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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2009 -00270 Tigard OR 97223 503.639.4171 1 3125 SW Hall Blvd., Ti Date Issued: 06/05/2009 TIGARD.. 9 Parcel: 2S101 BC01200 Jurisdiction: Tigard Site address: 8445 SW HUNZIKER RD Subdivision: Lot: 0 Project: Reed Project Description: Reconnect only. Owner: FEES REID, CHARLES 0 Quantity Description Date Amount 8445 SW HUNZIKER RD TIGARD, OR 97223 1 ea Reconnect Only 06/05/2009 $66.85 PHONE: 503 1 ea 12% State Surcharge - 06/05/2009 $8.02 Electrical Contractor: DEKORTE ELECTRIC INC. 4115 SE CLINTON ST #1 PORTLAND, OR 97202 PHONE: 503- 288 -2211 FAX: 503 - 288 -2231 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Total $74.87 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 AR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By. Permittee Signature: L Ai /3 .8 Gre(7 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 603.639.4175 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. • ,F,o /,01/2009 22:08 FAX 5032882211 DeKorte Electric, Inc. [x]002 Electrical Permit Application .. . ; I - c' t 1 ItECE�E F 1� �,�> L ' t t . C4 o €' Tigard f / r/ / n /� Da : ( S / .. ,.�.rrw* hermit No„ G iC 2O �L' 70 Ili .- 13135 SVI hall Blvd., Tigard. OR 97223 J UN 0 2 m Plroaee: 503.6x39.4171 Fay 548_591( I% `100' ° ® y I OtherPenoir�. `i . ' d i; R I3 . 1cr5 biro Licit 534I75 Date Ready/By: tom. ta Ste Paz! 2 fin internee itiwvw.ti v,gov CITY OF TIGAR 1 "''' dV 64itlrld: Supplemental tufornration , ti-. t ti _ , i e _TYP.E ' O1F 9i , ' ;,D N : D/ ' ` ;', ,: , , ii . ;; ,, Pi- :4 1` L ' , , i , U 0 NCw construction Additionialter'atiou 'replaccriaCfrl Piamc amok add t i apply (Airmail sots of plans ofitriga elteckad tweloo01 bl trtofi[intl Or}i ❑ Sertice or texxutx 400 maps or more El Building ova ditree na rics, 1, there due available fault cttrreot 0 Marinat and boatyards j + 'C*TLGOKY ;0 "' C N"1l'RLl OD!I r ` exceeds to,tytkt autlni Pi 150 VPIPt or fJ F` &seem,, biddiogn. 1 1:( 1- and 2- family dwelling ® Commcr,ciala•indusu►al r t • ta rot a o s ,r at t4 s. p C t i ldio ru:in�trac a�ricultnrat ® ,Accessory building imps imr all odrnx irtsaallatiwts lwrilyduvg;t. ❑ Multi- family 1:1 Master builder ® Other: ❑ Err 'recto). p Intitaltaaoe of 75 il' V r\ or ;, t. �ry ®Fv�n'ba�7 �7 ue� larger =politely derived system, '1'''','.-.1.;'' „.,. , 'J .. I I �0' §f i * ". f 4V,1A ' 9Tfi ,/ 1/ ;! P..c6�0.7.1 r � 1 '' for toad Hof - ..., ., .. ., ?r „ „..`I � ArLB[Iian �ftla.^.T mO �,,, �.. ., .. l _�.. y lob no_ p 7 , -7 c Job site address: $ 4 S a emir oi loom ammo/lay. �} �. • El Six or astir r o0d wni:'. ❑ Recoonua,uat vt.iticic Ivv 4s. Cit ,.- � E 1 e - "-13 ' 0 Flesh" - "ao: fi tntlitees ❑ Supply .w9tarpc for more than G 45 K n Gv ❑ llzamduu� kxruucxu 600 wits nominal!. SuitLlbldgJapt_ no_: Project name: I ! 