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Permit
CITY OF TIGARD I ELECTRICAL PERMIT COMMUNITY DEVELOPMENT ELC2011 -00124 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/08/2011 Parcel: 25101 DB00604 Jurisdiction: Tigard Site address: 7745 SW VARNS ST Project: PIRKL Subdivision: Lot: 0 Project Description: Panel upgrade. 3/17/11, reprinted to add feeder. Contractor: METRO ELECTRIC INC Owner: PIRKL, RAYMOND E /ROSE MARIE TRUS 2809 SE MYRTLEWOOD WAY 7745 SW VARNS ST GRESHAM, OR 97080 TIGARD, OR 97223 PHONE: 503 - 666 -2159 PHONE: FAX: 503 - 674 -0123 FEES Quantity Description Date Amount 1 ea Services or Feeders - 200 03/08/2011 $100.70 Specifics: amps or less 1 ea 12% State Surcharge - 03/08/2011 $12.08 Type of Use: SF Electrical Class of Work: ALT 1 ea Services or Feeders - 200 03/17/2011 $100.70 amps or less Type of Const: 0 ea 12% State Surcharge - 03/17/2011 $12.09 Occupancy Grp: Electrical Total $225.57 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 acc 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. ATT ION: Oregon law r qui es you to follow the rules adopted by the Oregon Utility Notificati. • Center. Those rules are set forth in OAR 952- 001 -00 0 thro h OAR 9 - -0 9 . ou may obtain a copy of the rules or direct questions to OUNC . >- ::.,.: .232.1987 or 1.800.332.21;e. Issued B Permittee Sig •ture: 40 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 the next available inspection date. 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. y CITY OF TIGA ELECTRICAL PERMIT IN 2 ' COMMUNITY DEVELOPMENT Permit #: ELC2011 -00124 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/08/2011 Parcel: 2S 101 DB00604 Jurisdiction: Tigard Site address: 7745 SW VARNS ST Project: PIRKL Subdivision: Lot: 0 Project Description: Panel upgrade. Contractor: METRO ELECTRIC INC Owner: PIRKL, RAYMOND E /ROSE MARIE TRUS 2809 SE MYRTLEWOOD WAY 7745 SW VARNS ST GRESHAM, OR 97080 TIGARD, OR 97223 PHONE: 503 - 666 -2159 PHONE: FAX: 503 - 674 -0123 FEES Quantity Description Date Amount 1 ea Services or Feeders - 200 03/08/2011 $100.70 Specifics: amps or less 1 ea 12% State Surcharge - 03/08/2011 $12.08 Type of Use: SF Electrical 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 Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR •52- 001 -0090. You - - • • - opy of th or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. / / Issued By: __ _ g �- 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. Call 503.639.4175 by 7:00 a.m. for the next available inspection date. 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. el 3/@2/2i1 13: 4 4 5@359131960 CITY OF TIGARD PAGE Ei1/E13. Electrical Permit Application L OP OH rl i ` 14 City of Tigard o Rri tei rl y, c 5 /4, ,, wiry Permit Ho.. - " 13125 SW Hall Blvd,. TigattkOR 97223 • Phone: 503.7I8.2429 Ft: 503.598.1960 Pim Review Dangly; Other Pen& I - - inspection Line: 5C0 .639.4 I 75 1.....kiN Joh*: Internet: www.tigord-or.gov jtrOrtt=YIBYtalloTI---------7 I ropplern Itf TYPE OF WORK I - • a Please hek ll that apply (aubm it law &Palms ..fiteros cheatece betow)' 0 Now construction 0 Addition/alterationircp cheek iaccment °Service 01 feeder 400 romps tlf more 0 131414:lino over three rocks. 0 Dow I it ion 0 Other , where the available fl,olt tumeot 0 lvferines ana b.:my-AMA. CtTECARY OF CONSTRUCTION coaxes 11:1,000 nmpo ro. r5C roltn or 0 Reatiog builtlinp. lass to reared. or exceeds 14.000 Cl cAmmertint.•*.. • 0 I- and 2-family dwclling 0 Commercial/industrial c) Accessory trolkling lniTti FOC all ether inotallosionn boildioor. 