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Permit CITY OF TIGARD ELECTRICAL PERMIT 10 ° CITY PERMIT #: ELC2009-00026 , ... COMMUNITY DEVELOPMENT DATE ISSUED: 1/20/2009 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 103CB - 03300 SITE ADDRESS: 12365 SW MARION ST ZONING: R -4.5 SUBDIVISION: WILLAMETTE NO.2 LOT : 038 JURISDICTION: TIG PROJECT: DUTZ Project Description: Ground service due to plumbing change for bath remodel. Job No. 14198 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: 1 W /SERVICE OR FEEDER: 3 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: CAMERON DUTZ COHO ELECTRIC INC 12365 SW MARION ST PO BOX 40 TIGARD, OR 97223 WILSONVILLE, OR 97070 Phone: Contact #: PRI 503 - 582 -9774 FAX 503- 582 -9840 FEES Description Date Amount Reg #: ELE 3 -575C [ELPRMT] ELC Permit 1/20/2009 $100.25 LIC 157169 [TAX] 12% State 1/20/2009 $12.03 SUP 52555 Total $112.28 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 rule are set fogth in OAR 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies se rules or direct questions to OUNC at 503.246. 699 or 1.800.33 4 �� � .,-_ I y: `� �(��� Permittee Signat : �,.,��� 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: '_ - i ,. / {� � Ld-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. 4 . • cl uED • .. ..., . Electri . cal Permi • t A l• 1 Heat - CL 3 1 roll FFICE USE: ONLY m City of Tigard • 0 2 4 Iteceived 1 p3q 2 u• • DateBr . / It O OK Permit No.: fire.,-6 19, ,-.,..., 13125 SW Hall Blvd. Tigard OR 97223' I "vr: .. Phone: 503.639.4171 Fax: ' 503.591 1 am- r" liGNFL D ate/By: Y1 .e wy Or ' Other Parole Ni id i t sq- ece/0 TIGARD Inspection Liao; 503.639.4175 • k; n111\1150 Da ? RadY/BY . runs: ii:1 See Page 2 for Internet: C: www.tigard *- -or . gov tn114 ' . , Notaectl/Metbod: , Supplemental Information I 1--C‘ li " -..2 - g7 51' _ c .c.C3 .1.. . 7. ':: :' 21 - 1 0 Ncv: construction 72 • ddition/alteration/replacctrient ' . . Rase check all that am* (ublni sew Pf Plang vehtecos checked below): 0 Service or feeder 400 swaps or more 01:gadding over three stories. Ej Demolition 0 Other: Arise the available fault current CI Marinas and boatyards. ,:777 ir:;' W exceeds wpm amp, at 150 voice or 0 Floating buildings. • :- A v4:"-t' "- "t`tsfrl'.5 - '0■."X *, - ,a'.:4, l t smth .... 14 0 c ommv i a i_ use agr 7,S. 1- and 2-family dwelling CI Comunereird/industrial 0 Accessory building amps tea all otha installations. buildings, !--. 0 Mager builder • 0 Other: 0 Fire pump. 0 Installation of 75 KVA or 1Y1!:i-1:1!1111?' 0 Emerge0cY SYgem. larger separately derived system, :''' ! ,;'.; : -":; t:C; =-4Y5:-:' •F , ; : s :- V %- .: 3'4 ‘ ; ' 1 . - % 1-, !;l:; , ..4 , .-- : V ,: 4 - % . ,--t': l i.';';",`,4 1,, ._7;` - t;',"-,z2,, CI Addition of new motor load of f:I "A", "E", - 1-2". - I - 3", . . *00 U' or more. occupancy. Job no.: V.k. \sti Job site address: Va ‘ --' c. 0 Six or more residential =its. El Recreational vehicle puks. City/State/Z1P: ._. c 1 - 1 Qa.a CI Heoltb facilities. 0 Scppty voitagc for moro tbma a Hazardous locations. 600 volts nominal. Suite/bldg./apt. no.: Project name: a . t .. v . ‘ _Min . p . serria ay feeder 600nmps or more. . ,,.:-_-<- ,--,-- ,7-• e.:‘,..1,-,-.:;--,Tr-7-;:W',-‘37.:*,-77:7.:':,:27:41Z".:...-.