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Permit a CITY OF T I GA R'C ELECTRICAL PERMIT " PERMIT #: ELC2008 -00498 e , COMMUNITY DEVELOPMENT DATE ISSUED: 9/2/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S136CB-01800 SITE ADDRESS: 11215 SW 82ND AVE ZONING: R - 4.5 SUBDIVISION: RANCH VALLEY LOT : 014 JURISDICTION: TIG PROJECT: PLUMLEE Project Description: Panel change and (2) branch circuits. 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: 2 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: NANCY PLUMLEE REDS ELECTRIC CO INC 11215 SW 82ND AVE 6336 SE 107TH AVE TIGARD, OR 97223 PORTLAND, OR 97266 Phone: Contact #: PRI 503 - 233 -6467 FAX 503 - 233 -1281 FEES Description Date Amount Reg #: ELE 26-152C [ELPRMT] ELC Permit 9/2/2008 $93.60 LIC 4443 [TAX] 12% State Surchar 9/2/2008 $11.23 SUP 5010S Total $104.83 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. / 4111P Issued By:` _ Rennittee Signature: , Q��✓ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Aug. 28. 2008 ] 2: 57PMA tl r i c No, USE P. 2 a� E 'NIED FOR OFFICE USE o . : ' City of Tigard Received i ° 13125 SW Hall Blvd.;'1"ig DatcBv: I, . �`! Pcttnit No.: p pp� I Phone: 503, 639.4171 Par; 503.59$,1960 Plan Review 0 "'E�� {t 1 11GARl) Inspection Line: 503,039.4175 AUG 2 8 20i - UateB : Other Permit: Internet; www,tigard- or,gov DalrRendY�Y kris: El See Page 2for Notified/MetltOd; Supplemental Inform otiott „ . ❑ New constt „, 1 i �1r`' ' ... .. 5K'I:AN.1 [t_>;VIVE! - A 'r..: apply submit sets of plans w /itcl .. ,..:... tt�� ddI ,, .,, : �i � ,r, � Please Break all that a ly ( g . p .'• , ns checked below): 1: U Demolition ❑Other: ❑ Service or feeder 400 amps or more ❑ Atdlding over Three stories. t • :CATI and boatyards. a GUIt;Y: where the available Marinas ... ...,: tare 1u • :: , CO NS�i- ttvcr :r; ? .: ;�: ,: ;: :�` ouoamp9�rts�ent . ..:...�.,...,.: ...,.. - •.� ...::.,, ,.,,, .. exceeds 10 , ! - and 2-family dwcllin O v olts or ❑ Floating mme buildings. ball s e a Y g ❑ C.ommerci ❑ Accessory building amps for ground, other or exce 14,000 n . g amps rot all other instal larions. Q Commercial-use agicultural Q Multi - family Installation ate <. ::: . : _ F� pump. Anr �Q E ^ � 5� Other: 0 of 75 KVA .. C:.INFD1 i ATIQj� !lD SQ'Gk'1R ,i system. larger se ... .... ...... , <, .. ;� ; : �a to separately d tl .n. Job no.: � * � � � ' "'' �, ❑Additionotnewmotorloadof ❑ "A ",••L " "1- 2 "'•I -3 ",. Job site address: „ I OOHP or more. occupancy. City /State /ZIP; • .1 ....- El Six or more residential Linda, ❑ Recreational vehicle parks. 0 Health -care facilities. ❑ Supply volI:tt;e'for more than Suite /bid Ja t no.: �} 13 Hazardous locations. 400 volts nominal, g p Project name. //J () O Service or feeder 600 amps or more. Cross Strect/direclions to job site: Y' ” ;`{ iol ... . , .. . tI?IrE; SCY,UI E' lE New residential single- or multi-family dwelling unit. Torot ` nexCH ptian Includes attached garage. Subdivision' I Lot no.: 1,000 sq. ft. or less 145,15 4 Tax map/parcel no„ Es. add'I 500 sq.R or 0 portion 33.40 l a::a:'c '> t, ii;..; �IG;;>. ,�:,4':� ;�y ;•'"y��,`('(`��y.... ,.� :,a.. ..r.: S.a,; Limited ener residential ... `. •. _ .-. - ,,0,00 •ifei'9 -lilt : - •4,.,, / .::: •.,' ny ;� ;�. � " - Q�• ,._ ;',!? " � % ,'.'tc��� �'o:� a with abov .4,) - 75,00 2 £41 �� ° " _ Limited energy, multi - family residential (with above sq. ft.) 75.00 2 l' tf On. and /or relocation 4 ; ; ; x ' j±' • ti r ., . - services or feeders installation, altera amps or less 80.30 ' ;T::...