0 Multi 0 Master builder 0 Other: 0 Flm pump. 0 Ingallnion of 7S KVA ar 1:7Ernergalcy system_ targor separately tictived system- . JOB ME ITfiE010tkrioN AND LocA-norq C A of new motor Marl of 0 "A". "fi". " '. '1 Job site address: "7 *7 9 5 S. (,,, , c s 0 101 o ,14,1' 7 more. occu donisi " iri. 0 Recreational vehicle pork& City/State/ZIP: 7 6ri , e t 1 1 2_2-3 0Hcalth-cat freidet. 011ezardoms Joettiong. 0 0 for more than eon wIro norninot. Suite/bldg./apt. no.: 1 Project name: 1:15ervica or feri rt. 600 Bram or MOM. E Crass street/directions to job site: FEE; SCREDUL Now No _j •4), rm. . Told • New residential single- or multi-Amity dweiNna snit. Includes attached ? rsge. Subdivision: Lot 00.: 1.000 sq. t. es less ME 168.54 ei Fa. a dd'll SOO rct 0.. or • • or 1111.11111W1 MI Tax map/parcei no.: Limited clergy. residential DESCRIPTION OP WORK . with above -,,. R. 75-00 .11110 Lira ioxI el:way, multi•family 75 00 ■ 2 ' raidcritial faith above sq. ft) Services or feeders instillmlon alteration, aniline retnestion 200 amps co Into 100.70 ' 2 a PROPERTY OWNER L - ct 'MANI' 201 am.. 10 400 amps 11111111181711111111111 401 amps to 600 amps 200.34 Name: 501 amps to 1,000 amp ill 301.04 1111 Address. Over 1,000 amps or vcit3 552.7.5 2 . , City/State/ZIP Temporary services or feeders Installation, *Iteration, hildinr relocation Phone: ( ) i J. ( ) 200 ampa or :as 59,15 1 IIIIII Ei Owner installation: This frtstalletion is being made on property that I own which is not 201 emps to 400 amps 125.08 , ! 168,54 2 intended for sec, lease. rent, or exchangp, according to ORS 447, 449. 670, and 701. 4o1 *revs to 599 amar Branch eircutb - alteration or extension er !floe! Ownor signature:_ Date. A. Fee for btoleh carts wthi 0 ArrUCANT I 0 CONTACT PERSON ebevaservice or feeder fee, tech branch circuit 7.42 2 Business name: B. Fee for branch circuits +without , service or kegler &v., first 56.19 2 Contsct name: broach circuit • i f Address • Each add '1 branch circuit 7.42 , 2 : Miseellsntorrs servke or feeder not included 1 City/Stateay: Each markrfactsred er or othalor III 6714 MIN l 0411 , service andfor fewer Phone'. ( ) Fax: : ( ) Reconnect only 67.14 2 Pimp Or irrlga6or circle 67.84 2 E•mail: alp or outline I letting 67.94 2 CONTRACTOR Signal ciroat(s) or bmitod-oncrgy . Business name: iiiik 2_,., 1/2_,L). Z k e-Le4 . ..Z.k, Earen=ir .. el alteration or extension. P;I: 2 , 2 Address; 104 6e vA-t (...) 6. Acrd Mond inspection Cl hr min) 56.25/11r 1 56.251)1T mailizi 11111 City/State/ZIP: C ilc • • OIZ• i t 7 C 11 Investigation (I hi min) Indvitrird plant 0 hr man 111 ?belle: ( ) II C( ( \ , . 5 ) t t-7 4 _ ot 2....3 Inspectioes for which no fee is • mostly listed Clt• ht min) CC 3 Lie.: A 7 2 Electrical Lie ..2. .. 4 - ' Suorv. Lie.: 2, COTS • • . ELECIRI(7AL PERillfr VIES ir a Subtotal: Suprv. Electrician signature, reqvired: Lt 6 )0_ M _____ I on roview (25% of permit foe : 11111111N Print name: e b - ' Date: — /6 4 ) Stale surcharge (12% of permit fee): MIIVEM. ja minsimiiiiiim TOTAL PERMIT FEE: /la .... Authorized Signabir0: This 'tenant Appricrorew orplmo If. porno' lo ear obtained orlthin ISO Print name: d'oys After it ass Selz aceepled se crio Date: ' ' of inspections llowed p.nr prank. V rs.. 1 - 1 -- i -- 7t I715 .1OiTkPlow I nOr..C - OennitApp.dao 0110i Pr) 44 V 46151 1 1 1/05 1 COMAV68 ELe C i 1 *60 t 2 / - 3/4- . A--, P'• 0 .3u, 3,„. ...,, ailev\J oll.:60 1.1. 91. JERI • d 17£Z1,7L9-009 Mar 08 11 07:54a Metro Electric Inc. 503- 674-01234 p.1 cl.w GLI [Oil t .1:44 5835981966 - . . CI OF TIGARD PAGE @1 /03 Electrical Permit ..Dplication Lilly of Tigard Received i Plan Review � 13125 SW Hell $lvd,. Tigard.OR 97223 q' �.7 , Permit No.: lig !/ l ! -1 1.1 Phone: 503.7182439 Ftt r: 503.598. 