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Permit r • • CITY OF TIGARD ELECTRICAL PERMIT • _ � . COMMUNITY DEVELOPMENT Permit #: ELC2009 -00468 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 09/09/2009 Parcel: 2S104BA05100 Jurisdiction: Tigard Site address: 13865 SW MARCIA DR Subdivision: Lot: 0 Project: Winkley Project Description: (3) branch circuits for attic fan, tanning bed and attic switch. Owner: FEES W1NKLEY, CHRIS & Quantity Description Date Amount WINKLEY, TERI, 13865 SW MARCIA DR TIGARD, OR 97223 3 crt Branch Circuits 09/09/2009 $60.15 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 09/09/2009 $7.22 Electrical Contractor: CONDUIT ELECTRIC 19461 SW 89TH AVE TUALATIN, OR 97062 PHONE: 503 -692 -1428 FAX: 503 -692 -3652 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Total $67.37 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 OA 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: Pernittee Signature: d// ''PL! C 9 7 O 1 S. 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 603.639.4176 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. • `From:CONDUIT ELECTRIC 5036923652 09/08/2009 08:19 #676 P.001/002 Electrical Permit Applicati t rm n t "• : ." 4 FOR O F1 USE ONLY City' of Tigard Dater3Cd /� '007_ Date/B © 7 Ali Permit No. OO 9 F n 1 3125 SW Hall Blvd., Tigard, OR 97223 ` �P 0 8 2009 Date/By: ' Phone: 503.639.4171 Fax: 503.598.1 P lan Review (hher Permit: TI G A R D Inspection Line: 503.639.4175 Date Ready/By: turf�s j� See Page 2 for Internet: www.tigard-or.gov Notified/Method: . : -,. Notified I I IL Supple Info rmation C!TV O - .sA... . TYPE OF 9 :.. ;' j 7�h i •) PLAN REVIEW 7. plans ' Please check all that apply (submit sets of plans w /hems checked below): • ❑ New construction %Addition /alteration /replacement ❑ Service or feeder 400 amps or more ❑ Ruilding over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or ❑ Floating buildings. less to ground. or exceeds 14.000 ❑ Commercial -use agricultural 4 .1 - and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION t14/46/6" ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑'A ", "E ", "l -_ , I � , Job no.: Job site address: ` C, \ 100HP or chore. occupancy. 3% 5 7 �) ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State/ZIP: - T N „..1P 0 0 Cj�•a3 ❑Health care facilities. ❑Supply voltage for more than \ IdCJ 3 ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: i Project name: 1 ,'� % n k, r ( / ❑ Service or feeder 600 amps or more. `s- f FEE SCHEDULE Cross street /directions to job site: Description I Qrv. I Fee. I Total I • New residential single- or multi-family dwelling unit. Includes attached garage. Subdivision: I Lot no.: 1.000 sq. ft. or less 145.15 4 Tax map /parcel no.: Ea. add'I 500 sq. h. or portion ' 33.40 1 Limited energy, residential ' DESCRIPTION OF WORK... ' - " - - (with above sq. ft) 75.00 2 Limited energy', multi - family 2 P -\ L. - - ( 1 , (nnl /1 d„ (� residential (with above sq. R) 75.00 Services or feeders installation, alteration, and/or relocation Ox VC 200 amps or less 80.30 I 2 . : ❑ PROPERTY OWNER ' .. 't .: • ❑ TENANT 201 amps to 400 amps 106.85 " 2 Name: 401 amps to 600 amps 160.60 2 I 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts I I 454.65 2 City/State/ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 I 1 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 ❑ APPLICANT • , . ❑ CONTACT PERSON above service or feeder fee, 6.65 2 Business name: each branch circuit B. Fee for branch circuits without service or feeder fee, Contact name: l 46.85 1.00 11:?... � � 2 first branch circuit Address: Each al branch circuit I a 6.65 I l 2 Miscellaneous (service or feeder not included) City / State/ZIP: Each manufactured or modular 90.90 2 dwelling, service and /or feeder Phone: ( ) i Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR — � Sign or outline lighting 53.40 2 Business name: Conduit Electric Signal circuit(s) or limited - energy panel, alteration, or Address: 19461 SW 89 Ave extension. Describe: Page 2 2 City /State/ZIP: Tualatin, OR 97062 Each additional inspection over allowable in any of the above Per inspection 62.50 I I Phone: (503) 692 -1428 x) 692-3652 2 ' I . / / I Fax: (503 692 3652 Investigation per hour (1 hr trio) 62.50 1 ,�/ CCB Lie.: 109669 ✓ Electrical Lic.: 26 -905C ,/r Suprv. Lic.: 4501S ✓ Industrial plant per hour 73.75 � ELECTRICAL PERMTT FEES Suprv. Electrician signature, required: Subtotal: 100 t 1S Date: Plan review (25% of permit fee): Print name: Charles Parker 9I ()CI State surcharge (12% of permit fee): 1 s./ Authorized signature: ^ TOTAL PERMIT FEE: 1Q� `2? / This permit application expires if a permit is not obtaine within 180 Print name: Date: days after it has been accepted as complete. ' Number of inspections allowed per permit. I lBuildine'Pernits'ELC•PermitApp doe t5!_3106 4404613TO 1/05 /COytM'EB