� . .,. .,.''• t R" L 'LL\��-1'-,`V,�rl,�l�CARt..t..i7 S:5 ceP,', A ' ,t-A„ ! ,'. „, �„•,:, tirgi, fr 2 ., ..,.u�.: , .'..i „t- ::.:.,.o-:gtia�7V)&f..:�i ?� - 201 amps to 400 amps Name: M y ..,,,: a �; »: 106.85 2 i� / / / 401 amps to 600 amps II 160.60 2 Address: �1 601 amps to 1,000 amps _ 240.60 2 G �� Over 1,000 amps volts City/Stale/ZIP: p 454.65 2 Temporary services or feeders installation, alteration, and /or Phone: ( ) — relocation I Fax: ( ) 200 amps or less r 66.$5 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 am ps to 599 amps • - 2 p 133.75 2 Owner signature ;� Drench circuits -new, alteration p ration or extension.. er ,oriel „:: "l,'� ";i' ?7, '; ='{1" ,a.ar' r,F _ _ „- A. Fee for branch circuits with ;'r' ��' r:!-, �M:,. ���7�,.....4FC�....?-: , F� lk�r5� `l`': ; 'x` ,�..,• j.fil'1ti \�::,4, • 'r ._:: .ly � -: il ,� �. A. +i;i ;`.��y�t 6 YYS �'- ' o t� �:.tT'1 Cr .� + :... . ... ..........wr ,_ ....,_.:�,, � „ � .. above service or feeder fee, Business name: each branch circuit • 2 B, Fee for branch circuits Contact name: without service or feeder fce, first branch circuit 46.85 2 Address: _ Each add't branch circuit al 6.65 2 City/State/ZIP: Miscellaneous (service or feeder not included) Each manufactured or modular Phone: ( ) I P dwelling, service and /or feeder , 90.90 2 f ( } Reconnect only 66.85 2 ^ E-mail; E- m ai l . ?'�: ;' �,c•:' r - :ra. Pump or irrigation circle = r._ ^:.vr'!' : ;u: , ' , ... : �,: © ." .g'• ;; ;:a.;: e - 53.40 2 .. \ . . �s; ri •!'�?r.,ri:ft j. �•w.,�,, w,j, S aK ��. x � ;y !dr Slgfll Or OLL l 53.40 2 Bu5ini Signal circuit(s) or limited - Addre RED'S ELECTRIC CO. INC. energy panel, alteration, or 6336 SE 107TH AVE extension. Describe: Page 2 2 City /.. PORTLAND, OR 97266 Each additional inspection over allowable in any of the above 5 - 233 .6467 FAX 503 - 233 -1261 Per inspection Phone CCB# 4443 ELECRICAL UC 26 -152C SUpRV LIC 50105 _ 62.50 Investigation per hour (t hr min) 62.50 CCB _.. I Industrial plant per hour 73.75 5upry Electrician signature, required; ' °' `ti --,,. ,..,.' =I ECTR /L E RMIT : � a L i Subtotal: Alt. a Print name; I Date: Plan review (25% of permit fee); State surcharge (12% of permit fee); .:pe - 11, ),3 Authorized signature: TOTAL PERMIT FV.E: Bf /a�� _ JO% T-3 2 Print name; Date: This permit application expires if a permit is not o. ned within 180 days after it has been accepted as co, plate. • Number of inspections allowed per permit. I:V lvildirVermiis \eU:- PermitAap.d 05/21/06 410-161ST(tt /OS/(OMAIrpg • CITY OF TIGARD . , BUILDING DIVISION PERMIT #: ELC2008-00498 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0.008 Phone: (503) 639 -4171 r�i,�� IiI Inspection Requests (24 Hrs.): (503) 639 -4175 ...' W `__.. INSPECTION WORKSHEET FOR DATE: 10/22/2008 TIME: 7 :00AM PAGE: 15 SITE ADDRESS: 11215 SW 82ND AVE CLASS OF WORK: SUBDIVISION: RANCH VALLEY LOT #: 014 TYPE OF USE: PROJECT NAME: P UMLEE DESCRIPTION: Panel change and (2) branch circuits. OWNER: PLUMLiE, NANCY PHONE #: CONTRACTOR: REDS ELECTRIC CO INC PHONE #: 503 - 233 -6467 Inspection Request Scheduled For: Date: 1W22/2008 Pour Time: Code # Inspection Description / n irm Contact # Message 199 Electrical final 077039-01 503-233-6467 Y Corrections /Comments /Instructions: BAR L 01 \' \-ir (PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 6 NW L IE Date: 1 Phone #: (503) 718- VILA)