Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2007 -00340
COMMUNITY DEVELOPMENT DATE ISSUED: 5/18/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2 S 103 CA -02300
SITE ADDRESS: 11880 SW JAMES CT ZONING: R -4.5
SUBDIVISION: TRAVPORT PARK LOT : 003 JURISDICTION: TIG
PROJECT: SVERID
Project Description: (2) branch circuits for an a/c and furnace units.
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:
RICHARD SVERID KING ELECTRIC LLC
11880 SW JAMES CT 5087 SE 52ND PL
TIGARD, OR 97223 HILLSBORO, OR 97123
Phone: 503 - 590 - 2496 Contact #: PRI 503 - 336 - 0458
FAX 503 - 336 -0459
FEES
Description Date Amount Reg #: ELE C224
[ELPRMT] ELC Permit 5/18/2007 $53.50 LTC 172621
[TAX] 8% State Surcharge 5/18/2007 $4.28 SUP 4443S
Total $57.78 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.
Issue Ate Permittee Signature: S AppI;rash
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.
• 05/18/2007 09:48 5033360459 KING ELECTRIC PAGE 03
RECEIVED 05/19/2007 09:28 5033360459 KING ELECTRIC
45/18/2007 09:24 FAX 5035981960 CITY OF TIGARD X 002
Electrical Permit Appllcti k '� p �j
ti Received u w.rg ! ,, l Received
City of Tigard DatdBT. SO �0 — S(_l PataitNo.: 3- _
3125 SW Bali Blvd, Tigard, OR 97229 Matt Re.ie..
Phone: 503.639.4171 Fax: 503.598,15 Other 2007 ua. 'c` Permit; C. �.l •• !
T I : �, a s - lnapoodon fine: 503.639.4175 Dam Ready/B,. I���d1 tltx: Nee 2 as
internee wanv_tigardor,gov N�scd/Mcthod 1 1 G SopyksNtal.laforartieq in
•
TYPEWO _ A .A i y l ''. .: ipf;■44 + a.
❑ New eonl4trubtiofl [ " Addlti oifalteraiidriieepiacemeil't u I V (() N Please check all that apply (submit 2 sets of plans %/items ubecbsil b.lp v);
0 Sorvie. or Mode:400 amps tomcat O Building over three stories,
Q Demolition 0 Other: whgra Om aveibble fault eurratt 0 Marinas andboaryardv.
• :. • '' • ' :; : �. , ' ' _... ...e.d.,10.000 et 150 volts et /:l oad buildings,
..„ : ' CATEGORY OS.- C:oNSTRUe . . . . ° ° g
. .. ... .. less to mead. Or exceeds 14,000 0 Commercial -use agriculture)
ai- and 2efamily dwelling Q Commercial/industrial ❑ Accessory building amps foe all Mbar insbalbarioas. buildings.
❑ Multi- family ❑ Master builder [] .Other. L Fire per. O leaudlasion or77 KVA Or
.. .• :• ':'JO
['Emergency sy larva acpataw}ydaivod team
B SUE 'INFORMATION ANB L OCAIZON
Job no_: lab sift add /" j i s /., 100t3p or AM OCawpa
, s t' I � V� /l } ❑ Six at a ptC residential units, ❑ Recreational vehicle parks,
City /9Cate/�t? / j 64 „ .. ...,,. yam ❑ Health -cm facilities. 0 supply voltage tb: man fan
OHazerdoet locations. 600 volts oomioel,
Suite/bldg./apt. no_: Project name: • Q Savior or fordo:600 may or • Cross street/directions to job site: ; .6G -HBD I r & • I '; . 4.,
— New residential single- or multi- family dwelling unit
Iodides attacied,pr>tile.
