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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00953 DEVELOPMENT P� 13125 sw BI ENT t SERVICES DATE ISSUED: 12/13/2005 503 - 639 -4171 PARCEL: 25111 CB -02300 SITE ADDRESS: 14885 SW 100TH AVE ZONING: R -3.5 SUBDIVISION: MURDOCK HILL LOT : 004 JURISDICTION: TIG Project Description: Remodel 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: SIGNAL /PANEL: MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 1 W /SERVICE OR FEEDER: 10 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: MARILYN WEBER ABC CONTRACTING 14885 SW 100TH AVE 11945 SW PACIFIC HWY TIGARD, OR 97224 TIGARD, OR 97223 Phone: 503 - 968 -3204 Contact #: FAX 503 - 620 -4791 PRI 503 - 620 -4757 FEES Description Date Amount Reg #: LIC 162558 [ELPRMT] ELC Permit 12/13/200: $146.80 ELE 26-1237C [TAX] 8% State Surcharge 12/13/200`. $11.75 SUP 3979S Total $158.55 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 suspen. - • or mo - an 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules re set forth in O• ' 952 -0s -601: . rough OAR 952 - 001 -0100. You may obtain copies of these r s or direct questions to OUNC at 503 -. 46 -6699 or 1 -800 -3 2- 4. Iss -d By: . �_ :1 : _� , Permittee Signatu - ;1 1 Q(1filri o 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 INSTA LATION ONLY SIGNATURE OF SUPR. ELEC'N: .ii��J�� /i DATE: LICENSE NO: 3 5 5 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. Y , r �N i •, F=.02it' o- to 7F0r�'7 1, n i'�I ., d ''' +�;r Elec �l Permit Application ,,,, , , i, t?, � ORvo US L o ON'l � " 4 4 6 r4�� 1 t Ci tf Tigard Received ! Permit No.: 13125 SW Hall Blvd., Tigard, OR 97223 Date/By. /5 0S a G � -60 953 P Plan Review Phone: 503.639.4171 Fax: 503.598.1960 '? �. . l . ..r' pate/gy Other Permit: iii a Inspection Line: 503.639.4175 Jr. .6615, I;1 Date Ready/By: la EI See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: / IC. Supplemental Information • TYPE OF WORK PLAN REVIEW ❑ New construction Addition/alteration/replacement Please check all that apply: ❑ Demolition ❑Other: ['Service over 225 amps, comm'I ['Hazardous location ['Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of 1 - and 2- family dwellings 4 or more new residential -�- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi - family 0 Master builder 0 Other: ['Building over three stories ['Feeders, 400 amps or more ['Occupant load over 99 persons ['Manufactured structures or JOB SITE INFORMATION AND LOCATION ['Egress/lighting plan RV park Job no.: Job site address: U t, �} /J -• ❑Health -care facility ❑Other: 7 p� S f 60 hW t Submit 2 sets of plans with any of the above. City /State/ZIP: -7-7 b4 c2 q 7c, ail The above are not applicable to temporary construction service. • FEE* SCHEDULE m Suite/bldg. /apt. no.: Project nae: w E? - Description Qry. Fee. Total � •' Cross street/directions to job site: sM G 2�N tzL , s7 T® / 60 -0- • New residential single- or multi- family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular gE71901)Lt' ti dwelling, service and/or feeder 90.90 2 Services or feeders installation, alteration, and/or relocation 200 amps or less I 80.30 €„30 2 PROPERTY OWNER 0 TENANT 201 amps to 400 amps 106.85 2 ,r� 401 amps to 600 amps 160.60 2 Name: /�4fa/ Z. yA) GU t736- 601 amps to 1,000 amps 240.60 2 Address: / (-I S F3 5 1A) ) ®© r1Lxi_ci e- Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State/ZIP: �6„4_ Oa.' Temporary services or feeders installation, alteration, and /or relocation Phone: (5v �) 9 / g _ 3 Z 0 9 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 2 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, alteration, or extension, per panel 0 APPLICANT 1 ❑ CONTACT PERSON A. Fee for branch circuits with n service or feeder fee, each Business name: ,( / G i (2, 9A/#24 N 6., branch circuit 10 6.65 &I 2 B. Fee for service circuits Contact name: Se9L pj f/t/ Qi(J without service or feeder fee, (pia iII � / _ 7 3 each branch circuit 46.85 2 Address: 1 1 U 5-- S t'l `Yfl c 1F.