Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 00240
- COMMUNITY DEVELOPMENT DATE ISSUED: 4/16/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S111BC -02700
SITE ADDRESS: 10380 SW CANTERBURY LN ZONING: R -3.5
SUBDIVISION: TIGARDVILLE HEIGHTS LOT : 005 JURISDICTION: TIG
PROJECT: MILLER
Project Description: Heat Pump
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: 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: 1 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:
PAUL MILLER SUNSET HEATING & COOLING
10380 SW CANTERBURY LN 0607 SE IDAHO
TIGARD, OR 97223 PORTLAND, OR 97239
Phone: 503 - 684 - 8513 Contact #: PRI 503 234 - 0611
FAX 503 - 234 -0439
FEES
Description Date Amount Reg #: ELE C117
[ELPRMT] ELC Permit 4/16/2007 $46.85 LIC 161085
[TAX] 8% State Surcharge 4/16/2007 $3.74 SUP 4638S
Total $50.59 REQUIRED ITEMS AND REPORTS
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: Permittee Signature:
!'ii
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 503.639.4175 by 7:00 a.m. for an inspection that business day.
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.
Apr 12 07 11:16a p.4
Electrical Per m pl ca# il 1.0i4 014 is r' l SI: 0\1:1 '
T
City of �igard D a e/B :� ' ' 1 Permit No. GoR' 7�e v
13125 SW Hall Blvd., Tigard, OR 972 Plan Review
/ + r c c rQmir. �G
Phone: 503.639.4171 Fax: 503.5 0 1 2 2 00 ' -s ` I "
Date/13 ; Other P msdW 7 - a •
Inspection Line: 503.639.4175 , a j.' •� I Date - Date Rcady/IIy: fun: See Page 2 for
Internet: www.ci.tigard.or.us ` , t "r Notified/Method: Supplemental Information
i ` att ' , r i t' - ' 4 a* J v «r7 'rt >• n, M1 9 a ' 5` SS. E es '^ .� ,
x a 1 r , :1 4 4 iFI rl '4 alt ask' '.'4, . a s '.,s 7. t .,. - o • , ,
:�'rsttu..v,. u6: � >.._ ..`X'.; 3f`�`:' �._?• - .... . ,:s = < ^ ... .=:at_�.,1kr�" X.4; .... :c. ,1.,. - �: ..., ... ? .. t.xi .• # ...a✓q: ,s M:� .T �.. �h�• ,�. �.r ���
❑ New construction • ' 11'�' Addition/alteration /replacement Please check all that apply:
❑ Demolition ❑Other ['Service over 225 amps, comm'1 ❑Hazardous location
0 k }a r 4 � „�f , ttI i i "+> ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
and 2- '• r A " ) , , , + p x , d , e t :M er 117 , d w + ft ,a,. igr � r ii∎ I r,," „'' ' ' of I- and 2- family dwellings 4 or more new residential
Q 1 -family wllin ❑ CommciaU i nustri I ❑ Accessory building ❑System over 600 volts nominal units in one structure
['Building over three stories ❑Feeders, 400 amps or more
❑ Multi-family ❑Master builder ❑Other:
❑Occupant load over 99 persons
F 7 r ['Manufactured structures or
; s?e � 4,''ne R eat rr v 1 &4r x i 'Y'rg, x r 'Tx t,' -, "ii, g H. ud h^''''
t " t r .i :�L a.:, §.1. }. _ 1 ti tt d !y' I2WA ix r .r ❑Egress/lightingplan RV p ark a., noes+� �3:a., .a..,.:u °s�sr.:���.sc.•t
Job no.: § -- ,,- Job site address: f ^ s� " � '1 ' ; , l �(( ° ;( ❑Health-care facility ['Other: :
l v.. i1 1, �' ! £)i../ ` %:, 4 `.<,f1 j / t. ^1
Submit 2 sets of plans with any of the above.
,City/State /ZIP: - ; i;,, (.1 ? LI The above are not applicable to temporary construction service.
Suite/bldg. /apt. no_: 1 ( Project name: `t, t (b t. -- ' ;..:: > I)U <:: y ^ s r :,•:f t
r nese riptiun
I < Q ty. ]' Fee. Total
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 ( 4
Subdivision: ` Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 ( 1
Tax map /parcel no.: Limited energy, residential 75.00 2
:: >; h:*N.,y iFZ s�;s�a:y^"�`CaQ:ty �`�e : `i't�: �.� :,., ° of s� - �n 7 r `oYv' `"k.',ekx'ef� . ''v..
