Permit n CITY OF TIGARD ELECTRICAL PERMIT
.111 • COMMUNITY DEVELOPMENT
Penn it #: ELC2010 -00064
TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 02/09/2010
Parcel: 2S104AB00200
Jurisdiction: Tigard
Site address: 11975 SW MORNING HILL DR
Subdivision: MORNING HILL NO. 1 Lot: 8
Project: Waki
Project Description: Add /alter (2) branch circuits for a/c and GFCI.
Owner: FEES
WAKI, DAVE Quantity Description Date Amount
11975 SW MORNING HILL DR
TIGARD, OR 97223 2 crt Branch Circuits 02/09/2010 $63.60
wo /Purchase Service or
PHONE: 503 - 579 -4765 Feeder
1 ea 12% State Surcharge - 02/09/2010 $7.63
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 $71.23
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 throu h 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.
Issued By: & T\_QUY \Q �_Z W `mot..) Permittee Signature:
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' \ n n ` �r1^ Date:
LICENSE NO. Cr iX App
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.
L+ RP
lectrical Permit Application loft ol• vice: LISE ONLY
City of Tigard
Received / I Permit No.: • I) r . ` 0, r
l i g < - - • 13125 550 Hall Blvd., Tigard, OR 072211 ECEIVED Da P l an vy Review Other Penmit
• Phone: 503,639.4171 Pax: 503.598.19 Daa✓BV:
Inspection Line: 503.630.4175 Date Ready/By: lurk: Su S Page 2 for
1' I c t It l) Interne t: www.n • surd -or. g ov FEB 0 9 2010 Noti6ed/Mothod: 1-1 upplemen ii informatics]
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"'' ew construction r " i .. Pima check all that apply (dub= Z mad of PI= w /itmm chocked below):
El New consnuetion Additienhil ■ I t ' `0 P1
ISION ❑ Service or feeder 400 amps or mom 0 Buddies over throe dtories.
❑ Demolition ❑ Other: whore the available fault aunwit ❑ Marinas and boatyards.
: ., ;.,4. • r ,... r 1•* i r , nt sip vw riti i;, , * ,. ,, u; r _ 150 volts or ❑ Flout) buildings.
.._'' l'= r.�'', exceeds 10,000 amps Yt n8
f ,- ..,N.'.'t,-. ) „.F, 4 i. r J J !''- "'1 � " :''"i"' ' . r : :{:�bl : p; �s� 0 Comuter
• i' • ,..k: ' '� . L 4�f : Q���� • �� `� ".' ° leas to Bayard, or eaweuda 14,W � eisl -case agricultural
V 1 - and 2- fancily dwelling 0 Commercia /industrial ❑ Accessory building amps for all oWcr install:dines. buildings.
i1 Master builder ❑ Other: Cl rim pump. 0 allution of 75 KVA or
❑ Multi-family 0 � I3 Emerg�y as a• !agar acpamcely derived system.
. -i o .';Ii 3'e�rf•� 9 ` tig y .1 i' r,4 7, ,: -: " -e...1-r,..1-3",
•�.. r' :,''; xx�� pp!;!� .., ;" f u � • �t;t � t: '= ::1 ' Lion of utlw motor load of ❑ "A�
: :.:: -. � " "�:L�S.i: =. x i�j.4�'^.LiYQ ` f,^!71". , , .v'j�^`T' . � .. :
.... ❑
..: •:::.c�:� �., • 10Ub1P or MOM no.:52131 Job site address: 11 c5 W � v 1 11 Di, (7 six or more rdidvYntial units. 000ttpnaoy.
l7 Reoretuional widely Ogden.
3 ❑ N imadou re oc a t iiea. D Supply voltage for more than
City/State/ZIP: /JI Z [] Hacenious toc 600 volts nominal.
Project name: (
Suite/bldg./apt. no.: �J 1 . ❑ Service or fonder 6 re
amps or mo.
,' „�.,r.....
�, F ..''"* f :air':?;. it" l ., } •. m y2.' & 9.
Cross street/directions to job site: pa'r,ptiaa . ' 'Ow. 1 Pen 1 Tv°u l •
New residential slugle- or multi - family dwelling unit.
Includes attached garage.
