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Permit CITY OF TIGARD ELECTRICAL PERMIT 1111 � •' COMMUNITY DEVELOPMENT Permit#: ELC2015 00770 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/24/2015 Parcel: 2S102CC00700 Jurisdiction: Tigard Site address: 13599 SW PACIFIC HWY Project: Tigard Vet Clinic Subdivision: FREWING'S ORCHARD TRACTS Lot: 15 Project Description: (3)Branch circuits to reconnect furnace and condenser. Contractor: SERVICE FIRST PROPERTY MAINTENANCE&REPA Owner: HORTON, DENNIS M& ELISABETH A 17413 WAKE ROBIN CIR 19220 VIEW DR OREGON CITY, OR 97045 WEST LINN,OR 97068 PHONE: 503-258-7203 PHONE: FAX: 503-655-6317 FEES Quantity Description Date Amount 3 crt Branch Circuits wo/Purchase 09/24/2015 $71.02 Specifics: Service or Feeder 1 ea 12%State Surcharge- 09/24/2015 $8.52 Type of Use: COM Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $79.54 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 obtain a rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: Permittee 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. SEP-24-2015 22:14 From: To:5035981960 Page:1/1 Electrical Permit ApplicaRECEIVED FOR OFFICE t°SE ON l„.1 City of Tigard SEP 2 4 Received /��rr 2015 DateeB : Q i 11 Permitk•ELC2CSI- J • 0C-770 13125 SW Hall Blvd.,Tigard,OR 97223 Plan Review Phone: 503.718.2439 Fax: s0CTr?OF TIGARD Date/13 Related Remo p Inspection Line: 503.639.4l7 /-� Ready Datd6y ru_b}-�s,, Set Page 2 for Internet: www.tigard-ur.gov BUILDING DIVISION Nuliticd/Method. ! Wt Supplemental Information TYPE OF WORK PLAN REVIEW ❑New construction ®Addition/alteration/replacement Please check ill that apply(submit 2 sets of plans w/itcros checked): ❑Service or feeder 400 amps or more ❑Building over three stories. ❑Demolition ❑Other; where the available fault current ❑Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. L ❑ I-and 2-family dwelling ®CommerciaVindustrial ❑Accessory building less to ground,or exceeds 14,000 ❑Commercial use agricultural amps for all other installations. buildings. N ❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 KVA or JOB SITE INFORMATION AND LOCATION ❑Emergency synem. larger separately derived 0 Addition of new motor load of system. Job#: Job site address: 13199 Pacific Hwy 100HP or more. O"A","6",-1.2".°1-3", ;) City/State/ZIP Tigard,OR 97223 -__ — Q Sir or more residential units. Occupancy. ❑Health-care beanies. Cl Recreational vehicle parks Suite/bldg./apt.#: Project name; 0ac,-�-C /tom ail 0 Hazardous locatipis. 0 Supply voltage for more than ❑Service or feeder 600 amps or more 600 volts nominal, Cross street/directions to job site: FEE SCHEDULE Otscripii. I Qty. I Etta I Total 1 I New residential single-or multi-family dwelling unit. Subdivision: Lot Includes attached garage. 1,000 sq.n.or less 1 163 54 4 Tax map/parcel !: Ea.addl 500 sq.ft.or portion 33.92 DESCRIPTION OF WORK Limited energy,residential 75 2 i. Reconnect furnace and condenser (with above sq.ft.) Limited energy.multi-family 75.00 2 residential(with above sq.fl) Renewable Energy ❑ See Pap 2 ❑ PROPERTY OWNER ❑ TENANT Services or feeders installationtaltcration,and/or relocation \ Name: 200 amps or less 100.70 2 �4ddress: 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 City/State/ZIP: 601 amps to 1,000 amps 301.04 2 Phone:( ) Fax:( ) Over 1,000 amps or volts 552.26 a - 'Temporary services or feeders installation,alteration,and/or Email relocation Owner installation:This installation is being made on property that I own which is not 200 amps or less 59.36 I Jintended for sale,lease,rent,or exchange,according to ORS 447,449,670.and 701. 201 amps to 400 amps 125.08 2 Owner signature: Date: 401 amps io 599 amps 168.54 2 Branch circuits-new,alteration,or extensiun,pe rpancl ❑ APPLICANT ❑ CONTACT PERSON A.Fee for branch circuiiS will, Business name: ,,n above Service ur feeder fee, ° rte �[ J each branch circus 7.42 2 Contact name: B Fee for branch circuits without - Address: service or feeder tee,first I 56.18 branch circuit 56,18 2 City/State/ZIP: Each add'I branch circuit 2 7 42 14.82 2 Miscellaneous(Service or feeder out included) Phonc:( ) Fax: :( ) Each manufactured or modular "— Email: 4 dwelling,service and/or feeder 67.84 2 Reconnect only 67.84 2 CONTRACTOR Pump or irrigation circle 67.84 2 Business name:Service First! Sign or outline lighting 67.84 2 Signal circuits)or limited-energy Address: 17413 Wake Robin Circle panel,alteration,or extension. O See Page 2 2 1. City/State/ZIP:Oregon City,OR 97045 Each additional inspection over allowable in any of the above Additional inspection(I hr min) 66.2$!hr Phone:(503)258-7203 Fax:(503)655-6317 Investigation(I hr min tt 8 ( ) 90.00/hr V Email:service.first@ comcastnet Industrial plant(I hr mint' 7$,I$/hr Inspections for which no fee is it CCB Lie.: 161271 1 Electrical Lie.: C-I65 Suprv,Lie.: 4983 S specifically listed(7z hr min) 90.00/hr — ELECTRICAL PERMIT FEES Suprv.Electrician signature,required;-+\r _ Subtotal: - �Inz Print name: Ronald Leffner Jr. ate: 9f24/I 5 ❑Plan Review Required(25%of permit fee): _ Slate surcharge(I2%of permit fee): D.52 Authorized signatu �/! ' �' � l TOTAL PERMIT FEE: ?q.5t' ��r��- - This permit application expires ira permit is not obtained within 180 Print name:.Michael McAuley Date: 9/24/15 clays after it has been accepted as cumpletta Number of inspections allowed per penult. ila,ytdiogWcnotis+ELC_PermitApp_ELR„ERE.doc Rev 06/17r2015 440.45i5T(11I05/CUMiwES 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 13599 SW PACIFIC HWY, TIGARD, OR, 97223 Commercial - Electrical 199 Electrical ﬁnal PASS - No C of O ELC2015-00770 Chip Barnett Violation Summary: Inspector Contractor