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Permit „ CITY OF TIGARD ELECTRICAL PERMIT • COMMUNITY DEVELOPMENT Permit #: ELC2009 -00384 1 3125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/29/2009 TICrAR1D Parcel: 1 S134CA02500 Jurisdiction: Tigard Site address: 11940 SW BURLCREST DR Subdivision: BURLWOOD Lot: 3 Project: Castro Project Description: Service Change. 8/7/09 - ADDED 1 service Owner: FEES CASTRO, EDUARDO E KAREN A Quantity Description Date Amount 11940 SW BURLCREST DR TIGARD, OR 97223 1 ea Services or Feeders - 200 07/29/2009 $80.30 amps or less PHONE: 1 crt Branch Circuits w /Purchase 07/29/2009 $6.65 Service or Feeder 1 ea 12% State Surcharge - 07/29/2009 $10.43 Contractor: Electrical WILLAMETTE ELECTRIC INC 1 ea Services or Feeders - 200 08/07/2009 $80.30 PO BOX 230547 amps or less TIGARD, OR 97281 0 ea 12% State Surcharge - 08/07/2009 $9.64 Electrical PHONE: 503 - 624 -3631 FAX: 503 - 624 -2938 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Total $187.32 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 -000 - . You may obtain a copy of the rules or direct questions to OUNC by calling 503.246 6699 or 1.800.332.2344. 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 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. , \ , , .0.8,45/2009 WED 14:28 FAX 5036242938 Willamette Electric Ca 002 /002 t_ r' 4 '; ,1 ENE - Electrical Permit Application _ " ' ' - . lox o1F1cE usE ONLY • City of Tigard � l Received Perrnit q�) 0 5 Z00 Reei gt,e. 2 00 f e 13125 SW Had Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Date /B : - Other Permit: TIGARD CITY OF TIGAR �� - Inspection Line: 503.639.4175 q� e Ready /By: - Internet: www,tigard- or.gov BUILDING DIVISIS' - Aids: 21 Sec Page 2 for titled/Method: - Supplemental Information TYPE OF WORK PLAN REVIEW ❑ New construction ® Addition /alteration /replacement Please check all that apply (submit 2 sets of plans ws /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑Multi- family 0 Master builder 0 Other: ['Fire pump. ❑ Installation of75KVAor JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ •'n" "E" "l -2" ' l -3" 1001-1P or more. occupancy. Job no.: 241 Job site address: 11940 SW Bullerest Dr parks. , ❑ Six or more residential units. ❑ Recreational vehicle t City /State /ZIP: Tigard OR 97223 ❑ •ealth -care facilities. ❑ Supply voltage for more than ❑ l•asardous locations. 600 volts nominal. Suite /bldg. /apt,no.: Project name: Castro ❑ Service or feeder 000 amps ormme, — —. FEE SCHEDULE Cross street/directions to job site: Description km Fee. total l ' New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft, or less 145.15 4 Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: l,imiled energy, residential 75.00 2 DESCRIPTION OF WORK _ (with above sq. fl.) Limited energy, multi- family 75.00 2 add to permit# ELC2009 -0034 residential (with above sq_ ft).. —' Services or feeders installation, alteration, and /or relocation 200 amps or less 1 80.30 80.30 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Name: 401 amps to 600 amps 160.60 2 601 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 1 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 1 2 Branch circuits - new, alteration, Or extension, per Panel Owner signature: _.�_. .