Lot n o.: 1,000 sq. ft or less 168.54 4
Subdivision: Ea. add'' 500 sq. ft. or portion 33.92 1
Tax map /parcel no.: Limited energy, residential 67. 84 2
fir ',. •. .t (with ft.) .� ` , iiii ... .i k 3 ' ' „ti•,::1. s.;F ": . ' � a ' ;'1444w44..g'''' .rA. rt.. me aq. ft
r :; £�i? r ;;; psi .: t ittt. � fwd..: Qll .i:, : 5ra� .r.. ,� tai multi-family 67.84 2
energy,
2 _ fir t r: -5 L J L f( � Limited ,� S g residential (with above e4. ft.) V� V""` Services or feeders Installation alteration and/or relncudo
200 amps or lass 100.70 j 2
+' w � :" 133.56 2
{r ' iii ,a .;. a F J. ' r c ° i�_.` ' • y' �rt `t�: ti i .: ;& 201 a m s to 400 amps 200.34 2
Name: Dok, W t l 401 amps to 600 0 amps 301.04 2
601 amps to 1,000 amps
- Address: .S(ti11k.e_ _ Over. 1,000 amps or volts 552.26 2
Temporary services or feeders installation, alteration, and/or
City /State/ZIP: relocation
Phone: (503) 519 .. en its 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, rent, or exchange, according to ORS 447, 449, 670, and 701. Branch circuits - new, alteration, or extension, per panel
Owner signature: -Date: A. Fez for branch circuits with
, t , r •c : :/ a ' , . + above service or fader lac, 7,42 2
,`a' .:4.1 r, i ' P: k, Y ,., e•Y�, •: J., may. . Z J.•'
.,, ,^„< a r ' tl TJ _ ::?.5,1.662- YC•.t!N ..1.!'f!�M7 0 ,: r:.l.x...:.C:,.
:..(>:��q� ••1'%•! °��! .. �i e.5. each seder)) circuit
Business name: • B. Fee for brunch circuits
• without service or feeder fee, t 56.18 .1% 2
Contact name: _ first branch circuit
• Each add'! branch circuit 1 7.42 1 NI- 2
Address: • Miscellaneous (service or feeder nut included!
City/State/ZIP: Emil manufactured or modular 67.84 2
dwelling, service and/or fader
Phone: ( ) I Pax:: ( ) _ Reconnect only 67.84 2
E -mail: Pump or irrigation circle • 67.84 2
7 ,�' .,+w�: -,Wr f r r ;:...r ' .- ,,�,., r• - v.ti ti�ix f ,. r .,. •.c.x7 41 ::tr .• '�;�:1;�+: ° 4 d Sign tline lighting 67.84 2
. ... . },,� a , �` t rr�y'/'�(,�tl'13t�rtl�,l� r,'� .: �'� =:r. r�,v 'iii.,;'- �1 P� CIOa
�..A �is 6 : r / � a. mtiaA %f " :,Y�r. ...T'GH3.(�,°.!'�i<. ... , . .A•: •`:_1 ...�:'.. i�•1..;.._ '....�...::
Signal circuit(s) Of limited-
Business name: a 1st C e-f He&;' - rte g' Levi 1Ytt energy panel, alteration, or
y u , J
extension. Describe: Page 2 2
Address: No Q j S LA ) f ttLi 1 .g ,
• Each additional inspection over allowable In aayof the above
City /State/ZIP: ( r• Per inspection _ 66.25
Pte: (503 ) _ 411 Fax: (5i)3) 239. 04 3 - Investigation per hour (l hr min) 66.25
CCB Lie.: , r Bl C I � . JGr./ ,3 " Industrial plant per hour 78.18
L��S al I. Suprv. ic.: t:; . 404 T'`�'/?:yF.f•.'E 1 ei ff.. i 'e"Pt1E►S'^> �r: ` ISif ':e;`.'
Suprv. Electrician signature, required: ' ‘"'-.----"S Subtotal: 103 40
Plan review (25% of permit fee):
Print name: L C S I date: 21111° State surcharge (12% of permit fee): l •If/
Authorized signatumi,51,`. . TOTAL PERMIT FEB: /1.33
I This permit application expires ire erm
pit is not obtained within 150
Print name: S ►'ta.l_ •_ b AM 1 p, ,•, Date: 7--IGI II.. O days after it has been accepted as complete.
a Number of ivapeetiona allowed per permit.
I: 1HuiwlarOomiul®.C- PermitApp.doe 10(01/09 v � 1 / n 616T(II /OSrcoal/WEB
Z0 /Z0 30Vd 9NIlV3H 13SNI1S 6Et7017EZEOS 6t :tZ 0I03/80/Z0