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Permit A _, I� TIGARD ELECTRICAL PERMIT - PERMIT #: ELC2006 -10021 � � DEVELOPMENT SERVICES DATE ISSUED: 3/3/2006 '-- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 2S 102AB -01200 SITE ADDRESS: 09305 SW COMMERCIAL ST 5 ZONING: R -25 SUBDIVISION: VIKING APARTMENTS LOT : 064 JURISDICTION: TIG Project Description: Electrical reconnect. 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 HMI 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: 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: 1 SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: BRIAN COLLING 13835 SW HALL BLVD TIGARD, OR 97223 Phone: 503 - 705 - 2295 Contact #: FEES Description Date Amount Reg #: [ELPRMT] ELC Permit 3/31/2006 $66.85 [TAX] 8% State Surcharge 3/31/2006 $5.35 • Total $72.20 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. - . for more 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules : re set forth in OAR , t5 -.01 -0010 through OAR 952 - 001 -0100. You may obtain copies of the rules or direct questions to OUNC at 503-..49 6699 or 1- 800 334 Issu+�d By: � /_ „AI Permittee Sign: M--L___7 OWNER INSTALLATION ONLY The installation is being made o :. werty I own which is not intended for sale, lease, or rent. 1 / OWNER'S SIGNATUR ' -- !°•'/ 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. 2006 03/03 10:04 TEL 5036203194 a] 001 1. Electrical Permit Application C k ' 1 ".f .n ` 2 III } '' i I L yj t E � t '�j , ' r ' '�' � �. City of Tigard <� . ; 13125 SW Hall Blvd, Tigard, ox 97n3 ' 1 - '' rkO: Eke , , • , /00 Phone: 5016394171 Fax 503398.1 - . ! _ Od>R> c Inspection Line: 503- 639.4175 4J.,l .. l i _ , Des et see Franz err Internet www.ei_tigardorea ? 7.0 - I � /:, q+th REVIEW ❑ New construction ❑ .I. I. . 1 : 4 r � n1 Please duck dI L t : ; .: yea®s V W all that • Q Demolition lepgl _. I : 1 I MG D N S i]Service o v a amps, 1 1 1 ❑rrm Hadans ! a nee CATEGORY OF ,. � ftvice ova 320 amps -- eating []8mldng over 10,000 sq. - o of 1- tad 2 ,oily dureltings 4 or amen new residential ❑ 1 -and 2-family S ❑ industri ❑ Aaxosory building ©Sri ova 600 volts nom units in one structure Mufti-> a p Mss builder ❑ Otter: a aver three works 0F:od�, 400 s a more 0 a0 Sly JNY M r AND i.0 'f4BON load over 99 persons Ch et ttnrceaot us . 06 Om RV pack Job no_: I Job site ardd�ss: ? �� S 514 (: h w � L'ir C i o— p CIO Submit 2. sets of plans with agtlm above. City /State/Z1P: / ¢.,...„Q , U g, 97 2 2 - - - �e arc not applicable to temporary nom ter service. SuiWbidglapt 5 -- Ptl no.: � ect Mme FEE* scrDr C Cross streendirections to job site: r„..,1 rt . reel - 7 `�e�r,1#1 I��J' d mak I _ � ✓ I 1,000 sq. a cam a 145.5 4 Subdivision: I Lot no.: I Ea. add'l 500 sq. g or portion 33.40 ' 1 Tax mape/pers-e1 no.: 1 energy, residential 75.00 2 IDF�&CB PI ;O�T:.tIF WORK - energy, eion vial 75.00 2 Each ininufactured or modular 1 dwelling, _gals rsn c.c.-4. a L ✓tit/ ! 20 service aed/er fealty fealty ; _ o, oetdwake' 90.90 2 - Seeders l s or feeders f tiaq, pwake' reload= 200 rope or less 80.30 2 lit t1 .:.1. . :... ;...:: :.. , :. ® MAN I' - ; ... 20l "maps to 4$31linPs 106.85 2 Name Ij li, n I 401 amps to 600 arms 160.60 2 601 amps to 1,001i mops : 240.60 2 Addams: Og US So _ J L / I Jfs ( - Over 1,000 amps or volts 454.65 2 ' 66115 Reconnen only F FS 2 City/State/UP: %i - try," , c 00 k � ?, 7, 3 Temporary aav or feeder" , alteration, end Phone: (5 ) . • r— 2` ' ? ] I i Fax ( 3) Z . c , - ( - . 1 rdOla6om too amps or less 66.11. 1 Owner instadIndom This installation is being node on propatyr that I own which is 201 sops to 400 amps 10030 2 intended for sale,1 _ ras, or exchange, aiding to ORS 447, 449, 670 / � � � d 401 amps to 600 amps ; 133.75 2 .. Ownnsignature: . _ / Bate:Z ?d a (o l�achdiradis -oldr, sttrrntiO�v, or e><hasioa, per tie! A 16ICANT _ a AGT . .: A . Fro for breech circuits with y „ I service or Lee, each Business name: /� f 7 G r I ; branch drain 6.65 2 Cornea name: i53- .,1. Co 4e, B. Pee thr breach circuits' r i - I � vita o ravine or fee. 46. 2 Address: Cr, S'S (,.1 /5 /� > ii, lira brand% circuit i �, 0 Each WW1 branch circuit . 6.65 5 ' 2 City/State/ZIP: , � 2 � 3 / ? j - I/ y y (service as feedei tent inch Ph one: (5 ) ` 1 I Fax :: (So 3 i I p ump or dale ick 53.40 2 Sip a outline Ogg 53.40 2 E -mail: C- 'oL 4■-r Ib- 2 G- I I Signal cis) or limited- energy pad, alb, or Business nacre: 1 1 lion. Describe: Page 2 2 I I Emit additional izagoeceioa revernBo nble ha any ottbe above Adcbrss: I Per i ion_ 62.50 City/State/7/P: I I . Irwestigalion pa hoar 0 hr nth* 62.50 Phone ( ) I Fax: ( ) u> par 73.75 COB Lic.: Electric — all 1 Supry Lie: Subtotal Suprv. Electrician signature, required: - Plan review (2596 of permit tee) , (, Prim name: i Date: (8%of permit Lee) rl' 3 S' Authorised Tom. T TEE 72.20 lids permit applica seesp{rgrt* aboard l= Date: days kiss e� Pont name: 0 d aoa Fee ;Y -... -. s Industry Service Board CDTY OF TOGARD . c UtL®DNG DIVISION PERMIT #: $ blaSW 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 'I��� Inspection Requests (24 Hrs.): (503) 639 -4175 '`!1 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: -1 3 uxiNthalz CAL, CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For. Date: Pour Time: Code # Inspection Description Confirm # Contact # Message ‘1 kt • cS5 1. S- Corrections /Comments /Instructions: • ®6 -. a 0%1.-4 \� a. 4 A 4Y pa 430, 5 uufvtnie C sL K PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G in ti V e Date: Phone #: (503) 718- Z !° 4461-