__ Date: . - A. Pee for branch circu with __ 1 ❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, 6.65 2 cads branch circuit Business name: 13. Fee for branch circuits without service Or feeder fee, 46.85 2 Contact name: first branch circuit Address: Each add'I branch circuit 6.65 2 - Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular dwelling, service and /or feeder 90.90 2 Phone: ( ) Fax: : ( ) _ Reconnect only 66.85 2 E -mail Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Signal panel, or limited- Business name: Willamette Electric Inc energy panel, alteration, or Address: PO Box 230547 extension. Describe: Page 2 2 City /State /ZIP: Togard OR 97281 -0547 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (503) 624 -3631 Fax: (503) 624 -2938 Investigation p er hour (I h r uin) _ 62.50 CCB Lie.: 75059 Electrical Lie.: 34 Suprv. Lie,: 4226 -S Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: l' Subtotal: 80.10 ^ Print name: David Fife Date: OSAl1G09 Plan review (25% of permit fee): State surcharge (12% of permit fee): 9.64 Authorized signature: TOTAL PERMIT FEE: 89.94 ' This permit application expires if a permit is not obtained within 180 Print name: Date: days after it Ilan been accepted as complete. ' Number of inspections allowed per permit. emrm<Iing \Permits \CLC- Pern,iiApp.doc 05123(55 4,10 4615T(I1/05/COMnvrn CITY OF TIGARD ELECTRICAL PERMIT 1 , COMMUNITY DEVELOPMENT Permit #: ELC2009 -00384 - Date Issued: 07/29/2009 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Parcel: 1 S134CA02500 Jurisdiction: Tigard Site address: 11940 SW BURLCREST DR Subdivision: BURLWOOD Lot: 3 Project: Castro Project Description: Service Change Owner: FEES CASTRO, EDUARDO E KAREN A Quantity Description Date Amount 11940 SW BURLCREST DR TIGARD, OR 97223 1 ea Services or Feeders - 200 07/29/2009 $80.30 amps or less PHONE: 1 crt Branch Circuits w /Purchase 07/29/2009 $6.65 Service or Feeder 1 ea 12% State Surcharge - 07/29/2009 $10.43 Contractor: Electrical WILLAMETTE ELECTRIC INC PO BOX 230547 TIGARD, OR 97281 PHONE: 503 - 624 -3631 FAX: 503- 624 -2938 • Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Total $97.38 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 -00 11- 0100.. You �mayobtaiinn a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. Issued By: ,L , ' e�+ I-a { Perm ittee Signature: K. etv1!- • I OWNER INSTALLATION ONLY I 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. ' '07/27/2009 MON 10:39 FAX 5036242938 Willamette Electric 002/002 Electrical Permit Application FOR OFFICE:USE ONLY ' • City of Tigard eceived �,,�` - 13125 SW Hall Blvd., Tigard, OR 97 'Date/13 : PcmtitNo.:� O�U� (�3�� „. JUL r r 2 Plan Review ��!! Phone: 503.639.4171 Fax: 503.598.1960 U( 4 2 �� g Date /B : Other Permit: t IC .� R 1 ? Inspection Line: 503.639 (t, Date Ready /By: See Page z for Internet: www,tigard or,gov l� OF TinA � p Nott6ed/Method: Supplemental Information . 'f •¢' _ +' ?ix, -, �$3;;�.�t:: s' �, >:•cz ' f.. SH'a^r'�';�3 - ' vet �v,1�g ';i ..:> ,�r '.. ... i5i •»toss " 4 fe•. s'lrt* L `. Y:S! _ .Y^ Yia :, : ;. i , : _ .s: c ",vim,- t.a ..�.,, -.x �1) ['t''.� ..{ '9 :,�.>.�...'.' "�''�n,:,� .;.$?4;� �� :'f",m- .�:- ,;:ti•:' x4 .. :.?� it..».. `N , . �4..., ���- ....:s,.•' , . a .. . , ,r,. , ..cs. t. c; r:,rv �. 7.R�'t!I�,�..:�t:rrr � ^;s,.:.S;�1 4F`s�•;;, ax .., ,.a ���., u,., .. .. ^:.,r.�...�.�,,.,.. +..�.,'.> : ',s.•_�, ,. ��ax�+- 'a;,�-.,�ciF;n?Sa� -•;.r• ❑ New construction ® Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w/itcros checked below): 0 Service or feeder 400 amps or more ❑ Building over three stories, ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. Commercial-use "` "''3� ?2�. `k-tt "'-`v - o ` i,st ' ;t� .stcs -y.. 7 M:: i t :y . ��, z,''iY.: S'� ':, - "g•. t3 . N :- i� t c•Iy >�'': >'J,, exec �`'r�a'''3E . X '"'1•ar'�.'' „1 ' ° ` ' ' a ' `' ' ' " •' W ' "' "'' ''`, less to ground, or exceeds 14,000 or [a floating u e , ricultural a 8 ® 1- and 2- family dwelling ❑ Commercial /industrial 0 Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: © Fire pump. 0 Installation of 75 KVA or : �'•7�lyc w r . „ >, T :+ n:r: asp: "a • ❑Emer Emergency system. I�: w„-' �� Kt ;s "r'�- ' °,s; --�,• g Y Y iargcrscparatclydcrivcdsystem. .:8q...,�i`.. ,ti;ilifI r`i ,+i A'+l!At;,4i,�s3, ., �`� �` _ w'£m�.. �>,,. �� ,.y - �� <�e4 u��„47`;- .