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Permit n CITY OF TIGARD ELECTRICAL PERMIT s • COMMUNITY DEVELOPMENT Permit #: ELC2013 -00169 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 03/18/2013 Parcel: 2S103CA00204 Jurisdiction: Tigard Site address: 11825 SW JAMES CT Project: Swayne Subdivision: WOODCREST NO.2 Lot: 18 Project Description: (3) branch circuits for kitchen remodel Contractor: GARNER ELECTRIC Owner: SWAYNE, DOUGLAS H & JULIEANNA R 2920 SE BROOKWOOD AVE A 11825 SW JAMES ST HILLSBORO, OR 97123 TIGARD, OR 97223 PHONE: 503 - 648 -4552 PHONE: 971- 285 5863 FAX: 503 - 642 -7925 FEES Quantity Description Date Amount 3 crt Branch Circuits wo /Purchase 03/18/2013 $71.02 Specifics: Service or Feeder 1 ea 12% State Surcharge - 03/18/2013 $8.52 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $79.54 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 952- 001 -00 . You may ��I 111)/111)/.1 obtaiin a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. /I,( g Issued By: W )(, ( Permittee Signature: ©kF P 1 PPZ-ie OT nag 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. • Electrical Permit Application RECEIVE FOR OFFICE USE ONLY • • ;. i1 City Of.Tllgalyd Rewind 3 �I Permit Q Dawes: 13 Sr st Ce-C /3 at q 13125 SW Hall Blvd., Tigard, OR 97223 MAR 1 8 2013 Plat Review ' a : Phone: 503.718,2439 Fax: 503.598.1960 DntcB t Other Permit: 1" f (- A . t 0 Inspection rn t; www,tigard -orgo 5 CITY OF TIGARD Notified/Method: belt_ f ! 6 S Supplemental Internet; mental Information I • `'''Li:' i.J: '�;:''y i+ �- Ilk''9:..r�'I ��,, ....Pt', � p. r � ., (nk'I'nT" (.iCU''li��a" ::�,'�:: , " %' �' ,c ,C --II5. L �5} ,.! : !iS , 1 .iis 1' �t�• 1 Sf '{ , . ! v, iti '..1 .1 IT : : l. pp •' ,y r yy��y1�..,,���y�..,.,�..`�", '''. . • �\k•':1 'q i•' ti', :�8.+1 • 11. ' f !11� , IiL'd•�S . .:iM.: ' '� ,t ` �; %,; ' �,tirr° ::. � 1!t1t!I:cs i-::::':; ' r • ?7�k1'V, ^ lel'YYdrT�;Y y. �.: ;�., 1114 +r .Nt� �� {, ;.X �„r�.�nrr 5'1�.16 �.....,, ' . , .;nFa ,. ... .. ' t r, '' r ' . ' : � ..,.... .. g - .. *New construction Addition /alteration /replacement Please check all that apply (submit a Agtq of plane w /items checked below): ❑ Service or Feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other where the available (hull current ❑ Marinas and boatyards. i. 1� }'i 1 ry� I i ^ ,5 `r'1 a �A41ai , ,: , .., !: ' � yy ff yy;; •• ry�,� 11 �� n ppp u ��� 1 i1 G ' It q ;jar n +, e ; u 1 o a )��q - 1 nIR` : ;;!!'.: •e a exceeds 10,000 amps al ISO volts or CI Floating buildings. 15 i ii LIN�F}f;17;i�el' GIu!p .11D:11N. Aa 7�h11�L,1R >��• �ylF'�14�.,, �� �•ir �: :•., :.. E,:,. :��,r:: i m , t 1 x , \'t i "'' "' "' less to pound, or exceeds 14,000 ❑ Commerolal• use nxricu!turnl ® 1- and 2- family dwelling D Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other. D Pirc pump, ❑ installation of 75 KVA or ".,y1; i1iit, Pt r ,' l °' t • ;,�• , art •, . . i ! ,.y . i';It d1 ` � i p' I ' , . , , u , Y 4 . ' ❑ Emcrgcncy system. WW1' separetely dorivod system. •:! j:'? Si1i i ,c: 3 t l -1 y l. r l 'C .1 1 a• 1 A a , f ,. FR.' 1 4 t Addition anew motor land of Jab no.: Jab site address: f F 4A IOOHP or more. occupancy, • ❑ Six or mom residential units. 0 Recreational vehicle parka, City/State/ZIP: Tigard, OR ❑ Healthcare (kill ties. ❑ Supply volmge for more than ❑ Haratrdous locations, 600 volts nominal. Suite/bldg. /apt. no.; I Project name:q , , ❑ Service or feeder 600 amps or more. Cross street/directions to job site: � Dm rip 1 0tr. ) Fee I T,iel I • New residential single- or multi - family dwelling unit. includes attached garage. Subdivision: I Lot no.: 1.000 sq. ft. or lase 168.54 4 .. Ea. add' 1 500 sq. ft. or portion 33.92 1 Tax map /parcel no.. Limited energy, residential ;r' µ ljiill'r;�i�p ".