Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00781
DEVELOPMENT SERVICES DATE ISSUED: 10/14/2005
" 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 1 S125DB -08800
SITE ADDRESS: 07137 SW LOLA LN ZONING: R -4.5
SUBDIVISION: THE RAZBERRY PATCH LOT : 008 JURISDICTION: TIG
Project Description: (3) branch circuits. Job #47744.
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: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 2 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:
RICHARD & BISHOP REDS ELECTRIC CO INC
7137 SW LOLA LN 2002 SE CLINTON ST
TIGARD, OR 97223 PORTLAND, OR 97202 -2245
Phone: N/A Phone: 503 - 233 -6467
FEES Reg #: SUP 5010S
Description Date Amount LIE 4443
ELE 26 -152C
[ELPRMT] ELC Permit 10/14/200: $60.15
[TAX] 8% State Surcharge 10/14/200: $4.81 REQUIRED ITEMS AND REPORTS
Total $64.96
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or
1- 800 - 332 -2344.
Issued By: / 2 %�` Permittee Signature:
OWNER INSTALLATION ONLY \ \
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Oct. clt ac 2005 11: 41 AM E' P. 1
�� � ; , No P
al Permit A,n ic .
City of Tigard OCT 1 4 2005 sea . . b ?ermitlJp,
11a11 191vd, Tigard, OR 97223 D om' /L' / l U i ). ( 4 dS� n /
I3I25 SW
Phone: 503.639.4171 Pax: 503.598.1960. Plan Review
Inspection Line: 503.639.4175
(TV OF TIGAR D c Re Y�Y Permit:
Internet: www.ci•tigartLor,us BUILDING DNISIta t�loti$Nd/MdieQ „1-7 ®
".•� : '! ? „ y �in'Y K :j�. � ,r :,"�; . - �..,�.<r�. . �a.,> .� �- : r S� : i � g L StlDtltrmEatsl Iaf017tlB Information
:.^*. i ,n: . t N ir'. %Vi VL;;; +"It��!�.1'a1,1 ? • i�S ; :eFt.:: I = q"•',df2 x'7: .: , •� i' :'� ;” t::
New i ,<.t...�. r: = �; : :�•.... :. .... _ . _ ,,...
❑ construction ►. Addition/alteration/replacement Please check all that a r' °:`
❑ Demolition a Other: ❑Service over 225 amps,
yr .. � _ ps, corvine! ❑Hazardous location
aXr�� S;.T (nri ¢kb``c, {'� ;�� h . 9. vV �� 0 O"" r`'� '` :, >,..,4�� ❑Service over 320 amps -ratin ❑ Buildng ov 0 9 lt.,
^' f .1 ..; . rd lV1c. Nr ri'3br[o hw� 'ti/hr )�' -�ti: of 1- and 2- g Cr I QOU ti,
'� � family dwellings 4 or more new residential
/. 1 and 2 - family dwelling ❑ Commercial/industrial ❑ Accessory building ❑Sys over 600 volts nominal units in one structure
[Mudding over three stories ❑Feeders, 400 amps or more
❑ UICi family ❑ Master builder ❑ Other:
: ,#, , ?� k f f � , r k ,ri Y}' o M1 : ❑Occupant load over 99 persons ❑Manufactured structur es or
Job Herr 477 y < � � 3 , V• J�.` "' °.��"�`''�� °�";• ❑E®ress/[ightingpIan RV perk
L� I Job site address : j j � i C� � � / �L /1 e [Wealth facility ❑ Other:
City/State/ZIP: I I I � = Submit 2 acts of pleas with any of the above.
