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Permit ELECTRICAL PERMIT , q CITY OF TIGARD t fi_ COMMUNITY DEVELOPMENT Permit #: ELC2010 -00342 7i GARD' 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date issued: 07/07/2010 Parcel: 2S109AB16900 Jurisdiction: TIGARD Site address: Subdivision: ALPINE VIEW Lot: TRACT D Project: Alpine View - Tract D Project Description: Reconnect only for driveway gate. Owner: FEES ALPINE VIEW HOA Quantity Description Date Amount 735 SW 158TH' AVENUE BEAVERTON, OR 97006 1 ea Reconnect,Only 07/07/2010 $67.84 PHONE: 503-726-7033 1 ea 12% Stat&Surcharge - 07/07/2010 $8.14 Electrical Contractor: PHONE: FAX: Type of Use: COM Class of Work: ALT Type of Const: Occupancy Grp: Total $75.98 • Required Items and Reports (Conditions) This permit = ssued ,su•iect-4o the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will • be do in accordance with app ved 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 re s you to follow the rules adopted by the Oregon tilit ntifi . •.. Center. Those rules are set forth in OAR 952 001- 0010'through OAR 952 -001 -0 0. You a obtain, a copy of the rules br direct question OUNC b •• • 1 .' 6.6699 or 1.800.332.2344 • Is ued By: Permittee Si 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: CONTRACT INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' / Date: LICENSE NO. Call 503:639.4175 by 7:00 a.m. for an inspection thatibusiness 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. • JUL -07 -2010 WED 10 :09 AM FAX NO. 5036417661 P. 02 - m rbh N,y,x,:,,fraWa l .1.. prat+ p u� Y '�'�Pri�!!�'ti, -Nt �� a n 1, � `� y , : �l 111 A I ir . )lid ,' S 'q ''1\ 70 i 1 ,• , ,I �, ,A1, Electrical Permit Application. ' EE� , IN „ l c)lt ul 11c ` I awl c>N1 um l �" i � r City of Ti Received ( 7 �0 nermii:rro � / � ?_ u , 4i ,ipt t J ,� 1 13125 SW Hall Blvd Tigard, OR 97223 ry r(�, r Plan Review '1 t ®l 't Phone: 503,639.4171 F4 x: 503,598,1960 JUL 0 7 C.0.1 V Date/By: Other Permit: • at, + "�' Inspection Line: 503,639 41 Date 1Zeatly/ / lurid; 0 Si t Page-2 for' mTIUAIZI}! Notttied /Mellfod /CC,- Supplemental .�+ /'�❑ T /� 7� lnformittitin 111wr,@f �ar1.,'x' iniCrileC:W14M'al.'Uri1- 0r,QOV -1_ OF 1IV t1� I' �I'U� Iui imllal , , 4i ' i •It.11 , lalllulll I�n•uu u udyuala; @Irl � q, l' ^aII, � ' 'I'�YII�fP ° I'.'II 19,��' l I' j �U i' I e��R.V�t ;�.�I I,�VI .�� ! y'1 l� I 1 it 1'. l I I i. i b u � iii i' 6iif ! � I: + ,:I iu �i li � I , .. 1 �ly�l�Itill II �I illi�iJ�11lI il:ll,��C��I�IIII�C, ,�I�.�II����li Its i���dllUp IJ�I ' �I�I.�J�� ' 1I111111�IIIt 111 �� Y ���� f �(f , I, II I �yy� f� r III' �1, I�VII, I> lldll ,l.6lia,tul�I��ltC��PIY�11f1 I "1 �j�,����1! 111{ IIIII��1i1I91��11�9��I�, �i�i�iIIIIJIR�I�JIV�J�I�NUIRiI��iilt�lilell��nll�jlSl�lllu @�JIII�IJ�4ula��ul _,.,�,161�.I��dlllrlla�lllulJpd Q New coilstnttitign ❑ Addil' 'ion /cllteration /replacement Please check all that apply (submit 2 sots of plans whloma checkctl'liclow): ❑ Service or nil Ii feeder 4t1(1 amps more ❑ Etllldi /I over three stories. ❑ ,Delnoliiion ® Other: reconnect. • • where the available fault current ❑ Manus and boatyards, • itII ��I III NI'�I'�I, IJIrIUil�; nvr dl` ��f �I ' � a'�� u�i'�!(fl���orn`Il�ip� iF IIJ��d {lylnl ,J��I�IIIdQp °. If�fJ�IfIIIJI IJ; III�.�ii'II,Ii' Is at ]80 volts or ❑ Floating buililings. IiIII �LVI:I ltl fIII�PdtII1�111�V1��JJllll�� ll�ll�lllll� 31�I�: Lealtw 17u1 ijltlWallUlt Dull! i7�luI :ul4�uatlall'I�VI��I�WNJiUI�GII I�IYUdNl,llillt� llllll�'I�V��IIIINII'll�����ll II excaeds1Q,000 to j mind, or exceeds 14, 000 0 Commercial-use ugricaltural ❑ 1- Itnti 2- family dwelling Q Commercial /Industrial ❑ Accessory building stops for all ocher installations, buildings, Master' builder_ Othe :•gate ❑ Fire puinp, Installation of 7 KVA Muhi- fitmily Q ❑ o s VA or : Al I di, l 1'I I' l ii ' �IlIr1 �� °? u�lllil�r�Ci ` �I �� a� � ��ili " a ��? �n � NJt,IIPlillllldlli �l N P �fi....1 ©A Via; of new mptor load of ❑ l .A " " 1 apart - "1-3", derived system, �dlJ>U occupancy, I OOIIP or more. P Y. Job no.; Job site address; Anima View - Tract D ❑ Six or more residnitt:iel units. 