Permit .<:'a CITY OF TIGARD ELECTRICAL PERMIT
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1 COMMUNITY DEVELOPMENT Permit #: ELC2009-00639
T 1 G AR $ 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 12/01/2009
Parcel: 2S113BA00200
Jurisdiction: Tigard
Site address: 7800 SW DURHAM RD 500
Subdivision: Lot: 0
Project: Typhoon
Project Description: 100 amp subpanel and (6) branch circuits.
Owner: FEES
METZGER VENTURES, LLC Quantity Description Date Amount
PO BOX 400
SHERWOOD, OR 97140 1 ea Services or Feeders - 200 12/01/2009 $100.70
amps or less
PHONE: 6 crt Branch Circuits w/Purchase 12/01/2009 $44.52
Service or Feeder
1 ea 12% State Surcharge - 12/01/2009 $17.43
Contractor: Electrical
PRECISION NW ELECTRICAL
12020 SE ANNA
DAMASCUS, OR 97009
PHONE: 503 - 413 -9870
FAX: 503- 594 -2873
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $162.65
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
clays. ATTE egon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952 -001 -0 0 through OAR 9 .01 1100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344 •
Issue y: 0 0 Permittee Signature: � � 0 ---_� 1 'e ' '—'•------>
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
Z
SIGNATURE OF SUPR. ELEC' , J 1 f J 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.
-- 1 -113. 0/2009 02:57 FAX PRECISION NW /2003 /004
•
'- Electrical Permit Application RECEIV r .,j r � i , ° � ,,� . ;; '
i i. " � YT1. sT Y J_ 4 j7b��t.,�ph - n ,'��a� . 'Y •.!
.,' City of Tigard Received e �� D q A
i 0 13125 SW Half Blvd., Tigard, OR 97223 NO V 3 0 t y y Permit No.: C '� ������`�T
�QQ� Plan 13y,i Other Permit:
F Phone: 503.639.4171 Fax; 503.598,1960 P:ue/DY
Inspection Line: 503.639.4175 CITY OF TIGA °' ate tteady/By runs: El See Page 2 for
'0102100D' ' Internet: www.tigmd- or ati6cd/ Mcthod: Supplemental Information
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lt . • ,,., 1 .. '' i . :� I i!.i ,rib "' '4r9� J a,,b1,S l:d!,,,' Y x�fi Ci ,. SP , i qr,, ' - , ti °Ir ' a:- ' :.,.. . ry n 41 + .' i 4 ,,!
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❑ New constniction �r Addition /alteration/replacement Please check all that apply (submit 2 gets or plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Dcmolltlon ❑ Other: where the available fault current ❑ Marinas and boatyards.
J r t"L ` (n' 1 ) t 11 C�. a * ∎ ?= "" +# '" $ r . t" fa ,, (t{ 000 a
exceeds 10 130 1e at volts ur
" .; h 1.:!'i „ ia . ,�'" ` ti i r radii t b ` i � c �11 '' � A i A 'f'k.' ='� l /h1 NI 1 ❑ Floating buildings.
r,r less to ground, or exceeds 14,000 ❑Commercial -use agricultural
❑ 1 - and 2- family dwelling ► ommercial /induslrlal ❑ Accessory building amps for MI other installations. buildings.
El multi-family eye ❑ Master builder Other: �y �g Fire pump. ❑ installation of75 KVA or
' t . i i t t. t, I 1 ,fa hih0l r , <„: rarIT r�u7 It (K1r-1 r r 3,^ laIR µ „t ❑ Fimergency 6yat m larger separately derived system.
� (1���� r „� ki '� & ! ; d G � fF } fl 01.. On, w r � a K�, "�� ❑ mouse load of ❑ "A", :, :. 1.3,.
y Addition ofacw
Job no,: 1 Job site address:' 6)0 �jy.4 W rk114w� 9-0 -
]OOIJP or more. occupancy.
❑ Six or more residential unite. ❑ Recreational vehicle parks.
City / State/ZIP: l y0 0 `�t , C'1 -t � 4- ❑ Health -care facilities. ❑ Supply voltage for re than
1 '_ sn ❑ Hazardous locations. 600 volts nominal.
