Permit CITY OF TIGARD ELECTRICAL PERMIT
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' COMMUNITY DEVELOPMENT Permit #: ELC2009 00635
T ( GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 12/01/2009
Parcel: 1S136CA01500
Jurisdiction: Tigard
Site address: 7709 SW PFAFFLE ST B30
Subdivision: Lot: 0
Project: Hawthorne Villa
Project Description: Reconnect.
Owner: FEES
HAWTHORNE VILLA LTD PARTNERSHIP Quantity Description Date Amount
BY TVHP, 6160 SW MAIN ST
BEAVERTON, OR 97005 1 ea Reconnect Only 12/01/2009 $67.84
PHONE: 1 ea 12% State Surcharge - 12/01/2009 $8.14
Electrical
Contractor:
OWNER
PHONE:
FAX:
Type of Use: MF
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $75.98
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: C •I , elftt lam' Permittee Signature:
OWNER INSTALLATION ONLY
The installation is being made on property 1 own which is not intended for sale, lease or rent.
OWNER'S SIGNATURE Date:
((( }}} A CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' Q Q ,..APP . 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.
Nov 25 09 04:48p Brenda Thurman (503) 922-3091 p.1
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-- TEEdt - rical Permit ApplirME 011:1(.1. 1...:1: 0 \ IA
City of Tigard Received
DueSy: Permit Nu.: E ics70 . 3 5 • II 13125 SW Ile!! Blvd., Tigard, Olk N439 , 5 2.00 s Ptac Review
' ir Phone: 503.630.417 t Fax: 503190.9.1196e DateJliy: Other Permit
• i „., ...„ 1 ... I •, Inspection Line: 503.63 9.41 75
c T GARD Date Ready/By: he*, ". 7 -. Ste Pagel tor
Internet www.figard-or gov rvy O. - .14 NOtifietlibletind: A Satiplemental Information
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e-....:>.t-'ittf-m*rir-r.4\_„:-L-4755.-.,---7.7-e.e7-- „ .1-..-.4.".z..i, . 6. , ..._4 - . 1 : -,. :' , - - :,:6- - ;4 1 1.6----S11676. - ...-:-: " "..' - - ' - " --- ri. ,, if.":". - -..1;.,-,•jt7i.-.7
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Meier thee« I Mar &poly (submit / xelsurpintriwrd.Crii checked below).
0 New conSteueliOn C Add i tiOnialterationtreplacement
C:1 service ar feeder 400 prep& ow Wye 1..] lisilning over three StilViai.
Er DeMOlitiOn El Other:
*there the avaik Mt* or 1: Mxina$ , mdbmi . rr-i-‘.
WeigfiiiiiitY64E ''' ereds 10.IXIC Amps at )50 volts or 0 Meting batwings.
less or exceeds 14.000 13 Commercial-use agneutrurei
0 1- and 2-family dwelling 0 C:rommereialiindustrial fl Accessory buildirg amps for an odic/ laitaiiariaas ioildiess.
ErMulti-family 0 Master builder 0 0ther. 0 Om pomp
.rian 0 jestillatior DS' 75 KVA
a m
-.-16,&k=----7-21±:-T-4-1.-1"..17.Afr...tii....tr ..;Sitiraky l EMI:9 S . larper separately denved system
... f.er.i:ier.:." • • it _ . • . .,.. _ . _______,.•.-...rve.,...; --,...nie, Adirion of new moor loqid of D- A t:•:" " I - 2'', "' I
I CialP or more. ceetroavcr•
Job no Job site address: 770 C1 s p.e c sst
CI Six or more reticion Us! uo 4 0 Reccatioruil vehicle parks.
City/Stale/ZIP: T50, al., , 0 p._ 1712.3 • 0 Ilealth facilities. 0 Supply voltage for more than
Ditavadow locariata. 60o ,,,,it nonliell.
Suiteibldg./apt. nel.: 2 0 Projeet. name: it-essey-li-„ y l• t, VI I 1 Ck., El Sevice or fookv 600 *nips or mote.
7 1. - 4. -1- ± 1 .L = .. - • " -.....
-•-•-----==----• • xe.,7.7.,
Cross saved ireCtiOnS to job site: 1: c u t Rel _ Deirripnvs 0 . Pet , Tecal •
New residential single- or multi-family dwelling unit
• Intiiides attached garage.
