Loading...
Permit CITY OF TIGARD., ': _ , ET PERM C #: RICAL ELC2007 -00PERMIT 772 COMMUNITY DEVELOPMENT DATE ISSUED: 11/15/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S114BB -11300 SITE ADDRESS: 10363 SW KERI CT ZONING: R-12 SUBDIVISION: SWANSONS GLEN LOT : 054 JURISDICTION: TIG PROJECT: TERRILL Project Description: (1) branch circuit for fish tank. Job No. 3083 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: BILL TERRILL PERFORMANCE ELECTRIC 10363 SW KERI CT 14674 SE SUNNYSIDE RD #170 TIGARD, OR 97224 CLACKAMAS, OR 97015 Phone: 503 - 329 - 0305 Contact #: FAX 503 - 656 -0693 PRI 503 - 656 -0496 FEES Description Date Amount Reg #: ELE 3 -582C - [ELPRMT] ELC Permit 11/15/200' $46.85 LIC 161535 [TAX] 8% State Surcharge 11/15/200' $3.75 SUP 4499S Total $50.60 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 rule se fo h in 0 • R 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies ese rules or direct questions to OUNC at 503.246. 99 or 1 .800... .23 i4. • Issued / MO 4 / . Permittee SignaCe: ,t_- �/ 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: a TRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: —% � Qi DATE: r r 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. fIllr5 07 08 :58a Performance Electric LLC 503- 656 -0693 p.1 Er ri c r ai Permit Applies " 11 vox Ol FitAli t'SE ONLY C :y of Tigard ia , y ' Y Raxived /1 /S 67 • y Permit No.: ei dApp7 t0 ? ?� 13125 SW Hall Blvd., Tigard, OR ' 1 5 'Lou, Phone: 503.639.4171 Fax: 503598.1 ?t` ,:,e : " n /BBy Other Permit Tnspection Line: 503.6394175 G f r. m an � j1 1_l' Dm Read1'/BY l Sete e Internet www.ci.tigard.or.us A'�'6y 0` f li7�rty °® - ° = ° Notified/Method // /di. SeppH l�ea Pagra2 t lnf orm atioa ik% Miatiggr PLAN REVIEW 0 New construction J Additibn/alteration/replacement Please check all that apply: ❑ Demolition O�� ['Service over 225 amps, comm't ❑Hazardous location ❑Service over 320 snips –rating QBuildng over 10,000 sq. It, CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one st uclure Multi-family 0 builder ❑Building over three stories ❑Feeders, 400 amps or more JOB SITE INFORMATION AND LOCATION ❑Occupant load over 99 persons ❑ park structures or RV ❑E8ressllighling plan p Job no.: 3 Q 3 Job site address: �3 �- ❑Health -care facility ❑other: _ 4 • S _ t'-C ! ` -1 f ' Submit 2 sets of plans with any of the above. City/State/ZIP: rl l a Gj / i l C '/- J f �, The above are not applicable to temporary construction service. `}' 1 y FEE* SCHEDULE Suite./bldg /apt. no.: Project name: ( Z- ( } / cestri.w. I ter. i ea. f Tend I ,. Cross street/directions to job site: New residential single- or multi- family dwelling unit /� ` {� , Includes attached garage. �' ! `1 u �t �t Q . Y'r1 1,000 sq. ft. or less . 145.15 4 _ Subdivision: 1 Lot no.: �- add'1500 sq. ft_ or portion 33A0 1 Limited energy, residential 75.00 2 Tax map /parcel no.: Limited energy, non-residential 75.00 2 ` DESCRIPTION OF WORK ► Each nranufattmed or modular r r- �. t. LE '� c.L.