Loading...
Permit CITY OF TIGARD ELECTRICAL PERMIT ` ° '1 ' - COMMUNITY DEVELOPMENT Permit #: ELC2011 -00530 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 09/27/2011 Parcel: 1S134DC06000 Jurisdiction: Tigard Site address: 11880 SW 113TH PL Project: Sanders Subdivision: MUTTLEY'S ADDITION Lot: 15 Project Description: Panel change, (3) branch circuits for new heat pump & furnace reconnect. Contractor: ERIC OLSON ELECTRIC COMPANY Owner: SANDERS, LEONARD J 10013 NE HAZEL DELL AVE PMB 432 11880 SW 113TH PL VANCOUVER, WA 98685 TIGARD, OR 97223 PHONE 360 - 609 -4901 PHONE: 503-352-9833 FAX: 360 - 693 -2980 FEES Quantity Description Date Amount 1 ea Services or Feeders - 200 09/27/2011 $100 70 Specifics: amps or less 3 crl Branch Circuits w /Purchase 09/27/2011 $22.26 Type of Use: SF Service or Feeder Class of Work: ALT 1 ea 12% State Surcharge - 09/27/2011 $14 76 Electrical Type of Const: Occupancy Grp: Total $137 72 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 ATTENTI Or on law requires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952 - 001 -0010 rough OAR 9 -00 You may obtain a copy of the rules or direct questions to OUNC by calling 5 2 1987 or 1 800 33 2344 Issued By: dC.1 Permittee Signature. 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. Electrical Perm it AppYf l "n..�� ' ��G j ,._-.0 - ' orhlc ; 1.1 SE oNNL.Y ' q { 1Zd4V1VOd /� � �/� City of Tigard r n s � ry a 11 lldto /BV' 1, Oc'741:11 Permit No - e ,,,,,„, / - '%' 1111 v 13125 SW hall Blvd„ Tigard, ORSU7223 6+ o Pl an R W • P hone: 503,639 4171 Fax: 503 598.1960 llate /B Uuidr Permit: T I GARD inspection tine, 503.639 4175 Iv C .T9 i D genie 0 Seu Pugs 2 fur 1nLernut' ww,�igard or buv , e tt � y f W DV\II,C-4 ,,,, r ; ny r re- ` ^ti � r upl mental Information w '�' . ^ '., :'�;�„ n ty' . 1' ,"mait4-I '.Ii l' r 1 - " New construction on uct l tt Addilio lterat on /re , ,l 1^ � ",� l ai` . fl ""` " ,•V + � "• tQ S chuck ukl' 1 that apply y1( b nl sci of plan rditerm. chucked Luc buluw)' ® � lacemenl T'� stories, Demolition 10 Other: whine tin ,tvailabto fault current ❑ Murinns anal boatyards , , , ',, w ,,,� 9I, ! » .1 � ( � 7i If , v .nw y ,? :,ax-• •: i r ° :n, pW� exceeds 10 ,1mpa at 150 volts Or ❑ Floating buildings. ��lliF •,': ei »,�,PI'� x1t fr'.:t ^ / t� i',d' r. " ',t; ' 1 ,iti7' :�)Ye'I- jjf� 1 i+�" 0 less a ground, or exoeeds 150 volts 0 Pleating 'din sgrtCaltlll'Fli g I — and 2 - family dwelling ❑ Commercial /industrial E Accessory building annpa for all other installations. buildings. © Multi - family 12 Master builder ❑ Other: ❑ File pump. ❑ Installation of 75 tCVA or „r., a c ' .; t, , ",r ' „i ,.4^ ©1SR1C1 gene} system, separately deli ved system tai 4�1 i' ' Y f M �x ,�,�+" ' - e.m y 5 � ' »•':',. ^�. y K W "• ;iyi't�h'g A„,1 `,, ',t " �, a S ' t ' „ A a' r ,ii'; load of „ ,.n„ "1-2”, "1 -3 : r . A � r�d., : .�, ; , " � 4 1, )< � . „ .l� A ���,l� �'t]:, . ''.a..,,t�,�,,> ..� �At lditiouofnewmclor ❑ I. f OOHP or mart, occupancy. Job no,; Job site address: la SaX CI lnrlC iVaLIAI1111S1b, ❑ oc I vehicle parks. City/State/ZIP: /Slate /ZIP: ❑ 1.1 1th- caru 'facilittes, ©Sapply voltage for more than 1)41/f y no . Project 0 6UU volts nominal 1os,�tione Suite' /bldg /apt, ,J ct name: 0 3urvtce of Leeds' 600 amps or inn r '", • , Cross street/directions to job site: D ni,tio.. EME " New residential single. or multi - family dwelling unit. includes attached garage. Subdivision: 1 Lot no ' 1,000 sq R or less 168,54 1 Fa add' 1 500 sq, tt or portion 33.92 Tax map /parcel no.: Limited energy, residential 67 84 r x q " • i " 4 (wit h'ibove, sc Il. q�p�g mM. p tgrP++y - - , t !