Loading...
Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2011 -00331 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 06/16/2011 Parcel: 1 S134ACO2644 Jurisdiction: Tigard Site address: 11020 SW COTTONWOOD LN Project: KYLE Subdivision: ENGLEWOOD NO. 3 Lot: 210 Project Description: (1) branch circuit for hot tub disconnect. Contractor: GARNER ELECTRIC Owner: KYLE, WILLIAM B & SARAH K 2920 SE BROOKWOOD AVE A 11020 SW COTTONWOOD LN HILLSBORO, OR 97123 TIGARD, OR 97223 PHONE: 503 - 648 -4552 PHONE: FAX: 503 - 642 -7925 FEES Quantity Description Date Amount 1 crt Branch Circuits wo /Purchase 06/16/2011 $56.18 Specifics: Service or Feeder 1 ea 12% State Surcharge - 06/16/2011 $6.74 Type of Use: SF Electrical 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 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 • r 952- 001 -0090. You may obt -'• . •. . - rule- or direc . estions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: _� , Permittee Signature: e��d.—eti1 17 /f 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. FROM : GARNER ELECTRIC w� F�T�O, :5036427925 Jun. 15 2011 02:13PM P1 Electrical Permit Applic t i, V �� volt OI I I(1 [USE? ()Nix ix ti a1� City of Tigard 5 Rece;vcd r1 J i , Uato /13 : f / r - I'errn;t Nu. E_s i1I - T 1 3 13125 SW Hall blvd., Tigard, OR 972 ,y \v �l� Plan Review 1 ' `' Phone; 503, Fax; 503.598.1960 �r •t1�1G �QQ� \ c.\1/41' flute /Rv; Dale (Other Permit; 1 , 1 t.., Y1 It 17 Inspection I 503,039,4175 h]s , � •4 � `1 y / y o : Jud ce e: ®R rage 2 fur • interne!; www,tigtird (r.gov C ,, w N(Lif ed /Melhotl; (0 Supplemental Information ............ ... 1. . l. . .,:. l: °' ;, r:,rr.:. bb, 1 , . ! . :,nc� iirYr "'t, . ,1... 1 y � y�, ,,'i )i . x ..',;. ,i:,) ;',r , , I Id1111M1 ply `t T1.1 lU ,' ( 1l ' .. .slit rE ll, �� ..,,. 1 iI�...i I � � , .i , n „�. � ... ,.. "- ..'... .�.,,, Il .F� ��� , ', -�, r, r,,,N „(,l I, , 1 „V1 , n ...� . , .1 , ,I�JxJ..v J..,. 0 New construction ® Addition /alteration /replacement Please, check all � dna:tr 1' (subn]it1 sets of plans w /items checked below): ❑ Service nr feeder 400 amps or more ❑ Building over there shriek. ❑ Demolition 0 Other: ,, �- an k�u ,� !( ;.;� ::::'i:' . ,': n ... ....... .: .... . . . , . {; ,p',,,:,, . ,.. : -� � M:Iri,rin :m11 hoa where the available f9uh cw�roat el . . 7,R 1.1∎ " ' ;r : i ( R {Mill , t h 1 kut: i ION , 4: exceeds 10.000 ainp at t5o volt. or ❑ Ploalh1lt buildings, .. , „ 'r , less to ground, or exceeds 14,000 0 Commercial -use agricultural ® I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building gimps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: 0 Pirc pump. ❑ In.dallotiun nr75 KVA nr �”( "' ,:, i'i c 6 Y Y larger separately ,.... .,; " ............: ' r,; ^^,. .r °' ,., ,p,ay n .,:.:, >,.:.:, .' ,I11CI CI1C 9 Rlelll. ,,I,I,I::,,:,,,N-r)'l "'' .._`:.:.:`::`:i`':':r;ii' s(L..i . .�: ,:'::.f 'y.3.I Y, ''..: ry b ^ ." , , l -4 : i„ y derived system. f;! ;1. ",Dal ill' y}�i"i� l„ i .. ... 