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Permit a CITY O F TIGARD ELECTRICAL PERMIT CITY OF PERMIT #: ELC2008-00263 il ' , COMMUNITY DEVELOPMENT DATE ISSUED: 5/9/2008 S,T►GARD' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 110BA -07100 SITE ADDRESS: 11975 SW WILDWOOD ST ZONING: R-2 SUBDIVISION: SHADOW HILLS NO. 2 LOT : 056 JURISDICTION: TIG PROJECT: ANDERTON Project Description: Intalling (3) branch circuits. • RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL: MANF HM/ SVCI FDR: - 601 +amps -1000 volts: MINOR LABEL (10): SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W /SERVICE OR FEEDER: PER INSPECTION 201 - 400 amp: • 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 2 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: JIM & BRENDA ANDERTON A -TEMP HEATING & COOLING 11975 SW WILDWOOD ST 16000 SE EVELYN ST TIGARD, OR 97224 CLACKAMAS, OR 97015 -9519 Phone: 503 - 968 -2925 Contact #: PRI 503 - 650 -5014 FAX 503 - 557 -2990 FEES Description Date Amount Reg #: ELE C55 [ELPRMT] ELC Permit 5/9/2008 $60.15 LIC 71878 [TAX] 12% State Surchar 5/9/2008 $7.22 SUP 3795S Total $67.37 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: ::7' 7i-c--er75;: 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. . INSPECTOR'S SIGNATURES ARE NOT .; Inspections Required for: /. 'pC,l') _by REQUIRED ON GREEN INSPECTION CARD. ✓ Code J Inspection Description I PASS Date I By ✓ Code Inspection Description I PASS Date I By • BUP - Building Permit ELC - Electrical Permit 405 Excavation 105 Underground /slab cover 410 Fill 110 Temporary electrical service 415 Grading 115 Electrical service • 205 Footing " \ 120 Electrical rough -in 805 MFG - Structure grading /footing \ 125 Wall cover 210 Foundation walls 130 • Ceiling cover 215 Footing drain 135 Low voltage 220 Slab 140 Sign installation . 310 Crawl drain 145 A/C or heating unit circuit 225 Post /beam structural 150 Hot tub /spa /pool 230 Underfloor insulation 195 Misc. inspection: • 235 Shear walls /anchors jr 199 Electrical final 240 Exterior sheathing 245 Firewall 250 Roof nailing ELR - Restricted Energy Permit 255 Wtr proofing basement walls 135 Low voltage 260 Tilt -up panel 195 Misc. inspection: 265 Masonry 199 Electrical final 270 Reinforcing steel (rebar) 275 Framing 810 MFG- Structure set -up MEC - Mechanical Permit 280 . Insulation 605 Post /beam mechanical 285 Drywall nailing 610 Gas line 287 Suspended ceiling 615 Mechanical rough -in 295 Misc. inspection: 620 Hydronic piping 899 MFG - Structure final 625 Duct work 498 Grading final 630 Fire damper 299 Final inspection 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection: 699 Mechanical final BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab PLM - Plumbing Permit 910 Sprinkler rough -in 915 Fire alarm rough -in 305 Plumbing underslab 920 Suppression trip test • 310 Crawl drain 995 Misc. inspection: 315 Post /beam plumbing 998 Alarm final 320 Plumbing rough -in 999 S rinkler final 322 Shower pan P 330 Water service 335 Rain drain • 340 Storm drain SIT - Site Work Permit 505 Sanitary sewer 405 Excavation 345 Culvert/catch basin 410 Fill 350 Septic tank 415 Grading 395 Misc. inspection: 205 Footing . 399 Plumbing final 210 Foundation walls 215 Footing drain 420 Sprinkler supply lines SWR - Sewer Permit 495 Misc. inspection: 505 Sanitary sewer 498 Grading final 595 Misc. inspection: 499 Final inspection 599 Final inspection • • I: \ Building \Forms \InspCard- AOP- Blank.doc 02/02/07 CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2008 -00263 COMMUNITY DEVELOPMENT DATE ISSUED: 5/9/2008 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S110BA -07100 SITE ADDRESS: 11975 SW WILDWOOD ST ZONING: R -2 SUBDIVISION: SHADOW HILLS NO. 2 LOT : 056 JURISDICTION: TIG PROJECT: ANDERTON Project Description: Intalling (3) branch circuits. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNALJPANEL: MANF HM/ SVCI FDR: 601 +amps -1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W/SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: • EA ADD'L BRNCH CIRC: 2 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: JIM & BRENDA ANDERTON A -TEMP HEATING & COOLING 11975 SW WILDWOOD ST 16000 SE EVELYN ST TIGARD, OR 97224 CLACKAMAS, OR 97015 -9519 Phone: 503 - 968 -2925 Contact #: PRI 503 - 650 - 5014 FAX 503 - 557 -2990 FEES Description Date Amount Reg #: ELE C55 [ELPRMT] ELC Permit 5/9/2008 $60.15 LIC 71878 [TAX] 12% State Surchar 5/9/2008 $7.22 SUP 3795S Total $67.37 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 B 111111* 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. • , ' 05/07/2008 10:43 5035572990 A —TEMP HEATING PAGE 02/02 Electrical Permit Application- FOR °FRRCI ()SP ONLY 111111 _ City of Ti Bed M ---1 0 3 ' . Permit No. .. ], t� n 13124 SW Hall Blvd.. Tigard. OR 97223 nn Rcv)cw V0 V Phone: 503.639.4171 Fax: 503,598,1960 Dnlc /By: Other Permit! fro Ra �• _ TiGARD Inspection l,inc:503,639,4175 Dnic Ready/riy: fiIIi! "` Sec rtirje 2mr ( — JY I intcrnct: www.tirard nr,gov Noti(icd/ivtctho4: l it Supplctncntnlinformation rP1 t)f :W(yR!