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Permit '1 CITY OF TIGARD a 1 ELECTRICAL PERMIT t COMMUNITY DEVELOPMENT � Permit#: ELC2015 01010 Af O Date Issued: 12/31/2015 T f GAR.D 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2 Parcel: 2S111BD00508 Jurisdiction: Tigard Site address: 14780 SW 98TH AVE Project: WINTERBLOOM LANDSCAPING Subdivision: DARMEL Lot: 1 Project Description: TWO CIRCUITS FOR UTILITY ROOM IN BASEMENT. 2/8/16,REPRINTED to add sub panel. Contractor: MIKE'S ELECTRIC Owner: THORNBURG, PHILIP B& BARBARA J 11070 SW ALLEN BLVD 14780 SW 98TH AVE BEAVERTON, OR 97005 TIGARD, OR 97224 PHONE: 503-649-6991 PHONE: FAX: 503-641-1902 FEES Quantity Description Date Amount 1 ea Services or Feeders-200 02/08/2016 $100.70 Specifics: amps or less 2 crt Branch Circuits w/Purchase 02/08/2016 $14.84 Type of Use: SF Service or Feeder Class of Work: ALT 1 ea 12%State Surcharge- 02/08/2016 $13.86 Electrical Type of Const: 45 Misc Administration Fee 02/08/2016 $45.00 Occupancy Grp: Total $174.40 Required Items and Reports(Conditions) This permit is issued .- - he regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in acc• :ante with appro =. plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTE ION: Oregon law req ' - you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-00 0 through OAR 952-001-r:•.. You ay obtain a copy of the rules or direct questions to OUNC by -kir" 03.23 .••87 or 1.800.`332.2344_ i Issued By: • /� �/ i / (.1 Permittee Signatur 0 OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale,lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR.ELEC' t Date: a��/ _ LICENSE NO. Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 02/04/2016 1 :07PM FAX a0002/0002 RECEIVED Electrical Permit Application IOlt OI•TI(-P:1'SI:OiNI,Y City�� rt arc) FEB 4 2016 Raeatwd eLCZOI6-�I016 `7 r Fs Daelll v Permit rr ---- } 4 13125$W Hall Blvd..Tigard.OR 9 plan Review • S • Phone 503 718 2439 fes 503.5ci lj OF IGARD ante.),. • Related Penni)ll: InspcliS1)3'639.41"15 BUILDINGlt �JJton ---i. „„,‘Pale 2 for Ttt.nu11, 111101101;; wwwtigurdl-or.gov tINolilledtvlell0d. Supplemental Su1,lementalIrfornation — ,_ TYPE OF WORK PLAN REVIEW _ ❑Now construction Addition/Illtcration/rcpinccnicnt Nemo Oiled all Lhnt apply(submit j zeds of plans%Olean tl>«{,01). r� 0 Service or levier 41)11 amps or marc n nuddmg o‘c.Ilnce,,lune,. El Demolition Other: _ wham 11w available fault current 0 Mariana mql Mnp•Urds. CATEGORY OF CONSTRUCTION exceeds 10.000 amps Si 150 volts or n Floating building,. 1-and 2-Tinnily dwelling. ❑Commercial/industrial Q Accessory huiIding lees to ground,or escecde 14,000 ❑comm..:sill-use up ice burin 1)0111«rot all Mher ulnwllraiunn. IluddaIpn 0Muni4(111111)1 ❑ Master huibier ID Other: Ohre pomp 0In5IalhnniU11Ul'150x\nor JOB SITE INFORMATION AND LOCATION n Emergency system. larger zapanl0y derived Job N: lob site address: LI-7# - i A ❑Addition alto,Atom k':td ul' �),lem. 7 �r,� 100lIPurraar. n..^.. ..1_.. ..1,,.. ..l.r'. ,, / ' Q Sia or more resideminl unilr:, e:upuncy. city/StatefLlt, i 9�a • 22 ©Health-caro futilities. ©keetimacyal v hielc itA,. Suite/bldg./apt.4: Project name: Q Hazardous locations. 0 Supply voltage lir Imre num ^ 17 SOrvko or feeder boo mop or alma, MX)volt.:nominal Cross street/directions to job site; FEE SCHEDULE --- Iktt'ipli44 I Q)r. I Farck I Tuiol I New residential single-or multi-family dwelling unit. SubInclude Taxly > -----.- .. ----_.•. -.