Permit CITY TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00171
`I I DEVELOPMENT SERVICES eM DATE ISSUED: 4/4/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S111 BC -02700
SITE ADDRESS: 10380 SW CANTERBURY LN ZONING: R -3.5
SUBDIVISION: TIGARDVILLE HEIGHTS LOT : 005 JURISDICTION: TIG
Project Description: Extend circuit for pond pump.
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: 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:
PAUL & JUD MILLER BEAR ELECTRIC
10380 SW CANTERBURY LN P.O. BOX 389
TIGARD, OR 97224 DONALD, OR 97020
Phone: Contact #: PRI 503 - 678 -1355
FAX 503 - 678 -1108
FEES
Description Date Amount Reg #: ELE 24 - 107C
LIC 20919
SUP 4902S
•
Total a t 50 .COCA
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 a forth in R 9 -.01 -0010 through OAR 952 - 001 -0100. You may obtain copies of th e rules or direct quest ins to • • NC at
503 -2 6 -6699 or 1 -800- -2 44
Issu d By: I I aiviA4A4 Permittee Sig • _ n/
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 INSTALL • TION 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.
•
AP r. 3. 2008. 1:24PM_ BEAR ELECTRIC No.3978 P. 2/2
. ' (�- I _ '- I /114 / ( C, )' - ! sii 5 - i
• ., a:d
lectrI Permit Ap r �o t �_ -'
� L � VI. � . FOR OFFICE USE ONLY .;. • ., ...::.
City of Tigard Ee' ermt No.: he STigard OR 97223 " w
Phone: 503,639.4171 Fax: 5()3.598 1960 A 0 3 2 ' ', bate/p Other P erm i t:
Inspection Line: 503.639,4175 a Date keady /By: Y m' x r3 y F ;� "
Internet: , x , ww.ci.tipard.nr.us ♦ - Notified/method: J I SupplFm tAI ; ln
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New construction 0 • .ditiicri/.t iition/repfacz -Tie ' Please check all that apply-
❑ Demolition [! Other: ['Service over225 amps, comm'l ['Hazardous location
R "F:i +i "t �G$�' `' ;;tai xF r��w,�Dtf�.�d..., .:.�,::t': . i!. i ,e� M y : �g - ..: 1 r. 8,.y,�{yf of 1
❑ Service over 320 amps - rating DBuildng over 10,000 sq. ft.,
' (-itililkaf9`',r %i: S 5° IC�jlll7 r„'fY!:.� ;' Y �!-tIa : ,�;�,�..'s•ice i '�r�ryII11.I�•E;9;..s o - Yr f�,.u�'�:.;VH * -, =err „- v. �:,,:,:.:.: �rc�ii�ud��r�ioula�t� ."F;i'[�ci�:.: �: +. and 2-family dwellings G Or rTIUFC new FCSid C(I [ {ill
❑ 1- and 2- family dwelling ❑ Corr morciaLJindustriai ❑ Accessory building ❑System over 600 vnlLs "nominal units in one structure
❑ 1\4ulti•fanuly ❑Master builder [V]�Utller: )]Buildin aver thrcc stof ❑Feeders, 400 amps or more
;.;In'.i ;lit' [ a , Y <, tom1,..`:.4„,,:,,...,„,..,..,,,..,..G., : sNl''!' ' "?TsiS�`Yyjgin�r. ,vetnluerv.::?r.. ,rt,o-,. , q�p�r,uq: om•a ypo-t „ha Occupant 10a over perso
F,�'1 �,�'U� �.� Dili' � + '!, t,y# ; ,� ; '[�,+ , + '� ;':'1� °� � °li l ", ❑ d o et 99 ['Manufactured structures or
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,, ,t:, ..i „r.,.,o..i- ....••..,.A., ,, 4 c ❑k tss/ii htin
. ,r�ar,�w'�'il� „ � 1 li6rllki,z.rl:,,; I:i�r:ia.,, .:: r s b� E g lan RV park P
['Health-care facilit ❑Other:
Job no.: Jph site address 1 Ctbpr beax y
Submits sets of plans with any of the above.
