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Permit • CITY OF TIGARD ELECTRICAL PERMIT :' = COMMUNITY DEVELOPMENT Permit #: ELC2011 -00264 Date Issued: 05/20/2011 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Parcel: 1S135DCO3001 Jurisdiction: Tigard Site address: 11553 SW GREENBURG RD Project: Huang Subdivision: FIRDALE- UNRECORDED Lot: 3 & PT 2 Project Description: Contractor: SQUIRES ELECTRIC Owner: HUANG, JIA -HWAY PO BOX 16851 1910 SE TALTON AVE PORTLAND, OR 97292 VANCOUVER, WA 98683 PHONE: PHONE: 503 - 252 -1609 FAX: 503 - 253 -5831 FEES Quantity Description Date Amount 4 crt Branch Circuits wo /Purchase 05/20/2011 $78.44 Specifics: Service or Feeder 1 ea 12% State Surcharge - 05/20/2011 $9.41 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $87.85 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 ' . +0 -00.0. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. Issued By: If / it Permittee Signature: Af J97 G./eV 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. 05/19/2011 16'04 5032535831 SQUIRES ELECTRIC #7523 P.002/002 Electrical Permit Application FOR OFFICE mar. ONLY City of Tigard �� v ed q // 19 PermitNO /1 ^ 6 4 Bard OR 97223. 13125 SW Hall Blvd'., Tr . Review Phone; 303,718.2439 Fax: 503.598. 4e• e: ' l��� cB Oder Permit- TIGARD Inspection Linc: 503.639.4175 . , , Ready/By: Juris: 12i See Page 2 for Internet: www.tigard- or.gov py \ IVQ' i t,. :fled/Method: ' `� S pplemcntal Information 737'c , -� .rrU l.. ll, 12, i "'71' x, " q l "�77i7 ",'^'� ,7„7 h. r .�-- Tt x 1r .. tl-c ar "Az ` + t ?',i'r �t . '''.0.''''0.4i,"-,:',. 'iK ,,- ' .; ¢ roe . osZ t'L W I'�.Y niTlrl1 l�V" i L o' wlaJ 5 . 4 5 „ x , ,t i ` , . ..a .:�r 4 �a� ".. •a +. n rn...,u .,,a'n.ei .. .P"' � �' ' R ^? I � r �:r, '' I r, ,, -,; Gyll S I,,c� wuA �.,.i� � ..�� �` � � 4 w I w th -1 ,. . ,�tri ._e. 11^Llhi�.. ..Ci..:�.;hfl.,;.d. , . sum - ❑ New construction V Addition/alteration /r . : L, Please check all that apply (submit 7 sets of pleas w /items checked below): � ❑ Demolition ❑ Other; V70 or fonder 400 amps or more stories. [] Building over three �� Oth Q� where the available fault current El Marinas and boatyards. • 14 ' ; uu L Sl k � .. ° rl +ail °. •t w ' ? t�`k "' r 02,:, s mP " 7 lip ` , m`;r` i4 It ".'' ,q °4 141 exceeds 10,000 amps as 150 volts or J Floating buildings. r prig +n II 9�r Ve . k L .'i co . ,• h ^ I + ,e_l l�`.,: �. _.., G &. ro less to gro»md, or exceeds 14,000 ❑ Commercial -use ag ❑ 1 and 2- family dwelling 0 Commercial/industrial ❑ Accessory buil amps for all other installations. buildings. P( Mulla farnlly ❑ Master builder ❑ Other: ❑pore pump. In instillation of 75 KVA or � t xn T , p ; -1 F 1 w7 y� y� ^ `�.� 7 : 77 w ' 1 i; fj,'T.ry�rv10.1r(4 W, v a . �. Y:.i.1: i"�.� yi II 0 „F;mCr larger 1 t+a t 1t F , aa '✓ 1 t 7v Jl r� Q fd+,,yIA $Yid 'Xtt ! r n 7 J i I .I-: g e.- ,"1 - 3 ", d system ..y;9,«i., - .[.x. ar,- ,.,.a. ^. wG::ll7ul� /.u�,.^;�4�1 �F[.,�MiLN:u�9W... P e� sir ,� I�, �a . ,u:lw� » �" �. +�l:� ❑ Add i t i n 5 em on of new motor load of 2 4N . I 0011P or mote. occupancy. Job no.: Job site address: ! i ,H 5 v6 r �� r ,,,,,,.4.50 ' ' ❑ Six or more residential writs. ❑ Rcavational vehicle park¢. City /SIR1C/Z J a / r d 0 cam. ❑ Hcahhca c f a c i li t i e s . E l voltage for more tlua / ❑ Hazardous locations 600 volts nominal Suite /bldg. /apt. no.: 1 Project name; k� C O Service or feede 600 amps t � or morn r / 'r ° 57 A .Ili, t al e°n11 :,0 55lm . f .:',4. ? , � + t` _1P l r 7 ■'" r Cross street/directions to �i j job site ,"�``'° J Description Qtv. Fats Total New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot n0 -: 1,000 sq. ft. or less 168.54 w 4 Tax map /parcel no Ea. add'l 500 sq. ft. or portion 33.92 1 q �- +x r , Limited energy, residential 11 t"r �^ R R FR :. 