=:;! ?r: , ; , 1 , ',�� ^al ",J,i ;'� �c14.. ' Y y�y:� ,� } , y; , e : � . , ,Li:`,i�l "..;,.f:l,�,ac5�:5.�: ;.Lil I:; :1+' , +41,1 :r03.k,,•-,:#0, l 't"f,1 J �� ]J �� 1 � } ( illili;!yrJ;n.�;s�;•.. t:�i•;;a .l, , / '! (with abovcsq. R.) 75.00 2 { 1..'• ill, ri1'i�'�.l • 1 , i '�tY',4 .. -, rN�„ .,..I.., l ��' \ ' Il�� 1 . .., . ,I'�:; .. � ...,J: i � ..�(:YI. \P.,. r .i:��1� �rl i'ir1::Y!l .J� � Limited energy, multi - Family 75.00 C( to li e. Y�C , c( � l residential (with above sq. R.) ' ' Services or feeders installation, alteration, and/or relocation ' 200 amps or less 100.70 2 ;`il:,i`' "il..' dl il- [ ', u'. '1 q'. ii i'- ""' ,? 1 i r;::riil 1.: : 4is #:, 't; 201 amps to 400 am l -'t~ l i IHjf ;;sl',1 �'V ;; ei1� . ra t � ',i..., ,4 . ,;k1 ;91' fv 11Y9i, „.,3. : u amps 133.56 2 p •x,1,11: i dIl•$ fQ n n n .. tiis�. 1 11!i, l 1i,14a. t f' n � v'r, ;'sN1+ �i.;!i! .... .. . . 1° .,,'!!�, Name: 01 amps to 600 amps 200.34 2 ,J .&c . Sc S„) t . s r, 601 amps to 1,000 amps _ 301,04 2 Address: J Over 1,000 amps or volts 552,26 2 City/State/ZIP: Temporary services or feeders Installation, alteration, and /or tY relocation Phone: ("1-1 ) 2., C _ 5 81 3 I Fax: ( ) 200 amps or less 59.36 1 201 amps to 400 amps 125.08 2 Owner installation: This installation is being made on property that I own which is not 401 amps to 599 amps 168.54 2 intended for sale, lease, rcnt, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits — new alteration, or extension, Lter panel Owner signature: Date: A. Fee for branch circuits with `� �p{(��{t q� s q� �)i'(131aJ1hUiilliKi .��yaugR4°r, +y' .„ t ,i °: + fttii! OTI 1 above service or feeder fee, each branch circuit 7.42 2 Business name: Garner Electric B. Fcc for branch circuits without service or feeder fee, first I 56.18 5 ( % 2 Contact name: branch circuit Each add branch circuit 2 Lf 2 Address: Miscellaneous (service or feeder not Included) Cit /3tattJZIP: Each manuihetured or modular 67.84 2 Y dwelling, service and/or feeder Phone: ( ) I Fax: ; ( ) r Reconnect only 67,84 2 Pump or irrigation circle 67,84 2 E-mail: G7 84 Sign or outline lighting "i ,' u..: , ia;c;i {a, :tarns "r , , '� :, t 1 �O , .. i "t ;'''� .�ti r', �, v :i += .... , `rt. ;ji 5_. i>} „1;if'1Pg''I Signal circuit(9) or limited encrKY Business name: Garner Electric panel, alteration, or extension. Pie 2 2 Each additional inspection over allow able In any of the abov Address: 2920 SE Brookwood Ave. #A Additional inspection (I hr min) 66,25 / lir City/State /ZiP: Hillsboro, OR 97123 investigation (I hr min) 66.25 / hr industrial plant (1 hr min) 78.18/ hr Phone: (503) 648 - 4552 Fax 1 i 42 - 7925 Inspections for which no fee is 90.00 / hr specifically listed (h hr min) CCB Lic.: 121159 Electrical Lie.: 3' 05 " Pr ,, : 3707S lilil rti �li! (1S i s` 11}�:te P °:i� '[�p'+S Su Electrician signature, required: �.f Subtotal: , (� ^ Plan review (25% of permit fee): Print name: Chuck Oarner Date: 7))15 ) 3 State surcharge (12% of permit fee): /•4 Authorized signature: l TOTAL, PERMIT FEE: 2- Thal permit application expires if permit Is not ohtalnctl within Ian Print name Date: days alter It has been accepted as complete- Number of inspections allowed per pc?mK .--a, utRtdlding \PmnitaLC- PermhApp.doc 07/01 /10 440.4615T(I1105 /COM/WOB Location: Record Type: Inspection Type: Comments: Inspection Date: Record ID: Result: City of Tigard 13125 SW Hal Blvd. Tigard, OR 97223 Tel: 503.718.2439 11825 SW JAMES CT, TIGARD, OR, 97223 Residential - Electrical 199 Electrical final 03/29/2013 00:00 ELC2013-00169 PASS - No C of O Violation Summary: Inspector Contractor