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Permit CITY OF TIGARD ELECTRICAL PERMIT 111. ss ' COMMUNITY DEVELOPMENT Permit#: ELC2015 00712 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/02/2015 Parcel: 2S111CC01800 Jurisdiction: Tigard Site address: 10315 SW CENTURY OAK DR Project: Lehman Subdivision: SUMMERFIELD Lot: 15 Project Description: Replacing panel and installing(2)branch circuits. Contractor: ROSE CITY ELECTRIC CO Owner: LEHMAN, RON PO BOX 10004 10315 SW CENTURY OAK DR PORTLAND,OR 97296 TIGARD, OR 97225 PHONE: 503-287-6164 PHONE: FAX: 503-282-1060 FEES Quantity Description Date Amount 1 ea Services or Feeders-200 09/02/2015 $100.70 Specifics: amps or less 1 ea 12%State Surcharge- 09/02/2015 $13.86 Type of Use: SF Electrical Class of Work: ALT 1 ea Investigation Fee 09/02/2015 $90.00 Type of Const: 1 ea Investigation 12%State 09/02/2015 $10.80 Surcharge Occupancy Grp: 2 crt Branch Circuits w/Purchase 09/02/2015 $14.84 Service or Feeder Total $230.20 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 952-001-0090. You may o tain a copy le r direct questions to OUNC by calling 503.232.1987 or 1.800.332..22344. Issued By: Permittee Signature• t/ � 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. 09/02/2015 00:55 5036752567 TIMOTHY CONNALL MOPE #4233 P. 001/001 Electrical Permit Application FOR OFFICE LSE 0■L] City of Tigard Received ' _ _ y IN 13125 SW Hall Blvd..Ti rd_OR 97'x_'3 v f� R 1 mew Related Penult!!: Phone: 503.713.2439 Fax: 503.598.1960 L. 'titl e: _ inspection Line: 503.63r43737 Read;'DatcBy-: See Page 2 for 33 _;.+,It t) interne:; www,tig3rd-or.gov S T % Z i; ificd,' et od. j1 Supplemental information vim, "`yr4'finrc''a' ,;.a,inn ,.J.n-x..,x.'iv*p�.rs§,6 7F E.Etr�. 1 :v.''4 Y f r ,ir,a ti rd.G,.f';',"+1L-Y IT ,*4, �o �0....,.w wQ,r r.^a tt.c••1tp�r4 yIE a� xvl e 4,.S r vs �<. 0:New >� I 1\-^•,s t Please cheek all that apply(submit 2 sets of plate,w/item.checked) cVnalrliCtiOn �4dditiortialteratlon/reptat A` }�]:telly i v�' Q Service or*et.*400 amps or more ❑Building_over three stories. ©Demolition ❑Other where die available real[current ❑Marinas and boatyards. ate. ,r ! n •.,rt 1 .`ii-.6V`t 9-4', ::' CXCCCda111( )amp3alI"vu11a1'r IZIt'toatingTrttrilding5. r4 1-and 2-family dwelling ❑Commercial/industrial ❑Accessory building l`sr lo�ztrtrtvt urcxtxeds 14.000 ❑Commercitl_vscagricultrrral up ` tl other iamllauons. b tdIL❑multt fanil ❑Master builder ❑Other ❑F P to :t n of 150 K V n of 7f; $ltiK''.: EFi?R**106' ;i0i.,01•0'SC'b'101%.y,', ^�'`i.�'iY �,:' , 1 1I nrvenLy srlem larger separately derived t ..: <...w :.!;P :.s. Addition of acw motor load of ;ysrtm. Sob*: I Job site address: / ❑ L 3 iJ. kj s ,Z.. ' Loom,Cu stun. ❑'A.. • '. rr inure retitimfial units occupancy City/State/ZIP: ' ' ' /�- (�' 7 r i 9tt�� -( / Z+ ) ",le: y,.,•;th-care facilities. ❑itectealx�mtF vehicle p.'srky. I ❑Supply vulture h r mere thin Suite/tIdgiapt.#: Project name: Lc sin.-z • azardous loeatto,u '..r• El Sery ico or finder 500 amps or more. 644)wit nominal Cross street'directions to job site: 1 Q . 