Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2012 -00348
T I G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 0610612012
Parcel: 1S134BD02200
Jurisdiction: Tigard
Site address: 11825 SW SCHOLLWOOD CT
Project: Adams Subdivision: ENGLEWOOD NO.2 Lot: 110
Project Description: (1) branch circuit for recessed can lighting: (1) 200 amps
Contractor: ENDERS ELECTRIC Owner: ADAMS, KORE
PO BOX 1661 PO BOX 777
BEAVERTON, OR 97075 BANKS, OR 97106
PHONE: 503 - 626 -4813 PHONE: 503 - 866 -2988
FAX: 503 - 646 -3871
FEES
Quantity Description Date Amount
1 crt Branch Circuits w /Purchase 06/06/2012 $7.42
Specifics: Service or Feeder
1 ea 12% State Surcharge - 06/06/2012 $12.97
Type of Use: SF Electrical
Class of Work: ALT 1 ea Services or Feeders - 200 06/06/2012 $100.70
amps or less
Type of Const:
Occupancy Grp:
Total $121.09
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 OA 952 -001 -0 90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. r'
Issued By: ∎Ra / Permittee Signature: D� r'7 -Pai Oki
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.
Jun 05 12 10:04a ENDERS ELECTRIC 503-646-3871 p . 2 51
Electrical v .. tj " ,..., . 1 ir v- v
ectrical Permit Auplicatiotit I V C:1 FOR oFFICE USE ONLY •
, ° 13125 SW Hall Blvd., Tigard. OR 97223 • i • 0
' 1 ,
71 City of Tigard JUN 0
' Phone: 503.718.2439 Fax: 503.598. 'dry 0 IR
1/ TIGAO_ ,12 . ESEMEgnal P-i NO-C...
i
Other Permit: la- 003 : f64
Ape Plan Review
Ins Da Da i l L t Ready. B
: dy. y:
I I GA RD ection Line: 5036394175 1111M l See Pagy 2 fur
Internet: www.tigard-or.gov elyi DING DIVISION No(ifiedimeihod: Supplemental litformation
Te '1,7;:V :V!' ri:'! 2 1 '7 ; ,1;,,... , : Ipt - ANkvitw . .. ... :.: : .:,..:. . . .
...,.:,,,,,o. ,+,, ,,,,,,,,,, ,14.P“;!;,d,' ' •-;,,-,.--,, , i.-,- :- a- . , 6 ',"• .
1:1 New construction 0 Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w items checked below):
0 Service or feeder 400 amps or more 0 Building over Puce stories.
DI Demolition El Other: where the available fault current 0 Marinas and boatyards.
, ----- ) - F ---- figiiiiii - igistiiiiktiftillpg.Nii/L'f!' VigtaillIgAilligk exceeds 1(1.000 amps at 150 volts or CI Floating buildings.
;t`le -..,akka°TtliFIIMMikairix-PkrAillanlITAIIHRHIIIIIIIII, kss to ground or exceeds 14.000 0 Commercial-use agricultural
Z 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. buildings.
0 Multi-family 0 Master builder 0 Other: El Fire pump. 0 Installation of 75 KVA or
):,-;:c;,'.4, B Eme.rg:ency sysi Addition of new motor load of larger sepalately &riled sysleill
iiiiiiliTf4gilti'iiili;V:iNiiffililiiiir4KLYill ., i j...i ,,i_.,=,,,,,,,,AlgrafenaMegaiRg
Job no.: Job site address: 11825 SW Sehollwood Court 100HP or more. occupancy.
0 six or more residential units. 0 Recreational vehicle parks
City/State/ZIP: Tigard, OR 97223 0 Health-care facilities. El Supply voltage Mr 'note than
El Hazardous locations. 600 volts nominal.