0 ' Rewpatlonttl vehicle parks. • ❑ Health -aura facilities. ❑ Supply vohago for more than City /Sfatc /ZI Tigard ❑ l iu�ardous locations. 600 volts nominal. — Suite /bldg. /apt.n0.: Project name' Alpine View ❑Servieeor feeder 600 amps or mora, — 0111: 2 11110.IG!III212,1111I llESILI pit RIN11 &JL1111.Ii111' If 1111l'1if13lfi!1 Cross street /directions to Job site; Bull Mt oeecri Qty. 'Geer Total • — — New. residential single- or multi - family dwelling unit. Includes: attached garage, Subdivision: Alpine View Lot no.: 1.000 sq, t. or less III 168 4 . Ea, add'1500 sq. ft, or portion 33,92 1 Tax mrlp /parcel no, :2519 AB 16900 , Luriitcd residcntitti h7,84 2 :I. Ii11 1 111 i '119111111n11PIIIjif1i J11l9b1111di ` n u �4a , a ° Jill) " '�r�� ° �� "'u a�9� - fl!l f ilfdi ilip4hlll i .1 a .i�li!Ill><I Limited onove • tl�• family 2 RECONNECT ONLY Driveway gate for PCiG residential ( with above s .,fl.) 67.84 Scrvlees, feeders {natitlhtiinn, alteration, and/or relocation • 2 00'amp e .or less 1 00,70 2 • li1lP ; E 11 61,,:,,7177,, I � idlRm � � iaPl(l lillll � !III�IV�JCIi!IIIr Ci��iF1f�>'Jt Ii�I�P II'dli!JD!161;11 �i �"1 � �t�alF " JiI�IIN�� 'J 401 nn9 n 6 d amps 133.5 . • Name, Alpine View 110 601 ctnips t 1,000 amps 301.04 2 Address: 735 SW 158 Avenue Over 1,000 amps or volts 552,26 2 Temporary services or feeders installation. alteration, and /or City /State /ZIP: Beaverton, OR relocation 200 amps or leas 59,36 l Phone: (503)726 -7033 Far.: (503)641 -7661 201 amps to 400 amps 11 125.08 2 Owner installation: This installation is tieing mud's on properly that I own which is not 401 amps to 594 ramps 168.54 2 intended for sttle,,lease, rent, or exchange, according to ORS 447, 449, 670, and 701, Branch circuits — new. alteration: or extension. per panel Owner signature:, . Date: A, Peer for branch circuits wish di I I 11, '' . llllfll!I1,�L� l� ATEMlui;; HIIIi� X11111 �C1111191illlilf !llllill81!���I�'dli!1C11� 11 I l '�1 �1' � �,°�I° ,I'W uJC!f�`�EllIlilllf�IN 0 ova service eioru Ceder fee, 7,42 2 lllfi Business name: West Hills Development 13 ,.Fee for branch circuits without — _ service or feeder fee, finit 56,'18 2 branch circuit Contact name: Miriam 'Wilson 2 Each,acld'l'brallch circuit 7.42 _ Address: 735 SW 158 Avenue Miscellaneous: service or feeder not included) Each nanufacturod or modular ■ 67.84 IN 2 City /S1:ate /ZIP .Beaverton, OR 97006 dwcllin , service and/or feeder - 50 Fax; ; (5031'641-7661 Reconnect only 67:84 , 7 g • 2 Phone; (503) 7. G =7033 ( Pump °orirrigat :on circle 67.84 2 E-mail: 11>wilson c@ I y es �1 ��i _ I II IIII� III -- f �p II �I gIPII II,I pII�II'I�I,p Sign'oroutline lighting 67.84 '- '2 11 1 1 i ' dICEI IIIIIIIIii�� tbin lVllll{ I�iIIIUGIIIu��IIIEnt „'1;V�„'��IlIdG1ILi>r to y A1631111IIII�I�I I ILIMIIIIIIIidllIWI�LWVIWj�1111 U1Illuf�l>�blW�ullt�lllllu� 11 Signal circuits) or limitedrenorl;y NI _ - _anal, alteration, or extension, Pa e2 2 Business name: NA Elieh•additional ins section over allowable in an of thc above - Address: p (1 hr min) 66:25/ hr Additional inspection Investigution (I hr min) 66.25/ Iv City /Sle.te /ZIP: Industrial plant (1 lir min) 78,18/ hr Phone: ( ) Fax: ( ) inspections for which no fee is 90.00/ hr s ocllically. listed A ',rival CCB Lie.: electrical Li Suprv, Lie,: N111111INIli!IiJBIIIIII'�� EIR tail .�y. �t!' d4��j�1���ILFAh`I'J�'! +�E Ili!IIIIrInIIi'�IBU1�Ii9II IP11';11 _„ _ -- Subtotal , 7. Suprv. Electrician signature, required: Plan review (2.S% of permit ice): -- 10 Print name; Date: Stale surcharge (12 %;ofpermit fee): g. 14 i •„{ TOTAL PERMIT FEE: -? . 9 J�tin Authorized signatur , „ j This permit upplicatien expires if ti permit is not obtained within 180 days nfiarlt has been atcopted 80 complete. Print name: Miriam Wilson Date: 7 - 7.10 t Numhor of inspections allowed per permit. I;\ agildinall 'ermitnlELC- 1'ermitApp,oc IUl0 /07 4411- 4615T(11 /0i /COM/WEI3