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Permit
®� CITY OF TIGARD ELECTRICAL PERMIT ' "7 ' COMMUNITY DEVELOPMENT Permit #: ELC2013 -00139 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 02/27/2013 Parcel: 25101 DB00703 Jurisdiction: Tigard Site address: 7375 SW VARNS ST Project: Wilbert/Bishop Subdivision: ROLLING HILLS Lot: 3 Project Description: (3) branch circuits for kitchen remodel and (1) 200 amps or less to replace panel and meter base Contractor: EAGLE ELECTRIC LLC Owner: BISHOP LIVING TRUST PO BOX 931 BY JOHN C & MARY E BISHOP TRS ST HELENS, OR 97051 7375 SW VARNS TIGARD, OR 97223 PHONE: 503 - 397 -9017 PHONE: FAX: 503 - 366 -4252 FEES Quantity Description Date Amount 1 ea Services or Feeders - 200 02/27/2013 $100.70 Specifics: amps or less 3 crt Branch Circuits w /Purchase 02/27/2013 $22.26 Type of Use: SF Service or Feeder Class of Work: ALT 1 ea 12% State Surcharge - 02/27/2013 $14.76 Electrical Type of Const: Occupancy Grp: Total $137.72 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 9 , -001-0990. You ay obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. , , .I t C i� RU I Q Issued By: G/L� • L . I Perm ittee Signature: 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 she at the time of each inspection. Electrical Permit Application J ECE ; FOR OFFICE I. SE ONI.. City of Tigard » alp 7 I D 13 — po ( 3, a 3 S t : Permit No. EL II i - 13125 SW Hall Blvd., Tigard, OR 97223 F C D 2 7 Plan Review Phone: 503.7182439 Fax: 503,598.1960 2 ° � 3 Date/By: Other Permit: r; 1 Inspection ,ti 503.639.4175 CITY OFTIGAR. Date R ed/ea : ' '' 1' p S Bi p p a te ' I for I armo .•r,- . .!4:CTIv 'xi S FP t `• ;i1 .1 7iIP 8 -• t . zl ',nF L �.y T.P 1,-Pry 'W , is.: y u• q < Qiz.1 L .frl 5 r. ` }fit '-`.' ' °5.9,�,, � 1 :- ,.t .- ,• r"G • '! ,,.•ri:.. ...%t P` ti ^ :e1 FNlia;l1' '1t �i' .i.a. r tiS. �ILYLaN nc . a{ 4 "¢tl i ' 1 "u Yc .- na Y� K4 �..l:. t • 0 N ew construct ion [ Addition/alteration/replacement Please check all that apply (submit 1 sets o plans w /items checked below): ❑ Service or feeder 400 amps ur more ❑ Budding over three stories. 0 Demolition ❑ O t h e r wbero the available Emit current ❑ Marinas and boatyards. `r p3 2 : '' ; ;r :, ;r ; • : a g'^t'vagv ':�c' q" :l_. : '`x37 — excees 10,000 u 150 l volts ar ❑ Floating buiIdiv ~ .1.-4"..."..-7..4'.01 � I �- , ' • a c • a. 1 11 ' ^ � 'cs:.r. BPS a Ss- < 2 . ?aw% ti:: ii pis, �u r �c';r c,is S 1 .4;,, , ,10.. s ._ :_: ri , t d less t0 ground, Or exceeds 14,000 El Commercial-use agricultural [t 1- and 2- family dwelling ❑ Commercial industrial ❑ Accessory building amps tar all other installations. buildings. © Multi - fancily ❑ Master builder 0 Other ['Fire pump. ❑ Installation of 75 KVA or • r° s� pct % _ „�trr , ,4 1 75xr s , t'-^, 4J u ❑ Emergency system. larger separately derived system. u�" LL 1 e ` t a''. ii) - ! x tF�� ' ,...,1 A mon of pew moragt toad o n -:; rt es r1 Y+.:.L s Tr 2� a. '-. , . i 0 ❑ "A ". "E", °l,t "1.3 "� Job no.i _54 : l Job site address: 075 SA.) 4244/6 Si) 10019 or more, occupancy. ❑ ❑ Sher or more residential units Recreational vehicle parks. City /State/ZIP: --'f //age O� C � 7 ,2a3 ❑Health care facilities. CI Supply voltage �r more than e � (' 7 / / ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: tai /6 / ❑ Service or feeder z6�00 amps or more. .