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Permit CITY OF TIGARD ELECTRICAL PERMIT "� PERMIT #: ELC2007 -00218 COMMUNITY DEVELOPMENT DATE ISSUED: 4/10/2007 TG 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S104AB-08600 SITE ADDRESS: 13444 SW SCOTTS BRIDGE DR ZONING: R -4.5 SUBDIVISION: MORNING HILL NO. 5 LOT : 115 JURISDICTION: TIG PROJECT: BENKE Project Description: Install (1) branch circuit for receptacle & switch for fountain. Job No. 1877 RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: MATTHEW BENKE CONDUIT ELECTRIC 13444 SW SCOTTSBRIDGE DR 19461 SW 89TH AVE TIGARD, OR 97223 TUALATIN, OR 97062 Phone: Contact #: PRI 503 - 692 -1428 FAX 503- 692 -3652 FEES Description Date Amount Reg #: ELE 26 -905C [ELPRMT] ELC Permit 4/10/2007 $46.85 LIC 109669 [TAX] 8% State Surcharge 4/10/2007 $3.75 SUP 4501 S Total $50.60 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules set forth - i• OA' • 2- 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.66 9 or 1.800.332. Issued B a ) Permittee Signatur.: ' A i 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: / -- �ONNT' TRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: (----- -:ii ✓ - 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. 2007 /APR /09 /MON 10:25 AM Conduit Electric FAX No, 5036923652 P, 001 /002 • Electrical Permit Application • I'OR ()MICE I. ISL ONLY City of Tigard C J ' R E1w " , 0 7 1] 1SW all Blvd., TigardOR •gi Other Permit Phone: 503.639.4171 Fax: 503.59 ; 1 & ; 1 ' "'1 -'yx ' i '' Da+nB . Inspection Line: 503 639.4) 75 o Q 9 2 �>I '� . 1 ( pa te R� aJ See Page 2 for Internet: www.ci.tigard.or.us P TT ((�� �pD No631ed/Method: AIL Supplemental T.nformation • x` � :.lka+�!' , • i_ . �,: a�,t , • •,5:. - '`i7-e-' -•. -. ¢ }�•���y " :.tlidS:i:"!�, fi ss .1 a. ;iit ; .iet �.(, r'* 1' %��a... +r.3 ,,.. �; , �y°9ir i:�U •r. s'�;l,': %' i• Y :':6": :.1�'.i::i:'R:: ::Y< ' 9 ... },' "/I' +4` • ' V*NJ' } .M1 `�4}4'iJ7 J * s ..Q .I: :.,,.::. llh,`�.^ba.{-:'''' ; 'S:; .',h'd:= r{� � , � •r .ib., +n ,:�,;.� .,/,..ai h b.�.c:,:,�,.5, !., ,. >,: ... P....,n.., �a� { �r� ';i ?.,t: `.pan „d�11�._4 ..��.'17� ".(7' f �'S.i ... .. ,_ ..�tT,... ,. k�,: , =vc 3. ...a .. . t. ;;'.;i: ,,i, :S''..,, . ... .,�iYC. ^:�!T" ''�tF.� rani . v ed:allthata 1 ❑ ' New construction 1 :"0. ��:g',11 .7 % lion /replacement Please check apply: 0 service over 225arops,control ❑ Hazardous location ❑ Demolition ❑ Other: , z. over 320 annps - rating ❑ Buildng over 10,000 sq. it, :;>:::G ` ": ':, ' -, . :, 1- and 2 dwellings 4 or more new residential as•;..,.;:'� �'=; r . , t1tiG r dG1 �' ;�!GO I!'U L''1D)►?S'>dt 7111 si; '•:r:.,;.. ❑System over 600 volts nomi units in one structure 1 and 2-family dwelling ❑ Master bu cialruzdustrial DI Accessory building ❑Building over three stories ❑Feeders, 400 amps or more Multi family ❑Master ilder 0 Other ❑Oc1pant load over 99 persons ❑Manufactured structures or . : ::0 .:.. >. ,::,.,:,,.. , .w. ,: , . r" i`: " ?: ❑E essni hting plan park ::.- 'r „- ,;,,,� ,a, 3..,, JG1> ar$ TT�3'' li! iTi+ OB1►' IitP.YL�N'9;�'NJ3���i1�i u , ❑Health -care facility Other: I Job no.: O Job site address: ! &..44 a WI / 6 . r Submit 2 sets of plans with any of the above. [ , ta e / 7{j _1//� q The above are not applicable to / temmp ^, orary construction service. C ttylillatG✓ZAA : /{ Y / -� � � : ti . �:,: J,�.�.•� lJ �•TT �' 1� ' ���.,lNn•• }, , ; ,. 1 i ce" - :;(4`471%` ii.:7 At r `.::rt' �G.