Loading...
Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2008 -00155 COMMUNITY DEVELOPMENT DATE ISSUED: 3/19/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 103C D -06800 SITE ADDRESS: 11655 SW FAIRVIEW LN ZONING: R -4.5 SUBDIVISION: TERRACE TRAILS LOT : 028 JURISDICTION: TIG PROJECT: EMERY Project Description: Installing (2) branch circuits for heat pump and furnace. 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: 1 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: LLOYD EMRY PARKIN ELECTRIC INC 11655 SW FAIRVIEW LN 14001 FIR STREET TIGARD, OR 97223 OREGON CITY, OR 97045 Phone: 503 - 639 -6604 Contact #: PRI 503 - 657 -4958 FAX 503 - 557 -1059 FEES Description Date Amount Reg #: ELF 34 -4C IELPRMT1 ELC Permit 3/19/2008 $53.50 LIC 35151 ITAX I 12% State Surchar 3/19/2008 $6.42 SCI' 4241 S Total $59.92 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. Issued By: � � Permittee Signature: �1 - OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 03/19/2008 WED 7: 11 FAX 0002 /002 , vies ) ',. Electrical Permit A Heat' �� FOR OFFICE USE ONLY City of Tigard `��>S tr j. R eceived A. /—' Kermit Ne. G�e,J� -. r Jp /$� 1 Datc /i3 rr 'r 13125 SW Hall Blvd., Tigard, OR 97223M� ` � �o Ian Review ��... y - - - - -- Phone: 503.639.4171 Pax: 503.548.1960 ® � C3 ` �`� 1 a te /l3 • ; Other Permit:_ 0 =_..�./ 11)-- TIGARD Inspection Line: 503.639.4175 �� q,�pw Date Ready /I3y' t,rr t Bf See ['age 2 for Internet: www.tigard- or.gov ?````®`\� Notified /Method: Supplemental Information TYPE OF WORK .PLAN REVIEW ❑ New construction Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial - use agricuttmai I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessary building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA of JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately del ived system ❑ Addition anew motor load of ❑ "A ", "I: "I- 2 ", "1.3 ", ,lob no.: Job site address: // 6 5: 5()) )4,- /r�le ____2, I00HPormore. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks, City /State /ZIP: _ ' ii a /� 0 , 9 3 V ❑ I lean-care facilities. ❑ Supply voltage for more than V )7 1 ❑ Haznulous locations. 600 volts nominal. Suite /bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more FEE SCHEDULE Cross street /directions to job site: Description I Qtr- I t'tc. 1ota1 _I_ _ Nov residential single- or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145,15 4 Ea. add'I 500 sq. lt. or portion 33.40 _ 1 hax map /parcel no.: __. __ Limited energy, residential 75.00 2 • DESCRIPTION OI WORK (with above sq. R.) // f � t� , t Limited sie residential energy, ncu with ab s q.lft 75.00 2 Cr /'h � pn 0 4- reidntial above sq. fl. Services or feeders installation, alteration, and /or relocation • 4, H-1 f ,u./'r- 6e, 200 amps or less 80.30 2 13 OWNER • ❑ TENANT • 201 amps to 400 amps 106.85 2 Nance: L /0? 61- /f� _ _ 401 amps to 600 amps 160.60 2 v / 601 amps to 1,000 amps 240.60 2 Address: / /<0 55 ' C,v -rek;r(),• e Lj /a.r'.•e- Over 1,000 amps or volts 454.65 2 City /State /ZIP: Q r �� 9--7,9_3 Temporary services or feeders installation, alteration, and /or / relocation Phone: ( 50.3 ) v Fax: ( ) 200 amps or less 66.85 I Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, er_Ranel • — - - - -- A Fee for branch circuits with ' ❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, 6.65 2 — each branch circuit Business name: B. Fee for branch circuits Contact name: without service or feeder fee, 46 85 ii‘' BS 2 _ first branch circuit Address' Each add'I branch circuit 1 6.65 6, 65 2 ' Miscellaneous (service or feeder not included) City /Stale /ZIP: Each manufactured or modular 90.90 2 • Phone: ( ) Fax: ( ) dwelling, service and /or feeder Reconnect only 66.85 2 • • E -mail: Pump or irrigation circle 53.40 2 • CONTRACTOR . Sign or outline lighting 53.40 2 - ' rr ` Signal circuit(s) or limited- Business name: __.