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Permit 'tf , ?� CITY OF TIGARD ELECTRICAL PERMIT IN PERMIT #: ELC2008 -00121 COMMUNITY DEVELOPMENT DATE ISSUED: 3/3/2008 ifd D' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S1 12 BA - 05200 SITE ADDRESS: 14405 SW 80TH PL ZONING: R - SUBDIVISION: WAVERLY MEADOWS LOT : 004 JURISDICTION: TIG PROJECT: YORK Project Description: Installing (2) branch circuits for furnace and air conditioner. 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: 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: 1 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: GREGORY & DEBORAH YORK SUNSET HEATING & COOLING 14405 SW 80TH PL 0607 SE IDAHO TIGARD, OR 97224 PORTLAND, OR 97239 Phone: 503 - 631 -8212 Contact #: PRI 503 - 234 -0611 FAX 503 - 234 -0439 FEES Description Date Amount Reg #: ELE C117 IELPRMTI ELC Permit 3/3/2008 $53.50 LIC 161085 FAX] 12% State Surchar 3/3/2008 $6.42 SUP 4638S Total $59.92 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: �i� - • • ee Signature: �� c g l7 ^ / • /1 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. a. . Electrical Permit Appiica> �� L D 101,01.1-1( 1. I . ( I 1 ' City of Tigard p Received pp�� A� R !3125 SW Hall Blvd., Tigard, OR 974.43 ' ZU 0O Pate/ : © 0 0 % Permit No.: � / • 0 ' Plan Review 1 001 � � Ph 503 . 6 39.4171 Fax: 503.59 #9 - ff o(r r\ Date/13 : t: 1 I t.\ �: I ; Inspection Line: 503.639.4175 r V� D 8 U J �O f zt Internet: www.tigard- or.gov l9Jl�JQL�D�VUUl41CUCDOS Notified/Method: 1 "' ®See ataI1 q�f - z < <-n ., Supplemental Information c. Y 7 � ., : n r di ; r.. -".SAY t . . ^ , • a?, Y +, fit . . a t _ t . , ;t r3 ss r i.:t:: ..z ;'. f i. - ,.4': rx*!!"45,4'`129 i :k bd,+t z i .axG'i . •;' ;,. v::,.. ...r a 4 . :,..11-;:.7. t t yS�,zl. .'r +s Y ,. �y , i J • -rVt a :. :> > ltl. [] New construction Addition/alte / replacement Please check an that apply (submit 2. sets of plans w�itema checked below): ❑ Demolition 0 ❑ Service or feeder 400 amps or more ❑ Building over three stories. , Ftrr r y n �i " . ,'�' " ''s"r t'7 ,, t «. v. where the available fault current ❑ Marinas and boatyards. -;F . k ;r - ...,. exceeds 10,000 ....e r+t„i•..;: h i .P+•,... � ; _ ' ,�i,��,� amps at 150 volts or ❑ Floating buildings. I - and 2 dwelling 0Commercial /industrial a less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ Accessory b uilding a?n F for all other installations, buildings. ❑ Multi family ❑ Master builder � ��, Qtr ,.71...4%' •?; ^. - tt m. •c,�a•, :?• oe 0 Other: ❑ Fire pump. ❑ Iwallarioa of 75 KVA or ::.. x4.t.$e ::tr�1 ss % tt xnw w r.1'r t i r t} ♦;e v ❑ Emergency system 33te. +�•` �+..tiy+: ICx ), �,pt . 5 p "A" larger 2", derived system. Job '' v ' t ❑ Addition of new motor load of ❑ "A ". ", E" "1 2 ", "1 3" 7 « .. i ( ob s address: i L. r44 c L, C . 't_t . \ IOOor more residential units. ❑ Recreational vehicle parks or more. occupancy. Job no.: 57.c J City/State/ZIP: ❑ Six or ms's' f' I i �! `{ ❑ Health - care facilities. ❑ Suppl voltage for more than Suite /bld /a Hazardous locations. 600 volts nominal. g p t no.: (P Project f �,P - name: /` ❑ Se vice or feeder 600 amps or more f Cross street/directions to job site: SSS Ilita Description 4 may ,; �, - i -.:d.7.17::: ,... , feriplion Q•►- Fen Total • New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: 1,000 s Lot no.: q. ft or less 145.15 4 Tax map/parcel no.: Ea. add'I 500 sq. II. or portion 33.40 1 Limited energy, •., i r 4, `t ' `, "' DESCRIPTION t.i ' , g sq residential 75.00 f OIw •Yl QI�Cf 11 *1 y � r '� ti S G :m (wish above sq. ft .) 