Loading...
Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2011 -00307 13 125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/08/2011 TNIGA . Parcel: 2S103ACO2600 Jurisdiction: Tigard Site address: 11550 SW FONNER ST Project: Gianola Subdivision: ERVIN /STARK PARTITION Lot: Project Description: (4) branch circuits for NC and furnace Contractor: SUNSET HEATING & COOLING Owner: GIANOLA, JEFFREY W & SHANNON L 0607 SW IDAHO ST 11550 SW FONNER ST PORTLAND, OR 97239 TIGARD, OR 97223 PHONE: 503 - 781 -8100 HONE: 503 - 234 -0611 FAX• 503 - 234 -0439 FEES Quantity Description Date Amount 4 crt Branch Circuits wo /Purchase 06/08/2011 $78.44 Specifics: Service or Feeder 1 ea 12% State Surcharge - 06/08/2011 $9.41 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $87.85 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 95 1ssued 13y through 0 52- 001 -009 � may obtain a copy of the rules or direct questions e rmittee Sign furs ailing 503.232.1987 or 1.800.332.2344. / & / ff /- i e-f��O/V 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 the next available inspection date. 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. 06/07/2011 06:03 5032340439 SUNSET HEATING PAGE 02/02 Elect rical Permit_ A,npilcation City of Tigard i E 13125 SW Hall [ iv& I'i rd, OR 97}lz s� // Permit NcELCAT / /,_ OD3D 7 $ 1 Other perm Q Phone: 503,718,2439 Fax: 503,598,1960 Date/13y: r/ ����� /—� 0(.7.4 1' I C. A 12l7 I Line: 503.639,4175 JUN 7 2011 ante Ready/13y: --- Iuria' i ix t3 See Page 2 for Internet! www,tigard- or.gov Notified /Method; 'f t Srlpptemoninl information " �t r P ^7 `I ^ ^ trc,nm .., , r P 1 it!1 iU ' ', " t � Ir r r + '6 'I '' , ( r 1 p , ; Y r'! " 'e•.: ;r 'i 1,,, . 'f ff " I i ; l , . r' 'i'I t r, l - 't : ? ' j '041'444 i" t'ilt+,r , tl'.itrt ,1, r<, .tl,:,l. „ {19 :.(} p1 ln + , + .;k, a d ,,, al . , .,� °y:� ¢ ( � 4 1t� r1 r t r� j + IjI s illy }�1(. It l; 1 ' 111; 1.1 J },f`1 } 4 01 �1r 1y �1� t 11 t,{ 1 lil .. ir: I r 1 i al IN�ti�,l;j §�i r. 1 r i ' : ,Yf'„ VJ', , - :vow mitt R ' 1td�t lil ir�i�fd {fil'�ii, „ t1 1 ,1!f, 1„,u, llyo,J∎ „ 4,,..,h,FM14 „1, 1.r.11 ,,6,,,k Sr, lt� yllkl,r l71 -r411411,,t�. „,,j., ;,l'•t is f ti1N' " ii " S ;° kM' I 4iik,�2Ci,i I r u , ' ,�t� * ,, r P n,t r+ its w /It'cros checked below); Ill New construction dditlon /a11 : 'tot muntSPO�V Please check all that apply (submit 2 sets of plans r--1 ID Service 01' feeder 100 amps or more El Building over illl'CC R101'ICS. ❑ Demolition t--1 Other: when: the nvnllthle fault current 0 Mminii rod b nly,u'ds. at Ito volts or ❑ rivaling it r tjf hl;l'I'fl ; i h I 'j Qr(1'9f ++ j i ! 1 pl,'ijl? `; (;"'1 del t ' i in, exceed:: 10 marivaling b jl�lrij, i ,l l r il►'1�1 + +l jQ #i# it #Ir1Vt�li 9 tell MOOM II ;I1�Y :cillflJlal�f � i, IjEf�ii �3ikl ill ;; i,i..ri,: trtiiltil 111 f1gj�l,r I 14 rut + "•'�Lt3a:1:� "•'r {1 tl „ n. „ r tin + „ '•'� , P.. less to ground, or exceeds 14,000 11 non Rurol 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps rernli other installations. t Multi- family ❑ Master builder ❑ Other: ❑Fire pump. 0 installation or 75 ICVA or r r f{' ' u' li t (l i ii l:i(i'�1 { >l sj � il t '1 , 1 'r "' a r p i' i t y i • t t ❑ Emergency system. larger separately derived system. �f f 1 Ei,q !i ' _W,, . ■ I + { 1 1111+' §1 /6 1iii „600496, ,1 Rat, N x& i 9 �, l tj�; , +, I Sli j t , O , l � �ll' P I (1 ,il)do �11 I'��ill,iimfmnr. ;i,� ,? .a ,w�, 11 �n I ! t � l ' . l�'.,µ ,,, d{ e�, AAdillrn, anew mMnr load of In "A , ti `l _2 <'i-3 Job no. Job site address: 115-5-13 �'�' ,,+� _ s� ('+y I001.1P or mom, occupancy. �? tl �KJ ` (.J� 1_J�•'� 0 Sir or mere residential units. ❑ Recreational vehicle parks. ^ ��,-- ' '""�� '�77 El Hcallh -cart facilities, 12 Sapply volinge for more than City/State/ZIP: .,--- 1 1 q ckicc� •,,,,f —Li ` - ❑ Hazardous locations. 600 volts nominal, Spite /bldg. /apt- 110.: Project name: { © o feeder 600 s or more. j9jilf,6fiPl�l4ft��i �tlt jiit6l�th°�9 + i'L/4.L>r , . , .. , .5,, - A` r, liNOily�r�lt 1A j k'.1'I +(,id Cross strccl /directions to, job site: nrxrripnon ory, Ser. 