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Permit 14 CITY OF TIGARD ELECTRICAL PERMIT - COMMUNITY DEVELOPMENT Permit #: ELC2009-00288 Date Issued: 06/16/2009 TIGARD 13125 SW Hall Blvd , Tigard OR 97223 503.639 4171 Parcel: 2S115AD03801 Jurisdiction: Tigard Site address: 10943 SW DOVER CT Subdivision: Lot: 0 Project: Fechner Project Description: (6) branch circuits for kithchen remodel Owner: FEES FECHNER, BRYAN W & KIM A Quantity Description Date Amount 10905 SW 78TH AVE TIGARD, OR 97223 6 crt Branch Circuits 06/16/2009 $80 10 wo /Purchase Service or PHONE Feeder 1 ea 12% State Surcharge - 06/16/2009 $9 61 Electrical Contractor: AFFORDABLE ELECTRIC WORKS LLC 545 COLLINS CREST GLADSTONE, OR 97027 PHONE 503- 722 -1558 FAX Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Total $89 71 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 ATTEN r Oregon -w -quires you to follow the rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952- 001 -0 0 through OAR 952 : r rrs Or ou may obtain a copy of the rules or direct questions to OUNC by calling 503 246 ;WA:. r 1 :110 .32 2344 ''' Iss ed By: / /� i f 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' ?c,,,,ele Date: /1 LICENSE NO. " C all 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. Electrical Permit Application FOR.OFFICE USE ONLY °e ° 7 - S te' t R eceived / i • 14 City of Tigard 1 Permit No " ' 13125 SW Hall Blvd , Tigard, OR 7i' 2 j Date /B / �t( d � ? Plan 2' 1: . Phone 503 639 4171 Fax 503 598 1960 DateB Other Pennrt TI GARD Inspection Line 503 639 4175 JUN 1 6 2009 Date ReadReady/By �� El See Page 2 for Internet www ti and -or gov Notified/Method g g Supplemental Information - t�_:.t -•- a� °.ter � -r �= r�., �;,.r:<- r, *- ; h �• f.r�, � ,��, ': > .�; ,`*� `` %:`w �,. -.x.. sx. .s. "xt?.s` �K.. _,,¢' .y 't .t.:. ,�,x., .�. „. - ,: i�:' -.m ,:;,.TYPE -t7 p O r te" •��_ '`<,. ,"� +. x r.r�:3 ~,�� NP.LAN =•REVIEW:= �,� - .�:. :�,��;,> ° °: ",U'..` -:i #'5 ��: �'0 --�x.; t: _^ at.^in`5.�+. v- = v^.4S'1ax+.��� ^t4�'��' ��,, .0 , �.YSsN, �-' /.•` " ice - ` .. _ xrc�aRr ��ti��:.. .e "�.•:�*A.4 .`fix k?�y -.� . >. �s ^q {� LX:� ,fi ,., _ . ~. .... - .,k,+wti�•r a : #4�. :. > -r� .��° , rn._,y4� x q;. -, ��,� ::�«d , "�4i%"N- _��?a'_ "ti. w' ❑ New construction Additioniaa brii,repldcemenK JN Please check all that apply (submit 2 sets of plans w /items checked below) ❑ Service or feeder 400 amps or more ❑ Building over three stories. El Demolition ❑Other: where the available fault current ❑ Mannas and boatyards #y' " + a� fytpt : :7 , moi sr =.... u : , , : rz-.«,w='"' k:. - . °3» 1 ; -: �: „ =a �;: � °: ` ^s; '`, GA:1'- EGORY�®F_, CONSTRUt~TIUN�� ° ,�; �• � ` f. .• exceeds 10,000 amps at 150 volts or ❑ Floating buildings -` , s.= ` a sk °x - . - ' _„ �w =u• . -, t- L« _.; , - ..o., :_ ,.:..; ° r :: i =a; ' .. less to ground, or exceeds 14,000 0 Commercial-use agricultural X 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building a mps for all other installations buildings ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or .r» _ :- , t,P <... .. ra , ,,; a,..� r°.. ,,. ,`,, _'sw E system w ; - try.,.Q..s, --; y:t _ ." +SITE t .,- , -'. x�. < =r- . �: � ...,. vAND� LOCATION��s.:, _ = ; m; .`-•�;.����,�a <, larger separately derived system °- .,,�,.,;�_*�:' v�.r �� N - �.: -e - �..� - -. �,.,r.�,:rc � -.. �. �,n ;�� ❑ Addition of new motor load of Job no : Job site address101 ,3 s' 0.J ©p fr L� 100HP or more occupancy ❑ Six or more residential units ❑ Recieauonal vehicle parks City/State /ZIP. 77,6 / 7, 'V ❑ Health -care facilities ❑ Supply voltage for more than ❑ Hazardous locations 600 volts nominal Suite /bldg. /apt no • Project name ❑ Service or feeder 600 amps or more x. �ro�r £i.'.4i _ N c� -. � �.a ., f t. -:'f. �. -' `T : ` . rt ,:..: : FEE_; SCHEDIIL_E _ . -., ;* ,, t , : ; ;; ° _ Cross street/directions to job site: Description 1 Qty. 1 Fee I Total I New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.. 