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Permit (52) CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2019-00526 TIGARD 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 08/05/2019 Parcel: 2S 112BC05700 Jurisdiction: Tigard Site address: 8400 SW LA MANCHA CT Project: EASTGATE Subdivision: LA MANCHA ESTATES Lot: 10 Project Description: (1)branch circuit for(4)can lights. Contractor: TAURUS POWER& CONTROLS INC Owner: EASTGATE, SUSAN MARIE 9999 SW AVERY 8400 SW LAMANCHA CT TUALATIN, OR 97062 TIGARD, OR 97224 PHONE: 503-519-6707 PHONE: FAX: 503-692-9273 FEES Quantity Description Date Amount 1 crt Branch Circuits wo/Purchase 08/05/2019 $56.18 Specifics: Service or Feeder 1 ea 12%State Surcharge- 08/05/2019 $6.74 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $62.92 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, •r if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notificatiory Ce• er. Those ru>: ,are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a copy oft = les or dire •uestions to OUNC by calling 5Q3.23 987 or 800.3 . 344. Issued By: c , - -eg"' Permittee Signature: 41 i-- _ I�►� 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. Electrical Permit Application FOR OFFICE USE ONLY City of TigardReceived rp A. „�-! )DateB GIA► 'i//� _ i/ llq III 13125 SW Hall Blvd.,Tigard,OR 97223 + " plan Review 1 L Phone: 503.718.2439 Fax: 503.598.1960 �6 11'1' Date/B : Related Permit#: Inspection Line: 503.639.4175 Ready Date/By: ® See Page 2 for I lCARD ��1�1 \- (0 ut iA ` Notified Method: _ Supplemental Information Internet: www.tigard-or.gov t\1.\ O New construction ®Addition/alteration/re& ernen i Please check all that apply(submit 2 sets of plans w/items checked): ❑Demolition ❑Other: k A{� '"},,N.i . r t ❑Service or feeder 400 amps or more ❑Building over three stories. where the available fault current 0 Marinas and boatyards. 11 :1,!11111111111':' 4TEGOk 6. iSTE UCTIQN iii' exceeds 10,000 amps at 150 volts or , _ i , ,r � 0 Floating buildings. ® 1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building less to ground,or exceeds 14,000 ❑commercial-nse agricnhural amps for all other installations. buildings. ❑Multi-family 0 Master builder 0 Other: 0 Fire pump. 0 Installation of 150 KVA or _JOB ITE 0-04----TIO} D OC © i r' 0 Emergency systemlarger separately derived ❑Addition of new motor load of system. Job#:E-2019 Job site address:8400 LaMancha Ct. 100HP or more. 0"A","E","1-2","1-3", City/State/ZIP:Tigard,OR 97224 ❑Six or more residential units. occupancy. 0 Health-care facilities. ❑Recreational vehicle parks. Suite/bldg./apt.#: I Project name:Ziebart-LaMancha ❑Hazardous locations. 0 Supply voltage for more than ❑Service oc feeder 600 amps or more. 600 volts nominal. Cross street/directions to job site: s eu . DescriptionI Qty. I Each Total I " New residential single-or multi-family dwelling unit. Subdivision: 1 Lot#: Includes attached garage. 1,000 sq.ft.or less 168.54 4 Tax map/parcel#: Ea.add'l 500 sq.ft.or portion 33.92 1 7i you 1 ,o� la p AHI .�� =�„ll� r,n i�� !-� „, 1 `� i o�"i„�,� ial �i='�; �'. 1,,epry' Limited energy,residential 75.00 2 Installation of 1 circuit for 4 can lights. (with above sq.ft.) Limited energy,multi-family residential(with above sq.ft.) 75.00 2 z Renewable Energy 0 See Page 2 iz©J? TWi IER � '�' 1'�li" I'A T ,.. Services or feeders installation,alteration,and/or relocation Name: 4-- 45 L� E_et�� ti 200 amps or less 100.70 2 Address: 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 2 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 1 intended 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 to 599 amps 168.54 2 :0 9� ; ( Branch circuits—new,alteration,or extension,per panel �PLI(1tT C(11N IS P1� €iN A.Fee for branch circuits with Business name:Green Ridge Power above service or feeder fee, 7 42 2 each branch circuit Contact name:Hilary Conway B.Fee for branch circuits without Address: 19450 SW Mohave Ct. eor feeder fee,first 1 braannicech circuit 56.18 SC,(r/ 2 b City/State/ZIP:Tualatin,OR 97062 Each add'l branch circuit 7.42 2 Miscellaneous(service or feeder not included) Phone:(503)395-1943 Fax: :( ) Each manufactured or modular Email:operations@greenridgepower.com dwelling,service and/or feeder 67.84 2 Reconnect only 67.84 2 6ii r o 0* v a Pump or irrigation circle 67.84 2 _ Resines name.Taerees Pt►wer ata -imtrvla Signer outline-lighting ---- 67.84 ' ,.1-- r Address:9999 SW Avery St. Signal circuit(s)or limited-energy ❑ See Page 2 2 panel,alteration,or extension. Each additional inspection over allowable in any of the above City/State/ZIP:Tualatin,OR 97062 Additional inspection(1 hr min) 66.25/hr Phone:(503)395-1943 Fax:( ) Investigation(1 hr min) 90.00/hr Email:operations@greenridgepower.com Industrial plant(1 min) 78.18/hr Inspections for which no fee is 90.00/hr CCB Lie.: 76781 Electrical Lie.: 34-325C Suprv.Lie.: 3093S specifically listed(V2 hr min) �r ' ', _',a i' „¢ it"I ._ Suprv.Electrician signature,required: Subtotal: Gam .j.� aillititi2ei Print name: Bill Butterfield Date: 8/5/19 0 Plan Review Required(25%of permit fee): State surcharge(12%of permit fee): (� �+ Authorized signature: TOTAL PERMIT FEE: 6), TI This permit application expires if a permit is not obtained within 180 Print name: Bill Butterfield Date: 8/5/19 days after it has been accepted as complete. * Number of inspections allowed per permit. I:\Building\Permits\PLCPermitApp_ELR_ERE.doc Rev 06/17/2015 440-4615T(11/05/COM/WEB