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Permit C' A Y OF TIGA® ELECTRICAL PERMIT PERMIT #: ELC2008 -00306 COMMUNIT DEVELOPMEN R T DATE ISSUED: 6/2/2008 TidARDI 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 25111 BD -00400 SITE ADDRESS: 09720 SW MURDOCK ST ZONING: R -3.5 SUBDIVISION: DARMEL NO. 3 LOT : 023 JURISDICTION: TIG PROJECT: CANNARD Project Description: Installing (1) branch circuit for A/C. 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: 0 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: NICK CANNARD HILLSBORO ELECTRIC 9720 SW MURDOCK 21185 NW EVERGREEN PKWY #110 TIGARD, OR 97224 HILLSBORO, OR 97124 Phone: 503 - 624 -1579 Contact #: PRI 503 - 439 -9666 FAX 503 - 601 -3680 FEES Description Date Amount Reg #: ELE 34 -499C [ELPRMT] ELC Permit 6/2/2008 $46.85 LIC 134481 [TAX] 12% State Surchar 6/2/2008 $5.62 SUP 4941S Total $52.47 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: / - ' rs Permittee Signature: S ge r 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. 06- 02 -'08 09:31 FROM Electric 503 - 601 -3680 T -654 P002/002 F -543 Electrical rerill[iit Application Mrtii r sirs Sri IMF r I llyltwlj` z �! ` " N �I''` a it r t3a m't �', A .,. „.,,_......,,,„:1,c. pp�� ,r I ( >I. (1,1 l I I) Ilk f �S !I � °� 4 V yt'„ Wn c,, t, !.„ r 1,,,.640 1aall^,�kl RIRIS I�IIid., w �4.::.„, � :. „,14 tj,!.i i„„i r1j1 ,, 3 1a,1 , 4 ` . 13 Of Tigard 0 ,. Orr P N o. : �� 1�,� tr ,, i ■ 13125 SW Hall Blvd -, Tigard, OR 1 a t/1G z. �"' ® t � S Plan R t li , Phone: 501639.4171 Fax; 503.5':1 .0 f� Ll l • Da fet8 Other Permit: /2 • r�- $ S � r. I. inspection Line: 503.639.4! 75 • , UN !� Date Ready /B h,da: B fie page 2 for ��t!mc! ` 3 Internet: www.tigartt- or.gov J Noti6cd/Method: Supplemental Information TYPE OF WO r4'. l e _ . CAL). ` PLAN REVIEW ❑ New construction J AdditiorJal . A - please check all that apply (Submit 2 eels of plans w /items checked below): ` ❑ Demolition ❑ Other: ❑ Service or feeler 400 amps or more El Building over three stories. ir where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION • exceeds 10,000 amps 4150 volts or ❑ Floating buildings. w less to g00und, or exceeds 14.000 ❑ Coaimercia!-use agicultwml a) 1- and 2- family dwelling 0 Commercial/industrial 0 Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: 0Firc pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION 0 Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A", "E ". "1 - 2^ "1 - ", Job no.: 4 4.1 Job site address: ' tO LIT QA • 100HP or mare. occupancy. Q Six or more residential units. ❑ Recreational vehicle parca . l g !\ ❑ Health-care faciliues. Q Supply voltage for more than ] 0 Hazardous locations. 600 volts nominal Suite/bldg. /apt no.: 4 Project name: f . / Cl Sery ice or feeder 600 amps or more. • FEE SCHEDULE Cross street/directions to job site: ttescrlptloo ] Qty. 1 Bea i Torsi 1 • _ New residential single- or multi- family dwelling unit. Includes attacbed garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'I 500 sq. ft. 1 Tax map /parcel no -: . or portion 33.40 - Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. fl) Limited energy, multi - family 75.00 2 residential (with above s� ft.) Services or feeders iostallatloa and/or relocation 200 amps or less 80-30 2 ❑ PROPERTY OWNER ❑ TENANT • 201 amps to 400 amps 106.85 2 Name: 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 I 2 City/State /ZIP: Temporary services or feeders Installation, alteration, and/or _relocation _ Phone: ( ) Fax; ( ) 200 amps or less 1 66.85 1 Owner installation: This installation is being trade on property that I own which is not 201 amps to 400 amps 100.30 1 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Owner signature: Date: Branch circulb – new, alteration, or extension, r panel 0 APPLICANT A. Fee for branch circuits with • ❑ CONTACT PERSON above service or feeder fee, 6.65 2 each branch circuit Business name: B. Fee Sor branch circuits Contact name: without service or feeder fee, \ 46 -85 I v 2 first branch circuit Address: Each add'I branch circuit 6.65 2 Miscellaneous (service or feeder not Included City/State/ZIP: Each manufactured or modular dwelling, service and/or