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Permit y CITY OF TIGARD ELECTRICAL PERMIT `17 n_.., COMMUNITY DEVELOPMENT Permit #: ELC2013 -00379 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 07/08/2013 Parcel: 1 S125DCO2000 Jurisdiction: Tigard Site address: 7045 SW VENTURA DR Project: Peters Subdivision: WASHINGTON SQUARE ESTATES Lot: 10 Project Description: (7) branch circuits for remodel Contractor: RK ELECTRIC INC Owner: PETERS, MICHAEL DWAYNE 24495 NW OAK DR 7045 SW VENTURA DR HILLSBORO, OR 97124 TIGARD, OR 97223 PHONE: 503 - 640 -1344 PHONE: FAX: 503 - 356 -0513 FEES Quantity Description Date Amount 7 crt Branch Circuits wo /Purchase 07/08/2013 $100.70 Specifics:, Service or Feeder 1 ea 12% State Surcharge - 07/08/2013 $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 - 0010th g OAR - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 5 2.1987 or 1.800.332.2344. , Issued By: , ( Permittee Signature: C e r`O - 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' C 1 el-09-1, 0—....---- LICENSE NO. Date: 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. Electrical Permit AppIicatio FOR OFFICE USE ONLY ECEI 9 E Rooeived City Of Tigard D a t e / 1 3 : 7 3 /5 Permit No,: iL, C� / 3 —Qe 71 / V 13125 SW Hall Blvd., Tigard, OR 9 Plan Review Phone: 503.718.2439 Fax: 503,598.19613 1 Date/13 : Other Permit: Inspection Line: 503,639.4175 i JUL 3 2013 DateReady/By; luriz 0 gee Page 2for CIGARD Internet www.tigard- or,gov i Notified/Method: Supplementallnfbrmation ;k. , v 2 .. .! ` . .,.. of - ' :`x' •� F } ' Y,•a ! ;! 4t �� _ ,, ` n , ,,,i,.`4, -7 .fJ 1, w� it e t� .. 0 r . °�' \4b ^r' .. K M"e2,• ^ ^,.01e -.ca'''l �C� t� srar.,.4,. , k� t ,. • ❑ New construction !I?" i • • - i'I O N • ' Please check all that apply (submit 2 sets of plane w /items checked below): ►: • ddition/al 1 ['Service or feeder 400 amps or more ❑ Building over three Stories. 0 Demolition ❑ Other: where the available fault currant ❑ Marinas and boatyards. x, - ;;v: ao• w', y,., ` a t 130 volts or Floating buildings. '°it"•:la N,, '2'E�ii� ;` ''v;��{,.s"{/a/"0:0 ) 4 . " tp„�`r/;,:4 LIbilolih i ; r ; ;, :': tt'> " ,.. :',:' exceeds 10,000ampS 0 gbui l t,' (,t F�.:ls: '�a,!PS1, (�•'. F! '_`," A ' OT �4M_� r.. �!, .�•r .'; • � - " "'R less to ground, or exceeds 14.000 ❑ Commercial-me agricultural 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings, ❑ Multi - family ❑ Master bu ❑ pump. Installation 75 . •.. ; ..; ; .. r eW +'ri- ` � ergency syst larger se sly derive System. alder Other: Ohre ❑ I of vA o n ' O ` �Sfl 0 YI.4 U1 i T L00ATIO ' < :t.i ❑£m om at d tr y. , ` . . . ; ' ' , w . ,; ❑A dd iti on of new motor load of ❑ "A" "E" "1 -2" "1-3", Job no.: 9a$ Job site address: , 04S a k ) V ey a 'br 10ok1Pnr71O1e. occupancy. ❑ ❑ Six or more residential units. Recreational vehicle parks. • ❑ Health -care facilities. ❑ Supply voltage for more than ©Ha�rdous locations. / 600 voile nominal. Suite/bldg./apt , 194 ❑ Service or feeder 600 amps or more. �y y 4 - • - • • • • - .tart tion L95t. l pet. Total ' New residential single- or multi- family dwelling unit. Includes attached garage, 1.000 sq, ft, or less 168,54 4 Subdivision: 1 Lot no.: - Ea, add'I 500 sq, R. or portion 33.92 