Loading...
Permit r, k -- HI CITY OF TIGARD ELECTRICAL PERMIT . . COMMUNITY DEVELOPMENT Permit #: ELC2010 -00215 Date Issued: 05/05/2010 T,IGARD' 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1 S133DA07200 Jurisdiction: Tigard Site address: 11470 SW 130TH AVE Subdivision: SUMMER LAKE PARK Lot: 0 Project: Summerlake Park Storage B Project Description: (1) 200 amp panel and (8) branch circuits Owner: FEES TIGARD, CITY OF Quantity Description Date Amount 13125 SW HALL BLVD TIGARD, OR 97223 1 ea Services or Feeders - 200 05/05/2010 $100.70 amps or less PHONE: 503- 639 -4171 8 crt Branch Circuits w /Purchase 05/05/2010 $59.36 Service or Feeder 1 ea 12% State Surcharge - 05/05/2010 $19.21 Contractor: Electrical E C COMPANY PO BOX 10286 PORTLAND, OR 97296 PHONE: 503 - 224 -3511 FAX: 503 - 295 -3012 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $179.27 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 through OAR 952 - 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503..246.6699 or 1.800.332.2344. �, Issued By: i Permittee Signature: dA V 6. /97 7 e / � O 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. Cali 603.639.4176 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. Vlay. 4. 2010 9:28AM No.6016 P. 2 Electrical Permit Ar lication :. R z ` r):: 1, u1. 1 last l �l ta)I:1 V ar -' t , .' CEIV I 1 ., ,,. „ ° City of Tigard SS ,�•-. . ` ' a 13125 SW Hail Blvd., Tigard, OR 97223 �� � 13 Phone: 503.639.4171 Fax: 503.598.1960 MAY - 4 2010 sw Other permit . Inspection Line: 503.639.4175 Deto Ready/By: L "�r�; � twie� see page I for q= Internet; www.tigard - or.gov CITY OF TIGARD Noufied/Method: E/ Supplemental Information TYPE OF 114`141! r ' • ' 1 1 PLAN REVIEW ® New construction ❑ Addition/alteration/replacement Please check all that apply (submit l sets of plans witeme checked below): 0 Service or feeder 400 amps ex more ❑ Building over three stories. ❑ Dem011tioa ❑Other _ - where the avelablc fault cwrcnt 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION : . exceeds 10,000 amps at 150 volts or ❑ Floating buildings. ❑ 1 - snit 2-family dwelling ®CotnmerciaUiadustrial loss to ground, or exceeds 14,000 p Commercial -use agri Accessory building amps for all other installations. buildings. ❑ Multi- family [f Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ em. larger separately derived system 0 Addition of new motor load of ❑ `A ". °E" "1- 2 ", "1 -3 ", Job no.: 73817 -01 1 Job site address: 11470 SW 130 ave 100HP more. occupancy. ❑ Six or more residential waits. Q Recreational vehicle packs City /State/ZIP: Tigard, OR 97224 ❑ xwtth -care facilities. ❑ Supply voltage for more than O lHaaardous locations. 600 volts nominal. Suite/bldg. /apt, no.: ( Project name: Sueamerlake Park Storage B ❑ service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: 11:27 010 New residential single- or multi dwelling snit Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less I. 145.15 MIN 4 Ea. add'l 500 sq. ft or .. ion 1111 33.40 MIMI Tax map/parcel no.: Limited energy, residential DESCRIPTION OF WORK with above R. ■ 75.00 Ma Limited energy, with bo ., ilf • 75.00 �© Provide new electrical panel, bldg lighting, & reseptacle residential with above .. ft. Services or feeders installation alteration, and/or relocation 200 amps or less Ell 80.30 80.30 En ® PROPERTY OWNER _ I ❑ TENANT 201 amps to 400 amps Ell 106.85 131 Name: City of Tigard 401 amps to 600 amps me 160.60 El 601 amps to 1,000 amps MI 240. _ Ell Address: Over 1,000 amps or volts _ 454.65 — City / State/ZIP: Temporary services or feeders Installation, alteration, and/or relocation Phone: () I Fax: ( ) 200 amps or less NMI 66 -85 MINIM m ade on o 201 amps to 400 amps 100.30 Minn Owner installation: This installation is being property that I own which is not intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps mu 133.75 1E1 Branch circuits - new, alteration, or extension . r . nel Owner signature: Date: A. Fee for branch circuits with ra APPLICANT . l Q CONTACT PERSON above service or feeder fee, © 53.20 each branch circuit Business name: EC Company B. Fec for branch circuits without service or feeder fee, Contact name: Troy Rondema first branch circuit 46.85 ■ 1111 Address: PO Box 10286 Each add'l branch circuit 1.1 6.65 lEll Miscellaneous service or feeder not included City/State/ZIP: Portland, OR 97296 Each manufactured or modular ■ 90.90 - III T dwellin_, service and/or feeder Phone: (503) 224 - 3511 i Fax: : (503) 295 - 3012 Reconnect only 1111111111C331 _El E -mail: troyr@e- e- co.com _ Pump or irrigation circle gm 53.40 _ a CONTRACTOR �t Sign or outline lighting 53.40 Li C' Signal circuit(s) or limited - 10111111 Business name: EC Company energy panel, alteration or � access control whin ( extension. D escribe: � Address: PO Box 10286 o 1 ! I I City/State/ZIP: Portland, OR 97246 ) Q Each additional ins. • ction over allowable in an of the above Per inspection 1111 62.50 - Phone: (503) 224.3511 1 ) 295 - 3012 U • 0 20 1 � Investigation per how (1 >u min) 62.50 MINI CCB Lic.: 49737 I// A Electrical Li . / . Suprv. Lic.: Industrial plant per hour � - �'r1h:✓.Ntl' [zl L D D j . . ,lil1� 101 r. Suprv. Electrician signature. required: , 3 3 't 15 Subtotal: �'t4i r D & Print name: Ron Coffinan Date: 05/04/2010 PIM review (25% of permit fee): - _ State surcharge (12% of permit fee): + ` i A / Authorized signature: _ TOTAL PERMIT FEE: NMI Print name: Andrea Stinger' Date: 05/04/2010 nil permit application expires if a permit a not obtaisi+a within ISO days after h has been *muted as complete. /n . • Number of inspections altowed per permit / ( 7' 1:1Buildinecnnits1Et.C- .doe o5R3/06 1 440•46h1T(1I/05/CCUNWEa