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Permit ^IT S/ OF TI® ELECTRICAL PERMIT a V i i V/►�'[ G w p-y PERMIT #: ELC2008 -00410 COMMUNITY DEVELOPMENT DATE ISSUED: 7/18/2008 Tlcni p, 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 25111 CC -15500 SITE ADDRESS: 10045 SW HIGHLAND DR ZONING: R -7 SUBDIVISION: SUMMERFIELD NO.4 LOT : 206 JURISDICTION: TIG PROJECT: GUDEKUNST . Project Description: (2) branch circuits for heat pump and GFI outlet. 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: PER INSPECTION: • 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 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: DOROTHEA GUDEKUNST WEST SIDE ELECTRIC CO INC 10045 SW HIGHLAND DR 1834 SE 8TH AVE TIGARD, OR 97224 • PORTLAND, OR 97214 Phone: 503 - 684 -8194 .. Contact #: FAX 503 - 231 -9987 PRI 503 - 231 -1548 FEES Description Date Amount Reg #: ELE 26 -135c [ELPRMT] ELC Permit 7/18/2008 $53.50 LIC 13306 [TAX] 12% State 7/18/2008 $6.42 SUP 4654S • Total $59.92 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 503.246.66 or1.80M i Issued By. b� Permittee Signature: �� ___ OWNER INSTALLATION ONLY . The installation is being made on property 1 own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: ONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N. !.' i1,✓Q� /J 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: ( a 09 4 /10 REQUIRED ON GREEN INSPECTION CARD. I ✓ • Code I Inspection Description 1 PASS Date I By ✓ Code Inspection Description PASS Date B BUP - Building Permit ELC - Electrical Permit 405 Excavation 105 Underground /slab cover 410 Fill 110 Temporary electrical service • 415 trading 115 Electrical service 205 Footing 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 915 Fire alarm rough -in 305 Plumbing underslab 920 Suppression trip test 310 Crawl drain 995 Misc. inspection: 315 Post /beam plumbing • 998 Alarm final 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 "` :Z•. . '`; ELECTRICAL PERMIT -: - CITY OF TIGARD PERMIT it: ELC2008 00410 il ;_ • COMMUNITY DEVELOPMENT DATE ISSUED: 7/18/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 25111 CC -15500 SRE ADDRESS: 10045 SW HIGHLAND DR ZONING: R -7 SUBDIVISION: SUMMERFIELD NO.4 LOT : 206 JURISDICTION: TIG PROJECT: GUDEKUNST Project Description: (2) branch circuits for heat pump and GFI outlet. 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: SIGNAUPANEL: 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: 1 • 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: DOROTHEA GUDEKUNST WEST SIDE ELECTRIC CO INC 10045 SW HIGHLAND DR 1834 SE 8TH AVE TIGARD, OR 97224 PORTLAND, OR 97214 Phone: 503 - 684 -8194 Contact #: FAX 503 - 231 -9987 PRI 503 - 231 -1548 FEES Description Date Amount Reg #: ELE 26 -135c [ELPRMTj ELC Permit 7/18/2008 $53.50 LIC 13306 [TAX] 12% State 7/18/2008 $6.42 SUP 4654S Total $59.92 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 503.246.66 or 1.800. 34 . r Issued By. 6 Permittee Signature: .% >' / I, SIT f O _,,_ 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: ONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: - i'i✓Q� tur — ' — ✓ 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. 5032319987 19:42:15 07-16-2008 4 /4 I Hall Blvd., Tigart � L '�r atrn r . S r i v rq gal v(J i' `�4 Gfi a. Electrical Permit Application N I c v. �4 A �n t �� I ��, '�� F'' ^� �� FOR O USE ONL 7 �'L�`t \� =�• ' ��. �� - •��` t , k e R21 City of Tigard Received y Y Date /13 7 1 7 P8 f -� Permit No.: ,?( t' " 13125 S \V . t� )' G�� Q Plan Review ?:• ; . Phone: 503.639.4171 Fax: ^, 0 . 