-.4 /' C. y 7 LR /'TL C' Each add'I branch circuit 6.65 2 City/State/ZIP: `! 6,4/2,r) 0/- ' 7 2 'Z3 Miscellaneous (service or feeder not included) to zb _ z, 5-77 Fax :: (S-3 ) 6,0 p Pump or irrigation circle 53.40 2 Phone: 6-03 ) ( y 7 Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited- . . CONTRACTOR energy panel, alteration, or /�' extension. Describe: Page 2 2 Business name: Al B aL CoAi 7 RA cr74/ . / Each additional inspection over allowable in any of the above Address: 11 9 4 s Sw IIGI IZZ N- /, So l 1Z' 36 �O Per inspection 62.50 City/ State/ZIP: 6l • 0 a„. % 7 z 3 Investigation per hour (I hr min) 62.50 ( Phone: (. -173 p To _ y-, 5'7 Fax: (� 3) c Z p Industrial plant per hour 73.75 LI 7C10 ELECTRICAL PERMIT "FEES *. . CCB Lic.: Bo zss$ Electrical Lic.: 37 C , �$,uArv. L : S Subtotal /lit,. gp Suprv. Electrician signature, required: 0/6 / Plan review (25% of permit fee) Dat e: State surcharge (8% of permit fee) / / • '15 ' Print name: i m 3 e - ei /VIz �� TOTAL PERMIT FE C S r / rJ5- Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board •• Number of inspections per permit allowed. i:\ Building \Permits\ELC- PennitApp.doc 12/03 440.4615T(10/02/COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL: WORK ONLY: Fee for all residential systems combined ... $75.00 k. heck Type of Work Involved: MI Audio and Stereo Systems* : urglar Alarm ❑ G. . ge Door Opener* ❑ Heat g, Ventilation and Air Conditioning System* ❑ Vacuum st i I s* ❑ Other: COMMERCIAL ON ■ Fee for each commercial system. $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems / ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunic tion Installation ❑ Fire Alarm Insta ation ❑ HVAC ❑ Instrume tion ❑ Interc m and Paging Systems ❑ La dscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations i:\ Building \Permits\ELC- PamitApp.doc 04/03 CITY ,!te �Q 1 OF TIGARD j\ � ` C\ ✓�� '� ELECTRICAL PERMIT CIT L> -- l ---‘) PERMIT #: ELC2005 -00953 DEVELOPMENT SERVICES DATE ISSUED: 12/13/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 .__.. ` PARCEL: 2S111 CB -02300 SITE ADDRESS: 14885 SW 100TH AVE ZONING: R -3.5 SUBDIVISION: MURDOCK HILL LOT : 004 JURISDICTION: TIG Project Description: Remodel. 2/1/06: Added (14) 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: SIGNAL /PANEL: MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 1 W /SERVICE OR FEEDER: 24 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: MARILYN WEBER ABC CONTRACTING 14885 SW 100TH AVE 11945 SW PACIFIC HWY TIGARD, OR 97224 TIGARD, OR 97223 Phone: 503 - 968 -3204 Contact #: FAX 503 - 620 -4791 PRI 503 - 620 -4757 FEES Description Date Amount Reg #: LIC 162558 [ELPRMT] ELC Permit l2/13/200! $146.80 ELE 26-1237C [TAX] 8% State Surcharge 12/13/200` $11.75 SUP 3979S [ ELPRMT] ELC Permit 2/1/2006 $93.10 (additional fees not listed here) REQUIRED ITEMS AND REPORTS Total $259.10 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 questi . to 0 C a .1 246 -6699 or 1- 800 - 332 -2344. Permittee Signature: �� Issued By: ��;�� 9 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. CITY 'OF TIGARD - . _ �l.S BUILbING DIVISION PERMIT #:b{G.