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Permit n CITY OF TIGARD ELECTRICAL PERMIT •' - ° - COMMUNITY DEVELOPMENT Permit #: ELC2009 -00381 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 07/28/2009 Parcel: 25111 DC08700 Jurisdiction: Tigard Site address: 15755 SW OAKHILL LN Subdivision: Lot: 0 Project: Ross Project Description: (2) circuits for NC and GFI. Owner: FEES ROSS, WILFRED /MILDRED R Quantity Description Date Amount 15755 SW OAKHILL LANE TIGARD, OR 97224 2 crt Branch Circuits 07/28/2009 $53.50 wo /Purchase Service or PHONE: Feeder 1 ea 12% State Surcharge - 07/28/2009 $6.42 Electrical Contractor: SUNSET HEATING & COOLING . 0607 SW IDAHO ST PORTLAND, OR 97239 PHONE: 503 - 234 -0611 FAX: 503 -234 -0439 Type of Use: SF Class of Work: ALT Type of Const: Occupancy Grp: Total $59.92 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 -0100. You may obtain a copy of the rules or direct questions to OUNC by calling 503.246.6699 or 1.800.332.2344. w / Issued By: Permittee Signature: O 6 C�7 to v 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 603.639.4176 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. 4 , , Electrical Permit Applicati E iv ED o I'<)R uI I R l: Ust: 0 NI.V . ill City of Tigard Cj e nd — Permit No.: 13125 Sw Hal{ Blvd., Ti ard.OR 97223 an R �� k7 Cave i' Phone: 503,639.4171 Fax: 503.598.19 Plan , PJ L 2 4 2009 Date /B : other Permij/yE�x, / -- 0035•, 'f I C': A It 1? Inspection Line: 503,639.4175 Date Ready /13y; HI See Page 2 for Internet: www.tigard•or. , Notified/Method: M SupplewentalInformation r i'ct, °'i'a :� t x ' r a u"v r s v" 1Z: w , x a a t +> �,,.:yt , `1 ' 0 , • , . , op .' r, t5 " �+ , . t d 1rm y„, • ' li:YP, a 1, , 9: tr• s '!q, {. _'" ... 1 `f /" a � ar P. G 'r.,,....Jitik 'a.l'44 7,, , v;, IV,�, -. , 1,r, R: Iufi '�Ni.i.n'U4,4,tl7iukkliiF> � trtr 'is� � v L1. ,..r 4 ❑ New construction ® Addition/alterution /replacement Please chock oil that apply (submit? am of plane w /iron s clocked below): --� ❑ Service or fecde 400 amps or more ❑ Building over three stories, 0 Demolition ❑ Other: where the available Fault current ❑ Marinas and boatyards. SYy *`': a J,; l i gj?1:71 ''p ,' ", "` vie j `J Snit :T i �j ?� f exceeds 10,000 amps at 150 volts or CI Floating buildings. '"` "F u" c'v6" `'� " . "��`r���'f'+ "= ''r?kd Is to ground, or exceeds 14,000 ['Commercial-use agricultural h't 1- and 2- family dwelling ❑ Commerciaiindustrial [] Accessory building neaps for all other installations. buildings. ❑ Multi - family 0 Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or p�+ L am , 5ir:y� - :a� �• �r�P * +•� >r� - rr, � � . >... n '� Q , a os r ❑ry 6 system, larger separately derived system. 4 f Y °!; ' i}t }a ,a a . 1 ...11 tr .J i., ".� i t wfiy i ' "J ` b "tit . i` .'" ❑ ❑ r .n ",, ' ' ,, �. ,. , ": 4AIL,.1,..43/5„ .! . • ,,N4, Addition of new motor lo ad of : "A ", "E', "1-2", "1-3", Job no. 25 ¢ Job site address: ` 51 S5 ;l_A.) 0,04:11-1 (I Lk) 1001Q' or more. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle parks. , City /State/ZIP: �"\' I-{ r` ID Healdt rare facilities. 