Permit (49) p CITY OF TIGARD ELECTRICAL PERMIT
E COMMUNITY DEVELOPMENT Permit#: ELC2016-00068
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 02/01/2016
Parcel: 1 S136AA00201
Jurisdiction: Tigard
Site address: 10335 SW 67TH AVE
Project: Oak Street Estates,Lot 27 Subdivision: 2007-031 PARTITION PLAT Lot: 2
Project Description: (1)service for sales office in garage.
Contractor: POWER LINE ELECTRIC INC Owner: LENNAR NORTHWEST INC
8403 SE SHERRETT ST 11870 NE 99TH ST, STE 1170
PORTLAND, OR 97266 VANCOUVER,WA 98682
PHONE: 971-645-3807
PHONE: 360-258-7900
FAX:
FEES
Quantity Description Date Amount
Specifics: 1 ea Investigation Fee 02/01/2016 $90.00
1 ea Investigation 12%State 02/01/2016 $10.80
Surcharge
Type of Use: COM 3 crt Branch Circuits wo/Purchase 02/01/2016 $71.02
Class of Work: ALT Service or Feeder
Type of Const:
1 ea 12%State Surcharge- 02/01/2016 $8.52
Electrical
Occupancy Grp:
Total $180.34
Required Items and Reports(Conditions)
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in acco nce with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. AT TION: Or n law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001 010 through OAR 01-0 90. You may obtain a copy of the rules or direct questions to OUNC by callin 2.1987 or 1.800.332.2344.
Issue By: Permittee Signa re:
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale,lease or rent.
OWNER'S SIGNATURE Date:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR.ELEC' Date:
LICENSE NO.
Call 503.639.4175 by 7:00 a.m.for the next available inspection date.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Electrical Permit Applice tKC I IED �
IDatepyPcmtitNo.: GC edC1$V 0 'Ta atd �� 2 ceived ijy !(p //` o�f7llp—oo0/
for
13125 SW Hall Blvd.,Tigard,Olt 972- N 8 2016 Plan Review
Mr
Plane: 503.718.2439 Fax 503598.1960 Datel6 Other Permit:
Date luris: cc Page 2 for
Inspection Linc: 503.639.4175 CI'T Y �(: ';IUARL NotlfiedMeltl od: SSu piemental Information
Internet: www.tigard-or.gov r
i,
TYRE OF 1_Yt1Ri� P7�ilY'`ItEV EW
r
New'construction El Addition/a{teratlo»!rr phrcement Piea.e check all that apply(submit 2 sets of pians%witems checked betowy
❑Service or fender 400 amps or more ❑Building over three slants.
❑ Demolition ❑0thwhere the available fault current ❑Marinas and boatyards.
C4`fEG Y OI CQNSTIZUC 1 1pl� exceeds 10,000 amps at 150 Vohs or 11 Floating buildings.
- _ less to ground,or exceeds 14,000 ❑Cmnmereial-.usc agricultural
❑ I-and 2-familytlwelling Commercial/industrial []Accessory building amps for all other installations. buildings.
❑ Multi-lamily ❑Master builder ❑Other: ire pump. Installation of 150 KVA or
❑F ❑ st an
- ❑Emergency system. larger separately derived sysront.
JOB SI'l'1,INFOlt1<i4T(O�T::4ND ).O�ATiQN= OAdditionofncwmotorloadef ❑"A",-6".'•I-2'•."1-3-'•
�' Lyr I0011Pormore. occupancy.
Job no,: Job site address:
(/ ❑Sic or mora residential units. ❑Recreational vehicle parks.
CityiState/Zl : ❑Health-car:facilities. ❑Supply voltage for more than
0 Hazardous locations. 600vottsnomival.
Suite/bldg.lapt.no.: PrOJect name: ❑Service or feeder 600 amps or more.
Cross s(xct/directions to job site: nrtcri tto» Fit. I raral
New residential single-or multi-family dwelling unit,
Includes attached garage.
Subdivision: /h Lot no.: 1,000 sq.ft.or less 168.54 4
V� ��'�✓ _ , R T Fn.add'l 500 sq.fi.or portion 33.92 1
Tax map/parcel no.:
Limited energy,residential 75.00 2
I)ESCR7PTlON pT ��QI :`, (with above sq,FL)
Limited energy,multi-family 75.00 _
/�! ) residential(ivithabove sq.ft.)
