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Permit CITY OF- rTIGARD ELECTRICAL PERMIT PERMIT #: ELC2006 -00340 i DEVELOPMENT SERVICES DATE ISSUED: 6/19/2006 -,,� l� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S136AD-03701 SITE ADDRESS: 10680 SW 71ST AVE ZONING: R -4.5 SUBDIVISION: VILLA RIDGE LOT : 005 JURISDICTION: TIG Project Description: (1) 200 amp feeder for new panel. Job # 17459. 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: FUREY, ALICE MARIE PARKIN ELECTRIC INC 10680 SW 71ST 14001 FIR STREET PORTLAND, OR 97223 OREGON CITY, OR 97045 Phone: Contact #: PRI 503 - 657 -4958 FAX 503 - 557 -1059 FEES Description Date Amount Reg #: ELE 34 -4C [TAX] 8% State Surcharge 6/19/2006 $6.42 LIC 35151 [ELPRMT] ELC Permit 6/19/2006 $80.30 SUP 42415 Total $86.72 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: --- f+ Permittee Signature: � # e QS ,,pn • OWNER INSTALLATION ONLY \ 4 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 SIGNATURBOF 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. 06/16/2006 FRI 15:26 FAX 503 557 1059 Parkin Electric -.-.- City of Tigard lj001/002 Electrical Permit App2i oil \ \ \r� �-- \ FOR OFFICE USE ONLY City of Tigard Received - D Ti gard, OR 97223 i , ../1.... Perorit No. /6 I - o 0 13125 SW Hatt Blvd., naves ' Phone: 503.639.4171 Fax: 503.598.1960 • P/';.,,; -- I eview Other Permit � y Inspection Line: 503.639,4175 . ' ' ' - a1.1 11 PlaaR Date dyfay: See Page 2 for Internet: www.ci.tigard.or.us . \ �� , p Notified/Method: / /(` I Supplemental Information .- 4 3 - -,�, - f - i r r i t " 1'y t } � - j ar 1. � r" S '"�"tr r�it'" 1 T i / 1 1 F •' t - . ❑ New construction • :f ;On/alteration/replacement ~ ` Please check all that apply: ❑ Demolition ❑ Other ❑Service over 225 amps, comm'l ['Hazardous location '� W . r , F ,� i ['Service over 320 amps - rating ❑Buildng over 10,000 sq. ft., - - _ ` "' :__ , f' 4 ; , � .. - '' r' ; , -!r* 1 1�� '�� of 1- and 2- family dwellings 4 or more new residential !: 1-' and 2- family dwelling ❑ CommerciaU ❑ Accessor buil ding �. ['System over 600 volts nominal units in one structure ❑Other ❑Building over three stories [Weeders, 400 amps or more ❑ Multi family ❑ Master builder i w ,. ❑Occupant load over 99 persons ❑Manufactured structures or r _ - ' u7� {d , as !! °i 14 5 1 ._. q :. ) ` - ❑Egress/li gP RV. 1 -- ' _� "_.u..�L ... . - .:t- ........ —. _ _ f � 1143 park no. I Job site address: � ❑Health -care facility ❑Other: { �� i p w W , ( Submit" sets of plans with any of the above. City /State/ZIP: The above are not applicable to temporary construction service. Suite/bidg. /apt no.. I Project name:i5,1 a : �, a KL `'n -4 ''t°'5,:,: .. Description Qty. Bea Total Cross street/directions to job site: New residential single- or multi- family dwelling unit. Includes attached garage. 1,000 sq. R or less 145.15 4 Subdivision: 1 Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map/parcel no.: Limited energy, residential 75.00 2 Limited energy, non - residential 75.00 • 2 ` 1 �Y r ! i,> , t4 a S Each manufactured or modular • ?�� dwelling, service and/or feeder 90.90 2 • Services or feeders installation, alteration, and/or relocation 104tAA/ I 200 amps or less i 80.30 3D 2 .� m � al tint ,.