Permit C ITY OF TIGARD J� ELECTRICAL PERMIT
//- vvv PERMIT #: ELC2006 -00627
DEVELOPMENT SERVICES DATE ISSUED: 11/2/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 2S112AC -02700
SITE ADDRESS: 07360 SW BONITA RD 110 ZONING: I -L
SUBDIVISION: EMPIRE BATTERIES MLP2000 -00002 LOT : 002 JURISDICTION: TIG
Project Description: 1 br. circuit for grinder.
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: SIGNAUPANEL:
MANF HM/ 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: 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:
T -3 ENTERPRISES ABC ELECTRIC
7360 SW BONITA 135 NE 9TH AVE
TIGARD, OR 97224 PORTLAND, OR 97232
Phone: 503 - 639 -5515 Contact #: PRI 503 - 233 -7551
FAX 503 - 233 -7552
FEES
Description Date Amount Reg #: ELE 161501
[ELPRMT] ELC Permit 11/2/2006 $46.85 LIC 26 -1226C
[TAX] 8% State Surcharge 11/2/2006 $3.75 SUP 50965
Total $50.60 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal 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 more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or
1- 800 - 332 -2344.
Issued By: G Permittee Signature:
EC L,�...
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.
r
E1c Permit Application FOR oFFlci tusi ONI.l
Reteived /7 R d0 Q6 Penult No.•' O • ..00
City of Tigard ' I Rete� : F+
13125 SW Hall Blvd., Tigard, OR 97223 R EC E B V - Plan Review O
�_,, �\ Yn Other Permit:
Phone: 503.639.4171 Fax: 503.598.1960 t1 Date/B
A � �A4 . 1 I D ote Re edy/RT J 0 See Page 2 for
Inspection Line: 503.639.4175 IV V .- • - Su
Internet: www.ci.ligard.or.us Notified/Method: Pp lemental Information
CI TIGARD P
... .. TYPE X111 :
. , PLAN RE EW
Pl
�lVl UJPti Please check all that apply:
❑ New construction Addition /alteration/replacement ❑Service over 225 amps, comm'I 0 Hazardous location
❑Demolition 0 Other: 0 Service over 320 amps - nitmg ❑ Buildng over 10,000 sq. ft.,
CATEGORY. OF 'CONSTRUCTION . of 1- and 2- family dwellings 4 or more new residential
❑System over 600 volts nominal units m one structure
❑ 1 - and 2- family dwelling Commercial /industrial ❑ Accessory building ❑guilding over three stories ❑Feeds s, 400 amps or more
❑ Multi- family ❑ Master builder ❑ Other. ❑Occupant load over 99 persons ❑Manufactured structures or
JOB ; SITE INFORMATION AND LOCATION ❑ Egress/lighting plan RV park
1 ❑ Health -care facility ❑Other:
Job no.: C ?� I I Job site address: 7 "ND O c JJ m),,.. - ket.., Submit 2 sets of plans with any of the above.
City/State/ZIP: 7 «- p�` , t 2- ci l ela . The above are not applicable to temporary construction service.
'l ,
':: ::• `•''; FEE* SCHEDULE' ,•::_::.; •.;; ;- • • :; -,.' . ,::
Suite/bldg. /apt no.: /10% eject name: Pil, Cl e$61- :\ `.
1 Description I Qty. I Fes I Total I '•
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. R or less 145.15 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 I
Limited energy, residential 75.00 2
Tax map /parcel no.: Limited energy, non - residential 75.00 2
_ , ' DESCRIPTION OF : WORK - . Each manufactured or modular
dwelling, service and/or feeder 90.90 2
e r V Y nJ LL_) () n no .1.. Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
r ?;1, , , ., R'1'1' ' OWNER ❑ ' Tb'N. ANT , . . 201 amps to 400 amps 106.85 2
.. ,,,
• - I] 'PItOPE Prociiit � 401 steeps to 600 amps 160.60 2
Name: tg fit. 1 /� - t' S 601 amps to 1.000 amps 240.60 2
Address: � Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City /State/ZIP: Temporary services or feeders Installation, alteration, and/or
( ) S1 11q — I / 3t� ( ) relocation
Phone: 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 600 amps _ 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
:' '' 13 . APPLICANT - - . i ::; I ❑ CONTACT ,PERSON . ' A. Fee for branch circuits with • service or feeder fee, each
Business name: Nbc.„ L l - c . branch circuit 6.65 2
B. Fee for branch circuits
Contact name: _ 5Jj I feeder without service or feer fee, ' 46.85 2
�� Z
• � each branch circuit �7/G cJ
Address: �i • / at) Each add'l branch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not Included)
Phone: ( ) Fax: : ( ) Pump or irrigation circle 5340 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited-
, - ' _ ; ,••,. , . , , . .CONTRACTOR; •• • • . .. ' mergy panel, alteration, or
1 ' extension. Describe: Page 2 2
Business name: W , V....`i e_ `r s G
Address: 1 55 tii E 1 ` r� i Each additional Inspection over allowable In any of the above
�� Per inspection 62.50
City/State/ZIP: teem \ a.'nr L -12a -, Investigation per hour (1 hr min) 62.50
Industrial plant per hour _ 73.75
Phone: L� a5 � ' Fax. (�j� a 53 7.5 _ ELECTRICAL: PERMIT FEES *. %. • .
CCB Lie.: f(p / 7 ( Electrical Lic.V(� _/ I Suprv. Lic.)9 ( Subtotal lib .85
Suprv. Electricia- signature, required: - Plan review (25% of permit fee)
Print name th • A � J)[. Date: � � State sutuharge (8 % ofpe IT fee) __ � " 7'O'fAL PERMIT FEE , -D, (y
Authorized si' attire: This permit application expires If a permit Is not obtained within 180
days after It has been accepted as complete
Print name: " , •. . , k- Date: /1 ' 6 • Fee methodology set by Trl -County Building Industry Servke Board
•• Number of inspections per permit allowed.
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