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Permit III 1,7 CITY OF TIGARD ELECTRICAL PERMIT " PERMIT #: ELC2008 -00262 • COMMUNITY DEVELOPMENT DATE ISSUED: 5/9/2008 IGA p 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 4. ' ,,, g PARCEL: 2S103CD -04600 SITE ADDRESS: 11635 SW TERRACE TRAILS DR ZONING: R -4.5 SUBDIVISION: TERRACE TRAILS LOT : 014 JURISDICTION: TIG PROJECT: MILLS Project Description: Installing (1) feeder and (4) 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: 4 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: GARY MILLS A TEMP HEATING AND COOLING INC 11635 SW TERRACE TRAILS DR 16000 SE EVELYN ST. TIGARD, OR 97224 CLACKAMAS, OR 97015 Phone: 503 - 670 -7456 Contact #: PRI 503 - 650 -5014 FAX 503 - 557 -2990 FEES Description Date Amount Reg #: ELE C55 [ELPRMT] ELC Permit 5/9/2008 $106.90 LIC 71878 [TAX] 12% State Surchar 5/9/2008 $12.83 Total $119.73 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: / /� // 1 11 1111Y Permittee Signature: �Z- k_s1/> 24/ 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. cip (5109 7 ct a CITY I of TIGARD ELECTRICAL PERMIT a COMMUNITY DEVELOPMENT Permit #: ELC2008 -00262 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/09/2008 Parcel: 2S103CD04600 Jurisdiction: TIG Site address: 11635 SW TERRACE TRAILS DR Subdivision: Lot: Project: MILLS Project Description: Installing (1) feeder and (4) branch circuits. 6/5/09, adding (1) service. Owner: FEES GARY MILLS Quantity Description Date Amount 11635 SW TERRACE TRAILS DR TIGARD, OR 97224 1 [ELPRMT] ELC Permit 05/09/2008 $106.90 1 [TAX] 12% State Surcharge 05/09/2008 $12.83 PHONE: 503-670-7456 1 ea Services or Feeders - 200 06/05/2009 $80.30 amps or less Contractor: 1 ea 12% State Surcharge - 06/05/2009 $9.64 A TEMP HEATING AND COOLING INC Electrical 16000 SE EVELYN ST. CLACKAMAS, OR 97015 PHONE: 503 - 650 -5014 FAX: 503- 557 -2990 Type of Use: SF Class of Work: Type of Const: Occupancy Grp: Total $209.67 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 . rough OA' • 52 -0. 1100 You may obtain a copy of the rules or direct questions to OUNC by calling 503 6699 or 1.800.3,32.2344. / • 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' 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. (0(5/09 CITY OF GAR® ELECTRICAL PERMIT COMMUNITY DEVELOPMENT Permit #: ELC2008 -00262 T [ G r1 R o 13125 SW Hall Blvd., Tigard OR 97223 503.639.4171 Date Issued: 05/09/2008 Parcel: 2S103CD04600 Jurisdiction: TIG Site address: 11635 SW TERRACE TRAILS DR Subdivision: Lot: Project: MILLS Project Description: Installing (1) feeder and (4) branch circuits. 6/5/09, adding (1) service. Owner: FEES GARY MILLS Quantity Description Date Amount 11635 SW TERRACE TRAILS DR TIGARD, OR 97224 1 [ELPRMT] ELC Permit 05/09/2008 $106.90 PHONE: 503-670-7456 1 [TAX] 12% State Surcharge 05/09/2008 $12.83 1 ea Services or Feeders - 200 06/05/2009 $80.30 amps or less • Contractor: 1 ea 12% State Surcharge - 06/05/2009 $9.64 Electrical A TEMP HEATING AND COOLIN INC 16000 SE EVELYN ST. CLACKAMAS, OR 97015 PHONE: 503 - 650 -5014 FAX: 503 - 557 -2990 • Type of Use: SF Class of Work: Type of Const: Occupancy Grp: c , c • -8-- q Total $209.67 IV Required Items and Reports (Conditions) • This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. 