1 :Each 1 1•„r„ 1 • Nevi, t l single-or multi-family dwelling unit_ Lot 4: -l7itclr d;�; ed garage Subdivision: �'�_ Tax trap/ arCe(:+: cs`4 ``� '1 s9.fit or less 166_-;4 4 .3.9_ 1 t, :. '::rBSt*Wr.QN'-'0r6 ..Wi� M . g•�_ +� ..4:' Limited ennergy.residentia ' 7 5 0U 2 L p.,2.11 f is f', (with shove$4.1.ft.) -- Limited energy,multi-fta miry rcgidertinl(whit above sq.0.) 75.00 Renewable$nergy Q.Sail Page 1];PItt7PER J ,0X11fIhE1Sr 1 F'`Lt`�'G; '_Ti .r services or feeders iltttatlatton,al teration.and/or relocation Hanle: 200 tint or lry� ( 100.70 fai,1 L, 2 J vt ).--.7-1•1 VIA•`CrV•Address: __ t (-..<%-i 200.31 201 amps to 400 amps 1 3356 V �) ) �Y �S '� I-' 401 amps to 600 amps 2 C;i ry/Stat�Zllc: 601 amps to 1.000 amp) 30t.04 _ Phone:( ) Fax:( ) Otcr 1.000 onp or volts 552.26 2 Temporary services or feeders installation,alteration.and/or Email: relocation Owner installation:This installation is being made on property that)own which is not 200 apps or 105s 5956 I intended for sale,lease,rent,or exchange.according to ORS 447.449.670.and 701. 20I amps to400 arnps 125.08 2 Owner signature: ._ - _ _._._._ Date: 401 amps to 599 amps 168.54 I 2 7.: Branch circuits—new,alteration,or extension,per panel Business name''—'7;L: i (.1^-1 `? C jf✓ Z �, stove service or feeder foe_ ) 7 n.3 7 ('G`� , 1 j each branch circuit 2._ J Contact name: )2 � c K le L - L.fee for branch circuits wftiiour ,Cerise or feeder fee.first Address: 1'`' gt'� !1 (� " 56.I IS 2 G branch�-ir fee I City/Starr:ZlP: p4� I Dft l 73 k(. Each add'i Nandi circuit 7.42 2 Miscellaneous(service or feeder not included) I Phone: g �,7 ?-0(4„4 Fax::to3 ) W( J Each manufactured or nvrdu ar I 67_2,4 r dwelling.service and/or feeds Email: Tin titooSe .- User•'- C,,,`, (. W Reconnect only 67..44 2 , ..d - - . , .... 'tw 2Cr - . r Z:.a,• , _. __,�".ca`t •: w , Pump or irrigation circle 67.24 2 Business name: "tw ~` t r r c 41 :1 Si=or outline lighting 67.24 2 Signal circuits)or limited-energy Address: , , tJ panel.alteration,or extension. Page: 2 City'StatccZtP: L f ) (I C / f 7 21 ! Each additional inspection over allowable in any of the above F4 1 i U. �% ,�rkiiaignal itupet:lion(1 hr mm) _ 662.5,"hr Phone:( I Fax:( ) Investigation(1 hr min) 90.00i hr Email' Industrial plant(1 hr min) 7R.13, hr Inspections for which hich no foe is �'b CCB Lie.:j 4 7.L ' L Electrical . h Suprv.Li • .1 hcaly listed(:hr min e . / t Kr t E)fECTRIGT.FERI4ftF EES , > i Suprv.Electrician signature,required: Subtotal: //�' ,57-/ Print name:�� rZt� 1� �r��` 2 Plan Review Required(25% �� tug.. Date: ( permit fee): 1 State surcharge(12%of permit fee): /. ,0 . Authorized signature: TOTAL PERMIT FEE: This permit application expirtx if a petard is out obrsined.rithio 150 Print name: _� Date: day%after it has been accepted as complete. , .. • Number of inspections allowed per permit 1:Build*rerncs l-.a.t'Pc,naapp 17.2]!.Laos KC,00 I-'20I- 44.0101.5T(11�05-00�t Wl:rs ' 1� Location: Record Type: Inspection Type: Result: Comments: Inspection Date: Record ID: Inspector: City of Tigard 13125 SW Hall Blvd. Tigard, OR 97223 Tel: 503.718.2439 10315 SW CENTURY OAK DR, TIGARD, OR, 97224 Residential - Electrical 199 Electrical ﬁnal PASS - No C of O ELC2015-00712 Jeff Grove Violation Summary: Inspector Contractor