•.`�,� > :J- ❑ Addition anew tooter toad of 0•'A ••1.3 Job no.: Z. Job site address: // 'r'7 �/ .514) � p UIPL,CR 1ST bg• 100HP or more. occupancy, 0 Recreational vehicle parks. City/State /ZIP: 1/6A 4:W. 8720.3 0 Six or more residential units. 0 Health -care facilities, ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no., Project name: CAS i;eD 0 Service or feeder 600 amps or more. WR "?_ 4ia4 F X* i _iO ;i: `: W ?:',Ms Cross street/directions to Job site: Description Qty. Fee. Total New residential single- or multi - family dwelling unit. includes attached garage. Subdivision: 1 Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'1500 sq. ft. or portion 33.40 I Tax map /parcel no.: „� , f ,«, Limited energy. residential :, @..'`.: - -: F:i: ='. a"i'',4''-.:. : ,•� ; : K .,,, _ ,.«-., W .rich %;�::- ;[ ::.5r¢ : ?i - ..,.��,. ;� .rcc` t:• °y lie OMB %t= `s= .,k� ;s..c�. .,. �1�' J �ItII <';�I��..l7F°. :�::1�, as .t. _ withabovcs .0. 75,00 .- ..,'�'%.,:i , >. <,•;tr,': <.�.;F ,,,..�;: ,..,,.,.,,.,- .x- �.,.,,:. .. :...C.;'*:;(;i3.�,.,. _= i7�'aLV��t;,ERS ( 9 ) , 2 p Limited energy, multi - family 55 ' t/tC1i Ctil4 N4.- -- residential (with above sq. R.) 75.00 2 Services or feeders installation, alteration, and /or relocation „ 200 amps or less 1 80.30 $ 2 {> i* r7ta , �- y. 071 u :'r,-s • n . - -: :i' - •E'a,'.�..: - -•ate z:gvr -' ;;P¢:.r... �i5 ., .. �t -M- _ - YC'otfl���r;''o-''.'.z:. pp .'i 1. ` h�l ,;<••'.x.;-;:`-,�;':.ei>'': %� ,3 3,�,....rt,. ,.,, ,. ..,,.<.<,.;�c...,..�':` :2 F�;1J�,, �.�`�;'`:;Q, ., .,;,;;; »- ,- , {�;_, 201 amps to 400 amps 106.85 2 Name: 401 amps to 600 amps 160.60 2 601 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 1 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, er panel .- .- _v�.�y=�.;�.::- a= ,r.;, {�.. ,,, ,.:..:: � : > _ rr. . .,: : ' .` , . , ..;.:- s: : ,.:..,,,::,, Fee for branch circuits wit ,�r.::x'; .. :tj>+tP1sI;ICz I(t'L'tz:s i:r , - -;-- v:. aboves service or feeder f .a?i. _.x. .....,.. a .., . -:. --. f, ICOIK' 1' AC :zT crvt o eeercc, •6 ..r:. �,• . - ......: � .:.. . ..:.. ..- :.; ..: »., . ,.._ :.::. 6.65 2 each branch circuit Business name: B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 first branch circuit Address: Each add'l branch circuit 6.65 2 Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular 90.90 2 Phone: dwelling, service and/or feeder ( ) Fax:: ( ) Reconnect only 66.85 2 E - mail: Pump or irrigation circle 53.40 2 sy _ - T - :fit ny ,� �� - "�. ;� k; :';,:; _ Sign r outline lighting 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 62.50 Investigation pe rhour(i hr min) CCB Lie.: 75059 Electrical Lie.: 34 -283C Suprv, Lie.: 4226 -S Industrial plant per hour 73.75 Suprv. Electrician signature, required: . z z` ?� ' ---,. Subtotal: Print name: David Fife Date: ,� 7 Plan review (25% of permit fee): State surcharge (12% of permit fee): ( . H 3 Authorized signature: TOTAL PERMIT FEE: I+ q?. ,$ Print name: This permit application expires if a permit is not obtained within 180 Date: days after it has been accepted as complete. Number of inspections allowed per permit. i :\onil ding \Pcm>itsrEi- C- YcmtitApp.,toc 05/23/06 440- 461ST•(II /05 /COM/WED