Permit CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT
• COMMUNITY DEVELOPMENT Permit #: ELR2009 -00064
T I GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 06105/2009
Parcel: 2S110BA04000
Jurisdiction: Tigard
Site address: 14380 SW MCFARLAND BLVD
Subdivision: Lot: 0
Project: Jenkins
Project Description: Low voltage for audio, tv & phones.
Owner: FEES
JENKINS, ROBERT EBEN & Description Date Amount
WENDY MK, 14380 SW MCFARLAND Restricted Energy Permit 06/05/2009 $75.00
TIGARD, OR 97224 12% State Surcharge - Restricted Energy 06/05/2009 $9.00
PHONE:
Contractor:
GENESIS HOME TECHNOLOGIES
9450 SW GEMINI DR
BEAVERTON, OR 97008
PHONE: 503 - 643 -1704
FAX: 503- 643 -3300
•
Type of Use: SF
Class of Work: ALT
Total Number of Systems:
Audio & Stereo: Y
Security Alarm: N
Garage Door Opener: N
HVAC: N Total $84.00
Vacuum System: N Required Items and Reports (Conditions)
Other: N
Other Desc:
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 don accorda = with ap• oved 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: Ore, on .w requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
95 - 001 -0010 through OA • 52- 001 -01 s You may obtain a copy of the rules or direct questions to OUNC by calling 506.6699 or 1.800.332.2344.
,
ssued By: .J Permittee Signature: - ��•! • ! C� %Zd •
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 she until completion of the project.
Approved plans are required on the job site at the time of each Inspection.
f , Jun 03 2009 1:08PM GENESIS HOME TECHNOLOGIES 5036433300 p.1
'` ' ' r Electrical Permit Application RECE IVED 'H' e ,,, , „ ,: l ,, : , ,
Received IT/SWIM! City of Tigard DetdB ; i PatnitNo.: Fe,Q -..,,,/
13125 SW Hall Blvd., Tigard, OR 97323 JUN 0 3 2009 Review
_ 4 : Phone: 503.639.4171 Fax: 503.598,1960 D . :: Other Permit:
I , ; ; ;, . . i , Inspection Line: 503.639.4175 CITY OF TIG A� np n� D01e d Y�Y 0 See pogo i for
Internet: www.tigard -o gov B • 8 ► I ru�L Notified/Method: ` I. S■pplementallnformadoa
�.� ti ,, ,ri .2 .- - T s .u9 64- S l i, f.3 . ad n _
t p tl .:„ r b '-L . td > . y e r e+ t Z, :�F'I`I ', a { . ?'
51.e..:.- •5�.,� . �.r�,l M • � i -- r ..uv: ,.tla.91T s ue. tl ^..v�s._�r -�Pn n e n�. > , Si� r�i��._. I.,:+ Y , -- -.x� r T •" } r 5 ,11 �:��. nr , �k �. � '.+� Y ; � -
rn i
iw„u� . , . v. __ ... ,� .L ., k e.r. .a.wk - e'n:. .. �_.._. �.f.- l._._.. __ ..vi.:.lic..r.._� -._.
❑ New construction F. I Addition/alteration/replacement Piero= check all teat epNY (submit j sets of lane wtteonscheclo,d .slow):
D Savior or feeder 400 amps or more 0 Building over three stones,
❑ Demolition ❑ Other where t available fault memo G Marinas and boatyards.
+ Ni y es , ,, i F U ; I r e e.. , i .k , �,'+ l : +u i v exceeds 10,000 etnpa et ISO unite or Abating buildings,
t .. so• t, uu i: {rr , t • .�:,.,l. a �: ......._. e .. .i '
a -i •'t- ,�_ Q
less t! ground, or exceeds 14,000 .' ommercht Ilte%O akum!
11- and 2- fbmiiy dwelling ❑ Commercial/industrial • Accessory building amps for all other installations, b„geinaa
❑ Multi ■µcaul ❑ Master builder ❑ Other: 0 Fire pump. 0 installation of 73 KYA or
r , rr'�V A T ' `t ilk ' t1 ( a �, R w Cl Emergency system, larger separately derived system.
t ��iti uF+ +T + j r', t 9 � lh t r j gt , ��VT�. r t � car -+dt , 1 �e'i ■ d� ( r! i n,
, ,11 .I4I_ f:tx �:,7,., !_. n.:,o . �_._..t .r_3�; S. r:3_ } • .^; 0 Addition of new motor load or Ow ,+,E, "1-2"."1
Job no -: Job site address: BA 100HP or more. occupancy, Q Sot or more residential Bails. is Recreational vehicle parka,
City/State/ZIP; It� • , o O Health -care (hankies. 0 Supply voltage for more that
Cl Hamrdous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: 0 Service or feeder 600:. • or more.
