Permit CITY OF TIGARD ELECTRICAL PERMIT
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111 C , ••• COMMUNITY DEVELOPMENT Permit #: ELC2009 -00392
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 08/03/2009
Parcel: 2S103DB08400
Jurisdiction: Tigard
Site address: 11145 SW MORGEN CT
Subdivision: Lot: 0
Project: Beebe
Project Description: Kitchen and bathrooms (3) remodel lighting, outlets and exhaust fans
Owner: • FEES
BEEBE, ESTHER M TRUSTEE Quantity Description Date Amount
11145 SW MORGEN CT
TIGARD, OR 97223 6 crt Branch Circuits 08/03/2009 $80.10
wo /Purchase Service or
PHONE: Feeder
1 ea 12% State Surcharge - 08/03/2009 $9.61
Electrical
Contractor:
COHO ELECTRIC INC
PO BOX 40
WILSONVILLE, OR 97070
PHONE: 503- 582 -9774
FAX: 503 - 582 -9840
Type of Use: SF
Class of Work: ALT Type of Const:
Occupancy Grp:
•
Total $89.71
Required Items and Reports (Conditions)
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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 952-001-0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.333
Issued By: ,rJ L h'i Permittee Signature: nt— andlic[!-t/-o►`-
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.
wl l ( ..(„�1- 07-p- l - 15 3
lee'trical Permit Application I� FOR OFFr(::F. 1.;s1; u,1 i
City of Tigard ���� h" pWUIit NG.t -
13125 SW Hall Blvd., Tigard, OR 97223 D.
• Phone: 503.639.4171 Fax 503.598.1960 JUL 3 0 2 Plan Other Permit
TIC n P. it Inspection Line: 503.639.4175 Date lteady/ey. finis; Bt See Page 2 for
Internet wwa.tigard- or.gov CITY OF TIGARD Notified/Metltod: Supplemental Information
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❑ New construction r, Addition /alteration/replacement please cheek all ttmt apply (submit 2 sea of plans wrttc is checked below):
❑ Service or feeder 400 amps or more ❑ Building over three dories.
❑ Demolition El Other:
where the available fl<ult current 0 Marinas and boatyards.
`all i e
f {u l ,V,,; F gFt p tl 44'4 { 1� i tt ! i r{fr)! f , 7 » y ,..� a,�,til, k P ',Ii „ A t rr1 . ?, 1 J? iwecds 10 0 at 150
'� i,. ': .1 ),7u, t, ; ,nl .111.` {I lul {. :: 'I . .t . t..L. 1,14 t 1 ),r• : i r.l .�S 1 ;S .F 1t Ott . , k 0 1;11: t 1 , : , ,,'P ll:ix i s 00 amps volts or ❑ FlO8t1n867DIdW$9.
building to ground, or o ors, ❑ commer -use agricultural ►: 1- and 2- family dwelling ❑ CommerciaVindustrial ❑ Accessory b
amps for all other iasta butldinge.
❑ Multi-family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
;/e F,,,5'., , fill t l . i .1 1 .
', , 11 I f s' qq '• r N - r, r ` "" - " y a v i , ` l , , : r , , v.� o- � 4 J r ❑ Etnereeuay syso¢m. haler separately derived system,
tar ;I r, , rfrn l>✓i i At't..Il•iiit »,171 l l , :... : ;i. 1. , _i. .r, n d. ! '-',..:'?..;•:',;:,••,•,•,-,:i,'2: ed . x.1:, 1 , . , , Ir :.. ',,, : 1 ),:,9v.. . D Addition of new motor load of ❑ - An "13", "1-2", "1.3w,
, 4 (. 1 , t � 4 - , " f o - .
C11 C� six or m mine. occupancy.
Job no.. Job Site address: _ ❑Six or more residential rmita. ❑ Recteetional vehicle parks.