__ WW -` �UIU t1 G ��( 'i21 c 1 tie. -� — energy panel, alteration, or Address: 1400A I F I( C-,- ) /a'{"" W� extension. Describe: Page 2 2 City /State /ZIP: D t OK) Gr1O/...1� ~ to V Each additional inspection over allow We in any of the above �^ Per inspection 62.50 Phone: 1"JU ) //,,, 2 F ax: ( ) C - _ . V5�` 658 503 55'7 j(� a g Investigation per hour (t hr mill) 62.50 CCI3 Lie.: �S 5 ` Electrical Lie .: FEES Suprv. Electrician signature, required: - C Suprv. Lie.: y,7y� - - 1 Industrial plant per hour 73.75 • ��� A ' -` ELEC'CRICAL PERh11'I' C Subtotal: 53 _ L . _ Print name: Date: �— Plan review (25% of permit fee): DIvl d b . � ot,e kl , State surcharge (12% of permit fee): 6 ya Authorized signature: TOTAL PERM FEE: 5 9 pa ____ Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. - * Number of inspections allowed pet penuit. 1 Utuilding1PeneitsTI.C- PcrmnApp doc 01 /21/06 440.46151'15 l /05 /COM/WEB i CITY OF TIGARD BUILDING DIVISION ' t. ' ; • PERMIT #: ELC2008 -00155 ' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3119/2008 Phone: (503) 639- 4171AA/ �ii'�l Inspection Requests (24 Hrs.): (503) 639 -4175 ' J ':_.. INSPECTION WORKSHEET FOR DATE: 412.12008 TIME: 7:00AM PAGE: 56 SITE ADDRESS: 11655 SW FAIRVIEW LW CLASS OF WORK: SUBDIVISION: TERRACE. TRAILS LOT #: 028 TYPE OF USE: PROJECT NAME: EMERY DESCRIPTION: Installing (2) branch circuits for heat. pump and furnace. OWNER: ENTRY, LLOYD PHONE #: 503 - 639 CONTRACTOR: PARKIN ELECTRIC INC PHONE #: 503 - 657-4958 Inspection Request Scheduled For: Date: 4/2J200t3 Pour Time: Code # Inspection Description _ Confirm # Contact # Message 145 A/C or heating unit circuit 067554-01 503.657 -4958 N Corrections/Comments/Instructions: (' i L e) t 1 c5 V C: C" .0 iZI o•-rr ri-c;Z2.- �_"' �,4 ta. VIZ__ © H-ik -4 i' i e, �---- ,1-4./ --t / - . 1.../ r i2.c- fi i.e U AA> cif" —cC ?/ Pe:Az- 1 - Ai1 L., 3 / O , is 1 s GZ- i Z `' /c' `i (b) t . _ -.,. _ -1 --M 4 - Ai (1 L c - ,-L C PA-c, c -- oV -- % ITC:- :-G C - - _ if' afar t . r. •. ? n PASS MI PARTIAL APPROVAL ❑ CANCEL n NO ACCESS *LAIL' In CALL FOR INSPECTION n ADDITIO AL FEES ASSESSED Inspector: Date: 0 Phone #: (503) 718- - CITY OF ��wn n ��m nm���mn��� BUILDING DIVISION PERMIT #: ELC20M00165 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ;:V19V20OO Phone: (503) 639-4171 Arvitr Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 4K16/2008 TIME: 7:00Ah8 PAGE: 53 SITE ADDRESS: 110bS FAIRVIEW LN CLASS OF WORK: SUBDIVISION: TERRACE TRAILS LOT #: 028 TYPE OF USE: PROJECT NAME: EMERY DESCRIPTION: Installing (2) branth circuits fof heat pump andfu/neum- DVVNER: EMRY.LLOYD PHONE #: 503-639.6604 CONTRACTOR: PARKIN ELECTRIC INC PHONE #: 603-657-4958 Inspection Request Scheduled For: Date: 4116/ 2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 159 Electrical final 068369-01 503-067-4958 M Corrections/Comments/Instructions: ;OA ri PARTIAL APPROVAL El CANCEL | I NO ACCESS FAIL ri CALL FOR INSPECTION LI ADDITIONAL FEES ASSESSED M � ^ Inspector: Date: / ^ U �� Phone #: (5O3)718-«�-6-� / �� .~^��