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Permit
0i, / A - CITY OF TIGARD ELECTRICAL PERMIT It PERMIT #: ELC2005 - 00230 > DEVELOPMENT SERVICES DATE ISSUED: 4/1/2005 " 111 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S1 12 BA - 10300 SITE ADDRESS: 07876 SW DUNE GRASS LN ZONING: R -12 ' SUBDIVISION: BONITA TOWNHOMES LOT : 039 JURISDICTION: TIG Project Description: Alteration of existing 120 volt service. Job # TG20c2. 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: 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: DRYER ELECTRIC INC 9409 NE COLFAX ST PORTLAND, OR 97220 Phone: Phone: 503 - 771 - 5667 FEES Reg #: ELE 26 -1142C Description Date Amount LIC 153466 SUP 2876S [ELPRMT] ELC Permit 4/1/2005 $80.30 [TAX] 8% State Surcharge 4/1/2005 $6.42 REQUIRED ITEMS AND REPORTS Total $86.72 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: ��� 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'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. 03 -30 -2005 13:53 FROM- T -933 P.029/043 F -594 . 'Q1 /2005 18:12 FAX 50589819(5U t.i3.1 ur i1laruu. r 0, ., Electrical Qn ,- - '�i P i is usl:: (1 :Ly City of Tiward it gar ��1 Di' Porn* He.: (' �/e� 115 ,TIgacc417R 97223 P - `-�`� Q one: 503.6; 9.1171 Fax $03 _598.1960 ��S - 1 `f " / 1 - ": . ' ?fife Daley_ T^ _ OtherPerawc � ispection Una:, 903.6394175 u- , . sate Ready/By. r lift Sco Pagei2 tar I ttetnet www at tigard or ua Netteed/eQetho& ) 1� Suppteincalet tntorm]Gun j - r 1 1'1 --,'''-'',.1'.'',7.-L, r' 1-. p . ? •` y.. =•1 IT , 'f Iz ff4,. r. ;.q New rXinS tru etier ❑ Addle. • alteraden/replaccment Please check all Lira apply: Duaollttcn ❑ Other: ©Service ova= 22'sinse, cornrn'1 Dlia2ardot� I ocarior. T ,r} y� :Service over 327 amps - raring D$uildag o!'er 10.000 sg. f ', 'E..'r.,- , _ - ca l ,,. ' . i , . : ; i ;.,. t i i i . L l _ Il i i ... , ti 1 f 11I1 ,.'''l'ILi.'1',: 21'. i'Z14� .!G �9 el- st:d 2•fairu'li dwellings 4 or mare' w residert6a) 1 - and 2riiinily dwelling NI Commercial /industrial 0 Accessory building • E3Systtetn over 600 von nominal units to ores strucusre Ivlulti�faesdl ' ❑ Master builder CI Other o 'el nose stories DFceders, 41130 amps or snore ,, Doceupant lose co cc 99- persons ©Mfac aiwMred structures or 1T ,:.:".1 : . ,' 1 � rgresonighza- Bat, RV park i . DHealt>_ -rare facia; ❑other: _ )b no.: _ . Jab site : " • i , _ ,��,1vIII Submit 2 sets oTpluu with any of the above. 'ity/State/2Y ?: ' e/ A 4.� ff 1 till a 'Iba above Cellos applicable to temporary wrtstru fcion service. „tits/bldg./al j -- Ii ;; Q —"-; ; 1 /E � Pei- ` :_,•�' _ Aoeeriedon i Qcy- Pct. , 'norm • roes steeticire coons eo job site: New residential single-. or m(tlti.fimily dwdUial unit. ^�i '-- V � I - Includes attached tentage. `[� 3l ' 9 �J�U 1,000 sq. f or 1t>.is ^ 145.1 ! 4 :: abdivision: I Lot no.: Ea add'l 500 sq. i3. or portion 33.4E l ' 7 S. 1X reap/ cal Ao r _ sidentiel ' 7 5. _ I.iznitted aner�itasidc 2 . Limited eaa•$I� :wn: rc ' 11 ?! '.! ! :'' Fathrianufac:ur.d ,r modular ( II r Moats a My0; f 1 dwelling ser ices aaddior feeder - , 90.90) 2 _ Services or feed odors installation, alt anon, and+r relocate • n i ' ; 200 amps or less - E0.30i �iZ:� < .4 4 ( e . ,, 201 aa�a to 4U a 106.851 2 . ' _. -I_ :.._ . ' l: '. ' . :. 