Subdivision: I Lot no.: _1.000 sq. fl. or less I6.54 ..._ I 4
,
- • - --- - ' ' tie. and' I 500 sq. ft. or portion 33.92 1
Tax map/pareel no.: •
ited energy. residential -
(
i
6714 2
- Lim
with above au, et.)
e:-. st ".. •, I.' .4. ..,,", -- 1.4.: rtiE7:-:+7,'
Limited enero, multi-family
67.84 2
- COrttle Tocoer - ivwsi- 1 mcka , ,.. residential (with above sq. It.)
Services or feeders installation. alteration. and/or relocation
lt‘sr ecla.
_ . 1 200 amps or less 100.70 2
4: A AiiftWg1., ::=.-Z:7.7:. 201 amps ui 400 amps ' 133.56 2
N a rli c: 6 IV 1 ir (4.. Mill& - . • 40C amps to 600 amps
! 200.34 2
- 601 amps to i .000 amp 1 301.04 2
Address: 77(:).9 S J PCxal -t, S {- t; keel L,000 amps or volts -
552.26 2
• Temporary services or feeders installation,
City/State/ZIP: - T ct , De 9 72-2-3 alteration, nadir r
relocation
Phone: ( ) ----- Fax: ( ) • 200 amps or I MS 59.36 1
1
Owner installation: This installation is being made PI property that 7 eiwn which is not 201 amps to 400 amps 25.08 2
intended for sale, Icase. rem, or exchange-, ac cordir u OR 447, 4.4 and 701. 401 amps to 500 amps 168.54 2
, Branch circuits- new, alteration, or extension, zszasel
Owner signature: Date:
A. cse for branch circuits with
' gi , t.:4 . : r... ; ' :17 .. R7.tri-i above service or feeder fee.
7.42 2
C1361 branch circuit
I lusinesS name:
- R't''';) de ri 5.: r. V ces ,GJo rd 1 el...beN a+ 1A6i viA+1.6(re. th B. Fez for branch circuits
• - -
without service or feeder foe,
Conflict name: Z", } \ Sc. L.() c +:e( 6 I first branch circuit 56.18 2
.Address: "1" S prof„p --i. Each add', *with eirent 7.42 2.
• - Miscellaneous (service or feede one included) 1
• City/State/ZIP: 17 oi 0 it. Li Each manufactured or modular
67.84 2
.1,,..„ 1 - -I dwciling, service andicr foecter
Phone: (S0-5) . i Fax: : ( 501) (07,t4 2 J only 6784 1 2
E-mail; ' • H
rump or inigraion circle • 67.84 2
' ' ',: • `=. • ; MI;W :- .Z ---fr:ii-71-= • :f- 'ff.: '; '.' - Q. 7 .: 4 '.:. 17, tElifijIttit - ciejVi !-- T'j 7 7-;:-:.; - ::.:':- . 7•7;:: .2 :7•7,W.:-77' : : , i - g - n - 7,r our] ine lighting 67.84 2
-
• . .;igne; r.ircuii(s) or lira lied-
Business narne:
energy panel, alteration, or
MdreSS: • ea.ension. Describe: Page 2 2
._. .
City/Stale/ZIP: Each additional inspechoo Over allow ble in any of Or above
,
Per inspect= (,6.25 '
Phone: ( ) . Fax: ( )
Investigation per hour to ta min) 66.25
L. '
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' CCR T.ic,: I Electrical Lic.: Supr. Lie.: Industrial pllmt per hour 78.38
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.:.- ---i fi.:iff231:-.F.Ta.,.....17 '',...-",,alii-,e7:,.....,,l'A:;.;,1.1"4:14",t----r--1,7
SupTv. Cievuiciaa signature, roquircd:
Subtotal:
Print. name:
' Plan review r225% of permit fix):
f),T
• - I • State surcharge (12% of permit fee): ?, ; 4- i
_
Authorized signature: i ' . J '
----I TOTAL PEILVII1' FEE:
_
i 1 it application. Wu expires if a permit Is am obtained within MU
Prinl name: Xll CA t E 1 d 1 i),(: ffil nit perm
-t J
1 days after It bas stewed is comptete.
- --- • Number of iaspectorts allowed per permit.
rmait 10011AX a40e6i.ST( i:nf.:.."-
100/l00'd BELO/ V111 3NdOHI6VH OLLZ-On -COS 00:LL 600Z/GZ/lt
6 a,ncia 1A,kimain