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Permit s: 1 ', ; � r + �� OF TIGARD ELECTRICAL PERMIT i -x;� g : COMMUNITY DEVELOPMENT Permit #: ELC2010 -00146 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 03/31/2010 Parcel: 2S 102AB01001 Jurisdiction: Tigard Site address: 11950 SW Lincoln AVE Subdivision: Lot: 0 Project: Monroe Square Project Description: Add /alter (2) branch circuits for replacment of underground wiring for exterior pole lights. Owner: FEES SERES, JOEL L TRUST Quantity Description Date Amount 4175 SW GREENLEAF DR PORTLAND, OR 97221 2 crt Branch Circuits 03/31/2010 $63.60 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 03/31/2010 $7.63 Electrical Contractor: RENTAL HOUSING MAINTENANCE SERVICES INC PO BOX 317 PHONE: 503 - 678 -2136 FAX: 503- 678 -2138 Type of Use: COM Class of Work: ALT 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 0f R 952-001-0100. �J 0. You may obbtain copy of the rules or direct questions to OUNC by calling 503.246 6699 or 1.800.332.2344. lJ l Issued By: / 4 1uU l Q Q n 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' 0 9. Date: LICENSE NO. 1 ' 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. 03/31/2010 WED 12:15 FAX 5036782138 03/31/2010 WED 10:18 FAX 2001 /001 1 I it ° P. �7 r.. _ - -ti 03/31/2010 WED 9:54 FAX 503 t ; i+ :; 1 1002/002 , iL is '.ICt rllen3 Vt` G4r.Fx' qr 44r. : y i; r Electrical Permit Applicaiol�llAR 31 2010 ` '.'On,,rvtt 4, )l.,;+;; City of Tigard Received ( ve _ ] Fenian), � O 4 1 w ; .1?1 Phone: W Hall Blvd., Tigard, OR Q'/2 O 9 C i k f 1 L} 1 Pan ovbew er Permit: � • • 503.639.4171 Pax: 5 598: 6D ! i= Otb :- '''"",,� P e .e.. iI =tf �; c i 1f' ' '' '' ' Datel •1T1 GAR17 lnspeotionlSop ::503:639.4175 �'' IZatalteadyfSy ruin P1 SeoPage2for bAkra ratat i r x. tetnet: www.tigard- or.gov Notified /Method: 11 Supplemental Information. � .1 1 r , S' i ! }� f > Y "3 Z $. r ,J 7 / N I ^ �Y.>5 Y A , 1 y' .3 ?.;;;. +rtiv . } 1Ck t` ' ti w z Jt �i 1H \ . ,� x ; r ..t. ., ->t... ou 1_ _. _.0 •, c .� i..i ._..•}� 3: d . .r ),- ? ... -. {' C1 New construction ' l- Addition/alt ation/replacement Please check all that apply (subm Z s ofp w /items checked below): ❑ L7emOlrhOn ❑Other CI Service or feeder 400 amps or more El Building over three stories. Mum tbo available Owls monist ❑ Marinas and boat/aids. 1' *+ a ,r f ` -sl T ' it - 'i r �r F dt ' x n + r r ✓n r , e exceeds 10,000 amps at 150 wits or 13 Floating buildings, , ., _._ _• c > .. U. 3 a, t: . ....: - . bss w grotmd, or exrxeds 14,000 ❑ Oommerciat -uses sgrioulbw+t 01- and fatuily,dweliing %Commereial/industrial © Accessory building . amps for all other instaltetioas, buildings. 0 Muthfamiy 0 Master bnilder ❑ Other PP 0 installation of 75 KVA or . . ., . 'vR ` Z ' t!;1P.i :..k x .1. r j 1 Ti.1 3a rat <c f :4 ,5 ; .. Emorgencysystem. brgerseparatetydetivedsystem. : 1 . , , t._...,r. „ -Y. , ✓�..,°.-, ._ -- ,, © ... ❑ Addition ofnewmotor load ❑ - A ", "E', "1 - 2 ", "1 - ", Job no.: 1qS Q 5 w L 111 Coln e 1 ix or or more. Job site address occupancy, j AUL []5ixvrtnororesideNlalunily 0Recn:ationalvehiclepat�, • City /State/LIP: / G p., 97 014/ ❑ Health- care>heilltles. (0 Supply voltage fbr More than `'� © Hazardous locations. 