Permit r ELECTRICAL PERMIT
CITY OF TIGARD
PERMIT #: ELC2009 -00041
COMMUNITY DEVELOPMENT DATE ISSUED: 1/29/2009
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S102CC 07400
SITE ADDRESS: 13730 SW CRESMER DR ZONING: R -4.5
SUBDIVISION: BEREA LOT : 035 JURISDICTION: TIG
PROJECT: HEFFNER
Project Description: (2) branch circuits for air handler. Job No. J42983
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 HMI 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:
CLAUDE HEFFNER WEST SIDE ELECTRIC CO INC
13730 SW CRESMER DRIVE 1834 SE 8TH AVE
TIGARD, OR 97223 PORTLAND, OR 97214
Phone: Contact #: FAX 503 - 231 -9987
PRI 503- 231 -1548
FEES
Description Date Amount Reg #: ELE 26 -135c
[ELPRMT] ELC Permit 1/29/2009 $53.50 LIC 13306
[TAX] 12% State 1/29/2009 $6.42 SUP 46545
Total $59.92 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Munidpal 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 • - - 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Those rule: are set forth i O ' 9 - 001 -0010 through OAR 952 -001 -0100. You may obtain copi ese rules or direct questions to OUNC at
503.246.;699 r 1.800.33 0 (—Gv/
Issued = : �I / C ofiLe Permittee Signature:
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:
aNTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: `' i /' r ae 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.
.,
v RECEIVED
,..
. ical ..„, f .,
Eleetrical ermi I ADplicatiyAIN xi 2009 ::,,,-- ..:- ...• ', • . • FOR OFFICE USE ONLY
4 Ci t v 0 f Tiu it rd Received
1 4 l l-..Z.i ' , ., ,,, Date/fly; df `45/ i P--"N
t !" 1J [2) \V Hall BlVd., Tigard, C iritADF TIGARD / A
Plan Review
______ I OtLi
". ril"': 5°3.639A 171 lN: - itDINO DIVISION D„,,,B,.:
Inspcction Line: 51)3.639.41 •
Dale Ready/By: dt..._.... CI See l'ioe
.,-.117777:7(7.7.! 1111c11,ct: wWW.Iii:alti-Ur..20V
NUIllieSISICIlla ju /r n a s„,,„,,,n,.,,,., in,...,),:„iu.
________________________„.
I _ ____ _
,,,,, of, woilK.
PLAN REVIEW
L
El Ncw c01 is1iltC1.1011 Addition/alter:mon:replacement Please deck :ill th:a apply .stil..miii 2 sets of plan; wilteins ,:lteeked below r —
0 Service or t'eeder -1 00 .zthps or tHutu 0 Blliktil1g 0%1' th
---- ICC At)11cS.
, El iti011 Cli OtlICA
VVII.IC lilc: aVailabk CaUll CII1Cla Ei :\,l.di lila, and boalyar&.
CATCOR. V OE CONSTRUCTION
— _____ -- ------ exceed:: I 0,000 amp,. 100 vol,., or 0 Flo.ith: buthinle,
it') giound, vi cxccer15 1-id.kli 0 Cuilaneiciakti:;e aDieuittnat
• I :tild 2 dwelling LI Comm.:I 0 Accessory builditm
amps fOr all other iththlthrtion, b.10111,,..;,..
El N1u1ti rj Nlaser builder [ Other: 0 Fire pump. 0 Inicaltion of 7,5 KVA oi
0 Emcrliciicy sy.sieni, 1:n C I I> dettced ,,y,;:t.in
,
.1011 SITE INPORMATION AND LO N CATIO
0 Addon of new motor o:■.
II of
__ —,— —.—
.10 !
i) 0 2,1 R:5 1 lob site address: [2 . 2 ,-,, CL,J I WI" '''
inure i usidcntial unth;. 0 ke,ne.thondl sel,,,:ie pal r.s,
Clly/SLil....:,'Z IP: t/• C C",,l 61 al -Tie 3 0 Health-care raciliti,:s. 0 Stipp ly vult...8e fu,' thole than
Oita:a-dons teeatium. uno eoils nominal.
•
.
Suite/bid:Li:4w no.: Projec I I lail IC ' t_re 17 0 Scr, ice olLdeLl:■ aritpL?J
tV,, .
