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Permit a CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2013 -00271 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 05/14/2013 Parcel: 1 S134AB01200 Jurisdiction: Tigard Site address: 11334 SW IRONWOOD LP Project: Baker Subdivision: ENGLEWOOD Lot: 11 Project Description: (1) 200 amps or less to replace 200 amp panel and upgrade grounding to current code. NOTE: Electrical permit may be required if replacement piping effects house grouding Contractor: EAGLE ELECTRIC LLC Owner: BAKER, LINDA M PO BOX 931 11334 SW IRONWOOD LOOP ST HELENS, OR 97051 TIGARD, OR 97223 PHONE: 503 - 397 -9017 PHONE: FAX: 503 - 366 -4252 FEES Quantity Description Date Amount 1 ea Services or Feeders - 200 05/14/2013 $100.70 Specifics: amps or less 1 ea 12% State Surcharge - 05/14/2013 $12.08 Type of Use: SF Electrical Class of Work: ALT Type of Const: Occupancy Grp: Total $112.78 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 52 -001 090. You ay obtain a copy of the rules or direct questions to OUNC by calling 503.2 or 1.800.332.2344. Issued By: Permittee Signature: O &L rl 1 V Lie /-f�► r D id 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. RECEIVED Electrical Permit Application voft OFFICE USE ONLY City of Tigard MAY A.Y 14 2013 Received u 13 Permit No.: �G � ' -t1t) 3 - Ova °1 1 13125 SW 14811 Blvd., Tigard, OR 97223 Plan Review t: Phone: 503.718.2439 Fax: 503.598Y OF TIGARD Date/By: Other Permit: I' 1 A it t Ins ection Line: 503.639 Date Ready/By: i+•ris' El See Page 2 for Internet; www.tigard -or.gov BUILDING DIVISION Notified/ethd: _ _ 7 (o Supplemental Information P!Z•: •. e 2 s T i M y t'f ,fit, v V+;, ',7 ' .. c 5 "C' „- T "c. �. ,'✓ n-n � B ' . �'� , ,v ,. 1 .,,: ."t 5 N. ! - q E its t Z ' ' - : ' R, .• L ' .. • '.... z;:a cz /,' 1 e ,,ia � '•,: 111 New construction Li Addition/alteration/replacement Please check all that apply (submit 2 sets of plans iv/items checked below): " ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Ot her: where the available fault current ❑ Marinas and boatyards. "i 1 + t v l e / 1 ' q1 r g 1 , i S 5+ } BITM exceeds 10.000 amps at 150 volts or ❑ Floating buildings. o•. , ,�„ � ? wf� •444. h4' W` e � �'�� ����� �.,,`. �''. try '" less to ground, or exceeds 14.000 ❑ Commercial-use agricultural It 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 1CVA or i 1 . „t (� /44t r, , �3, T5 °. „ - • tl 1t ." Blu . 7Fit9 a.;.�;ti;, �stt Emer ; {� ❑gncy m . larger separately derived system, �.,., x 1 a °1 ,, • i e i � l8• ' i ta w iiiiit1 ©Ad dition e of new syste motor load of ❑ "A ", "E ", "1.2", ' Job no /g -all-4 Job site address: //3,3/ f $ ./ r i vw [DLL. LP 1001-IP or morn. occupancy. ❑ Six or more residential units. ❑ Recreational vehicle park;. City /State/ZIP:Ti A.,Qd, ae, g 72- . ❑ Health -care taoilities. El Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt no.: Project name: thick ❑ Service or feeder 600 amps or more. +'r ,a, r' , , ?. , MAP;:liA i , 1 r. , c ••";..�i. ,. SM , i..1r. names tt ?5: ,u c.).;,.,i - � Cross street/directions to job site: Description qt' y Fee Total • - New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: I Lot no.: 1,000 aq. ft. or less 168.54 4 - Tax map /parcel no_: Ea. add'/ 500 sq. ft. or portion 33.92 1 Is ' ic` , j r 1'� 4, a ., r i t:•.r �, � F Limited energy, residential 75.00 2 't ∎ ;.lit4� , `'rr x,1 , -r 1J . ti a,.;,; I n 4 . 