` .5:-4•:.ck.' "4:! a'ar:rs� Suite/bldg. /apt no.: Project uaeripsua Qtr. »ems Tar -• Cross street/directions to.job site: New residential single- or multi family dwelling unit. Includes attached garage. 1,000 sq, ft or less 145.15 4 Subdivision: l Lot no.: Ea. add'1500 sq..tt. or portion 33.40 1 Limited energy, residential 75.00 2 Tax map/parcel no.: L imited energy, n on - residential 75.00 2 ;..,•, j 1 : . c �`S ; c; '''' ' ":i`:.`;j N.';'- ` ..' 'i'k : ' c Each manufactured or modular r i?' ;,��i�1:1n�:,�;,�` <;F? =a5.:. ,.,..7:��r;c S: xI1F. SGR�P�' IO]! T�?} ��' �4'A1� �:;� . :'�;:: .:., dwelling, service an or feeder 90.90 ;i1154J ( n 2- �(}�' A) 1-r(• Co r _ • Services or feeders installation, alteration, and/or relocation ` � `j�r` 200 amps or less 8030 2 1 i �' yoi • ; is i• n 201 amps to 400 amps 1 8030 2 ;. ' 3 «•. ;'.j' . ? ' "' >': V''_r.:; cn A - ; trI 1`l `;; <r 0;11i�7:: • .:',4 :S ''t O ` ,1 r:: < "; »_ ,;:�': t© T>(t` s ; ?Ea p i�, ; .. .; s,�. + <,1 , ..: nf� aol aaopsto 60o amps 160.60 2 Name: . 601 amps to 1,000 amps 240.60 2 _ w Over 1,000 amps of volt • 454.65 2 Address: - Reconnect only 66.85 . 2 City /State/ZIP: Temporary services or feeders installation, alteration, and /or relocation_ Phone: ( ) Fax: ( ) 2 00 a mps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 10030 2 ' intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670,.and 701. - 401 amps to 600 amps_ 133.75 2 Owner signature: Date: Branch circuits - pew, alteration, or extension, per panel < , v. -?a i A Fee for branch circuits with s ' :'i:t a: Kin . T 1�1 '-� " =, 5 i" :; �4� <�s 'i:: " .0�? r 71Nlp :• .., ' ?` h • • 6 � •: ..::, :� :: , „ .,�.'' Ci ,., ceder fee, r 1F'- � .... . or� .u.1•. .,r. bran b o nce � Business name: c circuit _ . 6.65 - - w B. Fee for branch circuits' Contact name: • • wfthoul service or feeder fee, 46.85 u 2 each branch circuit - -. - f> ddress : -- - - -- - - -- ach-add' -i -bench -circuit- - 665- 1 n - - - -- _2- -. City /State/ZIP: • Miscellaneous service or feeder not included) Pump or irrigation circle 53.40 2 Phone; ( ) • l Fax: : ( ) Sign or outline lighting 53.40 2 - E-mail: ignal circuit(s) , or -mail: ts) or ft _ _ � � - ;::,1: ;.;i energy panel, alttrauo 0 ' �' =SjS'> 2 '-,•i-'::-.•:-= :?;i: r:�. �e:; �';v '� - .. ,+ r �GU1V9,'R'i►�`4It`.,..,.: ..... . .... .. . . .:._ ... Describe: Pa e2 �,.; . . ....... ... . , extension. Des Page name: . r: t - . . _ Eacb additional Inspection over allowable in any of the above Address: / 6 d, - Per inspection 62.50 City /State /ZIP: i j * / .. Investigation per hour (1 lir min) 6250 �'` r _/� q � (�j�� Industrial plant per hour 73.75 Phone: (S03) CD"t ) o Fax: ), = ��3KCIE i': ;it . :.X > : ` 4: PllOrn Eax: /rI �'� ire`! jl':i': �)LY�L���vF''tlM'+,. �a CCB Lic.: /63T'1LO��Electrical Lic.: � : g C S . 1v. Lic.: Li.()/ Subtotal Li ii, as I Suprv. Electrician signature, required: ' , /i Plan review (25% of permit fee) p . ` - State surcharge (8 %of permit fee) 2 1 t� r5 PJ. • i i r _ I D a te: LI / 1 OTALX irRMXI FEE Print name: /// 1.110 Authorized signature: ',[lots permit application expires If a permit is not obtained within 180 days after it has been accepted as complete • Print name: l Date: s pee memodology set by Tri- County Building 1ndusoy'Service Board "s Number of inspections per permit allowed i•9uildin }Po„4116ui•PeneitApp.doo 12/03 - . • 440- 4615T(10/02/CoWty •