Suite /bldg. /apt. no.: 5 1 Project name:- Ni nke‘c t • • -) ❑ Smite or feeder 600 amp or more.
Cross street/directions rajah site:
_ �1��a��� }��fi` { ?14,siM ;-,,, ;'.t 0, #0,11 {,��I(,��f l ff ` 1 ^"'�:' ; ,'t :
nex e11 tine 6.0. Fee. Total _
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. R. or less 168.54 4
Ea. add'1500 sq. ft. or portion 33.92 I
Tax map /parcel no.: Limited energy, residential ' 44 l,!,!1 1!1'11x. +.11 i i ' , 'r is ? ; , + ^t. �' { A 3 i : ' aa 1�r 3° 1 } } °r ?l ` (with above sq. ft.) 67.84 2
1°� S� Limited energy, multi
l��r residential (with h above ve aq. ft.) 67.84 2
Scrvicea or feeders installation. alteration, and/or relocation
(12 U* ' } 200 a
_ r m s or Icss 100.70
t ,�� y „ a�+pp ?� v � 11�y [' � 00.7 0 r�7�� 2
nii +l : il!6 ":111dd�i Y Cp" �vi11'i,l�illl4' 1� �. rt4r . lLl `;;i Ik:ta
walz ' +���fi3�lb �rllu,; �� + �I$il�l)ttl �. 1 � . �u } rl•a,„ 201 amps to400amps 133.56 2
Name: 401 amps to 600 amps 200.34 2
601 amps to 1 amps 301.04 2
Address; Over 1 amps or volts 55226 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( ) 200 amps or lc„ 59.36 1
Owner installation: This installation is being madc on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2
Owner signature. Date: Branch circuits - new, alteration, or extension, per panel
A. Fee for branch circuits with
� '
yy �yyhwl.,{!i{ t,�I ( �II4 '•�, h ,f a t , i
gf 7$ 5....,Mywl,. oc'�] /.•., a Y n . e1B ro •A� F u'
( Yii, � „'qM' , tc, ;! q 'Y �i �., „ �, � 1.� ;:,' !f'� %v' s��'YL'''e���,� "�.. � '(�ti Y �'' 7 !'` r { about service or feeder tee, 448-2.
Business name: each branch circuit 7.42 2
B. Fee for branch circuits
without service or feeder fee,
Contact name: first branch circuit 56.18 2
Address: Each add'I brunch circuit 7.42 2
Miscellaneous (service or feeder not included)
City/State /ZIP: Each manufactured or modular
67.84 2
dwelling, service and /ur feeder
Phone: ( ) Fax: : ( ) Reconnect only 67.84 2
E -mail: Pump or irrigation circle 67.84 2
a f:'{ + '5 I'j ;1 n: ) ` ` $1 ��" E3MBENE +pi ' , . . { � `E Sign or outtinc lighting 67.84 2 .
Y +.� ., :4J'� ;. 7 1 •• p r 44 ;t u. r�ir^rrinil,,H•NAq i�
Business namer� S �} g Signal circuit(s) or limited-
t"V�CA i AMy�ya energy panel, alteration, or
), / Address: fa t 5 a C. "- extension. Describe: Page 2 2
`��/ City /State/ZIP: l a / et-1. ":0 tacit additional inspection over allowable in any of the above
"' , Per inspection 66.25
Phone: ( t ) , T C!. ♦ EMEINVIEWERI Investigation per hour (I hr min) 66.25 ..
CCB Lic.V 33 l . Suprv. Lic.503 ta, Industrial plant per hour j � j 78.18
Suprv, Electrician signature, required k 1 Subtotal: K Zz
■
Print name: t 111 Dam ;11 3� --0 Plan review (25% of permit fee): __
V • • - S lade surcha (1290 of permit fee):
Authorized signature: 1/-'CkZJ TOTAL PERMIT FEE: ( b''�, 65
�����V`�4 ` This permit application expires if a permit is not obtained within 0
Print name; ru IN ) • ��""p'� x�w, A Date: v-1. 0.- 0 days after 11 has been accepted as complete.
Number of inxpecL%LJro allowed per permit.
r:l Building \Petmits\BLC- PrrmitApp.du 10/01/09 440-4615T(1L/05/COM/WID