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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit#: ELC2010 -00200 1GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 04/23/2010 T Parcel: 2S102CB03400 Jurisdiction: Tigard Site address: 9800 SW Frewing ST Subdivision: Lot: 0 Project: Cypress Crest Project Description: (1) 200 amp or less service in recreation room between Unit U and Unit V Owner: FEES CANTAS LLC Quantity Description Date Amount 4223 GLENCOE AVE STE #A -220 MARINA DEL REY, CA 90292 1 ea Temp Services or Feeders - 04/23/2010 $59.36 200 amps or less PHONE: 1 ea 12% State Surcharge - 04/23/2010 $7.12 Electrical Contractor: HUGHES ELECTRICAL CONTRACTORS INC 9640 SW SUNSHINE CT #600 BEAVERTON, OR 97005 PHONE: 503 - 626 -3344 FAX: 503 - 626 -3377 Type of Use: MF Class of Work: ALT Type of Const: Occupancy Grp: Total $66.48 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 wit 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 -00 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. r & - vs. 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 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 RECEIVED 04/23/2010 11:09 #517 P.002/003 Electrical Permit Application � � l " H K i a% oN,I Y APR 2 3 201 ? City of Tigard „at ' .23 ft 441111 Permit No.CWO /, — 00? 0 4 13125 SW Hall Blvd., Tigard, OR 97223 CITY OF TIGA "�• Revies I ` Phone: 503.639.4171 Fax: 503.598.196 �� Other Penult. i � ' Inspection /By: II H See Page 2ffor econ Line: 503.639.4175 � U I LDING DIVIS ®a at te �ead /B R ° r, TGA ae Internet: www.tigard or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑ New construction ® Addition /alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial-use agricultural ❑ I- and 2- fancily dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ® Multi-family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ['Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A "E ", "l -2 ", ' l.3 ", Job no.: 10A253 1 Job site address: 9800 SW Frewing 1001!? or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: Tigard, OR 97223 ❑ Health-care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: J Project name: Cypress Crest ❑ Service or feeder 600 amps or more. ' -- • FEE SCHEDULE •• • Cross street/directions to job Site: Description J Qty. 1 Fee. 1 Total 1 New residential single- or multi - fancily dwelling unit. Rec Room between Unit U & Unit W Includes attached garage. Subdivision: Lot no.: 1,000 sq. It. or less 168.54 4 Tax map /parcel no.: — Ea. add'1 500 sq. 11. or portion 33.92 I Limited energy, residential 67.84 2 DESCRIPTION OF WORK . . • (with abovesq.ft.) __ Limited energy, multi- tamity 67.84 2 Connect spider box to existing panel residential (with above sq. ft.) Services or feeders installation, alteration, and /or relocation 200 amps or less 100.70 2 • ❑ PROPERTY OWNER ❑ TENANT _ 201 amps to 400 amps 133.56 2 401 amps to 600 amps 200.34 2 Name: -- 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation, alteration, and /or City /State /ZIP: relocation Phone: ( ) Fax: ( ) 200 amps or less 1 59.36 59.36 1 Owner installation: This installation is being made on property that 1 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 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with [] 'APPLICANT ® CONTACT PERSON above service or feeder fee, 742 2 each branch circuit _ Business natne: Hughes Electrical Contractors, Inc B. Fee for branch circuits without service or feeder fee, first Contact name: David Trapp branch circuit 56.18 2 Each add'I branch circuit 7.42 2 Address: 9640 SW Sunshine Ct, Ste 600 Miscellaneous (service or feeder not included) Each manufactured or modular City /State /ZIP: Beaverton, OR 97005 dwelling, service and/or feeder 67.84 2 Phone: (503) 626 - 3344 Fax: : (503) 626 - 3377 Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E - mail: hec @hugheselectrical,com Sign or outline lighting 67.84 2 CONTRACTOR Signal circuit(s) or limited- energy Business name: Hughes Electrical Contractors, Inc panel, alteration, or extension. Page 2 2 — �� Each additional inspection over allowable in any of the above _ Address: 9640 SW Sunshine Ct, Ste 600 • Additional inspection (1 hr min) 66.25/ hr City /State /ZIP: Beaverton, OR 97005 Investigation (1 hr min) 66.25! hr Industrial plant (1 hr min) 78.18/ hr Phone: (503) 626 - 3344 z . Fax: (503) 626 3377 Inspections for which no fee is 90.00/ hr specifically listed (',6 hr min) ( , / CCB Lic.: 49850 Electrical Lie.: 34- 28IC�Supry -L - 53505 ELECTRICAL PERMIT FEES U " i Suprv. Electrician signature, required: Subtotal: 59.36 Plan review (25% of permit fee): Print name: David Trapp Date: 04/23/10 State surcharge (12% of permit fee): 7.12 TOTAL PERMIT FEE: 66.48 1V Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Print name: Date: * Number of inspections allowed per permit. • r.\ Building +Permits\ELC.PermitApp.doc 10/01/09 440.4615T(11 /OS /COM/WEB