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Permit CITY OF TIGARD ELECTRICAL PERMIT y n. Ip g COMMUNITY DEVELOPMENT Permit #: ELC2013 00171 Date Issued: 03/18/2013 TIGARD l 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 2S102CD02603 Jurisdiction: Tigard . Site address: 9605 SW HILLVIEW CT . Project: Douglas Subdivision: TWALITY HILL Lot: 3 Project Description: (1) 200 amps or less for panel change • Contractor: WEST SIDE ELECTRIC CO INC Owner: DOUGLAS, MARTIN 1834 SE 8TH AVE 9605 SW HILLVIEW CT . PORTLAND,,,OR 97214 TIGARD, OR 97223 . PHONE: 503 - 231 -1548 • PHONE: FAX: 503 - 736 -0677 FEES Quantity Description Date Amount • 1 ea Services or Feeders - 200 03/18/2013 $100.70 Specifics: amps,or less 1 ea 12 %State Surcharge - 03/18/2013 $12.08 Type of Use: SF Electrical Class of Work: ALT Type of Const: , Occupancy Grp: Total $112.78 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 OfR •52 -001 - r90. You may obtain a copy of the rules or direct questions to OUNC by calling 503.2 or 1.8 Issued By: L l . t 1 Permittee Signature: D^' �` lC��j ���\ 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. e L t, ,-,20,3-0o1-7( RECEIVED ✓u ,VLJ ; ` 3/I 3 II - - ' - -3 - 39 t ................ d : inspection Line: 503.639.4175 Date Readylsy; 3•14 Internet; www.tl d-or. ov RI See Page 2 for > S MQp � , n'3 Notified/Method; "•';:`s ',, � W l 41 .1 _,� Sopplemeatal lnfarmprion t; . •. :: . .- .;.... •µ� :�,,�,w1 S � d`�'.k' . � K' I Yj , -; : �rL: ��G '}u `, t'�' � M,, ;w�::an. . T^T' 7. � .G; ` ,� i F , i V 'r..'.k.V "� 1: 4t . rik yVnr it .'� J •,, ...� ,;; t "' .•W i : :.,ri- ., ,. .... ..5 k a1"�.R W n p v1'''� ,.lM,", ,.:.,. ':�,. , �l'; � ‘''.;''',i. : k ' , . z ' ; (F . ai , a': •;,,•. ..,. . �Y 4M^ U�+ F: id:+ ;tiri"rF!hy7.tia1. ,. si ` . ,. i' r;- tiMR•Til"Y4' ... '_,. �,�+ ' , - �,a; > r '�' : 1 ; , ; - >'' :: 0 New construction Additi " t t Please cheek all that apply (submit, sets of plans wiitems checked belowp ❑ Demolition ❑ ptheOUILDING D IS10N Q Service or feeder 400 amps or more El Building over throe stories. Nan , r . whore the available Mutt current ❑ Mathias and boatyards. r :Y'�' . °a'?' �,� w.�,p, „_.1;;Yn1 . �' "'x1i t � ,�r..,�v... n, � �,.. ! ^� 4 t'h.:•r•,,.:u`;. „ ” rr. Y.F O $ �' +, .� �':..t-_ �;, i `• ,i,;.:. amps 150 volts or LI Floating buildings. . •�s•:. ::W �._. -��iQ„ CON�"R'C(C1T!dl��'G`��•- .,; , .. exceeds IO,000 am at 1 o v "" less to or exceeds 14,000 w I and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building ground, ❑ Co dings. ❑ Multi Commercial-use agricultural ry B amps fir all other installations. buildings, aster builder um ..: 4 �f•: gr f :.:.;1-i O r1F4UO Jr +-4r2'°r'_T.\� �d:rY?!ns sY em, Other: Fire ['Installation of 75 KVA or .. - ... �.,.... . < • •• ... °'��'�. "�� �y0 .: ' >: k u ,. , •n �;r © system larger separately derived ` ❑ Addition oP new molar load of ❑ A °$^, •`1,2 1.3 ^ Job no.: (. (41 • lob site address: H 1 `�SU i 7 100 HP or m ane , occupancy. City/State/ZIP: /`� ❑Six or more rtaidenlial units. ❑ Recreational vehicle parks, ` - V ') 2:1'3 ❑ Health-care facilituni 0 Supply voltage for mom than 0 Hazardous locations. 600 volts nominal, Suite/bldg./apt no.: Project name: r :)0t) °1 Cam 1 / ' ( or °A CAS ❑ Service or feeder 600 amps more, Cross street/directions to a , „ r.II,.t.,,�n.,r„,.� �� `.. - ns o job site: ite: 4.