Permit CITY OF TIGARD ELECTRICAL PERMIT
2 COMMUNITY DEVELOPMENT Permit #: ELC2010 -00382
Date Issued: 07/23/2010
T E GARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171
Parcel: 2S 113 B000500
Jurisdiction: Tigard
Site address: 8198 SW DURHAM RD A
Subdivision: Lot: 0
Project: Bernard's Catering
Project Description: (3) branch circuits to reconnect swamp coller, roof fan, roof top GFCI outlet
Owner: FEES
DURHAM II LLC Quantity Description Date Amount
8100 SW DURHAM RD
TIGARD, OR 97244 3 crt Branch Circuits 07/23/2010 $71.02
wo /Purchase Service or
PHONE: Feeder
1 ea 12% State Surcharge - 07/23/2010 $8.52
Electrical
Contractor:
GENIE ELECTRIC CONSTRUCTION INC
8701 SE 156TH AVE
HAPPY VALLEY, OR 97086
PHONE: 503 - 762 -9296
FAX: 503 - 762 -9188
Type of Use: COM
Class of Work: ALT Type of Const:
Occupancy Grp:
Total $79.54
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, 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- 001 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. /
Issued By: /0- PermitteeSignature: QA/ 9 /loci Cr}% /OOV
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.
•
Electrical Permit Aup licatRE CEIVED „ > ,oR OFFICE t SE owl V ;
C ity of Tigard Received aj 1 A o., B /a --B03,02, 2 3 0110 .�r�® KA Permit l:
3 31 25 SW Hall Blvd., Tigard, OR 4 7 31 Platt Revi
� ' ` ` Phone: 503.639.4171 Fax: 503.595.1 60 Date. 'Hy: Other Permit:
7 I GA J inspection Line: 503.639.4175 Date Ready /By: WEI RI See Page 2 for
Internet: www.tigard or.gov CITY OF TIGARD Notified /Method: Supplemental Information
E 'BP'G DIVISION
PLAN REVIEW
❑ New construction Addition/alteration/replacement Please check all that apply (submit 2 sets of plans %vinous checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGO X OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
L/ � Q / less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ I- and 2- family dwelling Commercial /industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
❑ Emergency system. larger separately derived system.
JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A "E , "I -2 ","I -3 ",
5 Job s ite address: Q ,, , + tool - P or more. occupancy.
Job no.:
✓ 3 35 1 U i q g S� D l `C - ❑ Six er more residential units. ❑ Recreational vehicle parks.
City/State/ZIP: — 1 — / v !`1 A� 7-2.4f ❑ Health -care facilities. ❑ Supply voltage for more than
1 1 ❑Hazardous locations. 600 volts nominal.
Suitc/bidgiapt. no.: /9 Project name: ,667e/fe2A :s- c `T �" Aire— ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: Description i Ow- 1 Fee. 1 Total 1
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less I 168.54 ! 4
Fa. add'I 500 sq. ft. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with above sq. ft) 75.00 2
� Limited energy, tnulti- family 75.00 2
FR C f - S IA) a~-6, -d' _ f, A, 1126-i Fa--v--- residential (with above sq. ft.) 1
Services or feeders installation, alteration, and/or relocation
(''I)-tj F Gr r f L Lf 9 200 amps or less 100.70 2
OP Y OWNER I ❑ TENANT 201 amps to 400 amps 1 33.56 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
City/State/ZIP: lState/ZiP: Temporary services or feeders installation, alteration, and/o
tY relocation
( )
Phone: ( ) Fax: 200 amps or less 59.36 1
201 amps to 400 amps 125.08 2
Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168s4 2
intended for sale, least, rent, or exchange, according to ORS 447, 449, 670, and 701.
Branch circuits - new. alteration, or extension, rer panel
Owner signature: Date: A. Fee for branch circuits with
❑ APPLICANT 1 ❑ CONTACT PERSON above service or feeder fee,
l each branch circuit 7'42 I C- rf 2
B. Fee for hranch circuits n irlronr
Business name: �� a � S l . R TES l 1�1( fee C� 2
service or feeder f firs l 56.18 56' l D
Contact name: branch circuit
' Each add'I branch circuit 7.42 2
Address: Miscellaneous (service or feeder not included)
City/State/ZIP: i S[ate/�IP: Each manufactured or modular 67.84 2
ty dwelling, service and/or feeder
Phone: ( )
Fax: : ( ) Reconnect only 67.84 2
Pump or irrigation circle I. 67.84 2
E -mail: 2
Sign or outline lighting 67.84
CONTRACTOR Signal circuits) or limited-energy
Be,,,,,, ` panel. alteration. or extension. Page 2 2
Business name:
C7 t e _ (" , l eG r (C_ /.ohs ►�� . l ' J Each additional inspection over allowable in any of the above
Address: "7 0 , S 6 15 G A- Additional inspection (1 hr min) 66.251 hr
City; State/21P: p n (�, p- investigation (1 hr min) 66.25/ hr
U U e (` ) t2. "f O Industrial plant (1 he min) 78.18/ hr
. P "he: (j O3) 17 (02, .. el 2J9 Fax: (S'(3) 6 Z :! Inspections for which no Fee is 90.0p/ hr 0 7 specifically listed (%r hr min) CCB Lic.: i/fle ctr ical Lic.: Su rv. Lic.: ELECTRICAL PERMIT FEES
Subtotal: 56ra 3� 3v YSgr- p 3 ,S
Suprv. Electrician signature, required: / - (25% '--7/ ,
�` -�� rjr Plan review (25 /o of permit fee):
Print name: � fl (/! h 1 � 6 Date: 7/� �// ) State surcharge (12% of permit fee): - g. C2- - [ TOTAL PERMIT FEE: 'j • e t/
Authorized signature: `� / C,L this permit application expires if a permit is cot obtained within 180
l l� o !'` t) . , . I - `/t 7//4)
days after it has
llowe d p accepter/ as complete.
Print name: t (,4l. T Date: / Number of inspections ad per permit.
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