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Permit CITY OF TIGARD ELECTRICAL PERMIT `'r9 ; 7 . COMMUNITY DEVELOPMENT Permit #: ELC2011 -00686 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/07/2011 Parcel: 2S114BA15600 Jurisdiction: Tigard Site address: 16165 SW COPPER CREEK DR Project: WOOTTEN Subdivision: COPPER CREEK STAGE 4 Lot: 121 Project Description: (1) branch circuit for hot tub. Contractor: MOLLENHAUER ENTERPRISES INC Owner: WOOTTEN, WILLIAM G JR 11070 SW ALLEN BLVD WARREN, SUZANNE BEAVERTON, OR 97005 16165 SW COPPER CREEK DR TIGARD, OR 97224 PHONE: 503 - 649 -6991 PHONE: FAX: 503 - 641 -1902 FEES • Quantity Description Date Amount 1 crt Branch Circuits wo /Purchase 12/07/2011 $56.18 Specifics: Service or Feeder 1 ea 12% State Surcharge - 12/07/2011 $6.74 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $62.92 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OA'. •52 -001 -0090. You may obtain a co. of the - • ect questions to OUNC by calling 5032321987 or 1.800.332.2344. . . . 1 Issued By %ice Permittee Signature: •� _ ✓If+.��`ri+ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease or rent. OWNER'S SIGNATURE Date: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC' Date: LICENSE NO. Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 12/05/2011 04:40 j�J �p #0808 P. 001 /002 • Electrical Permit Application RECEIVED 9r ED_ FOR OFFICE USE ONLY City of Tigard Received l� t}ate/B : ��� Pcrtntt No. r2(,C - I i = a 13125 SW Ball Blvd., Tigard OR 97223 O E C 2 plan Review ® gig . ' Phone: 503.639.4171 Fax: 503.59$.1960 s?ate/e : Other Permit: TIGARD Inspection Line; 503.639.4175 CITY OF TIGARD bats Ready /By: ru,ia' El see page 2 for Initxrtet: W,tl$atd•Or.gQv BUILDING DIVISION •Nv6fied/Method: • ` Supplemental Information .. ;: .�.,...- ._.;4,.. . Z,57:.> „!`w'� _ cifEs c ;: ,p x:,ad , :ea r ',7f .. ' 'fin "::: p ay,., ... w �9;' °:th�R: " ; . �' .ea " r, ' `�: s tl" ,:� .e, ..;. ,:£ r t "i-W} '%°: " ,,:_�. rr, :;:.:..,, ' .. ti ', _ m'' et k' .i : x, ° "•w+aa a .: © New construction 63 Addition /alteration/replacement Please check all that apply (submit 2 sets of plans wlitetns checked below)- El Service or feeder 400 amps o r more 0 Building over duce stories. ❑ Demolition 0 Other: where . ._ -vv , .�,,,,, � ars the available fault current Marini° and boatyards i ^ __: :., inr. a.,'._ ;.Y ,...n �i rY�� '40 a. ':', 9 .. t�� i y , i :,t to . 'ta 7: ''Y' o' ,,t .dr : exceeds 10,000 a mps at 150 volts o r ❑ Y .�. . a v . • , 4 ❑ Floating ia l n -u t3. ® -and 2-family dwelling ❑ Commercial/industrial less to it and, or exceeds :4,000 ❑ Commercial -use agnsuhural ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder 0 Other: ❑Fire pump. ❑Insislla �,: , Installation , :, :, _ 1 ^' ;, .: w r i ` — ". M 7°'^ w ❑ t1tner system. y.y Maw i4P '' 'l s ;' ,'I+. t i at; s ga *i.e;� e z ^ g "tb i., : kKg.T = in `; . ., <•'' Percy y larger scpa�atnty derived system. �., . ,�,. si�t�Ct:i ;�' , N � i� r a x�:r � , vR r ...... ,a�' : CI Addition of new motor land of (]' q „�--, - 1.7 - Job no - 29566 Job site address:16165 SW Copper Creek Dr. 100HP or more. upa ❑ Six or more residential units. CI e Reeational velne a parks. c IStatc/zIP: Ti and OR ❑Health -ca facilities ...,.....__________33 97224 Li Supply voila for more than $aitelbld Ja t no.: ©Hazardous locations. 