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Permit TIGARD CITY OF ELECTRICAL PERMIT T TIGARD K PERMIT #: ELC2005 -00782 AAA!! DEVELOPMENT s sw Bd., Tigard, SERVICES 97223 503 - 639 -4171 DATE ISSUED: 10/18/2005 PARCEL: 2S1 12 B C -02500 SITE ADDRESS: 14710 SW 84TH CT ZONING: R -4.5 SUBDIVISION: HAMBACH PARK LOT : 009 JURISDICTION: TIG Project Description: (6) branch circuits for kitchen remodel. 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: 5 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: CHARLENE PARTH GARNER ELECTRIC 14710 SW 84TH CT 2920 SW 247TH AVE #A TIGARD, OR 97224 HILLSBORO, OR 97123 Phone: 503 - 624 -3775 Phone: 503 - 591 -1320 FEES Reg #: LIC 121159 Description Date Amount SUP 3707S ELE 34 -305C [ELPRMT] ELC Permit 10/18/200: $80.10 [TAX] 8% State Surcharge 10/18/200: $6.41 REQUIRED ITEMS AND REPORTS Total $86.51 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: r� -�� Permittee Signature: - z� ■\ 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. FROM ELECTRIC FA 0. :5036427925 Oct. 14 2005 01:26PM P1 ,Electrical Permit ApplicagECEN 10K ()FFICF I NNE ONLY City of Tigard OCT 14 2 R ' O -- _A 0 / 13125 SW Hall Blvd„ Tigard, OR 97223 P1anR Phone: 503.639.4171 fax: 503. 598. 1960. ' -i<;; , . r ; a . {I Oniony: eview • Other Permit • Inspection Line: 503.639.4175 CITY OF T .�:l...* -_.. Date RoadyBy: f j �! See Pap 2 for Internet: www.cl.tigatd,or.us G o et • • Nodfed/Marhod: 1 . I Supplemental Information • • SIN ,,,,. 0 ; , ..,.3,0,.: � Jf ; lx 1 1 l . . 1' - f 111) ''' f l I .,� '' ' ' v ''' 1r 1 ', Er ii I. ! , r, I'I i :,r . .. i t 7 C , k 1 I Ir ' 6 . 1 ! 1 I !t 1r - 11 i , ' li44:' ''..4F -r I I - 11 r ,V- e'4 .' - , ' s w ll ,d7 11 ,. 1 1 .1 r 1 s, j. l fu ii { 9 f I l ) .2 .SA i i 7� *1, ... nJ • ...., �„i:rel,._:.G�,,vX�,. i. .;n ,:I. ‘t'' ,tr l,r lip � . i. i f 7..11 .. ._ ,r� {, . r; f I i�;l � ,',l y L, [ . , f 1t.:V l y r . �4 .+ � � p l �S L. y ,'r�� t'.�,� f� Y �r' l . , ?' 1 0 New construction !;1 AddidoWalteration/replacement Please check all that apply: ❑ DeMolition III Other ❑Service over 225 amps, cormn'1 [Hazardous location • 4 o n r r :cs =u ❑service over 320 rating • over 10,0 sq. ft., a) t 1 1 ,91 e 1 1 1 l r lf t � 1 s a u ''''-j, r ly i i u ' s'6 4a I (d e III y 1 if'sl lx9i,1'7P r�I Q c i q.'''i gdws q '"'' a a ,t t 1 • t 6� r ! , , . , 1,' ,, f r . , ; , f i,f .: ,Ire. of 1- a 2- fam dwellings 4 or more new residential • .1 ;:'ti >. k�u5 _�..,._,.. �6 d.a �yL _._� • 4 1- and 2- family dwelling ❑ Commercial/industrial • 0 Accessory building El System over 600 volts nominal units in one structure MI Multi Q Master builder Other. OSuilding over three stories OPeeders, 400 amps or more u r iy r 7 u It r i1j „ ©°CCUpant load over 99. persons (7Msnufaetured structures or 'i uioe �l � jU ;11.1:,:," f 'r16 1 '1f 1 JrI rI P t � i4 +1110 1r �f u�rC Ih ?Ix 1 rr jt i {.1,rim•h.n.1 i ,.,i 1 ,..' i r IJ 1 :: ' , ' :f {,'�. iTl_L r. ,r ,...Art 11 ti.1F1�„ 6.ri'., 1.:&'..,;',,,R, f r 1'1 Ol38rass/ lighting plan RV park Job no_: Job site address: ) •` - 7 1 0 5(,) gq ' c+ ❑Health -care facility ❑ „�, Other: _• _ Submit seta of plans with any of the above. City / State/ZIP: I t C . i OR, c-1-7i2 The above are not applicable to temporary construction service, 1 f41 , 1 1u; - i , P { - I nnru tt rI.mr��rar = •. name: r�i „r!