Ric above are not applicable to temporary construction service,
Suitclbldg. /apt no.: I Project flame: ..... a`.; .' H.:4 ? : a I as er ; :. + ,
Cross street/direcdons to job site: °t°`bD Qrr• QM Tao ••
New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft or lass 145.15 4
Subdivision:
I Lot no.: Ea. add'I 500 sq. R. or portion 33.40 1
Tax map/parcel no.: Limited energy, residential 75.00 2
f
.` 1 s rh y /n� `, eFr} ,` n'r ? Ix Each manuti Limited energy, non - residential 75.00
.nw ..+S See i µ ( ,.}�.�•^ 3�9i' S il.. % `Sys !�y : mdtred 2
Or modular
! / ' �/ /) .: dwelling;• service ilia r £eeia - • - 90 :90 2
:114: ' _ — Services or feeders installation, 401 alteration, and/or relocation
t , r ,� s s �� v 7 200 amps or less 80.30 2 -
#6 r3 ;3?1?�„ '�' y :� °a ° :' "1i'�xfJti°K; . ":,I 201 amps to 400 amps 106.85
.,su // >S �. 11 77 ) . ` . �,.�:i tr im, 2
: g� 1t�1 au - r/S/7 n P . / /ems_ 601 a ` 160.60 2
w 1,000 amps Name 240.60 2
Address: Over 1,000 amps or volts 454.65 2
City /State /ZIP: _ Reconnect only 66.85 12
_ Temporary services or feeders Installation, alteration, and/or
Phone: OW) , / A I Fax: ( ) relocation
or Owner installation: This installation is being made on property that 1 own which is not 20 amps to t . 1 00. 1 -
intended for sale, least, rent, or exchange, according to ORS 447, 449, 670, and 701. 201 amps to 400 amps 100,30 2
circuits with
Owner signature:: 401 amps to 600 amps 133,75 2
�0'� : ;� * Branch eireaita -hew , er panel
r :� .� :..�,; , alteration, or rYtensien
k:' ,,: ,,} i :. ` i v 4 p � ,^ ee ach th
�� ; r-' cF'::? 9d��' �w `''�i�'•4ir��s�`.��'Sl"a` Ails Por
v `' s ervi ce or br n
feeder fe
Business name: e, each 6.65
branch circuit 2
Contact name: B, Pee for branch circuits
-
without service or feeder fee,
Address: each branch circuit / 46 -fly ( -86 2
Each add'i branch circuit rl 6.65 f,/ iof 2
City/State/ZIP: Miscellaneous (service or feeder not Included)
Phone: ( ) Fax : ( ) Pump or irrigation circle . 53. - 2
Sign or outline lighting 53.40 2
- t E-mail: ail: may r ,1ia; "n 7 f . ¢ a � � . Signal circuit(s) or limited-
• _ :, ?'+ H J�: y ti ,� . �- 7? ri'.c
• :n '. `�.�'�..1.. :.i . � •.�.;t�vc'W.u!+4v ,1;,.;;, a ' Panel. alterefion,or
Bushiest extension, Describe: Page 2 2
Red's Electric Company
Add 2002 SE Clinton Each additional inspection over allowable in any of the above
Portland, OR 97202 . Per inspection 62.50
City/Sta (503)233 -6487 FaX (503)233-1281 -
4443 Ell c. Lic>! 26 -152C Supry Lic.# 5010S �n 1 � n per hour (1 hr min) 62.50
CCB
Phone: ( p p per hour y� 73.75
CCD Lx rx''7`o' ‘,.:.%:,;,:i.5.0 s d, H ier d,t;' "r
Subtotal / Q . QQ S'
Suprv. Electrician signature, required: '"■ Plan review 5 %of
(2 permit Pce)
Print name: �� v Ls Date: i07/4//05 .. State surcharge (8% of permit fee) 41, 7�
-
Authorized signature: TOTAL PERMIT FEE • .1
This permit application expires If a penult isnot obtained within 180
Print name: — days after it has been accepted as complete
I Date: Fee methodology set by Tn County Building Industry Service Bond
i;V tdingavermise1F1.C.pamiuApp.doo 1=3 •• Number of inspections per permit allowed
dero46151l I Wo2rCom/WEg