Loading...
Permit � CITY OF TIGARD PERMIT 111 2 ' COMMUNITY DEVELOPMENT Permit #: ELC2011 -00534 Date Issued: 09/29/2011 TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503 718 2439 Parcel: 2S101AC90000 Jurisdiction: TIGARD Site address: 7125 SW HAMPTON ST Project: Special Districts Association of Oregon SubdivisionHAMPTON STREET BUILDING CONDC Lot: Project Description: (6) branch circuits for lighting upgrade Contractor: E C COMPANY Owner: HAMPTON STREET BUILDING CONDO PO BOX 10286 OWNERS OF ALL UNITS PORTLAND, OR 97296 00000 PHONE 503 - 224 -3511 PHONE FAX: 503 - 295 -3012 FEES Quantity Description Date Amount 6 crt Branch Circuits wo /Purchase 09/29/2011 $93 28 Specifics: Service or Feeder 1 ea 12% State Surcharge - 09/29/2011 $11 19 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $104 47 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 OA' 2- 001 -0090 You may o co y of the rules or direct questions to OUNC by calling 503 232 1987 or 1.800 332 2344 • Issued By: � � - �. 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. Sep. 28, 2011 11:43AV1 No. 4242 P. 1 Electrical Permit Application! \sfc,e t t,I2 c,rru r: I:'s) c,�i.�:. . 1,1 City of Tigard ` �, t,,, / / R • 13125 SW !lull Blvd., Tigard, OR 97223 a d A I'tnn Review Phone 503.639 4171 Fax 503 598 i960 ` , By Other Permit Inspection l,.inc • 503 639 4175 S ` G`Cc:AyBy Jura m Sec Pate 2 for Internet www tigurd-or goy u_. 1w\ onficd(Methad 'j] Rupplerherttdt tnrnrrnatinn TYPE OF WORK QW L PLAIN R.EVI ;W ❑ New construction 10 Addition/ttllertttiun /rcp� cal Please check all that apply (pubrrut 2 sets of plans Whtems checked below)' ❑ Service or feeder 400 amps or more ❑ Building over three stories 0 Demolition p Oilier; wlscrc the available fault current ❑ Mammas and boatyards. CATEGORY ON' CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. Less In ground, 01 exceeds 14,000 ❑ Commercial -use agricultural D I- and 2 I'iunily dwelling ® commercial/industrial El Accessory building ;sop. Ra all rrlher installations. buildings ❑ Muhl- ltlmily ❑ Master builder ❑ Other; © Fire pump, ❑ litsiallatiorn of 75 KVA 01 J013 SITE INFORMATION AND LOCATION El Emergency System Isigei separately del rued system ❑ Addition ofnew multi load 9r Q "A", "I "1 "1 Job no,: 72 717 — 0 2 Job site address: 712 5 Hampton S t S ixHP or more occupancy © ❑Six more residctlnalunits km cal iimal vehicle parks. Ci ly /State /ZiP: Tigard, OR 9 7 2 2 3 ❑ Health - care facilities. 0 Supply vohsgc 1111'11101C than ❑ tiasaidous locations. 600 volts nominal Seri to /bldg. /apt. no.: Project name: Light in Upgrade ❑ Sc vice or feeder 600 amps or more FEE SCHEDULE Cross street/directions to job site: nieenpren i City. J utx. 1 Total I w New residential single- or mniti- family dwelling unit. Includes attached garage. Subdivision; 11 I Lot no.: 1,000 sq ft or less 168 54 4 ax neap /parcel no.: La. add' 1500 sq, ft or portion 33 92 1 l.dtnged energy, residential 75 UU 2 DESCRIPTION OF WORT{ (with above sq. Il ) - - - -- — Limited energy. multi -family __ Re 2x4x4 troffer style fixtures with residential (wall dbOve Sq,f( t 1 751x1 L Services or feeders installation, alteration and /or relocation new lamps and ballasts. 200 amps orless 100.70 2 0 PROPERTY OWN ER ❑ TENANT 201 amps to 400 amps t 13 56 2 401 amps to 600 amps 200 34 2 Name: - 601 amps to 1,000 amps 301 04 2 Address: Over 1,000 amps or volts 552,26 2 Teinporsry services or feeders installation, alteration, and /ur City /State/ZIP; relocation Phone: ( ) I Fax: ( ) 200 amps or less 59 36 1 201 amps to 400 soaps 125 OR 2 Owner installation: 'l his installation is being made on properly thtii I own which is not 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449. 670, and 701. 401 amps to 599 amps 168.04 Branch circuits — new, alteration, or es tension, L ee panel Owner signature: _ _ Date: A. Fee tier branch circuits wet /i APPLICANT I 0 CONTACT PERSON _ above service or feeder fee, 7.42 2 each branch circuit —_ R name: EC company x^ Ti Fee for branch circuits /orrt service or feeder fee, first 1 56 18 56.18 2 Contact name: Kathy Kelley branch circuit Each add'I branch circuit 5 7 42 3 7. 10 2 Address: PO Box 10286 Miscellaneous (service or feeder not included) City /Sl:ltc /�iP: Each munufut ur modular Cr7 R4 2 Portland, OR 97296 dwelbnp /ortcedct Phone: ( 5 0 3) 2 24-3511 I F ax:: (5 0 3) 2 9 5- 3 012 Reconnect only 67.84 2 Pump or nfrgation circle 67.84 2 l;- m ail : kathyk @e - C - Co . COTCI Sign or outline lighting 67 Rd 2 CONTRACTOR •, . , _ Signal cuciai(s) or limited- eneety Business name: EC Company panel, alteration, or men= Page 2 2 Each additional inspection over allowable in any of the abov Address: PO Box 10286 Additional inspection (1 hr min) 6625/hr City /State /LIP: Portland , OR 9 7 2 9 6 investigation (I hr earn) �66 2S/ hr - -- _. .. Industrial plant (1 hr min) 78,18/ hi Phone. ( Q 3) 224-3 11 S-(7,03)295-3012 Inspections for which no fee is r . - . — specifically listed ('/, br min) 90 00! hr CCr3 Lie.: 49737 Suprv. Lie.: ELECTRICAL PERMIT FEES Suprv. Electrician signature, mil laftrl _� �, Subtotal 93.28 �, Plan review (25°/i of p tee). Pnnt name; Ron Co f f r an Date: 09/28/2011 State surcharge (12 of permit Mc) 11.19 W I """ ' J TOTAI, PI-Ft MI1 i-1-:F. 104.47 Authorized signarur . Hill 7 his permit application expires if a permit is not obtained within 180 —" days after it bas been at rrptrtt nr cotrrpt•le- Print name: Lela Date. 0 9 / 2 8 / 2Q11 • Number of inspections allowed per permit. I \BuilUii5U'emnia\F,LC- PesnnlApv One 07 /0100 44u 4615 MI /05 /CO1,4/WEB