Subdivision: • Lot no:: 1 sir ft. or less . 145.15 4
Tax ma / aaTCal no.: Ea. add'i 500 so. 0- or portion 33.40 1
p P - Limited energy, residential
, . • ::- ' , ' ; i' :. :,' : "DTSCWYIION, :Atli 'WORK. ': • ... (a ith al— 4 I!) 75.00 Z
�s 1 Limited energy, multi-family • 75.00 2
c �- � -. P f _ 4 I :midentnd (wish above sq ft)
services or mesa Ina u. ladoo,ali ratfaa, and/or relocation
1, n0 s,,t. 'I. \ 200 amps or 1c5$ 8030 2
: :, PSOP£Rre . :6474:* ' -...: li I. _ . .:42' TENANT' 201 amps to 400 amps 106.85 2 •
Name: n ` — r� • _ 401 amps to 600 16 0.60 2
1 t— " 601 amps to 1,000 amps 240.60 z
Address: - w Over 1.000 amps or volts 454.65 t 2
-, Temporary services or feeders installation, alteration, and/or
Cify/Statc/ZIP." -.. t
cr , - _,,,,_. relocation
Phone: ( ) .;x: - t.' ., 4f i Fax: ( ) 200 tapes or lcs9 66,65 1
Owner Installation: This installation is made on property that i own which Ls not 201 mope to 400 amps 100.30 2
intended for sale. lease, rent or exchange, according to ORS 447, 449, 670, and 701. 401 soaps to 599 amps 13315 2
Owner Rigxtaznrre' Date: Branch circuits — new, alteration, or cxtepaion, per pawl
A. Fee for branch tdrOUits with
. ' .. . . A3 PLTGti1V 1': ; :,; ; :. :'CO A.C> E. ON ' a bove acrviOC O r feeder Ike, 6.65 2
each branch circuit
— Business name: . �, y;^ C...,c._.\ - ' �,.. ... B. Foe for branch circuit t
without service or feeder tee, C
Contact names e - > Li e\ ,,h t first branch circuit 46,85 .05 2
° $ Each add'l branch circuit ( 6,65 (p, ( 2
Address: ,z[r' i S f Z-- `.o' ' sd 'Q-' lvl�.eeem+r►cowt tAan ere a1r gears: AOe fmciade�
Cit /8tatcrap: /e 5 ,, F � $`'" Y ' f ,/ .,�,,' mareufachued or modular
dwelling, service and/or feeder 2
w�e
Phone- ) ,, , ,_,0 453 , Fax:: ( ) ›-?,g0 RacOlnect 66.85 2
E la. i..2 - .r • , ; . i - — Ph _ � ,;, Pump or irrigation circle _ 53.40 2
CriN t - R jt✓TO1Q z " Sigp or outline lighting 53.40 2
BUS/RCM ...;. — - signal airoit(s) or limited - .
name; 4 `.:Y - w... .a a....*. r -n,....� ,3 panel, alteration, or
Address
Maui= Descaibc Page 2 2 •
City /Slate/ZIP: cal additional iespeedoa over allowable In any of the above
Per inspection 62,50
Phone: ( r^... ,
"3` . n i • M Fax ( ) _ investigation par hoar (l ur m:e) 62.50
CCB Lie.: Eleen teal Lic_: 4r�. .. Sunr•v. Lie.: hldusttial plait per hour 73.75
p Electrician signature, required: o � ELECY2ICAL PERM ' .PEES-: ..
( 6 t Y I D s Su El
pry GXP • -/ l log O 4 ./010 subtotal; ' 53 . 5() u fun wviear (25 °k o£ it fbe}
Print flame: Date:5' 90 State erchatee 0% of permit fee): 4.
Authorized signature: , ti ,6, 5 . a OR TO AL PERMIT PEE
�� S�. � O
Print names: '
ibis permit epprm6m aspires sbe if s ' s e i s m i c w i t h i n l80
'a. ',.t..r.. .1,.. `�^.. .. Da S:�:' �_. }" nay, defier!t bas item aeaeptad as ws,prala.
• Mamba ot®spedioms allowed pet permit.
e:tavied7ng onnitd1il.t+Y.,miOApc.doe OFR3106 440 4613TC VOS,CassnrEe
(5 b) (35 c — Ol+S T C ){:1 ci., onov-,14-
.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: EL : c�
7 0 0
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/18/2007 !
Phone: (503) 639 -4171 m�11
Inspection Requests (24 Hrs.): (503) 639 -4175 :..' = 'I �
INSPECTION WORKSHEET FOR DATE: 5/22/2007 TIME: 7:01AM PAGE: 11
I z( Jfa,•09--I
SITE ADDRESS: 11880 SW JAMES CT . CLASS OF WORK:
SUBDIVISION: TRAVPORT PARK LOT #: 003 TYPE OF USE:
PROJECT NAME: SVERID
DESCRIPTION: (2) branch circuits for an al and furnace units.
OWNER: SVERID, RICHARD PHONE #: 503-590 -2486
CONTRACTOR: KING ELECTRIC LLC PHONE #: 503 -336 -0458
Inspection Request Scheduled For: Date: 5/22/2007 Pour Time:
Code # Inspection Description Confirm # Contact # , l e�t
145 A/C or heating unit circuit 048827 -01 503-700 -3097 Y -.
Corre tions /Comments /Instructions:
A C. e ( -I e„,4_,,,,f)
vi/A)
A/c_ k.., ,,, , - ,,,..,
e .,1,...,..,A.,,,--- is----A,F F-utT__-.
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' -ASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL I I CALL FOR INSPE' ❑ ADDITIONAL FEES ASSESSED
Inspector: ' �'G "� — _` 7 Dat- 6141 Phone #: (503) 718 - 2-44
r
4 . , „. _ - •