Cross street/directions to Job site: -= '' „ °': . rA;; ��r
�. _ .
Deactivate -a err `T11111=r1.111
New residential single- or multi- itimlly dwelling unit.
• Inctudee attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Tax map /parcel no.: � Ea, add'l 500 sq. ft. or portion 33.40 1
+F M i c In !I a p�. 8 TsL *+e!+h .o ua... ir ++r t f_•n� , l e . M l .. ky, 4 f.; r �f
Limited energy, residential
to e+ , e lr rl " . ;:.. r - ,;;;;?1, ,A., 4.ts� �$'' ,; ` 11` : r 7 „A (with abo�'e en,. R.) 75.0 2
�a',fiH :.cv�I,�+lm.',. E�... ,7 ',. r✓<= .: r.Et.. ->, -r. c.s ,1 S :twit _
Limited energy, multi- fbntily 75.00 2
' ! : ' , residential (with above aq. ft.)
IrrilliMMMIPATMIlliMI Services or feeders iustallatlon and/or relocation
2 04 amps or l es s 80.30 2
., - e
rm r,i -rrT, r '4R"E.r r €€M� , .. w t ' j Fx. s ..^; r ,'. .4 fF +:ni t"i
� :. r r„ `,,. c, ,_` "wkm . ^ .� - -, .. -. , d'r12i.y%: i<.,z. u 3 r 1ti . s° 4-i: r 201 amps to 400 amps 106.85 2
Name: , 1/1, 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Ova 1,000 turps or volts .. 454.65 2
City/Stale/ZIP: Temporary services or feeders lnstalladon, alteration, and/or
relocation
Phone: (9" 2•'l ^ 9(. I Fax: ( ) 200 amps or less 66.85 1
Owner Installation: This Installation Is being made on property that 1 own which is not 201 amps to 400 amps 100.30 2
intended fbr sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch dreutts- new, alteration, or extension, per panel
Owner signature Date A. Fee for branch circuits with
', ;; , ' WI. 11. rif�-',W 1 1t�1 rA;I :4 s � r w+ <} _n e``i
:'.a_• 7T + ! . t : ' In r ,. i ; , te r: above service or feeder rbe, .65 2
k xck�..snsLv,!.x.G.� , t d.h}r l7 ..11)- ..,,,.:. « ^,�: �,�. 6 each branch circuit
., ■ 0 ,41 1 _ B. Fee Om branch
without service or feeder the
Contact name: • l a - ` 1 1 - t� fllstbranch circuit 46.85 2
Address: Each add'I branch circuit 6.65' 2
Miscellaneous (service or feeder not I eluded)
City /State/ZIP: Each manufactured or modular' ' 90.90 2
dwelling, service and/or fader ie
Phone: (WS ) ( - .0. ,'7 , Fax:: (')Z.) .. cit Reconnect only 66.85 2
E-mail: Pump or irrigation circle 53.40 2
t+) {�.+ rr rm, ++ -« w,, '4 C �uL [' F t n,� -
r . .'I i :K.r ' :n5 at �:' u.. a' 1 ' - - '- t.Vc'.. :_ .i iT 1 T:1 l �,'67.4R 1 7.7; Sign or outline lighting 53.40 2
Buslnessi name: Signal circuit(s) or limited -
anor8y panel, alteration, or p 0
Address: extension. Describe: j Page 2 / - 2
City /State/ZIP: • Each additional Inspection over allowable Ia a ■ of the above
Per Inspection 62.50
Phone: ( ) Fax: ( ) Investigation per hour (1 hr min) 62.50
CCl GENESIS HOME TECHNOLOGIES ie.f" ^ industrial • lentpa how 73.75
3l1� 'i (.u' -ft °� to ice. E 7 ^ 1r ' C! i`�in :t F•
sup 9450 SW Gemini Drive Beaverton, OR 97008 Subtotal: 1.6
Phn- 503 -643 -1704 Pax- 503-643 -3300 permit fee):
Pri CCB 128088, CLE28 -989, `IS - Plan review (25% of permit o
/x , `''14'•4'' 2885 - JLE ‘ State surcharge (12% of permit fee): v
Aut 1 ` TOTAL PERMIT FEE: 4 eo 0
Thla permit application expires if e permit la not obtained within 160
Print name: . J• A, I . , P Date: , _ . , days after it has been accepted as template.
ntsuildloperm liseue•rermltepp.dacOVasa sooaatrrtttrosrtOMMElla • Number of inspections allowed per penptt.