Limited energy, non - residential 75.00 2
p,sti :m *.i tk .rttv , F, -,GC . d- ;.'.., ;,. • :, 7 rk,? ;:,�,. ,r .sr.. +;'3Y,�r 7ta ti
:.,,.._-_. �. �.,•:*....,: F; �, �:,,, i� �„ r��' ��` �� .. ..- ..�.�•:�.:r:;�,., -f;, ;t'r = „�w.,,,,. �,�:,..,�':r Each manufactured or o modular
dwelling, service and/or feeder 90.90 2
t (.` 1 t (� -� ` Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
> :'nC ,�� : <z`:. ,:r ,,, ,t' �.* ;1` . q s $ M lrl :: a:s':'c. ri 67 k n 201 amps to 400 am s 106.85 2
"` fTk.. .,, k ',9 . . is .,, _ at`tattI a sr li fp. ;. `��" 3ti . .a. ` `" ' „C'i" P P
% ..,a:..,. t 3 k:N ; r W "t :".�^�w�
' - 401 amps to 600 amps 160.60 2
Name: .4,,:.L _. i \i „t j,,..., 601 amps to 1,000 amps 240.60 2
Address: j ,' l <' Cil 91 Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State /ZIP: 7._. , -, -, 7 /4-
/ tr. Temporary services or feeders installation, alteration, and /or
3 t _ k 3 relocation
Phone: ('�i = ) €' �:� Far: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps f I 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps I 133.75 2
Owner signature: Date: Branch circuits- new, alteration, or extension, per panel
- s -s, , , ✓ , >;.� .:,, , ., ^ a3`v` t'u-' a;: 47:.t :9a" - - ; ��n , . a ' ` ';h *. i
; ,:; _"3;" ', t r ;. ,,, Jti _ ; �,,„ , ,�t ., AC _ n . A. Fee for branch circuits with
;:'4.'` - .. ��i_ - Z'Ci.,� }"1 .Vl.� F :,.": ),. .` ..Jw�m.�i.•.n..�i'n' ".�.n: " ^4
.✓. x.: ^.'r:- �.r' :....:........ ..n. .:.,�� .. reTS. e. . v ,,,...�r,a,2. >�..�St,�k.`:.7... .. ,:1 #i:^' %.�."SS...t�p,<... -.w ; i. r: 4. t�1. ��. .�',k�•>.- ,....,...'�= �� ?:�,..w
service or feeder fee, each
Business name: branch circuit 6.65 2
Contact name: B. Fee for branch circuits •
without service or feeder fee, • 2
-
Address: first branch circuit ( 46.8
Each add'l branch circuit 6.65 1 2
City/State /ZIP: Miscellaneous (service or feeder not included) •
Pump or irrigation circle 53.40 2
Phone: ( ) Fax: : ( )
Sign or outline lighting 53.40
E -mail: Signal circuits) or limited -
" , . ".,. •'::'- : , 2.wu ' * k «"x'`" 4 t ener anel, alteration, or
�: ` ^ a " i t t' `.>Wf a .� u a '* ) ;,,, �a�ky w:5,. t .w - ' ti K '' ns on. Describe: xte be: Page 2 2
Business name: Sunset Heating and Cooling
Address: 0607 SE Idaho Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State /ZIP: Portland, OR 97239 Investigation per hour (I hr min) 62.50
Phone: (503) 234 -0611 Fax: (503) 234-0439 Industrial plant per hour 73.75
CCB Lic.: 161085 Electrical Lie.: C117 Suprv, Lic.: 4638S Subtotal t.,'-; ,t✓
Suprv. Electrician signature, required: J Plan review (25% of permit fee)
Print name: ! LGt/ ESS ,� Date: t_.) I j; r_, State surcharge (8% of permit fee)
TOTAL PERMIT FEE `�i
Authorized signature: ' ' � This permit application expires if a permit is not obtained within ISO
days after it has been accepted as complete
Print name: I v ) Date: • Fee methodolo
qhG, it ki G t bro S ' methodology set by Tri County Building Industry Service Board
• • Number of inspections per permit allowed.
i Alit, ild ins \Pumiu\ELC- PcrmitApp doc 1 J03 440.4615Tt10/O2/COMIWEa