Ender )0.90 2 Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Business name= Signal circuit(s) or limited - HILL., BORO EL C - energy panel, alteration, or Address: 21185 NW EVERGREEN PKWY #110 extension. Describe: Page 2 2 Cily /StateIZIP: H I LL S BORO OR 97124 Each additions] iaspection over allowable in an _of the above per: ( ) Fax (503 Per inspection 62.50 503 439 -9666 503)601 -368/ Investigation per hour (i hrmin) 62.50 Electrical Lie.: 34-499 • 'Supra. Lic.: 4941s Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES Supra. Electrician signature, required: .t 1 Ls i % •. tttl✓ — . Subtotal: ' / r Plan review 25% of it fee Print name: JOEY VITACCO Date: ( permit State surcharge (12% of permit fee): + Authorized signature: TOTAL PERMIT FEE: ` 41 Print rants: Di This Permit apolkation twins if a permit is not obtained within 180 days after it has been accepted as complete. • Number of inspeotioas allowed per permit. t:lBuildinglpetmitall.0 -Per ntApp.dec 05/20/06 4404615T(11/05/COM/WEB CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2008 -00306 COMMUNITY DEVELOPMENT DATE ISSUED: 6/2/2008 vTIGAkIII' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 25111 BD -00400 SITE ADDRESS: 09720 SW MURDOCK ST ZONING: R -3.5 SUBDIVISION: DARMEL NO. 3 LOT : 023 JURISDICTION: TIG PROJECT: CANNARD Project Description: Installing (1) branch circuit for A/C. 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: 0 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: NICK CANNARD HILLSBORO ELECTRIC 9720 SW MURDOCK 21185 NW EVERGREEN PKWY #110 TIGARD, OR 97224 HILLSBORO, OR 97124 • Phone: 503 - 624 - 1579 Contact #: PRI 503 - 439 -9666 FAX 503 - 601 -3680 FEES Description Date Amount Reg #: ELE 34 -499C [ELPRMT] ELC Permit 6/2/2008 $46.85 LIC 134481 [TAX] 12% State Surchar 6/2/2008 $5.62 SUP 4941S Total $52.47 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: � ��. Permittee Signature: - -�� //J ./� 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. INSPECTOR'S SIGNATURES ARE NOT Inspections Required for: .t o__ — o REQUIRED ON GREEN INSPECTION CARD. .✓-.. Code 1 Inspection Description I PASS Date 1 By 7 Code I Inspection Description I PASS Dace I By BUP - Building Permit ELC - Electrical Permit 405 Excavation 105 Underground /slab cover 410 Fill 110 Temporary electrical service 415 Grading 115 Electrical service 205 Footing y 120 Electrical rough -in 805 MFG - Structure grading /footing \ 125 Wall cover 210 Foundation walls 130 Ceiling cover 215 Footing drain 135 Low voltage 220 Slab 140 Sign installation 310 Crawl drain 145 A/C or heating unit circuit 225 Post /beam structural 150 Hot tub /spa /pool 230 Underfloor insulation 195 Misc. inspection: 235 Shear walls /anchors _ 199 Electrical final 240 _ Exterior sheathing 245 Firewall 250 Roof nailing ELR - Restricted Energy Permit 255 Wtr proofing basement walls 135 Low voltage 260 Tilt -up panel 195 Misc. inspection: 265 Masonry 199 Electrical final 270 Reinforcing steel (rebar) 275 Framing 810 MFG- Structure set -up MEC - Mechanical Permit 280 Insulation - 605 Post /beam mechanical 285 Drywall nailing 610 Gas line 287 Suspended ceiling 615 Mechanical rough -in 295 Misc. inspection: 620 Hydronic piping 899 MFG - Structure final 625_ Duct work 498 Grading final 630 Fire damper _ 299 Final inspection 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection: 699 Mechanical final BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab PLM - Plumbing Permit 910 Sprinkler rough -in 305 Plumbing underslab 915. Fire alarm rough -in 310 Crawl drain 920 Suppression trip test 995 Misc. inspection: 315 Post /beam plumbing 998 Al al 320 Plumbing rough -in 999 Sprinkler final 322 Shower pan 330 Water service 335 Rain drain 340 Storm drain SIT - Site Work Permit 505 Sanitary sewer 405 Excavation 345 Culvert/catch basin 410 Fill 350 Septic tank 415 Grading 395 Misc. inspection: 205 Footing 399 Plumbing final 210 Foundation walls 215 Footing drain 420 Sprinkler supply lines SWR - Sewer Permit 495 Misc. inspection: 505 Sanitary sewer 498 Grading final 595 Misc. inspection: _ 499 Final inspection 599 Final inspection I:\ Building \Forms \InspCard- AOP- Blank.doc 02/02/07