Loading...
Permit / ELECTRICAL PERMIT p CITY OF TIGARD ' COMMUNITY DEVELOPMENT Permit #: ELC2009 -00534 T 1('ARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/14/2009 Parcel: 2S109AB15400 Jurisdiction: Tigard Site address: 14165 SW ALPINE CREST WAY Subdivision: ALPINE VIEW Lo . 35 Project: Alpine View Project Description: New service for sales trai -r. 12/1/09, adding feeder. Owner: FEES WEST HILLS DEVELOPMENT Quantity Description Date Amount 735 SW 158TH AVE BEAVERTON, OR 97006 1 ea Services or Feeders - 200 10/08/2009 $100.70 amps or less PHONE: 503- 641 -7342 1 ea 12% State Surcharge - 10/08/2009 $12.08 Electrical 1 ea Services or Feeders - 200 12/01/2009 $100.70 Contractor: amps or less GARNER ELECTRIC 0 ea 12% State Surcharge - 12/01/2009 $12.09 2920 SE BROOKWOOD AVE A Electrical HILLSBORO, OR 97123 PHONE: 503 - 591 -1320 FAX: 503 - 642 -7925 Type of Use: CMS Class of Work: NEW Type of Const: Occupancy Grp: Total $225.57 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. A • ON: • - : •n law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -00 -0010 through OAR 9 • -0. 0100. You may obtain a copy of the rules or direct questions to OUNC by calling 50 . 699 or 1.800.332.2344. Issu • . By: _<<� Perm ittee Signature: L o r--0 -C 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' 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. III :- CITY OF TIGARD ELECTRICAL PERMIT ; , COMMUNITY DEVELOPMENT Permit #: ELC2009 -00534 TIGARD, 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/14/2009 Parcel: 2S109AB15400 Jurisdiction: Tigard Site address: 14165 SW ALPINE CREST WAY Subdivision: ALPINE VIEW Lot: 35 Project: Alpine View Project Description: New service for sales trailer. Owner: FEES WEST HILLS DEVELOPMENT Quantity Description Date Amount 735 SW 158TH AVE BEAVERTON, OR 97006 1 ea Services or Feeders - 200 10/08/2009 $100.70 amps or less PHONE: 503 - 641 -7342 1 ea 12% State Surcharge - 10/08/2009 $12.08 Electrical Contractor: GARNER ELECTRIC 2920 SE BROOKWOOD AVE A HILLSBORO, OR 97123 PHONE: 503 - 591 -1320 FAX: 503- 642 -7925 Type of Use: CMS Class of Work: NEW Type of Const: Occupancy Grp: Total $112.78 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 i ccordance ' ka pproved 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. ENTION: Oregon equires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -00 -0010 thr•ugh OAR 11 -0 r r You may obtain a copy of the rules or direct questions to OUNC by calling 503 45.6699 or 1.800.332.2344. , Issu By: _ `. ` / Permittee Signatur• 411111P ! ! d_ : _r. / V' ' 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' 41111111.11111111t. . 4 f/� ,: I Date: -'vl:— f 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. Electrical Permit Applicatio F'OR OFFICE USE ONLY j a' e ceived �� - .. City o f Tigard RECE � �� / �r i �� Pr 13125 SW Hall Blvd., Tigard, OR 97 223 Ptan Review Other Permits: Q 20 Date/By Phone: 503.639.4171 Fax: 503r56 03.5 8 T1 9b 0 Date Ready By ���� I U See Page 2 For Supplemental Infouna T1"1lCto/l(1m Inspection Line: 503.639.4175 Notified/Method: � �,�, lur'� /7 non Internet: www.tieard- or. CITY OF TIGAR� -177 ' e9GCJ'T'000// TYPE Otk I G DIVISION_ PLAN REVIEW O New construction ❑ Addition /alteration /replacement Please check all that apply (submit 2 sets of plans w /items checked): ❑ Service or feeder 400 amps ❑ Hazardous locations Q Demolition ❑ Other: or more where the available ❑ Service/feeder 600 amps or more CATEGORY OF CONSTRUCTION f ault current exceeds ❑ Building over three stories ' - - - ' - 10,000 amps at 150 volts or ❑ Marinas and boatyards Q I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building