-,77.,‘;'-.:::::c"--7$ • -*7 ,' ' ,?..2' , ,--= ' ' `-""'-' ",.. E.7 Cross street/directions to job site: . . . -, .„ KiVilikiiiiialM1111 New residential single- or multi-family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less . 145.15 4 Ea. add'1500 sq. IL or portion 3340 ' 1 Tax map/parcel no.: Limited energy, residennal , .... .--',- " 7 ..,?. : • ' 7.-17 . 6=',.‘- ' ,70 . - - ,,4 % . " , " 7- ': - . .', . • 75.00 2 A., ;.g.. , :::" ^ 5.S 4..:.: ..... '--- -- ;7 -;-: ' + '. , :, , - , ,, - , _ , z Limited energy, multi-family 2 75.00 , (with above sq a.) 1 residential (with above Services or feeders lostallation und/or:rellocation B 0, 41-1-ez,c le-e...mc sk , 200 amps or less X 80.30 IXct 2 --- ---„ :;F7'r' ••-v-'- 7 , .• flit..., 7 • Tilf: S ,... : 1::;4 1 j 2 ; Jo a z . g: 6,7 ; ,77f. g Z. tc., ; 3 , ,-; , - , , - - ,th.7 201 amps to 400 amps 106.85 2 Name: C....c.rrl •1/4.).''' • • 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 2 • Temporary City/State/ZIP: „ , ctlaSla relocadon services or feeders installation, alteration, and/or . : 7 4 c.:AZ _ Phone: ( ) _ 4 _ ce ,6 Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not _3! amps 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 13315 2 Branch circuits.- new, alteration; or extension, per panel er signature: Date: Own ' A. Fee for branch circuits with . h ; 7--- ,,1: ,-.-::.,2, , . - ;,■ : .7,Qi : To..-,c7„-"Lti'r.Y.:-:•';:7-:;:- above service or feeder fee % • , .7:,..7. ,, ,....•!;, -,, ,s ,,, , ,,- . , 2 , 2J. , ,vu. , %:=.4`..,.V- , `, , ' , -5., - ....;,:„..-:. .? = -4. 2.),---4.?..: 6.65 i6 2 cach branch circuit Business name: • . . . • B. Fee for branch circuits without service or feeder fee. Contact name: 85 . first branch circuit 46. 2 . Address: . Each addi branch circuit 6.65 2 Miscellaneous (service or feeder not Included) City/State/ZIP: Each Manufactured or modular ' dwelling, service and/or feeder 90.90 2 Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 . E-mail: • Purnior irrigation circle 53.40 . 2 7',..":i5'i:27-'7: -,1- -;:' - ' - g '7 ' , :p7-- - ' - i5 - =?Z.'' - ' 5 , 1:- .ii : 7' ; - Si °r °utlinc li g ht ing . , 53A0 2 Business n • ' • Signal circuit(s) or limited a ■ energy panel, alteration, or Address: pc, . . y , extension. Describe: Page 2 2 .. • , City/State/ZIP: c) A . ....vl' oR, c ril3 - 1 Each additional Inspection over allowable in a , of the above • . Per inspection 62.50 . ' - Phone: (503 ) 5i F; : ) 5 %a - e14, C) Investigation per hour (1 br min) 62.50 . • CCB Lic.: \ 57 i km 1113::FRIEZMI Suprv. Lic.: s Industrial plant per hour 73.75 , amotz. `-' .5.‹. 4•:104 Suprv. Electrician signature, required: ....---..„ ....,„...'w",.. -;4 . 11"-- ' - ' 41 01101011111/iiii ' - - - -".•`'''''' '''''''-----.."-- ---- -" - - ''' '" - • --'7,:- 1 I 4 Plan review (25% of pennit fee): I . Print name: \IN ea . MINI Da te: Date' V._ Vc. 0 . State surcharge (12% of permit•fee): N.. , cz,' Authorized signature: iti‘. kTrap 7 TOTAL PERMIT FEE: \ Print name. . I° '‘k . 