Loading...
Permit SI CITY OF TIGARD ELECTRICAL PERMIT ;'l "' COMMUNITY DEVELOPMENT Permit #: ELC2009-00420 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/14/2009 Parcel: 2S109AB02300 Jurisdiction: Tigard Site address: 14341 SW 134TH DR Subdivision: THREE MOUNTAINS ESTATES Lot: 6 Project: Caveny Project Description: (3) branch circuits for A/C and GFI Owner: FEES CAVENY, CAROL ANN Quantity Description Date Amount 14341 SW 134TH DR TIGARD, OR 97224 3 crt Branch Circuits 08/14/2009 $60.15 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 08/14/2009 $7.22 Electrical Contractor: SUNSET HEATING & COOLING 0607 SW IDAHO ST PORTLAND, OR 97239 PHONE: 503 - 234 -0611 FAX: 503- 234 -0439 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Total $67.37 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 approved 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. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 95 - 01 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: / Permittee Signature: /�✓ / / /`�l1/v/ ? ®� 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' 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. Ele Per m C , . trica A i I Lim, 6 1 Ic l' c, ' City of Ti AUG 1 2 2009 Dat /B t:Ja / / I / i�r , PerntitNo , o 2Q / ' 13125 SW Hall Blvd., Tigard, OR 97223 : , � Plan Review Phone: 503.639.4171 Fax, 503.598.1960, Date /Bv; Other Permit: f,l(A It13. InspectionLinc: 503.639.4175 .ITYOFTIGARD DateReady /By: RI See Paget for Internet: www.ligard- or.gov N N otiI d/tvrcihod' UlL�ING DIVISION � Supplemental Infa•rnatiun ^/l: pJr *l: , , i if ,�:4�'ith,". ' kv;r t rJ. S ., .a . .,a v.f ir, �. �a h,. ':�1t 6�'.1 fti?. ,l!�;:��p�, ,.j �, t �q�,' +� :.a'r. r f�'rVt.t• ,.9 y.�Yd fS�N Y $i + "r Y, ',f Cp,, l''. vk r r')i;` 'f''::iN. ,'�... . .,.p „ .tlq�Cv , , "('; . M;`, %tlr.�t'l r!;l i &1 '!Jf"�' Ri. V `i`'� ', , i (6y6�a,:l� {l: , . : 3 . ' -.,, ., ,�I,�' , rr^p'i ett �r r „,f: �� 9H : r�'lll'I,N'.x: �t 1.,. �, �,C . , y "r1 �.+ r 1}�t§� 'i} fiYn, .���i..N'.N�,�a: tea ..nhrd:�4a,.,i1: "rnv..K��:;t•, ,,��T,.0 .bS��rttti l:; eN r�!.,. ,1,....t1.1'l). Gig..,,, �r::, s1. �. 1, ��. T!.; ��(„ LC: 4' i+ �n$�[�11.9�: 0 NCw COIIS[I'uCti0n El Addition /alteration /replacement Please cheek all that apply (submit 2 sot; of'pluns w /items checked below): ❑ Demolition ❑ Service or fcedor 400 amps or more El Budding over three stories ❑ Other: wheru rho avitilablc fault current '' `,(ii,lT. ✓';; , , dr 2 }41�,r' t,, y�� ,r4 sirn.a.,zz.va .,.m�. _. :' .