1 Tax map/parce1 ' Limited energy, residential 75.00 2 . t m a • e (with above sq. ft.) Limited energy, multi- family 7500 2 i residential (with above sq. R) Services or feeders installation, alteration, and /or relocation 200 amps or less 100.70 2 ■ p; e 1 Z01 amps to 400 amps 133,56 2 N 401 amps to 600 amps 200.34 2 Name: L 601 amps to 1,000 amps — 301.04 _ 2 • - Address: SCUM/ C,' ery,e Over 1,000 amps or volts 552.26 2 City/State/ZIP: /State /ZIP: Temporary services or feeders installation, alteration, and /or 1Y relocation Phone: ( ) I Fax: ( ) 200 amps or less 59,36 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amp 125.08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 am to 599 am 168.54 2 Branch circuits — new, alteration, or extension, perrpanei Owner signature: Date: A. Fee for branch circuits with .,.., , l�wri . .'.�t %��tiv;X `4R 1'- ..�yq, yt �,�,,, .,� 1'.t.''. .'r":' 'i; erf 742 2 i•s , t, p ___ , IR$ ova ser or e a ee i�.' ..4 z +hY °, L i s ., t, %' , each branch circuit Business name: 'F K c I _ G 4 , r in , B. Fee fbr branch circuits without Q service or feeder fee, first 56.18 SO. (O 3 Contact name: l'LILVO I i branch circuit Each add'I branch circuit 7.42 341, S2 2 Address: (/1) a • Miscellaneous (service or feeder not included) City/State/ZIP: ` 45 o6Yfl! 01/ I V4 Each servic r fdeler 67.84 2 ty E dwelling service and/or feeder Phone: ( 6kfb ` (3 44 i Fax:: (SO 5 3,s -p Reconnect only 6724 2 j Pump or irrigation circle 67,84 2 E -mail ! .,; ,:a 3 r r � ,-r. � , � Sign or outline lighting 67.84 2 .. •t / r!'r, :• ,.. ,', s °, L f�'' �, . G! .c .., F .4,0r.� t.+w 011* ° : °; ,. ., v ' . '.. . .: _ ' Signal circuit(s) Or limited - energy 01 Business name: RK Electric, Inc. i panel, alteration, or extension. Page 2 2 Each additional inspection over allowable in any of the above Address: 24495 NW Oak Drive i Additional inspection (1 hr mm) 66.25/ hr City /State /ZIP: Hillsboro, OR 97124 Investigation (1 hr min) 66.25 / hr . Industrial plant (1 hr min) 78.181 hr Phone: (503) 640 -1344 I Fax: (503) 356 - 0513 Inspections for which no fee is 90,00 / hr I specifically listed (1/2 h r min) ' CCB Lie.: 94275 Electrical Lic.: 34 -375C Suprv. Lic,: 4724 -5 Ogl ;(r 9a;; a 470. .t i?!9li � 7G FEES= i_ '':*: -� Suprv. Electrician signature, required: Subtotal: p� —70 / � l'� f Plan review (25% of permit fee): _ Print name: Ron L. Kurtz Date: 7 / 5/(� State surcharge (12% of permit fee): I 2 , TOTAL PERMIT FEE: Authorized signature: 07 This permit application expires if a permit in not obtained within 180 / days after it has been accepted as complete. Ov" Print name. Ron L. Kurtz Date: / �/ . • Number of inspections allowed per permit. I:\ Building 'Permit6ELC- Permit4pp•doe 07 /01110 440.4615T(i1 /05 /COM/WEa 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 7045 SW VENTURA DR, TIGARD, OR, 97223 Residential - Electrical 199 Electrical ﬁnal 2014-04-07 (null) ELC2013-00379 PASS - No C of O Violation Summary: Inspector Contractor 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 7045 SW VENTURA DR, TIGARD, OR, 97223 Residential - Electrical 199 Electrical ﬁnal 2014-04-07 (null) ELC2013-00379 Scheduled Violation Summary: Inspector Contractor