98.1960 1 ` �,� � o Date/By: Omer Permit: k`^' Inspection Line: 503.639.4175 \\ • X IG A RD I ,U4 CO Dale ied /M /t o turfs: S lice Pan l I nr Ors PiT. Internet: www.tigard- or.gov ION" Notified/Method: Supplemental lnfonnalion TYPE OFii n o ' 4 S ® PLAN REVIEW ❑ New construction / TYPE Please check all that apply (submit 2 sets of plans s4 reins checked below): QQ ❑ Service or feeder 400 amps or more El Building over three stories. ❑ DC1110111100 III VV Other: where the available fault current ❑ Marinas and buatvards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial-use agricultural 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder III Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑Additionofnewmotorloadof ❑"A' "E" • l 2 '1.3 Job no.: ' L C({ Job site address: 00 4� [ � 14 (IL ( �; (/) / (OOt lf' or morn occupancy. l S r! ❑ Six or mo re residemial units. ❑ Recreational vehicle parks. City /SleteIZIP: � � L r \ f ( fi C "') Z 14 ❑ I tcalth -care facilities. ❑ Supply voltage I'or more than u / L q / ❑ Hazardous locations. 600 volts nominal. Suite /bldg. /apt. no.: Project name: � (AC P I , Li ■�� • / ( aLU U El Service or feeder 600 amps or more: 1 < / \ FEE SCHEDULE Cross street/directions to job site: Ues MEI err, j Tow j • New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. 0. or less 145.15 4 Ea. add' 1 500 sq. fl. or portion 33.40 l Tax trap /parcel no.: Limited cncrgy, residential DESCRIPTION OF WORK (with above sq. fl.) 75.00 2 � A / y Limited energy, multi - family 75.00 2 V \ -•t-" p e wv, 0 ---f Li F ( 0 LA _ f residential (with above sq. ft.) Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 I 2 C PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Name: L \ f� 401 amps to 600 am p s 160.60 2 V 6.,- �.' debt' 4 t - Address: 601 amps to 1,000 amps 240.60 2 -'� ‹ -„ 1."-A.....-C__ Over 1,000 amps or volts 454.65 2 City/State/71P: ` Temporary services or feeders installation, alteration, :old /or / (�,J relocation Phone: ( �� i L-! fl cite/ Fax: ( ) 200 amps or less 66.85 I Owner installation: This installation is being made on property that I own which is not 201 amps l0 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, p panel Owner signature: —_ Date: A. Fec for branch circuits with w_ rJ ❑ APPLICANT ❑ CONTACT PERSON • above service or fccdcr fee. 6.65 2 each branch circuit 1usiness name: Q. Fee for bench circuits without scrvicc or feeder fee, )�1( Contact name: rest branch circuit 46.85 �I'1 r S 2 Address: Each addl branch circuit ' 6.65 6 2 Miscellaneous (service or fccdcr not included) City /State /Z1P: Each manufactured or modular 90.90 2 dwelling, service and /or fccdcr Phone: ( ) Fax: ( ) Reconnect only _ 66 .85 2 E - mail: GLENNG n WESTSIDEELECTRIC.COM Pump or irrigation circle . 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Business name: WEST SIDE ELECTRIC CO. Signal circuit(s) or limited- energy panel, alteration, or Address: 1834 SE 8TH AVE. extension. Describe. Page 2 2 City /State /ZIP: PORTLAND, OR 97214 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (503) 231 - 1548 Fax: (503) 231 - 9987 Investigation pr liour (1 hr min) 62.50 CCI3 Lic.: 13306 Electrical Lic.: 26 -135C Suprv. Lic.: 4654S Industrial plant per hour _ 73.75 / r ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: / / '' C.c :c; „4G. L L � L J � Subtot 7 ry r Z 1 S _. (? Print name: RANDALL ROBERTS Date: 7 / E -7 /03 Plan review (25% of permit fee): State surcharge (12% of permit fee): �- , (..1 Authorized signature: 'TOTAL PERMIT FEE: ( —' � t�i c/ ? .• This permit application expires if a permit is not el,tained within 150 Print Int name: Date: days after 0 has been accepted as complete. • Number °I allowed per permit. l;\ tluikIingtl 'cmtirs\1ILC- PennitApp.doc 05(23/00 420- 4615TI I I /O5 /COMAVIII3