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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2010 00556 TIGA R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/08/2010 Parcel: 2S111CA14500 Jurisdiction: Tigard Site address: 9825 SW SATTLER ST Subdivision: Lot: 0 Project: Starkey Project Description: (1) feeder and (3) branch circuits. Owner: FEES STARKEY, WILLIAM L & BONNIE K Quantity Description Date Amount 9825 SW SATTLER ST TIGARD, OR 97223 1 ea Services or Feeders - 200 10/08/2010 $100.70 amps or less PHONE: 3 crt Branch Circuits w /Purchase 10/08/2010 $22.26 Service or Feeder 1 ea 12% State Surcharge - 10/08/2010 $14.76 Contractor: Electrical RED'S ELECTRIC CO INC 6336 SE 107TH AVE PORTLAND, OR 97266 PHONE: 503 - 233 -6467 FAX: 503- 233 -1281 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Total $137.72 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 Os ' 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 B � � � � 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. Oct. 7. 2010 1:46PM . Electric No, 2751 P. 2 Etecrncat r A l �J canon City of Tigard Re w /� ed U l'em+n2.ip.; - S�-� 13125 SW HalI B1Blvd„ Tigard, OR 972 " 'l . -- Review _ �� lrJ Phone: 503.639.4171 Fox: 503398.1 Other Permit: 1 i ; , : ; , Inspection Line: 503.639.4175 ��'� .`\ ' By lode: ® &e Page 2 for • Internet www.tigard- or.gov (* % • ,_ . T 1 Supplemental Information cr ar_ '7 �c c¢• � r t 'am,t ' � G H �� 1 Ji.l -� X10 �Y 1 !, �r, tr.1' ....v I� J l t 3 r► e • Please cheek aat app ll that (submit a sets o plane wfitea ehedne f md below )= Ncw construction _ ! ' ddition/alteratiodrepl: - , cat _ El o Ncw • ❑ Other. a the available fault anent ❑ b Marinas and boatyards. w . 't� i/m - f ' ,, - g ;a0.: 7 : s . }� (( t A. r . ' t. ` emends 10,000 amps it ISO volts Or D Fleming bo7dm(ts. . ill 1- and 2 dwelling . .. less m ground, or ° 14.000 El Cemimereial.nye agricultural y g ❑ Commercial/industrial ❑ Ac cessory building amps f all other installations. buildings. Multi- family ❑ Master builder ❑ Other 0 Fire pen p. 0 IaaaWttioa of75 KVA or S i- r:J �" ' w 1 " 7 N f : 1:1-7, - 1 e V . • 1 - yPc ; ['Emergency :plan. larger separately derived system. P:,.. - 6LW:1!f t, ` 6k - ..... J Y •' •.� , . � ' ??J1l l]Additionof new motor load of D A "...E",..1- 2 "..1.3.. Job no 0,x I ` V f/ Job site address:A 7 J � J r � /'/' /.� !C. Six amine' mom salts. ❑ Six or occupancy. 0 Recreational vehicle pales, City /StBte/ZIP: Healttt•�e facilities. ❑ Supply voltage !k more than Tr 144 �i iC - 0 0liamtdoue locations. G00 volts nominal Suite/bldg apt no.: U '1 Pro name: a r ❑ Service or feeder 600 a more ( / 7 .ii ..,ioM"?•:*... 4i 11!€, �•i'._ cts ac .:. ... �wrn� . Neer residential single- or multi- : , , 1, og amt. Includes attached garage. - - Subdivision I Lot no.: - 1,000 sq. R or less 168.54 4 Tax / arcel no.; Fa. add'1500 aq. it. or portion 33.92 1 map p .�p�.. y.�.l _ ■+a � ' [�.