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Permit CITY OF TIGARD ELECTRICAL PERMIT Permit #: ELC2009 -00321 11 4 COMMUNITY DEVELOPMENT �: 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06/26/2009 •Z r Parcel: 2S114BA04200 Jurisdiction: Tigard Site address: 9985 SW KENT CT Subdivision: Lot: 0 Project: Nagel Project Description: 1 circuit for A/C Owner: FEES NAGEL, REESE C & EDITH A Quantity Description Date Amount 9985 SW KENT CT TIGARD, OR 97224 1 crt Branch Circuits 06/26/2009 $46.85 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 06/26/2009 $5.62 Electrical Contractor: SUNSET HEATING & COOLING 0607 SW IDAHO ST PORTLAND, OR 97239 PHONE: 503 - 234 -0611 FAX: 503 - 234 -0439 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Total $52.47 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION. Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344 Issued By: Permittee Signature: 61 (_. OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card.shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Electrical Permit ; Applic �] ,, � 4r E r1 ,., 1 U12.f1�:t l(1 ,.t'S1 O11',, ,"' � � y City Of Tigard Received Prmtit No.: • - j ) ) .7_ 0-o 3 13125 S W HaI1 Blvd• Tigard, OR 97223 Date/By: IN l Plan Review dic / . Phone: 50 3,639Al71 Fax: 503.598.1JUN 2 6 r?` ; ots Other Permit: Inspection Line: 503,639,4175 � '' ` ' Date Ready /k3 TIGARD Juris i Internet; www,tigard- or.gov Notified/ the Supplemental In ors My Y t� see Page for w 6irC^ ww.val f ,,., .,, ^� 1r 0 • t. d' P dada„ !'4�P;tg';t ?41inkt Plt a. ,G A,I'St I s'�U'c . p R , 11y4 44 t ,rl a w �I} A ° ' ,:irp', Srri I ;7 "(, ��k'^ f { NSJ h �': S " ,,. ^,,,n„ ,. »;r T° y , ( ?{' ry T d, n..1 f s:3.S.: I�.,l! Pt l; k,VAG ff,JJ,Y6.h.6'd l'"lii)<C M Efp�n t „40. o P ] r g I r c r y ,l ,� t E' r „,�� n �, �,, i I 4g{ ( ��e h ry' T " " • _n���$�r1eD.�i�� ' � �a'i.`� � .M ^tii� Ir'+il,fu4e�lv�ddti(t41�S;.�1 9rr lip¢ 1��, ���,.t�Un��x�.'v,(a�(w��i,td�t� ����d�% 1' �' �Pt�n�� ,1Ti,�6��r:Q���;����U'�S�t99r g ��'�t1,, i � 0 New construction 1:1 Addition /alteration /replacement i5tuseu ci C Cl All that apply (submit dune ae on phut* wllteni cliccl<cd th tc W); • ID Demul pion ❑ Other: D Scrvicr or feeder 400 amps or. more ❑ Building over three stories. „t F:y ?r s lit . y , y •. r :, where the available fault t ❑ minima and bua(y:uds, I Cur'tll r V, I, a uk t: N ,Jl.ldtir�i 0 ti pr . ,, . 4' ri ^„ tt g i,� `i ,m sat 150 volt; or ,a I „o VKW d4�. n, (� { Ir� +.i � ,,, t��t+ �r ��, N4��. +T�',fis.�l ,��. �.7.i�l ,I.7E'Ir�l`'�l� �� exceeds 10000 aP 0Floatio6 buildlrtEis, less to ground, or uxeeeds 14,000 D Camuturuiot.uar agricultural 1- and 2- family dwellin ❑ COMMerolal /industrial Accessor builditl ❑ y building amps fur ill other installations, buildings, 0 Multi - family ❑ Master builder [] Other: D Fin: pump. ❑ Installation of 75 KVA or u '' . 1 . '! (( ” ". . v' rJr ," -1r R ry • . ('r " y' �ry{� ., ^ • .' . 7 y N r rvA 4, >> vs l r I ,A,,, ❑ Emcrguoey System larger separately derived system. t, 0,,♦ 4 ":A4 , ∎,; IF 63Pq�x'M110 X 19 ''N t rtttA M ? 9.47 94+N yi " v 7 l 1 ;�lho� Y y �' � •ro a ., QAdd ltiouol'ncwmotorloadof Cl ❑ "A" "E" "k 2", 'I.3 °, Job n t Job site a ddress: " f` t Zg ..J- C4 100HP or mere, occupancy. D Six or more residential units. D Recreational vehicle parka. City/State /ZIP: T- — t} g - 7 e c9 .9 © H..0.1". faci sties, D Supply voltage for more than 1 t y r 0 Hautrdous locations. 600 volts uoluinal. Suite /bldg. /apt, no.: Proj t name: �1a (D Service or feeder 600 amp cu more. rr, Cross street/directions to job site: i''" I .` ' >�' i " �� g d' r n ", ,T. s ��� , k , " ��F�k's �� ���, ,.�. 