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Permit
s "' ELECTRICAL PERMIT a CITY OF TIGARD :136:- COMMUNITY DEVELOPMENT Permit #: ELC2010 00152 ITIGAR]J 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/06/2010 Parcel: 2S111DCO5900 Jurisdiction: Tigard Site address: 9445 SW BRENTWOOD PL Subdivision: SUMMERFIELD NO.9 Lot: 535 Project: Eischen Project Description: (3) branch circuits for remodel master and guest bath. Owner: FEES EISCHEN, STANLEY Quantity Description Date Amount 9445 BRENTWOOD PL TIGARD, OR 97224 3 crt Branch Circuits 04/06/2010 $71.02 wo /Purchase Service or PHONE: 503 - 440 -2095 Feeder 1 ea 12% State Surcharge - 04/06/2010 $8.52 Electrical Contractor: SUNLIGHT ELECTRIC INC 2800 NE 65TH AVE SUITE B VANCOUVER, WA 98661 PHONE: 360 - 772 -3877 FAX: 360- 694 -9728 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Total $79.54 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 160 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 503.246669 r 1.800.332.2344. Issued By: 1J- Permittee 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' Date: LICENSE NO. CaII 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. 1W 1: MP 1 I II 1 Electrical Permit Anplica I t ,' `r' i ciic _}1 1 I` i0 1.(.i\ 1 • City of Tigard [O �' i �" IB Received DateiR : / 4 /O ‘�w,� Pem'n rta.:Eie -20/0 - 00 /S ' 13125 SW HaII Blvd., Tigard, OR 9 • . :, Phone: 503.6394171 Fax 503.12 t ,.: Caber Permit: I' I' i ; . - I • Inspection Line: 501639.4175 � � tio••,. , V' i l Y ��n Date Readymy: lair: ®>'.: pa / for . . .. Internet: www.tigard-0cgov , 1RXlt� ®t`� 4 t(puficd/Method: :<,�, oil Informant* A .1",-1;:.•:,...,,f,:41 ' . k {. (UV r j r Tr 4 Print flank: ❑ New construction Addition/alteration/replacement '`a \ 1 ❑ Demolition ❑ Other ''':7,-,,,,, - � - , : :: S . } ruse - check all that apply (setup's a seta of plans Wilms cltecked • Sao „ -. � S r l CS ?vice a�paps ❑ Bnild' over three Stades. - .. ` � . . S F... � ., _ , . . �.. �. _._e- � -..._ . ._,;t � 3� . �... _: � i:Pn� a fonder or more atg 1- and 2 -family dwelling Q Commercial /industrial ❑ Accessory building ttgsgne the available tank cancnt ri Marinas and boatyards. tuct6E(Zy 4000 amps a 150 VDUs or D Floating buildings. ❑ Multi- family ❑ Master builder ❑ other: less to ground, or exceeds 14,000 11 , mmersial.une agricultural r = .4 ;`- ' ;� amps for all alher ilastlUatiora Wien. ❑ Ftrc pm,. Qittsta0atiae of 75 K 1/A a Job no.: • Job site address: 9414K e , �. ( 1. ❑ Eanageney �4ystem. larger st tmely dhtrived system ❑ Addition or new motor load of CI "A". "E", ^I -2" "I,y" City /Stale/ZIP: T Rf e.e•7 Dv 9722_9 100HP or more. occupancy. / p ❑ Six or snore residential units. ❑ 13med wattle parka Suite/bldgJapt no.: 1 Project name: �Q+ 1I4"C(/1'l ode 1 ()Health-care facilities. ❑ Supply vie far more than ❑ Hazardous locations. 600 volts nominal. Cross street/directions to job site: < Du CL, a tM ❑ Service or fender 600 amps or mate ,s Qty. nee. Total • Subdivision: I Lot no.: New residential single- or multi- family dwelling unit. Includes) attached garage. Tax map/parcel no.: 1,000 sq. R or less 145.15 4 14 . L 1 ,.. , ,_ . .. � , y't' '1 i ` ti h l _U..,.-r: Eh . add'i 500 sq. R. or portion 33.40 1 v, ' _ - Limited energy, residential A ci • - ,(aee c Ric 11 4- r (with above 54. 0.) 75.00 2 . Limited energy, mult(4btniiy residential (with above sq. ft) 75 - . i ' r �i Services or feeders installation alternation and/o reloMRloa 200 amps or foss 80.30 2 Name: Si tekir F { $ Ct4 7 c 201 amps to 400 amps 106.85 2 - Address: 94 SW 6,2:6, u,opel P1. 401 amps to 600 amps 160.60 ..I. 2 City /State/ZIP: (pa l� d , 0 2 ,9 7 2Z4e Over 11,000 amps or volts 454 2 Pho (5() 3) „ - a 0 9 j I Fax: ( ) Temporary services or feeder tnstailadon, alteration, and/or © relocation Owner installation: This installation is being made on property that 1 own which is not 200 amps or less 66.85 1 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 201 amps to 400 amps I 1 10030 2 Owner signature: Date: 401 amps to 599 amps 133.75 2 1 r Branch dreuits - new, alteration, or extension, r panel ... , ,. . . ...._ _ . MI:r . . .. : - . j� ,, A. Br p for branch circuits with ss Busine name: T' L Qe�r, cIel s /2 uctRtbt/ above service or feeder fee, 6.65 2 L each branch circuit Contact name: 7 LQ 1L�11 ins K B. Fee for branch circuits 5G l Address without service or feeder fee, P fox � i fust branch circuit 46.855 2 City/State/ZIP: Wood buQ�I E o 97 ©7 1 Each add'I branch circuit Z. 1 ' 7 6 - BS Ci 2 / Nracellaneow (service or feeder not included) Phone: (.3 9 8� - 2 ` 7 g3 j Fax: : ( ) Each manufactured or modular • 90.90 2 dwelling, service and/or feeder E -mail: Reconnect only 66.85 2 : �� 1 .. -.� , ,i:. .:. f L � , • !.. i :�` - '1� ..t_ I� . ;::1111;12. _4 Pump or irrigation circle 53.40 2 Business name: 5, f L L /4? 4-ti j G ti c - Signor outline lighting 53.40 2 Signal circuits) or limited - Address: 2fe /fye cg-m. oe B energy panel, alteration, or I , , A extension. Describe: Page 2 2 City /State/ZIP: Vag he. o u ve W 5 8 6 6 1 . ��Q 4-149 - e A a Each additional inspection over allowable In an of the above 89 Fax: 6‘0) Cc - • Per inspection 62.50 CCB Lic.: / 725'.• Electrical Lic.: C 2 3 0 J Suprv. Lic.: /99 2 5 viinvestigation per hour (I its min) 62.50 Industrial plant per hour 73.75 Suprv. Electrician signature, required: G 4..& 0/1/1 , I , ,_ .tit'.,:._. -1_.::. . :,i_: >:=rf __,= Subtotal 9/ 0 0 2 Print name: Date: (4L 412 Cri Plan review (25% of permit fce): 11 State surcharge (870 of permit fee): et", S .2 Authorized signature: SGRG.Mf/ C OyAA R/1 TCti // t TOTAL PERMIT FEE: - 79, 5y 1:1auildiaaWeruMFGC PniritApp.doe 0503106 440461 S7(11105 /COMRIIFB 2.11