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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT ELC2006-00342 DEVELOPMENT SERVICES DATE ISSUED: 6/20/2006 13125 SW Hall Blvd., Tigard, OR • 97223 503-639-4171 PARCEL: 1 S133CA-02200 SIT;,' 'ADDRESS: 13877 SW ANNA CT ZONING: R-25 SUBDIVISION: GABRIEL WOODS LOT : 001 JURISDICTION: TIG Project Description: Temporary power to shack trailer. RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: 1 PUMP/IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN/OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL/PANEL: MANF HM/ SVC/ FDR: 601+amps - 1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 200 amp: W/SERVICE OR FEEDER: 1 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: IN PLANT: 601 - 1000 amp: PLAN REVIEW SECTION 1000+ amp/volt: -4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC/FDR - 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: JOE BAUSCHILT ROSS ELECTRIC INC 4325 SW PRIMROSE ST. 2870 SE 75TH AVE #203 PORTLAND,, OR 97219 HILLSBORO, OR 97123 Phone: Contact M PRI 503-642-2800 FAX 503-642-5815 FEES Description Date Amount Reg ELE 34-436C [ELPRMT] ELC Permit 6/20/2006 $73.50 LIC 157891 [TAX] 8% State Surcharge 6/20/2006 $5,88 SUP 4232S Total $79.38 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. 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 than 180 days. ATTENTION: Oregon law requires you to follow 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 copies of these rules or direct questions to OUNC at 503-246-6699 or 1-800-332-2344. Issued By: 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: 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. 06120/2006 09:02 5036425815 ROSS ELECTRIC INC PAGE 02102 Electrical Permit App ication f . ' City of Tigard r ° Received Date/B : Pamir No.. >00 3o- 13125 SVT Hall Blvd., Tigard, OR 97223 Plan Review Phonc:' 503,639,4171 Fax: 503.598.1960 r 1 2Ufl~ DstdB : Other Permit: In ,section line: 503.639.4175 Date Ready/By: jwc Rl See Pace 2 for Internet www.ci.tigard,or.u9 N05ed/Melhod: SupplemeAtalInformation ~~'ay'r-~1E?ldti•:✓~~1~'• s. a l ~`'y=:?'si'`:~, ,~~k , _ s .r< ~Ir`,~grr'.'`3tPI~Yk:~'J;~9 ' `,":E~'~~->Ira,~a<5;i „3;l'•`<'? ~;;IS..! ~ u;~r_r ! - - - ~ 1 ~ •~.~~,~a,,l~ rS , I yM:,•'ar;~::ri-^,.,..,, _:~;"'rll~i f;all,~z.a:ew~ ~::~,~'~":.ti, tea _ ❑ New construction g4 add"tiAan/a'lit:ration/replaccment 1'lcase check all that apply: VIA ❑Service over 225 amps, commtl ❑Hazardous location ❑ Demolition I Other; e - a service over 320 amps- rating ❑Bulld g over 10,000 sq. I iy ¢ JJa' F t.:~ . Ily I` ' ''i;l e _ h "'~~'it~l' ?::,a r7 r kF:i'.t s of I and 2-famil dwellings 4 or more new y residential ❑ I -and 2-family dwelling Commercial/industrial 'Accessory building ❑System over 600 volts nominal units in one structure ❑Building over three stories ❑Feeders, 400 amps or mo ❑ Multi-family ❑ Master builder ❑ Other: ;i Occupant load over 99 persons ❑Marlufacturedstructures , ,ii.xi = a at , ma ❑Egrc5sAighting plan RV park Job no.: Job site address: ❑Health-care facility 0Other: 7 3t,, J~f)j)jj Submit 2 sets of plans with any of the above. City/State/ZIP: The above are not applicable to ternporary construction service. un1•~ f 11 11 Suite/bld$./apt, no.: Project name: Mir", r" ; Dvcription Qty. Fee. Total ' Cross street/directions to job site: New residential single- or multi-family dwelling unit. includes attached garage, 1,000 sq, h. or less 145,15 Subdivision ~j ® C) 0 S Lot no.: Ea, add'I 500 sq. It. or portion 33.40 Limited energy, residential 75A0 Tax map/parcel no.: ' Limited nonresidential 75,4 ' h~` . r.,.,,: „ a ~ r'x,_.. ~,>li, ' i i , Each manufactured or modular dwelling, service and/or feeder 90.90 Services