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Permit `., �� CITY OF TIGARD ELECTRICAL PERMIT I I 2 ': COMMUNITY DEVELOPMENT Permit #: ELC2009-00627 • Date Issued: 11/20/2009 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S111AA01700 Jurisdiction: Tigard Site address: 14425 SW 87TH CT Subdivision: GREENSWARD PARK Lot: 21 Project: Sang Project Description: (1) 200 amp service and (1) branch circuit for reconnect due to fire. Owner: FEES SANG, JAMES & TRUDI Quantity Description Date Amount 14425 SW 87TH CT 1 ea Services or Feeders - 200 11/20/2009 $100.70 TIGARD, OR 97224 amps or less PHONE: 1 crt Branch Circuits w /Purchase 11/20/2009 $7.42 Service or Feeder 1 ea 12% State Surcharge - 11/20/2009 $12.97 Contractor: Electrical SQUIRES ELECTRIC PO BOX 16851 PORTLAND, OR 97292 PHONE: 503 - 252 -1609 FAX: 503 - 253 -5831 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Total $121.09 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 wit 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 throug OAR 9 2� �� 2-101-0100. 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. (O j / _ - Permittee Signature: f'5 6./ �'� T /dam/ 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 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. Electrical Permit Application 4 sr1:w `4 ` , LL 7 ' F C d FFit F Q w ` 0,..4 , , `w'` a Ci ty of Tigard EcEiv D�a % /. Oy Permitxo- CC �pG�+� 13125 SW Hall Blvd., Tiogrd, OR 9 it ` Plan view / i h . Phone: 503.639.4171 Fax: 503,598.1960 Date/1? ' NOV 2 0 2009 i tl Cr inspection Line: 503.639.4175 Date Ready/By: ions: Fi See Page 2 for �' Internet www.tigard Notified/Method: 17Fr Supplemental informatioll . 11 11 r , t ,4 ..A;,-.,. ,•;T - ,- Y 4k c 1' x :' 9' .S4 >,.., 't 713 S: • 4 : ' 4,MIV s 41+7 ;': dat� h : . , r un.�l' f .. a y y CR "n tF�,' i. J.? a... -'t'' 0 ,, : . r, ' � C..le—,.1LI' 11 t1 e � u.. +s ..; r G;:i r.: . 4 '' 1 . �i r1 o . ) r _..- ,;' t .P 6 ie.:, ,i.n, s ❑ New construction P1( Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ marinas and boatyards. > "'Fit, ,� " .47;.,..,-; rt\ { -' v `r `; qz exceeds 10,000 amps at 150 volts or ❑ Floating bull r. `" ' v .r, , ,t.+.1 .Jv- ' e .. Prf,1 � r. 2 :. .,'.) ' • 3,v e£e '51f t�j , .- ,141ri�'t. p s dine - 2 dwell less to ground, or exceeds 14.000 ❑ Commercial -use agricultural 1- and 2- y tng ❑ Commercial /industrial ❑ Accessory building amps for an other installations. buildings. . 1:1 Multi - family ❑ Master builder 0 Othe ❑ Fire pump. Q Installation of 75 KVA or /��>!,�,.... z - �,,1>ac R . Fmer ;m tem. larger separately derived system. •Y J� :4 t., ♦ '"F' ^.i�t .0 l- " > , \T� ' \ ill 6 ac f AiLZ't },. i . • „ 4 1 1 . , � 0 1 ._ ... ... t,'.-? •C r • i��N... ..-:. ..,.,: a ..r_ ,.�4. 1 .`.,'i em r LJ. .r - , :p'.. - -�: ❑ A Jd ili o n uf new mutOr load of L I ` i \ .... r .... t _ Z ,> « 1-3 " , Job no.: Job site address: / . . (,L / d- . al more. c © Six ix o o r r more residential units. ❑ Recreational vehicle parks. Imps or more n 0 Health -care facilities. ❑ Supply volta� for more than City�state/21P:�"��,t - Gt 1 ❑ HazarHazardous locsuon.. 