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Permit CITY OF TIGARD ELECTRICAL PERMIT LC COMMUNITY DEVELOPMENT DATE ISSUED: PERMIT #: E 10/142/02008 08 -00583 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 109BA - 06200 SITE ADDRESS: 13804 SW ALPINE VIEW DR ZONING: R - SUBDIVISION: HILLSHIRE SUMMIT NO. 2 LOT : 048 JURISDICTION: TIG PROJECT: BARGER Project Description: (2) branch circuits for kitchen lights. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL: MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA /SPEC OCC: Owner: Contractor: GLENN & STACY BARGER WILLAMETTE ELECTRIC INC 13804 SW ALPINE VIEW PO BOX 230547 TIGARD, OR 97223 TIGARD, OR 97281 Phone: Contact #: PRI 503 - 624 -3631 FAX 503 - 624 -2938 FEES Description Date Amount Reg #: ELE 34 -283C [ELPRMT] ELC Permit 10/14/200! $53.50 LIC 75059 [TAX] 12% State Surchar 10/14/200! $6.42 SUP 4226S [ELPRMT] Investigation F 10/14/200! $53.50 (additional fees not listed here) REQUIRED ITEMS AND REPORTS Total $119.84 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow 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 copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. Issued By: Ad,: _ - Permittee Signature: _ .41,"? - 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'N: 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. 10/13/2008 MON 16:46 FAX 5036242938 Willamette Electric U 002/002 Electrical Permit Application ® FOR OFFICE USE ONLY - City of Tigard �� �r 'crIit y iih 13125 SW Hall Blvd., Tigard, OR '• 1 ' �)', j 'I �' —� i ' 3 Phone: 503,639.4171 Fax: 503.59:41960 w ff ` 1 s ' r ;� Other Permit: Inspection Line: 503.639.4175 r k;;1,R L) `,� ., 5 . � ly /By 0 See Page 2 for Internet: www.tigard -oegov ` `, �•', -' ied/Methed: 0 ' / Supplemental information 4 - i,:i'R ..T'A'PE O _WOli p � , LA0E'V ❑ New construction ID Addition /alteratio 4 . ; <,, — . nt Please check all that apply (submit 2 sets of plans w/itcms checked below): • se ©Service or feeder 400 amps or more ❑Budding over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. exceeds 10,000 amps at 150 volts or Floating buildings. I `: P ❑ G- 7`E � ONS - A G OIYY' ".OI�£ TXtU�'[`TO >'� g s - less to ground, or exceeds 14,000 ❑ Commercial -use agricultural l- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. 0 Multi - family ❑ Master builder ❑ Other: 0 Fire pump. 0 Installation of 75 KVA or - -•' rrcrs�Y> r,::'>':, w;%:: r_. r:.;. v> �c , ;.;:;:::<; , ..;�:;., , ;.;; � , e:. . , :.:,-;• .._,:u::,: , .:::,.,:, Emergency system. larger separately derived stem. JO$' L T . t' O "AN g Y Y g p Y Y �'. . tt d�A'I' N . _, ,..... , .,,.... ..... Addition or nco+ . , - - o motor Ina rsr._.. C � �' / fir :. .., or more. occupancy. Job no.: .33' Job site address: F 3 , ' ( -5 _:" -4- E ,, -1 e f,'' -, ' ❑ Set 10tHP or more residential units. ❑ Recreational vehicle parks. City /State /ZIP: ^ : z ,, „f („ /r" ❑ Heath -care facilities. ❑ Supply voltage for more than 0 Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: Project name: eg ❑ Service or feeder 600 amps or more. J J ' r -':FEE iSCHEDUEE?<'" Cross street/directions to job site: Descri D uan � . j .. Qty. I � Fee. �� 1 �� �� Total ,., New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. Tax loop /parcel no.: a. add 500 sq. ft. or portion 33.40 1 Limited energy, residential . A0SCRII0140A`I',OF WORK . -.