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Permit
CITY OF TIGARD ELECTRICAL PERMIT 1111 COMMUNITY DEVELOPMENT Permit #: ELC2011 -00232 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/05/2011 Parcel: 1S 125C D07600 Jurisdiction: Tigard Site address: 7647 SW LANDAU ST Project: GRANT Subdivision: TIGARD WOODS Lot: 2 Project Description: (2) branch circuits for kitchen remodel. Contractor: NICE ELECTRIC CO Owner: GRANT, KELLIE A PO BOX 636 7647 SW LANDAU ST MCMINNVILLE, OR 97128 TIGARD, OR 97223 PHONE: 503 - 434 -5802 PHONE: FAX: 503 - 472 -1628 FEES Quantity Description Date Amount 2 crt Branch Circuits wo /Purchase 05/05/2011 $63.60 Specifics: Service or Feeder 1 ea 12% State Surcharge - 05/05/2011 $7.63 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $71.23 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 • 2- 001 -0090. Y. ma • • a cop •f • = or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: �.C 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. 2011 /MAY /03 /TUE 15:43 Nice Electric FAX No.503 472 1628 P.002 Electrical Permit Application 4 Ni FOIL ULI IC'L I_ SL UI' LI City of Tigard. t� 13125 SW Hall Blvd., Tigard, OR. 972 „ego • � Plan Review f �L/ g ' Phone: 503.718.2439 Fax; 503.59kk9 � NN' D : Other Permit; ' _ '1" l c: ' l U Inspection Line: 503.639.4175 .,. CJ Date Ready/By: Bi See Page 2 for Internet: www tigard or.gov C,„ .Z Notified/Method: Supplemental Information /' ,_,." t"'„ t q , l ,i , 1 r 7 , +c4; 'I° 47 ° n ,,7 t o '. . . �.�.� ?.�:1 9 '" ti $1 4 1,1' 1 0 •-ci f l..w ',,, ilIr ,,� . l. f�l, ,i., t1t•'.,'� I , . , . . .W+y I v k ";F 4" l I � i. t ° I ' • • . t l - , ..illk? iii:K:,:,. icil.,,,Ka ua3A.;ani i,t..':ccenl tl!`.,mk a:.f s l l.1..ek.4(e,1 6.......•.., ;vtsk.' '.' t, l; • • • C «,. . ..Ji . " 4� " ? I. , . •i d' • ❑ New construction ►i4 Addition/alteration/replete... . t Please ohmic all that apply (submit 2 sets of plans w /items checked below): El Demolition ❑ Other: .. \ El Service or feeder 400 amps or more ❑ Building over three stories. where the available fkult current ❑ Marinas and boatyards, „ }} c }ui l , Il ` ` 4' I;Iq, ih t ° `: l ri �' " "'' , . ' - ` �° )+ I a ., 1 + t ,ll l � ,;d, exceeds 1 0,000 amp at 150 volts or ❑ Floating buildings. ? !�,1 ( '' ,.',1'k 1 ri. . 4 1 ' li hf + . 4n., ' " '' ` ' ':u,r_1u x ' � 'a r 11 ( . ; I.I 1 %: : less to grou or exceeds 14,000 ❑ Commercial-use agricultural ® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. 0 Multi- family El Master builder ❑ Other: ❑ Fire pump. in Installation of 75 F VA or larger separately derived system. OK . .wn �. +<< 1 •.« n (� Emergency system. t 1''' . f L' r:1-., �( ', '1 0 µ `�'�,,a,Wg b ' : ■ ° v1 d ,( Y r� ,,.,.,,l,s,•,,,, �ly�, ri ,. + , , ',w,.�, N t • ' ° . ', 1 < "a ❑ Addition of new motor load of © ••,y ", "E ••1.2 ••1_3 ", Job no.: Job site address: 7647 SW LANDAU ST 10011P or mote. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State/ZIP: T'IGARD OR 97223 ❑ Health -care facilities. C] Supply voltage for more than El llatardous locations. 