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Permit l CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2010-00051 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 02/03/2010 Parcel: 2S110DA04700 Jurisdiction: Tigard Site address: 10652 SW KABLE ST Subdivision: ERICKSON HEIGHTS Lot: 8 Project: Whitney Project Description: Add/alter (1) branch circuit for crawlspace fans. Owner: FEES WHITNEY, THOMAS Quantity Description Date Amount 10652 SW KABLE ST TIGARD, OR 97224 1 crt Branch Circuits 02/03/2010 $56.18 wo/Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 02/03/2010 $6.74 Electrical Contractor: PHILS ELECTRIC 6600 SE CHARLES ST MILWAUKIE, OR 97222 PHONE: 503-659-0303 FAX: 503-659-0303 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Total $62.92 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in acc a with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATT ION: Ore law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0 0 through OAR 9 - 100. You may obtain a copy of the rules or direct questions to OUNC by calling 5 ,.246.6699 or 1.800.332.2344. r B Issued Permittee Signature: _ lh i ~ or r OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. FROM PHILS ELECTRIC FAX NO. 5036590303 Feb. 02 2010 oe:17AM P1 Electrical Permit Application WWI City of Tigard DU Received o c"$fa?3 DatcB : Petit No.: d~ 6 C) 51 ~Lb 1.3125 SW Hall Blvd., Tigard, Pl ~ an Revi~v Phone: 503,639.4171 Fax; 503.595. 60 p~~g Other Permit. Inspection Line, 503.639.4175 F~ 0 2 ~Og~ Date Ready/By: uri 0 See Page 2 for Internet: www.tigard-or.gov Notiljetl/Metbooi; Supplemental larurmafion YPE ~1 PLAN REVIEW TNj~jjsioN . . Er-]^t New construction Additi4,g~1 Please check all tb at apply (submit Z sets of plans w/items checked below): E] l ® p acCrtl enl © Service or feeder 400 amps or more ❑ Building over three stories, Cj Demolition ❑ Other: wltet'e the available fault eurrent ❑ Marinas and boatyaTds. CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volt or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Cumrneryia]•use allricultnrnl 1- and 2-family dwelling ❑ Commercial/industrial [j Accessory building amps for all other installations. buildings. Multi-family ❑ Master builder 1 i Other: Q Fire pump. ❑ Installation of 75 KVA or TO$ $~TE Cl Emergeney system. larger separately derived system. INF OkMATION AND LOCATION,. ❑ Addidun of new motor load of "E" "1-2 "1-3" Job no.; Job site address: 10014P or more. occupancy. 0 Six or more residential units. ❑ Recreational vehicle p lcs. City/State/ZIP: fy © Hcaithtvti ekilitics. ❑ Supply voltage for more than T, A e*V Ole q T ©Ha ;u'doos icw;ttioms, 600 ~olrs wmt'nal. Suite/bldgdapt, no.; t Project name: ❑ Service or Seeder 600 amps or more. Cross strcct/dircctions to job site: ~ G/ ci V tk F9 E SCHEDULE . tent New residential single- or multi-family dwelling unit. Includes attached Rarage. Subdivision: Lot no. 1,000 Sq, f1. of less 168-54 4 Tax map/parcel no.: - Ea. add'1.5M sq. ti, or portion 33.92 1 Limited energy, residential DESCRIPtT1QN ,Pr 8VORX : with above , tt, 67.84 2 i Limited energy, multi-family j r3 ' C rrsidcntial .with above . R.) 67.84 2 Services or feeders installation, alteration, and/or relocation 200 amps oT less _ 100,70 2 ❑ PROPPM17', MVNER TENANT 201 amps to 400 amps 133,56 2 Name: 401 amps to 600 amps 200.34 2 601 amps to 1,000 amps 301-04 2 Address: Over 1,000 amps or volts 552.26 2 CitylState/zIP: TemporarV srrviCCS nr feCder$ in9tallation, alteration, and/or relocation Phone; ( ) Fax: ( ) 200 amps or less 59.36 1 Owner installation: This installation is being made on property that T own which is not 201 amps to 400 amps 125.08 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449. 670, and 701. 401 amps to 599 amps 168.54 2 Owner signature: Date: WOnnch circuits - new, alteration, or extension, per Panel A_ Fee fin branch citmits w th APPLICANT CONTACT PERSON above service or feeder fee, each branch circuit 7.42 Z Business name: B- Fee for branch circuits Contact name: without service or feeder fec, ` 56.18 2 first branch circuit. • r Address Each add't branch circuit 7.42 2 Miscellaneous service or feeder not included) City/State/71P: Each manufactured or modular 67.84 2 dwellu1 service and/or feeder Phone: ( ) Fax' ( ) 'Reconnect oniv 67.94 2 E-rust/: Pump or irrigation cirpic 67.84 2 CONTRACT'OI2 Sigh or outline lighting 67.84 2 Business name: $ eri Signal circuit(s) or limitcd- energy panel, alteration, or Address: 4 . IF, ~ v /•S extension. Describe: Page 2 2 city/state/7-1p: V' , _47- 74 -7- fr3 $ Each additional inspection over allowable in an of the above WAM IKI e- 41 Per inspection 66,25 Plione: (5,93 lp 91-03P ' I'alt: (Cd-5) k 61- P _ Di V ^ Investigation per hour (l hr min) 66.25 ) j S Industrial plant per hour 78.18 CCB Lie.: 4j Electrical Lie., Suprv. Liu.: EI CFRICAL PEIRMIY'FEES Suprv. 1 ctrl tart kigrtaturc, required: 1 r Subtutttl: Print name: t a Date: a Plan review (25%gfpermit tee): ! h ~ vMk l1 J~ State surcharge (12% ofpcrmit roc): Authorized signature: , TOTAL PERMIT FEE: { This permit application expirex if. permit ix not nhNin¢rf within 180 Print name: r ( y a Date. ° j days after it has been accepted as complete.