City /State/Z1P:
a Z ems" The above are not applicable to temporary construction service.
Suite/bldg./apt no Project narrle. i Ll-t a� ... _ _ ' . , i,+ ri sio a r "• -.. ti i0. "';
n 1 . ;'T, - .
_ ..- _ Description (]ry ...••'• Totnl " '
Cross street /directions to ob site: - "
J �' .� , (y �- Nev N residential s or multi-family dwelling unit.
-
Includes f clttdes attached garage. - --
J 6 1,000 sq. ft. or less 145.15 4
Subdivision: I Lot ' no.: ' a. add'1500 sd. ft, or portion ' • 3140 1
Limited residential 75.00 2
Tax map /parcel no.: energy,
::-;r,. ,'l' :'. , Limited energy, non-residential
r$! ;,,jc� ;li,.. ;� >,� ; ;t� ;,�k �!�� •! n! '.:a;i v l ,�. r A; _•.�, ,v..,., ��:;`!:,�: ; -.a . a., ° „rly o . ...�,. ...r gY idcnti 1 75.00 2
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„ ,; � . ,. > . ,., ,.,.:� -R�P9. . >4. � ;..�, ..,,:.,�,,.. -I ;N , d ;F�:'�!�:,., � n ILLS T�.,� � II. '
n „t,s_ w,� ; �.. t4. 9u° r�f��. ls�> �::>; t@ �r a iiijll�� ,�(�I ; @: Each manufactured or modular
�• /� dwelling, service and /or feeder 90.90 2
�G� .,-
r d` j �� �'t� Servics or feeders i nstallation, alteration, an reJocatiun
200 amps or less 80_.30 2
�.99. �� ,.! .,,a•5'4 ; %,H4• any.' iii t : ..a 1 „�. -- •- .-
it l rl�!' ! , yW;; �r rl i . ° # a; ; W B "z k "FC' i i "9' 7! {li,I ,iiFi . it - n F r , ^ „ .� M. , , 4 20 1 amps si , � !; h 12 l�' ;� i;s r' a rt:_ i -. r. ..,. r iF'j... P t0 400 amps T 106.85 .2
RR , rryy��tt��77�� I },�yy I
EAviiit ..:t.s, -.. 7 fl::P.,,,,• -Mi. -, ... .,) at'', 1 I :i .,;2,T.j,,,(14�,q,,,j1, i :Fes ± , )t , ,, , ,Nr ;' ii - -'- --
� ....�... .. .,,. ., -,�: ail w I ,e. y a•ralf!!ia a, . f. ,�.., _... !U ,7,i� ^l.�' .. ._..f ,, ;:rn^, t- 5},•:�., .a>.�. � 'r,�t�,:lNCi: ,
"SC..-1, 401 amps to 600 amps 160.60 2
Name: u•� �F 1 % t,LM, 601 amps to 1,000 amps 240.60 7
Address: (Q 9 DS d Over 1,000 amps or volts 454,65 J.
Reconnect only 66 ,85 2
City /State./L � ,,,�,_n�� l` qq a ci 7 Tem r V �
ll� po cr services or feeders installation, alteration, and /or
relocation
Phone: ( ) Fax: )
200 amps or less 66.85 1
Owner installation: This installation is being made otz property that I own which is not 201 amps to 400 amps • 100.30 2
intended for sale Icase, rent or exchange according to ORS 447,. 449, 670 and 701 401 amps to 600 creeps 133.75 2
- natur _
Owner signature: ,Date:
A,y'r;,; sig , ; ... r <:.,. ; ; ;- ,.. r � u i on, or extension, r par cl
krsnch circuits .- stew, alteration, ext , - n e t
� .,,�'�, * :ff ;!1 i J ; •_, ryl � ,... ;. Dt
. da• t r• . ,v i - � F it
l' RUj -ra *:L ,' , ;'tti" ^; `) ; :i,� � `l F+ r! f r + '>a r ,.* ** * , tJ; " i ! F'f Jit " A. Fee for branch circuits with
:' -' , l..... -I�lli .,,,,, ,ice;' .. a „i�hlu,.,_,:i•.,.p, 11, ' 4t: � 5., 14. "w ,.:a, H.
