Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT Permit #: ELC2013 -00154
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/07/2013
Parcel: 1 S133CA06000
Jurisdiction: Tigard
•
Site address: 11297 SW HALLMARK TER
Project: Barrow Road Estates Subdivision: BARROWS ROAD ESTATES Lot: 9
Project Description: Temporary power for construction
Contractor: PORTLAND ELECTRIC LLC Owner: MARNELLA HOMES
1915 E FIFTH ST SUITE D PO BOX 962
VANCOUVER, WA 98661 GLADSTONE, OR 97027
PHONE: 503 - 209 -9298 PHONE: 503 - 652 -3793
FAX: 360 - 314 -4945
FEES
Quantity Description Date Amount
Specifics: 1 ea Temp Services or Feeders - 03/07/2013 $59.36
200 amps or less
1 ea 12% State Surcharge - 03/07/2013 $7.12
Type of Use: COM Electrical
Class of Work: ALT
Type of Const: •
Occupancy Grp:
Total $66.48
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 ac • •ance w - 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. ATTE■ ION: Oregon I- requires you to follow the rules adopted by the Oregon Utilit • �tion Center. Those, rules are set forth in OAR
952 - 001 -00 1 thro gh OAR 952-1; -00''. • ay obtain a copy of the rules or direct questions to OUN • °`•R 1987 or 1.800.33 .2344.
ter -/
Issued c : �' //L 4 'P Permittee Signatu '' _,. a, r
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' CQ � Date:
LICENSE NO. </(AO J
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.
MAR-08 10:41 From: To:15035981960 Page :1'1
• 03/87/2613 .12:31 5035961�� CITY OF TIGA PAGE 91/61 •
Electrical ADDlicagu 'on I .. m 1 Uc 1: `
; city of Tigard MAR 7 2013 3 . � i3 PermHlZa.: t &e , /3�Do /5
■ .13125 SW Hall Blvd„ Trgard,OR 97223 vtmi Review Oder pert
' 1,- Phone: 503.71839 Fax 503.11110qr n p ° i •inspeclioa Line: 503 639.41755 S I „ TIGARD R=dyley, kris: Ice See Pape 2 for
Intact: a vw.li -or.gov BUILDING DIVISION sudlab Supplemental lefermatia■
—
TYPE OF WOIRK PE.AN
Please den lin that apply (radonit A sets anions Winn etracheo below):
New aonstt ction 0 Addition/alteration/replacement
0 Service or Wm 400 amps co mare 0 Foaling nor three stades.
. ❑ Demolition (I Other: s where the mealable fault amen 1:1 MIAMI and boatyards,
• • CATEGORY OF •CONSZRIJC ION _ ■ Boding beading
❑ 1 - and 2- family dwelling [] Commercial /industrial ❑ Accessory building tom for ail other inStfalifdier11%. building&
tabloid-family ❑ Master builder ❑ Other: Cron Foos. CI Intedlottas af15 KVA or
CI Emergency system. larger semostely &sewed system
JOB Sly"$ II A11ON MW LOCUION ■ ■
Job no.. Job site ad9 esc_ /J? i 4Q 40_44 r d- Six a more residential nit& ■
■ Rocreational vehicle pesky.
City/Stater/AP: rr Ol f j ■ Health-are [Bethke. CI Supply voltage for motet=
" volts nominal,
Suite/bldgJapt no.: I Project name: i ■ Service Weeder °"
Cross street/directions to job site: ""' «
street/directions r;NINCTINIIMEIr=
New residential single- or merld.family dwelling uniL
Subdivisdos -zee- G Lot no,: LOCO sq, 1 •
Ea. edd'1500 so. R or portion II.11 33,91 —Q
Tax map/percel no.: Limited energy, residential
lD ':TON OF WOIII1i; with shove . It 75.00 El
/� �� ® Limited energy, mu Roily III 75.00 1
,5q,/ fji e 9 residential with above • , '
Services or .... ers installo0 0 alteratio and /nrretne■tioe
_ 200 amps or legs 11111 100.70 IMMO
0- PROPERTY OWNER 1 0 TENANT 201 amps to 400
63� Nero: w ellin Address: / 2 94z • „ or Volts 552.26 2
City /St : ����/ 97 7 _ z /!�■
Phone: W ) Y 94 r � Fax: W3 ) ��0 379j of less ra 59.36 grgiiiEl
1 Owner installation: This installation is being made cm property that I own which is nor i _ 125.08 �
401 amp to 599 ampo 168.54
intended for sal; lease, rout, or exchange, according to ORS 447, 449, 670, and 701.
Branch circa' .., - new alma !.1.. or extensto . er . net
Own signature: - • . Dale: _ A, Fee for blotch circuits wok .
13 APPLICANT L ❑ CONTACT posort above service or feeder the.
each branch circuit 7.42
Btksiness name: ^� it ai B. Fee tbr branch circuits wifinatir
C
II
ontact nano: briutch circuit
Each add' I branch circuit M 7.42
Address: Miscellaneous service or feeder not induct
Each !murmured or modular
City/Stau/UP:
duet Service andica feeder
Phone: ( ) I Fax::
E Pump or irrigotiem circle 67,84 ii
. Sign outline li rlimg � Il
CQ1VT'RACI'OR Signal l cirCttit(a) or r limite�.gt
Buslne$9 1t9rn mid alt�ton rouansion
. ��// /� c J - - - , h eddittonal as . non over allowable in , old* above
. Address SY . Additional 66251 hr
Clty/51ate/Z1P. _ 6625/hr � ,
;r- tart ■
Phone: (N) " 1 - -- , '9B Fax: ,) 5/V.-9 Inventions Mr which no Fee is 90.001hr - I
a 'fical listed hr min
CCB Lim. : Electrical Lie. :e 7tap s . lac • 441P ,S
Sum. Electrician si iatu:e. required �
Plan review (25% of , it tcek
Print name: 2 ' V , , , 4 0 , / =chow (12% permit fbek -
TOTAL. PERMFT FEE: W' , , t( g'
Authorized signature: 1 TVs permit a tleatims expires Ifs
attend within 11m
Print name: v� DOW: • Number of inspections allowed per permit ol
Lokeldt4Prnetromc -reenirArmarerovt o / eeD•4alsrovesieoMIW5
From 5036523793- Liz -Monza Homes Thu 07 Mar 2013 11:50:51 AM PST Page 1 of 2 N FAxo
AvA Revolutionary fax software
To: Community Development Dept
Company: City of Tigard
Tel:
Fax: 5035981960
From: tony
Company: Monza Homes LLC
Tel: 503 -496 -5136
Fax: 1(5031) 652 -3793
Regarding: Temp Power for 11302 SW Hallmark Terrace
Date: 07.03.2013 11:50
Remaining pages: 1
Comments:
Hello, I've been trying to fax this form over to the proper department.
The number I was given was 503.652.3793, but that rings busy.
Please find attached the Payment Authorization Form for temp power at Job Site
11302 SW Hallmark Terrace - Project: Barrows Road Estates, Bldg 3.
If you have any questions, please contact me at 503.709.3900.
Thank you.
Tony Marnella
www.avantfax.com