13525 SW MOUNTAIN RIDGE COURT W
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13525 3W Mountair Ridge Ct
CITY OF T I G�►R d ELECTRICAL PERMIT
#: ELC2000-00669
DEVELOPMENT SERVICES DATE ISSUED: 12/5/00
13125 SW Hall Blvd..Ticlard. OR 97123 (503) 639-4171 ,PARCEL: 2S109AB-02800
SITE ADDRESS: 13525 SW MOUNTAIN RIDGE CT
SUBDIVISION: THREE MOUNTAINS ESTATES 7_CNING: R-7
BLOCK: LOT : 021 JURISDICTION: TIG
Proiect Description: Extend circuits for can lights. rtepair low voltage lights.
RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS _
100+0 SF OR LESS: 0 200 amp: F UMP/IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTC:
LIMITED ENERGY: 401 600 amp- SIGNALIPANEL:
MANF HM/SVC/ FUR: 601+amus - 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 WIO SRVC OR FDR: 1 PER HOUR:
401 600 amp: EA ADD'L BRNCH CIRC: IN PLANT:
(.01 - 1000 amp: _ PLAN REVIEW SECTION
1000+ amp/volt: >=4 RES UNITS: —� > 600 VOLT NOMINAL:
Le_ Reconnect only: —_— SVC/.FDR >_ `DIPS: —__ CLASS AREA/SPEC OCC:
dwoer: Contractor:
RICHARDSON JPC ELECTRIC
13525 SW M rN RIDGE CT PO BO;: 905
TIGARD, OR 97224 BEAVERCREEK, OR 97004
Phon Phone: 503-632-8138
Reg #: ELE 3-424C
LIC 136798
SUP 41815
FEES ^ — Required Inspections
Type By _ Date —i— Amount Receipt Rc•ugh-in - — -----_ -4- — - - 1
PRMT CTR 12/5/00 $66 80 2720000000( Elect'I Final
5PCT CTR 12/5i00 $5.35 2720000000(
---- -- Total $72.15
This Permit is issued subject to the regulations contained in the Tigard Municipal Code State of OR Specialty Coues and all ether applir;able 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 ford,in OAR 952-001-0010 through OAP,952-001-0080 You may obtain copies of these rules or direct question!;to OUI4C at(503)
246-1987
PERMITTEE S SIGNATURFnCtLe
v—� �; 4_�- ISSUED BY (, � —
__ 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
ATE:CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: _— --- --_-.- ---___-__-- DATE:—
LICENSE N C: ------- _-- — — —--- -------—- _.
Call 639-4175 by 7:00pm for an inspection the next business day
k
Electrical P'erm;t Application
1"Fceived: Permjt O -OD
City of Tigard Project/appl.no.: Expire date:
Ciryc fT'igard Address: 13125 SW Hall Blvd,Tigard,OR>_45113 `� bate issued: By: Receipt no.:
Phone: (503) 639-4171 ----
pout: (503) 598-1960 COMMUNITY OEVELVIv -ease file no.: � Payment type.:
Land use is pproval:
I &2 family dwelling or ace-ssory U Commercial/industrial U Multi-farnily U Tenant improvement
U ew construction U Atl(lilion/;iltcratinn/rcpl,,icemetit U Other: _ U Partial
0t SITE INFORMATION
Loh address:__136,25.;xt..> (J.3RJ X14{ (_ILS - lild). nu.: tiuhc no.: I;tx snap/tax 1(,I/account no.:
Block: Subdivision: _
Proje � _ Description and location of work on premises:
F;stiniated date of crnul,lclion/inspcc ti m ('.' t.► - ' , ,
CONTRACIfOR APPLICATION
Job no: I .y ' err ntax �
Business name: �f } (� fkscription (Py. (ea.) Total no.iml
Address; >t pr`j — Newlrslrrenlud single at mWu family ice.
dwelling unit.Includes altatI"parage.