- . f , 11 � 1 r 1 ell r ub F CI ad . , • Suite/bldg. /aptno.: Projectna _ • • Deevtption Qiy. J Hee. I T ota l l ^ . Cross street/directions to job site: New residential single- or multi- family dwelling unit. Includes-attached garage. • 1,000 sq. ft. or leas - 145.15 4 Subdivision: j Lot no.; Ba. edd'l 500 sq. R. or portion 33.40 1 Tax enap/parcei no.: Limited energy, residential 75.00 2 c u, I: , ,. 7 r f nod- tC6idential 75.00 2 r 4' V II i f 6 !.,',i t 1 ++ . y1 11i " r 1 1, . r • . 1 .; '1! rrr . J C l a dl�fa Jf..e Cs'`f, ? I : 1 � 1 ,C i � 4- 'n „ V �` i i { f jr .{,L � Limited energy, . f � Bach manufactured to rnOdLler • 14 , h� dwelling, service and/or feeder 90.90 2 I` Services or feeders Installation, alteration, and/or relocation 200 amps or less 80.30 • 2 .1...N . y r f F,n 1,G v r IIar '',, I'C n 1 ; ;I 04- „r1,.: I i '1`I r 71 1. ';1 t.:," rt;fil 201 amps to 400 amps 106.85 2 1, 91 1 6 6 .0 , J �! ,� ,t”. '1'4, ll , !` .. I da 1 ) , : 1* I t t . ,N� lfb Il (1 (I 4 1, , Rf.''' w lT I _ 1.:a f ... l. I�rt,. t :n,..d 1 - ,.l'v �wr. +.... , n.c:..1717 }11 .v �li. 11,.`1.1_a_..1.. 1, _ I:,C' ?i::' 401 to 600 8 mps 160,60 2 ilia '. Name: `1 10.2 4. 601 amps to I,000.amps ,_ 240 64 • 2 Address: my Over 1,000 amps or volts _ ._ 454.65 2 Reconnect only 66.85 2 . City / State/ZIP: 2 ) )'5i5 , . Temporary services or feeders Installation, alteration, and/or ~Phone: (g63) 3 — l 4 j Fax: ( ) relocation - - -- - — , 200 amps or loss 66.85 1. Owner Installation: This installation is being made on property that I. 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 4611 ( t l '1 , nll IP 1 f 11 t 7 y:1-0":(1:',".,'.'1',',„ f l r q Y 1 1 r ' d y y, 1 r _ i 1 1 • ' . ,,. 1 :. l , . . W$ .1,. 1 .. .. .... ,'. . :IF". +r r,•rir 1 A∎d.� , .f • •r 11 i /� SCI for brand a each ,9h nL of ,.�h,. ;,, 1, ,. ,, ,,nr., r - r ,, . Aa r,.'1r.. w ' 1 . iA. ..,! F .. Y 17 !, 1 � 1 , � � service or feeder fee. E8C11 1 Business name: . branch circuit 6.65 2 Contact name: B. Fee for branch circuits - without service or !ceder fee, 46.85 46,95 4 g5 2 each branch circuit Address: Bach add'l branch circuit <. 6.65 '33z; 2 City/State/ZIP: Miscellaneous (aervieo nr feeder not included) Phone: ( ) Fax:: ( ) Pump or irrigation circle _ _ - � - 53.40 I I 2 • Sign or outline lighting 53.40 2 E - mail: Signal circuits) or limited - 1 { AiAJ �I ) it 1a + 1 7 , 1 ., l 1 I,I U it +N 71 q i 1; 19, �, Il tt r i {tif nM e il` t :1 1( l i�1 1 ;V ,'t, r ?;',., � 1 i 1 N l 1 � -7 1: r : i rt:)1 , it 9 , �i �ti:4J`4t^:V. . 1 411 i . ' y , ' i ''' , 4 4 # . ii%Oi :Eff.:aF,'ril(rg energy panel, alteration, or r.., ..U.,� 1.�_71,.i I� rU Fl 1 ,� t ` extension. Describe: Page 2 2 Business name: C.' ) i ? 4 -LG �•--� t /�. i ` - 1 Each additional inspection over allowable in any of the above Address: 4`'' 61 . ' Z C:1 - y J 2 i .i A✓ t:' . 411 Per inspection 62.50 City/ State/ZIP: t ( le C 1= i a Investigation per hr min) 62.50_ - Phone: ( (y C Se '-•( j ? ) ) • - 7 �` Industrial plant per 73.75 t ��r F' �! 9 . ) a A .>y?- i l r1 sst, .; �t I.�I�L,II r, 1 i - � 2 7-'�{{rr![ : �� i.r.4 . 1a71:.frlllii I,. ., . _ . 5,....,_� �: � -� Y,t.1�7- ':9 CCB Lie,: f (I . c Electrical Lic._ Areal �•i' . - ic.: - ?