` Renewehle Encq�y _ff_SW_Pajjc 2
Services or feeders installation;al ration,and/or relocation
PROPERTY MINE
R ❑ Til-.,NT '-�APs or less 100-70 _
201 amps to 400 amps 133-56 2
Nlnnt: ♦0 1 401 lumps to 600 amps 200.34 2
Address: �� 601 amps to 1,000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
L i[;'/Slatu'7.IP: /f yr Temporary services or feeders inslailation,alteration,and/or
Phone:�(�� ) ' '"i 00Fax:(�)a�'�1-10) relocation
200 amps or less 59.36 1
Owner installation;This installation ie being made on property that I own which is not tot amps to 400 amps 123.03 2
intended for sale.1CASe,rent,or exchange.according to ORS 447,449,670,and 701.
401 amps to 599 amps1 168.54 2
Owner signature: Date: Branch circuits-new,alteration,or extension,per rianel
A.Fee for branch circuits tvirh
API'X1CAr�tT _ (]`GO1tTaCT PER50jH
above service or feeder fee.
Business name: t each branch circuit T42 ?
}-- B.Fee for branch circuits u•idrorn
�l service or feeder fee,first 56 I8
Contact name: -)+ EV"1\" P,b� ) g j,.� 2
LLA _ brunch circuit
Address: i �� Each add'I branch eirGuil 7,42 2
CilyiState/zIP': Iran/ Miscellaneous service or feeder not eluded
aacu, 1Lli ll 1 Each mqunfaclured or modular 6T94 2
--ry dwellin servicaand'orfeeder _
Phone:( �) ^^^�Gff Fax:: ) ej 6 Reconnect only 67.84 2
E-mail: rol,��J� n ryi i- Coal Pump or irrigation circle 67.84 2
(O\'fRaCTCDR Y
Sign or outline lighting 67.84
�1 �` -} Sinal circuits)or limped- nSee
f3usini;SSntrn`" 9-� 1 'C. r �r nnel,altCrndnn.arextension. Paac2 2
,Address: ���� � � �_ Eaeh adrlitiousl itis ection over allon'able in any of the above
AA__� Additional inspection O hr min) 66.25.hr
CilyiStatciZlP: �eaC� t�+-�� lnvestigalion(l hr min) 66.251 hr
('hone:(({ ) Fra::( ) industrial plant(1 hr min) 78.181 hr
hupccuons for which no fee is
CCk3 LIc.: �� EICCIr1CF1I Lie.: '� "l Suprv.Lice: C) 5 s ecifi�alA listed min) 90.00f hr
1�t c'�ttE,Ar~':rr innr-FEEN
Supn%Electrician signature,required: Subtotal
Print name: e - � ate: Plan review(259'o of permit fec):
&[G ate.- �/ r jt �� State surcharge(12%of permit frx):
Authorized signatur�'��'—o�"O� � t / Ch�<pRTI .C/o
This permit application expires if*permit h not obtained 'w}8fi�'
Print name -��Z7 t Date:
,`(�Q J\c�`.' 1days afterft hos been accepted a;complete
'—"^—C • Plunnc�r of insltecrians allmved per permu.
1'nulldinLlrrrarirSEt-C rennit.�rp_EI.R_sfte rice Rcr O:J'!_Ol3 ia0-a6151'tI IrOSTCI\IrlVEri ;# /go tY
Jan. 27. 2016 2:46PM LENNAR N, W. 360-258-7901 No, 0657 P. 1
LENNAIT
11807 NE 99t' Street
Vancouver, WA 98682
To: From:
City of Tigard / Building Dept. Juls Call
Date: Phone:
1/27/16 360-258-7906
Fax number: Fax number:
503-598-1960 360-258-7901
Subject: Oak Street Estates, # 27
New Mechanical & Electrical applications
Number of pages Including cover:
3
Hello, I'm faxing our commercial electrical and mechanical application for the sales
office within home site # 27 @ Oak Street Estates.
Please contact me with any questions. I'm not sure of the system fees that apply,
please correct as needed.
Fax _
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