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Permit 919 41.ms's CITY O TIGARD ELECTRICAL PERMIT . 0 COMMUNITY DEVELOPMENT Permit #: ELC201000442 T 1 GA R D 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/26/2010 Parcel: 1S135CA90127 Jurisdiction: Tigard Site address: 11046 SW GREENBURG RD 127 Subdivision: ASH CREEK CONDOMINIUMS Lot: 0 Project: Ash Creek Condominiums Project Description: 9/9/10, per PGE correct address and unit #'s for this permit are 11046 SW Greenburg Units #127 & #335. Replace (2) services and (2) branch circuits due to fire damage in Units #242 & #244. Owner: FEES HUSTON, SANDRA L Quantity Description Date Amount 11046 SW GREENBURG RD #127 TIGARD, OR 97223 2 ea Services or Feeders - 200 08/26/2010 $201.40 amps or less PHONE: 2 at Branch Circuits w /Purchase 08/26/2010 $14.84 Service or Feeder 1 ea 12% State Surcharge - 08/26/2010 $25.95 Contractor: Electrical SQUIRES ELECTRIC PO BOX 16851 PORTLAND, OR 97292 PHONE: 503 - 252 -1609 FAX: 503 - 253 -5831 Type of Use: MF Class of Work: ALT Type of Const: Occupancy Grp: Total $242.19 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 952 - 001 - Z;e4 100. You may obtain a copy of the rules or direct questions to OUNC by calling 50 -.6699 or 1.800.332.2 Issued L 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. CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2010 00442 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/26/2010 Parcel: 1S 135CA90242 • Jurisdiction: Tigard Site address: 11048 SW GREENBURG RD 242 Subdivision: ASH CREEK CONDOMINIUMS Lot: 0 Project: Ash Creek Condominiums Project Description: Replace (2) services cand (2) branch circuits due to fire damage in Units #242 & #244. Owner: FEES ALLEN, LYNETTE S Quantity Description Date Amount 11048 SW GREENBURG RD #242 TIGARD, OR 97223 2 ea Services or Feeders - 200 08/26/2010 $201.40 amps or less PHONE: 2 crt Branch Circuits w /Purchase 08/26/2010 $14.84 Service or Feeder 1 ea 12% State Surcharge - 08/26/2010 $25.95 Contractor: Electrical SQUIRES ELECTRIC PO BOX 16851 PORTLAND, OR 97292 PHONE: 503 - 252 -1609 FAX: 503 - 253 -5831 Type of Use: MF Class of Work: ALT Type of Const: Occupancy Grp: Total $242.19 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. NI work will be done in a ith 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: Oregon .w r- • uires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001- 010 through OAR 952 -010' • • may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issu d By: L / , ._/L —ALA Permittee Signature: C /fJQ , < 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: i % 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. 08/25/2010 16:16 5032535831 SQUIRES ELECTRIC #6155 P. 002/002 Electrical Permit Application \vV:C) FOR OFIACE usE O\l.v City of Tigard • ��� Received • � /o i Permi N°.: eleae /D .06 t! II 13125 SW Hall Blvd.. Tigard, OR 9 : . r <\\`� _ t�anitu view Phone: 503.639.4171 lax; 503.598.1960 Date/13 . Other Permit: inspection : 503. � 3 • .... l u;, T i c n R U Internet Line: 639.4175 www 503. or. P GlA SS See Page 2 for 8o' - ∎ V �\ �S Supplemental Information ? a . , i i� � � .., 7� v -.�, y -. l- :. L :� .7 n 1 = : T' i ^^ . L�: : � '. ._c:,^��. N-xwn- V� . ❑ New construction )d Addition/alteratio ace cmcnt Please cheat all E tiwi apply (submit g sets of plans w/ terns checked below): ❑ Service or feeder 400 amps or more 0 Building ova three storm. ❑ Demolition ■pa where the available fault current ❑ Marinas and boatyards, ---------,-- 31 r; .. F . m ope d s 10 at 150 volts or 0 F1 gs- ' - • � � 1.. .: f -. ) 1;, r � ? C :... (v n �Y a . �� 02tIIi�bUlAie � � Tess to ground, or exceeds 14,000. 