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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: E-00321 DATE ISSUED: 5/9/2007 9/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 104AB - 12400 SITE ADDRESS: 13116 SW BENISH ST ZONING: R - SUBDIVISION: MORNING HILL NO. 6 LOT : 153 JURISDICTION: TIG PROJECT: HOE Project Description: Re - hook up bigger a/c and re - hook up furnace. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL /PANEL: MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: DANIEL HOE GENIE ELECTRIC CONSTRUCTION 13116 SW BENISH 8701 SE 156TH AVENUE TIGARD, OR 97223 HAPPY VALLEY, OR 90786 Phone: 503 - 430 - 7622 Contact #: PRf 503 - 762 -9296 FAX 503 - 762 -9188 FEES Description Date Amount Reg #: ELE 34 -488C [ELPRMT] ELC Permit 5/9/2007 $53.50 LIC 56639 [TAX] 8% State Surcharge 5/9/2007 $4.28 SUP 4536S Total $57.78 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. Issued By Permittee Signature: c. -eL, vv11 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'N: 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. May 09 07 11:53a LeRoy White 503 - 762 -9188 p.1 A 4 ., h Electri l 1 Permit Application ,• . FOR OF FR: F. �F (i i:l • Received v: pc. 1o.: ac 2007 40321 . City efTngard ' � � � © � I 13125 SW Hall Blvd. Tigaed, OR 97 Dar Review Other Permit ` ' 6926:3 Phone 503.639A171 Fax 503.598.1960 Dar Review = t I nspection Line: 503_639_4175 1 ,:+' 0 y Date ReadylES . i:1 ✓ t • J00! Noufial;Metbod: PLAN REVIEW . Internet www.tigaad- ac:gov p , � C 7 rI as ioerns checked below): TYP �� 14 G Ptrase disci. all that apply (submit 2 sets of plods CI A d d itiarl% t L u ! 1� New constnKbon ® t ❑ service or feeder 400 amps or reeve ❑ I1aitdmg ewes civet stories. were h die available Edit anent ❑ Mariam and boatyards. ID Demolition ❑ Other. mein& 10,000 amps at 150 wits or El F'loatingbuildirl.. CATEGORY OF CONSTRUCTION l to gioaod, or =mods 14,000 ❑ Commanci l -use agsmhmal El 1- and 2- family dwelling ❑ Commescialfmdttstrial ❑ Accessory building amps for a0 other installations. buildings. QF� pump. El ImtalFmort of 75 KVA or 1:1 Multi-family ❑ Master builder ❑ ❑ Emergeocy system. larger Leh'" - JOB SITE INFORMATION AN LOCATION ❑ addition o fnew motor load of ❑ "A , "E', "I -2", °1 3 , 100HP or mom occupancy. l no.: 4563 1 Job site address: 13116 SW BENISFI ['Six a< more residential =AS. ❑ Recreational vehicle per. Dttealt>�era�ris DsTdr•� �m0eetb� City/State/ZIP: LlP_ TIGARD, OR ClHaamdoaslocaditos. 600 volts nominal Pr oject name: ❑ service or fcede 600 or roc. 3tritdbldglstpt no_: 1 '�Q� FEE SCHEDULE ; .. I Qty.. I Fee. ( Tot I • Cross /dittziiotts to job site: New residential siuglc- or scuti btoily dwelling unit Includes attached garage. _ Subdivision: i Lot no.: 1,000 sq. S. or less 145.15 4 Ea. tudd'I 500 sy. R or portion 33.40 1 Limited coma. trsidanial 75. 