Loading...
Permit r CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2011 -00180 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 04/08/2011 Parcel: 1 S133CA06000 Jurisdiction: Tigard Site address: 11297 SW HALLMARK TER Project: Barrows Road Estates Subdivision: BARROWS ROAD ESTATES Lot: 9 Project Description: Temporary service. Contractor: DMS ELECTRIC INC Owner: MILESTONE HOMES LLC 8504 SE STARK ST 3800 SE CEDAR HILLS BLVD STE 105 PORTLAND, OR 97216 BEAVERTON, OR 97005 PHONE: 503 - 209 -9298 PHONE: FAX: 503 - 252 -6611 FEES Quantity Description Date Amount Specifics: 1 ea Temp Services or Feeders - 04/08/2011 $59.36 200 amps or less 1 ea 12% State Surcharge - 04/08/2011 $7.12 Type of Use: SFA Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $66.48 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with ap• oved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTE • • : •regon -w re•uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0 0 t ough OA' 2 -0e 8 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.198 r 1.800.3 344. Issue. By: ' !`- _ Permittee Signature: �. OWNER INSTALLATION ONLY The installation is being made on property I own whi ' intended for sale, lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' !•• Date: !� LICENSE NO. 1-/9o2 1-/9o2 . / Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. APR -06 -2011 14:55 From: To:5035981960 Page:1 /1 04/06/2011 11:09 5035981954 CITY OF TIGARD PAGE 01/01 Elect rical Permit AQilication 1 t nW U1 I I r I. 1 l cl I. N City of Tigard a II7 irir Penait No.: r ?-c) 1 ■ 13125 8W Hell Blvd., Tigard, OR 97223; * Review ' Phone: 503.718.2439 Fax: 103.5911 ' s : Other Permit. 1 1(. , �, t , Inspection Line 503.639.4175 ' \' • '‘ Date Roadydluy; F1 3ce Tags 2 rbr Internet; wWW.tigard•or,tov r 1l Nentfed/Mtthod: re Supplements! Mammies TYPE OF Whit -- - ,T , '''',' - :... , ,Pi:AI!1$ RE17iew . . :t New construction ❑ Addition /alterntiotrlieplacemtktt `I - , Please eheel` au NA wpfrtxubmit acts of plans whsvmt checked below): ❑ Service or feeder 400 wpm or more ❑ 13ullding over t mono ❑ Demtlittlan 1 OtilGt: ahem the available !cult cmrcnt ❑ Maness nod tinstyW'ds. CA' ' CORY F CON$1'7A'UCp1)N exceeds 10,000 rumps at 130 volts or Q Floating buildings. last to quad, or exceeds 14,000 ❑ Comma/Mal aprieattutal s i 1- and 2•1hmLly dwelling ❑ ComMerCiai /industrial LI Accessory building amps for all other Installations. buildings, ❑ Multi •famil 0 Melee builder r] Other: a Fire pump, ❑ loatallation of 75 TCVA or JOB 5rrE TNTORMATIIOlr AND LOCATION ❑ Emergency system, lager " derived syslaT, ❑Addition of mwmotor l4adaf ❑ "A". "E", "1.2I.2 ", "1•3 ", Job no.: Job Site address; l00HP or meta, oreopaney • in ❑ 5+• err more residential rails ID Reererniotai vehicle parts. 112=21=11111.1111111.111111.1111111111111 i - Q Wralth^earr: facilities, 12 Supply voltage for more than A Q Zia mdouq locations. 600 volts lrominat. Suite/:Mg/apt no,: Project name: AMP ❑ Service er leerier 600 amps or mote. to "• FEE SCFILnt/LE Cross street/direction8 to job site: #.4. tar— . , Tot ■ ttlew reeldt!ntbtl single- or maid -family dwelling unit. Includes attached garage. ! 1,000 sq, ft. nrloss 168,54 4 $ubdLvl3ittR r_ . + i_ . Lot era/.: _ ■ Tax Map/parcel no.: Ea. add'} 800 99, It, por , prtiatt ?+3.93 1 Limited energy, residential 7540 2 DESCRIPTION OF WORK (with above 9q, it.) energy, multi Limited ener t he s ci '75.00 2 _ _ ra ener (_with show l l Y SClykes or feeders imttnllation, altcratibn, and/or relocation 200 amps or lees 100.70 2 _ PROPERTY OWNER [] TENANT 201 amps tar 400 amps 133,56 2 comminmiimmimiiii 401 antes tb 600 amps _ 200.34 2 601 amps to 1,000 =Ps 301.04 2 Address: Over 1,000wiorvolts 35,226 2 Totnporaly eervieee or feeders Inatellatlon, alteration, and/or City /State/ZIP: relocation 12 1 11 ' Fax: ( ) 200 amps or leas I 59.36 '-3(p 1 Owner Inutallation: This installation la being made on property that I own which la not 401 GPs ►q 599 401 amps to 59 artless _ 128 2 intended fdr sate, lease, rent, or =home, according to ORS 447, 449, 670, and 701, ernes 168.54 2 Branch cirerils - omit at . ., a or extension, Rai oases Owner signature; Date: A. Fcc far branch eiroost with above service or feeder foe, • s,,,� 0 CONTACT PERSON tech branch circuit 7,42 2 Business nttmc: Zev 1!, Fee for branch circuit witlrmas T +► • - y at :Yvicc or feeder fee, first Sb,16 2 Cosnaet name: - / bratr¢h sirmnt Addfgs; • Each add'/ branch circuit 7,42 2 i Miscellaneous *crake or feeder not incltdrd ,,� / Each manufactured or modular City/Slate/VP! f / + U/' tfvocppgjervicc and/or feeder 67,84 II Phone: (c ) • F . ( ) Racann`etonly 67,84 2 E hiaail: Pimp or irrigation circle 67.84 2 CONTiZA ('C� Sign or rnttl hit lighting 67.84 2 t _ Signal Citovii(a) or Limited- energy Busiaesq name: ,14,r G panel, a1tmation, or aatenlriion. Pager 2 2 Each addit tnial ieapection over allowabh hi any of the above Address: Additional inspection (1 hr min) _ 66,25/ hr Invcsti[;etigll 1 ht tat ♦ +� l industr plant (1 hr min) _ 78 Off hr _1.1 Fbonc: (,j ) ,e 07 ,_ qv 04ef Fax: (7 ) ?_s - �O / Inspections Pot which no Is 90.00/11T P�_ f.0. specifically listed (A hr min) CC13 r.lo, r - 0 - 7 Electrical Lie.: 6 / rv. Lie.: � � • G �I' �l. ' g*C7 � . ELECTRICAL PLUMP FEt✓S� 5uprv. Ekctricinn signature, mini .a +: . _ Subtotal; �?(+ ,,,, Plan =tlat..125 of permit fee): Print name: ' es r A pgte: © State surcharge (12% of permit fee): 'fit £ i . � n e .:, Authorized signutturc .. This TOTAL PERMI E88_ (�G , permit applltatla expires If a permit to not obginas , r Is 180 Print name: sr' Date: i days Ayr it 4u been accepted as complete. ' — " n Number of inspeetiorn allowed per permit. l'tiHuildteg1Pe mibitriC.venniykpp.da 0751110 445.451M 110tICOMPWUD I