Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2011 -00387
?1GAR 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/13/2011
Parcel: 25111 DB00500
Jurisdiction: Tigard
Site address: 15280 SW ALDERBROOK DR
Project: Graham Subdivision: Lot:
Project Description: (1) 200 amp service and (2) branch circuits for sewing room and garage lights.
Contractor: ABC ELECTRIC Owner: GRAHAM, MARY KATHRYN
135 NE 9TH AVE 15280 SW ALDERBROOK DR
PORTLAND, OR 97232 TIGARD, OR 97224
PHONE: 503 - 233 -7551 PHONE: 503 624 -4828
FAX: 503 - 233 -7552
FEES
Quantity Description Date Amount
1 ea Services or Feeders - 200 07/13/2011 $100.70
Specifics: amps or less
2 crt Branch Circuits w /Purchase 07/13/2011 $14.84
Type of Use: SF Service or Feeder
Class of Work: ALT 1 ea 12% State Surcharge - 07/13/2011 $13.86
Electrical
Type of Const:
Occupancy Grp:
Total $129.40
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 95 ' 1 -009'. You may obtain a copy of the rules or direct questions to OUNC by calling 503.23 or 1.800.332.2344.
Issued By: ‘ 011° ' ‘ 011° ' � 4 A
� Permittee Signature: t2/ /9—P/3 L l 977 '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 503.639.4176 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.
7/12/2011 9:36 AM FROM: ABC Electric ABC Electric TO: 503- 598 -1960 PAGE: 002 OF 003
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, phone:• )03.6394171. I'ax 503.5981960 • >atc
TI rA RI) Inspection fine. 503. 639.4175 CITY OF TIGA Dm rie:' f � Cd *zc !'aee2 . for '
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N ew constfuctltrti Plus. cheek All tin spiny (subiuit a saws oi'pians wtitems checked below
❑ � A dd i tion /rtltrratian /r teement )
0 S crv1ecorl'eedar 400'impspi more ❑ oviidn: {wet illre.9ttntes.
❑ 1.7cntolition ❑ Other; - where the avnitive fail it eunent ❑ Ma as and boatyards,
r
:
C A1I O12Y tW •CONSPRuC1'It) 0660atnps t r :❑ C�ivitin pbuildings.
- exceeds i „56 volts 'or Icss to ;round, or exceeds 1 1,000 :
❑Y:onuucrctat -u;�: act
ti 1- and - 2- iittnify dwclhng 0 .Commcrctal /1ndiislrt�al Q Ac t?tti1dtng, amps fitiail oihct install:Hiam. buildivgs.
❑ Multi- f$ntily ❑'Mnstcrbuilder ❑C.)tl;er:. ❑ Fire pump. ❑tnm ion or75KVA or
t ) m • i08 sue. r " 1 1 .9N ' :Ai 1, : ;L CA ::
. ... .. _, . .. r i �, � Emergency vs larger cep
_...;.._.:_ .. - - INF ,, ..: FION - -. . . , d i,�nufauc rlt , 4.�r
.lob no,' e - ' Job — site atlttrCSS; {' 4 ' ,(�', t 1 , f , - i e .ji taol"iP or tnore ❑ A
occupartcy..i ie y er ve zy
w, s..lyZ t sue
/ -+, ❑ via ia<ItF1 :, ,'- 2,..t_l,.
t :..- t a ; ' - " t� ❑ Cix u r :nor:: nsirlcntial milts. ❑ Rrereatiaial vehicle ttinrks.
� , Health -care faeiltlies. ❑ - mite C) ve Iiiire I'or n:o:e I ham
City/State/7,P 1 j ❑ i >'
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G -: -- --- - -- ... t '+.,� • t -• -i -t r:,:t.,.. 0 I Iaratdaus ■oc 604 votes nornina4-
Suite /bldg. /alit. no.: - . . I r ectrntnl � - 0 5etik gr(eedcr 61)6 ampsor more ' ” - .. .
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' pp�yy a.. :.:,.; :.liT. SCI ftPU , :: : .
job ttc.