�nti�,; $C1U7:E ";, ^. nesermuron I on', I Fee '.::r � TO611 j .. New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: 1 Lot no.: 1,000 sq, ft. or less 168.54 4 Tax rnap/parcel no.: Ea DWI 500 sq. R or portion 33.92 1 n l 'a -r B 'f�j'�S,!�'�'; -G t.ta!`� 't`;• ��'�r� •'S� 'r �i�,' r-� �,:v,1� r Limited en residential r'p:. ?: !a ; s. _!KtFS NG"�R"�!., u.:..�, .o. ti 'VdO�' 2ati 'h,': 1with above Ri 75.00 2 .i * l r. doff' �r:.l;�. C.Uy':4-�1'.. :: �:< .:a'y -1 sq �/'� �(�p • — Limited energy, multi- family 75.00 2 `�`" f�/t resid wi th above . ft Services or feeders installation. alteration, and/or relocation ,� 200 amps or less ( 100.70 100.10 2 i4:. �t;•",•.': r.. ;Bale004119'0,,*ti'1 , Y � r e t;:.s,� h 1 aC ` '� J.,t, ' '-�i1 �tte. 201 m a mpSto400amps � �Yri;aN � tiec�i.: tk4lt�i .,u..�;.:ri� `�;nt�t;...vr5 ,.;C "+;, 133.56 2 Name; 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301.04 2 Address; Over 1,000 amps or volts 552.26 v _ 2 Temporary emporaty services or feeders installation, ltcrntion, and/or relocation Phone; ( ) f Fax: ( ) 200 amps or loss 59,36 t Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 125,OS 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449. 670, and 701. 401 amps to 599 amps 16s,54 2 Branch circuits — new, alteratio Or extension. Owner signature: Date: A. Fee for branch circuits with J i ~t. i . �' above service or feeder fee, �'�! .a....:'� � Ft�Plt.�,CAI!1�' <;:it,?,7 fir, t;�'`;x .!•7�:�:tsrwQ., �'''0',N�1fI>;G`1''��RS s t ., L ,, j ,., �; .,.N • ?c'r'' , each bmn 2 ' ch circuit Business name: B. Fee for branch circuits without — ~ -_ Service or feeder fee. first Contact name: -� branch circuit 2 Address: - '— Each add'I branch circuit 7,42 2 Miscellaneous (service or feeder not included) — Loch anufactured or modular City /State/ZIP: dwelling, service and/or fender 67.84 2 Phone: ( ) f Fax: : ( ) Reconnect only 67,84 2 E Pump or irrigation circle 67,84 2 ,, • �:: ; , •: •. 1 ; .: • , ::i '; : ,Y "�Cd Sign or outline lighting : -t, .. .:<i a ;;ter:; ;x "+eutiro 6784 2 w r :a,;:,: '�•• ....;�a,- ; >; ,:,, GT•�'��� ; ,.t.��ta�' ,�ssw; „J "1'' SYj4r''�' ^'i?F.�; Signal circuit(s) or limited -ever i Business name: West Side Electric Co.. Inc. panel, oltemtion, or extension, Page 2 . 2 Each additional inspection over allowable in any of the abov Address: 1834 SE 8 Ave. Additional inspection (1 hr mm) 665/ hr - City/State/ZIP: Pordand/OR/97214 Investigation (I hr min) 66.25/ hr Industrial plant (I hr min) 78.181 hr_ Phone: (503) 231 - 1548 Fax: (503) 736 - 0677 Inspections for which no tee i5 9040/ hr Electrical Lie.: 2 1 „ specificalltt listed (1, hr min) CCB Lie.: 13306 6- 35C I Suprv, Lie.: 4654 -S ;04z: .' 'u'd: Suprv. Electrician signature, require�� Subtotal: - a ::,,,,,.--..,,,,s ' Plan review (25% of permit fee): Print name: Randall F Roberts Date: 3 • ( g. 13 State surcharge (12% of permit fen): 1 , O� Authorized signature: TOTAL PERMIT FEE: ((2_ • "p $ This permit application expires an permit Is not obtained within 180 Print name: days after it has been accepted as complete. Die • Number of inspections allowed per permit. - I,18ulldIngPermlielbZ. - PannitApp,doo 07ro1no 440- 46i5Tp dro5ICOM/WEB Z /I # L8661£Z£05'. 096 (.865£05: 0!a ;091] ap!S 1.saM :w0ad; X1 :911.£6 -96 —£0 Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 9605 SW HILLVIEW CT, TIGARD, OR, 97223 Residential - Electrical 199 Electrical final 03/19/2013 00:00 ELC2013-00171 FAIL No fees pd Violation Summary: Inspector Contractor