Permit y 41 CITY OF TIGARD ELECTRICAL PERMIT
�` 2 COMMUNITY DEVELOPMENT Permit #: ELC201000645
T IGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 11/16/2010
Parcel: 2S104CA00700
Jurisdiction: Tigard
Site address: 13339 SW ESSEX DR
Project: WEGENER Subdivision: HILLSHIRE Lot: 7
Project Description: (8) branch circuits for kitchen remodel.
Contractor: RED'S ELECTRIC CO INC Owner: WEGENER, MICHAEL W &
6336 SE 107TH AVE FARRAR- WEGENER, LOUISE
PORTLAND, OR 97266 13339 SW ESSEX DR
TIGARD, OR 97223
PHONE: 503 - 233 -6467 PHONE.
FAX: 503 - 233 -1281
FEES
Quantity Description Date Amount
8 crt Branch Circuits wo /Purchase 11/16/2010 $108.12
Specifics: Service or Feeder
1 ea 12% State Surcharge - 11/16/2010 $12.97
Type of Use: SF Electrical
Class of Work: ALT
Type of Const:
Occupancy Grp:
Total $121.09
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 52- 001 -0090. You may obtain a copy • • -s or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By. ... - ._....!--,— . �'' Permittee Signature: _t2- 7 Q��� es., /' /
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 the next available inspection date.
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.
Nov, 12. 2010 9:40AM Red ,t 6, 3077 P• 2
Electrical Permit Auulic� F' �� 1. .oi: nl -r1(l (s •.
City of Tigard NOV 1 2 2010 mate/B / l to el/ PennitNc,_:
71 • 13125 SW Hall Blvd., Tigard, OR 97223 plan peview
Phone: 503.639.4171 Fax: 503.596. Dale/bv: OtherPermu.
I It t 1 n Inspection Line: 503.639A175 OF TIGr Date Ready/By: El See Page 2 for
Internet www.tigard•or.gov BUILDING DIVISIO Notified/Method: IIM Supplemental Information
.�1N� e ' a i c w . °r tAa ti t rte ' g' '' 1 4 . N : .; 'fa.7' l N1�r+ , . ';I r �� d r' .,. ;!: ; ;; -: r�}a7!�?-3` try . l '�l1't' ' l -�r" - ° +. l° , �S�': '''
�v ,��. �: , o f .I„ ,'., ' a • r�•..�.z �f ri l:•:.2: C, ,u`�,IF ti::` •.x. ` f ; :5 •� �ao ?r x, � �- ,:�. :x •
❑ New construction ddition/alteration/replacenlent Flame ��k �t that apply (Submit $ s of plans w /hams checked below):
in Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault mount ❑ Marinas and boatyards.
r' °, � � i i� �' . ; rk , f. e o 1 . O 'i i a i�pp l 'E�'. � "4 ' s i .'4 ' ' , exceeds 10,000 amps 5t 150 volts or El Floating buildings.
� kkr`... !l ,,.,(4. . tn:,.a . �..'• : n mu.. «. • . - ,t7.- t'1. ''''.r, T, 'k _ a. k {.
less to ground, or exceeds 14,000 ❑ Commercial-use agricultural
- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi-family ❑ Master builder ❑ Othcr: ❑ Firc pump - I:1 laslauation of 75 KVA or
x .Cr� rm i , rr p , , Y , , ,q i ri ' njk > 1:1,_, EmorgancY sysl" . large separately derived system,
m .., ti ' ; � ^.t !.i :1 .v1S : t +t ki_ :.,.„ „ , `f �1•, �� x r` , Y t a a ;114.'0 ' lh i xx ..ex ; Addition o f new motor l o f ❑ "A" 'E , 1.2 , "].3
10014P or more. occupancy.
Job nlj,,3 9 7 Job site address: 3 33 t 43/.x.-) e S ❑Six or more residential units. El Recreational rehiolo parks.