�Z.pO� - 0a3 13125 SW. Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 • INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: 1 / 01 4V e-- CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE ~- '- ED PROJECT NAME: DESCRIPTION: OWNER: i0 PHONE #: v- q 7/ _570 r 4L 7 CONTRACTOR: g..rr PHONE #: Inspection Request Scheduled For: Date: 3 - . ) + ° Pour Time: Code # Inspection Description Confirm # Contact # Message �v ve✓ T ( 3-19 Corrections/Comments/Instructions: E °°• fi Ft E 1 F 1w.L INs - z:it6m Tu S � lZ o� c rC The electrical installation dwfents noted • on this report shall be corrected and an inspection request made within 20 calendar days per OAR 918- 271 -0030 • 'PASS 1 I PARTIAL APPROVAL _ CANCEL _ NO ACCESS FAIL ❑ CA L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date:( 21 U Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: E C21305_( 0963 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12113; 20f% Phone: (503) 639 -4171 470 Inspection Requests (24 Hrs.): (503) 639 -4175 ; I_. _. INSPECTION WORKSHEET FOR DATE: 202006 /2006; 'TIME: 7 :01AM PAGE: 4 SITE ADDRESS: 14805 SW 100`11 -1 AVE CLASS OF WORK: SUBDIVISION: MURDOCK HILL LOT #: (04 TYPE OF USE: PROJECT NAME: W+;E:BLR DESCRIPTION: Resrrod 1. 211/06: t =_d (1 1) branch circuits. OWNER: l+VE:13EP, MAI IL. Y°N PHONE #: 50'3-960.3201 9C;ti.3201 CONTRACTOR: ABC CONTRACTING PHONE #: Inspection Request Scheduled For: Date: 21012006; Pour Time: Code # • . ; - • Description Confirm # Contact # Message 120 Ekcirir:tal rouglo ir► 026473 - 01 60 3 302 - 9120 Corrections /Comments /Instructions: d . C6 a Zi ". 2° yv 93 ' Pat o PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL _ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (r• Al (1 Date: 6b Phone #: (503) 718- 7.,q q40 p ( ) CITY OF TIGARD�� + ` 1=• . •BUILDING DIVISION • , , PERMIT #: RG2006.00963 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/13/20 Phone: (503) 639 -4171 ylj�l • Inspection Requests (24 Hrs.): (503) 639 -4175 1.:. INSPECTION WORKSHEET FOR DATE: 7J3/2006 TIME: 7:0 SAM PAGE: 17 SITE ADDRESS: 14886 ;,,;WIV 100111 AVE CLASS OF WORK: SUBDIVISION: MURDOCK HILL LOT #: OW TYPE OF USE: PROJECT NAME: WLi:3f :p DESCRIPTION: Remodel. 2/1/06: Added (14) branch circuits. OWNER: WEBER, MARILYN PHONE #: !:03 961i• 3204 CONTRACTOR: ABC CONTRACTING PHONE #: 603-620 4767 Inspection Request Scheduled For: Date: 3/3/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Eler rice l rough - in 02626'i ' ;03.3/)2 - 9120 N Corrections/Comments/Instructions: $—.- VIVI Silts VI f", ` c 4 ' sE;J 13 G ftiL , Fct.iiieL ' AI 6 r t,714 r' C, `T Ryaxq A8 0v' ; 06 - 0 IA' 14: tro (j . h pfa ,v1 Es 'z. - a Uill-EcZ c Narti SiDE 4F-- . �� Z. 045 � L-1 \� c, 6 W - w I (ti, c—TZ• ce,r-1 i SZR C 6 4 r� Li c C c1.6 G (day, 1021 -1 n PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: GA at 0 Date: 2--`64G.6 Phone #: (503) 718- 2.44 CITY OF TIGARD BUILDING DIVISION PERMIT #: Ft_C2013 .t; } z., =, 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/13/:2006 Phone: (503) 639 -4171 'melt Inspection Requests (24 Hrs.): (503) 639 -4175 , INSPECTION WORKSHEET FOR DATE: 1/1i20Q$ TIME: 7 PAGE: 34 SITE ADDRESS: 140136 SW MOTH AVE CLASS OF WORK: SUBDIVISION: MURi; OCK HILL LOT #: 004 TYPE OF USE: PROJECT NAME: WEBER DESCRIPTION: Cq^niodel OWNER: WEBER, MARILYN PHONE #: 603 - 903.3204 CONTRACTOR: AI3C CONTRACTING PHONE #: 503,6204ITt =, Inspection Request Scheduled For: Date: 211/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electric:.l rough ire 026096-01 603-302-9120 2.912. I Corrections /Comments/ Instructions: S 17, v I ® 2.