City/State/ZIP: --- _ C 4 ,•.r tam - ` ❑ Health-care facilities. ❑ supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg /apt. no.: Project name: . O Service or feat 600 amps or more
Cross Street/directions to job site: r te. . 1 .n : a t i∎ . ? .7 � , 't 1 , 'Y,',S n jf. .. r. ,l #: ,: 11 Mil r 1 4iI ± f 1'1 `,
Description Ott. Res 71sW
New residential single- or multi-family dwelling .0 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.: Limited en
M` 5 I :-Y �z,( i . ' Y 2 � /Ce i : Efis1 ! Y i 1 ' Fl 11,, �l ithabo�: ft.) residential 75.00 2
. L:, .1: ,.il:: { °. ,ea .n,ai ,: >ri .. -.Jrd ft :� ..... <, ., ,.K rA } ,t! .. .r. .., - 2fG .....e l. .; Y „ . �.,. vr ... }? (w
4 w r Limnieed energy, multi - family 75.00 2
. a residential (with above aq. f .)
1� _ Services or feeders faatallation and/or relocation
� 200 amps or less 80.30 2
it ai1, , r:',7771'.. c 11 YE 1 � pW) F f w. ,1 �.n ' ull 4 ,
t 1 4 ,t n '
Jl v I 1r � I �S .1 f . zid i i s 3 a {t y jf ii k r 1 2 e 't, t r
r..,.,,..,l s :a.�l.. .:..,,,:a ,1. N ... ;...,iil� 1 ...:.,: �,,.. �sl . . � r r.t !.I �::. i . � .:::,s.� � ..'... ' �, H ;.,:.a:y 1 �,.. 20I amps l0 400 rumps 106.85 2
Name: E _ J ► rr cop. • 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/ZIT': Temporary services or feeders installation, alteration, and/or
relocation _
Phone: (sD3) 6 at4 - o, O 6 Fax: ( ) 200 amps or less 66.85 1 1
Owner installation: This installation is being made on property that I own which is not 201 turps 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, . r panel
, .. a`< p �.r v r^ i j C f� � 'z + C'(T�.( lu u r4 .a r r «�t '...',',"1± . , A. Fee for hunch circuits with
y!
ryilli f .,:g' '.ii "1,4,`.;', t r .2, ': a 1 YY . r .( ,. } .; , t t ill` , lJ,r . - 6.65 2
,..L,,.. A..,.d�,.,. _, .. . ic .1,.. ,l ∎ �e.. -ill l '4 1 . rl :r . , !, ; '.'.. ,t.; r , ; ...lei. : :. about service Of feeder fee
Business name: each branch circuit
13. Fee for branch circuits
wirhota service Or feeder fee,
Contact tlarrle: fusttnanch circuit 46 4 , 2
Address: Each add'! branch circuit 1 6.65 kf
1W iiscellaneous(serviee or feeder not included)
City/State/ZIP: Each manufaohrred or modular 2
90.90 dwelling, service and/or feeder
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E-mail: Pump or irrigation circle irrigation , ion 2
1 ` 'I' Ili P.�,.,��F,'^i 11 �.�aY �j1 t . f � l l et 17 � j•C rY 4 � � .!: L�., I !p gg ' ...
l .� ,.n 7 4i - .. n , ,,( l! n r?, „ Yg,.,.. „ti h,. ` , .wl. ; u.d i :i 1 1 rt Fl 1 , 1 1 � t, F f ,1 ' :°r1r.1..,,,. f 'r Sign or outl lighting 2 •
S eircuit(s) or'limited-
+ +• energy panel, alteration, or
Address: a gi 4 . LA p extension. Describe: Page 2 2
•
City/ State/ZIP: y � . t Ct �- � - 1 . Each additional inspection over allowable in an of the above
Phone: (5o5) + _ `1
".1 Fax: ( ) 5 b t - `t�t-•4 Inv inspection 62.50
nvestigation per how (1 is min) 62.50
ECEINIEMIZZIRIIMII
Industrial plant per Suprv. );,i ,. hour 73.75
_ � a S
Suprv. Electrician signature, required :±' 1[,,,,„ ,r .. .,. ,? ,., aubootal: ,
D om; Flan review (25% of permit fee):
4,' State surcharge (12% of permitfee): CI. la
Authorizod signature: i rll .� ' TOTAL PERMIT FEE:
Print name: hW t 1 t t ‘.< k Date - b o o� This permit application expires if a permit 6 not obtained within 180
t days after it has bee* accepted as complete. t • Number of inspoctions allowed per permit.
1'18uildmglit mits∎EIZ- PermitApedoc 0513/05 44046157(11/03/COM/WEB