Suite/bldg./apt. no.: I Project name: Adams 0 Service or feeder 600 amps or more.
tteffill'at L
Cross street/directions to job site: Dcuriptiun I Oh.. I Fee: I Toliil I
New residential single- or multi-family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1,000 sq. O r less I 65.54 4
Fa. addl 500 sq. 11. or portion 33.92
!'ax map/parcel no.:
Limited energy. residential
1 rOlgioiViliigi-.A . ligiV-INgig'V,Z;;i: me-Eit'VJMIFDIVgpi4§11IttiailiniEifdii4 kL
(with above sq. 11.1 75.00
-
'1.; .4ftr 41 0 1 iiigqirfaglaiiilsilliig10:41 1 144, , ,,,t,„;., ,,,, tI
Limited energy, multi-family
75.00
Service Change + branch circuit for recessed can lighting residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps Or less I 160.70 loir"o
' 4 t 01 amps to 400 amps I
!t?,:,; „ttlil:tailail,.,.„:' ,., te,4, , ..■ , .:....rat:i - )...a it.tu :0-1 '-'7,41I LA., 41,lic ...40"ki ,atkiN:ilalkall":
401 amps to 600 amps 200.34 ,
Name: Kore Adams
601 amps to 1,000 amps 301.04 -)
_
Address: PO Box 777 Over 1,000 amps or volts 552.26 ,
_
Temporary services or feeders installation, alteration, and/or
City/State/ZIP: Banks, OR 97106
relocation
Phone: (503)866.2988 I 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 125.05 ,
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670 401 amps to 599 amps _ 168.54 ,
, and 701.
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fcc tin blench chants with
eiT#J.I.IliNgf,,.2 '?1 Z . 'i f 4 . :: 'i 4Etralre M :. ::' 4; tigEgai . " ':ifi l , " ,: , ',..,-r, '‘'i-1. above service or feeder each b fee, I
7.42 7.42
ranch circuit
Business name: Enders Electric Inc B. Fee for branch circuits without
service or feeder fee, fast
56.18
Contact name: Allen C Robertson branch circuit -
Each add'I branch en (Alit 7.42 ,
Address: PO Box 1661 Miscellaneous (service or feeder not included)
Each manufactured or modular
City/State/ZIP: Beaverton OR 97075 -
dwelling. service and/or feeder
6 ' 7
•
Phone: (503) 626.4813 I Fax: : (503) 646.3871 Reconnect only 67.84 ''
_
Pump or irrigation circle 67.84 ,
E-mail:
Sign or outline lighting 0.84
4 14 4 46 1 11 i nktigg i agirra r ttegtattittNFAMMISMItea r tV24 Signal circuitts) or limited-energy '
Business name: Enders Electric Inc panel, alteration, or extensicm. rage 2 1
_
Each additional inspection over allowable in any of the above
Address: PO Box 1661 Additional Inspection (I hr mill) 66.25: hr
Investigation (I hr min) 66.2:;. lir
City/State/ZIP: Beaverton OR 97075
Industrial plant (I hr mint , 8. IS" hr
Phone: (503) 626.4813 x.;-(503) 6463811 _ Inspections fix which no lee is
, - 't °'j listed,.()::.111 90.00/ hr
,. iniit) .......,...
hr ' CB Lic.: 26728 firectrical L .: 34-265C r . : .: 4685S ii4 Egik4:1 NT* rtglgl Mil:44.E KM 11;
1 InWZA f 1 Subtotal: 108.12
Suprv. 'pry. Electrician signature, required: t/ f J." - .-45•- .1
41(1/401W
.... Plan review (25% of pennit fee):
Print name: Allen G Robertson Date: 06/05/2012 State surcharge (12% ofpennit fee): 12.97
Authorized signature: TOTAL PERMIT FEE: 121.09 .7
mt permit application expires if a permit is not obtained sNithin 180
Print name: Date: days after it has heen accepted as complete.
* Number or inspect ions allowed per permit.
I: Building Permits ELC-PennliApp.doc 07.01-10 440-4615T( I I 05•COM,WEB
Jun 05 12 10:04a ENDERS ELECTRIC 503 - 646 -3871 p.1
ENDERS ELECTRIC, INC.
"Since 1976" CCB #26728
Residential • Commercial • Industrial
P.O. Box 1661 • Beaverton, Oregon 97075 • Office (503) 626 -4813 • Fax (503) 646 -3871
FAX Date: (q5=/72-•'-- (q5=/72-•'-- Number of pages including cover sheet:
To: City Of Tigard From: Al Robertson
Enders Electric
Attn Electrical
Phone: 503.639.4171 Phone: (503) 626 -4813
Fax phone: 503.598.1960 Fax phone: (503) 646 -3871
CC:
REMARKS: ❑ Urgent ❑ For your review ❑ Reply ASAP ❑ Please comment
Please fax back this permit
Thank You! Have great Day!
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