°1 '1 ' 3 1iS A rv‘ . NO AN i; vs(L ® bpi • 30ivel Li PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL Cg CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: V Na. 1 i e LE Date: �+ ' 36 Phone #: (503) 718 - I % CITY OF TIGARD ' BUILDING DIVISION PERMIT #: F152-'200S-000-3, 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/13/2006 Phone: (503) 639 -4171 11t` Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/3/2006 TIME: 7:01AM PAGE: 65 SITE ADDRESS: 141805 SW 100TH AVE CLASS OF WORK: SUBDIVISION: MURDOCK HILL LOT #: 004 TYPE OF USE: PROJECT NAME: WEBER DESCRIPTION: R model OWNER: \A/i:_i3ER, MARILYN PHONE #: 603 CONTRACTOR: ABC CONTRACTING PHONE #: 503 - 620.44/ / Inspection Request Scheduled For: Date: 1/3/2006 Pour Time: Code # Inspection Description Confirm # • Contact # Message 116 Llec.:trical service . 024247-01 503- 302 -9120 N Corrections /Comments/ Instructions: • astItNala IZ-4 v�,t�' FrNtl, ALL A r L VT 6P02410 cacti tU i (MOW 1140 • c A PASS ❑ PARTIAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: N V€ Date: 11 Phone #: (503) 718- ziNty *F. . i . . Community Development ,iX' , . ® Building Division i-4,. r Via` 13500 SW Hall Blvd. 0 � t �� ® ;- 'e Tigard, OR 97223 - "i Phone: 503 -639 -4171 0f �y �' lcrd G W D FAx TRANSMITTAL FINAL NOTICE Contractor: ABC Electric Permit Number: ELC2005 -00953 Owner: Weber, Marilyn Site Address: 14885 SW 100 Av. Date: Dec. 26, 2006 A second notice was faxed to you with regard to the inspection worksheet attached. The second notice was faxed to you on 10/24/06 We have no record on file that the defect(s) noted on this report have been corrected, and it must be corrected. Also, per OAR 918 - 309 -000 (7)(b) the permit issued for this work has expired. This does not preclude the necessity to conform to OAR 918- 309- 0000(8) and obtain a new permit to cover correction(s) to the suspended work. You are hereby directed to apply for a new permit to cover the corrections) noted on the worksheet attached within 10 days of this notice. Failure to do so will result in your being in violation of City of Tigard TMC 1.16.410.1 which carries a maximum penalty of $250.00 per day. If you have questions concerning this notice, you are urged to contact this office. Gary Noble Senior Electrical Inspector 503 - 718 - 2446 Fax: 503 - 624 -3681 Email: garynatigard- or.gov I: \ENG \FAX.DOT TRANSMISSION VERIFICATION REPORT TIME : 12/26/2006 15:01 NAME : TIGARD BUILDING DEPT FAX : 5036243681 TEL . SER.# : BR0D4J479592 DATE,TIME 12 - -•55 FAX NO. /NAME lievaarftVIP ulaNtN�k DURATION 55:22. v PAGE(S) 02 RESULT OK MODE STANDARD Community Development Building Dit is io n 13500 SW Hall Blz ' r Tigard, OR 97223 .Phone: 503-639-4171 T I'G°ARD FAX TRANSMITTAL FINAL NOTICE Contractor: ABC Electric Permit Number: ELC2005 -00953 Owner. Weber, Marilyn Site Address: 14885 SW 100`h Av. Date: Dec. 26, 2006 A second notice was faxed to you with regard to the inspection worksheet attached. The second notice was faxed to you on 10/24/06 We have no record on file that the defect(s) noted on this report have been corrected, and it must be corrected. Also, per OAR 918 -309 -000 (7) (b) the pennit issued for rhis work has expired. This does not preclude the necessity to conform to OAR 918 - 309 - 0000(8) and obtain a new permit to cover corrections) to the suspended work.