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Permit ELECTRICAL PERMIT CITY OF TIGARD PERMIT #: E /21/20 -00860 COMMUNITY DEVELOPMENT -= DATE ISSUED: 12/21 /2007 LTt GARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S133CC 01300 SITE ADDRESS: 11735SWTALLWOOD ZONING: R -25 SUBDIVISION: PEBBLECREEK LOT : 007 JURISDICTION: TIG PROJECT: COTTRELL Project Description: Bond gas line. Job No. 2282 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 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: 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: PAULA COTTRELL CONDUIT ELECTRIC 11735 SW TALLWOOD DR 19461 SW 89TH AVE TIGARD, OR 97223 TUALATIN, OR 97062 Phone: 503 - 579 -6303 Contact #: PRI 503 - 692 -1428 FAX 503 - 692 -3652 FEES Description Date Amount Reg #: ELE 26 -905C IELPRM ELC LC Permit 12/21/200' $46.85 LIC 109669 ITAXJ 8% State Surcharge 12/21/200' $3.75 SUP 4501S Total $50.60 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Munidpal 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 fo a than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rul= are set fo h •AR 952 -001 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246 •699 or 1.80t 332 Issued :y: i 1� 4v -, • Permittee Signature: C �� 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: !�,i ;.� ��� 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. 2007/DP 20 /THU 05 :03 PM Conduit Electric FAX No, 5036923652 P. 001 O ED . FOROI'FIC'EtISic(NI-1 � Electrical Permit Applic ;iii 1 6' G Recei� ved ; / XO 07. Vo- y Permit No.: .e Aso 7- ta . g O City of Tigard EC 2 Q ri � � 13125 SW Hall Blvd.. Tigard, OR 97223 • • D it Plan Review Other Permit Phone:' 503- 639.4171 Fax: 503.598.1960 `` t/ ©r. " "'' , , ,i r ' DateIB . Inspec Line: 503.639,6175 0' ' {� `! ' '? I ± Date ReadY/BY 0 See Page 2 for t� Internet ww cm ugard or us B trA G Nouficd/Mdbod �w7 Supplemental Information . S .. - ( . L `. ` c 1, Y 4 .c *. .' :r` i• 1 } 't fi a�P + '� t � �'. f ' '. , , � t ,.'. ' a ' f '" !- .i. -, TgP O)F' WQR�.: ; .c . ,. , '�' i �4 Est �,� , a. i t .' t 1 .; � r � ;: 4 ., r ,t� " Please check all that apply ❑ New construction l�Addinon/altt ration /replacement ❑Service over225 amps, cornm'l ❑Hazardous location • [] Demolition ❑ Other °Service over 320 amps -rating © Buildng over 10.000 sq. #t., ' ..'rr ' °t rr,ZCitTZGOR'Y;OF COInS' R UcaloN ' ", ,„ y of 1 -and 2 family dwellings 4 or more new residential ❑System over 600 volts nominal units in one structure 1;i( 1- and 2 dwelling ❑ Commercial/industrial 0 Accessory building ❑Building over three stories ❑Feeders, 400 amps or more ❑ Multi family 0 Master builder ❑ Other: .. []Occupant load over 99 persons ©Manufactured structures Or r 1 m k" i ' ,g3DB,'9i!C 11 FORfIi?,'CIbDAT' & D ?Ss'OCATI r , . ;, ) ` I:Egress/lighting plan RV park - - ❑Heahh -care facility El Other: Job no -_ g ' Sob site address: �� 1 e. Submit sets of plans with any of the above, • ` ....... ....... .... ....._. Th .1 1 41 City /State/VP:' - ' noilicur� n� e above are not apphcablelo temporary E onsirucGon rem vice a / i<N it s ...f?., , itw*Ok :AOIUDi1:E;.44... ::,.7, �, Suite/bldg. /apt" no.: 0 Project name: C ; r ( Dom „ _ [ Qty, I Fer_ I Total I •" Cross street/directions to job site: New residential single- or multi- family dwelling unit. Includes attached garage. + F 1,000 sq or less 145 -15 4 Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1 Subdivision: _ Limited energy, residential 75.00 2 Tax reap /parcel no Lim energy, non - residential 75.00 2 ;, 1 ! '' '."' `, ti'l? ° `•' DESC10.1:101(1 ' ' ` Y ,,, "t: v . 