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Permit CITY OF TIGARD ELECTRICAL PERMIT , o • COMMUNITY DEVELOPMENT Permit #: ELC2010 00562 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 10/12/2010 Parcel: 2S114BB02400 Jurisdiction: Tigard Site address: 16320 SW SYLVAN CT Subdivision: PICKS LANDING NO. 1 Lot: 38 Project: Weatherbee Project Description: (7) branch circuits for kitchen remodel. Owner: FEES WEATHERBEE, GLORIA M & Quantity Description Date Amount LANCASTER, VICTORIA A, 16320 SW SYLVAN CT 7 crt Branch Circuits 10/12/2010 $100.70 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 10/12/2010 $12.08 Electrical Contractor: KODIAK ELECTRIC, LLC 8486 SUNNYSIDE RD SALEM, OR 97306 PHONE: 503 - 881 -1259 FAX: 503 - 391 -2611 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Total $112.78 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 - Those rules are set forth in OAR 952- 001 -0010 through OAR 952- 001 -0100. You may obtain a co 1�•,■'mi� irect questions to OU - y calling 503. )0.332.2344. 0.332.2344. A /". Issued By: ' _ Permittee Signature: • •ir 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. 10/12/2010 16:10 5039253512 6,-, �Q�V SHERWOODATAX PAGE 01/01 Electrical Permit Application e � � Q FOR OFFICE USE ONI:1' III City of Tigard ;- f b , G P C o ` y: tO f �. ( Permit No.; �-. )W — Q II Phone; 13125 SW Hall Blvd., Tigard OR , �� e. \ ,,S.- Plan Review / Other Permit: 503.639.4171 Fax: 503.59 960 O ® �� D ate Read B mss: ®See Page 2 for TI t; A R Inspection Line: 503.634,4175 Ready /By: g Internet: www,tigard- or.gov C\ © Notified/Method: T �p Supplemental informadoo ,t ..,:. i....(..__1.1, :•I... ,. ., .." ✓:.: r I t. ' .:n ^ : ..., • ... ...._..« : ,....... ._E _' -� .. ", , .., ,, ., r c ,• ':"'. ': , Please check all that apply (submit 2 sets of plans w /items checked below) ❑ New construction C Addition/alteration /replacement ❑ Service or feeder 400 amps Or more ❑ Building over duce stories. ❑ Demon' :. n ❑ Other: where the available fault cement 0 Marinas and boatyards. , t i 1 ,: exceeds 10,0 0 amps 1 I � ; , , , i ,r .. { f t J _ ' . � � d t � r . � 7 , ll , 1 i at 150 volts or ❑ Floating buildings. is ,... -...', 1 1..... ,...R : !r i.: r .....:,,r , . less to ground, or exceeds 14,000 0 Commercial -use agricultural M 1- and 2- family dwelling ❑ Commercialindustrial ❑ Accessory building amps for all other installations. buildings. 0 Mult, family ❑ Master builder ❑ Other: ❑Fira Pump. ❑ Installation of 75 KVA or • , t i i w ; ❑Emergency SYstem. larger separately derived system, " , � , I ._.. ._. .,.1�, , .., _....:. 0,> !i ...... , ,. ....,.. DAdditionof new motor load of ❑• •'E• "1_2" "1_3 ", Job no.: Job site address: 1 2o 5 W 5 Six or ON res Percy '3 _ ❑ Six Or more residential units. 1:1 Recreational vehicle puke. City /S lnle/ZIP. t7� ! 7? ' Vet/4 ❑ Health-care faat $. 0 Supply voltage for more than �r 7 X ❑ Ha�rdoua looatios. volts nominal. Suite/bldg./apt no Project name: El Service or feeder 600 amps s or more • Cross street/directions to job site: nancriation 4ta ver, T ot ' s' V • , New residential single- or multi - family dwelling unit. ]Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4 • Ea. add'l 500 sq. ft, or portion 33,92 I Tax map /parcel no Limited energy, r esidential 75 00 2 r" -. , r or t , � 1 .' t - ( 1 ) ' f i . ' , ,;• , i 1 . : ! (with above sq• ft) .sou .. IJn�._. _., .1. :• r - „:::.<. .,..: , •. -.. : s..i : :: «.._ __...,1. ,. , a .r. ,.. :_: 'sa's's. , ,. /- Limited energy, multi- family 75.00 • 2 a�+ t 7 ce-ed -.$ - i�7 `1"L + v-eistd - - residential (with above sq. ft.) Services or feeders installation and/or relocation 200 amps or less • 100.70 2 r r 1 'r ',L . , J. r , , ^ 201 amps to 400 amps 133.56 2 401 amps to 6 amps 200.34 2 Name: 601 amps to 1.000 amps 301,04 2 Address: . Over 1,000 amps or volts 552.26 2 • • Temporary services or feeders installation, alteration, and/or City /State /ZIP: relocation • Phone: ( ) Fax: ( ) • 200 amps or less 59.36 • 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.34 2 Branch circuits - new, alteration, or extension, per panel . Owner signature: Date: A. Fee for branch circuits with 7.42 2 ,I. Y ,, ;, v @N . ..1 >.. 1 rl •, .4 : . ...... ...:F. ..GI, i each branch circuit .t..a - _ ..�.._ 'sa's Business name: KO d 'A B. Pee.for branch circuits wuhwu v service or feeder fee, first Contact name: branch clrcltit 56.18 �. ($ 2 e.....,_ r''. E add'l branch circuit 6 Address: - • `514 k • �� p .. Miscellaneous (service or feeder not included) /State /ZIP: Each manufacwrod or modular 67.84 2 Cl ty SR-t� 0 .' 47 7 3p 6 dwelling, service and/or feeder Phone: (�� 3 - 12 Reconnect only 67.84 2 CSIEZEMIIME Pump or irrigation circle 67.84 2 E -mail Signor outline lighting 67.84 2 <•r::v^). k a ! . k ill I �' u 1 •d .” Il r 1 1 - . «. ,•. - r - ■ 1 , „, _ ?___. -i F'•;,_� .a, .:..:,:_i ..__.:, r _� "::� $1g1181CIrC1r1Gs ) or limited-energy .•a • _.ra.:. I ,;. �..;. .. - ._•. ..., 'mot._., ?. Business name: ( . panel, alteration, orextension. . Page 2 2 - a e - r Each additional inspection over allowable in any of the above • Address: 9 - 6 g _ / Additional inspection (I hr rein) 66.25/ hr . Investigation (1 hr min) 66.25/ hr City/State/ZIP: lndtistrial•plant (1 hr min) 78.18/ hr • Phone: ( ) Fax: ( ) Inspections for which no fee is 90,00/ hi s.,- lftcal listed Y hr min) • CCB LIC.: f & / if Electrical Lic.: y....5- G ... SUprv. 11C,: 5/ s yx:.. ...c:.l ,. !:?..:',,I 4 .? , :1 : . ..e' , ! ° _t • Suprv. Electrician signature, required: Subtotal: / , p � �j n 7 � 0 � / Plan review (25% of permit fee): I/O •v ,/ "A. Date: l Diffio State surcharge (12% of permit fee): jot Og TOTAL PERMIT FEE: 4 i ,ft'1,. Authorized signature' - This permit application expires if a permit is not obtained ithin 180 Date: �a days after it has been accepted as complete. �` �+ ' Nwnber of inspections allowed per permit I I �/ p 1: 1Buildina\TtomitAELC- vamitApp.doo 07/01/10 440.46157(11/05 /COM/WEB