0 smrie. or raaicr RIO amps of mom:. `t Cross s tPdirr tiusa to job side: � v 1 , . . . FILE`` c.ti,_ DU!1E , ;ti ” ire . ,_ Fer . 1 rive j • w New residential single- or milli - family dwelling unit_ Includes attached garage_ Subdivision: 1,000 sq. IL or k s _� 145,15 4 Tax maplparcel no LL......_: Ea_ addi 500 sq. h. or portion i 33.40 1 Limited energy, nesitkntial . ' , , ri 11r *1(*! $; *... , ; I 1 75.00 2 .... •, , : ` ilpy>S`.� � ' ' 'i: ,;, „ , , rwedx abu.e ski_ IL). � ' t 1 Limited energy, mti ulfaemi �Yd Li tt sititaltial (vv idr above tL 75.00 1111111111© Services or feeders installation, alteration, and/or relocation, . F i .., , , 2110 amps or 4755 80.30 1 2 .' ; r` PRA ,i0T'Yi; �CdW' NER , r , , ' ' 201 amp to 400 amps 106,85 2 Name_ • / 1 401 amps to 600 gaups _ 160.60 2 601 amps to 1,000 amps 240,60 !" 2 • ' t : Orcr 1.000 amps or volt 454.65 ' 2 . City /Sail Z,IP: Temporary services or feeders iostallatian, alteration, and/or e� relocation Phone; (, X63) (.J 19 - t 302_ Fax: ( ) 200 amps or hiss 66.85 1 1 , Owner iestailatiou: This installation is being made on property that i own Which is not ; 201 amps to 400 amps IIII 100,30 1110111:1 intended for sale, lease, rent, or exclrangc, according to ORS 447, 449, 670, an 701. j 401 cps c o 599 mtlaps -; 133.75 2 Owner sib: T Date: Branch rirceitr — new, �ulterattiop or extension low .. el r , g A. Fee for brands cirrUits exalt 1 1. ,,: N ik.i,, / 'y!i .' �Qi , ;C O.0.'8 tP , ' :,0,' alwvcaccv'iceorfec4Ltfi,,, • , each branch circuit 6 .Eis 2 RmSlri s R7friC., du 13. Poe for branch ties - - _ ' ' urthou / scrvi6dorftw^der' le..:, _.. lint branch circuit tG .KS I 2 Address: 1 WI add'l branch circuit -i 6.65 2 Cie rlSuucS�1P: w ' i Miseellaneons (sink or feeder not included) b Earl, manufactured or modular dWeilieg, servila andfot' fccder ' 2 ■ Phone: (. ) ( ) F as: RctOnncc[ only .! 66,$ 1 i (p, i E Pump or irrigation circle 53 40 i 2 :'•Y iii ., .`');7 '1' ' . ('QlS!t;RA,CrQR 'I Sign or ou0iric li htin 1. „,, • ''� i, . .i'�� t..', g R $ 53.40 2 Busing mime: i➢elKorte 1%lettrit, Inc Signal clrctoit(s) err limited- trurgy panel, aliclanai', or I Address: 4115 SE Clinton St. #1 ontrasioa_ Dr ibe: Page 2 I 2 : City /State/ZIP: Portland. OR 97202 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (563) 288-2211 Fax: (503) 288-2231 inVOSLigillion per hour (I Im min) 6150 all Lie.: 159954 1 Electrical L'c. 3.4 -541C III ' ` tiuprv. Lie,: 44175S u industrial plant per hour 73.75 I — — ":", r Et',k:G R'1CAI� ;PERMt3`" ICES .' l i ' ' ' required: Suprv. Electrician signature. r Subtotal: � if % ,� � a tpCO 36 • Print name: Ken DeKorte l Date: W ff i Plan review (?5 °i: of perntit fee): State surcharge (12% of permit Tic) OA' Authorized signature! ' � I � TOTAL PERMIT FEE i � f 9 I Print name: . ^ ............. J... Y � Date: Thin permit aptFimlim expire. ¢f a permit a tan obtained within 150 ,/� , dayr alleril tun been aecetNed as ®pleic // 1