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Permit
i U'!'�.�,i? CITY OF TIGARD ELECTRICAL PERMIT ; ' q `t ' COMMUNITY DEVELOPMENT Permit #: ELC2009-00377 l " Date Issued: 07/28/2009 ITIGAFtb, 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 2S111AD20500 In, p: d:'1.; 1. ,,,,' Jurisdiction: Tigard Site address: 8801 SW SCHECKLA DR Subdivision: Lot: 0 Project: Mawe Project Description: (2) branch circuits for HVAC and service plug Owner: FEES ED AND LYNN MAWE Quantity Description Date Amount 8801 SW SCHECKLA DR TIGARD, OR 97224 2 crt Branch Circuits 07/28/2009 $53.50 wo /Purchase Service or PHONE: 503 -443 -2329 Feeder 1 ea 12% State Surcharge - 07/28/2009 $6.42 Electrical Contractor: BOB'S ELECTRIC 2700 NE BURTON ROAD #A VANCOUVER, WA 98662 PHONE: 360- 254 -7200 FAX: 360 - 254 -8219 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Total $59.92 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: 2� l Permittee Signature: ©/V .47°/ / e: /52 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. ', M 6 � aoo- 00, Electrical Permit Application R F C FI\/ t� ' FOR OFFICE USE ONLY City of Tigard JUL 2 2009 Received �/ c �.t— 1114 Date /B : 7 �d 9 ..i r Permit No. 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review ', E�ZO ©, �17 or Phone: 503.639.4171 Fax: 503.598.1960 CITY OF 7 1 Date /B Other Permit: T I G A R D Inspection Line: 503.639.4175 p n t ate Read /B luris: ® See Page 2 for Internet: www.tigard- or.gov BUILDING DIVISi�l�otified /Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑ New construction ❑ 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. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural 0 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A' , "E ' 1 -2 ", "I -3 10OHP or more. occupancy. Job no.: 09 -655 J site address: 8801 SW Scheckla Dr. ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: Tigard, OR 97224 ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: J Description 1 Qty. 1 Fee. 1 Total I' New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) Limited energy, multi- family 75.00 2 HVAC Reconnect and relocate and service plug residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Natne: Ed & Lynn °Iawe 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: SW Scheckla Dr. Over 1,000 amps or volts 454.65 2 City /State /ZIP: Tigard, OR 97224 Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits — new, alteration, or extension, ter panel Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, each branch circuit 6.65 2 Business name: B. Fee for branch circuits Contact name: without service or feeder fee, 1 46.85 46.85 2 first branch circuit Address: Each add'l branch circuit 1 6.65 6 . 65 2 Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular 90.90 2 dwelling, service and/or feeder Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 energy panel, alteration, Business name: Bob's Electric energy panel, alteration, or Address: 2700 NE Burton Rd. , Ste. A extension. Describe: Paget 2 City /State /ZIP: Vancouver , WA 98662 Each additional inspection over allowable in any of the above ' Per inspection 62.50 Phone: ( 3 6 0) 2 54 - 7 2 0 0 Fax:( 3 6 254-8219 Investigation per hour (I hr min) 62.50 CCB Lic.: 531 36 Electrical Lic.: 3 - 1 C Suprv. Lic.: 4 3 2 2 S Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES _ Suprv. Electrician signature, require - Subtotal: 53.50 Plan review (25% of permit fee): Print name: Kevin Broselle Date: 7/22/09 State surcharge (12 %ofpermit fee): 6.42 Authorized signature: TOTAL PERMIT FEE: 59 . 92 47 This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. * Number of inspections allowed per permit. 1: 4Building 't'ermits'ELC- Permi1App.doc 05/23/06 440 - 46151( I 1/05/C01,4/WEB