Loading...
Permit It . ' CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2003 -00139 DEVELOPMENT SERVICES RVIC ( 503) 639 4171 ES DATE ISSUED: 3/18/03 13125 SW I PARCEL: 2S110BC -TS058 SITE ADDRESS: 12480 SW ASPEN RIDGE DR ZONING: R -7 SUBDIVISION: THORNWOOD BLOCK: LOT : 058 JURISDICTION: TIG Project Description: Temporary power 200amp /less. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: 1 PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: • DON MORISSETTE HOMES CITY ELECTRIC + SUPPLY CO 4230 GALEWOOD ST 8900 SW BURNHAM F -27 STE 100 TIGARD, OR 97223 LAKE OSWEGO, OR 97035 Phone: 503 - 387 -7538 Phone: 641 -8012 Reg #: SUP 3592S LIC 42422 FEES ELE 26 -289C Description Date Amount Required Inspections [ELPRMT] ELC Permit 3/18/03 $66.85 [TAX] 8% State Tax 3/18/03 $5.35 Rough - Elect'I Final Total $72.20 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699 or 1- 800 - 332 -2344. • Issued By: 6:f4/ /24/4_, 15441ZAD Permit Signature: ‘,_ 1>141i tf...LI 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'N: DATE: LICENSE NO: • Call 639 -4175 by 7:00pm for an inspection the next business day • 03/18/2003 10:10 FAX 5035981960 CITY OF TIGARD Z 001 •' ;r b . rj y r r s. , Fc 4 Or** CIsH. a �x z . , u. .7. �PC�]Cica Per1� App lica ti on Date/B e 0 — )(-/ D — CI - 3 �p Permit No : C,,.. 3 UU / i Planning Approval Sign City of Tigard Date/By: Permit No.: 13125 SW Flail Blvd, Plan Review Other Date/it : Permit New Tigard Oregon 97223 Post-Review Land Use Phone: 503- 639 -4171 Fax: 503 - 598.1960 Ao h 1; Date - Case No.: . Internet: www.ci.tigard.or,us L ,' - �_ji Contact Case See Page 2 for 24 -hour Inspection Request: 503-639-4175 '""` -. ' Name/Method: _1_ _ Supplemental Information. pp ,,(f ,,,.. �1, ,1( ;) 4:: , t ,,v.:5 :i ; ,.iii p �t'�r•���y�+� .iteli ..Aielr ,l tiat:ratlpl3fry.. , ..]: ;:;,,, r :J4�: •`I: �•1�r�'� - •��pi'IiU'l',: ; ;h� ,/u ._i .• io' <,;SVp' 1c h : .��,a' ., I 'I ., .t.:-. "F.rJ!► :LLV�'.7'li .Vf ", Service over 225 amps- 0 Health-care facility Cyr New Construction Demolition commercial Q Hazardous location II Addition /alteratiot>/re • laeement L Other: ❑Service over 320 amps - rating of ❑ Building over 10,000 square feet, ir°i K �:� ';;It a ;,i • . "' a ' , d'�1' Q 0 . .�, ,� ` 0 , . p 1 I i , . +. ;, 3 . •, . 1 & 2 family dwellings four or more residential units in a S over 600 volts nominal one structure [] 1 & 2-Famil dwellin _ Commercial/Industrial 0 Building over three stories 0 Feeders, 400 amps or more ' Accessory Buildin • IU Multi- Farnil _ 0 Occupant load over 99 persons i] Manufactured structures or RV park ■ plaster Builder ❑Other ❑ Egrea &Righting plan 0 Other. � << r Submit _ sets of plans with any of the about. it1 ila 'a: t r litd><tMA, to 'an • fro: '}I 0111 m. orar construction service_ Mk 7 b e a a re not an Itcablc tote Job site address: I 24--Z, a � 4. <:_, 411 fr" :t :V. , e l 6i3 ,�, , 'tv : l l,'''. ,, Suite #: tat= • • ' - • Number of ins • ections <er ermit allowed Pro'ect Name: • ti Desert , thou Qty Foe (ea.) Total in New res siagt4 or multi-family per Cross ssi to job site: dwelling unit. Includes attached garage. 3 \ , ty i 2 \ Service Included: �� \ y 1000s•. ft. orkss 145.15, 4 Each additional 500 . •, ft. or • • rtion thereof 33.40 Q — Limited energy, residential 75.00 Q —. Subdivision: . C Lot # Limited ener_ • non residential NMI 75.00 Tax ma / • area) Each manufactured home or modular dwelling . . . . � ..,. , ;��l a i �,:. i,! rvice and/or er 90.90 � i•'i'.i yrr...,. �d.. 7"1 ¢ • • . ' ilvN,''.10 - : . . °r.�,l,..� us �. -- ! < • - Services or ors - installation, • ;! Q.. 1 alteration or relocation: 200 am•' or less 50.30 ( �- 201 stn • to 400 am • . 106.85 401 am. • to 600 am. 160.60 lia k: El. 60 �II b�•iV; "P s5�tt')!�r�t:l,. i?u,, rtt f .a . \... 601 , •s to 1000 am.- Over 1000 am. or volts I=1 434,65 Name: en 0 #c s- ( i2 5 Reconnect only Q � t l Uri ��, Temporary services or feeders - Installation, I Address: 23Q ,, alteration, or relocation: Ci /State /Zi : a .‘ db—i`-e • l> c s S 200 gips or less 66.!II l P one: — , ! i � Fax: 7 i 201: .. to 403 am.a 1 5 . 2 401 to 60o an,.: 0 ,. t . IT l ir,C1 ;4, y ' .. ISE L a N1PA ra. ' 0,1 p 110.. !:: Branch circtilts - new, alteration, or Name: , Plc) c . extension per panel: A, Fee for branch circuits with purchase of 6.65 Address_ t service or feeder fee, cache nth circuit Ci /StatelZi : 3 + 1 Y� B . Fee for btaneb circuits wi oout purchase of service or feeder feeIvst branch circuit 46.85 2 Phone: .... r r" � FaX: Each additional branch circuit - 6.65 Ma© E-mail: Misc.(Service or feeder rot included): 2 • S i-,111.410.'li W ,(, . I . i fr; „ Each • • or irri -scion circle 53,40 � ' 1 t�, ;.si 1.1 ras / . ,w ;'.k . •i, -- ' Each sir, or outline li• do - r 53.40 � lob No: C C. 1 � 1 l,. Si : • circuit(s) or a limited energy pane), Ell or extension Pa,e 2 lip Business Name: Des criptiott EMI Address: — Each additional inspection over the allowable io any of the above: II City /5'tatE/Zj . - P in'. lion • hour mn, i hou 6240 I Phone: Fax: Invest/ on fee: _ )r��� Other: r 1c. #: _ Llc. #. L ':,I °.l.p :. � . . :,, ; ,� ;;K l ; ;� r !Elettl�i ��M�' :IY ,'� :'i'r 1;,�� � � � :� ,, tip . 's's, ; : :' : ;� Supervising electrician Subtotal . &7 signature required: Plan Review 5% of Permit Fee $ Print Name: Lie. #: State S1lrcltar _ e 8% of Permit Fee S 3.----- II r TOTAL PERMIT FEE $ - AuthorizdSi attire: (1 l Notice: Chia permit application expires Ids permit Is not obtained within \ 4 11,/ �f , Date :_ ISO da ys after i t has been accepted as complete. *Fee methodology set by Tri- County Building Industry Service Board. (Please print name) i :\DstslPermit Forma\E)CPcrmitApp.doc 01/03