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Permit ,CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00188 1� 4 DEVE OPMENT R 503-639-4171 DATE ISSUED: 3/29/2005 13125 PARCEL: 25111 BA - 04000 SITE ADDRESS: 14100 SW 98TH AVE ZONING: R - 4.5 SUBDIVISION: MCDONALD ACRES LOT : 015 JURISDICTION: TIG Project Description: AC unit. 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: 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: BRACK, RICHARD J AND DORE NE WESTMORELAND ELECTRIC 14100 SW 98TH P.O. BOX 82865 TIGARD, OR 97224 PORTLAND, OR 97202 Phone: 503 - 639 -5863 Phone: 503- 238 -5362 FEES Reg #: ELE 26-1050C Description Date Amount SU 8 S 1 SUP 4638S [ELPRMT] ELC Permit 3/29/2005 $46.85 [TAX] 8% State Surcharge 3/29/2005 $3.75 REQUIRED ITEMS AND REPORTS Total $50.60 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 2344. �� Issued By: �` d / y %ec-- Permittee Signature: 0'}1 � 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. - FR A M : Westmoreland Electric FAX NO. : Mar. 28 2005 06:04AM P1 . ms`s ` _ ..` .. -- - - -. • 12/0x/2004 08:44 FAX g03g9S19804 CITY OP 'TTCARD Y 002 Electrical mi 1 . )lt OFFICr L.sE ONLk City urTig 'd ` ��h Q�p a a 0 5 rr�itxo:�C. art -DO1 . 13 t25 gar Hail 131vd , Tigard, OR. 672 ©j �@ pmt `��q � ,..9..:.,; . r Dal p)bac 503.639A1.71 Fax: 503398. L As : c . I 1 Mk • ` . . F . : . , -i Sae lea I for laapoetionLine; 503.639.4175 ���+ Q�. - ° plppeUe0/bte�od: 9 srvetrareawlatoemadon internee www.ci.ttgtlr5,or us .i. :. • •0 ._ "' ..•iv'• — - : ••.. _144*.I W .. T' ' • . Please check an that apply= ❑ New construction T � liServlee over 224 amps, comet OFTsraadous location 0 Demolition Cl Other ❑5vrviae ov r220 amps - razing OBuildug over 10,000 sq. ft, I. • • ■ ;'.CA3EOW 00 OZPOPR27G'1iON'�F _ . • of1- and 2 - Paraily dadliogs 4ormte o febidcntial • ' • - . DSO= over 600 v nominal units in one strumtrt 1= a 2 ami d 8 ❑ � ciallm�ostial ❑ A SS b nil rl ing ❑� o verthree stades Ores 400 amps of room Multi- ibmily 0 Master builder 0 ��: Q mt load ova 99 pecans �Mfanufauuand stme uc s or . 'JO* grit IIVI?OR14fi►TiO13 �.OcA ION .. ,.. , , Q 8 Plan RV auk OHaalt -care fesih!y dOther. Job no ` sob site address: l ZG k 00 $ < S - L-t--- ' Submit 2,, sets of plans with any of the above. City/State/ �1 G� . O o� a �} eve are not applicable to temporary cohatructioa service, - Suite/bldg./opt its. k Pro name: ; n ro c ry. r+ea 7am� . • , " Cross street/directions to job New reddest single - as malft-A1mUy dwelling unit. Includes attached garage _ 1 000 •. ft. or lea 145.15 4 Subdivision: T-°' no_: P.a, add1500 sq. ft or minima 33.40 - 1 Limited mtlar[iRl - 75.00 _ 2 Tax mamtparcei Limited emu,hoo-'rebi6emtar 75.00_ 2 • i : ;IiEtscErerti3N OF K" -: ,- .. • - Each mgr aed modular or mouar dwelling, saMee anWorRoeder 90.90 2 Al G CA' Q._ C-t) 14 --- Services or theatre installation. alteration. audio; rcloeUclnn 200 amps ar less 8050 2 • 201 moms le 403 amps 106.65 2 .,... . pf -6:__ vie; : .T.,,j: , ❑ ''irix-''`:::: 4O1 aIIms,a600amps 160-60 2 Name Wit . , • -t► „47..