600 volts nominal, . Suite/bldg. /apt. no.: I Project name: if lo n 1 V se Sq v a p ❑ Service or feeder 600 amps or amre ' .Cross street/directions to jab site: - , iertrtanon �, ''' ry , Pm ,3 •"111 New residential single - or multi - family dwelling unit. . Includes attached garage. Subdivision: - i Lot no.: .. ' 1,000 sq. n, or less 168.54 j 4 Tax reap /parcel no Be. add'1500 sq. R. or pardon 33.92 1 s � � l • � , j Limited anew, residential . _ 4, r >> F.t t . t : tt te, ,d I 3 ;" -. a s with above - . ft 67.84. 2 re. PICA ,G2 t �n ae:R lr'ou n d «a ii n co c • I l(witha fvesq. 6 residential (with above sq. R) 89 1 2 �� D G r l • 1 h ! S Services or feeders installation alteration and/or relocation r 1 a 200 amps or less 100.70 2 S; cril c , 'l i 6 ,V;V °'?FI - i s 7 .if ,4.W u ` Zi Co' s ;N li N r s ; g a * ?�, 201 amps to 400 amps 133.56 2 Name: : 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: . Over 1,000 atnpsc:volts 552.26 2 City /State/ZIP: Temporary services or feeders installation, alteration, and /or relocation • Phone: ( ) 1 Fa ( ) 200 amps or less 5936 1 Owner installation: Phis installation is being made on property that I own which is not 201 amps to 400 amps 125.08 Z - intended for sate, lease, rant, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2 Owner signature bate ' Branch circuits -- new, alteration, or extension panel A Pee for branch circuits with ' ..7r" ,a y ^; ' a j, ( ter s 1 I , ', = t ' ' 1 r :- ! l ? t 1 v , tQ ` , +` l sa )i ru � _ '' above service or fonder fee, 7.42 2 . • ✓,> each b r a nc h • c . . i • 1 t imam . � d ` a -/ ' B. Pee for brunch circuits wNhour ■ service or feeder fee, first Contact nacre: bunch circuit 1 56.18,1 2 1 ,) Bach add'l branch circuit / 7.42 9, y2 2 I Address: ( T 0 �( 31 q Miscellaneous (service or feeder not Included) _ •• City/state/ZIP: 00 l d 7 g D ` Each manufactured or modular 1 D . 'dwelling, service and/or feeder 67.84 2 1 Phone: 3) to') - - 0/ 13 (p I Fax:: 3) b 9 g _ .1/3 O .. Reconnect only 6734 2 E-mail: gaff 1 n? ra , ft n4-6.1 re •C.t i rs ' Co 1M • Pump or irrigation circle 67.84 • 2 1 • r . ` '' '1 !t 211 1 x. - a x ,S , Sign or outline lighting 67.84 2 1 . � + �x °a-... , Y +1 •$i P �.:_ . . :. _:,,, 3<<c..:;.f rc 4:^:i...- z'_: _ ,,, _'_a Signal cirenit(s) or limited I BD n l S i n e s s nein e . ,, � _pal, a l t e r a t i o n , or extension. P a g e 2 2 1 ` '' Each additional inspection o v e r allowable In any of the above i Address(PQ( ) D( -3) (7 • Adrrtional inspection (1 hr min) 1 66.25/ hr 1 ! City /State/ZIP: Q yes la t �D Investigation p br min) 66?S/ hr Industrial plant (I hr mm) 78.18/ hr ' one:: '� j1 / a ' ■ - A Fax: �� 6 9 ' -, J i . Inspections for which no EZo is 90.00 / hr I t k r / 1 Hl! itst (� br mm) I CCB Lic.:14, 34F 9 Electrical Lac.: L� .S 63 up ; iiDe�5 5 : F r ar S l ' t g- - j,,:,: -.. 7 `_. "- I rV:Lle. k•� 5'E 71Cf aft r ?:i�o 1 '� 7- � ..._ = 1,X . -1� ___3, sec ..4..a� ,.1 6. Suprv. I3lechieian signature, required: F S nit fe e / . a Plan review (25%ofpermit fee)) : 1 • v v • . Print name: (i' r �o 9 J Dates ' (:� j / f Q State surcharge (I2% ofpetudt fee): I ` / [ TOTAL PERMIT PEE: , • Authorized signature i T bts permit application expires Ira permit is not obtained witbio 180 days after It has been accepted as completes. l Print name: 1 . te. Number of inspections allowed per permit 1 1_'togadioc�«eut vet- caamiutp i0/01/09 440- 461sr(uros/ooiktnvss 1 • 23 i p A t i Ara.