- (with above sq. 0 00 2 / Limited energy, multi - family A: ' ' c h a, / : 9 (- r residential (with above sq. ft.) 75.00 2 Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 A . [ , J'ROPERTY OWNETi ; � fEN ANT:i 201 amps to 400 amps 106,85 2 i 1. Name: �41 Qt_L 1c J 401 amps to 600 amps 160.60 2 (/ y 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City/State /ZIP: Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 i Owner installation: This installation is being made on property that i own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Owner signature: Date: Branch circuits — new, alteration, or extension, Qe�anel A. Fee for branch circuits with APPLICANT .: ,c • •,.:;; ;: ti r CONTACT, `PEiR'SON; ":: above service or feeder fee, (t.65 2 j each branch c Business name; B. Fee for branch circuits wi t hout ser vice or feeder fee, Contact name: t � A 46.85 ;745 "- 2 I S 0 first branch circuit Address: 4 1 T J� , h/x t/t Each add'l branch circuit / 6.65 2 ' >(j� " Miscellaneous (service or feeder not included) City/State/ZIP: "C"" V" Each manufactured or modular �j dwelling, service and/or feeder 90.90 2 Phone: ( ) Fax: : ( ) rrp% / � E -mail: \V (� t mut ion t e ` hJ Reconnect only Pimp irriga{ c rcl 53.40 2 ,._, n+ CON' I 'RACTbk: : ; : ;.i: ::; °':: c ;: r +:i;::;':.:c;•..•i.:` :' Sin or outline li htin 53,40 2 Business name: Willamette Electric, Inc. Signal circuit(s) or limited - energy panel, alteration, or Address: PO Box 230547 extension. Describe: Page 2 2 City /State /ZIP: Tigard, Oregon 97281 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (503) 624 -3631 Fax: (503) 624 -2938 Investigation per hour (t hr min) 62.50 - CCB Lie.: 75059 Electrical Lie.: 34 -283C Suprv. Lie.: 4226 -S Industrial plant per hour 73.75 :;,.. r2 01.e, ETtZCAti_``PEIi?1IIT FS=: < :i is -°;: >.':: —7 Suprv. Electrician signature, required: e -- _ ,.�_.A,__ • Subtotal: 5 2 S, , q l t) /. v Plan review (25% of permit fee): Print name: David Fife Date: / -' r! / 7 11:8 State surcharge (12% of permit fee): , 2 Authorized signature: TOTAL PERMIT FEE: 5 ! 3. i ll if Print name: Dale: This per application expires if a permit is not obtained within 180 1 / it/ days after it has been accepted as complete. Number of inspections allowed per permit. I:' J3uilding 'Penuits'tt.C- PcnuitApp.doc 05/27/116 440- 46t5T(I IMS /COM /WEB CITY 4�����~N�������� ��nn m OF mm�m���m�� ^' BUILDING DIVISION PERMIT ~~~°"=~~~^^~~� =~^'^~°^~~^~ #: ELC2008'0O583 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10V14/2088 Phone: (5U3)63S-4171 Inspection Requests (24Hool:(G03)G3Q'4175 .�0A INSPECTION WORKSHEET FOR DATE: TIME: PAGE: � 10/160008 � ��O1�k4 � 16 SITE ADDRESS: CLASSOFVV{}RK� � 13801 SW ALPINE VIEW DR � SUBDIVISION: LOT #: TYPEOFUGE� � M|LL3H|RE SUMMIT W0. 2 � 048 � PROJECT NAME: � BARGER DESCRIPTION: � (2) branch circuits for kitchen lights. OWNER: PHONE #: CDNTRACTOR � BARGER. GLENN &DTACY � � PHONE #: � ��|-L&KAE]llE[�LE{T � 50.10243631 Inspection Request Scheduled For: Date Pour Ti � ' 10/16/3008 � Code # ' Inspection Description Confirm # Contact # /Message 199 Electrical final 076805^02 503'718-24 '' Y Corrections/Comments/Instructions: 7 RA~/ALAP ~ ri CANCEL I I NO ACCESS ` � � -- '� ^^ FOR . . � 'ION ��AOO|Tl[)NALFEES ASSESSED / / / . ' � �� ' - °^-� Inspector: � ! ���p- ' Date: « �~ Phone #: (503) 71