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Permit r rt CITY OF TIGARD ELECTRICAL PERMIT g COMMUNITY DEVELOPMENT Permit #: ELC2012 -00171 ' Date Issued: 03/27/2012 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1S135DB05600 Jurisdiction: Tigard Site address: 11400 SW 95TH AVE Project: Winther Subdivision: , MILLER Lot: 9 Project Description: (1) 200 amp panel and (4) branch circuits for service upgrade and wiring attic/detached garage. Reprinted 1/14/13: adding (1) feeder to scope of work. Contractor: CONDUIT ELECTRIC Owner: WINTHER, STEPHEN & TERESA 19461 SW 89TH AVE 11400 SW 95TH AVE TUALATIN, OR 97062 TIGARD, OR 97223 PHONE: 503 - 692 -1428 PHONE: FAX: 503 - 692 -3652 FEES Quantity Description Date Amount 1 ea Services or Feeders - 200 03/27/2012 $100.70 Specifics: amps or less 4 crt Branch Circuits w /Purchase 03/27/2012 $29.68 Type of Use: SF Service or Feeder Class of Work: ALT 1 ea 12% State Surcharge - 03/27/2012 $15.65 Electrical Type of Const: 1 ea Services or Feeders - 200 01/14/2013 $100.70 Occupancy Grp: amps or less 0 ea 12% State Surcharge - 01/14/2013 $12.08 Electrical Total $258.81 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 acc • ith 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. AT TION: Oregon :w r-quires 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 •1 -00' 0 • u may obtain a copy of the rules or direct questions to OUNC by ca 2.1987 or 1.800.332.2344. Issue By: i Permittee Signatur . 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 the next available inspection date. 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. ry ll rt CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2012 -00171 Date Issued: 03/27/2012 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1S135DB05600 Jurisdiction: Tigard Site address: 11400 SW 95TH AVE Project: Winther Subdivision: MILLER Lot: 9 Project Description: (1) 200 amp panel and (4) branch circuits for service upgrade and wiring attic/detached garage. Contractor: CONDUIT ELECTRIC Owner: W1NTHER, STEPHEN & TERESA 19461 SW 89TH AVE 11400 SW 95TH AVE TUALATIN, OR 97062 TIGARD, OR 97223 PHONE: 503 - 692 -1428 PHONE: FAX: 503 - 692 -3652 FEES Quantity Description Date Amount 1 ea Services or Feeders - 200 03/27/2012 • $100.70 Specifics: amps or less 4 crt Branch Circuits w /Purchase 03/27/2012 $29.68 Type of Use: SF Service or Feeder Class of Work: ALT 1 ea 12% State Surcharge - 03/27/2012 $15.65 Electrical Type of Const: Occupancy Grp: Total $146.03 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 -' 00 You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. • Issued By: �� / Permittee Signature: Aft ��Gi ei--�7oV 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 the next available Inspection date. 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 03/26/2012 13:18 #273 P.002/002 II Electrical Permit App kiil',OlaE Iv ED ..„.11FF1(r I:SI: cl.l , City of Tigard ` Received ol 7 /r =: • 'mit No. Z.C.V0 - C 0/ 7/ �' g p Dates Dates : 6..4. 4. 13125 SW Hall Blvd., Tigard,l0 / 2012 Plan Review 'I o Phone: 503.718.2439 Fax: 503.598.1960 Date/By: Other Permit: llIGARD Ins ction Line: 503.639. . � Date Ready/By: )uric: ® See Page 2 for �` V OF T1. A' 1 Notised/Method: . Supplemental information : Internet: www.tigardor,g tj VISION TYPE � , .W:. , . , ... .PIAIT;REV1EW& °s' ❑ New construction [ A ddition/aIteration/rep1acemeat Please check all that apply (submit I sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY. OF CONSTRUCTION. '` r ` " exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial-use agricultural IN 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 .. ❑ Emergency system. larger separately derived system. JO? SITE IN AND LOCATION . : �� LL ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1-3", (2 � / IooHP or more. occupancy. Job no.: C Z� - 1 / Job site address: I l� Q , ... i -- . �+ n _ ❑ Six of more residential units. ❑ Recreational vehicle parks. City /State/ZIP: T 9tg Cg 5. • 22 3 I D 0 n� t ❑ Health -care facilities. ❑ Supply voltage for more than 8 ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt no.: I Project name: ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Deaription I Qty. I Fee. I Tow I • New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 168.54 4 Ea. add'I 500 sq. ft. or portion 33.92 1 Tax map /parcel no.: Limited energy, residential 75.00 2 DESCRIPTION OF WO (with above sq. ft) Limited energy, multi- family 75.00 2 5gr. It- UCC -C Wy >QA-Q `('3 2.- -004-, /AfAfo lb residential (with above sq. ft.) r, . i� C ® e �_ A Services or feeders installation, alt yra on, and/or relocation,,, ►'V i t-2 e- -- 200 amps or less ` 100.70 a C.1" (' PROPERTY OWNER I TEN 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 Name: 146 -e_k. 601 amps to 1,000 amps 301.04 2 Address: S/4 -11/4ye. Al 4 - - v - t_ Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation, alteration, and/or City /State /ZIP: relocation Phone: ( ) Fax: ( ) 200 amps or less 59.36 I Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 168.54 2 Branch circuits - new, alteration, or extension, r panel Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 7 42 2 each branch circuit Business name: B. Fee for blanch circuits without service or feeder fee, first Contact name: branch circuit 56.18 . 2 Each add'I branch circuit 7.42 ' ' 2 Address: Miscellaneous (service or feeder no included) ' Each City /State/ZIP: dwelling, service and/or feeder 67.84 2 Phone: ( ) Fax: : ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E -mail: Sign or outline lighting 67.84 2 CONTRACTOR Signal circuit(s) or limited- energy Business name: � " - ) - s T !�L ( -e-t?. rite c panel, alteration, or extension. Page 2 2 Each additional inspection over allowable in any of the above Address: )7 5 6,, r N 2) / q 4 V'' Additional inspection (1 hr min) 66.25/hr City/State /ZIP: r f r r 9- 6 cc' •/ Investigation (1 hr min) 66.25/hr r t) •7 � G Industrial plant (1 hr min) 78.18/1u Phone: ( 5'9 (9' L - / / 2.. U Fax: ( 5.0)3 i 2_ 3 CS' 2 - Inspections for which no fee is 90.00 / hr 07C ‘CB / specifically liste CA hr min) Lic.: /C ?C f lectrical Lic.: Z (o ``yb Lic.: � f ELECTRICAL PERMIT FEES ` 3 Suprv. Electrician signature, required: Subtotal: Plan review (25% of permit fee): Print name: C, t4ct (' f� 777 Date: 3 /Lc l/ L State surcharge (12% of permit fee): / > p - CO Authorized signature: TOTAL PERMIT FEE: / C/t0 This permit application expires if a permit is not obtained within 180 J days after it has been accepted as complete. Print name: Date: `3 /a / 2 -^ • Numb of inspections allowed per permit. 0 3 y4. ,f . I :\Buildina\PermitAE1.C- PermitApp doe 07/01/10 440-46157(11/05/COM/wFB Yf l ,