Permit ELECTRICAL PERMIT
CITY OF TIGARD " PERMIT #: ELC2007 -00260
} j ° COMMUNITY DEVELOPMENT DATE ISSUED: 4/20/2007
Tt� 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S136AA-08100
SITE ADDRESS: 10005 SW 70TH PL ZONING: R -4.5
SUBDIVISION: VENTURA ESTATES LOT : 003 JURISDICTION: TIG
PROJECT: HAUEL
Project Description: Installation of an NC unit.
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: 1 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:
MELISSA HAUEL A TEMP HEATING AND COOLING INC
10005 SW 70TH PL. 16000 SE EVELYN ST.
TIGARD, OR 97223 CLACKAMAS, OR 97015
Phone: 503 - 262 -7022 Contact #: PRI 503 - 650 -5014
FAX 503 - 557 -2990
FEES
Description Date Amount Reg #: ELE C55
[ELPRMT] ELC Permit 4/20/2007 $53.50 LIC 71878
[TAX] 8% State Surcharge 4/20/2007 $4.28
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: I EJ �j I / 4 / / Permittee Signature: 14 rit - I�'7
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.
FROM :A -TEMP FAX N0. :5035572990 Apr. 20 2007 03:15PM P4/4
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"` trical Permit A licutio 1 �� E® rc.)It 01-T1 (l l C. ON 1,1' .
V.Ity of Tigard _ Permit Ivo.: �Zp0 — W_ C o
131:5 SW
V 0
Date/By:
Hull Blvd., Tigard, OR 97223 t 0 (abet-Permit:
Inspection Line: 501.639.4175 03.598. 1960 PR 2 `
O '`'"; • . fle, y Plan Review
'' Phone: 503.639.4171 Fax: 5 : .
r ` ■ • ' �' � Drde tt„ Judi: Si See Pnge 2 for •
i ® f 31 C: :; .: / 4th • entn ntton
Interact: wtvw.ol.tigard.o,•,ua _ nfintllNkt __.... p m
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❑ New construction ddition /alterationJreplacement Please obo k all that apply:
❑Service over 225 amps, cotmn'l [1 location
❑ Demolition ❑ Other - g
..� .�� •..`-. 'CArF'iCi:C)R'Y' QI 4V`.)N"I'R�(,'li.[�ON: ❑ ot 1 - over 320 2 family dwellings gs 4 or more c n w residential .......,... ;..�:.;;.._;.:,. _ • , ... ❑ System over 600 echo nominal untie in ono structure ! 1= and 2- latnily dwelling ❑ Commercial/industrial ❑ Accessory building El DuikTutg over three stories ❑Feadcra, 400 amps or more •
❑ Multi 0 Master builder ❑ Other : poccunant load over 99 persons in Manufactured Fan,ctures or
' ' Rift `_' SIT E - :INFORNMATION . ANNID..LOt;'A'fION: ❑Lgt•asail ightingplan kV park
El Health facility pother:
Job no.: Job site address/ 0 A y , e'1'7 ' 7 4 ` is /Z -„ Submit 2 oats of plane with any of the above.
-.
The above arc not applicable to temporary construction service,
City /State! %il'� L�' `�' � .� —,... : ' - - •
P roject name: .. , - rowt � 1
Suitrlbl.dg, /apt no J .. o.rerhstt® _i_ 01y. Foe .
Cross street/directions to jolt site: New rrsidendal single- or multi - family dwelling unit.
Indudea attached garage.
1.000 sq. f1 or less 145.15 A
f — Lot no.: Ea. add'1 500 sq. t. or portion 13.40 1
gtlbd1VL91 011: y
_ .— Limited energy, residential 75.00 �
Tax map /pare el no.: Limited energy, non- rcaidential 75.00 . •
.,':: T)t'80t Eachmauufatirlurod
II'TION • OF Wl)RIC
dwellin u rvic and/or feeder 90.90 •
/,/..-S , f� - _ A t / _ Services or feeders installation, alteration, and /or relua?,t, io
200 amps or less 80.30
�{~IlOFEIt , .... FL+R
-- . ,Q. T B,i � i k AIT 201 wraps l0 400 amps 106.85 ....... _ T . ". ....... . .. . _ 401 amps l0 600 amps '
,... 601 anl�tato 1,400 oaths 1 .
240,60
Name: I t: � T Over 1,000 nmp8 or volts 454.G5 _
Address; j‘jlV? `� ��r' J r� �� 9 -- Z ,• -- Rot:mam ton 66.85
City /State/ZIP C j'3 - i'3 .> Temporary services or feeders installation, alteration, acrd /o r
7 3 ..
relocation
Phone: -'• 7---...,;2 7 . -7(22-.7-- F ax: ( ) 200 amps or less _ 66.85 .
��)) 2
Owner Installation: Ibis installation is boring made on propcxty that I own which is not - 201 amps to 4 amps 100.30 -
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amp to 600 amps 133.75
Owner signature: _ e.v, alter or cYtr r , p 1!
circuits with
r.. _ A{'YLIGANT ERS f h
. Date:
colvl'ncr ,._
` °° • • • A. Fcc for branch ci
„...,._ .: ge[vihxt or feetlur foe, each 6.65
Business name: branch circuit ic feeder
__ - AND SQL � INC — 13. wen for v circuit ________
Contact : a e er tc, 46 85 0 t V
• - first branch circuit Clackamas, OR 97015 Each add'1 br anch cir uit 6.65 1 i(
City/State/LIP: - 501650 -5014 Mtecellmreona (service or feeder not tiactuded) _
nc Champ or irrigation circle 53.40
Pho: 4�_3 �'•s7) %j[.'j - -. IFax :: 6 5 . 1 l 1 _? G
Sign or outline lighting. �. 53.40 _
E -mail' ; Gr c, 1.:� �? l c.,, r �;.. .� - , C
Sign rcui a
•- 1", Signal of t( ) or bruited-
�:, .,., energy p anel , alteration, or
C 2
\r
= I'F1V1P r extension. Describe: Page
'Business name: 10 $� (: yn _
— _..... aackam218sg 01 S Each Additional inspection over allowable in any of the above
Address: 503- 650 -5014 p inspection _ 62.50 �
City /State/ZIP: �. Investigation par hour (t hr min) 62_50
-- Industrial plant per hour 73,75
Fax ( ) ..... , ........ ,f inERMi :rEES•.
Phone: ( 1 ,- ... :ElafEy�....
enl ■. .::::�
CCI1 Lic. Lie.! C', S7 1 Spry, Lk.: Subtotal y
/J� ���� Electrical �? 9;?, .5
-
,mo __ ac-�'._ Ylua review (25% of permit fee)
Sup; Electrician signature, utauc, oriel: l ...... _.,...
• .. " State surcharge (8% of permit fee)
■ Print name: Data: ,� £
- r r 'rills permit application expires if a permit is not obtatncd within 1A
Authorized sipllatun' j (I r 1� t i s niter it hay been eeeeptcd as complete
Print name: (g../A,//et C
l - )'/c`.G,t` �// Date: L /7 V 7 ...... methodology ri- Cnunty Building industry SOT vicc Ronrd
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FbM :-TEMP FAX NO. :5035572990 Apr. 20 2007 03:15PM P2/4
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A-Temp Heating & Cooling,. Inc,
SITE PLAN
Prepared by:13az,
N Date: e/724) 47
Customer 'Name: 0.4 &VC ( Address: te9505" SW -7014
Customer Phone: zZ_ DR 7 4 ..
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Property Boundary Lin
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House
Street