Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2008 -00143
COMMUNITY DEVELOPMENT DATE ISSUED: 3/13/2008
13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 134CB -15900
SITE ADDRESS: 12375 SW ANTON DR ZONING: R -7
SUBDIVISION: ANTON PARK NO. 2 LOT : 086 JURISDICTION: TIG
PROJECT: DEHARPPORT
Project Description: Installing (2) branch circuits.
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: SIGNAUPANEL:
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:
CRAIG DEHARPPORT GRF ELECTRIC
12375 SW ANTON DR 15460 S PARADISE LN
TIGARD, OR 97223 MULINO, OR 97042
Phone: 503 - 616 -6961 Contact #: PRI 503 - 829 -4146
FAX 503 - 829 -5747
FEES
Description Date Amount Reg #: ELF 3 -484C
II LPRMT1 [[C Permit 3/13/2008 $53.50 LIC 76751
[TAXI 12% State Surchar 3/13/2008 $6.42
SUP I6��S
Total $59.92 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.
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Issued By: - /' ermittee Signature: 07'..
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.
,r`'a,i ?,-.: 08 11:48a GRFELECTRIC 5038295747 p.1
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Electrical Permit Application wiz. 01414 ) r F I
City of Tigard � �J _
((�`` �` R ece iv ed de : PamitNo.: _, Cc /0
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- 1 3125 SW Hall Blvd., Tigard, OR 97 cs ' * O n � r Plen Review Otba Pecmtc _ _ ., ,, 1 �
Phoot. 503,639.4171 Pax: 503.598.1960 � 1 u Doren : 1u,ic 0 See Pete 2 o r
t i r: _ .. I. , Inspection Line: 503.639 ,4175 1\'k 195 ,�,± o ,.!{�,�• ... 9a set lnbrne +lion
Internet www.tigard•cr.gov '�`Vt 'A
TYPE OF WORK 0 °v % y I G � P LAN RrrVIERt
e' Pkare envi cheek all that apply (ent 2 feu of plans *Mans checked below):
New consufoctioo • Addition/Alteedtient fat ❑ $es err feeder 400 amps a mare Q Bu et throe
tldiog su aris.
�` .JJ,, �
❑ Demolition ❑Other: where the available halt current ❑ Mariam and boahsrds.
CATEGORY OF CONSTRUCTION exceeds t0.000 amps et I le volts or ❑ Flavin luitdines.
lento peons, or mixer 14,000 ❑ Carnromeisl -me acrieolttual
ii: 1- and 2- family dwelling ❑ CommercialFindusvial ❑ Accessory building amps for an atha inollations. boildiapx.
of 7S KVA or
0 1:3 Multi•femily ❑ Master builder U ❑ Pirc paten. Other: 0 Emirgcney 'rerun larger reWntcly derived tyaictft,
JOB SITE INFORMATION AND LOCATION _ ❑ ,lsblttian dor. mote load of 1:1 "A', "E'. "1.2 "." I.3"
_ y 10oliP a morn. occupancy.
Job no.: l Job site address: 1 2 3 3 . t.J A- l .01 'of a Six or et nn idennd volts. ❑ vehicle parka
v ❑ supply vohaga for more than
i,'] }lealthwc feoilitiva. 600 unto manual.
1 � �i 1 Z ❑Raxardow locaflans.
� ^ + e r 1:] Swiss of feedm 600 amps or mom.
Suite/bldg./apt no. t Project name: e Y' jl l it/ ! + r� FEE SCH DUL]E _
II ' Prst as 1 Orr. 1 Fn. r Tout
Cross street/directions to job site:
New residential single or resist - funny dvrellinp, unit.
includes attached garage.
Subdivision: l Lot no.: ).,000 s q . ft or less 145.15 4
Ea. add'1 500 sq. ft. or portion 33.40 1
Tax map/parcel no.: • Limited energy, residennal 75.00 2.