00 2 • Tax map/patrel no_: (avitlr abut= sq. It) DESCRIPTION OF WORK Limited energy. multi- family 75.00 2 Re -book up bigger alc and re -book up furnace residential (with shove sq. it) Services or feeders installation alteration, and/or rrlocatio 200 amps Of less 80.30 2 13 PROPERTY OWNER ❑ 'TENANT 201 amps to 400 amps 106.85 160.60 2 - 40] vamps to 600 amps 2 Name: 601 amps to 1,000 sups 240.60 2 Address: Over 1,000 amps or volts 454.65 1 2 Temporary services or feeders installation. alteration, and/or CilylStalorLlP: relootioa 200 amps or less 1 Phone: ( ) I Fax ( ) s 201 Ihat I own which is not 00 saps to 400 amps 2 Owner installation: This installation is being made on property' 401 amps to 599 amps 1 1 33.75 2 attended for sale, least, rent, or exchange, according to ORS 447, 444, 670, and ?Ol . Branch circuits 99 amps 6a attrrae, or es panel Owner signature: Date: A_ Fee for branch circuits rridr ❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 6.65 2 each branch circuit Business trdmC B. Fee for branch circuits nohow service or feeder fee, 1 46 -85 2 ' Contact name: f> brand[ 1 it 46.85 Each add'/ branch circuit 1 6.65 6.65 2 Address: 1lanevns (service or feeder not ududed) City/StatefLIP: Each manufactured or modular 90.90 2 dwelling, service aracVor feeder l=ax :: ( ) Reconnect only 66.85 2 ( ) Pump a � circle 53.40 2 E-mail: E -mail CONTRACTOR Sigh or outline lid 53.40 2 Signal circuits) ce limited - Business name: Genie Electric Construction, Inc. enemy panel alteration or extension DcsctibC 2 2 Address: 8701 SE Ise Ave Each additional utspectiou over allowable is any of the above Cny/S2eteIL1P: Happy Valley, OR 97U86 Per inspection 6250 Phone: (5113) 762-9296 l Fax: (503) 762 -9188 Imve4 pu bws (t hr min) 62 50 I Supns. Lie.: 45.365 ledtrstrial 73.75 CCB Lic : 56639 I Electrical Lic: 34 488C ELECIIUCAL PERMIT FEES Suprv. Electrician signature, requited: !' 2 %t%5 Subtotal: 53.50 Plan review (25% of pmmit fee): Print mane: LeRoy White I Date: 5-9-07 Suite surcharge (8% of permit fee): 428 Authorized signature: TOTAL PERMff FEE: 5738 ids permit appBtat o expires if a permit is set obtained yrithin ISO Print name: LeRoy White I Date: 5-9-01 days after k has bin accepted as complete. • Nrmber of oas atbwedpa - pmait C l' CQ ti & . O� U-' . Q t he dl ? tP sC 1-4 I- bat J` , r m' Z - 4615T(1 1/05 /COMM1YEB MI Toildmis\Pertua\ELC-PemlrApp.doc 05/23/06 , . CITY OF ��om m ��n nn�m��mn�� BUILDING DIVISION ^ ' - =°~,,~~~°,,~=°~~.°"~,"~~"~ PERMIT #: 1 13125SVV Hall 8lvd, Tigard, OR07223 DATE ISSUED: aig/JOU7 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/15/2008 TIME: 7:02AM PAGE: 23 SITE ADDRESS: 13116 SWBEN|SNST CLASS OF WORK: SUBDIVISION: MORNING HILL NO. 6 LOT #: 163 TYPE OF USE: PROJECT NAME: HOE DESCRIPTION: Re-hook up bigger a/c and re-hook upfurnace. OWNER: HOE, DANIEL PHONE #: 603-430-7622 CONTRACTOR: GENIE ELECTRIC CONSTRUCTION r� /�M N� PHONE #: 603-762-9296 w Inspection Request Scheduled For: Date: 1M5/2008 Pour Time: Code # Inspection Description Contact # Message 199 Electrical final 063239-01 503-892-1506 ^� Y Corrections/Comments/Instructions: v ' Corrections/Comments/Instructions: ��� Y��4 ti � �m� / �/V\ AS) • PARTIAL APPROVAL CANCEL fl NO ACCESS �7~� H | 0 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Cr' hJ 06 Date: I'16" O Phone #: (503) 718-