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 the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 rough OA" • 52 -0. • 100 You may obtain a copy of the rules or direct questions to OUNC by calling 503 6.6699 or 1.800. 32.2344. • 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' 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. l • T/05/2009 12:59 5035572990 \i 1 A -TEMP HEATING PAGE 02/02 B� Permit Application ' ," Electrical . p NO -yam ,qn �t I N 0 5 'L Received 1 ?ermit ivt CT LCro 00 E- ..... , a , - City of Tigard U n . 5 --' 13125 SW Nall Blvd.. Tigard. OR 97273 - �/ T �±�11 nn Revc1 ith n r Perm , �- 4 `' Phone. 503.639.417 F : 503,598,1960 r' t C IIG i lnspec(inn l..inc: 03,031,4175 V G OM' i '. Rcnclyilly lurk, Irk Sec Page 2 fbr i C TIC, ARD BU1LQ Notifed/M thod: _ supplementaltnfortnntlnn I tlturnct: tvww.figard•ol',gov —.._- - - - -• _. TYPE .Olt WORK )?i.AN REVIEW Please nccck ,111 that apply (submit 2 wets of plans twitcrns checked below): ❑ Nctt' constntctiotl ❑ Mclition /alteration /rcplaccmen( En scv ice or feeder situ nm or n,nrc ,f An w I i over checked stories ❑ Delnnlilinll _ Other : _ \ Nit ae. the nvnilnblc fault current ❑ Marinas rind honty�nrdn, -. — " exr.ncdw I 0.iei0 nn,1• nt 1 .o volt" nr 0 Fl(ntirm huitdinps CA.T.ItC;0110' OF •coNSTRI.1C TIC)N Ie3 In ground. or exceeds la,nnll ©Cnmmcrcinl -u -c Agricultural +,f 1 - and 2- family dwelling W ❑ Connncrcial /industrial ❑ Ac ce:ssory building nrrtl+a for all Other instnllntions. buildings.. © ❑ 1 +ire pump. {� In:dnllntion of 75 KVA or Iylulti••Iamily ❑ Master builder ❑ Othcr: ----"'r D r:,ncrgcn y system larger separately n o 7 A derived system. ,)0119 t_6.3,5.—.0-"--W..,0 l , SITE INI'ORMATIt)N AN)) LOCATION _ (iclOn o( new mri nt lend or ❑ "A" "1i" "1 2' ' 1 -i' .1011 110._ JUG Site. address :1 / /s''1, - 1 , _ "" i all mnrc reaidcntin) antis [1 Accrcati0nal vct,icic lmrks, Citi- /Stab: /7.It': - � �fr�(r" +� ©Ilcnitl, ^tort 1'nrititicy ❑ Hazardous lncnliror•, , © Supply voltage fur room than - _ ^ (,nt) volts nominal. 1'rU Oct »f1111e: ^ ❑Stn ice or fccdcr 6nn amps or mare. Suite /bldg, /apt'. no ; 1 _ FEE SCiIEDiIII;E . Cross slrt:cr /dirccli(nts to job site: M— Dewe ��'Zeth2.,.. r ,;__Taint " - -- New residential sink or niniti- family dwelling unit. includes attached garage. - .,,, 1.(100 sq, I) or lest: I 145,13 � Subdivision: Lot nn,: -- ., - — _,,.,. �.. w Ea, add'l 500 sq. II. or portion 33.40 1 Tax map/parcel 110.: _ -�� Limited energy. residential 75.00 2 DESC:RIPT (yLi WORK ,vlth abo t.�.:_ „ _ ` - � Limited energy, multi lbmily 75,00 ilt /O 2 _ .. residential (with nhnwc yq, It.) _ .,, ' -- �r _ - I vv L � ��l. J�� - -- °' ^' Services or feeders Installation Idtrrntton, atl^ re tinQ� _ CSI .., 62/55 ,.. ZUO snips or let. .,-,_ ■ r t. 6' 2 UY'.ERTV OWNER © TENANT _ 7.01 nntp l: l o'100 nntltu - i06,85 2 -- - �.., _ 401. amps to GOO amps 160.60 2 . Na nn,c: _ � 6 amps ,o 1 ,(JO amp . - 01 r ....- s 240.60 2 454,05 2 Address: Uvcr 1,000 amps or vas _ _-- 'rentplitary services nr feeders Installation, alteration, andlnt- City/Slate/ZIP: _ •r — rclot:ntion — 200 P * j 0 9 O[ r 4. p� - 7 _ I ? ( ' lo attto or less (i6635 6635 ^1 --17_695 — - __ 201 amps to 4on amps 100 2 Ow•ncr institten: 171is insinuation is bci»g mode on property that .l own which is not (11 amps to 599 amps M� - 133.75 2 intended for stile, lease, real, or exchange, according to ORS 447, 149, 670, and 701, ' Ililt c .0 599 amps niteratip 1, or extension, jun. panel Owner signa(nre: �_„,.