4t.M1111111.1 Date. ' \ — ‘ ov- tZ ci This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete.; i • Number of inspections allowed per permit. fAlluildlog1Puoft1ELC.Perm4e49 doo 05/23/06 46U1(11rosicosowna CITY OF TIGARD _f BUILDING DIVISION PERMIT #: ELC2003•00026 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: /10012009 Phone: (503) 639 -4171 I�Ig Inspection Requests (24 Hrs.): (503) 639 -4175 _. INSPECTION WORKSHEET FOR DATE: 5 /2000 TIME: 7 :00A /j PAGE: 213 SITE ADDRESS: 12365 SW MARION ST CLASS OF WORK: SUBDIVISION: WLLAME TE Nth 2 LOT #: 0313 TYPE OF USE: PROJECT NAME: DUTZ DESCRIPTION: Ground sesvire due to plumbing change tor bath remodel. Job No. 1419/3 OWNER: DUTZ, CAMERON PHONE #: CONTRACTOR: COHO ELECTRIC INC p\-\ t L PHONE #: 503 -582 -9774 Inspection Request Scheduled For: Date: 2/6/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 125 Wall coir 0130294 -01 503.582-9774 N ----,Y Corrections /Comments/ Instructions: Am PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL (l CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: C 618 LE Date: 1-'s" 1 Phone #: (503) 718- i CITY OF TIGARD .. BUILDING DIVISION - PERMIT #: E.LC:2009.00026 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/20/2009 Phone: (503) 639 -4171 .. Inspection Requests (24 Hrs.): (503) 639 -4175 ...„, 67 I I'I INSPECTION WORKSHEET FOR DATE: 2/3/2009 TIME: 7 :00AM PAGE: 21 SITE ADDRESS: 12365 ;I'M MARION ST CLASS OF WORK: SUBDIVISION: WILLAMETTE NO.2 LOT #: 030 TYPE OF USE: PROJECT NAME: C)UT Z DESCRIPTION: Ground service due to plumbing change fot bath remodel. Job No. 14198 OWNER: DUTZ, CAMERON PHONE #: CONTRACTOR: COHO ELECTRIC INC N L PHONE #: 503 - 582 - 9774 Inspection Request Scheduled For: Date: 2/3/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 125 Wall rover 0802013- 01 503.582 -9774 N \ Y Corrections /Comments /Instructions: 1 s v) � Cy v1\1gi o ''- _ 1 C �N) c Al)A lL `, Czl �L AO 3c' � pall I n— 3 Q CZ oN E g-QS wi ze (NK\ tAlg1) ii Virin yst‘t Ckcth a ST.* C 5 ypeAT J +' A 4) 1 b( t- • kcP .t33 L t. 4 3_ (D s cip tg ALL NIA J8L J� 4:IC - Aer 33 11. 1 ©. P _ ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL fl NO ACCESS V :, FAIL X CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: N v 6 Date: Z - 3 9 Phone #: (503) 718- U7 Lib City of Tigard, Oregon Page 1 of 2 • '� =' I N City of Tigard, Oregon '� w n • sir Hail Bit,/ . 1,k t 1N v '. J t = t i .. �. ? i +. ( (/` , i t, 1 ` ' � � p \. ,I ,,, TIGARD ;1 Mate to (1// (!t . i 1 Search J Property r Planning 1 Cranes I Transportation 1 Utilities I Aerials 1 EOC I Street View 1 Print I 1 1 Summary I Permit Summary 1 Community I Hazards 1 txplorer 1 12365 SW MARION ST Property Summary ._WALNUT ST s "r- I v' I h , JAMES ST • il ' 'n P p o q A. m MARION ST — 1 s.._ ( a a cc r) o.ad t ,(Cow ape. Space HOLLOW LN . § a QUAIL CREEK LN ,. Property Owner Info Tax ID Number: 25.1a3ti50_330Q Tax Account Number: R475337 Site Address: 12365 SW MARION ST Site City: Site ZIP: 97223 Owner: DUTZ, CAMERON P & LISA Z Owner 2: Owner 3: 12365 SW MARION ST Owner Address: Owner City: TIGARD Owner State: OR Owner ZIP: 97223 Acres: 0.46 Sq Ft: 20,037.6 Bldg SF: 3,080.00 Bldg Value: $ 175,580 Land Value: $ 182,810 Total Value: $ 358,390 Taxable Ass'd Value: $ 237,190 Sale Price: $ 237,500 Sale Date: 11/07/01 Year Built: 1958 District & Community Info Municipality: Tigard Tigard Urban Sery Bndry: YES Tigard Neighborhoods: L Name Link to Website Area 10 Area 1Q Neighborhood News School Attendance Areas: http: // tiggisiw /mox52_multimap /index.cfm ?fuseaction = property. summary &CFID = 100746 &CFTOKEN =3... 2/3/2009