DESCRIPTION OF WORK (with lime on R)
Limited alder,, multifamily { 75.00 I 2
2 - ��/. ' 4.C.-..10,4.7e1 C tcsidcrttial (with ve sue - 'bow tt.) _ I
Services or feeders Installation, alteration, and/or relocation
200 amps or less I 80.30 2
❑ PROPERTY OWNER l .0 TENANT 201 amps to 400 amps 106, 85 2
403 amps to 600 amps 160.60 2
Name: I 4 ii , e D_e i.. a Y e0 Y " 601 amps to 1.000 amps 240.60 2
Address: 11.3 -7 $ lA.) 7 1 r ' Y7 0 I'm Over 1.000 amps or volts 454.65 2
Temporary services or feeders installation, afteradon. and/or
City /State /ZIP: f 1 e � , v ei e) ZZ.3 relocation
Phone: ( ) (p 1b G Cl {[ , Fax: ( ) 200 steles or less 46.85 1
100.30 2
t 201 amps to 400 smp8
Owner installation: This installation is being made on property that I own which is not 201 599 amps 133 75 2
intended for sale, lease. rent or exchange, according to ORS 447, 4.49, 690, and 701. t 01 amps to ash eirc new. alteradaJ or extension. ecr panel
Owner signature: Dale: A. Fee for branch circuits with
❑ APPLICANT a bove service or feeder fee 2
❑ CONTACT P& R50N 6.G5
each branch circuit
Business name: B. Fee far blanch circuits
without service or feeds fee. 1 46.85 2
Contact name: first branch circuit
Each add'1 branch ciratit 6,65 I
Address: r - 6 V
Miscellaneous (service or feeder nit included)
City/State/21P: _ Each manufactured or modular 90.90 2
dwelling, service otdl0r feeder
Phone: ( ) Fes: : ( ) Reconnea only
66.85 2
E - mail: Pwnp or irrigation circle 53.40 2
CONTRACTOR - Sign or outline ligIting 53.40 2
Signal circuit(') or limited -
Business name: (,) (Lc �� ,6, f - _ c--- _ energy putcl, alteration or
Ll{/ pttcesinn.3?escrlbc: Paget 2
Address: � , 0 L PA ry -rrA,t -
City/State/21P: 4
Saco additional Inspection over allows hie in anxof the a bove
w , w . L— a Per inspection 62.50
Phone: ( i -,, ) s -'L� 1 V. to Fax: (. � t ZA `5 Lf ? ' Investigation per hour (l hr min) 62,50
CCB Lie.: —) / ., ( . Electrical Lie.: 3 -c G Suprv. Lic.: I4 55 Industrial plant E u l PE T FEES
Suprv. Electrician signatutc, required: . —y� " Subtotal: 5--/ 15() Fim review (25" /e of permit fee):
Print name: ( Dace: J 1 f 7/
� l i 1 &,..y..) - 7 xi/� -> o P State .surcharge (12 of permit lee) �t
Authorized signature: TOTAL PERMIT FEE: / l
�•- - This prank applicntiru empires I is permit its ■nt obtained within 1 v
Print name: Dale: daya utter it has been accepted an renspkte. ■
• Mamba of,rapections allowed per permit. 5 • 7: tavildiMllconio` .Chroilat doe HMOS • tea- ootsitliosicOM Wta
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CITY ������8��������
��n m n OF ' nn��m=�un��
BUILDING DIVISION PERMIT #: ELC2008'00143
| 13125SVV Hall B|vd.. Tigard, OR07223 DATE ISSUED: 311312005
Phone: (503) 639-4171
Inspection Requo�e(24Hmj:(5U3)83Q'4175 ~ 11:.
INSPECTION WORKSHEET FOR DATE: 3/17/2008 TIME: 7:01ANI PAGE: 40
SITE ADDRESS: 12375 SW ANTON DR CLASS OF WORK:
SUBDIVISION: ANTON PARK NO. 2 LOT #: 086 TYPE OF USE:
PROJECT NAME: QEHARPP0AT
DESCRIPTION: Installing (2) branr:h circuits.
OWNER: DEHARPPORT, CRAIG PHONE #: 5O3616'6961
CONTRACTOR: (9RPELECTR|C PHONE #: 503-829-4146
Inspection Request Scheduled For: Date: 5V17/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
.
199 Electrical final 066771'01 503.657-2220 `/
Corrections/Comments/Instructions:
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I __ PARTIAL APPROVAL El NO
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FAIL || C LL FOR |N8PECT|ON E ADDITIONAL FEES A8GEGGED
dip
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Inspector: Oata: / �� 40 Phone #: (603) 718-
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