Permit CITY OF TIGARD ELECTRICAL PERMIT
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PERMIT #: ELC2008 00470
COMMUNITY DEVELOPMENT DATE ISSUED: 8/14/2008
TIGA It 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 110DD -11700
SITE ADDRESS: 10845 SW HIGHLAND DR ZONING: R -7
SUBDIVISION: SUMMERFIELD NO.13 LOT : 687 JURISDICTION: TIG
PROJECT: REED
Project Description: Installing (1) branch circuit for heat pump and adding service receptacle.
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:
CRAIG REED BEAR ELECTRIC
10845 SW HIGHLAND DR P.O. BOX 389
TIGARD, OR 97224 DONALD, OR 97020
Phone: 503 - 639 -2010 Contact #: PRI 503 - 678 -1355
FAX 503 - 678 -1108
FEES
Description Date Amount Reg #: ELE 24 -107C
[ELPRMT] ELC Permit 8/14/2008 $53.50 LIC 20919
[TAX] 12% State Surchar 8/14/2008 $6.42 SUP 4902S
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: t « t om : - : ignature: 5.�� G i \
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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.
,_,- (h7/14/2008 THU 9:59 FAX 5036781108 Bear Electric, Inc. l001/002
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Electrical Permit Application RE C \./ P FOR OFFICE USE ONLY'
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City of Tigard
zgog IBERIVAVAM Permit No,: ...
- " ' 4 13125 SW Hall Blvd., Tigard, OR 97223 AUI.: 3 -
114
r ; . Plan Review
'. ' ' Phone: 503.639.4171 Fax: 503.598.1960 .1-..r■ DateBy: Other Permit:
TI GARD
Inspection Line: 503.639.4175 y 0? TIGius. ...gate Ready, By: July See Page 2 for
I nternet:
C1T
- . nternet: www.tigard-or.gov — DIN/1Si 1 Notified.'Method: or „..,-, Supplemental Information
4****:.77, :,:,:A.ZWOOMONU4V6ir...::::....,2:
0 New construction Addition/alteration/replacement Please check all that apply (submit 2 sets of plans wiitems checked below):
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0 Service or feeder 400 amps or more 0 Building over three stories.
0 Demolition 0 Other: where the available fault current 0 Marinas and boatyards.
,,,--. .:(::-.;-: ,,,,,..r,'..- ...--:,', ,.. certdo w iicakigyomig .,-,:•..: , , .-•,- ..: ,:::.:,, ,;.,,:,,.,„ exceeds 10.000 amps at 150 volts or 0 Floating buildings.
''" ''' less to ground. or exceeds 14,000 0 Commercial-use agricultural
Igl I - and 2-family dwelling CI Commercial/industrial 0 Accessory building amps for all other installations. buildings.
0 Multi-family 111 Master builder EI Other: 0 Fire pump. 0 Installation of 75 KVA or
larger separately derived system.
'. ' . ' ' ..• ,.',. '.'• ,''..' ,jo}i:tri IT40.1114.ViCiN I:0011W' ' .. - ' :-,' ;::'' . r ' ':. 0 ' • f D
Job no.: Job site address: 10" i. \ \ \ 1 S , 100HP or more. occupancy.
0 Recreational vehicle parks
0 Six or more residential units.
City/State/ZIP: — \: . A iL os_ck ; C)c , C'\ -2,2,1......\ 0 Heauh.care facAiii„. o Supply voltage for more than
D Hazardous locations. 600 volts nominai. .
Suite/bldg./apt. no.: ''') Project name: 0 Service or feeder 600 amps or more
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Cross street/directions to job site: Dmription 1 Qty, i Fee. 1 Total r •
New residential single-or multi-family dwelling unit. .
Includes attached garage.
Subdivision: 1 Lot no.: 1,000 so. ft. or less 145.15 4
Ea. add'l 500 sq. ft. or portion 33.40 1 .
Tax map/parcel no.: Limited energy, residential 75.00 2 '
: g . .." . .. 7 : : . '- (with above sq. tl.)
'
' Limited energy, multi-family •
75.00 2
't
- 1). \ C ' — \-• • • • ... . • \C • residential (with above sq. ft)
, Services or feeders installation alteration, and/or relocation
\ OX •=e \r■c_e_ c \-Q., , 200 amps or less , 80.30 2
.. . .:•.13. rOOPq:Y•.' 0:w: .',.- • ";:-:::•: • - .. •:V :.••:.. . :: 201 amps to 4°° amps 106.85 2
Name: 6 c7-1 Reeek. 401 amps to 600 amps - 160.60 2
601 amps to 1,000 amps 240.60 2
Address: 'i 44 R _ Over 1,000 amps or volts 454.65 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 I
. r Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 strops 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
Branch circuits - new, alteration, or extension, Rer panel
Owner signature: Date: A. Fee for branch circuits with
:I. ::.. f :-•:. • .••• • ,:' • .t.:I;1',AO•tt:',..AW::::)4::::::',kail-4,, i.:.; ..: 40 titift4 :4. 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, 1
46.85 14 t 2
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...,,.., \--- '' 2 0 1
first branch circuit
Address: Each add'l branch circuit 1 6.65 kp,(051 2
. Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular
90.90 2 .
.. .. .... . dwelling, service and/or feeder
Phone: (503 't 0 ?-4.:k -- 20 \ c I Fax: : ( ) Reconnect only 66.85 2
E Pump or irrigation circle 53.40 2
:'-',.., • ': • .- :. ..:... • .'.•.. ... .'• '.::',.- *- : ..:. , ...::. ; ':; . : , ':.:4.' '.;:::: Sign or outline lighting • 53 40 2
---
Business name: ' ' • o . - • , Signal circuit(s) or limited- •
\ • energy panel, alteration, or
. .
Address: p, 0 , BcyK Sc6.0-\ extension. Describe:
• Page 2 2
City/State/ZIP: --- )c .. ) , N ,c - ) C \ 6 Cy*
\ I • r Each additional inspection over allowable in any of the above
--- Per inspection 62.50
Phone: (50 1 j3 , ?).•-• \ ,5 5 Fax: (503) U 'Y \ \( .1., Investigation per hour (I hr min) 62.50
CCB Lic.:20q IP.L.1 Electrical Lic.: if lel c Suprv. Lie.: G. Industrial plant per hour
Suprv. Electric' signature, required: c„... l 'i„._._ f / ::. -: .-,.. :,.: .. •::ktit0:0104.-mMit
i u y /4,4 •
c5---( Date:
R
iy: )1.---i --Cfg •
Plan re view (25% of pen 5?)5
Print name: (2')
State surcharge (12% or permit fee): i 2
Authorized signature: TOTAL PERMIT FEE:
This permit application expires if a permit is not obtained ,ithin180
Print name: Date: days after it has been accepted as complete.
• Number of inspections allowed per pennit. •
1 ktuildinv Po,slits I:t.C•PrrmttApp.doc (0 2' 06 440.4613 [iii Os ('001 0058
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CITY OF TIGARD
BUILDING DIVISION PERMIT #: a 00 66 1 70
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 11 .14PAl hl
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: !d g 4-1 S --- H-Letflez,rt e d Cy' CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 8- a cS ` 6 Pour Time:
Code # Inspection Description Confirm # Contact # Message
1q 9 o - a - off
Corrections /Comments /Instructions:
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PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
IL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
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Inspector: � o � Date: o ` Phone #: (503) 718 -Pelio