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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2010 -00293 *�+ Date Issued: 06/16/2010 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1S134ACO2623 Jurisdiction: Tigard Site address: 11185 SW BOXWOOD CT Subdivision: ENGLEWOOD NO. 3 Lot: 180 Project: Tariku Project Description: Kitchen remodel. Owner: FEES TARIKU, Quantity Description Date Amount 5040 SW HILLTOP LANE PORTLAND, OR 97221 4 crt Branch Circuits w /Purchase 06/16/2010 $29.68 Service or Feeder PHONE: 1 ea 12% State Surcharge - 06/16/2010 $15.65 Electrical 1 ea Services or Feeders - 200 06/16/2010 $100.70 Contractor: amps or less IES COMMERCIAL INC 16135 SW 74TH AVE TIGARD, OR 97224 PHONE: 503 - 648 -1900 FAX: 503- 670 -9572 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Total $146.03 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 folio, adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may ob in a copy of the es or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: Permittee Signature: _ _ '_�' i ac_ ✓i iJ '1 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. 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. b/14/2010 07:52 ,� ��� � ��� � NEWTECH ELECTRIC PAGE 02/ 02 n Ia��C 0 503670957 t Electrical Permit A is N at1UTl. . ^4i�1, : � j �� City of TNgalyd JUN 15 2 010 Rccolved V " ° 13125 $W ktall Blvd., Tigard, OR 97223 DatalE3 ' / ®(d Pcrmit No t — z) 4 _ lASt RCVICW +� � r ��, Phone; 503.639,4171 tax: 503.598.196 f' atc/(d : Onc�rPcrmit: riot nr;Ct' ToSpcctionLine; 503.639.4175 'J !1 ®� _ � D i'�'�+�+� DmcRcad /13 VAiY, r p s+Atawr r and - (tr, OV � G �' Y o Juri ' S p1t ez 2 for Internet: www.ti g � �U(Lp I�,,� �i�A6�i0i� NoNrctl/Mctl,od: �:l'T 9upplemcntnl lnfbrmatinn ,f a44ti1rh16SF x.tf':, �. {rf111�J �Y "�A��l El�ff t'l�t�1 'LAy ° tfiY1A.?1��. 1 #.:t IA I?`d %,19I�1i16i, lA:, f r d �rG r 6 +'CE It ❑ Ncw conglruction 1 Addrtton /aTtcration /replacemertt: Plcase cheek nil that apply (sa sets of plans w /items chcckod hetow); ❑Dcmoiition QOther: ❑Scrviecorfc edcx400arnpsormorr 0 Bniltlingovcrt]trcegt0rCs, } y whcrc the available fault current. i] Marinas and hontyarda. ©Floating hvildings. ,t�.�'11�tillJd��t,�` -Sf cxcccdc10,000Am satl50volteor 1 -and 2 -famil d WCl lin Icce to rronnd, oroxcccds t4,000 Commcrcia] -use agriu Y g ❑ Commerci&i' dustrial 0 Accessory building amps for all othor In fiIIAtiorla. twitdin¢9. 0 Multi-family ❑ Master builder ❑ Othcr ❑ Firc pnmp. ❑ Insisllatlnn of 75 KVA or Sturm, " 1 " YL ❑ Emergency system, Iar cr se n ,ratcl derived s stem, c ,� `� # 1' � r R p• y Y Job site address; 11185 SW BOXWOO T lt�il� i� Q Addition of new motor load of ❑ occupancy, ' E .lob na :45763 A C 100FTP or rtaorc. occupancy, 0 Six or more residential units, I] Roerent;cmnl vehicle parks. City /State /Z_TP: TTGARD OR 97223 p F1enl h -care ikcihtie © Snppl voltage for mare thna ❑ 1'tf7ardo1J s locatinne, 600 volts nominal. Suitc/bldg. /apt. no.: Project name: TARTKU 0 Scrvicc or fender 600 nmps or more. Cross strcet/dircetions to joh site: z rx ,.�6 II.Nk`;ti'I ;(i'{ a °I i� "1 1ii'"� _ � Dacriplinn qt Pee TOlnt * New residential single- or multi - family dwelling unit. 1ne1udcy atincbcd gArag_c, Subdivision: Lot no.: 1,00D sq, n. ar tcan 168.54 4 Tax map /parcel no,; Ea. add 500 nq, ft, or portion 33 02 1 encr�y, residential I ' (withab0vesq.R.) 67.84 2 Limited cne multi. , PANEL CRANGE & KITCHEN REMODEL r ( 1v sq, 67.84 2 residcntial (tvlth about sq, R.) Services or feeders inst_allatlon and /or relocation � 200 amps or less ! 100.70 100,70 2 6ttlJii.adr `��t� ,� c ,�i r �'�e�ilt� ° � �� � {I ��w Ct',1! ' � u t ,, 201 am s to 400 a, Nart1C: 401 amps to 600 amps 200.34 2 601 ampsto1,000amps 301,04 2 Address: Ovcr 1,000 amps or volts 552.26 2 City /State /ZIP: Temporary services or feeders instapation, alteration, and /or� relocation Phone: ( ) Fax: ( ) 200 amps or less 59,36 1 Owner installation: This installation is heing made on property that T own which is not 20! amps 10 400 amps 125.08 2 intended for gale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps — 168,54 2 Otvncr signature: Branch circuity -- new, alteration, or extenaio� per panel Date - A. Pee for branch circuits rrlth 29.68 2 each branch circuit Business name: 13, Fee for brancl, circuits ' -- — service or foedcr fcc, first. Cornact name: branch circuit. 66.18 2 Address: pich add'1 branch c 7,42 2 _ Mioccnnneoas (i orrice or feeder not included) CitylSt'a1:C /ZIP: Each manufactured or modular ' ling service and /or feeder 67.84 2 Phone: ( ) F ax:: ( ) Reconnect only 67.84 2 E - mail: Pump or irrigation circle 67,84 2 Si 0r outline lighting 67.84 gnalcircuit (s)orlimitcd- enCrgy 2 Business name: JES COMMERCIAL panel, alteration, or extension. Pape 2 2 Eneb additinnnl inspection over allowable in any of the above Address; 16135 SW 74 AVE Additional inspection (1 hr min) 66,25/ hr City/State /ZIP: TTGARD OR 97224 invcsitgati 11 hr min) 66.251 hr !� Industrial plant (1 hr min) 78,18 / hr Phonc; (503) 6484900 ?/ Fax: sp 503 C71 _ p p Y ( h /� /r ii e ct d(1 /2 no fns ,s / ) 9572 / Tns ccito nsfor CCB Lic,: 182452 "` —� eficnll hated '/: r min 90.00/ hr ttl � T'lecrrical Lic -: C4d$ ✓f 1 Saprv. Lic.: s' at��, i +�rtii f119 .,r:� +.a,t'14'E,nP,.� ' • Super. Electrician Signature, required: r r I0) I f Subtotal; 130.3$ "''•"'�� Plan review (25% of permit fee): Print name: COREY BAYSTNGER / / r tc: ( i f� O State suroiiargc (12% of permit (ee); 15.65 Authorized signature: ` " t 1 TOTAL riFRMPI FEE 1.46.03 _ This permit nppticntlon expires ifa permit is not ohtalnecl within 180 Print: namC: n day e nftcr it bas been ncccpted as enmplcto. " Ntnn! >er of inspection atlewod per permit, Clnnndi \PcrmislE:_C- r+4rmitApp.doc , omit a 440 -4C,1 T(I t /05/COM/wEt3 ( -y Neri i ckk