� Y, "' +� r ^� N� . 'wi M,i fy��!�!t� tlfn1•l�@ tL fc Wag '� p�'I +wAr li &IIL :'': "4' 4.,, .'. X ) ,''; P''v�iitF h"��"Pe- aA• "a1 G;7 "1�,. .n'��fLldkt ' �lhl, 1" l,'',n. Iv:� :v;' Rl. " // Limited energy. multi ltumily 67 84 L'D'1 z / r . residential with above s , it ) u . 1 , . Services or feeders installation. alteration and /or relocation 200 amps or less W 100 70 // . 2 , ' >a " �," _,�� rk, ., ' �+*- 2 ` . 133,56 2 ! il L (ry 1 01 amps to 400 amps #?' t11 f ib it 19 . ;,C,1 i . l 0' 44 .9, ' , ! , , . i +' , l s „ 4 4 ,,� � , u i °.'' ,l n., /;a• 401 amps l0 600 amps 200,34 2 Name; €1 Gt ins, orIf 601 amps to 1,000 amps 301 04 =11 Address: Q i) 1/3 Jed. Over 1,000 amps or volts 552 26 . G'Z ° Temporary services or feeders installation, alteration, and/or City /State /ZIP: p � relocation „_� Phone: Fax: 503 " ( 200 amps el less _59,36 1 I hone: (503) ( ) 201 amps to 400 amps 125.08 2 Owner installat Th is Insta is being made on property that 1 own which is not • 401 amps to 599 amps 1 68,54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701, 11t.at,cl, eireuite - new alteration or cxteusiott, er noel Owner signature; i i � each brunch service Or fe de Is-C Dar er L C' A Fee for branch circuits Fo , ,„, ��' �. T.! � ►�'- 'a��'�F�,� , 4 . .., , t'ia • s.. n G " a : +�; 7,42 Z� B. Pee for brunch ennui's without Business name: Eric Olson Electric, Inc. _ _ service or leader lee, Iirsl 56 18 11.1 2 branch circuit Contact name: Eric Each add`I branch circuit IM 7.42 2 Address: 10013 NE Hazel Dell Ave PAID 432 Miscellaneous (service or feeder not included) Pach manufactured or modular 67,84 _____1 City /State /ZIP: Vancouver, WA 98685 dwelling, service and/or feeder Phone: (360) 609 -4901 Fax: (360) 693 -2980 R connect only 67 84 Pun'ip or it rigulion circle 67.84 El -mail; er tt t tt g nail.e0M I Sign or outline het ting 67 84 2 ieolsotiefec •i i � P.,2 ,7 , rt:al,5'Ct,SYari# h ,l x � *lt; % ci 1 E�a5�I I iii , y,.,,S '1','....''' n ;'14,0.,*;*?,:. ' :,r' ;I "' i Signal cucuil(s) of limited- Cncr8Y 2 panel, alteration, or extension Pa -c 2 Business name: Eric Olson Electric _ •... - Each additional inspection over allowable in an of the above Address: 10013 NE 1 -lAzel Dell Ave PMB 432 Additional inspection (I lit man) 66,25/ hr - - Investigation (1 hr min) 66,25/ hr 'ity /State /ZIP: Vancouver, WA 98685 _ - Indust'tal plant (1 hr inin) 78 18/ he _ hick no lLc r' Fax: (360) 693 - 298 9 hr Phone: (360)609-4901 b et I licalty listed (I1/ hr thin) U O Inspections or w 0 A�,/�. _ 1 t ' i 1� ' . :�'Fa+1,a.[�f'1v'2 ' "I� . .4 �+ �1 Suprv. 0 Lie.: 9 0� :,, ,,i °. ' pit; � t ', "1 J 1 CCB l,tc.: 179408 Electrical Lic.: 37-1053C Subtotal: - • ' /ri r, Suprv, Electrician signature, required: Plan review (25% of permmt lee): � Date: `Z 2 State surcharge (12% of permit tee)' - `-•hap Print name: Eric Olson 4� 611/1 1'U 1 PERMIT FEE; Authorized signature: 'l'Ii;s permit applicailmt eai,h'ua i is permit is not obtained Within 150 days alter it has boon mooted as complete. Print name: Eric Olson Date: �1 // M Number o?mspeot+oas allowed per permit 1, IPuddinOurinithELC- PicuiltA'np,dor 1U /Q1 /09 440.451 5'i'( l i /05 /CUM /W GB Z0 /Z0 30dd OIdl03 - 13 NOS 086ZE6909ET 0E:91 TTO6/9Z/60