� • - , 7 - . Subtotal (� Suprv. Electrician signature, required: , . /�� /Wi,/ Plan review (25% of permit fee) � tt Date: State surcharge (8% of permit fee) to • ` C i Print name: � 1\ 3 e • .. ' _r� _� _ . I `' • • ., . >< OT0 . pERmir FEE (,. I Authorized signature: Thb permit application aspires if a permit it sat Ohmioed within 180 days after It has been accepted as complete • j Print name: I Date: • Pee methodology set by?ri.Cotmty Budding Industry Service Amara '• Number of iaspeadeas per permit allowed. t:mu7d astrannitEt.Gtrnut4App,doe 121D3 410- 46111(I0/01/COM/WEa ' CITY OF TIGARD l (--i '1 _z BUILDING DIVISION PERMIT #: ELC2005-00782 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10118/2005 Phone: (503) 639 -4171 t ae rill Inspection Requests (24 Hrs.): 03) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/13/2005 TIME: 7 :02AM PAGE: 71 SITE ADDRESS: 14710 SW 84TH CT CLASS OF WORK: SUBDIVISION: HAMBACH PARK LOT #: .009 TYPE OF USE: PROJECT NAME: PARTH DESCRIPTION: (6) branch circuits for ldtch - remodel. OWNER: PARTH, CHARLENE PHONE #: 503 - 6243775 CONTRACTOR: GARNER ELECTRIC PHONE #: 503- 591.1320 Inspection Request Scheduled For: Da'-: 12/13/2.005 Pour Time: Code # - -; - - . • Description Confir • # Contact # Message � 199 Electrical Tina 023356-01 503 -648 -4552 Y U4" � /2 Corrections /Comments • ions: • \ [ \PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED p r� 1 4/43/06 — Phone #: (503) 718 - � Inspector: C Date: (503 � G • CITY OF TIGARD BUILDING DIVISION PERMIT #: .ELC2005 -00782 I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2005 Phone: (503) 639 -4171 istiottiol# Inspection Requests (24 Hrs.): (503) 639 -4175 ' ,_ I INSPECTION WORKSHEET FOR DATE: 10/25/2005 TIME: 7:10AM PAGE: 76 • SITE ADDRESS: 14710 SW 84TH CT CLASS OF WORK: SUBDIVISION: HAMBACH PARK LOT #: 009 TYPE OF USE: PROJECT NAME: PARTH DESCRIPTION: (6) branch circuits for kitchen remodel. OWNER: , PARTH, CHARLENE PHONE #: 503-624 -3776 CONTRACTOR: GARNER ELECTRIC PHONE #: 503-591 -1320 • Inspection Request Scheduled For: Date: 10/26/2005 • Pour Time: Code # Inspection Description / Confirm # Contact # Message n 120 Electrical rough -in 019184 -01 503 -64B -4552 Y /'A4/ e Corrections /Comments /Instructions: ' • The electrical installation defects noted on this report shall be corrected and an inspection request made within 20 calendar days per OAR 918 - 271 -0030 PASS ❑ PARTIAL APPROVAL . ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: . • Date: ,. 0/ . Phone #: (503) 718- 1 • CITY OF TIGARD BUILDING DIVISION ' PERMIT #: ELC200E -00782 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/18/2005 Phone: (503) 639 -4171 N 4r1f - Inspection Requests (24 Hrs.): (503) 639 -4175 ....—W 11. INSPECTION WORKSHEET FOR DATE: 10121/2005 TIME: 7:08AM PAGE: 116 SITE ADDRESS: 14710 SW 84TH CT CLASS OF WORK: SUBDIVISION: HAMBACH PARK LOT #: 009 TYPE OF USE: �✓ - 1 J PROJECT NAME: PARTH DESCRIPTION: (6) branch circuits for kitchen remodel. OWNER: PARTH, CHARLENE 9.,,` 060) A \A �' PHONE #: 503- 624 -3775 CONTRACTOR: GARNER ELECTRIC `` PHONE #: 503- 591-1320 Inspection Request Scheduled For: Date: 10/21/2005 Pour Time: Code #. Inspection Description Confirm # Contact # Message 199 Electrical final 018911 -01 503- 648 -4552 Y Corrections /Comments /Instructions: \' 7"-1 7-- N P'i ,\ KI V\ \ VO '14 1)S L O N 4- 1 1) 0 \ 11-0 61 C\ '0 \41 f\OD U\i%L\-. --0 t k , 17 . ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS � F AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • L lnsPector: („,,�� Date: :1 Phone • #: (503) 718 -