2 � ; ( t r' j , ' - `` Limited energy, multi- family 7500 . ( L (, ' _.- t ` t '�L' a r I ✓t.0 'i) residential (with above sq. ft.) 2 /-i t �' t \ ` `i ` Services or feeders installation, alteration, and/or relocation K 200 amps or less 80.30 • a a .. >.R. 2 Name: � j � . " " ;~��"����� "' 201 amps to 400 amps 106.85 2 ( -{�,°) �j C. + k.---- 401 amps to 600 amps 160.60 2 Address: c.',14-2:,", - r _` r 601 amps to 1,000 amps 240.60 2 r > c:.(;_) {'y� C 1 # G `.. Over 1,000 amps or volts 454.65 f City /State /ZIP: �,. 2 ! t ..�. i l L l' ' ( f ? .�. Temporary services or feeders installation, alteration, and/or Phone: ( '? relocation S j : : ), (L' ;r) " y ( Fax: ( ) 200 amps or less 66.85 1 I Owner installation: This installation is being made on property that I own which is not 20 t amps to 400 amps 100.30 intended for sale, lease, rent, or exchange, according to ORS 447, 401 am ps to 599 am 7 , 449, 670, and 701. 2 amps 133.75 2 Owner signature: Branch circuits - new, alteration, or extension, per panel Date: Fee f . - A. ee or branch circuits with , - t- f APPL1ICANj , ` '', Q CdN'IrAGT" �?! r, i ., ' �. above service or feeder fee, Business name: each branch circuit 6.65 2 B. Fee for branch circuits Contact name; without service or feeder fee, Address: first branch circuit 46.85 G /G' �l 2 Each add'I branch circuit / 6.65 L • •`,- `; 2 City /State /Zlf': Miscellaneous (service or feeder not included) Each manufactured or modular Phone: ( ) d/ dwelling, service and/or feeder 90.90 2 Fax::( ) E -mail: Reconnect only 66.85 2 c {.v . : s Pump or irrigation circle - i < f: `': 'CONTRAlcrt) 53.40 2 3 _ 4 ^ .it T,: :a %1 Si or outline lighting 53.40 2 Business name.. Sunset Heating Sc Cooling Signal circuit(s) or limited - Address: 0607 SW Idaho St energy panel, alteration, or I extension, Describe: Page 2 2 City /Stale/ZIP: Portland, OR 97239 Each additional inspection over allowable in an of the above Phone: (503) 234-0611 Fax: (503) 234-0439 Per inspection 62.50 Investigation per hour(' hr thin) 62.50 CCR Lie.: 161085 _ i Electrical Lic.: c117 Suprv. Lic.: / (238 S Industrial plant per hour 73.75 Suprv. Electrician signature, required: u�r 7.5Z a' . : :, . Subtotal: j Print name: Randy Ess 'r / ' Plan review (25% of permit fix Date: 'F��,j��: ): Authorized signature: r State surcharge (12 %ofpermit fee): / .��.. . -- _ ? W � z TOTAL PERMIT FEE: ---4. _ G� Z J Print name: Casey Wiser ,. This pe rmit application expires if a permit is not obtained within 1811 Date: `. { ' days after it has been Y accepted as complete. I:.nuilding1PrrmitskELC -Pa mitApp.doc 0523106 ' Number of inspections allowed 440461 ST( I /OS/COM/WEB Pa permit' Z'd eT2 :0T BO CO -.II-4 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2008 -00121 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 13/)000 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 . _ � INSPECTION WORKSHEET FOR DATE: 5/8. ''003 TIME: 7:01AM PAGE: 45 SITE ADDRESS: 14405 SW BOTH PI_ CLASS OF WORK: SUBDIVISION: WAVLRI..Y MEADOWS LOT #: 004 TYPE OF USE: PROJECT NAME: YORK DESCRIPTION: Installing (2) branch circuits for furnace and air conditioner. OWNER: YORK, GREGORY & DEBORAH PHONE #: 503. 631 -8212 CONTRACTOR: SUNSET HEATING & COOLING PHONE #: 503-234-0611 Inspection Request Scheduled For: Date: 5/8/2008 Pour Time: Code # Inspection Description Confirm # Contact # Messa -4 199 Electrical final 069553-01 503 -747 -4612 Corrections /Comments /Instructions: 'it 1 A / r M 4- . C 4-.4-tf 4riggli; 4 /) PARTIAL APPROVAL ❑ CANCEL 1 I NO ACCESS n FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: d6 Phone #: (503) 718- /