^7y�S ��${ LimitLimited e - n ` e � rg ,, . y. residential 67.84 2 '. "•'�: 17�,� \U l' F .1.4.W':Gny+nd1,V.�lN....n,'� :.K:�.,.'M?, M•.'.. �'•' ^ 4 --J-with iIINYG 94* �F ` ` Limited energy, multi -®milt' with above sq. ft.) 67.84 2 �� •nB e)-4e7 / - residential ( Servicca or feeders installnUog and/or relocation 200 amps Or Ices / 10 0.70 %pp, a togar4 , �' + n 1i t :" . %,,,, ;T .:biz. J' : > ;'� r , 't' • �!, 5 d 7.. r ■ 201 amps tom) amps 133.56 • 2 Name: 4 401 amps to 600 amps 200.34 2 601 maps to 1,000 am 301.04 2 Address: 9 v � z r ,r Over 1,000 snips orVAS 552.26 2 City/StatelZlP Temporary services or feeders inatgllalion, alteration, and/or - i 0 ,r � � relocation Pho ) 311 , Fax: ( • . ) 200 m°Pa or less 59.36 1 Owner installation: This installation fs being made on property that l own which is not 201 mops t °400 amps 125.08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 stags l0 599 amps 168.54 2 Branch circuits new, alteration extension, zee- panel Owner signature:_ Date: A. Fee for branch circuits with b\'.r �,�; y�� tt . q` 4 hhs�;; i '• alwvt aer'vlCe feeder fe`e. 9 >,A3.?!���; w S�IS..+IF; r �•�n R = ', 3.�F`�`s eachbranch / 742 �. 7 Z 2 Busines n ame: 1' B. Fee for branch circuits winlotu • (7t 1 f'' C " Tr � � t� C o . . service or feeder the. first Contact name: branch circuit 56, I B 2 Ak h� " .. circuit Each add't blanch circuit _ Z 7.42 /��c 2 Address: ( 36 )01 l Miaceuaneouajscrviceor feeder not included) City /State/ZIP: • Each menu lammed or modular 67.84 2 1. ,ea ��� dwelling, service and/or feeder Phone: 6( 8) a 3 Li e Fax: : (50 233 -1'D 1 Reconnect only 67.84 2 E-mail: , € , e _ r e ( 3 .- to err; si irrigation ne l g cucle 67.84 2 � � � .. � ..� t � � �� �� � w Sign or outline lighting 67.84 2 :.N. % sa ._ s .c . •s s.... sr:, ��:,p M ` 1 , °f`1- .. v Signal cmatii(s) or limited Business name: ©p t T . - 1 eC . , v panel, a ddit i o n. or extension Page 2 2 WW __ E additional in. eahen over allowable in a of the above Address: , J r + A r Additional inspection (1 hr min) hr Investigation (1 Amin) 66.25/hr • City/State/ZIP: r ' ! . CAR • 1 a ■ Industrial plant (1 hr min) 78.18/hr Phone: (9.)) 3' 61-14 Fax: K O) a l 3 3. 1 Inspections for which no fee is ��t+ listed '/a hr min 90.00/ hr CCs Lic.: Li Lit..l 3 • I Electrical Lie.:( - I 5,)C1 Suprv. Lic. 1 0Ca ,.6,771.' °« Jv .. o : t . . ui + I y .. il� - ". :. ' ' - .. � ' y y Suprv. Electrician signature, required: �^ Subtotal: I «Sji: i !))- '1(o a e u ?I _ Plan review (25% of permit fee): Print name: -'•t Y . , , , . . % .Fe t.-- r\-- , Date: State t m r t s h a r g c (12% of pemlit fec): /g n. 7 L# TOTAL PERMIT FEE: 3 2 - Q0,43i:7 7) Authorized signature: - . i t is This permit application expires If a perm not obtained within Print name Date: days after it has been accepted as complete N um b er o f inapevtioms allowed per peewit 1 :latutdinalPermit& . CPermh*pp .doe 1 0/01/09 440 1/05/COM/WEB Uic l n --e iiwn5LA.