- Cross street/directions to job site: ;'. `i Y `" = OW. Fee ": site: Dnerlptloo New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: I Lot no -: 1,000 sq. R or less 168.54 4 • Tax map/ parcel no.: Ea. add'1500 sq. ft. or portion 33.92 1 p .. ,-i,,,1/4,-,;'.',,,,,,:-?.. Limit energy residential ', �"?P: ; : ` , - t e - - . . . gr - 'tom! .,. r,_ • . yy�, 7;y1,.` (with above sq. fE) 75.00 2 1, h� -•" ' � ' ! zc��Cr.Sr.. rtT L4.1 -a' 1' ;r s k � �` . ,. ■ Limited energy, multifamily 75.00 2 �¢N - , eiQl j l/ . m - -0 ' . , residential (with above sq. ft.) 3 C/R eu.r rem is Eft /thtN RE , a 200 � or less ers installation, alteration, 100.70 relocation tlx. �- '.1-r ifM ,t :ir-- ; amps / 100.70 moat) 2 gr ', a a t ' „.•;. y i :{ .' _'" 2 amps to 400 amps i 33.56 2 o.... r.�mm.:�- :�u�'��.<Y:S,2r .s_ �A-. :. _.�. .w.�„+�roc ea n ,, c• ? �..''._w: Name: 401 snips to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 Ci /State/ZIP: Temporary services or feeders installation, alteration, and/or �' • relocation Phone: ( ) I Fax: ( ) 200 amps or Tess 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that 1 own which is not 401 amps to 599 amps 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701, Branch circuits.- new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with r ' Sri �-tn:'ti above service or feeder fee, G•' :pe ^`: G__ � �' ` 9 �A•:rn....+�. " : Sri - r 7.42 r: S� L•" a 1� each branch circuit a ,2,2, 2 ,. .. Business name: B. Fee for branch circuits without - service or fbeder fee, first 56.18 2 Contact name: branch circuit Each add') branch circuit 7.42 12 Address: Miscellaneous (service or feeder not Included) City/State/ZlP: Each manufactured or modula 67.84 2 dwelling, service and/or feeder Phone: ( ) I Fax: : ( ) Reconnect only 67.84 2 E -mail Pump or irrigation circle 67.84 2 : Sign of outline lighting 67.84 2 fir �}'iSTx: :,r.. un'' Su�As ..J.�+w'.:.xv: ..ry,nC"S. "7 = ..;1 tin �±{w • }!ri��7� �' �s E- 'L�El.i • $181181 CIrCUIt(S) • Or llmlt�ed-CJlet$� Business name: Eagle Electric, LLC panel, alteration, or extension. Page 2 2 Each additional inspection over allowable is any of the above Address: P.O. Box 931 Additional inspection (1 hr min) 6625/ hr City /State/ZIP: St Helenl8, Oregon, 97051 Investigation ( 1 hr min) 6625/ 1Y Industrial plant (1 hr min) 78.18/ hr ' 1 9 7 I ' 1` Electri • Suprv. Lie.: 5677S (0 t 's" ?a T. Phone: (503) 397 -9017 \ 1�V ' I Fax: (503) 366.4252 Inspections for which no fee is 1 CCB Lic.: 22 7 ► spaa&�ily listed A hr min 90.00/ hr .� ..17P• -T7-1, Suprv. Electrician signature, required Subtotal: /A A, ge Plan review (25% of permit fee): Print name: Danny Pharr Date: 4 48 Store surcharge (12% of pcn lit tbe): /4, p 4 TOTAL PERMIT FEE: al 7 Authorized signature: • Thi permit application expires if a permit is not obtained within 180 • drys after It has been accepted as complete. Print name: • j Date: a Number ofinspectianx altowed pet Remit, t : I\ Buildirr PermitAppdac 07/01/10 440461 sr( 11/CSICOMAYE6 •