9640 SW DARMEL COURT 0
d
rn
r
n
E
t
r
i
9640 SW DARMEI. CT
CITY OF TIGARD ELCCTRICAL PERMIT
PERMIT,'r: ELC2003-00546
DEVELOPMENT SERVICES DATE ISSUED: 8/29/1",
13125 SW Hall Blvd., Tigard. OR 97223 (503) 639-4171 PARCEL: 2S111CA-13500
SI-rE ADDRESS: 09640 SW DARMEL Cl
SUBDIVISION: DARMEL N0.2
0NING: R-3.5
BLOCK: LOT : 0:17 JURISDICTION: TIG
Project Description: Reconnect only.
_ RESIDENTIAL UNIT _ TEMP SRVC/FEEDERS MISCELLANEOUS
1000 SF OR LESS- 0 200 amp: PUMP/IRRIGATION:
EACH ADD'L 500SF: 201 - !00 amp: SIGN/OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL:
MANF IfM/SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10):
—_ SERVICE/FEEDER —BRANCH CIRCUI'S ADD'L INSPECTIONS
0 200 amp: W/SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 'st W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: -- _— _ _ PLAN REVIEW SECTION
1000+ amp/Volt: —4 RES UNITS: A >600 VOLT NOMINAL:
Reconnect only: 1 SVC FDR—225 AMPS: CLASS AREA/SPFC OCC:
Owner: Contractor:
KURTJOHNSON
(WAS FORMER RENTER,
WHO BOUGHT HOME)
Phone: Phor--
Reg #:
FEES
Description Date Amount Required Inspections
[ELPRM I j Ll t'Permit 8/2903 $66.85 --
[TAX]8%Sr,<< I x 8/29/03 $5.35 Elect'I Final
Total $72.20
This Permit is issued subjed 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 accordi�noe with approved plans. This permit will expire if work is not started within 180 days of issuance,or if work is suspended
for mgre-than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
for
in OAR 952-001-00110 trrough OAR 952-001-0100. You may obtain copies of these rules or direct questions to OUNC at(503)246.6699 or
1- 00-332-2344.
ISS
ed 14
By: r � — Permit Signature: ^—
OWNER 114STALLATION ONLY _
The installation is being made on property I own which is not intended for sae, lease, or rent.
OWNER'S SIGNATURE: _--_-.- -- ----------^-.-----_--- DATE:
C-.)NTRACTOR INST ALLATION ONLY
SIGNATURE OF SUPR. EL.EC'N: DATE:_
LICENSE NO:
Call 639-4175 by 7:00pm for an inspection thA next business day
Electrical Permit Application Received
— ij Electrical ,
11 Dete/B : Permit No.:
City of Tigard pea ing Approval — Sign
Permit No.:
13125 SW Hall Blvd. Plan Review Other
Tigard,Oregon 97223 Date/By: Permit No.:
Phone: 503-639-4171 Fax: 503-598-1960 Post-Review Land use
Internet: www.ci,tigard.ot.us Date/By: Case No.:Contact J See Paqe 2 for
2 i-hour Inspection Request: 503-639-4175 Name/Method: /a I Sn lemental Information.
1;r'�'���;�T +�'s..��O�VCJ tit - ,•sect ''� ��• Pte____.". _
New constructior ❑ Demolition El Service over 225 amps- 11 Health-care facilaN
Addition alteration/re 18CCment ❑ Other: ❑conarercial ❑Hazardous location Service over 320 amps-rating of ❑Building over 10,000 square feet,
�+`'• t — v-'- y" I&2 fantily dwellings four or more residential amts in
I &2-Family dwelllnL]Commercial/Industrial ❑System over 600 volts nominal one structure
Access0 BuildI T Multi-Famil Building over three stories ❑Feeders,400 amps or more
rYY Occupant load over 99 persons ❑Manufactured structures or RV park
Master Builder Other: ❑Egress/lighting plan ❑Other:
Q7 Submit sets of plans with any of the above.