- - _Da _... - ,„, -- A, Fcc for branch circuits with - --• - K S above service or fccdcr roc, PI'LIc:,1N'1' CONTACT `1'C'AC'I i 1;,:ON ..65 2 _ �.� n -,- - -- each branch circuit Business name: �_— i3. Pee for brunch circuits ^ u'HNoitncrvice or l'ccder Ice. 16.15 2 Contact name: ATE ;�1F1�,1ING.11�1lACt�4 i��_ - „ first branch cireui _ _. r— 16000 SE Evelyn Loch add'I branch circuit _ 6.65 - 2 /ldilress ._ •"' ' ^ I1U,�3! ... r•" — _ 141isccllnttennv (service or feeder not initrded� City /State /7TP: 100 -_ - Each matnrt2taurecl or modular 90.90 2 _w_ - Lli4 ^ dwelling ,scrvicc and /or Jcedcr &'hone: ( ) Pax. (r -��-. ��' 5511:D-et, f r ` 1 Reconnect only 66.85 ^ 66.85 2 _ n_ E: - mail: _ Pump or irrigation circle _ 53,40 2 _ (;giv'1'1d:#C:TOR. sign or outline lightini - 53.40 2 -- signal encuit(s) or limited- , BusincSy name: _ _ _ _ cncrsy panel, nitcrntiorh or _ _.__ cxlcttsion. Ucs;crihc: Page 2 2 1VC.1P HEATING AND OVUM, _ _ /1dcl.ress: tt I �T i r ._ ._ _ ._ to "'^ — � !CV; U1? %'trc;Tyn ., . ,. .. ^ _ Each ntldltintlnl IBS cclion muter tdlowahle in rim' of the nhovc ._ Ciry /State/G. C1 110ka111a. 011 97 015_- _., _ rz,5n _ Per inspcc - M S03-(• 5N ) lllc,;t &',Ti p er hour (1 hr min) 62.50 L hone: ( ) _ ... p .., 'r Industrial plant per h ou r 73.75 CC19 .l.,ic, Y, � i; lcc _ —. . Lie.: L S» T %�? I ' - ELECTRICAL � 'Ti iil RTl' t +ET:,R Supry Electrician Si nature, require M Subtotal: t% L. 4 7it Plan review (2ormit Print nme UQ.Q I te: (lt ,.. Stnty_ karcliarge (12% fee): r Authorized oigIta1�Y " "•° ,....6...., iA...(. {' I nT• __ "r0'1'N. PERMIT i ' , . � A!% �_ `� 'Thi permit npplicntl(m expires Ira permit Is not n• c nod tr ihIr T:rtt Print maim: . ] l (Lr // c. i/ � ��}— Ville: (f ,. (lop, suer it hie; been accepted :15 aim Irte. a w4 L '' F Nwnhcr•tf inspectinnt allowed per permit. • 7 1:\ rttilidinp ■PcnnitAlil,C PennilAp1Ldre IJt':?,(iti , 1111 CI4T(llln 05407/2008 10:37 5035572990 A —TEMP HEATING PAGE 02/02 Electrical Permit Applicat For OFFICE USE ONI,Y ipii City of Tigard Itoaoivod Permit No : —�1C- Other Permit: Y g Datc/B ,,,ii. i UGC pas s ' 131.25 5W Hall Blvd., Tigard, OR 97223 .. . P lan Review s ' ` Phone: 503.639.4171 Fax: 503,598,1900 " ! M'� '7 D s u /A y , 1�C �Zt�� --u)/ / TIGAAU Inspection Ulm: 503.639.4175 i7atc Ready/Br Juts; IJ Scc ri far Internet: www,tigard•or.gov NotitiedMktbod'l Supplemental Information i L�.r , W; I " J I .�, � ,. .-----'' .''' �, I I . . 1 , . Jli 1 i . . I I bmit I, .,, , , ked b .. ❑ New coriSiiUetion i�� d djtion /a P lcns c nc n1 lhn appl (sa act? of pla tv /llama chec below In Service or feeder 400 amps or more ❑ Building over throe stories. ❑ Demolition • ❑ Other: where the available Drib current ❑ Marinas and boatyards, ;V . T CA ,it Of4. t 1WSittY tJ,d145i : exceed 10,000 amps at 150 volts or ❑ rlonting buildings. a ... ' , r• , s . -'..;•';‘,••• c,.t,,.,, i ‘.,,' • • - - lens to ground. or oxeaed5 14,000 Q Commorcinl.usa agricultural t- and 2 - family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. building.. ( Fire p ump, ❑ installation of 75 liVA or ❑ Milli -family Master builder ❑ Other: larger 1 3, Silk diii kTt' ! ` ��I� 0A'�'IC t, ❑ A diLRnn of no motor loud of 0 , separately ,", "1 , derived .system e Job no.: Job Site address' ` p 0 5 , , I00HP or more, accuracy. I, to 7 1 � r C ' - 4 C ❑`six or more rein dentin] units, ❑ Recreational vehicle parka. City/State/ZIP: ` raj, �)� � 'S.