Loading...
Permit p CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2012 -00133 TI G A.R. D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/09/2012 Parcel: 2S104AD02100 Jurisdiction: Tigard Site address: 12585 SW 128TH AVE Project: Hopp Subdivision: BELLWOOD Lot: 48 Project Description: (1) branch circuit for can lights added to kitchen. Contractor: OWNER Owner: HOPP, CARL & TIFFANY 12585 SW 128TH AVE TIGARD, OR 97223 PHONE: PHONE: 503 - 724 -7527 FAX: FEES Quantity Description Date Amount 1 crt Branch Circuits wo /Purchase 03/09/2012 $56.18 Specifics: Service or Feeder 1 ea 12% State Surcharge - 03/09/2012 $6.74 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $62.92 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 thro.. O • _ • 52 -r • 0090. You ��vtl may a copy of the rules or direct questions to OUNC by callin • r -. - 2.1987 or 1.800.332.2344. Issued By: � GC-f_ Permittee Signatu —� ' 1 "? '' OWNER INSTALLATION ONLY The installation is being made on property I own ich is not intended for sale, lease or rent. OWNER'S SIGNATURE -1 11 0 , • .2 1_ taiir A Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m. for the next available inspection date. 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. From:crimson trace corp . 03 783 5334 03/0812012 09:14 #193 P.001/002 RFerv,.. k, I pR O1 1 1l I I tit, p \1.1 P I:SE O .: .1 dI01 Ov Electrical Permit a hcahon 8 2012 Received g g / O t 1 City of Tigard �, p(� eview other�Pera,ie 13125 SW Hall Blvd., Tigard % 9g . YIGA' `D p Ready/By: 1111 • - dylBy: 03.7 18.2439 Fax: 1 Inspection Phone: 5 Lin 503.639.4 ti ..1111 O UG DVV N Date a a d►cthod: y , , u: a ' a s :� V: D ti and or.gov 1 , -..4 .;, e '=� '7,. � s , 0 , -f ,Q -- - m .:, : „, ch below). . ., T 1 i t: www g ; x v -.:e * , . a'.8'F ? . "` t +� ' -_ chock t plans win x �i'a � � : :L�� ..K, A. ti • >uj . - +. � apply (submit � acts of p r i"'Vtt. T i"� ` '"� �'''`: or all t 400 Y g over three s r�.�p j(4 r .. N ':.5:;t : ,,' :- Please ch or more ❑ Buildin ov 0 : � sins- ::. ctio�t.�7 r r," i = M` Ad it ion /F{ , tion/ a or feeder 400 amps over three ee • stories. to P�, ^�';� "f �''� 'i :j , �� " `., � Addition/alteration/rep lacement ❑ fault current 0 Marinas `. Additionlalterat► eP w the availab faul ❑ Floating buildings. o New construction Brit ttCtiOn _ exceeds 10,000 available 150 vote Commercial-use nd agricultural amps or ❑ O Other: v • >r ' i s r7u Y-' or exceeds 0 volts M -` �:s �Y -° - less to groun4 Demolition � r y : � '��,,',,` ���.; ��:;c���r.., buadm s. '�p�.'.'_ 4�.i. �h�': " � � i g KVA or ";� ':i° +;': fa 1 -':'. m�r ,H^ austri al 0 Accessory building amps � ❑tnst vin rY [] Fire pump. ors separately derived systesa 1. and 2 - f amil y dwelling ❑ Collt 0 Other. p E pump. system. 0"A". "E^• °o 2^, KVA ►', ❑ Master builder' -- .. rr h Ys ,tt : - ;y t' ❑Additi of new motor load occupancy. -famtl , ,-ifti ii � .• v _sti parks. r[ulti Y J 1 'C ON - w : �` c ! c ] Q G Six or or meta al Cl Roereancy. pa n;;; is '2 a� - x OB y - �- fir- O`V ` for mote than Job fi '. 