600 oohs pummel. V' ❑ Service o r feeder 6(x1 Sultc/bldg./apt, no.: Project name: E/Y .z.- r r r vi �:ry Cross street/directions to job site: t' Description 5 .. , ' F Total • New residential single- or multi- family dwelling unit- Includes attached garage. • Subdivision: Lot no -: 1,000 sq. ft- or less 168.54 4 • Ea. add'I 500 sq. ft- or portion 33.92 1 1 Tax map /parcel no Limited energy, l r esidentia r 7 - r r 4 y S with above e• 67,84 2 • fN / z'� �' l ♦ �e I �i' It'0,-.....i :'� ft 1 .t....o re f ' ? 9 6'� y� .,.� �ll�1�rt,d E11� � , vy ( S9. ) 2 \ � ' r - V r Li r s identim with multi-family 41 i- ov a og , fR ) 67.84 2 - (� residential (with abe, R. Services or feeders installation, alteration, and/or relocation c� �C 200 amps or less ( 100.70 JLEn,7e 2 - % ir'f1:0 .4F -.1rr � r 7 ! g � �LV,F" j > 1 s ti s :1,,s 81 .3 o., ;' a�,. ' n,. r .. .)r .'.. Ig . � r,�l3O 2 01 am to 400 am 133.56 — 2 Name: 5 4-A/6 ..)' f E 1 7 / 401 amps to 600 amps 200,34 2 601 amps to 1,000 amps 301,04 2 Address: - 0- Over 1,000 amps or volts 552.26 2 City /State/ %IP: Temporary services or feeders installation, alteration, and/or relocation _ _ Phone: ( ) Fax: ( ) 200 amps or less 59,36 _ 1 • Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps I25.08 2 intended for sale, lease, rent, Or exchange according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168 -54 2 - • Branch circuits- new, alteration, or extension, cr panel Owner signature: Date: A Fee for branch circuits with r r 3 �r < t -- < � s- z '.r r� � , ,r' a { above service or feeder frn ' •.r � - _ , L ,�Y-F,��[ 7' - .�4 _ i s ; / 7.42 7� 2 each branch circuit Business name: B. Fcc for branch circuits without Cont name: first branch circuit cuitfseder fee, 56 -18 2 Address: Each add branch circuit 7-42 2 Miscellaneous (service or feeder not included) City/Stare/ZIP: Each manufactured or modular 67.84 2 dwelline, service and/or feeder , Phone: ( ) Fax: : ( ) Reconnect only 67.84 2 I E-mail: Pump or irrigation circle 67.84 2 9 ?':, ,, ` A, ;: . 7 ` ,� 2 ii a- w�,a t4 , ? r f? ,.. r » yyrrt a. `'` Sign or outline lighting 67.84 2 usiness name: [ Ci Signal circuit(s) or limited - / s! re ._ 47 .t ►Y r - 1f:� energy panel, alteration, or Address [ j X 14P O extension, Describe: Page 2 2 City /Statc/ZIP:7 - 1 aL,A. D 9 /e �� _ Each additional inspection over allowable in ariv of the above • • / Per inspection 1 66.25 Phone: ( 5� - 1 (,t � 7 k Fax: ( ) ) 5� - ",a_l / Investigation per hour (I hr min) 66.25 - CCB Lic -: 13 z '5 Electrical Lic J e /PVC. Suprv. Lie.: �� gg_ In dustnal plant per hour 78.18 ,1 , a > : ; ,0',l1:063i5. 1„ ' Suprv. Electrician signature, requi :� - Subtotal: Jb . 1 ,A_ Print name: LL i Y _ Date :. // /b9 — Platt review (25% of permit fcc): State surcharge (12% of permit fee): 1,? _q Pi E. Authorized signature: TOTAL TOTAL PERMIT FEE: 1,- , 0 This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted 30 complete. ' Number of inspections allowed per permit. I: 18uiIdingPermits \ELC•PemutApp.d0C 10/01/00 440.4615T(11 /05/CO'.t/WEn Z00 /ZOO d 666C: 3IH13313 S3HIf6S LE8SE9ZE09 6b:OL 6002 /OZ /ll