Permit ' CITY OF TIGARD a ELECTRICAL PERMIT
�� PERMIT #: ELC2005 -00731
A. chi SERVICES DATE ISSUED: 9/28/2005 •
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S101AD -03100
SITE ADDRESS: 06950 SW HAMPTON ST ZONING: MUE
SUBDIVISION: LOT : JURISDICTION: TIG
Project Description: 2 services /1 branch for rooftop.
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: 2 W /SERVICE OR FEEDER: 1 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:
WESTON I NVESTMENT CO NEW TECH ELECTRIC
2154 NE BROADWAY 13970 SW 72ND AVE
PORTLAND, OR 97232 PORTLAND, OR 97224
Phone: Phone: 503 - 648 -1900
FEES Reg #: LIC 41868
SUP 3849S
Description Date Amount
ELE 26 -41-41
8c
[ELPRMT] ELC Permit 9/28/2005 $167.25
[TAX] 8% State Surcharge 9/28/2005 $13.38 REQUIRED ITEMS AND REPORTS
Total $180.63
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
All work will be done in accordance with approved plans. This permit will expire if work is not started. within 180 days of issuance, or if work is
suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules a re set forth in OAR 952 -001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503- 246 -6699 or 1 -800 23
Issued By: � ti Permittee Signature: r _ _ 7 0
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: - DATE:
LICENSE NO:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
09/26/05 MON 10:41 FAX 503 648 3131 NEW TECH ELEC [1002
� ea1 Farhat A n1ication / ,v - —_. __ _ — FOR. O 1701: US1. (1NLI'
City of Tigard r-) n mB . ail 0" b M / , t v‘ .01) 3
1312$ SW Hall Blvd, Tigard, OR 97223 Plan Rovi -.v
Phone: 503.639,4171 Fax: 503.598.1960 4b . 1 .r ' i 1 17 ' , DateJB , OthorPerrmt:
Inspection Line: 503 - 639.4175! Ll • Date Ready/By: • • � See p 2 for
Internet: www.ci_tigard_or -n5 Notified/Method: � ® Supplemental Information •
:,: :5i S i trl ll I pflli` , II i ; I I , tlh 1 rlr + I ,
I New construction 1E Addition/alteration/replacement Please check all that apply:
1=1 Demolition 1=1 Other:
. over 225 Hazard us location
4 ■1 :...:.::... ..... .. t ce over 320 ms comni s -rating ❑ Buil dng over 10,000 sq. ft.,
I t' )y Uw .I lr)I yrt IN'r I SC
,. ,- I .,.1 If 4I " . : i Of 1 end 2- fnnuly dwellings 4 or more new residential
[] 1 - and 2- family dwelling vIET Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
['Building over three stories ❑ Feeders, 4011 amps or more
Multi- fatnil
9 ❑ other: ❑Octo ant load over 99 persons ❑ Manufactured structures or
� r li. tli 1..it111 l:t1'.I;:I.M • i..,„,,.:.:.,'„::.;
li :�,_ • r
t nAI" 1•11'71ij,.,l i,ifC�t` kl•' . '1
., I, f . _
I � t Ming plan RV park
�E1��
Job no.: S43. Job site address; L1 - 2p 1 -7W HA- -4em -.t ❑Health-care facility ❑Other:
Submit 2 sets of pis= with any of the above.
City/State/ZIP: TI t, A f-47 0?-_ The above arc not applicable to temporary construction service.
Suite/bldg./apt. no.: Project name: F .(.AMPT'0►_I 4eX
namipdon Qty- Fm Total �
fo ••
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; 0 i i '1
Lot no Pa add500 sq. ft. or portion - 33.40 1
Tax ma.p /parcel no.: 0 n1� . �. Limited energy, residential 75.00 2
- - 5.00 2
S sd
I: y ;: °• , ,- ... .. . •. .':( Iii ; All; �i S' Iii' I' f ;i'':'i�( .';,.,;:, - � - -
`.
I,. ..,... . ...: ... ....- .: ..... ^• .,... . ._ . I Each manufactured or modular - l
7
dwelling, service and/or feeder _ 90.90 2
Eel .1 a L' 10 - CND VFv.t Services or feeders installation, alteration. and/or relocation
,ptsi r 12a1 1,t)N 1 DL. , 200 amps or less 2 80.30 [60.6 2
i11 E; : ;'4t a : i 201 am to 400 a 106.85 2
" :1: .i S r ,d I, „u r r i , <= I ,.....' J I� Irs J J'
- ...._.. _ .... _.. _._ la.... 401s to 600 amps s 160.60 _ 2
Name: 4 1,1c.-- • 601 amps to 1,000 amps 240.60 2 A
Address: 0 5 9 -- N P ri. P1V ‘— ,r . _ it *op over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State/LIP: " T N A ? r op._ ' 1.22 -',011 • Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) O77, 00C, Fax: (bp7)) 01F-20 200 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 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps _ 133.75 2.
Owner signature; _ Date: Branch circuits - new, alteration, or extension, per panel
ili `i ;1'� ,. i. '.: : r.:,i. -'.':r:. _ ,I _ -. 1 - — ..r l7 -
� r ' A. Fee for branc circuits, with
''� �; .,�1� d't „t t ir`� .:(i�'ri lt. i
'.t-. l -LC_ "tf.:a� '`.t� � - eJ _.L..,r�l -, . tl.w �"
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service or feeder fee, each I
Business name: branch circuit 6.65 - �� 2
B. Fee for branch circuits
Contact name; withour service or feeder fee, - 2
each branch circuit
Address: Each add'l branch circuit 6,65 2
City /State/ZIP: . Miscellaneous (service or feeder not included) _
Pump or irrigation circle 53.40 2
Phone: ( ) Pax:: ( ) Sign or outline lighting _ 5140 2
E Signal circuit(s) or limited -
„� „,6, . . �,, ..,,...,.f ,..:...
...:..: .. 1 �, ' i.l ,a * '
Ai, O energy .,.. ..Ja ••: :: ,: •:::�;�...�..�._ <_...,... ,:...1, L. t: , t rr.n °�.. 6'1: "ti� "% , anal. alteration, [ 4, il�. ro.c.'dr: {,1wi _ v w.:... r: lJitf_'" ti �Cil a i .:a:u�S. ---� "_ gyP Or
Business narne: New Tech Electric extension. Describe: Paget 2
Address: 13970 SW 72nd Ave Each additional inspection over allowable In any of the above
Per inspection 62.50
City /S tate/ZIP; Portland , OR • investigation per hour (1 hr thin) 62.50
Phone: (5 0 3) 648-1900 ' Fax: 5 0 3 >648-3131 Indusuial plant per hour •73 -75 -
': „.iS., i _ I 111r jLeA∎IL i . l I'I;x {,rl.. 8,..itJ...i
CCB 1Lic -:418 6 8 Electrical Lic.: 2 6— 418 2 Suprv. Lic.: 3 1 )Q S
G� � Subtotal (VT 25
Suprv. Electrician signature, required: I `, dir f IMIS Plan review (25% of permit fee)
Slate surcharge (8% of permit fee)
Print name: If IL �AN4-o Date: 117'1'105 - t. 3� •
TOTAL PERMIT FEE I - (,y
Authorized signature: This permit application expires It a permit is not obtained within 180
days after It has been accepted us complete
Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board
• ” Number of inspections per permit allowed.
itto,+ rrvestELC -F rmitnpp.doe :RR —••• . 1 .,,- . 4_, / ,... G 440 .(10/02/COMMrtiB