+ ❑ Health -care facilities, ❑ Supply voltage for more than • V ❑ 1Tamrdou, locations 600 volts nominal Suite/bldg. /apt. no.: Project �� nalne T1. C`( �--� A I ❑ SorviCC or feeder 600 amps or (m�nrJa { yr L �t rf _ 1 (! . ;L'L(bw1 '_i7.UAt, JU Y ''"'^ .% i,',. is ':', Cross Sn'eet/dirCCtiolls to job site: ne ixitnn I qty. ( Roe. 1 ' Tntst "" New residential single- or mnitt- firmly dwelling unit. Includes attached garage. SubdtviSioti: Lol no,: 1,000 sq. R. or less 145.15 4 'Fax snap /parcel no.: _L - Ea. add'l 500 sq. ft. or portion 33.40 1 Limited energy, residential 75,00 2 with obese s ft ';':"/:':':::;; .� � -i „ � , y7! u�*l'ri if ',KJ�)~i �a3rl;�o�,�e ;. :, , r , , r ( q ) , y ..+ Limited energy, multi - family 75.00 2 i �R 1 • s-�_�-__ residential (with above aq, ft.) Services or feeders installation alteration and /or re. ati r �f) . 200 amps or loss 80.30 tie )t7 . iiko..'3(y �t ,sio i • �, ,'rii:;i'4 r , ; , 201 amps to 400 amps • 106.85 2 • Name: 1,111111 401 amps to 600 amps 160.60 - 2 --•- 601 amps to 1,000 ninon 240.60 2 Address: Over 1,000 amps or volts 454.65 2 -- City /State/ZIP: Temporary services or feeders insinllnttnn, alteration, and /or �.. relocntlon Fho11e: 'Lax: ( ) 200 amps or Tess 66.85 1 Owner installation: 11ns installation is being made on property that l own which is not 201 nmpa to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits — new, alteration, or extension, per panel Owner signature Date A. Foe for branch circuits with ti` ' 1 ”' y above .service or reader fee, 6.65 p� n:)yLtitls{x LI GSLrIJ("� 1`iG�N (- i each branch circuit Business name: E. Fcc for branch circuits Contact name: uithour service or feeder fee. �L"TENT ktetamamurotaremormc _ first branch circuit 46.85 2 Address: 16000 SE Evelyn St. Each ndd'I branch circuit 6.65 2 Ciat.kaina, --C7RY /ills Miscellaneous (service or feeder not included) City /State/ZIP: R Eaclt manufactured or modula 503 -65((1 ` dwelling, service and /or. feeder Phone: ( ) I prix:: ({;:q , c �' 49 0 000nneet eot only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 r : ;' Sin or outline lighting 53.40 2 Business name; Signal circttit(s) or limited- =orgy panel, altcrm:ion, or Address: AT• MP HEATING AND COMM, INC extension. Describe: Pagc 2 2 i City /State/ZIP: . it. Each additional Inspection over allowable in nay of the above C l ackart S, OR 9 7015 ( ) . (� 5�•SQZ4 ) Pcr inspection 62.50 Phone: Investigation per hour (: hr min) 62.50 CCB Lie.: nA3 1 Electrical Lie.: C ( Suprv, L �a cs Industrial plant per hour I 73.75 • 1ktl Ireil Ii F Sup v El is attire, required: ' ,,,;./ _ Subtotal: !� \M __��� . 1 1 col Plan review (2512, of permit ,fca): R id 4 � .4 _ ! Q v 7'1 -- —� -- ~� , State surcharge (12a,4r of permit Poe): � �- A . orized sit - lia F TOTAL PERMIT PEP.: - I This permit oppilention expire. it n permit Is not obt.4fne wi tin 1(10 ,.. Print name: /! 1 `� •�.A Date: days after it non been accepted ns complete. " Number of inspections allowed per pennit. IAB,,ildieitu rmitAvi.c:•r.ermitnpp.aee 05 @3 /06 4'016 15 T(1 l/05/COM1Wr--ft