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Permit (67) CITY OF TIGARD ELECTRICAL PERMIT � COMMUNITY DEVELOPMENT Permit#: ELC2016-00680 T[GARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 09/06/2016 Parcel: 2S110BD06900 Jurisdiction: Tigard Site address: 11888 SW ASPEN RIDGE DR Project: US BANK Subdivision: ASPEN RIDGE Lot: 41 Project Description: Reconnect only. Contractor: Owner: US BANK NATIONAL ASSN TR BY NATIONSTAR MORTGAGE LLC 8950 CYPRESS WATERS BLVD COPPELL,TX 75019 PHONE: PHONE: FAX: FEES Quantity Description Date Amount Specifics: 1 ea Reconnect Only 09/06/2016 $67.84 1 ea 12%State Surcharge- 09/06/2016 $8.14 Type of Use: SF Electrical Class of Work: OTR 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 OAR 952-001-0090. You I- •.tain a co. of the 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. 09/01/2016 14:35 8136813918 PAGE 01/02 Electrical Permit Application FOR 0UVI('Ir. EIS 1,,OL L\ City of Tigard Received �� �"' nnto/tiy: -7 Permit ti: it CB`.. sk ,0 13125 SW Hall Blvd.,Tigard,OR��r ��(j Plan Review Phone:503.7152439 Fax 503.598.:960 0 � { patclliy: Rotated Permit ff. inspect ion Line: 503.639.4175 g_i Read unrer see PAae 2 Fnr t4 r � dried/Met; ' .— 'I Ci IS t Internet;WWWthirdOrgOV "} Ind Supplementaltnrormn110n x . ,:t i',..1 1,„ , it „ It 1A 1::.h;ew,4 er,. :. �I `, f::2,4.v"'.19.Ix°s , i,.4:..v " " r i,J, r, .11dry iii 1.,i," Ji r.,�.,��; ,:4 • Ncwionstruction M Addit:ian/IIlti i irl i,i+a t Planrachecknil thatnPPIY(mtbmiI.42,Rel iofpinnaw/itemschacked): Q Demolition In Other:Reconnect ©Service or fonder 400 nape or more 0 Building ever three Stories, wham the available emit current 0 Mork nark nndbentynrdn. g6J .L,d i ,; i 4 ,;. �r r/ : 1j ,��,y lr p 5 1'11. :{r , ) �Ir ,a ,, i : ur R .,;_ Ai.,,.,..::'��bsr..,.:+�,rsa,7`,*n.�m�,nnnh.fiam�.e�.. ,,,,,,;w ,,.,ai., �tS tA excecd810,000 Stepan 150 volts or ❑Plonting buildInge, )114 I-and 2-family dwelling A Commercial/industrial Accessorybuildinglmatoground,or ccenrd 14,000 ©COnmterCitd-unr ngriaufturnl Q 1VlUltl ltunllyy El Master builder © Otha 0 nmpa Wr ell othe'inntaitntionn. buildings, Piro pump, 0 Inttollotion of 150 KVA nr rh . .il1C., DZd IT;0{ ! '?':E.µ,i;; ,i, ,1„' ,7;:i "a:.« ,i:.y,a' t. :;,,J 0 Emorganey system, InrRcraeperntely derived Job 4: Job site address: 11888 SWAMpen Ridge DR l l Addition ofnew nolo,toed of system, 1001-1P or mote. City/State/ZIP:Tigard,OR97224 0 Six or morn reel dentin!ttnitl. occupancy, 1 ❑Health-care!kli0 Recreational vehicle mks. Suite/bldg.,/apt.O: Project name: .64 c j j 0 lanrerdnus Inhgtiona ❑Supply veiltngc Rrr more Ann"t ❑Service orttodar600nmpunrmore, 466 volts nominal. Cross street/directions to job Site: �"F Tr T�,w r Ila p r ':,;'. "!'+.'. ` f" 9e Y;. „... . „r,k,ai,37!:7;:::,;541i : i� a;u �.Ts�>it.`;bort Description I ty. each Total • - New residential single-or multi-f imilydwelling unit. Subdivision I Lot 4:41 Includes a itaelied garage. Tax map/parcel 4:82028607 ►.coo aq.fl.or Ibse 168.54 4 Fa,add'1500 ,ih orportion 1 sc( 33,92 I, ::J., �'A'tt°u,., 4, 77,',.5"o;.au7r".,1,.if',.a;IT» .4,;,, l.',-;,./A'.orl.ii,wt,r, 1.. ,,ri.�`.l: ; 1 .,:_'..',.,,;r.",‘,iaM Limited energy,residential Portland(;eneral.lOcctric requires an inspection in order to reconnect electric .(`.villi above sq.R.? 75,00 2 ----- Limited energy.mull i-thmily 75,00 2 service. residential(with above sq.IL) Ref'cwrabiclic (1 See Page 2 Name'.lU5 h :BAN1ti1.l�llr"' 1./1'1::,I C.�1"w.xi+: c 1,8;. ;;Vi:lel"11/o)i1 i �1 !> r�.11,St;r,i.i?,iilf�i„ : ScrvI orrebF�installation alteration and/oOCAdon Nl 200 amps or lean 100,70 -'rei2 Address:5950 CVP111$S WATERS BLVD _ - 201 ampsto4oc1 amps 133,56 2 401 amps In 600 amps 200.34 2 City/State/ZIP:COPPELL.y TX 75019 601 amps to 1,000atnpe 301.04 2 Phone:(866)516-6348 Fax(813)387-5921 Over 1,000 amps or volts 552.26 2 mail:- tin porn rysi rvi res or feeders int tnilnilon,alteration,and/or' relocation _ Owner installation:This installation is being made on property that I own which is not 200 canna or Ies9 59,36 I intended for sale, lease,rent,or exchange, According to ORS 447,449,670,and 701. 