9,4 tint t(,,i:,tn,l:;�k "t,( %,l Description - 1 Qty. I Fie, I rural I New residential single- or multi - family dwelling unit. Includes attached garage. � Subdivision: I Lot no,: 1,000 sq. lt. or less W 1 45.15 i 4 1:a. add'I 500 sq. R. or portion 33.40 1 Tax map /parcel no.: ' t ',� "FrV Y t1 Y✓f x I,!' IT�a I I' S v,�„ �"'�' k q r , Limited energy, residential ll Bd, �'ll "r 4,t l,Y r � �.,. !a� t " rvit rPOth lx t l a 4 1 t t iH ' t '• 'h 00 2 i.r.ig' n� o., �A� iA r, t.t ,OV :rad �„ 1r• S� r41at . ,Ki, :, v , ; (with above I / } r� I Limited energy, multi- family r C rOlitit —.. 3V vl L �_ re (with above sq. ft.,) 75.00 Services ur !ceders installation, alteration, and /or relocation e i,.,.,,.., y „ r .:,,,, w�, 200 amps or less 80.30 2 I'r „j',�`�; �� t � I : rU tSjt�, ^ii�;; ' "3.=� °; 4,Ir ;,}d „ t,y.�� ;g�{j� i; ,, ,rn •;, r ;` , } � l;i ? ta ^ , „ 4.rlr"l.�r,.,", O'.' s' ,.+�t '0444.w^I.R ∎Ilw'i,i 1 , ,g',g' kl";!I!; hMll".I e '.' i re r h��11g,,,13 :I t �i g ll1's�" ; lfi l,t�t� ,o, r ' � 201_am s to 400 am s g,l.:h.. P' P” 106.8 Name: 04. 0 , I' i 401 amps to 600 amps 160.60 • 2 - J ` 601 amps to 1,000 amps 240.60 2 Address: ti � SA A) LUi j' Cr ' .. tv A tn � Over 1,000 deeps or volts 454,65 2 City/State/ZIP: — `- � � l 1 Temporary services or feeders installation, alteration, and /or I `I relocation _ Phone: ( ) 1 ?� 0 0 Fax: ( ) 200 amps or less 66.85 l Owner installation: This installation is being made on property that 1 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 Owner signature: Branch circuits - new, alteration, or extension, ecr panel bnature: Date: .. ',1i;, ,; {!; I,r�,i nl-t,_',:�r, Z: , , , e A. Fee for branch circuits with � I d i ,: I { , ,o�in A rI .r!X,1 ,t i n 11 i a ria I j, „,,, y , + � / •r,q,� I (1 ."' n TM. ,,' l N i i Ai' -4,, !Y*7' ro't':R (6 Ik ! � ' ,1! ;; ;, V ;r, : ; I t'+ Q N 4 F,' I ion! tO, l ( I ' l1 ; ; Mi 1 ' , 4 i; above service or feeder fee a each brunch circuit 6,65 2 Business name: B. fee for branch circuits without service or feeder fie, 46,85 ? Contact name; first branch circuit Address: Each eddy branch circuit 6.65 2 - Aliseellaneous service or feeder not included) City /State /ZIP: Each manufactured or modular ( dwelling, service and /or feeder 90,90 2 Phone: ( ) I Fax:: ( ) Reconnect only 66.85 . Email Pump or irrigation circle ^ 40 2 IC ' , ,rl r1 R r Mn' rl tY' 1, , +1 7 V y ,."' ` ,,,. ,, I d,. , :: ;:A i h Y„ tN, 4lia g0.4,,T1 CI''fle ;;41N, f i%Y, �, :. ;, , i : � . iC " ' ' 4:YI71',,, li; , — Si g n Or Olin ine lighting 53.40 2 Business name: Sunset Heating and Cooling Signal circuit(s) Or limited _ ., energy panel, alteration, or Address: 0607 SW Idaho Street - extension. Describe; Page 2 2 City /State /ZIP: Portland, OR 97239 -- !':ach additional inspection over allowable in any of the above - Per inspection 62.50 _ Phone: (503) 234 -0611 Fax; (503) 234 -0439 Investigation per hour hr mi ni 62,50 CCB Lie.; 161085 Electrical Lie.: Cl 17 Suprv. Lie,: 46385 Indristrial plant per hour 73,75 r f •2 ,Pe4il+ �' r,ii:: ,, ;QI n il,Ce J &?[1'i' ;�i'IEEEE.'� 'air= iu ; 1'ti Suprv, Electrician signature, required: � - "' . .. _ Sub : �J Plan review print name: Randy Ess • Date : � (25% of permit fee): _ __ _ State surcharge (12% of permit -fee) ' - Authorized signature: Q1 .- '' as. _. _ .. • TOTAL PERMIT FEES L)'1 (, q � ') — • '!'his permit applicutiun expires If a permit is not ubtanted within 180 Print na7lle: Shauna D'Am I'O$it1- Da[C: `b OC days vet. r it has been accepted 43 gvnlplrtc. • Number of inspections allowed per permit. I \8uitding\Pcrnlit5W LC-PurmitApp,doc 05 /23 /u6 . 440- 4615T( I I,us /ctt,jwEa -. ZO /ZO 3Bt7d 9NIlt73H 1 6ENIPEZEOS 9599 603Z/9Z/90