-t.l''i"c. . ' ' « / 1s. t. rL dwelling, service and/or feeder 90.90 2 Services or feeders instanation, alteration, and/or relocation 200 amps or less 80.30 2 ROPERTY OWNER I © TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: , / / , )� l I f _ 60I amps to 1,000 amps 240.60 2 Address: 1 U %- ' j� r 3 S L ,, ) ' J �' Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State/ZIP: .¶ 1 ;,A Gl !' L9 9 _ - 11 �� ,mil Tempo services or feeders installation, alteration, and/or Phone: (5 ) l �`-C ' r c" I Fax: ( ) relocation 1 J 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 - ❑ APPLICANT [ ❑ CONTACT PERSON - A. Fee for branch circuits with - - service or feeder fee, each Business name: branch circuit 6.65 2 B. Fee for branch circuits Contact name without service or feeder fee, J Address: first branch circuit ( 46.85 7 W, Sal 2 Each add'! branch circuit 6.65 I f 2 City/ State/ZIP: Miscellaneous (service or feeder not included) Phone: ( ) Fax: : ( ) Pump co irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited- CONTRACTOR energy panel, alteration, or - extension. Describe: Page 2 2 Business name: Fe rz ,,/,,:. U ,._c(_ , e . RI e c_ '/-/Z 1 c_ - Address: j y r C 4'../7 Each adrEtional inspection over allowable in any of the above � t) Y1, - S'i . Cle- � ~ Per inspection 62.50 -- 2� Investigation how 1 hrmin) 62.50 Ci IStatel2IP: �., ?,r� -� 1,/, �/ fi t'/ t) C� ' � per ( Phone: (57/3 ) G � 1 G. / /� 7 Fax: ( . 5 .— ) -- ,. (7 – 4., Industrial plant per hour 73.75 CCB Lia: Electrical Lic_ I Su /cam C ELECTRICAL PERMIT FEES' i/. gel 5 : / - 5 3 per . Lie.: y _ Subtotal Suprv. Electrician signature, required 4 cli�✓�, �� Plan review (25 %of permit fee) -- — 3• Punt name: _ J State surcharge (8% of permit fee) Sse , ,,t, _-_–_\.€_,, l vim Date: I / /3 07 c TOTAL PERMIT FEE Authorized signature: / ( I t f ir 1-- , `` — Y /- y- � it application expires if a permit is not obtained within 160 Print name: / 4 a days abet-it lass beau aecepeed as °amptetr L/ 4 1 C 1'l,, , € / I Da te / / r_ 76 ! Fee mediorkdogy sd by Tri+Cooary Burling Industry Service Board X 0 /4 10 4.4 "6 Rot, - 7 - 4, a fr. ,,,,,, , , , fL .. '/7 in 6'v 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -07772 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/16/2007 Phone: (503) 639 -4171 his it ytl iiii Inspection Requests (24 Hrs.): (503) 639 -4175 1 INSPECTION WORKSHEET FOR DATE: 12118/2007 TIME: 7:01,+1 PAGE: 75 SITE ADDRESS: 10353 SW KFRI .CT CLASS OF WORK: SUBDIVISION: SWANSONS GLEN LOT #: 054 TYPE OF USE: PROJECT NAME: TERRILL_ DESCRIPTION: (1) branch circuit for fish tank_ Jth No. 3083 OWNER: TERRILL, BILL PHONE #: 603 - 329-0305 CONTRACTOR: PERFORMANCE ELECTRIC PHONE #: 503 - V3G - 0496 Inspection Request Scheduled For: Date: 12/113/2007 Pour Time: '} Inspection Description Confirm # ontact # Message / /' 7 Code # Ins p p 9 �� D � 199 Electrical final 061607 -01 50� 323.0305 Y r i t i , 4.----- Corrections /Comments /Instructions: 0 ,14LI .' jalfj1 lib. MillliM .ar ' � �n /G t}J= . , milir t -,-.0■Apk. , *Tv 01 ! AV i ', , JO Aza.:z .1--6/).-17 - „mom. 11 / �. - 0 AIWWIff r r /' , , SS I I P', APPROVAL n CANCEL n NO ACCESS VP j; ! 'ALL F0 INS '' CTION n ADDITIONAL FEES ASSESSED Inspector: I Date: `,Z /' ` one #: (503) 718 -.2 2-e,