201 amps to 400 amps 125.08 2 Owner si4lature: Date: _ 401 amps to 599 amps 168,54 2 ;,,5, . ' IAttii'ai,,4I�, Wt r'14; �, �e�tYT"@1 It�A`' t-dI4 1,,,),,,, '''',4'',-1,.d+: A,Fenflclrcillls—newealterAtion,OrextCAh9i0n, ,Wine: ul��lvn Lliw,. , ,i,lv, .;eekn,ra,w ,nw 4 'n, .)��Sn.ti., ,au.,,.,v.a ,!na„w.u�,e :4dltrm, eu,W,nn^'ern. h�Im�nAi 'd A,Fee iln'hrmch dreuil-o with Business name:Cyprexx Services,LLC above oCIVicd Or feeder fee, ----I I ci,ch Munch circuit 7,42 2 Contact name: AMANDA CAMi11O B.Fcc for branch circuits withom service or Ihetlo' ISA, first Address:PO BOX 4270 W branch chest 56.18 2 City/State/ZIP:BRANDON,FL 33510 Each add'I branch circuit 7.42 2 l MiaeeIlner ncortb(SCrviccorfeedtlctnclutled) Phone:(813)571-4341 J Fax :(813)387-5921 ��-_ Eachmanufactured or modular 67,84 2 Email: AMANDA,C(a C'1'PIZIDO►.COM Recll;nservlet and/or feeder :only, 1 67.84 2 lti4.; Mvdr 4„,;Ke',.,..ii.,eve drJ :'t1,..n„:,y,',,U4,,U.tr ,��,1,.S:+:w„ 6' k'a°P„rt.vYxQ'l t°,"w",„ ,;',14 i I,1N f it.,7i"" pomp or irri notion e1rrlc 67.84 2 Business name:N/A Sign or outline Iiighting `_ 67,84 -_ 2 Signal cl ettii(s)or limited-energy (3 Sec 2 Address: pimei,altcrationl or extension. ' _ _ 2 . — City/State/ZIP: ' Each additiodantetion over allowable in any ofthe above Additional inspection(1 hr min) 66,25/hr Phone:( ) Fax ( ) investigation(l,hrmin) 90.00/hr Email: tndastrinlgtdnt(1 hr min) 78.18/lir __ inepakiona O)r cvhich no Ile is CCB Lie.; Electrical Lie.: Sum-v.Lie.: s eciGaall Hated(Vnlir min) 90.00/hr Suprv.Electrician S1Q tattlre required: .- - %i Lu.,':,,N a k k!* `taw .lselo,,x iL .:111:27,376777.7.7:7277,g Subtotal: 67.84 — Print name: Date: 0 Plan Rev ie)vRequired(25%ofl,ermitfce): 9tate surcharge(12%ofi'emelt fee); �R If)ri —� TOT Al,PB Authorized signatt e; 111111,,, J-17:-Th --------------3 ? �� Thle,terse ii applientin n expire.,'Ir It i";Mit In fiat obtained Within 100 Print name: Amanda. amelio Date: 9/1/2016 ddyn after it bat boon net Opted ns complete. ' Numbol'or lnbpectlene oilmen par a raft. 1:113,ildinglPormita\Et a PermitApp_ELR IIRE.dat Rev 00/17/2015 4404461 ST(11/05/00M/WRR 09/01/2016 14:35 8136813918 PAGE 02/02 Electrical Pe runit Application--City of Tigard • Page 2—Supplemental Inibrinmtion Limited Energy Permit Fees: Renewable Energy)'ermit Fees: Fee for all residential systems combined: $75.00RenetrAbleclel¢tricnlencrgya�aleA 9� m� Cheek Type ofWork I,nvolved: 4 kvaor Ws 100,70 M© • 5.01 to 15 kvn 1171131111111111 LlAudio and Stereo Systems* �a 15.01 to 25 kvn .Wind aeneratidttmaternainexoen•125. vat ❑ Burglar Alarm - 25.01 to 50 kva 701.04 Eno ❑ Garage Door Opener* 50,01 to 100 k Q `100 kva(leo In Adwrdanac with GAR 91863090) 542.26 mg ❑ Heating Ventilation and Air Conditioning SotargencrndaMsy+ttcApraFnelae4et '25kva. SySte Each additional bill over 25 7,A2 Mil r Vacuum Systems* >100 kvn—no/di:1111=a charge ..I n.o 13 Ench addl Clonal inspection over alk I rabic in a •.of the above: ❑ Other: Inch additional ina,oction ischanted 66.25lhr �� tpeatione for width an i to sol M listed '61 in. no to fa ••'scall � 90.00/hr M min Fee krea li comm�eeyyrciallsystem: $75.00 n Stitt°tat(linter;nPage i): 11.11.1111 ( 07 0000) Nnmbar oririapdr OAA allnwod per pari 1 Cheek Type ofWork Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation El Fine Alarm Installation Ca HVAC ❑ .1.nstnlmentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls El Outdoor Landscape Lighting* ❑ Protective Signaling C] Other: Total number of commercial systems: , *No licenses are required. Licenses ore required for all other installations I:1FAih11aA1Prnnlffi1t31,C_FDriRkApp_ELR ERE,dno ArvO6d17/201S