u� ,. ,( ?' 4,13. j in. �..,6
1_`.''M1 :A r a;.,_ i service or feeder fee, each
Business name: branch circuit 6.65 2
13 I'•ee for branch circuits
Contaet name: e,"-rn--e g, -y, .- without service or feeder fee,
Address: each branch circuit 46.85 � 2
--
Each add'1 branch circuit 6.65 j 2
City /State/ZIP: Miscellaneous (service or feeder not included)
?hone; ( ) 1 ax: ( ) Pump or irrigation circle 53.40 2
\ Sign or outline lighting 53.40 2
mail: -- -
i
Signal circuit
(s) s) or limited -
^� ;,I::,h�l y t ,�.} y , l :.� y1 .a r�•. vail'oA I.y��i�y���'yi+6° �"t �,. ,.,,,,- . ¢^ . ,,q74;, y ,t .. � ; ,�
5h 77,, ;r. t "fie: • d at�i f t u `� J r�':L yC. ark' "ti °; rte• " 174 : y energy an
r'`.,a:f+i�n��,mi .a...'II�W!!!'irt,�l�a. n �r:'.h�Iltt+l;Rl111k ; @. ,' ..,e,.�1llFl�lf��a � `�' ' 1� - � : �:5't � gY P el, alteraticn; or
extension
aa,:r,r.:.�..::a u,ti.G:.x:: t:: dG�9.. P age 2 2
. Descre: ib
3 usiness name: 1 -r El ec ; c- _.
ddrrss: +• 3 �-� Each additional inspection over allowable in any of the. above
__ P .0 . � 3
" - Per inspection 62.50
- it /State/ZIP: -
.. ��� E _ %� 6,......x p Z C Investigation per hear_(] hr nun) 62.50
t
d
Inusrial plant c t
'hone: (k„,"-C.)) (07 s.--.., ) ;S Fax: (563) 6,7. E.,-- l i () P P rho[r 73.75 • g . .
.
.: V:.ci?.rrtr:R' , , �rSjkinft :','3 1 ; .
J �r,h,jL_
CB Lic.2.0 t. t• I Hlectncs.I Lrc.:2 e>1 .. I Suprv. Lie.: 3 t � : :..,. = ,....., .
Subtotal I Q 5'
`tiprv. Electrician signature, require .. r/ ( permit -:-
�� . `��� Plan review (25% of omit fee) - --
run name; State surcharge (8% of permit fee) ` 3 ',/ s
A Z r°
A c. (( Date: ^ -
�J�- - _ LQl -.Or
I w TOTAL PERMIT FEE , o.
.uthorized signature: This permit Application expires if a if is not obtained within 180
.
days after it has been accepted As complerr
rint name: u,
e: I rrn.- . - .. , , .. _ , .. _ .... .. _ . _ .
CITY OF TIGARD
BUILDING DIVISION PERMIT #:ELC.2066 -Otf, l
13125 SW Hall Blvd., Tigard, OR 97223 , DATE ISSUED:
Phone: (503) 639 -4171 • , f�gwm�,� ,
Inspection Requests (24 Hrs.): (503) 639 -4175 .'� .'�
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 10314%, 4%, (4t T tmwe 1 CLASS OF WORK:
SUBDIVISION: s l4 LOT #: TYPE OF USE:
PROJECT NAME: `
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 41/ Pour Time:
ose • Inspection Description Confirm # Contact # Message
1 c\ o` t' R' c.,., ? Ar .
fro
- _ : • sh •mments /Instructions: WIE `
C C-
.
C X . P -- ie S ❑ PARTIAL APPROVAL 7 CANCEL ❑ NO ACCESS
I I FAIL ❑ CALL FOR INSPECTION ❑ Al = 11 AL FEES ASSESSED _..._ . Inspector: 4 ` N O �� Date: -` � , Phone #: (503) 718 -viI -