less to ground, or exceeds ❑ Floating buildings ❑ Multi - family 0 Master builder ❑ Other: 14 amps for all other ❑ Commercial-use agricultural buildings installations. JOB'SITE INFORMATION AND LOCATION ❑ Installation of 75 KVA or larger ❑ Fire pump separately derived system Job no.: I Job address: 14165 SW Alpine Crest Way ❑ Emergency system ❑ "A ", »E ", "1- 2 ". "1 -3" occumancy City /State /ZIP: TIGARD OR. 97224 ❑ Addition of new motor load of 100HP or more ❑ Recreational vehicle parks Suite/bldg. /apt.no.: I Project name: ❑ Six or more residential units ❑ Supply voltage fot more than ❑ Health -care facilities 600 volts nominal Cross street /directions to job site: - FEE SCHEDULE. Description I Qty. I Fee I Total Subdivision: ` ALPINE VIEW I Lot no.: 35 New,residential single- oamulti- family dwelling unit. Includes - attached garage. - Tax map /parcel no.: 1,000 sq. ft. or less 145.15 4 DESCRIPTION OF WORK ' .. Ea. add'l 500 sq. ft or portion 33.40 SALES TRAILER Limited energy, residential 75.00 2 ( with above sq. ft.) Limited energy, multi-family 75.00 2 residential ( with above sq. ft.) IZI PROPERTY'OWNER i ❑ TENANT Services'or feeders.installation; alteration, and /or relocation Name: WEST HILLS DEVELOPMENT 200 amps or less / $11p90' _140 •7 I 2 Address: 735 SW 158th AVE 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 City /State /ZiP: BEAVERTON, OR. 97006 601 amps to 1,000 amps 240.60 2 Phone: ( 503) 641 -7342 Fax: ( 503) 641 -7661 Over 1,000 amps or volts 454.65 2 Owner installation: This installation is being made on residential or farm property owned by nie or a member of Temporary services or feeders installation,alteration,and /or relocation my immediate family. This property is not intended for sale, exhange or rent. (ORS 479.540(1) and 479 560(1) 2 200 amps or less 1 Owner signature: Date: — D APPLICANT I © 201 amps to 400 amps 100.30 2 CONTACT PERSON 401 amps to 599 amps 133.75 2 Business Name: \VEST HILLS DEVELOPMENT Branch circuits - new, alteration, or extension,,per panel' A. Fee for branch circuits pith Contact Name: ANGIE COOK above service or feeder fee, 6.65 2 each branch circuit , Address: 735 SW 158th AVE B. Fee for branch circuits without' service or feeder 46.85 2 City /State /ZIP: BEAVERTON, OR. 97006 fee, first branch circuit Phone: ( 503 ) 726 -7042 I Fax: ( 503 ) 641 -7661 Earls add'1 branch circuit 6.65 Miscellaneous ( service or feeder not included ) E -mail: acook @arborhomes.com Each manufactured or modular 90.90 2 CONTRACTOR dwelling, service, and / or feeder - Reconnect only 66.85 I Business Name: GARNER ELECTRIC — Pump or irrigation circle 53.40 2 Address: 2920 S.E. BROOKWOOD AVE. Sign or outline lighting 53.40 2 CiY /State /ZIP: HILLSBORO, OR. 97123 Signal panel, or limited- 2 y energy panel, alteration. or Page 2 Phone: ( 503 ) 648 -4552 I Fax: ( 503) 642 -7925 extension Describe: Each additional inspection over allowable in any of the above CCB Lie.: 121159 I Electrical Lie.: 34 -305C I Suprv. Lie.: Per inspection 62.50 Investigation per hour (1 hr mnt) 62.50 Suprv. Electrician / Industrial plant per hour 73.75 signature, required: / ELECTRICAL,PERMIT FEES Print name: CHUCK GARNER I Date: 10/2/2009 Subtotal /QQ. 70 Plan review (25% of permit fee) 4; Authorized Signature: State surcharge (12% of permit fee) . /,'t, ' t TOTAL PERMIT FEE J/.1. / tS _ Print (lame: ANGLE COOK I Date: 10/2/2009 This permit application expires if a permit is not obtained /a . 1 within 180 days after it has been accepted as complete. ;' I.\ Building \Pemtits \ELC- PetmitApp.doc 05/23/06 440- 4615T(11/05/COM/WEB) * Number of inspections allowed per permit