`�- �, "�; f4; ° `d�'SS''U;;� r .. i; ,, ,� r ❑ Marina:. ;t ad boatyards. ' "A, yr''•n1 +w y��� g ;gyp ,q [t ( t" p{ yet a' d � � di./ l'E , F '� ceecls 10000 amps at 150 volts r ❑ ot, ��kl: n.''i, 1'k; +a.FkltSA' v: 4Jl. ,:. t'. is ..1 t .:N, , . , ,, ,;] � t &'`': ;M ail ,t' S; /.'ell.t.,,,Yk: ;(3.,,,.01,1,', ex , o l lua[inl buildings. F less to 'round, or exceeds 14,000 Accessory building 6 0 Commercial -use agriculntral 01 I - and 2- family dwelling 0 Commercial /industrial ©• y g amps for all other utsrallaUOns, buildings. ❑ Multi - family III Master builder ❑ Other: ❑hire pump ❑ Installation of 75 KVA or : {tluii "r'an, 4, ;` !;,''i':d.a;,'i ,? t., ,� t ,.r,,.., ,�} , >.;, , !t'o, 1 , , • t }' r .,cy3 y wn Jar up derived5 sm. 'r7'7;1: ' ,,,. / :1 4 ., �, }. Jx t, nf.,I1t.' C¢t11 epee? „'i {.i'Afr�l, , P;3. ,E1�rty 4.`!,rL V � +a , + ,�AI ���� .,. 1i ? ,�Fr; l. ❑E. n4wiel Y Yte - • t�•,n'r,a i 1'il, , ire tl - � ^.¢:CIMS � � , 1;;f,9'AS,�I�`ri14��i,!;n�1�Y} ) fLIC;;< o-�w , �•I k �i101��.a,�1,?hiPi���1 Ln , 0 Addition o motor {cad of "L•" - 1-2", Job no.: 5 2L s Job site address: I 3 � I 1 , 13 f (V' 100HP or more. occupancy. ❑ Six Or more residential units. ❑ Recreational vehicle parks, City/State/2.1P: --ii `„ � 1 L1 ❑ I'leallh -care facilities. 0 Supply voltage for mere than I t '` �tac.a� ❑ Hazardous locations, 600 volts nominal. Suite /bldg, /apt. no.: Projebt',tlarne; Ca ❑ Service or feeder 600 amps or more. , r tore. Y [/c�'j f 9: t {IIt , Gkldki� crl'),c , vie m ,,, , . I ny.r,'1T"�Ijr i.. dt. .,q 4d ' k. 1 it, �„ r: i� �l' ASr` ��f" 5;,1;h,�itu" k�'t Ac,j;;.�''�' + ", �iil:,,, �' Cross street/directions to job site: p lQ iy . I 8- .1ie;;a -: �'.,IUa tt i,,tkfil :!•.,;" • ---- ,� nctl,Yllftiun QIV. 1 Fie_ 1 Total l New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.; 1,000 sq. ft. or less 145.15 4 .- - Ea. add'l 500 sq. 11, or portion 33.40 1 Tax map /parcel no.: - l Limited energy. residential . °n 4''' ''''' I `t ,v ". '; , �y a,4;. f, it .,.rl�,,, .w,�,.,,(,,,Fht y'''''".h .,c (wt ,. *A�R ; 1 "Id,�'i �i'�yi:.��}i)it ;'r'r ;, ;fit {1y ";ti'It; 7 .00 2 '.:9'1S,.aar,(l .,rl.,), .F, . 1. ntL a? i 2f' '* `,'h r .corgi lt7 +s,d��u,r hew:,, ' "lu,,rwr,v.U, Ji 1�."rit ire 1 / thahOvest,, 11,) _. 3 1 rr,VLI t�, r Limited energy, multi-family 2 Y�,'tL al C. 4 � residential (with above sq, R.) (_J Services of feeders installation, alteration, and /or relocation 200 amps or less 80,30 2 T,� y� �S�t�ij,X ,•� lryz �l!"" S ,u I .,, tr 1'i '(At:',.,, , r, } � i i, 7;; 5 " r� ^ti'9 wtiv l� �';'i„� ...i,, ,`� 1, " 7i.�1., . . �d' , l r,�;' 1 a , zhi ''l , t' „4l' wr i! i''', . . -m,n �,. �'I�,,b , k�;a1�i,tf.,,.� ,da¢ . tea ;,r,,,,G,i „,,.r,,lil��i,,,�,� tT' �k, �,, l+ a ;IM +rS�:�,,,,,.