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Permit 71 'ITY OF TIGARD ' ELECTRPERMIT ELECTRICAL PE PERMIT #: ICAL PE 7-00775 COMMUNITY DEVELOPMENT DATE ISSUED: 11/16/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 • PARCEL: 1 S 136CA -04900 SITE ADDRESS: 11085 SW 78TH AVE ZONING: R -4.5 SUBDIVISION: FAIRVALE LOT : 004 JURISDICTION: TIG PROJECT: BABCOCK Project Description: (1) branch circuit for furnace conversion. 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: 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: 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: JULIE BABCOCK OWNER 11085 SW 78TH AVE. PORTLAND, OR 97223 Phone: 503 - 481 -0265 Contact #: FEES Description Date Amount Reg #: [ELPRMT] ELC Permit 11/16/200" $46.85 [TAX] 8% State Surcharge 1 1/16/200' $3.75 Total $50.60 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Munidpal 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 rules or direct questions to OUNC at 503.246.6699 1.800•33 . - Issued By: • _ _ / ._ Perm ittee Signatu�i_ _ OWNER INSTALLATION ONLY / The installation is being made on property I own wh is not intended for sale, lease, or rent. OWNER'S SIGNATURE: 411111 .// / h / u- - 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. • Electrri - ermit A licatio , : •, FOR OFFICE USE ONLY City of Tigard tt„' ``' O7 ,g- Permit No. : _ /,d7 e 77,5 ;� ; 13125 SW hall $lard., T Review Other Permit; Phone: 503.639.4171 Fax: ; 03.598.1960 Da Plan R I , ,.n It 1 Inspection l..ine: 503.6 . ` ' ' Y 1 5 200 Date Ready/By; Jur'. • See Page 2 for Internet: www,tigard or.gov Notified/Method: 'as Supplemental lnrorntarton tl :: i.,: . 'f!`irPE..,OF i ;'r � F '� � ;r�� 1, M:';-!'i.. r,'; +� ^ :� . ivr�;: ",PY,Al "REVIEW y - : r -r� ;, ;��'. 0 Ncw construction Addition c sa + 1-1*. s"l g Ptee che nt ck all that apply (submit 2 sets of plans w /ites checked below): . �I V 1 1 1 p,... ❑ Service or feeder 40Q amps or more © Building over three stories. 0 Demolition , © Other: where the available fault current Cl Marinas and boatyards. ;, . ,„,,.,.,,, , ,: ,; ryi:" ds 10,000 amps at 150 volts or ❑ Floating buildings CAIE C o l • ' -' '' • v`, ' :` "• .. ; S r'` ❑ Commercial/industrial I Accessory l , '' ' - :. " `'' '` • ` •-•,'-='• less to ground, or exceeds 14,000 ❑ Commercial-use agricultural �'1• and 2- family dwelling ❑ ssory building amps for all other installations. buildings. 0 Multi-family ❑ Master builder 0 O system. ?' ; ❑fire p ump Installation of �5 kvA or ..- .. m larger separately derived ,.. • ;..::N of new rta get p y di •: ; .. . .: ;.,, , :! JOB',SATE ON A :,; motor load of "A", .,E„ INFORMATI , ... L OC AT I � %:% ;:i`'�' ❑Addition 0 Job no.: Job site address: / D s 5 't4) 7n d-c..4 1001-3 or more. occupancy. ❑ Six or more residential units, 0 Recreational vehicle parks. City /State/ZIP: "r( 2 R 2,,3 0 Health -care facilities. 0 Supply voltage for mote than ID .. ❑ Hazardous location*. 600 voila nominal, Suite/bldg./apt. 0 Service or feeder 600 mps , no.. Project name: , '. :,.. : „: :. r ' J: ;. 0 '; . FEE:: SCHE 'sr's r,. : ; : .. Cross street/directions to job site; r P P le- si-, Description I Q 1 FM _ " 1 Total • , ' p New residential single- or mu family dwelling unit. gi.1- / 5 c J. . 1 o f, „ 7 2a „ i! 4-k ' ., Includes attached garage. _ T Subdivision: Lot no.: 1,000 sq. ft. or loss 145.15 4 Ea. add'I 500 sq. f. or portion 33.40 l Tax map /parcel no.: _ Limited energy, residential 2 N OF, < � DEsaur JO 75,00 i �',' „ � ;. ` ; :� " %�ri��' with above sq. ft.) ' Limited energy, multi-family 75.00 2 1\1 & ) A r d ' J 1.1 ST A L.L. residential (with above so, ft,) . ate, services or feeders Installation, alteration, and/or relocatio ( n b l L To C: —14 S 'ONI V d N S ) 200 amps or less 80,30 2 : ._ ; PROPERTY'OWNER : ;' ;':'' L. TENA7 4.1 ..;.:Jry . ;.. 2 201 106.85 _ i..4E bA 4.0C.� Name: � 401 amps to 600 amps _ 160.60 2 601 amps to 1,000 amps 240,60 2 Address: ! 