FEE SCHEDULE
Cruss sue...a/directions to job situ:
D,,,,,,•ipa,,,,_ i oie. 1 I
--- --------------------------- New residential single- or multi-family dwelling unit.
udes a garage. , ,
_ Incl
_. „ _ _ _
-- 1 - • ,
Subdivision.
Lot no.: 1,000 sq. h. or less 145.1:1
_...' ----- .
- Ea. add'l 500 sq. R. or portion [ 33.40
Tax mapiparecq no.:
Limited energy, residential
— _
75.00 ,
DESCRIPTION Or WORK • (with shove sq. fl.)
Limited energy, inulii-Thmily
■. ....,--e ck ' j" L's.CA... Cq \ --e_. -r residential (with above sq. tl.) 75.00
_
_ - _
Services or feeders installation, alteration, andiu : relocation
_ , _ 200 ainps or less 1 $O.30f 1 T"
-
PROPERTY OWNER 0 TI.::NANT. 20i amps to 400 amps 1 2
_ _ _,_ _ _
:1 .,9,0 ..r 401 ;in', to 600 amps 1 160.60
-
-..
601 amps to 1,000 amps
Address:
j 454.0 71
Over 1,000:imps or volts -. 1
— —
City/State/ZIP: . Temporary se-ekes or feeders installation, alteration, antlior
-
relocation
—
Phone: ( '‘; 3) 6 le— 7—c 6 i I Fax: (. ) 200 timps or less I 66.85 I I
----------- 1 01 -un )s ta 400 am )s• I 100.30 1 i
_
Owner installation: This install:Mon is being made on property Ilhit I own which is not - ' I • ' I
intended am sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 4W amps to 509 amps 1 133.75 -
I 2 •
13rancll circuits -- new, :Merano 1,...ip• ex:tension, per panel
Owner signature:
Date:
r__ A. Fee for branch circuits with
ail APPLICANT
L 0 CONTACT PERSON above sort-ice or feeder fee.
.
O.6S •■
_
— - each bran..th circuit
Business name: wEsT SIDE ELccrkic co.
B. Fee tbi branch circuits
without service or feeder feu, 1
46.85 1 46 '$ )
Contact name: GLENN GROSSMAN
lirst branch circuit
_
Addrcss: 1834 SE S AVE., Cacti :IMP! branch circuit 1 6 6",r
.65 67. 2
•
Miscellaneous (service or coecki nor ii elodod)
City/StateiZIP: PORTLAND, OR 97214
Each manufitctured or modular
90.90 1
dwelling, service and/or feeder_
Phone: (303) 231-1548 - I Fax: : (303) 736-0677
Reconnect only 66.S5 i 1
_
E GL ENNG(rij WESTS1DEELECTR1C.COM Pump o' irrigation circle — F — 53.40 1 2
coNTRAcToa ,
Sign or outline lighting 53.40 12
-
Signal circuit(s) or limited- T--
Business name: WEsT SIDE ELECTRIC CO.
• energy panel, alteration, or
Addi 1834 SE 8 AVE exiension. Describe: Page 2 2
•
City/StateIZIP: PORTLAND, OR 97214
Each additional inspectio over aLIowa Ole to any of the above
Per inspection I 62.50 I
I'hont): (503) 231-1548 I_ Fax: (303) 736-0677
_ Investigation per boor (1 Iv inn) 62.50 1
CCU Lie.: 13306 Electrical Lie,: 26-135e 1 Supre. Lie.: 4654S Industrial plant per hour 73.75 I
,...,
ELECTRICAL TERAIIT FEES . •
_..---; )
SLIDl Electrician si rcqiiired: ,..... , , i ....
- . '
. .1.ttibtotat: 1 5 _
- c...-_....,..--,.,-..
Print name: RANDALL ROBERTS Date: / /1, ■3/6 C-,r
i .-- - Phut review (25 iperniii lee)
Statk."-Sul*Cli;lsge CI:7% 07 41, --------
• •
Authorized signature; •
TOTAL PERMIT FEE: 621
01 a_
____ --- ---
TitiSTerinit aplaation expires its riertnit boot obtained withilt 180
Print wink.: : Dale:
ililys After it has been accepted IS culuplefe.
Numbed of inspections allowed per permit,
. du.: u),./.3;ou
-14(1.461S1, It ctixiilos:n
Z966 1 C£00
e/ e 600Z LZ:LI7:90
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