Permit } :... F . 1 v CITY OF TIGARD ELECTRICAL PERMIT
_ COMMUNITY DEVELOPMENT Permit #: ELC201000076
t Date Issued: 02/12/2010
'AI G AR D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
:.,, ,, ,,; ; ,,,, ; ,, 4 Parcel: 2S110DD12400
Jurisdiction: Tigard
Site address: 10730 SW HIGHLAND DR
Subdivision: Lot: 0
Project: McShane
Project Description: Add /alter (2) branch circuits to reconnect a /c, furnace, and add plug for a /c.
Owner: FEES
MCSHANE, MARY ANN Quantity Description Date Amount
10730 SW HIGHLAND DR
TIGARD, OR 97224 2 crt Branch Circuits 02/12/2010 $63.60
wo /Purchase Service or
PHONE: 503 - 460 - 0469 Feeder
1 ea 12% State Surcharge - 02/12/2010 $7.63
Electrical
Contractor:
ALL COUNTY ELECTRIC LLC
• 15515 NW 2ND AVE.
VANCOUVER, WA 98685
PHONE: 360- 904 -7923
FAX: 360- 314 -2244
Type of Use:
Class of Work: Type of Const:
Occupancy Grp:
Total $71.23
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 OAR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344.
Issued By: YQT\S ) 3.k_1 ( \i L A L 0 Perm ittee Signature:
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' % Q Q \ 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.
Thursday, February 11, 2010 1:20 PM All County Electric LLC 360 -314 -2244 p.01
r
Electrical Permit Application RECEIVE L r ' r �' � " 4 � ( '' . ,, d � FOR ()I I:I( 51 • ONI Pfl"(t 1 M '' il 'ft
' . u. i. ti '.ti tli eta ". "✓.t�"of+lakA .fit di Ail/
Piii'l City Of r� 1 1 Iteceivaa
li( ) 1)alr /Hy: Permit No.'. FAQ: 0(0 ' 00O1 �Q
` •
. t 13125 SW hall Blvd., Tigard OR 97223 FEB 1 1 2 0 10 �I 0 D K S
�: • . ' � MID KC Ylety
' Phone: 503.639.4171 fax: 503.598.1%0 Date/By: 011ln Tk n ud.
M ■ � • s ' inspection Line: 503.639.4175
n kr+,tl /tl
nil P )o 5'cePaor
"" *1 L4 Internet: www.trgard- or.guv lJ_DING DIVISION CITY OF TIG�IRD NetlfiediMethod: Lt Supplewenta I
4 ...., --- ._.....
TYPE OF WURF -.—
PLAN REVTEIV
•
❑ New cunsu'ucUOn ❑x Addition/alteration/replacement
... liian,.. c6.�. ell rim apply tuJ 2 . »I. of l I 'S It »m..:h ».anal bwlnw).
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition Q Oilier wiles the available foul(cnrreal [] M:mnas and buirly,trd .
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
.... ........ .... .. ..._ .._. _ -- 1 le:,n la rranmd, m me <er& 14.000 0 Commcn:inl -use agricultural
El 1- and 2- family dwelling ❑ Commercial /industrial U Accessory building amps fo all ollua iuscillaliuns. b,:ildiu8s.
0 Multi- family ❑ Master builder ❑ Other: ❑ I'm pump. ❑ Installation of75 KVA or
.)(.)R SITE INF'ORMAT'ION AND 1.(H:,1•I'ION ❑ ❑ d itio n:ysyslc ill. t:1t :CI, - 1 - •' IICII veil \ySlClll.
n dd'd,.., ore »,v ...au„.. 1 »nd of �.. _ -a .. ..
Toh no.: Rens lob site address: 10730 SW highland dr
100HP of Mora oceirp mcv.
❑ Six 01 enure tesulr.nl ail units ❑ Itematio0al vehicle parts.