1,000 sq ft or less 145 15 4 Ea add'l 500 sq ft or portion 33 40 1 Tax map /parcel no.: Limited energy, residential ' r = : ; :,:.:,? "° xr`.F a O • u ° *,: .._ /..,, :., xs 75 00 2 DES @RLP '_�, '�� `'�;c' ) �r''�� '� (with above sq ft ��� >il�;s:>,�.� ~ •. ,�;k, �, TION,.OF� _,'- � �°.,� ��...,. x M,,�:��n.. ( q / Limited energy, multi- family � j✓l�J (( residential (with above sq ft ) 75 00 2 Services or feeders installation, alteration, and /or relocation 200 amps or less 80 30 2 " -^'3�, z.5'. .. , ,,�Y.`**zsbb.�.� -° s �.s;, , m ,�,' s., «;s.E _ pe ,.,�.�.... - � * = -.:; w� � ^ -�.' 7 n' > "-k-`� -� . .P<RO a R N- „ " '� ; ,I _ } 4 .;, ® TEI NT",,, :,AV, - - :r. 201 amps to 400 amps 106 85 2 - �;;����,. _.. ,'- nom• -. �:.�- �:,��.'� � .. u� .�H..,.�.. �� � ���- h'_.,� te r. ,.�.���_� . •���_`�. ..i;..._ _�:ka��,, >s•,., - - - P P Name. 401 amps to 600 amps 160 60 2 601 amps to 1,000 amps 240 60 2 Address Over 1,000 amps or volts 454 65 2 City /State /ZIP• Temporary services or feeders installation, alteration, and /or relocation Phone ( ) Fax: ( ) 200 amps or less 66 85 I Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100 30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701 401 amps to 599 amps 133 75 2 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A Fee for branch circuits with r - .7 , : 1 � ,.iA YP � tiICAN' a , .%,'„,: , ' $ : " vA �' ;;1 .CO . �,.,9.,� >,:.�rt +,.: - �, ar 6 65 2 each branch circuit Business name: €41 gi g/ wdek. B Fee for branch circuits / � ) without service or feeder fee, Contact name: /3,7E) ( Ne .i /z_ first branch circuit 46 85 2 Address: c c s t/ � S C Each adcPI branch circuit S 6 65 2 Miscellaneous (service or feeder not included) City /State /ZIP: G s71a,,, a/c 97f t7 Each manufactured or modular dwelling, service and /or feeder 90 90 2 Phone: (S215) 70/ - ore) Fax: - ( ) Reconnect only 66 85 2 E -mail Pump or irrigation circle 53 40 2 I ,:, ' rl sly = o , ' t*"; ' CONTRAt'tai:A . '' ;' ° _ * A ;t '':t €-`. ,, .��''''rvw_,.. - ; ; , Sin or outline lighting 53.40 2 `- Signal circuit(s) or limited - Business name: 44e,"0„, Le, 6Z i A ac energy panel, alteration, or Address: CVs" C 2 /�y)s CiebSit extension. Describe Page 2 2 City /State /ZIP.6 C ad e / 76j Each additional inspection over allowable in any of the above Phone ($ 63 7 2. - /$ s8' Fax. ( ) Per inspection 62 50 Investigation per hour (1 hr mm) 62 50 CCB Lie . / 6 0 3 CC Electrical Lic.: -51,s-c, Suprv. Lie. • 442,2 f Industrial plant per hour 73 75 °'' `W ;$' ; 41'.;:tooritt'o-otEtwaltogreViler Suprv. Electrician signature, required: t1'� Subtotal. i Plan review (25% of permit fee). Cfp • I Print name , le/ i C 6 ' di Date.4 //� State surcharge (12% of permit fee). G� l Authorized signature' - J TOTAL PERMIT FEE 5 7 1 , / This permit application expires if a permit is not obtained within 180 Print name: je /��� � 5' 0 9 days after it has been accepted as complete. Date:6 v �✓ !, . Number of inspections allowed per permit I \Buddmg\Permrts\ELC- PermitApp doe OS/23/06 440- 461ST(1 I /OS /COM/WEB Electrical Permit Application - City of Tigard Other Page 2 - Supplemental Information Total number of commercial systems: LIMITED ENERGY PERMIT FEES: "No licenses are required. Licenses are requir for all other installations Fee for all residential systems $75.00 combined Check Type of Work Involved: Audio and Stereo Systems" - Burglar Alarm Garage Door Opener Heating, Ventilation and Air Conditioning System" Vacuum Systems' Other: : COMIVIERCIAI;WORK'O_ NLY����� 4 a , Fee for each commercial $75.00 system (SEE OAR 918 - 309 -0000) Check Type of Work Involved: Audio and Stereo Systems n Boiler Controls Clock Systems Data Telecommunication Installation I Fire Alarm Installation n HVAC I Instrumentation Intercom and Paging Systems I I Landscape Irrigation Control' I Medical I I Nurse Calls Outdoor Landscape Lighting' I I Protective Signaling 1 \BuddmgWermns\ELC- PerrnnApp doc 03/23/06