Permit CITY OF TIGARD ELECTRICAL PERMIT
1111111 COMMUNITY DEVELOPMENT Permit #: ELC2011 -00390
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/14/2011
Parcel: 2S110BA06100
Jurisdiction: Tigard
Site address: 14236 SW VISTA VIEW CT
Project: TERHO Subdivision: Lot:
Project Description: (2) branch circuits.
Contractor: ABC ELECTRIC Owner: TERHO TRUST
135 NE 9TH AVE BY TERHO, RICHARD D & PATRICIA L TR
PORTLAND, OR 97232 14236 SW VISTA VIEW CT
TIGARD, OR 97224
PHONE: 503 - 233 -7551 PHONE:
FAX: 503 - 233 -7552
FEES
Quantity Description Date Amount
2 crt Branch Circuits wo /Purchase 07/14/2011 $63.60
Specifics: Service or Feeder
1 ea 12% State Surcharge - 07/14/2011 $7.63
Type of Use: SF Electrical
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 -0090. You may obtain - • • of the rules or direct questions to OUNC by calling 503 32.1987 or 1.800.332.2344.
A
Issued By • _.�� _ - Permittee Signature: Olt
AMP 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.
7/13/2011 1:40 PM FROM: ABC Electric ABC Electric TO: 503 -598 -1960 PAGE: 002 OF 003
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❑ Dcnio11tion .Other: where the avarlable.fait. cuzient. Manil iutd hoatyard
�y exceeds t0000: s tt iSO yottsof
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...: t< s: #a. a - ! S , r • a to ® <.x x .,. A 0 A4o3t igb
less o g round, or ext.cects 1.4,000 Q Comtnerci ti use agrioulkural
i lr and 2 family dw [� • Comntercia i l i n d u s trta l [� Ae building amps l $r tU othe i bu;idiggs. • �:Muhi- family []'Mastcrbuilder. Other 0Fi �:lnstallalion
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Job no: � I ' t, Job s ite address: � .... t ' , ' 1 � .I s ::-
i lUOFIAo role occupancy.
I . ; f .. - , .. L i.. t l Si or more re sidential units. ❑ Recreational vehrcle. parks,
City /Slate/Z,IP; } l [J }Ieatdi care fao 0 Supply vnliagc £or nigia titan
/ 0 Hazardoas locahoas 600. volts nominal.
• Suite /bldg /apt. no.: Project ndnl j0' El S e r or feeder 600 amp or more
T r u x,: €eat e
C rnSS StrCet/dit f0 jOb Salt:
CtionS -The co .tim,
. Ni.w'residenttalaiiagle oi' multi. family dweliin unit.
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includes attached• garage.
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SuUdivisron i ot:na.i . i 000 sq. h or less • �El • 1 ax map /parcel na •
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ba add'I.5O sq ft: or portion g3 g2 .
� a �` ' `' ; ' 4 *>'£ J) w ` a m 4 4 , ., . . ,rte '� a urrt�ed oboves4 fi • en 75.00..
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.,� .. . Lunsttxt:en multi fam . . .
f • r ! r res i { a wit6'above s 'ft: 7 5:00 • .
Sttvices:or feedcs instaliatitin;alterafiop, xndlar rclticatiiia
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0 . e .x,_ 'v 2 01 atr 10 400 41111): s
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100 ® .
.. 401 amp to 600;amps
N 1.. 2
200.34> ;.
601 amps to 1 000 a 30I 04 2 •
Address �!/ q f O I.° OO amps or volts 552 26 : 2 •
Cit /State /Lll'., , u
7 e tn p nra r y S er v ic e s • o r feeders installation, alteration sad /pr . •
. .t relp on :
P ho n e ; ( ) .: fax 200 a mps orlc . > 50 • (.:> ) BM;
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41 amps to 400 snips 125A3!: •
4w T • tnst • is b eing made • oli paop 3 • whacfi I s no • intend f ar sale lerase, t ept ar exc according to OR •447, :•- 49 670 and 701
401 amps: to 5 amp I b8,54' 2 : •
Ownet Da •
1lranc ctr angh - >n alt or eztettsi ` r anc1 <. •
_ ^a f , A •tea •f branch ottee a ;stet .
3 r,, t •' ..iM. , r > e r p ' tr r . t . k r -4� abo .b. r 4u tet re f eeder fe
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each faranch etrnu
B usin e s s name: c -_. ]] f3 i'ee bQr branch citcu w ho ot • s t8i10 of fCe first 5618 i
Contact name .. �••� }-i branch cuctuc •
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I/ } f� t T a clr a dci'I branch ct 7 y2 , 2 • . Address ! L 1 j� h ! 1r� nc luded
Misce llaneous servtee • pr feeder not i
Cit /Stifte/ : ' Pack rnaiiufaetnred inp eder b7.84
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<C ;, dwelltn _ 'service andl of ar. feerle;
~ ) R onl 67 4 ,8
' :Phone (� 3) � > � 5)3'; •
• marl . � P ump or icn circle b7 8
” �T , + - ,x wr , c I ! l a Sign or outlin li g h ting 67 84
9igtiai ciica :: o r..:tilted ii .. •
B mitre :; / t . panel alteration orexaension Pa e
Each additional n is .eetton over allowable In a of the above
Address: . 5 f Addition l inspection (1 hr m in } b6 25/ itr.
C it�x /Stt / f/ : - I brine) d62S(1ir
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"�': Industrrnl: slant (l At 1.0) 781 S( i :�. • Phane C Faa ('. ) .• Insp ections far which no fee as
t! . i l:41J listed x<1 r mtti 9 4 QO/ hr
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Su}�ry '''
;tear''' s tgntatttre t'esi . St btotal
Plan review (25%of permit fee}
Print name / f I rj Date State Surcharge 4,12%ofpermit fee) 2
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