1960 OtberPorwir. I ,. ; ,, ,; t} Inspection Line: 503.639.4175 r Internet: wvwvtigerd pr.gav Dirk Reedy/Br od: . rt '' GS Ste Page 2 for Sopptcmrah! In[ostirtanam I : ■ I WORK . • PLAN REVIEW . " ❑ New construction it Addition /alteration/rcpltteetnent mom duck all Own apply (manna j *ors efpinns wfifame checked blow): ❑Service or feeder 400 maps or more D Building over three stories. ❑ Demolition ❑Other. ahcte the available Nob comet Cl Marinas and bortyorde. CATEGORY OF COMMIT-VT/ON exceeds t0.000 arena at ISO vette Of ❑ Floating buildings. 0 1 -geld 2-family dwelling ❑ Commerclelliindust. l ❑ Accessoty build building lets to g'o'ne' or rnoxds 14.000 p t�ramereigl..se nnieelroral 0 Multi 0 Mast builder + or all ohm installations. lostallatictdinpr• JOB 0 Other. GI pomp. 1]lnsrr 8695 KYft a .mR 3fl �. �'�ORI�14.TIO J MOO LOCATION D1 ' tterprocy system" urger scpa stely derived system 0 Addition or POW motor lead 71' 0 .A” 1r, "1 -2" "i "3^, Job no.: t) Job site address: 17 9 5 5.0j , 00 100HPerImre. 1�9 occupancy. occupancy. City/$tetelZiP; x O mere rcaidenCal win Recreational vehicle parka ClHands- eneflatter. LI Supply voltage for mom Mu 9aiteJltidg.lapt no,: Project 0licendovs locotione. 000 volts aonnnel. J amt 0 Servioe or feeder400 amps or mart. Cross street/directions to job site: FEE SCRESttLE Umerrattae Sh', Pre. Taw • New 'evidential single- or enaltl- thmily dwelling unit. includes attached rage. Subdivisiotl: Lot no,: 1.000 so tt velam 168.54 Tax map /parcel no.: Ea" add' 1 500 sq. n, or portion 33.92 Limited energy. residential w • DESCRI TXON OF WOi• (with above sm. ft.) 75.00 C5...... Lim ital energy. rt above 2 . I r - 'C (Kee_ L l C� ri .dattial uhaklaves .!t. 75.00 � 1 -, j . 200 emir m Irv,^ W, 1114170 0 PROPERTY OWNER I 0 UNAPT I01 antes to 400 amps ` 133,56 - 2 Name: 401 -''beet to 600 amps 200.34 2 0.ddreres 601 amps to 1,000 amps 301.04 2 C A A Over 1.000 amps or volts 552.26 2 City/State/ZIP: / ) Temporary service, or feeders 1rsUflariab andfnr / l I� L / • retagefion Phone: ( ) p ax: ( ) 200 amps or less Lrom'IMIPT3P/mar... ss sr Owner installation: This installation is being made on property that I own which is not 201 amps So 400 amps 1 25.08 2 intended for salt, lease, rent, or exchange. according to ORS 447, 449. 670, and 701. 401 mops 00 599 amps 169.54 2 Owner signature: BranchcincuIt; -new alferatien,oreatension, noel Date A. Fee for bnmch circuits with 0 APP3,ICAF4T 0 CONTACT PERSON or feeder fee, 7.42 2 emir branch circuit Business name: IAA t' :! 4 k - . B. Px Far broach circuits witirotr - Contact name: l' C, service or feeder fl e. lilt 56.18 2 Addi s:, a �f f/5 �l _ r leech &Mit coc p 0.3 Each add'I b'o'tch circuit 7.42 2 I Y MC l 1s�V Afipectlantons (service or feeder not included) City /StateraP: atibtwa,,,_ 0 / ' 1..) Each mamrfecmrcd or modular i �r_t L S �t dwdwell*. sefviceaed/orfcader d 7621 - 4 2 Phone: ( ) (vG 24 S I Fax: : ( ) ( �j / t - t p 1 � j Recomnct only - 67.44 IIIMIlE1 E-mail: �_© SO or outline lighting 47.84 �n Signal cirmat(s) or limited rscsgy Business name; t etrsmtitm orextenrierr. Pa, 2 _ � Address: Addttlonolinspection (1 hr min) _ ee2511w - City /Stete/E]P: Invcstigssioa (1 hr mitt) 11111 66.25Ihr none: ( ) Industrie/piers(1 hr min) 78.I8/hr 7 1)- pax: ( lrlspeeneas for which no fee if ► • specifically listed (bG hr rain) 90.00t hr c Eleetltical L 1, U Sum'. Lie (� ELECTRICAL PERMIT VIES • Suprv, Electrician signature, required: r iQ Subtotal: F 4 0 111111 ' ..- lVV _ 7a Plan review (25%of permit fee • • Print name: C r (2S Elate: State sum/urge � ? alga (12°.6 of permit fee); ` - t7 " AuthotiZed signature: /0-.7S FEE: t:t� ° - l0-. ZS TMs permit applic+tisrr expires if a mitts to not .. deed walk IN Print name I Data: days OWif has bus; severed escomplete. • 5 umhet of Moat one allowed per permit. r. - tsvldisswermtsinte- rermkApy. 07701110 41046 1 srp rlosrcosrmsa