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Permit CITY OF TIGARD ELECTRICAL PERMIT 111- 2 COMMUNITY DEVELOPMENT (p Permit#: ELC2013 00609 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503 718 2439 as Date Issued: 10/10/2013 /3 Parcel: 2S 102AC00400 Jurisdiction: Tigard Site address: 9230 SW BURNHAM ST Project: Dolan Subdivision: BURNHAM TRACT Lot: 1 Project Description: Reconnect only 10/22/13,reprinted to add owner info as contractor Contractor: OWNER Owner: DOLAN&CO LLC DOLAN&CO LLC BY FLORENCE T DOLAN 1919 NW 19TH AVE 4523 NE DAVIS ST PORTLAND,OR 97209 PORTLAND, OR 97213 PHONE 503-972-5203 PHONE FAX. FEES Quantity Description Date Amount 1 ea Reconnect Only 10/10/2013 $67 84 Specifics: 1 ea 12%State Surcharge- 10/10/2013 $8 14 Electncal Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Total $75.98 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 throw AR 952-001-0090. You may obtain a copy of the rules or direct questions to OUNC by calling 5 1987 or 1 800 332 2344 Issued d 1 r Pennittee 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 site at the time of each Inspection. CITY OF TIGARD ELECTRICAL PERMIT Permit#: ELC2013 00609 COMMUNITY DEVELOPMENT Date Issued: 10/10/2013 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Parcel: 2S102AC00400 Jurisdiction: Tigard Site address: 9230 SW BURNHAM ST Project: Dolan Subdivision: BURNHAM TRACT Lot: 1 Project Description: Reconnect only Contractor: OWNER Owner: DOLAN&CO LLC BY FLORENCE T DOLAN 4523 NE DAVIS ST PORTLAND, OR 97213 PHONE: PHONE: FAX: FEES Quantity Description Date Amount 1 ea Reconnect Only 10/10/2013 $67.84 Specifics: 1 ea 12%State Surcharge- 10/10/2013 $8.14 Electrical Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Total $75.98 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 OA 0. Y u 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: D'/ r/7 ��'7e�77O"v Y 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. FROM � lOct. 09 213 05:21PM P2 Electrical Permit Application OCT 9 2013 Received City of Tigard Date./13y; / /c/5 Permit Nv.Ct/'20/3�D602 13125 SW Hall Hlvd.,Tigard.OR 97223 3 ji. Plan Review`T Other Permit: �e`� U._ i Kli�� Phone: 503.718.2439 Fax; 503.59R.19�QI put r9,,,vr,nt0 ,�,,, �atcRcndymy; +"�° fill Seo Page 2 for I I!',Al:tt InsprO;w Line: 50d-or,g4175 %�; ,:- ,.,! 4,9r,�-'+s- Tf� Supplemental Information r ry Notified/Method:Internet www tigard o g ,� Y ''1 �`!�t"drill ,y!��! a'4 4nn�y,�+4Jrtlj��y}'t0(�,I li,. /�p,0, 0i)VP* �� .'1,, ' ,II , ''''''.'r'6'')0717/7 ,4.1',04. )r i In d f i "Uf',. ;00.., .W.-,:,?;,,),,,,..,...,,,•,,,,,,,,,J,........ ',I ,! V � �1 71GfF +i .'U.S:J( I 't 1.';1'v,, ,,d ,III,49.°k'ail �1.:, r.., .. Plc iec ohnak all that apply(�uluttit j ache of r,1u„s whims aheckud below) ❑ New cOnStruction ❑Addition/alteration/replacement ❑service or feeder 400 61111)3 1,n•MOM ❑building Duct three stories. ❑Demolition ❑()titer:Turn on power where Ili available fault current ❑Marina and boatyards. ..• ., - ; ,,,.,;:,i,4- ;i.. ";..,,.•...,-. :,;., - . ;''' cxeccrta 10,000 amps nt 150 volts or 171 Flawing buildings �t ( ,5 � b?Yi iE*CO$I'ItIJ G`MON t n BdACi;Sr' ,;;t�%,ya;a�l F,¢tt',;�;�„•,k:�,,• � -. •..- •• f i � free to ground,or exceeds 14,0110 barb Commercial-use agricultural ►:1 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amps for n11 other installations, buildings. 0 ter ❑him pump, ❑Installation of 150 KVA or l : y y, A Q �.4 � ��a l�h.,uurgoncy system. larger acpnm1ely derived.ysI in ❑Multi faintly rJ ❑Master builder 1` t i' ,ti !bills, 1 +'�V�yi,� 0 Addition of new mulin'fond of ❑"A„ "L' -1_2„ "1_A 1 ¢ r�,' .. nney. 1001iP or nets. Deco P Job no Job site address:9230 SW Burnham SI ❑Six pr more residential units. ❑Recroaiional vchiule parks. - ❑Hoalth-care facilities. ❑Supply vollago for note than City/State/ZIP:Tigard,OR 97223 ©uazardous location. r,0n voila nominal. Suite/bldg,/apt.no.: Project ulte: ❑Srnrio s e or louder GOn amps or mot ni ` - ',"Pw;`4 1 ii,!•1'." ,,SIG.01 :.',. .,•;, i n Cross street/directions to job site: linoleum 1 . nee Total .. New residential single-or multi-family dwelling twit. Includes attached garage. „ Lot no.: - 1,000 sq,ft.or less 168.54 4 Subdivision: - La.add'I 500 sq.ll.or portion 33.92 I 1 ax map/parcel no.; Limited energy,residential 75.00 2 :'V.''t'jj yr� 'Po t O1V'OF • "xl�!a i', ��i1141`I7'1; „��_t N.