600 volts nominal. Suite /bldg. /apt, no.: Project name: (�ezoi CI Service or feeder 600 amps or more. __- _ p 1 ' { ' Cross street/directions to job site: THOMAS GUIDE PG 655E2 D u o } F s s' t I Tota I ' New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. f. or less 168.54 • 4 Tax map/parcel no.: Ea. add'! 500 sq. ft, or portion 33.92 1 1 � Limited ,r{ yy t energy, residential 75.00 2 1 e !_';p ° , 1 i f1 :1 J :',102.. ,V 4 .er . v , o M ,,- ail k , t i , 1 1 $ '�1 tii i . s ft 3iir,.i°, 1 4 t } A � _ E!.:, 1�1 :� ° i a "',� �,.��, • . �..o.d3tt (With abOYa 9Q. �.) Limited energy, multi - family 75.00 2 KITCHEN CKT EXTENDED residential (with above sq. R.) Services or feeders installation, alteration, and/or relocation LIGHTING .',',1,346')494 200 amps or less 100.70 2 � ADDED , �,� q ' + i!. IA'i" i� Ol?( i I ' "E : f } I t °, i l' ., ( u a t� ,1 `l,u 201 amps to 400 amps 133.56 2 is ` .t „ (.y "•— .�-xk. Vll -MA. '�1 i tlr , ,� h ' 401 amps to 600 amps 200,34 2 Name. 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 City/State/ZIP: /State/ZIP: Temporary services or feeders installation, alteration, and/or Ty relocation _ Phone: ( ) Fax: ( ) 200 amps or less 59,36 1 201 amps to 400 amps 125.08 2 Owner Installation: This installation is being made on property that I own which is not intended for sale lease, rent, or exchange, 01 amps to 599 amps 168.54 2 auge according to ORS 447, 449, 670, and 701. Branch circuits — new, alteration, or extension, er panel Owner signature: Date: A. Fee for branch circuits with Y J {� t t r; x , above service or feeder fee, 1', ' ti � 4U + I 20 , „•,l ' +. 9,, i lj�1,lt )11,' , n dls. "„7i' goosC .:' il 7.42 2 each branch circuit Business name: B, Fee for branch circuits without service or feeder fee, first I 56.18 56 2 Contact name: branch circuit Each add'I branch circuit 1 7.42 7.42 2 • Address: Miscellaneous (service or feeder not included) . Each City /State/ZIP: dwelling, service and/or feeder 67.84 2 Phone: ( ) I F ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E- mllail outline 1 67 84 � y �y ,{Nr �yg�y{ 7 19404',1'...•:.. ,t g ign or ou ins ghtlnB 2 ''''Sic,'., F`.! t:':*{`'. 1M.i nUAR19r36Nn� -.°�.YrA.,9`.Jtt''i`ti*Oin f+.' �t1.+R' S t() limited-energy , Signal circui s o limited -enet Business name: NICE ELECTRIC COMPANY, INC. panel, alteration, or extension. Page2 2 Each additional inspection over allowable in any of the abov Address: PO BOX 636 • Additional inspection (1 hr min) I 66.25/ hr City /State /ZIP: MCMINNVILLE OR 97128 Investigation (1 hr min) 66.25/ hr • Industrial plant (1 hr min) 78,18/hr Phone: (503) 434-5802 Fax: (503) 472 -1628 u IN Inspections for which no fee is 9000 / hr s. sfleall listed '''A hr mm CCB Lic.: 2061 1 • l._ Electrical Lie.: 36 -9C Su. /. Lie.: 4829S i e i ii) ' ° ,lg . /' hicktibli ".,I JI : I 'i i s t. , ;c ,ire ,,,uc, ; :” Subtotal; 63.60 Suprv. Electrician signature, required Plan review (25% of permit fee): Print name: MERVIN L ZOOK Date: 5/3/2011 State surcharge (12% of permit fee): 7.63 TOTAL PERMIT FEE: 71,23 Authorized signature: This permit application expires if a permit is not obtained within 180 Print name: Date: days after It has been accepted as complete. Num of inspections allowed per permit l: lBuldjng 'PerrnitAELC- PesmitApp.doc no Inv 440-0615T(11/05/CON1/WER .