Permit } _ CITY OF TIGARD ELECTRICAL PERMIT
4 PERMIT #: ELC2006 -00666
i. IN
'. COMMUNITY DEVELOPME DATE ISSUED: 11/17/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S110BD -07600
SITE ADDRESS: 11798 SW ASPEN RIDGE DR ZONING: R -4.5
SUBDIVISION: ASPEN RIDGE LOT: 048 JURISDICTION: TIG
Project Description: Reconnect service.
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: PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: 1 SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
DOANE, JAMES L + LAURIE MIKEL TICE ELECTRIC
11798 SW ASPEN RIDGE DR PO BOX 15009
TIGARD, OR 97223 PORTLAND, OR 97293 -5009
Phone: 503 - 624 -2115 Contact #: FAX 503 - 872 -8290
PRI 503 - 233 -8801
FEES
Description Date Amount Reg #: ELE 26 -126C
[ELPRMT] ELC Permit 11/17/200( $66.85 LIC 166
[TAX] 8% State Surcharge 11/17 /200( $5.35 SUP 2586S
Total $72.20 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. _ i
/0
Issued By: �1�/ / �, Arr Permittee S ignature .
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.
Electrical Permit Appitefan ,._ - ________......•_
FOR of ICE US O N L Y _ .
Rec
City of Tigard l7ate/ ti T i I 1 Dt, Permit No. � f✓apt* ..001a
13125 SW 1--lall Blvd., Tigard, OR 97223 NOV 1 7 2006 Plan Review
Phone: 503,639.4171 Fax: 503. 598.1960 /it,. °" ;' fi r\ Date/By; Oiler Permit;
Inspection Line: 503.639.4175 CITY OF °I IGAF A l; : I. Date Reedy/By: curls, 8 See Page 2 for
Internet: www.ci.tigard,or,us BUILDING DIVI I ill Notified/Method: Supplementallnformatlon
TYPE OF WORK PLAN REVIEW
❑ New construction g] Addition /alteration/replacement Please check all that apply:.
❑ Demolition ❑ Other: (Service over 225 amps, comm'l ❑Hazardous location
❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. R.,
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or ooze pew residential
[] 1- and 2- family dwelling ❑ Cotximt rcial/industrial ID Accessory building El System over 600 volts nominal units in one structure
j]Building over three stories ❑Feeders, 400 amps or more
❑ Multi-family (D Master builder I:3 Other:
['Occupant load over 99 persons ❑Manufactured structures or.
JOB SITE INFORMATION AND LOCATION ❑Egresa/lighting plan RV park
8 0. 1 6 4 6 01-care facility pother:
Job no,: Job site address: n�� � ; p pe n R i. d ge) EE grad{,bmit 2 sets of plans with any of the above.
City/State/ZIP: T i gar , OR // .? �l Q / The above are not applicable to temporary construction service.
FEE* SCHEDULE
Suite/bldg. /apt. no.: Projectname,Aspen Home Owners Deacrl tioa
1? Qty. I Fee. Total '.
Cross street/directions to job site: / e Assoc New residential single- or multi - family dwelling unit.
Includes attached garage.
9' 7 a L1 . 1,000 sq. ft. or less 145.15 4
Subdivision: Ea, add'l 500 sq. ft. oz rtion 33.40 1
Lot no.: q' �'_°-
Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy, rton- residential 75.00 2
DESCRIPTION OF WORK • Each manufactured or modular
dwelling, service and/or feeder 90.90 2 _,
service reconnect _, Services or feeders installation, alteration, and /or relocation_
_ 200 amps or less 80.30 2
ID PROPERTY OWNER 17 Np to 2
400 amps 506.65 _
201 amps
,. 401 amps to 600 amps 160.60 2
Na(4) - 601 amps to 1,000 amps 240.60 2
Ad ss: • -29 $ 5 , . 1 , Over 1,000 amps or volts 454.65 2
r Reconnect only 1 66.85 1 6 6. 8 52
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
PhOne: ) 4 2-11 5 Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that I 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 to 600 amps 133.75 . _ _ 2
Own signature:_ Date: Branch circuits - new, alteration, or extension, peryanel
a APPLICANT Z CONTACT PERSON �A• Fee for branch circuits with
__ service or feeder fee, each 45.65 2
Businessnaxer Creative Landcare Inc branch circuit - J
— B. Fee for branch circuits
Contact name: Robin Paschall without service or feeder fee,
each branch circuit 46.8.5 2
Address: 22742 S W Lincoln Street Each add'] branch circuit 6.65 2
City/StatclZFP: Sherwoo ; OR 9 71 4 0 Miscellaneous (service or feeder not included)
/ . Pump or irrigation circle 53.40 2
i5
Phone: 0 3 ) 3 51 —5 2'9 8 Fax: : ( )
Sign or outline lighting 53,40 ~ 2
E -mail: / Signal circuit(s) or limited -
CONTRACTOR_ _ energy panel, alteration, or
- extension. Describe: Page 2 2
Business name; Tice Electric Co. -
P Box 15009 Each additional inspection over allowable in any of the above •
Address: PO inspection 6 2.50
City/StaterZEP: Portland OR 97293 - 5009 investigation per hour (1 hr min) 62.50
Phone: ( 503) 233 - 8801 Fax: (503) 872 - 8290 Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lie.: 166 Electrical Lic.: 26 - 126C Tuprv . Lie.: 2586S Subtotal 6 6. 8 5
Suprv. Electrician signature, required: / / Nan review (25% of permit fee)
State surcharge (8% of permit fee) 5 • 3 5
Print name: John J. Maloney Date 1 1 / 1 7 / 0 6
. TOTAL PERMIT FEE 7 2 _ 2
—
0
Authorized signature: This permit application expires if a permit is not obtained within 580
days after it hes been accepted as complete
Print name: Date: ^ Fee methodology set by Tri -County Building Industry Service Board
. — .. " Number of inspections per permit allowed,
inn iiiminelParntit ,\BLC- P,rmitAeo.doc viol eeo- 46tSTti /COM/WES
i
CITY OF TIGARD
BUILDING DIVISION s PERMIT #: ELC200 &00665
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11//712006
Phone: (503) 639 -4171 'gmilii ttil
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/29/2006 TIME: 7 :04AM PAGE: 56
SITE ADDRESS: 11738 SW ASPEN RIDGE DR CLASS OF WORK:
SUBDIVISION: ASPEN RIDGE LOT #: 046 TYPE OF USE:
PROJECT NAME: DOANE
DESCRIPTION: Reconnect service.
OWNER: DOANE, JAMES L + LAURIE MIKEL, PHONE #: 503-624-2115
CONTRACTOR: TICE ELECTRIC PHONE #: 50:3 233 - 8801
Inspection Request Scheduled For: Date: 11/29/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message 54 ,/ 4 _ 15
115 Electrical service 040357 -01 503-341-7312 Y Sd
Corrections /Comments /Instruction. :
PASS PARTIAL APPROVAL I I CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-
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