5 3' d e .. .. a ..iik' "j , i..1t'. iPed -.e' ' ^.:t:yc� (with above so. it.) � Limited energy, multi - family 75.00 2 pl j) J Qa g7_ c f�,J7pQ residential (with above sq, ft.) Services or feeders Installation, alteration, and/or relocation de RdLCNd /N' i . , 200 amps or less i 100.70 /A).7 0 2 y M;t'2llh i' yt c Nhl� i,..`+ 1� ". l Wd te� ' illl ! 20] amps to 400 amps 133.56 2 r, Name: 401 amps to 600 amps 200 2 601 amps to 1,000 amps 301.04 2 Address: Over 1,000 amps or volts 552.26 2 City /State /ZIP: Temporary services or feeders Installation, alteration, and /or relocation _ - Phone: ( ) 1 Fax: ( ) 200 amps or less 59.36 1 201 amps to 400 snips 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 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. Fee for branch circuits with ;11 , , , ;:,11 , 4; , ,F 1 ,11; ' ,,,1 "45 . �w ,:,:t5 ii,.: ilatw �a iST a �I`}4? above service or feeder fee. 742 2 + C•.Ac , a n f' ' • M k' h i : 6tEu A ;V. dA . 1 each branch circuit Business name: B. Fee for branch circuits without service or feeder fee. first 56.18 2 Contact name: branch circuit Each add'/ branch circuit 7.42 2 Address: Miscellaneous (service or feeder not i ncluded) — City/State/ZIP: Each manufactured or modular 67.84 2 dwelling, service and/or feeder , _ __ - Phone: ( ) I Fax: : ( ) Reconnect only 67.84 2 Pump or irrigation circle 67.84 2 E - mail: Sign or outline lighting 67,84 2 ;�: A * x ,.i•. � a a+ k �4q �r�, y rr �y.� e. ��:, .. . 1 ` �•��a.� 1 ',;? ;': i ,`Fi! % :. : ti: i;,"; r�i,`` , yt Ati :/ iii' ry gi/P,i':i•$,'r ;` , 5 ; i:; gi,i � d :�i:) ?:4 Signal circuit(S) or limited -energy Business name: Eagle Electric, EEC panes, alteration, or extension. Page 2 2 Each additional inspection over allowable in any of the abov Address: P_O_ Box 931 Additional inspection (1 hr min) 66.25/ hr - Investigation (1 hr min) 66.251 he City /State/Z1P: St.Heiens, Oregon, 97051 Industrial plant (1 hr min) 78.18 / hr Phone: (503) 397 - 9017 Fax: (503) 366-0252 Inspections for which no the is 90.00 / hr - s. •cificall listed td hr min CCB Lic_: 192277 Electric. i3 A Suprv. Lic.: 5677S f . .5` . Q; ""(S ' y 317-77? r1 :T:.r , a . - .,- i.. w . ?*1„;, Suprv. Electrician signature, required ' M n Subtotal: 1(')Q 4 70 � , � Plan review (25% of permit fee): m Print name: Danny Pharr Date: 5 b State surcharge (12% of permit fee): /A .. e J TOTAL. PERMIT FEE: /( 9 g Authorized signature: This permit appticotian expires if a permit Is not obtained within LSO Print name: Date: • days after it has been accepted as complete. Number of inspections allowed per permit. 1: 1BuildinglPennit5 \ELC- PaimilApp.doc 07/01/10 440 4115T(11 /0S!COM/WEB 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 11334 SW IRONWOOD LP, TIGARD, OR, 97223 Residential - Electrical 115 Electrical service 05/24/2013 00:00 ELC2013-00271 PASS Violation Summary: Inspector Contractor 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 11334 SW IRONWOOD LP, TIGARD, OR, 97223 Residential - Electrical 199 Electrical final 05/24/2013 00:00 ELC2013-00271 PASS - No C of O Violation Summary: Inspector Contractor 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 11334 SW IRONWOOD LP, TIGARD, OR, 97223 Residential - Electrical 115 Electrical service 05/24/2013 00:00 ELC2013-00271 PASS Violation Summary: Inspector Contractor