1=1 Supply voltage for more than ©Hsuuduus locations, 600 volts nominal. Suite/bldg. /apt. no.: Project name: k OSS ❑ Service or feeder 600 amps or more, • Cross Street/dirt ctions to job site: tlY g.'fi( I� i;�� ?H)q�".:; a..' t a I o v. ..' r jFi y' Description t l I td I • �' - •"" New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision; I Lot no.: 1, sq, R. or less 145.15 4 Ea. add'I 500 sq. fl. or portion 33.40 I Tax map/parcel no.: Limited energy, residential --ern +'3r!!: T V .r; v, ?., r r v , a 75.00 2 t11:)t�•'..I' «31;.s1't:.ti' ��'r -.r I :' :a.. y' 1: '; lal air:'. (with q• , ��'::;��', " ".� . �') �.� ; t) ` � � : � d b,,�F'I<' with above s ft. ) c Limited energy. multi•farily 75 00 C) G rU.A( *-5 / OLI! C- 4 G('r l residential (with above xi. II.) J Services or feeders Ittstallatlou, alteration, and /or relocation • � 200 amps or less 80.30 2 iffflp..:iifli f.1! 'S 9 `r�:: i....6/00.14.#4141r, 1 '1_ iii ''4`iii y . I [ a mpfml,r i k, tvxl' P 201 amps to 400 amps 106.85 2 Name: ra i. , [r _ t P SS • 401 amps to 600 amps 160.60 2 M f-rrO_ ICJ 601 amps to 1,000 amps 240.60 2 Address: 15 O 1J Omia011lAn Over 1,000 amps or volts 454:65 2 City /State/ZIP: —1-1 8A as 4 Temporar services or feeders installation, alteration, and/or relocation Phone: PO3) (p .2q fl Fax: ( ) 200 amps or lass 66.85 1 I Owner installation: This installation is being made on property that 1 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 Branch circuits- new, alteration, or extension, ne panel Owner signature: „Date: A. Fine for branch circuits with :0 Alt; (fir J k' . t.t''rp, r 1 '' li a' ;...: °7' 4�n ,a� :'; :•, }. r i g it �t►�tfrr p E 4. iW t! above service or feeder f ee, ..s..C:s, . J!,EM °hS�..en,{ „i1. ��t'/' �J: ;•; (�.. . ,`.,' •�q.. �{:�:. 2 ,; t�.,c,..;', 6.65 each branch circuit Business name: B. Fee for branch circuits Contact name. without service or feeder fee I 46.85 44 first branch circuit Address: Each add'I branch circuit 1 6.65 kJ (05 2 Miseellaaeous sLerviee or feeder not included) City/State /ZIP: Each manufactured or modular , ? dwelling, service and /or feeder Phone: ( ) I Fax:: ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 • 1::,,'.yid 'g, ;Fi. . ' r5 . f:i I; :g! :i'e .� fs� ,;'ig'ttr;��f.qp 1�G ^'.', � gi, :;�i;.;i� :.j� Si �. 1,N:: "::�a. r: Sign or outline li • tin g 5 .40 2 - d ':, vf,` 1fU'`; aid; - eU' x t�V ' 4B, F',.,, f,• s.Q+f� 1` �t. r l'.J..r }: , °;%r:, . _ -.,' S lighting � 3 2 Business name: Sunset Heating and Cooling Signal circuit(s) or limited - energy panel, alteration, or Address: 0607 SW Idaho Street extension. Describe. • Page 2 2 City /State/21P: Portland, OR 97239 • Each additional inspection over allowable in any of the above Per inspection 62,50 Phone: (503) 234-0611 I D I Fax: (503 234..0439 Investigation per hour ( I hr mint _ 62.50 — CCS Lie.: 161085 I II Electrical Lic.: C 117 I Suprv, Lic.: 4638S Ie Industrial plant per hour 73.75 �;,:.,k:k;, ism..:..: . .CAV! ',i47, '�,._.,.�. t .i..... 1 :;'p L�:'�i:.���4;t�FP'L,• I+1'r !r"i� :�; i;e,. Suprv. Electrician signature, required: _ Subtotal: S3. Cs Print name: Randy Ess • D ate: 70 Plan review (25% of pennit fee): — State surcharge (12% of permit fee): ( -Va. Authorized signature - TOTAL P RM11' FEE: �� Print name: Shauna D'Am rosia Date: 1 1 a.),` This permit application eayires ire permit ias out obtained within the days after it has been^aeeepted ax complete. - ' Number of inspeerions allowed per permit, _ • t: IsullduiylpurmitslcLC •PermiiApp.doc 05r)) /06 . 41U- 461f'r(II /05/COM/Wt:a - Z0 /ZO 39 9NI1d3H 13SNI1S 6EttOtEZEOS 9Z :ET 6002/OZ/L0