-- 1.01#: 1.000 sqa attached garage._ _ I-OW sq.It.or less IG5.54 4, Fal,acid'I 500 sq.11.or portion 33.97 1 DKSCRIP'I'ION OF WORK Limited energy.residential 75.11(1 Aid �n'r (L (dulls ph....,,,Kt� 11.) ,_.-�,_ dP�d1 YaLJ� 1T }�a b �Q��I Limited energy,multi-family 73.00t, 1 residential(with above sq.tt.) Renewable Energy El Page 2 [� PROPERTY OWNER ❑ TENANTServices or feeders Installation.alteration,nndlor relncatioo Nttnte: 200 amps or less !�-T^ 100.70 ' Address: 201 amps to 40(1 amps 1;11.56 401 nmps to fits)amps 400 14 City/Sluts/'LIP: 601 amps l0I(Xtlmops 301,1)41_ Phone:( ) Fax:( ) Over I,tXX>amps orvolts 532,2h "Temporary services or feeders installation,alleralion.and/r1r- Emil: relocation Owner installation:'Ibis installation is being made on property that I own which is not 200 amps or less 50..th I intended for sale.lease.rent,or exchange.according to ORS 447.449,670.and 701. 201 amps to 400 amps 135.08 2 Owner signature: ___ _ _.. _..--_.........,,,,, ,,,,,,,.,. Date: 401 amps to 599 amps 165,54 1:1 APPLICANT CONTACT PERSON' !bunch circuits-new,allcratioii.or extension,per panel _.. A.Feb!for branch circuits with Business name: above service or feeder fee, 742 , each branch circuit J Contact 111.1111e: 11.1'ee for brooch eitcdils Irnlmur — _--'"""'-....-- service or Reder tee.first 56 13 Address: branch circuit City/Stole/7.1 P: Each add'I branch circuit` --_ ) 7 4'! i - MlaccItancoua tooter or feeder gni included) Phone:( ) Fax::( ) Foch lnrorulhculrad or nlodulnr 67'14 • , dwelling,service mid/or feeder _ - _I Ennui: Reconnect only 67.84 ' —_— - - CONTRACTOR Pump or irrigation circle 67 5.1 -.- Busi11e8s name: Mollenhauer enterprises DBA Mike's Electric Stun or outline lighting - 67 X-1 , -- Signal circuit(s)ill Ii)1ired-elierg\ Q lice Page 2 Address: 111070 SW Allen 131vd panel.11l1r:111h1111,r r'CSICIIStta1. Ity7StatcY7.11': Each ndditlollal Iltxpei'llo0 aver'allowable In env of Ilie alio Ci Beaverton,OR 97005 Additional inspection II hr min) 66.251 hr Phone:( 503)649.6991 Fax:( 5031641,1902 Invcsligrhlitm(1 11)' 0111) _`_')U00/hr _ Industrial plant(1 hr nein) 75,1 a/hr l Mail: inikeselectric@rnikeselectric-biz Inspections for which no tic it ,—�— - 191.094 P 57815 specifically listed('it hr min) 9U.U0.'hr CCB Lie.: Electrical Suprv.Lie.: y � _.. .-_ ELECTRICAL PERMIT FEES Suprv.I.aeuricinn signature,required: statim: Print name:Dougla R McCauley I Diller 0 Plan Review Required(25a/o of permit lee): f �` State surcharge(12)/o oi'penuit(eel - ,-0 11 Aulhuriied signature:lture: / y+j 4. AA_ 1.01 Al.PI:I(M1T FIs[: h V•v0 -, �'f This permit application expires if u permit is nut obtained within 15n Print name: Darryl Molle atter Date: d UII,, days after It has)Ken accepted as complete. ,� J • Number nfimpecmunsallowed pin pinata. r allula,na\l'Ianrn,Ui6C IbunOA Lau.din: out Via is 4111.01 11:111msn'ubhWiII �' pp,. N `�nn• ) J 02/04/2016 1 :07PM FAX 10001/0002 A 0 FA ELECTRIC •COMMERQLAL•RBBIDENTYAL• 11070 SW ALLEN BLVD.SOUTH BEAVERTON,OREGON 97005-4821 503.040.69111 '(FAX)503-541.1002 www.mikeselactric,biz CCB#191094 To: From: LA bit A a. 111 Attn: k an Pug's: - Lam 6 o v • q I%0 Date: 7.I i/ Re: �. . t, 40,I i •, I d it l—�f--- ❑Urgent For Review ❑Please Comment ❑Please Reply ❑Please Recycle •Comments: 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 14780 SW 98TH AVE, TIGARD, OR, 97224 Residential - Electrical 199 Electrical ﬁnal PASS - No C of O ELC2015-01010 Jeff Grove Violation Summary: Inspector Contractor