- f � `'v r � , 201 amps 10 400 amps 106.85 2 ` t `"' -` " "c.u.:r li r.f''.1Y - '. , _ "'. °_ "- , .l L;- -f- , 'J . t ic �._?. fi t_ rT _ L tt 401 amps 10 600 amps 160.60 2 Name: 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City /State/LIP: Reconnect only 66.85 2 Temporary services or feeders installation, alteration, and/or Phone: ( ) . I Fax:( ) relocation 200 amps or less 66.85 1 Owner installation: This installation is being made on property that 1 own which is not 201 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 600 amps 133.75 2 Owner signature: Date: Branch circuits- new, alteration, or extension, per panel .1., _, �i ...;`.: f t A. Fee for branch circuits with �. _.. ... _ _ . : _ service or feeder fee, each Business name: branch circuit 6.65 2 Contact name: B. Fee for branch circuits without service or feeder fee, 46.85 2 Addr • each branch circuit ess: Each add'l branch circuit 6.65 • 2 City /Staff: Miscellaneous (service or feeder not included) _ Phone: ( ) I Fax:: ( ) Pump or irrigation circle _ 53.40 2 E-mail: Sign or outline lighting 53.40 2 Signal circuit(s) or limited- Yarlan l Teem`, Inc. 14001 Fir Street °' ; +:_ ?; Its energy panel, alteration. or extension. Describe: Page 2 2 Oregon City, OR 97045 503 657 - 4958 fax: 557 - 1059 Contractors License #: 34 exp. 07 - - Each additional inspection over allowable in any of the above Supervisor: 4241 -S exp. 07 -01 -06 Per inspection 62.50 Contractors Board Reg #: 35151 exp. 10 -12 -08 Investigation per hour (1 hr min) 62.50 Metro # 2416 exp 11 - - Industrial plant per hour 73.75 Owner: _ : _H 1 ! ', .:.1 ;;;;,t2 .Di_tl.,".'.3 ,a_t_i:. . .:... : -..-. _ _ Subtotal $o 3o Suprv. Blectr'ician signattIie, requird: Plan review (25% of permit fee) Print name: Date: State surcharge (8% of permit fee) TOTAL PERMIT FEE $ / . -72_ Authorized signature: This permit application expires if a permit is not obtained within 180 days after It bas been accepted as complete Print name: Qv /D ,6'.139xte�/ I Date: • Fee methodology set by Td- County Building Industry Service Board •• Number of inspections per permit allowed. i\Buildinponees ELC_Pemitppp.doc 11/03 440-4613T(10/01/COM wEB CITY OF TIGARQ ..., BUILDING DIVISION PERMIT #: ELC200S -00340 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/19/2006 Phone: (503) 639 -4171 41-dy j�l� Inspection Requests (24 Hrs.): (503) 639 -4175 ,...„ �:_.. INSPECTION WORKSHEET FOR DATE: 7/12/2006 TIME: 7:D5AM PAGE: 10680 SW 71ST AVE SITE ADDRESS: VILLA RIDGE D05 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: FUREY DESCRIPTION: (1) 200 amp feeder for new panel. Job # 17459. OWNER: FUREY, ALICE MARIE, PHONE #: CONTRACTOR: PARKIN ELECTRIC INC PHONE #: 503'657 -4958 Inspection Request Scheduled For: Date: 7/12/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 032968 -01 503 - 245.5441 N • Corrections /Comments /Instructions: c Q ,, PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: t': 8 L,' Date: i i 66 Phone #: (503) 718- 2 Ltq v CITY OF TIGARD,, . - BUILDING DIVISION PERMIT #: EL.C2006 -00340 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/19 /2006 Phone: (503) 639 -4171 ,,A 41 I ile Inspection Requests (24 Hrs.): (503) 639 -4175 .� INSPECTION WORKSHEET FOR DATE: 6/20/2006 TIME: 7:01AM PAGE: 34 SITE ADDRESS: 10680 SW 71ST AVE CLASS OF WORK: SUBDIVISION: VILLA RIDGE LOT #: 005 TYPE OF USE: PROJECT NAME: FUREY • DESCRIPTION: (1) 200 amp feeder for new panel. Job # 17459. OWNER: FUREY, ALICE MARIE, PHONE #: CONTRACTOR: PARKIN ELECTRIC INC PHONE #: 503-657-4958 Inspection Request Scheduled For: Date: 6/20/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 032000 -01 503 -657 -4958 Y Corrections /Comments/ Instructions: ('' 1 0 k V(1) (10 f & i ©r 0oo(L o4 o <>ik- ENO Ik i= L u3 eel @ Fizeo p No CIN • 4wg'61 11 .34AA N 6T E . i c J 6 p J" c t NO E f,T' `i 0USa ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL NO ACCESS X FAIL KCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (J 68 L Date: ‘'a 'f u Phone #: (503) 718- to.