed per permit.
1:11:lailding\Pennits\ELC.Per0itappdoc 07/01110 44�I OT( I I/Olt OMMElli
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