City: to ylVCr4.LK. State:Qe 'LIP: 0110 Service Inc In11rd:
Phone: 32 g I-3g I Fax:(9-3?--V14 E-maiI:JPCC�IF-CT21 lW0sq.ft orIrss 4
CCB no.: 1-3VItir I Elec.bus. lic.no::5 CtavLach additional 500 sq.ii ,r portionthlaeo- f
Limited energy,residential _ 2
City/metro tic.no.: Limiledenergy,non-res,dential _ 2
Lach manufactured home or modular dwelling
Signal6'reol'su to l_gctrieMrt(fequir— o— .d`—) — Date Service nnd/or feeder 2
Sup.clw-filme(print) Q® -- I,icenseno: FUU
Servfeesorfeeders—Installation,
alteration or relocation:
t 2tx1 amps or less 2
Name(print): 201 amps to 4(10 amps 2
Mailing address: - 401 amps to 600 amps - 2
601 amps to 1000 amps _ 2
City: —�_ State: I ZIP: Over 1000strips orvolts 2
Phone: Fax: F-mail: Reconr.ectonly I
owner installation:The installation is being made on property I own Temporary services orfeeders-
which is not intended for sale,lease,rent,or exchange according tolnst■flydion,■ltem(lon,orrelocalion:
ORS 447,455,479,670.701. ton amps or less _ ` 2
201 amps to 400 amps _ 2
Owner's signature: Date: _ 401 to 600 amps 2
Branch circuits-nee,alteration,
or extension per panel:
Name: __ A. Fee for branch circuits with purchase of
Address- _ _ service or feeder fee,cacti branch circuit 2
City: — Slate— IIP: B. Fee for hranch circuits without purchase I
—--- -- of service or feeder fee,first branch circuit: 2
Phone: Fax: I E-mail: Lachadditional branch circuit:
Misc.(Service or feeder not included):
J Service over 225 amps-commercial U Health-care facility Each pump or irrigation circle 2
U Service over 320 amps-rating of 1&2 U Hazardous location F'ach sign or outline lighting 2
family dwellings U Building over 10,000 square feet four or Signal circuit(s)or a limited energy panel,
U System over 600 vnits nominal more residential units in one structure alteration,or extension* 2
U Building over three stories U Feeder-,4W amps or more 'Desert non.
*Occupant food over 99 rersons U Mnnufactuted structures or RV park Each additional Inspection over the allowable In any of the alcove:
U Fgress/lightingplan 0 Other. _, ----- Pains ectimi
Submit__sets of plans with any of the above. Investigation fee
The above are not applicable to temporary constnrction service. Other
Not all jurisdictions accept credit cards,please call jurisdiction fa more infamarion Notice:This permit application Permit fee...I.................
U visa U MastrrCard expires if a permit is not obtained Plan review(at _ %) $
Credit card number: / / within 180 days atler it has been State surcharge(8%).... 5�-__.
aspires accepted as complete. TOTAL , $
None ofc! ardholder as shown on creiiii card
Cardholder signature Amount
4404615 rNtxYCOMI
[Electrical Permit Fees: Limited Energy Fees:TYPE OF WORK INVOLVED -RESIDENTAL ONLYomplete Fee Schedule Below: –Re_.-tri –_— -----_-_
scted Energy Fee...................................................... S75.00
_ Number of Inspec ions per permit allowed (FOR ALL S1 STEMS)
Service included: Items Cost I otal Check Type of Work Involved:
Residential•per unit
1000 sq.ft or less $145.15 _ 4 Audio and Stereo Systems
Lach additional 500 sq.ft or
portion thereof $33.40 1 Burglar Alarm
Limited Energy $75.00
Each Manufd Home or Modular Garage Door Opener'
Dwelling Service or Feeder $90 90 2
Services or Feeders Healing,Ventilation and Air Conditioning System'
Installation,alteration,or relocation
200 amps or les.. _ $80.10 2 C� Vacuum Systems'
201 amps to 400 amps $106.65 V�-- 2
401 amps to 600 amps _ $160.60 — 2 Other
Got amps to 1000 amps $240.60 _ 2 --_-- -
Over 1000 amps or volts _ $454 65 2
Reconne( only _ $66.85
Temporary Services or Feeders TYPE OF WORK INVOLVED -COMMERCIAL ONLY
Fee for each system.......................................................... $75.00
Installation,alteration,or relocation
200 a ops or less _ $66.85 _ 2 (SEE OAR 918-260-260)
201 amps to 400 amps $100.30
401 amps to 600 amps _ $133 75 ^ 2 Check Type of Work Involved:
Over 600 amps to 1000 volts, Audio and Stereo Syslen,s
see"b"above.
Hranch Circuits Boib:r Controls
New,alteration or extension per panel
a)The fee for branch circuits n Clock Systems
with purchase of service or
feeder foe.
Each branch circuit $6.65 2 Data relecommunication Installation
b)The fee for branch circuits
without purchase of service Fire Alarm Installation
or feeder fee.
F irst hrsnch circuit $46.85 41n n HVAC
Each ar+ditional branch circuit $6.65
1 el
Miscellaneous Instrumentation
(Service o,feeder not included)
Each pump or Irrigation circle $53.40 _ Intercom and Paging Systems
Each sign or outline lighting _ $53 40 _
Signal circuit(s)or a limited energy U Landscape Irrigation Control'
panel,alteration or extension _ $75.00 _
Minor Labels(10) _ $125.00 O
Medical
Each additional Inspection over
the allowable in any of the above Nurse Calls
Per Inspection $62.50
Per hour _ $62.50 __..
In Plant $73.75 �J Outdoor Landscape Lighting'
Fees: Protective Signaling
Enter total of above fees $ F_ Other
r
8%State Surcharge $ of Systems
25%Plan Review Fee No licenses are required Licenses are required for all other installations
See"Plan Review'section on $
front of application
�, Fees:
Total Balance Due $
Fater total of above fees
ElTrust Account# 8%State Surcharge $
Total Balance Due s ---
i,Wststrormsklc-fees doc 10/09/00