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Permit CITY OF TIGARD ELECTRICAL PERMIT I I 2 '- COMMUNITY DEVELOPMENT Permit #: ELC2011 -00149 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/23/2011 Parcel: 2S102BD00702 Jurisdiction: Tigard Site address: 9850 SW MCKENZIE ST 2 Project: McKenzie Street Townhomes Subdivision: Lot: 0 Project Description: Upgrade electrical panel. Contractor: D & L ELECTRIC INC Owner: MCKENZIE STREET TOWNHOMES LLC PO BOX 367 13325 SW CLEARVIEW WAY WEST LINN, OR 97068 TIGARD, OR 97223 PHONE: 503 - 656 -5623 PHONE: FAX: 503 - 650 -1918 FEES Quantity Description Date Amount 1 ea Services or Feeders - 200 03/23/2011 $100.70 Specifics: amps or less 1 ea 12% State Surcharge - 03/23/2011 $12.08 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $112.78 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 -0090. You may obtain a copy of th- - • •'rect questions to OUNC by calling 503.232.1987 or 1.800.332.2344. 4 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 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. MAR -23 -2011 03:07P FROM:D &L ELECTRIC INC 5036501918 TO:5035981960 P.1 03/22/2011 16:01 5035981950 CITY OF TIGARD PAGE 02/02 j. MAR -23- 2011 02:57P FRCM:DRL ELECTRIC II4 S036301918 TO:50359000O P.8 Electrical Pel A,RplLc�tion ' . 1 n ,t1, , t 1 i, 11. �, n III City of Tigard 1 >s • n. , r 13135 SW Wail Blvd„ Timm, OR 97223 f N . Phone: 5113.71E2439 Po: 503.1911960 I neodB ; tntettrw,y: Inspection Line: 501639.4175 Ikec its 18 internee www ileurd-0r,g0v ; ; NotaIoamenbed: �� TYPE OF WORK i PLAN REVIEW ❑ New construction ® Addition/nttarotion/rep , t em Nam Oleo, au eat ortr (0471 2, acre ofphnut w1r<ema checked Wow): ❑ Demolition ❑Other: I ❑ Soria arrexder400ett1peer 0 nod Ink &tot Ween :ea vilmte reo ava0ahlo Unworn orn p Mariam road batrada. CATEGORY OF CON'F RU names 10,000 mpg at ISO vein et 0 hooting bnildinp, ❑ 1- and 2- fbimlydwelimg ❑Commerciai/industrial 1 7 " B Accessory building lees a tpamo other m lkIcati, OW ild il g. a,eatatet"in9 $ stelpa ken ell Mar ittnpllnrigre, Wilding. 21 multi-Amoy ❑ Mater buOdor 1d Other a Pun pump, ❑ hakellaienof 73 KVAor JOB SITE INFORMATION AND ," i ,9 � 77ON © eteernaney wee., larger S' Kamm* derived,aalem 0Mdllion&forsnom land of CI "A ". 'Ir, "I-21- 2", °I - J", Jab no.: bb site add met: 985$ sSW M ,, s 100HP or moo. ampaeary, _ j . Q six Or more rwidemid met Reeru0enel vehicle paAy1, City,/State/ZIP; ri and Oregon 97223 '/85 0 t , t- f c kj EA1 X i C. © tloartrt�rc teclutier. D Soppy voting far retort tint 0 Flaxardcus lettations. CM Nabs nominal. no Suite/bldg./apt .: t N+ i A P name: .1 ' 0 %vim ar Roder 606 am ps or mom. �` me: d r X (�G �f�E>:T FEE SCHEDULE Cross aired/directions tojob site: p� J k-c, H E6 s eoqsim 1 co& I res. I new 1 • • New reddendel ado- or multi- rtemlly dwetllne aunt. %dudes etembed earner. Subdivision: Lot no,l 1,000 R glen 16154 4 Tax map/parcel no.: Bi add'! S00 skit or portion 33.92 1 Limited mere,niidsmie1 75.00 2 DESCRIrf70N OF WORK. • (with abovoaq. M up erode eleetlieai panel unit Limited coop. mutWhmily 95.00 2 immenwitb s hove L R, ) b 1unit ' Semites orftteder& to.+ ttltlattes ,.nd/arretnerttnn i 200 amps or Ian 1 10670 100.76 2 61 PROPERTY OWNER IIIIIIIIIH D TENANT 201 maps in 400 mpa 13316 3 (House P 601 amps to 1, 0 1,000 wipe 3011.0 2 Name: Eric Raboaky Town r+upertfie� I: ' ; 601 01000 to I ,000 nom 301.01 2 Addtess :13325 SW Clear View Way . ' Over 1,000 amps or vole 55:2.26 2 I - - -- Traepolety des hSey et Rotors ldrolleries, alteration, and/o City/State/ZIP: Tigard Oregon 97223 relocation r 1 ' 200 raps or lera 5936 _ t (►aerie: (503 )314 -3163 I Fax ( 1 z•t e,aP+t• one ,utq r l xs.aa 2 Owner loataftttion: This in.talbation is Wog made on pro • • j that t own which is not 401 amp, to S99 amps 16834 2 Intended for sate. lease, rent, co- exchange, according to OR',-; • 7, 449, 670, and 701. ' Brand ebonies- new, attendou ateatlott,teer panel Owner Pigmimm: @ate: " A. Fee err brnnoh circuits WO — ',:, above service or redder feu, 742 2 ❑ APPLICANT In r ACT PERSON esebbraeeh 1lusineas name A B. Fan ibr 8?Oe 1I einouita wf1t - - } ee avers sr feedrr 0:0, fi net Si 18 2 Contact mune: t !meebcltath F aeh edd'I txiaehs 742 2 Address: ; . - Mhreelht anus (unite or Redo r not is chided) - Bath comer !loured or moehoet City/State/ZIP: 4 a alas, service endlm fat* 67.14 2 Phone: ( ) Fax: ( 1'► Pacannlctonly 67.84 , 2 Pump nr chigadun civctc 6714 2 E-mail: lip or outline lighting 67.84 2 CONTRACTOR . MAO/ &c121t(a) ar Amite -eosi , Business name: DEG ELECTRIC INC. l-f eoai don or owteaeioe. New 2 2 Food iddlt10aal loepectlon over allowable in iv of the abort Additional inepeotiera(1 hr min) 66,25 /hr Addrtrva: p0 BOX 361 { 1� _ _ Invmltirtian(i fir min) 66.3511x City/State/ZIP: WEST LINN OREGON 97068 1 ,i Indusb'to1 plant (I hr mtn) 711.1a/ hr Po Phbnc (503) 5623 Fax (303) c i 1 Ingram* for which no f I 98.00/ hr -.�.�. spearieall_yl CG'B 1.3c.: SOe69 Btectiiad L ie.: 3 -161C I Suprv. tic,; 2662S ELECTRICAL PERMIT no Soon/. Eta driciatl sill tlamltT, required: r 1 , d I/ I Plan rnv SOMME 100.70 _ _ - _ ,ie, f kw (�5'1_ii of peertlit 4oe):_ �� ntb Print Panne: DONALD N LBTT'ENMAtBR tat n+�+l -�+i Stale ou arBo (tZ°K of penult ke), 12,02 1 TOTAL PERMTT RIM 112.711 AMilutired Si8naqute +', j am , i , v'►r '^ mint a TMs t app misee um ire eerier snot sown* vivo tee dale after k ben beer scoria i Is.rNata ?rim nlvrlo :. - Date. • Nemtxx or impaction' allowed per permit, 3 .1! i