600 volts nominal. & p Project name: ❑Service or feeder 600 amps or more 0 to job site:. ; : � .V4,,',M1iy - ns t _ Description " ;'; R. E. Cross street/directions 160� .Total l� New residential single- or multi- family dwelling uni Includes attached garage. Subdivision: Lot no.; 1.000 sq. ft. or less _ 168, I 4 Tax map/parcel no.: Es, add') 500 sq. tt, or portion riven 33 l ;.:, :. - :..- , v : iN . ea : v . energy, residential — Limited en 0 :.:..!:.. w4i., �... 4' :z...f r�n.: - ,.-. a- �cl Ql,.. . „iti l 4 � p ����,:�r (wtlhabOVegQ.ft 75.00 2 i Limited energy, multi - family Hot Cub residential (with above sq. ft.) 75.00 2 Services or feeders installation, alteration, and/or relocation - tic:s . sjg : 200 amps or Iess 100.70 1 2 '<`°� �. �•. Ni J' fl y , o •{. 'aNk^`v.4 �'nq: aa>F, 'p ` v ”` "C^ ' °r°��„ l� amps . a 'S• d':+ v_$ ., u a mob r-'rg l a , uklr r a w,c . 201 am to 400 am 5 13356 7 Name: Billy Wooten 401 amps to 600 amps 2W.34 _ ° _ 601 amps to 1,000 amps 301.04 Address: 16165 SW Copper Creak Dr. over 1.000 amps of volts 552.26 2 City /State/ZIP: Tigard , OR 97224 Temporary serviced or feeders iostRltation, alteration, and /or ,_ relocation Phone; ( 503) 329.6906 Fax: ( ) 200 amps or less 5936 i Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 125.08 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 901 amps m 599 amps t 6R.sa z Owner signature: Bench circuits new, alteration, or extension per panel Date: A. Fee for branch Circuits with ....... , ? 10g4i f ::Al. r4 ` , "gi,-# ,` r i - ig Tn .:, §• :;.::: above service or feeder fee, :.. �• ..... a ry cad) branch circuit 7.42 2 - Business name: B. Fee for branch circuits without service or feeder fee, first Contact name: branch circuit 1 56. t 8 56.18 2 Address: Each add'l branch circuit 7.42 2 Miscellaneous (service or feeder not included) City /$13[eIZIP: Each manufactured or modular dwelling, service and/or feeder 67.84 2 Phone_ ( ) Fax: : ( ) Reconnect only 67.84 E-mail: Pump or irrigation circle 67.84 2 o t,,.y.,. _ .. ^ y ' _ Sirgnor 6784 2 _; ,_ ,....,., u. • • :.. • _.. : -? lo ,,:.ry,:' 0• " ;,„ , Ii.' � olz. t o M1 0 :,1:1 ,.• °y - ,a a� , ',14- 4`":';FI. ,N: tit • � !�� , W'r " ' � : " � �` $lane! mted.cner ci rcuii(S) or liixp- )3usiness name: Mo1lenhauer Enterprises , Inc . DBA Mike's Elec _panel, alteration, or extension. • pag 2 , Each additional ins , ection over allowable in an - of the abovc Address: 1 1070 SW Allen .lvd. Additional inspection (1 hr mm) 66.25/in City/State/ZIP: $ Investigation (1 hr min) 66.25/ hr Beaverton , OR - 7005 lndustnal plant (1 hr min) 78.18/ hr Phoebe: ( 503) 649.6991 Fax: ( 503 ) 641.1902 Inspections for which no fix is III CCB Lic.: c speciftcall7 listed (14 hr min) 90 -00! hr 3 91094 Electrical Lie.: C643 Suprv. Li 4230S s;i' ):, )�f — Suprv. Electrician sigtl -ture, required: - '�r� , ' d ` Subtotal: 56.18 - Plan review (25% of permit fee): Print name: Dougla • J Mi 11 'Fe : 12.03 ,11 State surcharge ( 12th of permit fee): 6, 74 TOTAL PERMIT FEE: Authorized signature: �.,{ ��„ _ 62.92 This permit application =aim if a permit is not obtained within lad Print name: Darryl Mol enhauer yam; days after it has been accepted a complete. 1 2.0].11 Number of inspections allowed r pe permit. Inaoadievormn.r.ai.c- neneitAp ea emovio 44o net5T0 IA1s eOMIWE5