0 Commercial -use agricultural ❑ 1 and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all otherinstsuations. buildings, /11 Multi- family 0 Master builder 0 Other: ❑ Fire pump. ❑ Installation of 75 KVA sir i ` ' tJ �> t , A L'.-- Q FtnaBea�ey system, larger separately derived system. . .. _ .. ,‘ . _ -- , I D Addition ofnew motor load of ❑ "A ", "1-2". "I -3 � r /�� I OOHP or more. occupancy. Job no.: Job site address: �' +( d Six or more residential units. ❑ Recreational vehicle parks. City /State/21 m Qn „ j►► ©Health care facilities 0 Supply voltage for more than ��� t� ' - ❑ Fl ucadous locations. 600 volts nominal Suite/bldgJapt 110. � ) Project name: 'l�'b(J�' I �,� CI Service or feeder 600 amps a more Cross street/directions to job site: Descriprion _... ' :,..._ - Qh• _ Fee Totat • New residential single- or multi - family dwelling unit. includes attached garage. Subdivision: Lot no.: 1,000 sq. ft or less 16854 4 Tax map/parcel no: Ea. add' 1 500 sq. R or portion 3392 1 ' Limited energy, residential 75.00 2 r - C� . <�� r i' E , (with above sq. R) : . _. . . . . . _�._.- _:._.._ _ ; -. -' ._. - -- .. -----, -- Limited energy, multifamily � ,I_ _ � ►O i 1-e._. residential (with above sq. R) 75.00 2 Services or feeders installation. alteration, and/or reloca D 200 amps or less ,� 100.70 .,nil.t)) , t 2 ':' a g a 201 amps t0 400 amps 13336 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/7.IP Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) Fax: ( ) 200 amps or less 59.36 1 Owner installation: This installation is being made on property that I 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_ 441 amps to 599 amps 168.54 2 Branch circuits - new, alteration, or extension, r panel Owner signature Date: k Fee for branch circuits with above service or s ^a 3j ?!Yti ::: °,era s4 each branch circuit feeder e� 7.42 1 4, g 2 Business Dame' B. Fee for branch circuits without service or feeder fee, first 56.18 2 Contact name: branch circuit . Each add'I branch circuit 7.42 2 Address: Miscellaneous (service or feeder not included) - City/State/ZIP: Each u servtce and/or feeder . 67.84 2 r� . Phone: ( ) Fax: : ( ) Recormect only 67.84 2 Pump or irrigation circle 67.84 2 E - mail. __._.._.- - - - -- _ -. -- _ Signoroutline 67.84 2 -- _ - - _ ._: 5 x --,-,,-,-.:7 : ** -.:.� - • a 1 _ - t S c ireutt(s) or limited -energy _ 7 : ' a L' r I Z' i e panel, alteration, or extension_ Page 2 2 Each additional inspection over allowable in any of the above Address: ' b � _ 1 Additional inspection (1 hr min) j 6625/ hr City /Statc/ZIP: dX ► i. , / b 1 9 7..)-9.,1. I ndu st ri a l p (t hr min) - 66.25 / hr Industrial plant (I hr min) 78.18/ hr Phorx: ( f '` v .1 J5 .)- -609 Fax: C610 .).5.3 .3 '6%3 1 motions for which no fee is call listed 14 hr min 90.00/ der CCB LIc__) 51,5 g1.6' Electrical Lic,. ''i 0 1e.„. �4 ,., 3s i ' :Ga 'f _ . r .. r. ,..,,,_:-L,,,. - _t: `�; (25% Subtotal: , , Supply. Electrician signature, requ" Plan review (25 /o of permit fee): Print name u.:4 a U. re t Date fg e' State surcharge (12% of permit fee): a: 5,95 + TOTAL PERMIT FEE: 4 .. Alltlt i lZ5d signature: This permit application expires if a permit l5 not obtained withi Print name: Date: days after it bas berm accepted as complete • Number of inspections allowed per permit. TT �• t: .doe 07.01/10 4.0 615T(n /OS/WWM/WEB