or feeders installation, alteration, and/or relocatio t G~ 200 amps or less 80.30 iilKBip;,; R' II~IYskv::;4 ,rP;li Jri { Man i _ i 201 amps to 400 amps 106.85 r,t a3::!" RI, l"l ',2 : i i(•::•::• 4 . f• >r:'>-t' 7f: 401 amps to 600 amps 160-60 Name: Vv\ 04 we 601 amps to 1,000 amps 240,60 Address: Over 1,000 amps or volts 454,65 Reconnect only 66, 85 City/State/ZIP: Temporary services or feeders Installation, alteration, and/or relocation Phone. ( ) Fax- ( ) 200 amps or less 66,85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits- new, elterAtion, or extension, er panel !-yip, 1" : s;..w • III! ~?F ! ?r ;iii r' ` i`• ill j ; . :,yly l us} i:,. .a A. Fee for branch circuits -with , , ROM ' • ( .:I 4 r 19. NO L i~l MZM service or flreder fee, each Business name: branch circuit 1 6.65 Cp y~ 2 B. Fee for branch circuits Contact name: wUhour service or feeder fee, each branch circuit 46-85 2 Address: Each add'I branch circuit 6.65 2 City/State/&F: Miscellaneous (service or fecder not included) Pump or irrigation circle 53,40 2 Phone- ( ) 1=ax: ( ) Sign, or outline lighting 53.40 2 E-mail: Signal circuit(s) or limited- energy panel, alteration, or extension, Describe: Page 2 2 Business name: I D SS 01.1eC_ ~~C_ '~~1 C Address: a 9'7c) S c 7 ,S'.,'~ OvQ- Eaeb Additional Ins ection over allowable iu any ofthe above Per.inspection 62.50 City/state/ZIP: 5 [off)-© O r g 7 !a -,A:~ Investigation per hour (I hr min) 62.50 phone: (sp3) i(Y-Z Z X00 Fax: („r03) (,r y Z T-W (S Industrial plant pcrhour 73,75 CCB Lic.: ~ 5751 t Electrical Lie.: 3e f,y3 S~up~rv. Lie.: S Subtotal Suprv. Electrician signature, required: flan review (25% of permit fee) Jt2,f h 0 5 Date: State surcharge (8% of permit fee) Prim name: .•2-V~ TOTAL PERMIT FEE Authorized signature; This permit application expires if a permit is not obtained, ithin ISO days actor it has been accepted as complete Print name; Date: Fee methodology set by Tri-County Buildigg Industry Scn iceBooard~ " Number ofinspections perpennit allowed, 5 $ S i:lBuilding\PermitslELC-Pe*RtiiAop.doc 12/03 440-4613T(t0/02/COM/w$g ~ CITY OF TIGARD I* BUILDING DIVISION PERMIT ELC2006-00342 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6f20l2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503),639-4175 INSPECTION WORKSHEET FOR DATE: 512212006 TIME: 7:01AM PAGE: 82 SITE ADDRESS: 13877,13W ANNA CT CLASS OF WORK: SUBDIVISION: GABRIEL WOODS LOT 001 TYPE OF USE: PROJECT NAME: GABRIEL WOODS DESCRIPTION: Temporary power to shack trailer. JOE BAUSCHILT, oF(' B~tZ(20Jq 1~ ~p OWNER: _ PHONE CONTRACTOR: ROSS ELECTRIC INC PHONE ~,-03 642"21300 Inspection Request Scheduled For: Date: 6122/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 110 Temporary electrical service 032141-01 503.798"4883 N Corrections/ Comments/ Instructions: 6 ~3 ~2 Cr ovN~'i ~ (Z.4~~ ~6N v c, ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS A`/FAIL] CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED J Inspector: y " 1V Date: 2~~ Phone (503) 718- - CITY OF TIGARD I* BUILDING DIVISION PERMIT ELC2006-0(242 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/2012006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 6123/2006 TIME: 7:16AM PAGE: 20 SITE ADDRESS: 13871 SW ANNA Cl CLASS OF WORK: SUBDIVISION: GABRIEL `(MOODS LOT 001 TYPE OF USE: PROJECT NAME: GABRIEL WOODS DESCRIPTION: Temporary power to shat trailer. OWNER: JOE BAUSC'HI'LT, PHONE CONTRACTOR: ROSS ELECTRIC INC PHONE 503-C-42.2800 Inspection Request Scheduled For: Date: 6123/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 1'10 Temporary electrical ;service 032276-01 503-642-2800 N Corrections/ Comments/ Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ' `rx Date: 4 Phone (503) 718- Z, b