8 ❑ Six a more ore. units. Sp voltage Job site address: a 5 O 5 • ❑ ktealth° facilities. volts nominal. Job IS.: O 2 q 9, ❑ Hazardous locations. l ❑ S ervice or feeder 600 amps or more. ., , ' : µ ate City/State/ZIP: �CvFF p �.:.� .h r Clty�s mir '�T � �'�iy.T� Total 0 Project name: r a / . ,, a "i + : '� unit. Suite/bldg. /apt. no.: ; " °e"' .t. or multi - family dwelling street/directions to job site: New rostd attached l garage. street/ Includes attacd garage' -�— 1,000 sq. ft oilers �� Lot no.: Fn. add'l 500 sq. ft. err portion -® Limited aurgy residential ill 75.00 1111113 Subdivision: id z y. -.�, with above 1111 75.00 m parcel no.: UItKLL - Ca-m'• ^A' t.F?�;: 4'T +a•. • ? tF,:_.;„; Limited a bove , multi - family Tax map/ parcel pPI of ! '-, & — :- ; " ,-- : --• - R alala v' r : l D r esidenti al with ab°v�e tl atte lion and/or relocation z Y'X�; s��:Rt. .vt_; � �4" �";ti.�,. a:n „. its l t� s .. `Irv.' w \ C 1 (Q- -i ` Se Side or feeders 100.70 200 amps or less �� • v -� , NR. 201 amps to 400 amps 200.34 —© ti -:;�. - 600 mops .,. T "<P�, 1.� A'�N • �''.wy`7Yi6i�J�:��t SO VW a�'r .. X::.` .< ^ °: r , ke TnT'y - ,Nj� `�i;- 401 amps . v 4VPttlt'' �' ` `kA :'t 'r "u ti,�': Y :,,e ' t<�Q ; .re <. : e t is pg'OFF1tTY %nd -• ... 601 amps to 1,000 amps 30104 S© �� ��• <-- w<.:.s. x• •..� or volts -� Name 1 t sir, Rl� ova 1,000 amps alteration and/or —_ \ ( Q/ Temporary services or feeders installation, Address: \ �S �(,J $ 3 .� Q_.3 relocation n ®�Q 200 amps or less 125.08 —© CitylStacelZlP:) �� 1 • R G� `l ' S `� 3 {' 201 amps to 400 amps i Phone: (5 a) —) . 1 Fax. (S03 ) made on property that 1 own which is not ps r - Installation is being BI`aneh e ►rcuita - new alte or erextension Owner insta ll a tion: This e , according to ORS 447, 449, 670, and 701. circuits with IIIIIIIIIIIII leas rent, exch )) g i 2— A.Fceforbreach f ' 401 a to 599 am intended for sale, e, of r Da te: _J-- above service or feeder ee, v � L.l�.���s i �';c-p; 0 ;F each branch Owner signature: ; 1 M :, ; tti t . cpNTAC1 Y .;. t � - circuits without g . branch circuit T� "fit . ri�s �z >., branch feedafee. fus circuit Business name: gachadd•lbr achcircuit c Contact name: 117heellsne°US service or feeder not ® —© Each ma, service or modular � _© Address: dwe ' " - • Reconnect only _�r© -® 2 Phone: ( ) /i ° Sign ignal c swigs) limited-energy 11119§11111 errs; n =,.: Iii r; w . v 'sa ::d .. ` on , 2 • E-mail: r' ,- •4 -;:F el alteration or extension. of the above rx =' d' `' over allowable in „ . - , :sl : s r' t@ ": Each additlona his , don o - ®� Additional inspection (I hr min) _ • Investigation (1 hr min) ~ Ind ustrial plant (1 hr min) - 78.181 la r Addres - Inspections for which no fee is 90.001 hr : listed 'A la min III v} ,: , a�y, = ¢, er r . ; a� Phone: ( ) : psis , '.. .: Electrical Lic.: Suprv. Lic.: Plan review (25% of pemtit fee): Shirt. a me: eetrician signature, C eq>pred: State surcharge (12% of permit fee): Date: TOTAL PERMIT ( : (D Z .. 9 Z This permit application e splres if a pepermit is not obtained within 15 Au t o d ays after it has been accep accepted as complete. Authorized signature: * Number of inspections allowed per permit. Print Warne: Date: �.aslsrptros7cb�'� I:�t°;na�r�luu�pem"`"°°'e°e 07/01/10