-. �j 601 smne to 1000 n.pa s 240.60 2 Adtites� C`ot� ccD : ' l _t_ • • OVcr 1,000 sops or volts 450.65 ' 2 Rncarm ect Mtry 66.94 2 citylStatrl j • 012.. • Q - 7 a a_ 4 Tsmpanuy r ^^^• or feeders Installation, alteration, and/or relocation Phi: ( ) X39 (-3 I Ex= ( ) 200 a H _ ao0 :ups en ters 66.65 1 • Owner installation: '1"3tls installation iS being made em PAY that I owit which is not 201 mums to 400 amp ] 00.30 2 intended for salo, lease. rent, or exchange, according to O,RS 447, 449, 670, and 701. 401 amps in 600 amps 133.75 2 Owner y i e • Date: Branch eireal s- new, alteration, or extension, per panel • • 'JD A0 , 0 4e.terr. • .: - • 0 A01- :mg** ' • A. Fee for brmrah aaera2s with service or feeder fee, each. 6.G5 2 Businens name; branch circuit 13. Fee for laacb circuits Contact name: uddieor service or feeder fee, / zoc$banob ti cktit t 46.8 $� 2 Address: Each add'1 breach circuit 6,63 - 2 City/State/23P: M'sr aoeous (service or feeder not included) Phoac. ( ) I Far : ( ) Pump or irrigation circle 5330 2 Sign or =line lighting 53.40 2 E-mail: SiZal cirwit(s) or limited- a 4t , • c'roR ; ., :,:" . :''' r'!-`-. D3114t. attorzbgRrr extemicsa. Do • • - ~ • r •.. • • ` - - • • SGC♦ = 'Page/ 1 Rosiness name: {2� �n7.p-{;2. tf - ATD .��lL+ (2. G Ate/ C.- _ Addtes • 0.. ■ o 'i a• j (0 1 - I - O& ,( 1 Emelr additional inspection over allowable its any of the above Pet inspection 62.50 aty/State/YIP: `F j Olt- 9 .. '' / lavestigetion per hour (t brain) 62 :50 Piro= L5o3) a3 S "r,5736,A : (Z3) . gr F S - I^ t =hour 73.75 -,.:i • ELECTUC.AL PERMIT O Lie.: p� [ Electrical l ic.06- Gab g srtpasr. Tic. :4 ,, ea5 Su AG , 85 5lsprv. Eleatic-Lan signature, required: / — rim zoviaw (25% ofpsrapt faN Print name: �,4r tb? ��5 Datc: 3 5- ststz surchame (g57, ofvuwit far) 3. S Taro, min. IT FEE + X ,, (00 • Mztho ized. signer"? This wok a ppr.o soh a alrea tf a permit b not obtatncd within I90 Print mum: I Date, 3 - ` x 7 1 9 . • Tea „.a, :�s�tr lr � kilns badm'ey 8mviro eoard I vsNn �O 5 5 " Almuhst of insp:adoaa parpernit allowed. intalatog eanloWLO I.MS 4 0 {1dOV .OM We • 1 • CITY OF TIGARD - - BUILDING DIVISION PERMIT #: ELC2005 -00188 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/29/2005 Phone: (503) 639 -4171 �'�'ll hpiiplltj�l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/22/2005 TIME: 7:12AM PAGE: 90 SITE ADDRESS: 14100 SW 98TH AVE CLASS OF WORK: SUBDIVISION: MCDONALD ACRES LOT #: 015 TYPE OF USE: PROJECT NAME: BRACK DESCRIPTION: AC unit. OWNER: BRACK, RICHARD J AND DORE NE, PHONE #: 503 -639 -5863 CONTRACTOR: WESTMORELAND ELECTRIC PHONE #: 503-238-5362 Inspection Request Scheduled For: Date: 4/22/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 146 NC or heating unit circuit 00508E -01 503 - 533 -5863 N Corrections /Comments /Instructions: • • PASS . ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED V tO ' Dat Inspector: a Phone #: (503) 718-