City/State/ZIP: tt /ZIP: G �j ❑ Fealthwnro facilities. ❑ Supply voltage for more than
) _ _ ❑ Haurdous locations. 600 voila nominal
Suite /bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or mono
.. .i- • • a
. a i ji., � i;Kc§, J. tilWS lLiRWrITd Y r 4a
New residential single- or multi- family x we rag uo L
Includes attached garage, _
Subdivision: Lot no_: _ 1,000 sq. ft. or less 168.54 4
Ea. add 500 sq. EL or portion 33.92 1
Tax map/parcel no.: - Limited energy, residential
-r: i 5 f ac x. 2 n a Yf r k p . 2 67.84 2
aria d, • 4 ° +li u� ,
, ; ; giiiidl iii ii*? i''gi�' g " ` ;.f (with above sq. RI _
Limited energy, multi fatniiy 67.84 2
: t r J . -' , di • i C f_.. �r i a_ restdcnl ith above soft.)
Services or feeders installation, alteration, and/or relocation
_ 200 am or less 100.70 2
f M «'- � - . V i! u .1 �rtia wtA 133.56 2 ..
Sb ! e �� ry L prier, � ea r ,, - f ,z ■ - . r: � t ' i a ,^ , 201 am to 4t70 erttps
f '''�1 �� "-' � `f �T Y i+,�7,Sr"r'_, rs N y � '. � x (J „� . , � T�- F ' � n., , � •• n � .• ax.,i'�x �* •i.
401 amps [0 600 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 59.36 i
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 168.54 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Stench circuits new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
- +.- v 1 i �5t + sN , ° t1 p above service or feeder fcc, 7.42 2
5: , 4,,n, a; '-f �.v ,9 ,r, �,'- .i ,tlIA ,,,,h. 1n .xr a� ,
r . r 4 :e-17 , :. L, each branch circu
Business name: A,' 5 ( \ .e(, -1-r- 1 L CO , B. Fee for branch circuits without
service or feeder fee, first
Contact names branch circuit / 56.18 5G r /'. 2
(- C - - Each add! branch ci rcu 2
Address: , 3 1 1 ' 1 , Miscellaneous (service or feeder not ioelu
t C_!t, 9 rl / N wellin manufactured or
and/ r modular 67 2
City /State /ZIP:
` `{ ,� � L rJt v 1 _ dwelling service and/or feeder ■
Phone: 5(j 33) 3 3 - 4 14 4, (SU3) "7„.3 3 - `' I Reconnect only 67.84 2
Fax; P Pump or irrigation circle 67.84 2
E - mail: ' - V • c • . - le -+ C C. •i Sign or outline lighting 67.84
ti 2
�,, i e a nv tars. u
��t!1 ,. .,4 e- FX 3•)L •i k �.l.a l s� . .,' ,. � �1r. :x -:.. i }f , f p,, ,, . : l ° -r a, `1;"' S igna l c or li energy
Business name: Qp ` " e alteration, or F _e n 2
G C Each additional inspection over allowable In an y of the above
Address: (P ' \ 1 y Additional inspection (1 hr min) 66.25/ hr
_ � Inves (1 hr min) 66,251 hr
City /Stale/ZlP: f ' �� �1 R. industria plant (1 hr m 78,1 S/ hr
Phone: ( ,) n.-. C 1 G 1 Fax: (*)3 ) �3 -` l 1 - Inspections for which no fce is 90.00 / hr
s. ificoll listed r 'A � � h , r min
CCB Lic.: qt-IL4 3 Electrical Lic. I Suprv. L OS °�= -- a iw� ,;: > ;>
.
Subtotal: ;'.^�/ /' IC -: �, {� rr�5t�r;'- ?;,.p1:�ia'.r L : a` b =r1� •` 1:r'S..r'> ?his•_.
Gy l(�, 1... - - - - - -- 7 Srf ,
Suprv_ Electrician signature, required: - V � .fd'� _ Plan r eview ( 25% o permit fee):
State surcharge (12% of permit fix): .1.0 ',kg 7
Print name: �� f ` St
I Date: TOTAL PERMIT FEE: Wit' )).1 act
Authorized signature: ' This permit eppb'catlon expires VII permit 13 no obluined within 180
-- - dais after it has been accepted es complete.
Print name: Date: • Nnmbcr of inspections allowed per permit.
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1:113uddinalPermitslELC-renniLApp .90e 10/01/09 440•i615'r(11ro5/COMRVpB