Loading...
Permit F�����fl� ®G ELECTRICAL PERMIT h ,., � r ��t " d OF TIG I ?. OMMUNITY DEVELOPMENT PERMIT #: ELC2007-00269 DATE ISSUED: 4/25/2007 Aid n lily 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 103AA -02200 SITE ADDRESS: 12250 SW 106TH DR ZONING: R -4.5 SUBDIVISION: CLYDESDALE LOT : 003 JURISDICTION: TIG PROJECT: PRICE Project Description: outlet for heat pump 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: 1 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 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: PRICE, DONALD R + SHARON L SOHLER ELECTRICAL CONSTRUCTION 12250 SW 106TH DR 41131 SW BURGARSKY RD TIGARD, OR 97223 GASTON, OR 97119 Phone: Contact #: PRI 971 - 832 -0807 FAX 503 - 214 -6246 FEES Description Date Amount Reg #: ELE C121 [ELPRMT] ELC Permit 4/25/2007 $53.50 LIC 167949 [TAX] 8% State Surcharge 4/25/2007 $4.28 SUP 594S Total $57.78 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: Ci/ � �' 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. P t �__ ..� _...., 4 R A war- 1^J �{V�IIHQ.GS� E�DgII P� 2 ' 1" 2001 �p ` !. �.i.il N - .;:,;., rd} M1 , [yP -W 9—,g. Q�"i• 1Y ( - .7. n t4 a Yt- City of Tigard � t 13125 SW Hall Blvd., Tigard, OR 97223 @ �} U� Lbtd9 Perron No.: EtGO� 'G" L'�,q Phone: 503.639.4171 Fax: 503.598.1960 r, •I1' 1 1 7 . �S y r Date/By: view /y ��� insptaxitm 7 i 503.6.39.4175 ? J a F . Daer/By - OcLa Permic01 /C. 01.)�' i70p2 - � "x'` Date Ready/By_ El See Page Z for [button= wwsvti:4igard.or.us Nemfred/Adethod: 1 iC Suppte.nearAi tar .:a . : - ... :=F1rrW :OF'.WORIC {: • . • _ --- PLAN •REVIEW Q•Netivconstruction Addition /alteration/teplacetttertt Pl check all that apply: 0 Demolition [] Other []Service over 225 amps, comet'! ©Hazardous location PSavice over 320 amps— rating QBuildng over 10.000 az IECQRY ;OF ICONS tfJCTION :: - of 1- and 2- family dwellings 4 or more new resident 7 1 I and 2 family dwelling Q Commereiai industrial Q Accessory building r QSyslem over don woks nominal units in one Strucnue 13 Multi- family 0 Master builder 0 Other lea QButldtng three stories QFeede 400 amps or r, °Occupant load over 99 persons 01'4anufa ctored stru=ms= JOB •SITE'J]VFOR2VIA'TION t1ND• E QCATJ1oN ` ' ❑;F,gsess/ligLmtg plan RV park Job no.: l Job site address 1 . 2 s--)4/ ) b 6 L D QHt�leh care Facility 000=7 /� CZ ' Submit 2 sets of plans with any of die above. .r(,-,-- '7A' City/State/ZIP: � � t) , 5 7 a The above ate not applicable to temporary construction service _, scriEDUL:E Suite/bldg/apt no.: Project name- i-9 1 c ,:: ? ,: t?BE* nesedestoo 1 Qty. 1 t:ez I Ti ao j Cross street/directions to job site: New residential single- or multi- family dwelling gait. Includes attached garage. 1,000 sq. ft. or less 1 145.15 1 Subdivision: 1 Lot no_: Ea. add1.500 se,_ ft. orportion 33.40 Tax map/parcel no_: Limited eaa>yl, residential 75.00 Limited energy. non-residential 75.00 . • _ DESCRU XON OP':WOEK'. •.- • -.: :;,. Farhmanufactured or 'unduly t - N2 <. % dwelling. service and/or feeder _ 90.90 r ' n Se-T' Vl C' t'_ d ,� L' 7 Services or feeders installatio o, dtau alteration, aadlor reo 200 amps or less 80.30 -: opEktybyo NER - :"' ': `- -: >: 201 amps to 400 amps 106.85 _ o �. - . Q TE Natne /a /� Kt N P/� 1 41 amps to 600 amps 1 60.60 6001 amps to 1.000 amps 240.60 Address: /2 ? — i s 1n/ /n C (:4 -. Dg' over 1,000 ammpts or volts 454.65 City/State/ZIP: ' / 6.- /41,2 o G ,g C 7� 79 Temporary Reconnect o my 66.85 s ervicess or feeders installation, alteration, and/or Phone (5 63) 73 0 t 0 v 1 Fax: ( ) relo on Owner installation: This acc=t .IiaR on is being made on property that I own which is not 20 2 amps or 00 _ 66-£5 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701 _ l amps to 400 amps 70030 401 amps to 600 amps t 33.75 Owncr for sgn � _ re _ fie' Branch circuits— new, alteration, or extension, per panel AP?tIGkNT C tX :PF1tSON' ' - - -- •= A. Ftc ranch ri i wx h f 1 ) : _ I . - ; / _ o /� . . _ ; 7 _ svvice o b feeder ci fee, ns enc BUsifle55 name: O }. l e �! P _CA t c..f7 I �--ca i y Ti bnch circuit ra 6.65 -- Contact name: , r^ $_Fee for branch circuits �n �- c- !`r without service or feeder fee. i r each branch 46.85 Y6 Address - ! 1 3 ( S t R . , r- ai c k IZ g* / Eich add, br n ch circuit 6.65 6 : CityIState/ZIP: (�� 5• . 7 U 9 7 / ( ,eellenmus (service or feeder not included) phan= ( 971 r93� — O P o 7 1 Fax : (5 ) 21 `7/ - (e4r( P igs oriirig oa circle f 53 ! E -mail: _ Sign or outtint lighting 53.40 Signal circuits) or United- - - - 1 - - • / 11 __ energy petrel, alteration. or ttsinees nail= S L le r2. E/e cd r"r rr.et 1 C , S T, extrnti9on_ Describe: Page 2 B 'dr Each addielonal inspection over allowable in any of the abov City/State/ZIP: per 1O °a 62.50 Investigation per hour (1 br min) 6250 Phone: ( ) Fax: ( ) Industrial plant per hour 73.75 C$ IrG: �v 7 f - C '' EL1rCfitICAi PEftMrr FEES' 1 _ 9 1 - ' Electrical Li L l:2 ( j Snpry_ Li 5 ` —� Subtotal S - 3 S� Suprv_ Electrician signature, requiretI = a _ if t . -Ali, ...eat Plan review (l5% of permit fee) Print name: 0 r91N . /�-1 dr c ,. Date State surcharge (8% o f permit fc) �. Authorized SlgilaElliE . TOTAL PERMIT FEE 5 7 : / — — l•, - a _ Thin permit applicatten expires if a permit is cot obtained within 180 Prins name: -� 1 ' l days anent has ben accepted a complete trf . t , 6 L - � t • Fee raethndolt try yet by Tri•Coanty Building industry Scree Bout -- Noatber ofiasp_- etioas per permit alinwec Pet>-1•C- PoamtAonttx 12/03 .ua.+cr cn.auv,.r..•.n..e1• T'd BLOT- SB6 -EOS ..lajyog a or e6E :LO Lo EZ Jdd