'K; Each manufactured or modular dwellinit, service and/or feeder 90:90 2 lip-, A ] 40 f Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 • ' t ..pRiD )ER Y is ` , `� + 'x .1,.. � r1,ali,i456'J•' > . si 201 amps to 400 amps - 106.85 2 . .. ,. ,, . , ; + . -7-1-72.. . .t k : �:,. 401 amps to 600 amps 160.60 2 Names . ^` Li L.6-- . LL 601 am • s to 1.000 amps 240.60 2 • Over 1,000 amps or volts 454.65 2 Address; - Reconnect only . 2 City/State/ZIP: Temporary serices or feeders installation, alteration, and/or relocation Phone: ( - ) [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 far 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. ,,.. . ... �,, �r . =1•47•'.,4t, * i tt , � p {r w 1 ^� `� ;y ; }e Y. A. Fee for branch circuits tvifh r t 'A , . i r '. .. . ., ' Ll1 � r : i :4, , ` i ;-• i : k : -� b, v �. T A ;,.. . .` , `,a`,es� - .,.. O AII' N l.t.12, _ Service 4r feeder free. Buell 6.65 2 Business name: branch circuit B. Fee for branch circuits • Contact name: • • without service or feeder fee, l i 46.85 I-4.026- 2 each branch circuit - -- -..- Each.a dd'_ 1- brancbfctccuit_.--__ - -___ 6.65_ _.w._. _ - - _ _ City /State /ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle f 53.40 2 Phone: ( ) . -Fax: ( )-- - -- Sign or outline fighting 53.40 2 ._ _ E - mail: . — Sign rreuit s or limited - r a ?' - CTOR t .,. . al G . : ' ; , �; ener panel alteration or .. , � � - • • r• +. • . . ,. -- , " rxtension D Paget 2 Business name: .all • Each additional inspection over allowable ht any of the above Address: C./ • Q - Per ins pection 62.50 City/State/ZIP: — t ` i 1 , . , — • investigation per hour (1 hrmin) 62.50 . Industrial plant per hour 73,75 Phone: (C ' —UC .. • — Fax: r.le —ip AiD ETyECCAi3°ER1,..LESx ::, . . CCB Lie": / t , / Electrical Lie.: a o rrv. Lic.: <1 1 Subtdtal 1:4 is Suprv. Electrician signature, required: girl"' / Plan review (25% of permit fee) J ,.! , . State surcharge (8% Cif fee) - ? Print name: bate: j a JD D --7 1 f L . _ 1 : TOTAL < PERMIT FEE (� D. • Authorized signature: This penooit applica expires if a permit knot obtained within 180 . days after it ban been accepted as complete . . Print name: • Date * Fee metbodology 'Tri- County . Building Industry Service Board. Number of inspections per permit allowect imaeudteevermium tc - romiv*pp,dnc 12103 - 440 -4t 15T(10102/COM/WEB • CITY OF TIGAR® o' BUILDING DIVISION � a PERMIT #: El.C2007- 003r;0 13125 SW Hall Blvd., Tigard, OR 97223 f,ft Kt t DATE ISSUED: 12.21/ ?0i.17 Phone: (503) 639 -4171 cli {441 '�IW Inspection Requests (24 Hrs.): (503) 639 -4175 .�' ":_;, INSPECTION WORKSHEET FOR DATE: 1/3/2008 TIME: 7 :OMNI PAGE: b7 SITE ADDRESS: 11736 SW TALLWOOD DR CLASS OF WORK: SUBDIVISION: PEf3BL.ECR[EK LOT #: 007 TYPE OF USE: PROJECT NAME: COTTREL( DESCRIPTION: E30 gat: iiile. , No. 2282 OWNER: COTTRE.LL, PAULA PHONE #: 6036179.6303 CONTRACTOR: CONDUIT ELECTRIC PHONE #: 603 - 692 -1438 Inspection Request Scheduled For: Date: 1/3/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 193 Electrical final 062396 -01 Q 603 -939 -7686 Y u '& v , 60 Corrections /Comments /Instructions: �` al )PASS ❑ PARTIAL APPROVAL 111 CANCEL Li NO ACCESS FAIL ❑ CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED i / . l 1 Inspector: Date: t . Phone #: (503) 718-