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Permit �� CITY OF TIGARD ELECTRICAL PERMIT II COMMUNITY DEVELOPMENT Permit #: ELC2011 -00707 TI GAR.D 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 12/16/2011 Parcel: 2S105DD07100 Jurisdiction: Tigard Site address: 14665 SW KLIPSAN CT Project: MAUSS Subdivision: PACIFIC CREST Lot: 47 Project Description: (1) branch circuit for hot tub. Contractor: GARNER ELECTRIC Owner: MAUSS, AMY E & ERIC M 2920 SE BROOKWOOD AVE A 14665 SW KLIPSAN CT HILLSBORO, OR 97123 TIGARD, OR 97223 PHONE: 503 - 648 -4552 ' PHONE: FAX: 503 - 642 -7925 FEES Quantity Description Date Amount 1 crt Branch Circuits wo /Purchase 12/16/2011 $56.18 Specifics: Service or Feeder 1 ea 12% State Surcharge - 12/16/2011 $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 OAR 952- 001 -0090. You may obta'i - • - - - -s o= questions to OUNC by calling 5` 1987 or 1.800.332.2344. Issued By: �: _�. i .�� Permittee Signature: �__� j !' NER 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. FROM :GARNER ELECTRIC FAX NO. :5036427925 Dec. 16 2011 12:53PM P1 Electrical Permit A placation FOR,OF1'tC E USE.CII■LY • _ �� Itcccivcd Permit No-: • 111114 City of Tiger natc/By: id -7y� -202 • 13125 SW lion 131v<I , 'Tigard, UK Plan Review Phone: 503,718.243 Fax: 503,5 1 ) � \\ Dnte/17v: t 1, n Red /A 2uti{�� 21 See Put c Z for Ins ectmn Line: 50 - or .•4v75 � Ready /11y: T'i'C;:;1Ri') wwwhgll (�Nn[ificdMJatlnd: app! Information Inh 11Gt.. 6 V ... : S T .. . ..,, 4 ...��,,,. p ,,... .: •� 9 _ ,,.t o ...,.,... if - cmcrulal inf w ^.. t ,. ,,.,.... , , . . ....... , , . . . ,. , ,, . r' t LVi1CW;: •: . - ply (submit a c lx of plena w/iteris ehck cc( ' . ❑ Scrvi nr fc th ❑ ' � lit FIP Z 1 h L,w)'. New construction Addlnon /altvrau • R ^ ^ '= �` r1 - nd 4(10 amp:, nr more ❑ nuildin over throe storks. ❑ Demolition CJ Other; hors tllc available fault current ❑ Marinas and bontyurds. .. .. »,: ,,.• ,,, ,.. ,;,! .. xr xedsi0.000 amps . voltaor ❑ Floating buildings- r' �}� i l j�, .�� f .. ' c h ; �r c:;.,. � ,.. �. • ...i � i;. ., :i i .v� !..,, Y, :: f l i ' .' .... ewsNn{T .ii� " v.A,, �. ..., ' . ,, loss to ground, or oxcccda 14,0011 ❑ C'ununcrcinl -ttac uxrfcullurnl • ® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building nnlp.N ror all other installations. buildings. Q Master builder pump. Mule -famll ❑ arger se Installation at l 75 or tent. Y _... Emergency system. larger separately +y. , Other: , ,,,, , ..� r ilf� !'�li C)R�VYA 1 C t ') �! 1 � �i ll'' 1 ;1�� A fl yi�;� ,'. _ "1-3", :m sl+ ❑A(1dil.urnnfncwmoturloud ❑ "A" "E" "I 7" """,•^' 1 UGHP or morn. irccupaticy. Job tin.: Job si'" address: 14665 SW Klipsan i3 Six or more rexiduntlal units. © Recreational V I1 Ie parks. [j Health-cart ficilities. ❑ Supply voltage for more than City /State /ZIP; Tigard, OR 97 %23 p ihlrminus locations, true volts n uu,luel. ❑ ' • Sr ee der 600 amps o r wr c . Suite /bldg./apt. no.: Project name: Eric Mauls � � - service r ,,.,... ,. CAMS street /dira,I.ions to job sit(: ne,erinuon I Qty_, I 1•41P J • _T oad New residential Single -or multi - fancily dwelling Milt. includes attached garage., Subdivision: Lot nu.: 1,000 sq . it. or loss l 8,54 4 -- Ea. add'! 