'fool! ” "` ”" New residential single or multi- family dwelling unit. Includes attached garage. Subdivision; Lot no.; I non sq�R, or less 168.54 _ Fa sdd'I 500 sq. ft. or portion 33.92 I Tax map/parcel nu.; Limited energy, residential !1;' {H) iii i 'rte� ,,: pl 1����"� I;; q .` t ,µWy du t. ,tl1Hl ,, 7 {d Y b' Ir,1r,, ;a., ;1I {ti 1...,,11 ,:.liq” (with above s il. 75 00 2 i ,i i : `t r _' I iSij� i�il Wr'�' t Y'(l I ,R �7)4?l'Y, l! ^t.+. -,_ 1 ” ��`I r ill; { lI1 F./ ll ,rl(�!)It!IlilIir. I l i f�'Qllllll� P' i. V 111" '1 l:Ini.�G�k �� I):�;� i,ah r v,� ;j!„ 'r rpl1'>t�'o, u.h+l 1�,1r ;Lra 11, U�.,.L,.�,��d!��..�� Limited energy, lrlull.;.fllmity 75,00 2 /�/ I C4 /etom` residential (with above sq. Ii.) lio i�//`��� l t Jt' `"t Services or feeders installation alteration, and /or relocation 2011m or Icss 2 } „ I ,; qe'„ ` i' P +'li'1r'l;lrilkllfi %' hN "I' %!4{ y jic,kr „ii'IriI`1 Ili< i j,+ t {'jllJPlj., i',f ' P p ' I( r. 4 ii rl,, i° i tiVil . , l 1 t kyy1yy yr it i i 11ra { ' 1 , ; j I I W jIf)1t I 201 amps s 2 , ,tai ; .4a...ii • . r ' -' '. ' , . i,Q .:.tall i''`I ' lxil!(t ) 6 ' l .. :G,' "' "6dx / a,i T c f1� „kt1,11(lll )1f� 1 • 401 amps to 600 amps 200.34 2 Name: \1(1a - ^ 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 ”' "�' T Temporary services nr feeders installation, alteration, nod /or City /State /ZIP: relocation Phone: ) 00 I I'ux: ( ) 200 amps or less 59.36 T _ -- 201 amps to 400 amps 125.08 2 Owner installation: This Installation is being made on property that i own which is not 401 amps to 599 amps — _ -- 168.54 2 intended For stile, lease, rent. or exchange, according to ORS 447.449, 1170, and 701. Branch cirenits — new. alteration, ur ex tension, per panel Owner signature: Data A, Fcc for branch circuits with IS ' I. yp,,l Iii {{ i l (l li'l f `l r Iii�Si „ ; ;illatl'I�lil Gtllrl:jky R { I� �j _ ._ ..I 1 :NEE I ; above service or feeder fire. . l{ l,( �m {li�,• t. t �,.. 7�;ur::,•., t-, ,111lljril��',i1� , Lyli{tc�r� {tgalgi� 11,IP, IP Rat �ntgg` j i w<t' tl�.il�l . 7A 2 kt ,, , 1 ats e.( each branch circuit Business name; IS Fee for branch Circuits without ,,., service or feeder fcc, first p` branch circuit 56,18 � 2 Contact name! — — ^ — Oath ndcl'I branch circuit , 7.42 2,2. ,up 2 Address: Miscellaneous (service or feeder not Included) Cil /Slate /7.1P: Each manufactured or modular 67.84 2 Y - dwelling, service and /or feeder Reconnect only 67,84 2 Phone: ( ) hex:: ( ) 1111,, -,,,^ Pump or irrigation circle 67.84 2 E - mail: Sign outline lighting G7 84 2 1111' f' j yyil yyli . �,t'. � (p Y ' 1jj1' 1^4��yy i 4 r 1 P W�. ..,'i '..i1. Y-yt' i'y' 1 '' 9' } 1' 9r. ' r' i r)i y "S s1fj�1j4fd14 ;)�','!ili21k�.Hlrti)a=11! i'II<rfij��,Ri iifr4; +iP/�'rt`II� �1l ii .1 mtti t,r�iiNi %llalflvilSi {ti'4i�)ri i Iii {4lti ri ti 1 i1 lPli' 1 { .1 1 i si circuits orlllnited ^slier, Business name; (tane alteration, or extension. Page 2 2 each additional inspection over allowable in any of the above Address:c 1 �' _m Additional inspection (1 hr min) 66.25/ hr � ( Investigation (I hr min) 66.25/ hr City /State/Z1P: R1 T q r, „_ _ Industrial plant (1 hr min) 78.18 / hr Phone: (41:13 23'{ t I Fax: ( ) inspections for which no fee is 90 / hr � >Suprv.1 specifically listed (A hr min) 4/6CB Llc,_l ((J O1 e /( ctricai Lic,: al ic.: i l��' milt I1 l ' ,ii(hfa } li t'+? '( r ;R C,r 1t� .it) Subtotal: Suprv. Electrician signature, required: _� \ !( 0______., 7 r�' yy 1 Plan review (25 %of permit fee): • Print name: L--.esi) ( �€-( / Date: I)0 LI / I 1 State surcharge (12% of permit fee): 9 y/ l. 4 /�� 4/ permit TOTAL PERMIT' FEE: : 9, �--j r/ Authelrired signature: - This it nppucndon expires If n permit in not nhinined within 180 W'.,., tiny; after it has been accepted as complete. Print name: / S /t , Date: 6, /7 ' I • Number nr Inspocllnns allowed per permit. I:lnuiltlinn \reriiiit l,C.- Permit,pp,dse 117/O I/10 440- fat51(11 /05 /CoM/wr/n