'I' "i . 'f" p . ; ,, 1 I � O7 7 w r ` . r^ - 7: • t o 7 75.00 2 lh. X � J : 5.. _", . „v - , u, 111 i Irma, 5 ;55 i + l ii, , k , ,'- a; -^ h ” , 4ih1; ' ll14i. d h flu LIg.,Y al c ^ -, ' ,4 (with above m ti 1 -�,, � �'' Limited enery, m ulti - family P. f 75.00 2 Y E r v i r' a m _ r 1 O} r r e_ -+ residential (with above sq. ft.) _ Services or feeders installation, alteration, and/or relocation N s ' P.(7 ((,f2-d , 200 amps or less 100.70 2 6 E a 7x+ 5 "- 5 � 1 X9771 r S R ",41, { :- �J ' , r r I - ,4 201 amps to 400 amps 133.56 Name: 401 amps to 600 amps 200.34 601 amps to 1,000 amps 301.04 Address: Over 1,000 amps or volts 552.26 2 Temporary services or feeders installation, alteration, and/or City /State/ZIP: relocation T. Phone: ( ) t Fax: ( ) 200 amps or less 59.36 i 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own wit' h is not 401 amps to 599 amps 168.54 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, an. 701. Branch circuits - new, alteration, or extension, per panel Owner signature: Date ; A. Fee for branch circuits with fmf. '� N ri " 1,1" r Fice !dlShl : Wii i 7 t, se. iIurF¢ EV l . r : ` ,ale above service ar feeder fee, „,,_'o t m l: v >r flc'`CP tis r. .1 i' 1 �v;m "� .W Eli i . `, i ti t v... �. ' . ti,a; I �, fi � :n! v , I "s.L��'�" ` i��� h� r+ad . �a,y, „ � � r .F l i P � ` el gLY�'u'�:? i � � ` �Ik«u C l l ib c "y " ��� each branch circuit 7 42 2 Business name: B, Fee for branch circuits without service or feeder fcc, first I 56.18 ig 2 Contact name: branch circuit * �sF f Address: Each add'1 branch circuit I-5 7,42 2 Miscellaneous (service or feeder not included) City /State/ZIP: Each manufactured or modular 67.84 2 dwelling, service and/or feeder Phone; ( ) Fax: : ( ) MN Reconnect only 67,84 2 E- mail: Pump or irrigation circle 67.84 2 e a� " q r r' 1 T P R r , fl, •rR ' ” r r�t i dCrx t - Sign or outline lighting 67.84 2 ) ,: W�_r ., a..ai °v fi �i �141G - , txMR © ti v ill l E s " f : :1 , .. - ! 4. ,P.'" s l e t; S i gnal c i rc u it ( s ) or lu r n - energy Business na ne n r � 9 ` , r r —_ - y am panel, alteration, or extension. Page 2 2 7 Each additional ins • din over allowable in an of the above Address: j ? D Q,6K r l: c i 0_ti. / Additional inspection (1 hr min) 66.25/ hr City /State/ZIP: >. Y , 4t. t 9 7 Investigation (I hr Hein) 78. 9 Industrial plant (1 hr min) 78.118/ hr 8 / hr Phone: �.00r1 . /60 & Fax; (E51) Z .- . g, - Inspections for which no fee is 90.00/ hr I y� e� ficall listed (Y2 hr min) %'r r 5r i CB Lie.: 1 V ~� Electrical Lic "fib p • �+� P' I's" �'" �a „�r rcn �: tl y71r f' ( E Su rv. Lie.: e.5 e a nf'_ M 3-e*,, t ix s Suprv. Elet tn a _. : tire, rcyuir�.: Subtotal: A' " - Plan review (25% of permit fcc); Prim name: ;e G} ti : Y S I Date: /9 Suite surcharge (12% of permit fee): R .4-I Authorized signature: / TOTAL PERMIT FEE: , s'. This permit application expires if a permit is not obtained within 180 Print name: days after it has been accepted as complete. DaZO: • Number of inspections allowed per permit. r;lEuihinskPenait\II,C -Pe rnitr\pp,doc 07/01/10 ns0.46r37a /05 /COM/WEB