Permit CITY OF TIGARD ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT
PERMIT D: E 5/2008 00319
DATE ISSUED: 6/5/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 110DA -02700
SITEADDRESS: 10529 SW NAEVE ST ZONING: R -3.5
SUBDIVISION: RENAISSANCE SUMMIT LOT : 01$ JURISDICTION: TIG
PROJECT: MALNATI
Project Description: Reconnect heat pump & gas furnace, add GFI plug.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL:
MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 2 IN PLANT:
601 - 1000 amp: PLAN REVIEW SECTION
1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL:
Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA /SPEC OCC:
Owner: Contractor:
DOUGLAS & NIKKI MALNATI EFFICIENCY ELECTRIC
10529 SW NAEVE ST PO BOX 30885
TIGARD, OR 97224 PORTLAND, OR 97294
Phone: 503 - 348 -3330 Contact #: PRI 503 - 805 -5821
FAX 503 - 256 -0842
FEES
Description Date Amount Reg #: ELE 26 -878C
[ELPRMT] ELC Permit 6/5/2008 $60.15 LIC 101543
[TAX] 12% State 6/5/2008 $7.22 SUP 3003S
Total $67.37 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws.
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
suspe for more - tha n 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center.
Thos rules are set forth O • - ' 5 - 001 -0010 through OAR 952 -001 -0100. You may obtain co these rules or direct questions to OUNC at
503. 46.6699 • r 1.800.330 3
Issu d By: I Permittee Signat O - - 'A ' -v<�� (_____,
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:
- 3 NTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC' 1: ;4 /Ir� �� 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.
C-"^a+ ,n ) S' ��� � ,t iN'�, d +� A)+�.q4 a f t f gt AN aY1 . � " d 5M1 i ftw i 1_. ire
Electrical Permit .��1Tf�1CRt10>YM.t '� 1 , k 'i' "'u � p t' 'n 1 Y ts,(r l I i t t� l ,i .1 n (")r ;`• I . 1 (Z iln ml t � i t R,,, r
rh1 , (! ,0
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a' a' C EC ?� :,.± r> i ' 4 i% 1t ' „ ides b urtg 11 .b 1.0ia'. 1;??1, 05 ir J r � ti �' 0 .- .. /3 ;1100. ; 1 ' 41
i1' <�+'i` 5 CI of T.. ar Received D ' Permit � 'L.G r
O t JUN 042008 at"': & Y 8 � Gv3/ a.
`i 13125 SW Hail Blvd.. Nerd, OR 97223 Plan Review
4 � fiII 1.11, Phone: 503.639.4171 Fax: 503.592.1960 patr/gy: coo Permit:
- , �' inspection Line: 503.639 41 75 CITY Y OF .� 5GAF -a' ' `may' �+.. Et Soy Page l(or
;r'. ii.. : 1r, Internet: www.tigard•m.gov otifiedJMcthod; Y. Supplemental hibernation
or w "\ 1 � ° ." F - PLAN REVIEW
-
T New construction Addition/alteration /replacement Plate check all that am* (submit 2 sets of plans wkxms :beaked below):
Q service or Feeder 400 wrens or more D 8uildina ova duce armies.
0 Demolition. ❑ Other: where the available tilt curtert ❑ Marinas Bad bor+ryard&
CATEGORY OP CONS1fRUCTiON exceeds 10,000 amps at 150 volts or D Floating buildings.
leas to around or exceeds 14,000 ❑ Can ncreisl -use agricultural
U 1- and 2- family dwelling ❑ Commercial/industrial 12 .Accessory building unps for all otter installations. banditry.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. El Installation 01 75 KVA or
D
MD SUE INFORMATION AND LOCATION Addition Emergency larger nrw m otor lend of E", tely derived d > ystem.
0 Mditi of crew m Q »/�" °E" "1-2
iob site address: � 1 001tP or more. occupancy.