-:7'�' �I��P� _ .. — '� (with energy,ay.n.) — �h•r, %1 )V V limited rnerey,multi-family 75.00 2 Inspect so that electrical power can he re-connected residential with above sa.tt -. ,:iteiieiVnbie:163eigy'`:, ' .D.See Pane 2 ., -- � �i��yy�� Services or feeders installation,alteration,and/or relocation - '`•1' /' 4 *Ali i. ti1C ( T ,, -U0 amps nr Ices I W.70 2 lY'al�"•F`).;)f , � ,. IvAN i" .�'._. 201 amps to 400 amps 133.56 2 Name;Dolan and Company,LLC 401 amps to 600 amps 200.34 2 601 amps to l,000 amps .. 301.04 2 Address: 1919 NW 19th Avenue Over I,ono amps or volts 552.26 2 City/State/ZIP:Portland,OR 97209 _ 'temporary services or feeders installation,alteration,and/or • 944-1302 relocation ._ Fax:(503 Phone:(503)972-5203 (503)944-1302 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 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 Date; Branch circuits-new,alteration or extension,per panel Owner signature: �T , "'*' f A Fee for brand)Circuits with vdl Il frlf p�tl,ly,�,;!$r1i1 ,+ip',�'t'i1�t,l',4�'1 i,::' 1 + (]'CONTACt':Pi:00 ittJp ' a 1�� M� I �..._ about:service or teeter fee. 7,42 2 each branch circuit ... iIUSII1C95 name;Dolan and Company,LLC B.Foe fur brunch Circuits wirhoni Contact name:Jean Dolan service or feeder fcc,first 56,18 2 • - - - brunch circuit _ Address: 1919 NW 19th Avenue Each ttdd'I branch circuit 7.42 - 2 Miscellaneous(service or feeder not Included) T City/Stifle/7.IP: Portland,OR 97209 Each manufacnucd or modular 67,84 2 Fax: (503)944-13112 dwelling,service and/or focdcr , Phone:(503)972-5203 ( ) / 2 ._ ... Reconnect only 67.84 E^mall Pump or irrigation circle 67,84 :10{,,,,A 7%t''iii, " / Nti ►c1l'Ok . }�I,' sign or outline lighting 67.84 2 Signal circuit(s)or limited-energy see Business name: - . _panel,alteration,or oWlenaion. Page 2 , 2 Address: F:ach additional Inspection over allowable in any of the ahoye Additional inspection(1 hr min) 60.25/hr — City/State/ZIP; Investigation(I hr min) 66.25/hr Phone:( ) Flat:( ) industrial plant(1 hr min) 78,18/hr_ inspections tier which no fee is 90,00/hr CCB t Suprv.Lie.; s Jecificau listed V2 ht'min ,ic.: Electrical Lie.: Sup ��yy��,�� .,, ,,.. gI1,.,,,1!,iGuYFjM l''.'_r11.ta. i;:„0Tr'iIrl'...'f EE5, ,, .!,, Suprv.I_'lecn'Iclalt signature,required: - — Subtotal: -6 7, eP9- Plan review(25%of permit fee): - Print name: Date:_ State surcharge(12%of permit fir): Authorized signature: TOTAL,PERMIT FEE: ••74 r " This permit application expire%if a permit is not obtained within 180 Print name; . Date: days after it has been accepted as complete. • Number of inspections allowed per permit. I1wuilrnagu'ermiuTLC Purmi1ApP_eLR 1Re.duc Rip 05/21/2013 140-16151'(11/di/COM/vcD FROM : FRX NO. : Oct. 09 2013 05:21PM P3 • Electrical Permit Application—City of Tigard Page 2—Supplemental Information Limited Energy Permit Fees: Renewable Energy Permit Fees: j�!{hin h i:ll i _`,�.ry. .tf�• ��i �l I �.(�E Fee for all residential systems combined........ $75.00 "" Q.'. ME= •,tan' I Renewable electrical energy ayatcnts: Check Type of Work Involved: 5 live or Icss 100.70 2 5.01 to 151cvu 133,56 2 r❑ Audio and Stereo Systems* 15,01 m 25 kvn 200.34 2 I I B• urglar Alarm Wind generation systems in excess of 25 kva: 2,5,01 to 50 kva 301.04 2 I I Garage Door Opener* 50,01 to 100 kva 552.26 2 >100 kva(fce in accordance with 552.26 ❑ Heating,Ventilation and Air Conditioning OAR 918-3o9-oo40 _ System* Solar generation systems iu excess of 25 kva: Each additional kva over 25 7.42 3 ❑ V• acuum Systems* >100 kvs-no additional charge 0.0 1 Each additiuoal inspection over allowable in any of the ahnv_c: ❑ Other: Each additional inspection is 6625/hr 1 charged at an hourly(I hr min) • Inspections for which no fee I5 90.00/hr h listed hr min R•cIw 131e a M( E Fee for each commercial system $75.00 Subtotal: (SEE OAR 918-309-0000) Marl if required(25%of permit.fcc). State surcharge(12%of permit fee): Check Type of Work Involved: TOTAL PERMIT FEE: This permit application mom Ho permit is not obtained within 180 ❑ Audio and Stereo Systems days after it hue been accepted as complete_ • Number of inspections allowed per permit. n Boiler Controls ❑ Clock Systems ❑ D• ata Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ P• rotective Signaling n Othcr Total number of commercial systems: *No licenses are required. Licenses are required for all other installations 11\13tdldlnau'ormIty1P.1.r1 PennitApp L+L1t.G1G.due Roy n5!21/201.1 Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 9230 SW BURNHAM ST, TIGARD, OR, 97223 Residential - Electrical 199 Electrical ﬁnal 2013-11-08 00:00:00 ELC2013-00609 FAIL Personal property on site. An adult is to be present at a re-inspection Violation Summary: Inspector Contractor