Tire above are notapplicable to tem rorar construction service.
Job site address Cj E�I ,�• t.. yys�` .- -,� f _
Suite Bld ,/A t.#: L Number of ins ections pe, ternut allots ed
Project Name: II r.a.'T Description Qty Fee(ea.) I Total
New residential-single or multi-family per +
Cross sheet/Directions to job site: dwelling unit.Includes attached garage.
Service Included:
1000 sq.ft.,r less _ _ 145.15 4
Each additional 500 sq.ft.or rtion thereof 33.40 1
Limited^.ner ,residential 75.00 2
Subdivision: Lot#: Limited energy.non residential 75.00 2
Ta.:map/parcel#: Each manufactured home or modular dwelling
WON s- service and/or feeder 90.90 2
Services or feeders-Installation,
alteration or relocation:
_`1--� - -- ----- -- 200 amps or less 80.30 2
201 ams to 400 amps 106.85 2-
401 ams to 600 amps _ 160.60 2
601 amps to ;000 amps 240.60 2
Over 1000 araps or volts 454.65
Name: �•: 4,��C s Reconnect only 66.85 2
Address: �'�/�" r t c t i` ( Temporary services or feeders-installation,
Cit /Statp'Zl . ' �1 c- t alteration, le relocation:
p� ✓ / t''C� ' ' � L / ��� 200 amps or leas 66.85 1
Phone: If 7/-2)9 -/C'C' Fax: 201 ams to 400 ams 100.30 _ 2
401 to 600 ams 133.75 2
Branch circuits-new,alteration,or
Name: _ extension pe-panel:
Address: A.Fee for branch circuits with purchase of
service or feeder fee,each branch circuit 6.65 2-
City/State/Zip:
Cit /State/Zi : B Fee for brunch circuits without purchase of
service or feeder fee,first branch circuit 46.85 _ 2
F
Phone: ax: Each additional branch circuit 6.65 2
E-mail: Mise.(Service or feeder not included):
Each pump or irrigation circle 53.40 2
Each sign or outline lighting 53.40 2
Job No: Signil circuits)or a limited energy panel,
Business Name: alteration,or extension Pae 2 2
-- — Description:
Address:
City/State/Zip: Each additional Inspection over the allowable in aril of the above:
— — Per inspection - -- - - - —
pe per hour(min. 1 hour � 62.50
Phone: _ Fax: Investigation fee: _
CCB Lic. #: Y Lic. # Other
Supervising electricianI `_ Subtotal $ F.
signature required: I Plan Review 25%of Permit Fee S
Print Name: Lic.#: 1 _"—State Surcharge(8%of Permit Fee) S _
TOTAL PERMIT FEE S '7RA_J
Authorized 1 t 1 -� A Notice: This permit application expires if a permit is not obtained within
Signature: l/\�yl�J ✓�'v � Date:-ZV 180 days atter it has been accepted as complete.
*Fee methodology set by Tri-County Building Industry Service Board.
(Please print name) —
i:\Dsts\Permit Forms\ElcPetmtApp doc 01/03
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
RESIDENTIAL WORK ONLY:
Feefor 511 systems............................................................ $75.00
Check Type of Work Involved:
0 Audio and Stereo Systems*
Burglar Alarm
Garage Door Opener*
Heating,Ventilation and Air Conditioning System*
Vacuum Systems*
Other _
COMMERCIAL WORK ONLY: _
Fee for tab system......................................................... $75.A
(SEE OAR 918-260-260)
Check Type of Work Involved:
M Audio and Stereo Systems
Boiler Controls
Clock Systems
Data Telecommunication Installation
Fire Alarm Installation
L' HVAC
DInstrumentation
EJintercom and Paging Systems
DLandscape Irrigation Control*
Medical
Nurse Calls
Outdoor Landscape Lighting*
Protective Signaling
Other --- ——-
__Number of Systems
* No licenses are required. licenses are required for all
other Installations
i:\Dsts\Permit Forrm\ElcPermitAppPg2.doc 01/03