Loading...
Permit „ CITY OF TIGARD ELECTRICAL PERMIT 11 11- COMMUNITY DEVELOPMENT Permit #: ELC2009 -00219 TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503.6394171 Date Issued: 05/13/2009 Parcel: 251018801400 Jurisdiction: TIGARD Site address: 12154 -S.W GARDEN_P_L,- BLDG # Subdivision: PARK 217 Lot: 0 Project: Harris Workstations Project Description: Move 100 amp sub panel. Owner: FEES WALTON CWOR PARK BC 8 LLC Quantity Description Date Amount BY TTA/EPROPERTYTAX DEPT 325, PO BOX 1 ea Services or Feeders - 200 05/13/2009 $80 30 4900 amps or less PHONE: 1 ea 12% State Surcharge - 05/13/2009 $9 64 Electrical Contractor: RELIANT ELECTRIC LLC 20200 SE OLDENBURG LN SANDY, OR 97055 PHONE: 503 - 860 -4240 FAX 503 - 668 -4190 Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $89 94 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 52 2.0 1 01 - - / 01100 r 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: 7 I _ �,Ie\1� -J��� / bL� Permittee Signature: • _ AO 40, . A 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. MR*- 13-2009 10:57A FROM :RELIANT ELECTRIC 5036684190 TO: 5035981960 P.1 ✓, Electrical Permit Applicatio ' I nlr(')I I It I i ,,`.+, 1 (►CI A & x . > ' City of Tigard El �:y a„, Ets . :, Received S O. ]kno No. • e 74 g Dme/B : l • O . • 007.4 ® 13125 SW Hall Blvd., Tigard, OR 97223 AA,� y ry Ptah Review 1 3 20 09 DateB , Other Permit: Phone: 503.639.4171 Fax: 503.598.1969/1H 1 T a ., , °,! t; , Inspection Line: 503.639.4175 Date Ready/By: MI Rl See Page 2 for Internet: www.tigard- or.gov CITY OF TIGARD Notified/ Method: Supplemental Information TYPE OF walitDINIG DIVISION PLAN REVIEW ❑ New construction ['A-Addition/alteration/replacement Please check all that apply (submit a sets of plans w /items chocked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. Demolition ❑ ❑ Other where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. loss to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ I- and 2- family dwelling ' Commercial/industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ID system. Emergency system. larger separately derived system. Addition of new motor load of ❑ "A" "E" "1-2". "1-3". Job no.:012. 12A-3 Job site address: 1 2_154- 51,0 ,-(l LJ1 12 la i l or mom. occupancy. ❑ six x or or more residential units. ❑ Recreational vehicle parka, City /State/ZIP: `r(/i (G1/ j OR_ G( "7 2-2.-3 ❑ Health -care facilities. ❑ Supply voltage for more than J � ❑ Hazardous locations. 600 volts nominal Suite/bldg./apt. no.: Project naree:L,ry� 1,t1:br C -O j ❑ Service or feeder 600 amps or more. job site: ntetrt FEE SCHEDULE y. Cross street/directions to I j �ma 1 city. I Fee. { raw I • New residential single- or multi -family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 Ea. add'I 500 sq. ft. or portion 33. Tax map/parcel no.: Limited energy, residetuial 75.00 ' 1111 "�'Q q� DESCRIPTION PT OF WORK yry� /� f �I 00 (with above sq. ft.) L'e ll.1'Vl I J (i'Y l� al, V v`e f) Limited energy, multi-family b v er . .. f residential with above fl 75.00 st.„/f _ /U {t ` ( ` ( [' l^ a, aim al Services ps or or lea feeders s tnstallatto , alteration and/or relocation 80.30 + ❑ PROPEiTY OWNER Q TENANT • 201 amps to 400 amps 106.85 Name: 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City /State/ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) 1 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 599 amps 133.75 2 Branch circuits - new, alteration, or extension, ■ .r panel Owner signature: Date: A. Fee for branch circuits with 0 APPLICANT I c CONTACT PERSON above service or feeder fee, 6.65 2 , each branch circuit Business name: I ,1 - .. C-Yi Gl L . B. Fee for branch circuits branch circuit 6.65 2 Contact name: . ��I ��'`J fir st bra n c h service or feeder fee II 46 . 85 © � 1� �� ry � /1 (� ) � d� � first branch circuit Address: , D X- L{�� ` t kbiktt I �al..v _L- Each add'I ty ��`� , � "� { - Miscellaneous manufactured or modular aneous service or feeder not Included City/State/ZIP: '.105 aA dwellin:, service and/or feeder 1111 90.90 -© Phone: ( ji) a� r e , Fax : : " ') i' ! /� /� only - , (Q �T'I' f 0 Reconnect onl 66.85 E -mail: 1 e ((&.II - sir 1f.Lf,k -0) at) • te m Pump or irrigation circle 53.40 _© U CONTRACTOR Sign or outline lighting 11. 53.40 _© Signal Business name: 1 it -� � / �(, � pa el,(a) or limited - ``��' t f rG nol alteration, or Address: • 1 + P r .1 c, extension. Describe: Page 2 �� City/State/ZIP: t • V l 1 P Each additional ins i don over allowable In an of the above _ '''`Ill /� Per inspection 62.50 _- Phone: ( / , q - , ! I t ∎ Fax: (`5173) 0 � V Investi :anon per hour (I hr min) - 62.50 _- CCB Lic.: i (Q256lZ)- Electrical Lic.: Cf� Suprv. Lie.: 5 I4t-1S Industrial plant per hour ! i -� . � � �, ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: -i - Subtotal: �1 Print name: I, , 4 la Ey Date: ' . ' Plan review (25% of permit fee): State surcharge (12% of permit fee): Irginall Authorized signature: e ' i -- { TOTAL PERMIT FEE: $ , - 4- ' Date:�j Th permit application aspires if a permit Is not obtained within 180 Print nom t9)��Yei_ r !mil � /� - 1 �/ `/ q days after It has been accepted as complete. • Number of inspections allowed per permit. t /Duildineenntts1RLGPermtAPp_doo 05123/06 440.46ISr(tI/OI/COM/WEa