500 sq. II. or portion 33.92 1 Tax neap /parcel no Limited energy, residential 75.(10 2 ,,.,r : •, a,i,:cr.• : :. ;.1•.:; girt ;. u qi:.'. with above al. )( . �. ...... �?k: „ la n4a« , f .: ,1 � ,... „ •;M Limited energy, multi family Wiring hot tub 75.011 2 resrdeuti (with above sq, D.) -- -• •— -- , - ._, "' ••• • Services or feeders installation, alteration, raid /ot' relocation • 200 amps or less 1110.70 2 d ;!:C.::,.:,.nt:i.'. :. ;..91.; 1 am Ps to 400 am Ps _... I: ;3 ,,�( : �{�} fir �t� _.. ;,,,�„ r "kiiilirig,,l` L'" "∎% , !'T'3�tV1 fl 1 it!! ,M i� (,N,I d..Y1IT•': �,'e�, 20 p p 5l 2 401 amps to 600 amps 200.34 2 Name: ., 601 amps to 1 ,000 amps 301.04 2 Address: Over 1,000 amps or volt: 552.26 2 _... - Temporary services or feeder's installation, alteration, and /or City /State /ZIP: relocation Phone: ( ) I Fax: ( ) 200 amps or IcSS 59.36 _ i 201 amps to 400 amps - 125.08 2 Owner installation: This instal anion is being made on property that I own which is not. intended For sale, lease, rent, or sxchange, according to OILS 447, 449, 670, and 701. 401 amps to 599 amps 1613.54 2 Branch circuits.--: new, alteration, or extension, per panel Owner signature: —_ _ ... Date __.•., ,... A. Fec for brunch circuits with e,:,::.., " „ ..... c r ,., tlbnye service Or l'ccder fez, .... .; , !Last t ., t ..: ..''a r„ ':i 7.42 „ItIPr �,�,.r'M each brunch cutup Business name: Garner Electric B. Fee for branch circuits without _ ........, service or feeder Ice, first 1 56.18 56 t Contact name: Chuck Garner br circuit _ Rash add'( branch circ 7.42 2 Address; 2920 SE Brookwood Ave., #A Miscellaneous (service, or feeder nut included) - City/State/ZIP: Hillsboro OR 97123 Each roan service or modular 67.84 2 y , dwelling, servlGe and /nr feeder (503) 648 -4552 67.84 Phone: { ) Fax:: (503) 642 -792 Pump only 2 Reconnect ... -- • --- Pun or irrigation circle 67.84 2 E -mail: rnholmesggarnerelec racoon S ign or outline (.7,84 Z „, ne l ng t l lighting r' 1.'la,' e, ' ; . ...�,,..,...?.c�2 , ,,.,;».,... .E :,�..,. ' ` '' .Sluu:rl c m• li »enerKY Business name: Garner Elcctr c Panel, alteration, orestensinn. Page 2 , 2 -„ _._ ,.,.• _ - -: -. Each additional Inspection over allowable In any of the above Address; 2920 SE Brookwood Ave., #A Additional inspection (1 hr min) 66.7.5 / hr " invcatigatiun (1 hr min) 66.25/ hr C tate: ity /S/7,TP: ....,. I OR 97123 , _ __... .. „ - - ... __ Industrial plant (I hr min) 78.18 / hr Phone: (503) 648 - 4552 I Fax: '3) 42 - 7925 inspections for which nu fee is 90,00 / hr ". .. specifically lis ed CCB Lie.: 121159 Ft ectrical Lic.: 3' »05C: . up ; , ..(�: 1707 -S r! +,!ii't h I� ir'" iE 4,13 (.(AL Ftit ..;;i;'': �' ..'- r ' „Y I .,' • • Subtotal: 56.18 Suprv. Electrician signature, require • � abti �,,,,., .- Plan review (25% of permit fee): b yA fr7 ry . . ; .. .. • ' � . T � - State surchur f OTA1,. PER I L'C Print name: Chuck Uarncr Date: 12/1 6!11 surcharge (l(12% of permit fee): ' �' , y.: �1 .... ThI rennh ppli after It has / (r ( , aJ- Authorived signatul e, , : h N p I 1 i p n x if a permit is not oh within I RG been accepted as complete, Print name: Chuck Garner Date: 12 /16 /1 1 N umber of inspeutu >rfx altowcd per permit. u( nuilding lPermia \Dr.C- Pcnnitnpp.dne 07 /01./ 0 440 461tT(t I/n3 /CUM /WDD