Loading...
Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT ED : E /24/20 -00601 COMMUNITY DEVELOPMENT DATE ISSUED: 10/24/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S11466 14100 SITE ADDRESS: 10420 SW KENT ST ZONING: R -12 SUBDIVISION: SWANSONS GLEN NO.2 LOT : 0$2 JURISDICTION: TIG PROJECT: ADEN Project Description: Reconnect gas 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: 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: JEFF ADEN BEN'S HEATING & A/C 10420 SW KENT ST PO BOX 80607 TIGARD, OR 97224 PORTLAND, OR 97280 Phone: 503 - 620 -7255 Contact #: PRI 503 - 233 -1779 FAX 503 - 651 -3345 FEES Description Date Amount Reg #: ELE 49LHR [ELPRMT] ELC Permit 10/24/2002 $46.85 LIC 64597 [TAX] 12% State 10/24/2002 $5.62 Total $52.47 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 suspend=: or mor- ■ an 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those les are set fort in • • . 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.2.6.6699 or 1.800.3 .234• Issue• / , Permittee Signatur r _L 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. 1 08:00 FAX 5036513345 BENS - HEATING &AIR ; VI 002 - ' E lectrical Permit Application RECEIVE')' l OR OIFk<'E t'si: ONI. . ' _ ' City of Tigard 2008 Date/13v; e ld 'TV r 0 4s( 11111 ' Permit No.: C kia, ,;(:)/ f: V 13125 SW Hall Blvd., Tigard, OR 97223 OCT 2 4 2008 plan Review 1 Other Permit: Phonc: 503,639,4171 Far'. 503.598.1960 Date/By: Inspection Line: 503,639,4175 Date Ready/By: . - J�u ®See Page 2 for fIl:A1tP) Internet: www,tigard- or.gov CITYOFTIGARD � Notified/eld: " f , Supplemental Information ' 's ill O '%WO> 0lV .,' 41 : ' y " " > a " PLAN:. REVIEW ... , D New construction Addltion /alteration/replacemcnt Please check all that apply (submit sets of plans w /items checked bettne): ❑ Service or feeder 400 amps or more Q Building over three stories. ❑ Demolition ❑ Other; where the available fault current ❑ Marinas and boatyards. ' ''. ,, ' :, ` ` 'CAT GOR'lt' iOF.c .. . "'f ;; J,'? l,P.)' rt l'i t ; : i ?' exceeds 10,000 amps at 150 volts or ID Floating buildings. F�NSCRUCTIQPC YaN , . a less to ground, or exceeds 14,000 El Comma "ial agricultural (A 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installation.. buildings. © Multi- family © Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or AN . ., r . n l kj , rs,,y,u ❑ emergency system, larger separately derived system. _ TE I NF JOB SI " O R) M A TI O TV I , .: f O , , , � e,: N6 , ,,,,;, s y ,, . a .,,,, ❑ Addition anew motor load of ❑ "A" °E" "I - 2",' 1 - .lob no.: Job site address: l LJ ^� ,�j IOOHP or store. occupancy. / D 7p [/ ❑Six or more residential units, ❑ necienrional vehicle parka CIIy /S[Afe /TIP: ❑ Health -care facilities. ❑ Haurdous locations, ❑ Supply voltage for more thmt A _ �� 7 �. 