4,I 11 ,',' r l ' , , b P •l , a4�sJ.''tl'<�t , '��' ._�,..... M, .,M,.,.. ,,li,el �IAdditionofnewmotorlondof � ..A„ "h", "1-2", .,i_3„ Job no.; f Job site address: 11020 SW Cottonwood Ln t00HP or mote. nccu1,a,a y. -• _... __ . _ _ - _•„ ❑ six or more residential unity. © Recreational vehicle parks. City/State/ZIP; Tigard, OR 97223 0 1 i0 1 1 1 1 care lilcilftics, a Supply vnlhltle for mitre 1111111 - - - -- - - • - - r D) flazarsiotts locations don volts nommal, Suite /bldg. /apt. no Project name: y Kyle residence Service or rre <ler tiro amps or more, „1;11 r,')I . rstf' I '',',i,'I,,,,nr,,,r,,,.,,,::oa, W'`P+ P.OV ,l 1,'::;: ,,,, ; ,,,,,,,,,,,,• „•,,,,..,; Cross street/directions i .. " ,1 " .. eons to job site: li:'','„ 'I r” n', n" '�' tlllln11 - New r esidentihl single or mpltl- fanilly dwelling unit. .. - -- Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less - 168,54 4 `fax map /parcel no : __ on 33.92 t residential i` q '. i . / � 75,00 2 .:.: ...... � ' i' �;� i"j'. ' �.i Limited idl above st� n Limited energy, multi - family 75.00 2 Run circuit for hot tub disconnect residential (with above sq. It) — .._.__....._._ .............. ........... . Services ur feeders instnllatinn, alteration, and /or relocation t�� .y� {} s , 1 200 amps or la 1 110 70 2 r � i l� 'e pM1^r,igly P r Nail :1' J ■ . .i; ,I l i ) amps In 40 at111)s 133,56 201 2 M ..,1 „ ' ., - ..____. -..._ .... , Name: i/ Ly � � ., � 401 amps to 600 amps 200.34 2 Name: W lb -r4 t l " -r.Yd d” �` 601 amps to 1,000 amps 301.04 2 Address: ' ( Over 1,000 amps or volts 552.26 2 City/State/ZIP; Temporary services or feeders Installation, alteration, and /or relocation Phone: (_ ) Fax: ( ) 200 amps or lays 59.36 t — - -- -- 201 amps to 400 ,imps 125,08 2 Owner installation: 'Phis installation i5 being made on properly that I own which is not -- -' 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 59'1 amps 16R.54 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Foe thr branch circuits with ,,. . ..........::.!:r:,:,;,;,r� ,�,, � ��1 above e lee, 7,42 2 each brunch circuit Business name: Garner Electric B. Poo for branch circuits wlrhnal - -- - service or feeder tire, first I 56.18 .56.18 2 Contact name: branch circuit Each atid'i branch circuit 7,42 2 Addresxt _ -- M iscellaneous (service or feeder not included) Each manufactured or modular City /State /ZiP: 67,84 2 dwelling, service and /ur feeder Phone: ( ,) .. I F•ax:: ( ) Reconnect only 67.54 2 Pump or irrigation. circle 67.54 2 E -mail: ,., _v Stn or outline lighting ................i:cal , ,. , ,. 67 2 n n ii i ' r 0 - . ! f ., ,:: g ling ^ .,x tlu,+<h..a.d. ,,: „�.�CG � � - ,,, ,.,;, , .Si�,nlll cinuil(s) ur limited- energy Business name: Carrier MOM it panel, alteration, or extension. Page 2 2 - - - - -- Each additional invectimt over allowable In any of the above Address: 2920 SE Brookwood Ste. A Additional inspection (1 hr min) 66.25 / hr — -- ...,..,..,_..., -- . _.. . ........ Investigation (1 hr min) 66.25/ hr City /StEll.c/ZiP; Hillsboro, OR 97123 _.— ..._.._.. . — lndtistfial plant (I hr min) 78,18( hr 8 Fax: (503) 642 - 7925 inspe ctions for w hich no fee i f 90.00/ hr Phone: (503) (ids -4552 L CC 13 Lie.; 121159 — spec! Ica y I Isted i hr r Ele ctrical I..ic.: 34305C Su rv. Lie.: 37075 ' `'0;: i r' , min) p .... .... ' C;+, Ati; P" TURNiti''+ Subtotal: 56.18 Su pry. Electrician signature, required: Plan review (25% or perrnil. fcc): - ...... Print. name: Chuck Garner ► ;rl ' 5/11 State surcharge (12% of permit fee); 6,74 Aul.horir,ed signature: , TOTAL PERMIT FEE; • 62,92 -... . _. This permit application expires If a permit is not obtained within 180 Print name: Dare: days after it has been accepted as complete. ,„ .. — Nuttibmr ilr inspections allowed per permit. 1: lanilding \PermitaW..I.r:- aermitApp dnc 117/01 /111 440 4615T(I 1 /05 /COM /Wa1r