The URL can be used to link to this page

Permit ,ii ELECTRICAL PERMIT t �,, , CITY OF TIGARD PERMIT #: ELC2008 -00638 COMMUNITY DEVELOPMENT DATE ISSUED: 11/17/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S 126DC -03200 SITE ADDRESS: 09350 SW LEHMAN ST ZONING: R -4.5 SUBDIVISION: GRECO ESTATES SUBDIVISION LOT : 007 JURISDICTION: TIG PROJECT: TAYLOR Project Description: Reconnect only. 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: 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: 1 SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: CHARLES TAYLOR 9350 SW LEHMAN ST TIGARD, OR 97223 Phone: 503 - 635 - 1513 Contact #: FEES Description Date Amount Reg #: [ELPRMT] ELC Permit 11/17/2001 $66.85 [TAX] 12% State Surchar 11/17/2001 $8.02 Total $74.87 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. Permittee Signature:�e Issued By: % j ✓mil Col '! 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. NO0 -17 -2008 12:08 From: To:5E135_981960 P.1'2 7-c 2 � t .6 d1/ a6 411111 al Permit A 1i ' .. 1 ` x ` `' FOR ill: ll� US ON 1. `0 z 4 <' itir ( : t ,., >M City of'ligard ! i v r ,� itecewc`I Dnte/n : • i Mai" S a Pe rmit No. rw-Lc da)S --1/,V (bra ` a 13125 SW Hall Hlvd., Tigard, OR 97 1� f Plan Review S. - 2 is., wi , plume: 503,039.4171 Fax 503.598.(960 I K ®® Date /Ry: I i Other Permit: ITix ^ r`'� laspectirn Line: 503,639.4175 It 2,1 Date Ite,ufylby: r 5 ® Sir rake 2 for 0417 1 ud Internet: www,tigard- nr.guv IGARD 1 �� ® � �l �`® NotirrdiMcthod: j ;' j i1 f�fy . Suppt @''!Cj � 4 a ,� - ., TYPE: WS11) a _ 1 PLAN REVIEW - ranee check all kit u 111/ (submit 1 sets of Plans whims checked Isdow): ❑ N construction const uction El Addition /alteratiolt(rdplacement ❑ 5ervu a 01' iced :r 4N an p'. M' utore ❑ Building over three stories, ❑ Dcm01ilinrl ® Other: Reconnect only where the availbhiC fliult current ❑ Marinas and buaty:uds. CATEGORY OF CONSTRUCTION exceeds 10.00(1 :, at 150 volts or El Floating buildings. less to vound, be c Leeds 14,0(10 ❑ Commewi;d•use agricultural ® l- and 2- family dwelling ❑ Cot11mcrt'dal /irtilustri 1 ❑ Accessory building amps for all ot]ieritii4ll:rtions. buildings. ❑Multi- family ❑ Master builder li ❑Other; ❑ Fire pump. © Installation of 751:VA nr .4 ❑ Emergency sys era i s larger :ep.,rately derived system. J013 SITE INFORMATION AND LOCATION (] Addition of net o f ID -' load of A ", - E","1-r, - 1-3"( i' 100111) or mnr� d i occupancy. Job no.: .lob site address: 9350 S.W. Lehman Street i; }]Six or more re de¢IIAl (] I<cci ational vehicle part s. City/State/ZIP: Tt and O 97223 El Health-care fa ill ❑ Supply voltage for more than Y Tigard, Oregon ❑ I luardotw loctiliprK 600 volts nominal. 'i ❑ Serv or feeder (Mir amps or nulrc. Suite/bldg./apt. no.: Protect name: FEE S SCHEDULE 1 1 SC it Cross street/directions to job site: ii Deecriulivn ' __I,_, i �_ 1 ■111'. 1 Fee. i Tnrat I �' New residential single- or multi- family dHelling unit. i includes attached Ig}arage. - Subdivisi ,I Lot no.: 1000 sq. lt. or les& : 145.15 4 i E. add'l 500 i il6 c r portion 33.40 1 Tax ,nap /parcel no.: I Limited cncrgy4re4itiential 75.90 Z DESCRIPTION OF WORK (with above sa1t.,' _ - Limited energy nt,tili_famity . • Reconnect only ij residential ( ,thlatovc sq. tt.) 75.00 2 _ l i Services or feellerli sin, taltation, alteration, and /nr relocation 200 amps or lc* 1 , , 80.30 W 2 ® PROPERTY OWNER ❑ TENANT 201 amps t o 40p aml. 106.85 2 Name: Charles Taylor 401 amps to 60 a ,w. 160.60 2 i 6111 amps to 1, 0tl ollops 240.60 2 - Address; P 0 Box 1452 Over 1,000 am s o}iv 454 2 1i Temporary scevik or feeders Installation, alteration. and /or C•iry/State /ZIP: Lake Oswego, Oregon 97035 - relocation i Phone: (503)635 -1513 Fax: (513)598-3982 200 amps or Ic s ! 66.05 1 Owner installation: This installation is being made on properly that I own which i5 not 2 01 s nips to 4011.);r0 41 10030 2 intended for sale, lease, rent, or exchange, according 14i OILS 447, 449, 670, and 701. 401 amps to 591)iai- 133.75 2 Branch circus Li'r new, altcratiou. or extenvinn, per panel Owner SL -.4 . . _ signature: I 17ALP: ♦ A. Fee Cur bran;ll �' quits with El APPLICANT _ ❑ CONTACT PERSON above service pr 'ceder fee. 1 each branch eirni. it 6.65 2 134 inttis Hama: Ii. Fee for bran:l }' cons ,! ...- Wt( /4rar sere CO h feeder fee, Contact name: first branch � irt i 46.85 2 Address: Each acid '1 bratich je5reuil 6.65 i 2 Misccllancousl(sekvice or feeder not Included) City /State/ZIP: I Each manufact ircd t r modular 90.90 2 -• dwelling servi.c ait,i,or feeder Phone: ( ) Fax: : (i ) kcwanea on t . ? X 66.85 2 F. • Pump or irrigatidnl4trete 53.40 2 Business name: CONTRACTOR j .. b _ghtiiig 53:40 2 I Signal clr .t1 im Sign , s ( or Iited- _ energy 1 tit1lign, or Address: extension. Deb rititi Page 2 2 M hh City /Stale /7..(P: Each additional i apection over allowable in any of the ahnvc --- Pcr inspection I H 62.50 Phone: ( ) Fax: ( ) _.. Investigation peer k UuC (1 hr min) 62.50 CCR I,ic.: Electrical Lic.: i Suprv. Lic.: , Industrial plan ikkitiour t 73.75 ii! I IfIECTRICAL PERMIT FEES • Suprv. Electrician signature, required: I j . Subtotal: 66.85 �- ale Plankcview(25%ofpermit fee): Prins name: II .._ . .- Stan.surriiargr (12 "a of f permit fcc): l .02 Authorized Signatur• , I T TOTAL. PERMIT' FEE: 74.87 , r This permit ut alsakhiu expires if a permit Is not obtained within 180 Print name: Charles Taylor Date; 11/17/2908 d ;litter it has been eeeepted u* complete. ' Number of irispc4tions allowed per permit. I:',Ruff&IInoPeon 1OOIti.C PermiIApp.duc 1,15 /d3p06 • 44(14,15'1'(11,II /s OM /Wb[t 1 I., 1 ,.