- +a i,• ..1. ° ,..rf' :. 'it;rri Minn . • (_r : 1 - Fee. • J T(01 --
C:r� street/directions to s: � ,4;6'
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T . t
-- • New t•c rir tnniti- fancily dwelling tacit: •
litchuics attachetl.gar
Subdivision: I f,ut' no..:', 1,000 sq. IL or less. 168.54 4
L- M
. -. -.— . :a. add ?I 500 sq. It or portion 33.92 l
Tax, trap /parcel no,: relocation
t
goer
g
y' ,. residential •
: .t; s, t}. SCR1I'ION P' O F_WORT ::::; ::: .••••,. °: : i.`r:::::' : Limited s ;'::hciL04cstl l�_ : '. :' ':
- :: ::;'; ::' ..: ite
67 54 2 • ' a i - - I. imcl energy nndfi tarnily •
i '' n l tot. . ", `-' 1 fi t,,,» •,� i • residential (wail shove sr .11) 67.84 I 2
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L crs nsa, , alLd /nr
L1 Services or_feed itllation alteration
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y } s '.` i\ c :�'. . (i.:1,..,..; (r ; t [ 20 ant or less — I 100.70 1 , 00 , r. ,,
`Q •PItt1PERTY nS Nk R ' "❑ Tr'N N'T : 17 201 amps•to 400 amps 13...1% 2 .
Nrtttiv: rr + '. ;, t 1 , 401 amps to 60Q amps' 200.34 2
• - r,. � : - po 1,,04 .
Address: � : � {' • " amps to amps .._.. I ' �: 301 . ... 2 . --
- _ • - ` `'Y '•,T- .-.,, ..: ( .,. t_�: ' i,:, (,' 4,`te 'Y•: r . Oyer 1 000 amps or voles . • L 552, 2 6.. 2.
t r
GifylSttital /[I': ' 1:eatporacy servtces.or feetters:insfallittioo, alteration, andtor
t r:.r ti ..i
relocation
Fltnnc.: (2...,!,.1. , t .•. ,1 Ya ( ) 200' anips•or•ie LL 59. 36 •
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Owner installation: 'Nis installation is being n'iadc•on.properiy that I own which is not • 201,inntis to 400 amps _ — 123,f)8 z
intended Lot' sale, lease, rent, or to OR.S•447, 449 67(1. and 701. 401 amps to599 amps . 168:54 2 •liranc1i enewtsr new;•ilterltibtt, or extension, er' mod
• Owner signature; .. i _.. - • Fee fin hrmch circuits - x t
❑ APPI,I(AIxT ❑ CONTACT P • • alxrvs: se rvice o feeder ice, ' �t '
each branch Circuit �'r 7.42 i % ti I . ' 2
:Business name:: — r
p . flee for. brnnc h mends . . • •
C ott( t et name : // R without seiv ice or feeder fee, .
�t : ?t wet,,(• 1 : • ' . - 126. 4 ;.:: _ fircbranchchew'it 56 -I8 . •
Addr :.:... - r-' �, ach actit'I:bi'atich circuit T : • ` 42
s 1 1 2 •
, , te � r ‹. " „i if ' :( biiseeltaueous setwlec oe feeder cwt whole- - •
Chy /Stott, / /IP '. M_- t '' J o, �,�( , ` /:,t ' Z : L Loeb manufactured
( " dweihn service and/of weeder' 67 & 1 2
Phone: ( ' :; t 3 ::: J, r u . I n.x ( ) —
- - � ., >t ,:� ..� /t — � i....
. - . . __ - ReGOnnect only': :::' 67.84 - • ` Ii- titan:: tn. or irrr 67:84 : 2 •
. CONI RAC'I'ORk : Slgn or. outline lighting 67,84.: •
• 13u5nie� n i m c . : : : . 1 5i g i tn l e:reuit or limited
' )'/ -
. 1 ; energy panel alteration, or
r -� ` `x c\tu mtun, Deset the: .. Pi e2 : • - 2 2,2 C tt r /State/ / ll ' ') I.a ad tti ect allowable in anv of the above
r Per in sp e ction .• t 6 25
Phone: ( .) _ 2.,_•,.) � �. -( a� r ' �: _.i._._ : .
• � -? _ ( . : "' ,
- ;,� ,� . i .. .' lnvestinatit>n, pig hour (1 ht mlit) � 6R 2)
. 13 L t C. /6 - 1 I 3 iv )intro. I.ic.: , 4 S lo ' plant per hour . R.. - -•, 73 18
14LI
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.. 4ttpry 1 %)'- '.tneiun gnat c, requited ,r` � . _. -'�, , ffl 1 � LL Subtrt l a1 PFS -
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, ` Plan review (25%of. ermit fee
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T 'rm t • name 2 ( c; iJ p )
1 >at.
! '. r } 7 % ofpermitfee) .r�ttR
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PrllitrtanliY x 1 _ [ p er m its it tt cutionexptrei i fapertnttiiiwitobtained withinI8ir
)oj i L j r • 17nt c oil accgttcd us complete. _
7 * Nnntirer'af mspeclfon ale s wccl perpnrmit . d
I inmidrttgtprnucii4 'iC.Peni:Spp to1o1'09 :: 440- 461sr111 /t!5 /COAM:41n _