1, 'g ' am to 600 amps 160.6 2 ��� 401 gme / CYt d 60l amps to 2,000 amps 240.60, 111111111111 ` - Cddreas: { . Over 1,000 anise or volts 454.65, —U Reconnect coo i 66.85, 2 .:ay/State/a': ! Temporary services or feeders installation, situation, and/or relocation 'hot= ( ) 1 Fes ( _ ) 200 amps or less 1 _ 66.8 i : '.> ,l �lx (Lou: This illation is betag =de cn property that I awn which is not 201 ante to amps _ 100.30 2 • trended for n rib :, lease, Tent, or exchange, hange, according to ORS 447, 449, 670, and 701. 0Q1 snips to 600 amps 133.751 j 2 Pea= Si . tart: Date: $reach circuits Low, alteration, or erctension,; er And _ - 1 1 1 A. Fee far braLC(I on ovate with ;'. I � r u :� . 1 ; 1 _ '.c i i - . . ... _ , . :_._ �_, __ ' __ . ;_ :._.:� service or � ii:eCer fee, each 6.0 brim& Circuit ,$ = 'llS3nen3II3tl:tle. --- , - -- B. Fat: for brand circuits I outset near:: trithour senric: o:' :ceder fee, 46.85: 2 ^- each Glared. circuit tiddress: _ Each add'1 branch c rcait 6,65■ ' I 'iry/State/Zl: ?: — Misceuaeteous (=rice or feeder rot included) _____ - -- Pump or irrigaricn circle 53.40 2 ' honer: ( ) Fair:: ( ) Sign or outline. lihtin 53.44 2 : Eaail: Signal otrouit(a) ar iSmited - 1 - r 1 . e energy panol. •tltaralion. or 1 — extension. D cr.bt : Pug: 2 • 2 'nosiness =IC: A - i 1 r� _ . -. 1 • tddress: / L1MLI I — _ • tit,. ditional in: gvctton over allowable In sly of the above r Per >td • � neh'or. _ I 62.50 l :ity /State/ZI ?: - l3 / /' : anon ler hoar 0 hr rise') ) 62.5Q i G��Mr /� It i pp p11 fnvesii /l • i�iiii E vrr y� f L latlt et iwu� 7 hen rI V l ,u , l'1 1 1 n [ ii. a ll l i Ja i}' .';%'.:',.....,:.7-t 'B Lic.: r l r Electrical Lic.: ■ , - Suprv. Lic : I I suhraral r4 ip ".tprv. Electrician s - : t . regUitad: ,. ��_ Flan review (21% of pane; fee) �_ r I — Stale sitrchsrge (8% ofpeurritfee) : [ � G � N .'°` Dtita. t --- TOTAI. PERMIT FEE . �_uthorited'5.$I This per alt applies loo expires if a penult (9 ace o6 within 41i ori�wit tE� days at tv' (than beta acceprod as complete 'Tint IIVIII ;: Date * Poe methods lei). ae.e by T:•Couney Suitding lneswtry1Servisc 3oard . ♦ Number e. mapeedima pa permit allowed. ,iWistePaenita4CPorraAtp.doo 13109 940.4615R(10/02/COMRV'M 71.6s P _- 5-- ) 7 L i. ©s _ CITY OF TIGAR® _ . i BUILDING DIVISION PERMIT #: 0 C E 5-00 L20 3 20 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/1/2005 Phone: (503) 639 -4171 ,,,,,mp,,,�i�ilei,l,l� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/8/2005 TIME: 7:10AM PAGE: 22 SITE ADDRESS: 07876 SW DUNE GRASS LN CLASS OF WORK: SUBDIVISION: BONITA TOWNHOMES LOT #: 039 TYPE OF USE: PROJECT NAME: COMCAST DESCRIPTION: Alteration of existing 120 volt service. Job # TG20c2. OWNER: PHONE #: CONTRACTOR: DRYER ELECTRIC INC PHONE #: 503 -771 -5667 Inspection Request Scheduled For: Date: 4/8/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 004118 -24 503 -516 -3125 N Corrections/Comments/Instructions: SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date:! 7 T - 0 Phone #: (503) 718-