�RI�C�I,A,r�,l,, 201 amps to 400 (IMPS _ 2 Name: A 401 amps to 600 amps 160.60 2 Ill 44 4 — 601 amps to 1,000 amps 240.60 2 Address: _ Over 1.000 amps or volts 454.65 2 -- City /State/Z1P: Temporary services or feeders installation, alteration, and /or — - _ relocation Phone: ( ) Fax: ( ) 200 amps of less 66.85 1 1 Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100,30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps 599 amps 133.75 2 Branch circuits new, alteration, or extension, Leer panel Owner signature: Date -- 0,17 .,..x ;a':qF....1,, `ir it•& ,i..., .. ..,• ; ; :., ;;q ^`'•! , 1 , ! ,)17: : a,,u ^ , 8 ,, ,, - „,..,,,li . r . 1 1 , , A. F ee f or branch circuits with ' ' Of l'.1 i2F,!.3 ?�,4� ., #44. r, , !c ' ,, ,t .,v1'r v iii9 ri , Ae i� i;ll''i °� .i .; N ` ' ' 1 . 0, i t } i? above service or feeder fee 6.65 2 cacti branch circuit Business name: B. Pee for branch circuits -. without smvice or feeder tee, r 46.8 r• 2 Contact name: .W first brunch circuit W 1 (p Address: Each add'I branch circuit t 6.65 I'2 -5C Miscellaneous (service or feeder not included) City /State /Z113: Each manufactured or modular 90.90 2 • dwelling, service and /or feeder I Phone: ( ) Fax: : ( ) Reconnect only 66,85 2 E Pump or irrigation circle 53.40 2 .'$h�'r” a i"v,�i % „ 'rl'r'F „'v ,, ;' +J ” 1 ( "r!��.':>i:;t'l ::, %r ^H l ,n�,,,n ;It; .iiN : ,: {¢n 4 t' ;yl:aIU d t1 �tl.rtk;r 1 : " —Y „; �„"!Q t, y I,O 1 , ' l 1 I ,,lyf ,:t,' Sign or Riar�.�'.O,It, ,i ,I,L.,v };.,, ' 1. .,, �,, c u i,,, „';;rr outline lighting 53.40 2 Business name; Sunset Heating and Cooling Signal cirouil(s) or limited- - energy panel, alteration, or Address: 0607 SW Idaho Street extension. Describe: Page 2 2 City /State /ZIP: Portland, OR 97239 Each additional inspection over allowable in any of the above Phone: (503) 234-0611 Fax: (503) 234 -0439 �” per inspection 62.50 t Investigation per hour (I h,' min) 62.50 CCl3 Lic;: 161085 ✓ Electrical Lie.: C117 1/ I. Suprv, Lie.: 4638S 1 ,/ Industrial plant per hour 73.75 SU rV. E1l:C[r1Cl _ sv,,i``, a4` ...j ”} v' -r >. g ' , , : •,,,',;,, p an signature, required: „i L t „4 „, ? %: L 4 C II I MZ &`,tt '; H si ":: Subt / j Print name: Randy Ess - r Date: g lal " 1 - Plan review (25% of permit fee); k& � State surcharge (12% of permit fee): 1. Auth�i Signature: �* j � � '-c...- TOTAL PERMJT FE — C----. 7 - Print. name Shaun D`Am i ross i Z7 i �� 4Y � This permit supplication expires it u permit is not obtu4ried witlt,n lac • • ^• _ 1 aaCe' l 1 days after it httq been ut cptt d as complete, ” Number of impactions allow per.permit, 1 . 1 . 640141 0 PernuluApp.dOe 05/23/05 440- 4e15T111 /05 /COM/WIB .. . Z9 /Z0 EE d 9NT1V l3SNfS BEDBbEZE05 65 :aZ 690Z/Z1/80