600 volts minimal, "[ Suite /bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more. Cross ' ` tI " , ' rass strect/directions,to U LE. ' job site: Pwcripllgn -- I Qty. I Fre, 1 Total I New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. it or less 145.15 4 • Ea. add'I 500 sq. ft. or portion 33,40 I Tax map /parcel no.: _ • - Limited energy, residential 75.00 2 DESCRIPTION Of WWOU( i: :Z, ;7 ' a jF .!ir 4,i ?i *4r ;. « )ii. , (with above sq. R,) Limited energy, multi - family 75.00 2 Re. (, J�V e�'"� ( f}- Fite y✓l44,e -- residential (with above sq. fl,) _ Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 . . PRQPERTX , "r, r i d `� c` i' :*r'N4. T'x�,`'l�"" 0.4 : 201 amps 10 400 amps 106.85 2,.. - Name: ' e. !1 Td._ �J 9 401 amps to 600 amps 160.60 2 /0_31a0 J 601 amps to 1.000 amps 240.60 2 Address trt C �e /V 1 y / 2 t° ( OM 1,00 amps or volts 454,65 ity /Stato /ZIP: i -4� ' d& p 9-1,A-zit Temporary services or feeders Installation, alteration, and /or _ relocation phone; ( 3 ) 6 7a6- Fax; ( ) 200 amps or less 66,85 I Owner installation: This installation is being made on property that 1 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, vet- pony) A. Fee for branch circuits with .. , / :0 APPLICANT •i ..coNrrAcr PEItfior.r.7. ; 7 ' . r above service or Ibeder fee. 6.65 2 each brunch circuit _ Business name: 11 } w A ir (Oh dr errs (7tq LL C (3, Fee for branch circuits without service or feeder fee, 46.85 2 Contact name: l 1 1 d e e ri ru first branch circuit Address: Each add') branch circuit 6.65 2 Miscellaneous (service or feeder not included) City /5tatclLil': • Hach manufactured or modular 90,90 2 G dwelling, service und/vr feeder Phone: (5-r, ) 3 l3 - 79¢ U Fax: (° ) 4 n -33 �' Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 . CON'CRACTQR: "'' 'r. "''. Sign or outline lighting $3.40_ 2 Business name: -f- Signal circuits) or limited - + 1 f 1 4 e..G - na Y" Pn ;,, , dr r, ,0 4 4 c_. energy panel, alteration, or extension, Describe; Page 2 2 Address: U P, a. e w 4, a7 City/State/ZIP: - f- ( &ma X7 2 q 7 Each additional inspection over allowable in any of the above f . Per inspection 62.50 Phone: (spa ) - .1' 3 - Fax: (ST 3 ) G :S' /— 33 '1.1~ Investigatiol�er hour (I hr min) 62,50 W CCB Lie.: 6/ 7 Electrical Lie.: ' L.6e4 Suprv, Lic.: Industrial plant per hour 73.75 ELECTRICAL PERMIT Electrician signature, requ : . Subtotal ' FEES uS � — Suprv. E' n ` ru i Plan review (25% of permit lee): t name: 1 rate: -_-,^r Slate surcharge (12% of permit fee): Authorized signature: i el . �- r► TOTALPERMIT FEE; g 7 �! Print name: 1 / e (7 /�u Date: 2 +/ / at This permit application expires if a permit is not Amine within IRO `r (y 4 r � / + _ __ /� /r�7 //L� days after It has been accented as complete. J ' Number of inspections allowed per permit. I illui ldng1Pomtitr \F,LC- PermitAppdoe 01/21/06 440'4615T(I1MS/COM/WEB CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC200B -00001 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/24/2008 Phone: (503) 639 -4171 4 4110 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/12/2008 TIME: 7:00AM PAGE: 49 SITE ADDRESS: 1020 SW KENT ST CLASS OF WORK: SUBDIVISION: SWANSONS GLEN NO .2 LOT #: 082 TYPE OF USE: PROJECT NAME: ADEN DESCRIPTION: PecOnnect as furnace. OWNER: ADEN, JEFF PHONE #: 503620.7265 CONTRACTOR: BEN'S HEATING & A/C PHONE #: 503233.1779 Inspection Request Scheduled For: Date: 11//212008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 077913 -01 603-233-1779 Y Corrections /Comments/ Instructions: i (PASS n _ PARTIAL _ APPROVAL n CANCEL ❑ NO ACCESS n FAIL _ CA FOR INSPECTION El ADDITIONAL FEES ASSESSED i '1 ��� Inspector: Or Date: Phone #: (503) 718- •