Permit CITY OF TIGARD / d g ELECTRICAL PERMIT
` !! v PERMIT #: ELC2006 -00518
.,i 111- DEVELOPMENT SERVICES DATE ISSUED: 9/15/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S101 BB - 01400
SITE ADDRESS: 12176 SW GARDEN PL BLD3 ZONING: C -
SUBDIVISION: PARK 217 LOT : 002 JURISDICTION: TIG
Project Description: 6 branch circuits.
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: 5 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:
SPIEKER PROPERTIES LP YOUNG ELECTRIC
4380 SW MACADAM AVE STE 100 PO BOX 338
PORTLAND, OR 97201 MAPLETON, OR 97453
Phone: Contact #: FAX 503 - 646 - 0960
PRI 503 - 706 -9867
FEES
Description Date Amount Reg #: ELE 20 - 452C
[ELPRMT] ELC Permit 9/15/2006 $80.10 LIC 141333
[TAX] 8% State Surcharge 9/15/2006 $6.41 SUP 37835
Total $86.51 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: d, Permittee Signature:
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.
Sep 14 08 01:31p p.1
II
Electrical Permit Appl , r• f t� F l i p,_••
'J p • FOR O F I l (l. 1 � i I) \ I . l
City of Tigard � Q /1 M4' 405 Permit N&e 'h 0O/p __vo5/ g'
13125 SW Hall Blvd., Tigard, OR 97223 ' i
SEP 14 2 .;. 0; > P � R Pernit:
Phone: 503.639.4171 Fax: 503.598.1960 1 � DandBC ,
Inspection Line: 503.639.4175 . 4 1 Date Ready/By. +/ I IB See Page 2 for •
Internet: www.ci.tigard.or.us g X rjj jl1/4.Aili'a), Notified/Method: / Supplemental Information
4 rjr0 l{K '�• 'IC 1 -c li f l . PLAN REVIEW
❑ New construction [Addition/alteration/rcplacement Please check all that apply:
❑ Demolition ❑Other; ❑Scrvice over 225 amps, oomm'I ❑Hazardous location
❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
CATEG RY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
❑ I- and 2- family dwelling ad Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi - family ❑Master builder ❑ Other ❑Building over three stories ['Feeders, 400 amps or more
❑Occupant load over 99 persons ['Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑E s/lighnng plan RV park
❑Health -care facility ❑Other.
Job no.: 1 Job site address: 11 1 - A- G W /.•. vd e rk PL . Submit 2 sets of plans with my of the above.
City /State/ZIP: 1 "1 Ci.v 1 log /q -4- z L3 The above are not applicable to temporary construction service.
i FEE' SCHEDULE
Suite/bldg. /apt. no.: 3 I Project name: nYG-,t 4 4 .
Desaipties Q,,. I tee Teed I •.
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
H VV ■ Q(C( cl- 1h H v Z l - 1- 1,000 sq. ft. or less 145.15 4
Subdivision: ` Lot no.: Ea. add'I 500 sq.fft. or portion 33.40 1 I
Limited Tax map/parcel no.: energy, residential 75.00 2
Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
dwelling, service and/or feeder _ 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER I ['TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: iA { 7 G x , 1_0,13 ov` .I -cy;:Ys 601 amps to 1,000 amps 240.60 2
Address: \ Z ` --A_ Lc imi 6.G, vt ,l Pi- Over 1,000 amps or volts 454.65 2
/ Reconnect only 66.85 2
City/State/ZIP: ;41 (ti.�-c� `vim, i 4-4 - 2.- - Z3 Temporary services or feeders installation, alteration, and/or
Phone: (3) I Fax: ( ) relocation
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 I ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
Contact name: B. Fee for branch circuits
without service or feeder fee, / 46.85 I /6 .8 2
Address: first branch circuit
Each add'l branch circuit .5 6.65 .5%,4,26" 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax: : ( ) Pump or 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: li, v ,, C.1/4.11 (4-
Address: Each additional inspection over allowable in any of the above
� lt. 3 7 g Per inspection 62.50
City /State/ZIP: j\kk V ( -,?.4jy 16-(2_ j L` S 3 Investigation per hour (1 br min) 62.50
Phone: ( -
I ) 24, X t.n- 7-( f Fax: ( 51k 1 ) z g - Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lic.: Electr Lic.: Su Lie.:
l� i 3 ; aG y5a I 3 7 Subtotal
5L. is
Suprv. Electrician signature, required: /..--- Plan review (25% of permit fee)
Print name: 3/t0% a I
Date: State surcharge (8% of permit fee) 6 t y
TOTAL PERMIT FEE j N ; - -I
Authorized signature: '7 - I- et / --0 7
�� This permit application expires if a permit Is not o • • ed within 180
I days after it has been accepted as complete
Print name: Date: • Fee methodology set by Tri- Coxmty Bedding Industry Service Board
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