( 1'1:.41'.1 tit ❑ New construction • ddition /alteration /repincemenl Plcn)c click all dint apply (iubnalt 2 nem el plans .. x/:rani checked ho+lnty) ❑ Service or recctcr 4011 amps nr mere 013uild ng over three stnricn. ❑ Demolition ❑ Other: u here the nvnilnblc [Ault current ©MarJnns and hnntynrd) ( AT1`t {1T CAiv51 ltIT.CTION exceed, 10,000 amps nt 150 volt) or 0 Floating huild < • '�`' lass to ground, or c.'ccecdn 14,01x) ❑ Cnmmcrcinl -use ngriculturn1 Er--1 i and 2- family dwelling ❑ CommercittUmdusttial ❑ Accessory building amps for nit nihcr insiullmtime,. lnnldings. ❑ Multi- family El Master builder ❑ Other: ❑ fire pump. I3 installation •,r KVA or ❑ time Aoncy nyatcm largor sepnr y derived system. T013 g xxr, 1Nr611VidrtTIPN A N1)::'T,oCATTON ■ \dditinn „ f new motor lond cif ❑ n" ' l' " - 1.3 Job no.: Job site address; 1 m t 01-TP or mo (=Upanm � .. � � �� _ V X 1, 1 : ix nr more rc:;dent,nl units ❑ R.rcrnntinnnl vehicle prtrin, City /State /ZIP; ©1- tcnith -cure fnclliiics 0 Suppl volta rnr mare Ma ,� ❑ 1Tirrardou, leenlion (100 units nominal. Suite/bldg./apt. no.: Project name: �l / p O 12 service or feeder 000 amps or more. �'' rrrr • CIoss S1reetldlrectlonS to jolt Site; nern'Iptinn 1 r 'foal I • New residential single- nr multi- fnmfly dwellings unit, _. Includes attached garage. Subdivision: Lot no,: 1,000 )q. tl. or Icas 145.15 4 "' `-- Ea. add 500 aq, fl. or portion 33.40 i Tax mop /parcel no Limited energy, residential 75.00 2 -" t ESCRIP`rIl( Wt:11U( ,..... .., (with above e tLR) • Limited energy, multi - family (10 2 — .� t: 1,� �, residential (with above sq. ft.) 75. 4 A P k - Services or feeders installation, altetaitinn, and /or relocation 200 antps or Icss _ 110.30 2 ' —� - l ii)rtItTY o1� Mere . [ ``11 NAIV:T- 201 amps to 400 amps 106,85 2 Name. 401 amps to 600 amps I 160.60 -- 2 --- 601 amps to 1.000 amps 240.60 2 Address; _ _ Ovcr 1,000 amps or volts 454.65 2 City /Stntel %(l?; Temporary services or fredcm instnllntfon, alterntinu, anti /or relocation Phone: A t go p._612._. ( ) 200 amps or less 66,85 1 Owner imbibition: This installation is being mode On property that 1 own which is not 201 amp) l0 400 amps 100.30 2 intended for salt, lease, rent, or exchange, according to ORS 447, 449, 670, and 701, 401 amps to 599 amps 133.75 2 Branch circuits — new, niter:dim!, or estenmlon, per panel Owner signature: Date: A. Pcc for branch circuits with " Weft l firYeANT ' ro'xTACr vli,ItStS1■ : ahovc sciti•iconr feeder rec. 6.G5 2 each branch circuit 2 Business nal • C: 13, Pcc for branch circuits ty wdthout service or ['ceder roe 4fi RS ■ 2 Contact name: A TLAP, , ri7�JG E r vel CgnT r first branch circuit Address: et ( , � � 16000 S E Ev yn St. Ea it branch circuit 6.65 ' — Clackuluds, Ok y /U1S Miscellaneous (service m• feeder not included) City /State/41,P: 503- VA Each manufactured or modular 6�p SO14 dwelling.. service and /or feeder 90 °0 2 Phone: ( ) M .._ .. Fax: .t5 ) Le 1( 2_9, c Rec on nect only 66.85 2 E -mail: ✓ Pump or irrigation circle 53.40 _ M -~ _ I .3.40 N,.__ Sign rm rnitlin` ligflting 1 W 2 Business name: Signal 4irciit(s) or limited• energy panel, alteration. or Address: - "{ v i ^ 91V. TWO AND COOLING, INC extension. Describe: Page 2 2 16009,6E - Evelyn St. C ity /Statc/7JP: Claekam OR 97 Each additional insp ection over allowable in anyofthe above s p" - - ) �$�f✓ 5014 i� v S Per inspection G2.50 Phone: ( ) Investigation per hour (I hr min) 62.50 CC173 l.ic.: 0 ( Q' f rleclrical. Lie.: Suprv. T j Industrial plant per hour 73,75 f � / -6 U 1 ✓ ..'•1 LII:Ctr1Zft' i1 Tt PTRMTI' Pp p q , r Suprv. 1 ?,fec :DT , gn H ire, requited. e / /�, �O t J _. ......... _. Subtotal: r 1 ' S Y Plan review (254 /n of permit the): Print name: • . 0 , Date -� Statc surcharge (1.2% of permit rcc); Authorized signal:13 � �� TOTAL PP,RMTT FEE: ,f n . � Date: r � I bis permit npplicni.inn expires it - n permit. is nn ncd within IAO Print namc f ._1 L 1 rY/' t'' M ♦ dor+ after it has been ncccpled .caitnpicta 1 ' Numhor of inapectinna nlinwcd per pet „/"') 1: tsnild11V11'nnult) \SLC ienlIincp.tloc a5 /73/00 440.4iiISTi1l /0.5 /ClOM/WGA c `