Job no
�0s� J 1l t i G e- Si- s-r , ❑ Sec M more residential unit. 0 Recreational vehicle parks.
City/Staid j �� A h ()r . E� !� w �� O Health-eve facilities.. ❑ Snyply vnhagc for more than
Gl Ftasardaua boa tiers. 600 volts nominal,
Suite/bldg. /apt no.: Project name: ❑ Service er feeder 600 =pa ormore.
FEE SCHEDULE
Cross street/directions to job site: r tlawption - 1_91 7:. ...1 Fr- l Tact T •
New residential single- or malt-family dwelling unit.
includes attached garage.
Subdivision: Lot no.: 1,000 sq. 11. or less 145.15 4
Fa add'I 500 sq. R or portion 33,40 1
Tax map/parcel no.: Limited energy. residential
DESCB T1ON OF WO= (wide abtm sq. il) 75.110 2
X
,p p Limited energy, multi-family
75.00 2.
erg�N °e / /,fi ! fr . 6"w'S / residentia�wi0t above rq�
P�� G • Services or feeders inittallation andlor relocation
r(W 200 amps or less 80.30 2
0 PROPERTY OWNER 1 0 TENANT 201 amps to 400 amps 106.85 2
Fame: . 1 k ,,,, �� �� N < i 401 aims; to 600 amt's )60.60 2
601 amps to 1.000 amps 240.60 2
Address: /GJe's ! c N1 i'vd sr. Over 1,000 amps err volts 454.65 2
Cily /State /ZIP: Temporary cervices or feeders inutailadon, alteration, and/or
relocation
Phone: ( ) 3 9?- 7 3 3 o I Fax: ( ) 200 amps or lcss 66.85 1
Owner installation: This installation is being made on property that 1 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
Owner si nature: Date: Branch circuits - new. alteration. orextenaionjscrpane1
g A.Fec for branch circuits whit
❑ APPLICANT ' 0 CONTACT PERSON above service or feeder ke, 6,65 2
each branch circuit
Business name: B- for branch circuits -
Contact name: without service Of fccdcr fee 46,5 2
• first branch circuit i
Address: Each add - 1 branch circuit i? 6.65 ! 2
Miscellaneous (service or feeder not included)
City /State/ZIP: Each manufactured or modular
dwelling. service and/or feeder
9U,90 2
Phone: ( ) f .Fax:: ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.4) 2
Business y c J r� c . vC.` Signalcircuits)orlimited•
name:
h LtCa - � - energy panel, alteration. or
extension. Describe: Page 2 2
Address: A „(2, G 3v g a
Ciry/State/ZIP: ,e/;. .� 0 9 ?ii V Each additional inaction over allmvable in any of the above
Per inspection 62.50
_
1 Phone: (� q;) 8 ,„,-- C -! Fax: (. f"4^;) ,� 0 e 5/ Investigation per hour (l bruin) 62.50
ti\ s CCB Lie.: ElcDtrica[ Lic.: r Su F.:56:;- s Industrial plant ncrhrnu 73.75
to ���' _ a� � L�c Suprv. Lic.: ?
p
✓ _ 71 /e / Ile ELECTRICAL moor FEES Subtotal: �O.
Suprv, Electrician signature, ragvited: ! � l %lr
Print name: / r _ y _ U 67 Plan review (25% of permit fee):
d _ State surcharge 02% of permit Ike): 7- f 7 .� 2
Autharizcd signature "1�� TOTAL PERMTB FEE: `, 7
/ 'Tbia prmut application expires it a parade ;n nar obtained within iso
Print name: �j /v., / , r .,/ Date: . v. tJ
days alLar ithas beenneetgruodae compk [a
• Number of inspections allowed pa pant
tiauildinR \PermimELC•PenitApo.dec 05/31!176 44.4515T(1t!O /COMMEH
l Zi780 99 Z 209 6noa B09 :60 20 b0 unr