City /Stale /ZIP; tigard uregun 97224 ❑ Health -care facilities. ❑ Sapply vollaye l'or More than
❑ 11. lu„ur 600 ,.olrc awuiaal.
Suite/bldg. /apt.no.: 1 Project name: McShane ❑ Service or feeder 6rt(I amps orMOW.
TEE SCHEDULE
Cross street/directions to job site: Description
-- — - New resldenrial SWOP or multi- tnnluy dwelling unit.
Includes attached garage.
Subdivision: 1 Lot no.: 1.000 sq. ft. or less 1(,x.54 4
.1_. _
U
C add'151)0 au. li. or pnrlion 3192 1
'fax map /parcel no.: Limited energy. residential
67.84 2
1o:S[ OF WORK - -- (with above sq. tt. )
Limited
Reconnect of the a/c and furnace and added a plug for the air r e dt energy, lial I with about (with a b ov s . y. ft.) 07 84 7
Services or feeders installation, alteration, and /or relocation
200 amps or less 100.70 2
❑ PROPERTY OWNER ❑ TENANT 201 atnps to 400 amps ___ 133.56 2
Name: MaryAnn Wuhan,: 401 amps to 600 saps 200.34 2
601 amps to 1.000 amps 301.04 2
Address: 10730 SW highland dr - 'a "'
s (roux 1,0(!0 amps or volts 55226 2
City /State/ZIP: tigard Oregon 97224 'temporary seances or feeders installation, alteration, and / o•
relocation
Plume: ( ) I bar: ( ) 200 amps or less 59.3(1 1
Owner installation: This installation is being made on properly that 1 011 which is not 201 tulips to 400 (repo 123.0H z
intended for sale, lease, rent. or exchangc, according to ORS 447, 449. 670, and 7(11. 401 amps to 599 amps 168.54 2
Branch circuits - new. alteration, or extension, per Panel
Owner slgtrtll tire: ._- .._......... Date: .
-- - - - -- A.Teo for lean(:/ circuits with
❑ APPLICANT n (:UNTAC I' PERSON above service of feeder fee.
each branch circuit 7.42 2
Business mine: t- ...
B. put for /ranch circuits
- — �� - --
.. .. .... .... ..................._.... - -- mirlm,u ‘el or feeder fee. 1 56.18
contact Halle: tlr51 branch CIICwI 56.18 2
Address: Each addl /exec/ circuit I .... I 7.42 7.42 2
— Miscellaneous (.vcrviec ar feeder not included)
City/State/AI I': Each manlrf;ICn,(0 of 1110(1111a(
— ... __ 67.X4 2
dwelling, service and/or fecdcr
Phone: Fax: : ( ) Reconnect only 67.84 2
E-mail: Purrut ul 1171guliun circle -- 67.8 — 2
CONTRACTOR Sign or outline lighting 67.84 7
Business name: All County Electric. L1,( Signal circuit(s) or limited
__..._.... _ energy panel. alteration. 01
Address: 15515 NW 2"" AVE mart - mini'. I Page 2 2
City/State/7.11': Vancouver Washington 98685 each additional inspection over allowable in any of t above
I'cr inspection 66.25
Phone (360) 9047723 I'aa: (3611) 3i 4224
Investigation per hour (I la loin) 66.25
•C.B ■ Lic.; 177347 Electrical L ic.: c310 :"I tiuprv. I.ie_: 217/4 s Indusuial plant per hour 78.18
-- ELEC1'RIC:AL PERMIT FEES
Suprv, Fli tricirn1 signature. required: t-'_ z - —
'''' . � subtotal: 63.30
Print name: Wayne Lease ))ate: 2/11/10
Plan review (25 %orpe alit feel:
-..._ .. _... State surcharge (I2 ".o of permit fee): 763
Authorized signature: TOTAL PERMIT FEE: 71.23
Print name: Date: This permit a1 151kali,n etpirex if a prrmil is not obtained within 1811
days after it has been accepted as complete.
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