1 0 ? P5 7Zw Over 1,000 amps or volts 454.65 2 CitylStatc /Z1P: -'fl ,r /A my, o - 9 7 :” Temporary services or feeders installation, alteration, and/or _ _ relocation Phone: (5Q) 4' ( 0 I. 16 .E 1 F (503) 9 f $. 2 am _ ps or toss 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 se, nt, or an e, tzecordin to (, S 447,'149, 670, and 701. 401 amps to 599 amps 133,75 2 /1 Branch circuits — ne alteration, or extension, per panel Owner signature: ,• Date: /1 Jg. -c7 A. Fee for branch circuits mts rovi[h t:; : ; ;',:, s �, . ':.�r ;,'`.•'. Q 'A �,X�T a ;•::. ' : ON T A CT: ; PEI2SQ '- :': :o: . v .. ! ,,, ; ��+ ? above service or feeder foe 6,65 2 - each branch circuit Business name: B. Fec for branch circuits; - L� p pp���� without service or feeder fee, ( 46,85 /tQ- 2 Contact name: �E M ([,s r`.L,s first branch circuit Address: t i 0 #7 � y Each add'I branch circuit 6;65 2 S ♦ V t Miscellancoussserviee or feeder not included) City/State /Z1P: Tr (.,.-A IaD Oile- 9 72,2 3 Each manufactured or modular ' 90.90 2 dwelling, service and/or feeder Phone: ( 503) 4-cf (-,, 6 2. ‘5 ..... r Fax :: ( ) Reconnect only 66.85 2 E -mail: ,, -r r .. - c , ..e., 4 04.-- 0140. a mpo irrigation c 53.40 . Pump r i on 'iro1 53 40 2 2 .: ;. ,, , , J : . Sign or outline lighting - COl� ' '17Ri \CY'QYt`.',4' ". ,.. ,.... ; ; %'. i:�s.y: li Business name: /� signal circuit(s) pane, or It o , or I energy panel, alteration, or Address: extension. Describe; Page 2 2 City /State/ZIP: Each additional inspection over allowable In any of the above Per inspection 62.50 Phone: ( ) Fax: ( ) Investigation per hour (1 hr min) 62,50 Electrical Lie.: Suprv. Lie.: Industrial plant per hour ' 73.75 CCB Lic.: P CTIiAC ',, ", EI:E • AT.!; PT;RMTT,',:kE)ES Suprv. Electrician signature, required: Subtotal: • , '” _ — Plan review (25% of permit fee): Print name; Date: — • State surcharge (8% of permit fee): Authorized signature: TOTAL. PERMIT FEE: 6. ,r - 'Tbjs pevavi. a ues000 expires d a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. .,. - • Number of inspections allowed per permit. l.`,0uil diniac.n,;iatf- I.C.PermiI App doe 05/23106 - / n 440 /05/ OM/WEB V ii( A.1 , `? t'n % c" /,- /11/6' Yg/1!/ 7---- a GU Id WdLE:SO LOOS ST ' ^ °N 080989620S : '0N Xdd s1 an - {Of,4 :i.uay{ : W0e{d Ai A na - C 7g> CITY OF TIGARD � r1 BUILDING DIVISION PERMIT #: ELC2007 -00775 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/16/2007 Phone: (503) 639 -4171 "hit Iii Inspection Requests (24 Hrs.): (503) 639 -4175 _.W -:_., INSPECTION WORKSHEET FOR DATE: 12111/2007 TIME: 7:00AM PAGE: 19 SITE ADDRESS: 11086 SW 78TH AVE CLASS OF WORK: SUBDIVISION: FAIRVALF LOT #: 004 TYPE OF USE: PROJECT NAME: L3A1 COCK DESCRIPTION: (`i) branch circuit for furnace conversion. OWNER: BAL COCK, JULIE PHONE #: 603-481-0265 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 12/11/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 061286-01 503481 -6080 Y O /1 Corrections /Comments /Instructions: 1, ? ,0 'O / py' Owl PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL fl CALL FO INSPECTION U ADDITIONAL FEES ASSESSED Inspector: Date: (Z / Phone #: (503) 718- CITY OF TIGARD : BUILDING DIVISION PERMIT #: ELC<70O7.0fl776 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11116/2007 Phone: (503) 639 -4171 / Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/2612007 TIME: 7 :00AM PAGE: 3 SITE ADDRESS: 11085 SW 78TH AVE CLASS OF WORK: SUBDIVISION: FAIRVALE LOT #: 00 TYPE OF USE: PROJECT NAME: BABCOCK DESCRIPTION: (1) branch circuit for furnace conversion. OWNER: f; ;ABCOCK, JULIE PHONE #: 503-481 -0265 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 11/2612007 Pour Time: Code # Inspection Description Confirm # Contact # Message 180 Electrical final 060223 -01 503-481-0265 N Corrections /Comments /Instructions: i c1;53__Aa p / ,_.)(y\rc n PASS n PARTIAL APPROVAL ►� CANCEL — NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ; P i .NAL FEES ASSESSED • Inspector: Date: VII 26109 Phone #: (503) 718 - VI •