Permit CITY OF TIGARD ELECTRICAL PERMIT
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•• COMMUNITY DEVELOPMENT Permit #: ELC2012 -00012
T 1GAR.D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 01/11/2012
Parcel: 2 S 109AA01900
Jurisdiction: Tigard
Site address: 14434 SW 130TH AVE
Project: Riodil Subdivision: WOODFORD ESTATES Lot: 7
Project Description: Electrical for kitchen remodel.
Contractor: ENDERS ELECTRIC Owner: RIODIL, KRIS A T & ADELBERT R
PO BOX 1661 14434 SW 130TH AVE
BEAVERTON, OR 97075 TIGARD, OR 97224
PHONE: 503 - 626 -4813
PHONE: 503 - 970 -1888
FAX: 503 - 646 -3871
FEES
Quantity Description Date Amount
4 crt Branch Circuits wo /Purchase 01/11/2012 $78.44
Specifics: Service or Feeder
1 ea 12% State Surcharge - 01/11/2012 $9.41
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $87.85
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 952- 001 -0090. You ma • • -.• - • • of the rul= yam;,, ect questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By:' ' _ � - — Permitt Signature:
4111111r 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' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m. for the next available inspection date.
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.
Jan 11 12 08:56a 01'/ S ELI 503- 64G -3871 p.2
Electrical Permit ApplicationjAN 1 1 2012 FOR OFFICE USE ONLY
City of Tigard Re clued
(�� Permit No.:
13125 SW Hall Blvd., Tigard, OR 9 23' ® p'rr �' GA' z! D l3 : y a r), y
' C Phone: 503.7182439 Fax: 503rjil2DING DIVISION
Plan R
T t G , I) Inspection Line: 503.639.4175 Date Ready /By: Egn ei See Page 2 far
Internet: www.tigard-or.gov Notified'Method" mental Information
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El New construction ® Addition /alteration /replacement Please check all that apply (submit 2 sets of plans wntems checked below): t
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other
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where the e aaae fault current 0 and boatyards.
rte„^ a t rti5"� � . �, ,� y
h t ESER '+6 V tt t u " * t.�tttc ar ulat` l "r`.t. yt _ 'i , . n t h l i :t u ' t exceeds IOA00 amps at 150 volts or ❑Floating buildings_
less to groulxt, or exceeds 14.000 ❑ C ommercial -use agricultural
® I - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ multi-famil . builder ID Other: ❑ Fire pump. ❑ Installation of 75 KVA or
,��i• Nit.. ha.. aec, 1' ar` . 0 ! i '�hl.;ir u�s.•nf q, t L'21',. ❑ mergetlC s larger sepat:tteiy derived system.
a ......+4tHkunwS,,: tr�ty..<c e•tu -tax 67rtt :. rb,. . t. •!,.,
❑ A otl,ew n tolor load of ❑ "A" - E"."1-2", - 1-3".
Job no.: Job site address: 14434 SW 130th Ave 10011P or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State /ZIP: Tigard OR 97224 ❑ Healthcare facilities. ❑ Supply voltage for 'note than
❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: I Project name: Riodil ❑ Service or feeder 600 amps nr store.
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job sL,Pi' �a'. urz' , nvu:A E v ee. .c=n•�la ii:l!! isgIFI `'f;:
Cross street /directions to v., >�. :, .,,._.., .:,, ,.: I ::?. ,,,,t:.isit:a!•:':i
Description ( Orr. 1 Fee. I lotai .
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: 1 Lot no.: 1,000 sq. ft. or less 168.54 4
Tax map /parcel no.: Ea. add 'I 500 sq. ft. or portion 33.92 I
Limited energy, resideni;al
s. 9 tE :. � ,x �s s i ,a � > Et ir3f41 r f i . 4 rte Ogg with above s ft. 75.00 2
w ausy,, #dLra;Y�7Y9�"a' ONI r,1„- 1-�G'S7 R'.!t 61. ,:'',Y. r v � r ;' il`a3'it`g ( q• )
Limited energy, multi- family 75.00 2
Branch circuits for Kitchen remodel residential (with above sq. ft.)
Services or feeders installation and/or relocation
err r -�,a rr» • �,�``,�n ,» �
_ 200 amps or less 100.70 2
: � ',r� l c J °,< _ 4? �� °� ;..S q@,!y b 4.e, r1 t! r t �p s R aiur< 201 amps 10400 amps 133.56 2
aa.�.s.. :. , aRtty'� .. ! . euty . t,.' " .9t�t` t rtw
Name: Delbert & Kris Riodil 401 amps to 600 amps 200.34 2
60I amps to 1,000 amps 301.04 2
Address: 14434 SW 130 Ave Ovct 1,000 amps or volts 55226 2
City /StatelZlP: Tigard OR 97224 Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) 1 Fax: ( ) 200 amps or less 59.36 I
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps I68.54 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
r ed; ,. g -SFr g1p i �W t � t � �' x 4 �ru �,. rll< rig lib or feeder fee,
t:,, *.. a ula'?�iQ��������� :�` a r 5 � :i��4Fa ki ®1 3 u..el r t 7.43 2
ea ch bra ice circuit
Business name: Enders Electric Inc B. Fee for branch circuits ,rvhoul
service or feeder fee, first 1 56.18 56.1 8 2
Contact name: Allen G Robertson branch circuit
Address: PO Box 1661
Each add'I branch circuit 3 7.42 22.26 2
Miscellaneous (service or feeder not included)
City /State /ZIP: Beaverton OR 97075 Each manufactured or modula
dwelling, service and /or feeder 67.84 2
Phone: (503) 626.4813 I Fax: : (503) 646.3871 Reconnect only 67.84 2
E -mail:
Pump or irrigation circle 67.84
}`" •Wr ,a �Srt , . > r .•. r rx: - �. °iii - c°� ; v
,ct, =s "irf.ifs d "� °� t , .,.• t.:. ri ' 67.54 2
, t•...,...6;� � -� .t l._ �1. :�,�, titirgl;.•�e •'M_Kf,; :�tYtts• „�� tgntrout
���ua�. �. a m ,, 7•h��•,rsnr. t " "�: •,• _i :. :;'1s; ^g(, Signal cirttut(s) or limited - energy
Business name: Enders Electric Inc panel, alteration, or extension. Page 2 2
Each additional inspection over allowable in any of the above
Address: PO Box 1661 Additional inspection (1 hr min) 66.25/ hr
City /State/ZIP: Beaverton OR 97075 Investigation (I hr min) 66 25/ hr
Industrial plant (1 hr min) 78.18/ hr
Phone: (503) 626.4813 Fax: (503) 646.3871 Inspections for which no fee is
s xcificali listed (% hr 1nm) 90.00/ hr
CCB Lie 26728 Electrical Lic.: 34 -265C Swr Li 4685S ' s l i5 � 3'u real :
i i !s i7 a tom:
Suprv. Electrician signature, required: / f Ili ." f ° t �'� Y Subtotal: 78.44
� " Plan review (25% of permit tee):
Print name: Allen G Robertson Date: 01/11/2012 State surcharge (12% of pennit fee): 9.41
Authorized signature: TOTAL PERMIT FEE: 87.85
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
Number of inspections allowed per permit.
I:'iaa tSng \Permits \ELC- PermitApp.do 07/01/10 440 45t517I t't5'COM,WGO