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Permit ,zyg CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2006 -00706 COMMUNITY DEVELOPMENT DATE ISSUED: 12/13/2006 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 25111 BA -00807 SITE ADDRESS: 14270 SW 100TH AVE ZONING: R - 3.5 SUBDIVISION: TIGARDVILLE HEIGHTS LOT : 025 JURISDICTION: TIG Project Description: Re inspect for ELS87786. Job #1394. 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: 1 201 - 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: SMITH, SHELLEY ANN CONDUIT ELECTRIC 14270 SW 100TH AVE 19461 SW 89TH AVE TIGARD, OR 97224 TUALATIN, OR 97062 Phone: Contact #: PRI 503 - 692 - 1428 FAX 503 - 692 -3652 FEES Description Date Amount Reg #: ELE 26 -905C [ELPRMT] ELC Permit 12/13/2001 $62.50 LIC 109669 [TAX] 8% State Surcharge 12/13/2001 $5.00 SUP 4501S Total $67.50 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� - ,� °�3 Permittee Signature: i 0 ? 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. 2006/DEC/12/TUE 09:13 AM Conduit Electric • FAX No, 5036923652 P. 001 „„ . Electrical Permit A ,�• ;� , "VE® rciR On IC r. I is F °N AN City of Tigard R n / - a�il� ' i�J email No.: L 13125 SW Hall Blvd-, Tigard, OR 97222E C 1. 2 2006 . Plan Review Phone: 503.639A17I Fax 503.598,1 60 /" ° " • 1 Date/By Other Permit Inspection Line: 503.639.4175 CITY OFTIGARD � 11. DateRosilyBy: Jm„T See Page 2 tor Internet www•ci•tigard,or.us BUILDING DIVISIO' Notifir dR.�lethod: Supplemental Information . �., ,. �a . ,.,�,� . ° ; .):. �t4 -r .... , �ryy ° °k6.7 r�• '4i �;+it.'aV};71d .f�" ;ta;"' q,yy�� "ti c'' Ck ""rtt' :i '.:� aL'i, y t�1t }}k,' 4a N+ ' � I �Yn ' uUb�,/ ?` ,u ;+:rk;:�Pokc7.'S, .s5 d'" fiw y r. �, '�q r3 " . ��S'•ej�� a .ty .E;' ,�'"5�"�• � �•. ;k: ,�,Fi ���.��lklf4t:;.a'�G�. C+.. i.. �..!t' .�.T.,' °, ? : a`. '?hR`: �,�?„_ ��5^.!� i 5��i �l,• 1�'l� r ❑ New construction . Addition/alteration/replacement Please check all that apply: 0 Demolition 1J Uther: tl over 3 4:.,c ; 'i':� w i • " : ",,,.•:ar >.:.,w` n ",...., .; .. ; .., , ... e i; r'a'ItSr�' e `:1Nx ° ;`t s� ` N{ s4. it , Service over225 amps, comm'I Hazardous location , ,�.,iy �,� ❑S ervrceover320amps rating ❑Hir'dngo O,Q00 `�;- t n',lo 3' �; ! ,O t 06,1 5` , e:" lO ,ii;vt,` c ,;:� '�i4:r. % : w�%� 'P�:1�?i of 1- and 2- family dwellings. 4 or more new residential S'" : and 2.-family dwelling ❑ Commercial /industrial D Accessory building ❑system over 600 volts nominal units in one structure ❑ Multi family ❑ Master builder Other: OBuilding over three stories DIPeeders, 400 amps or more anew,-; „,,,... , persons ['Manufactured structures or ❑Q ccupan tl oa d over 99 ergo cAt %:,�ti1c' ; r L ' ri ,� n Y; .�.� .. �:K ?'� F;;:S! &:, !a ";, ? :r 'y`' i � i }: t / w •G.-:, =lay ' "o © tO ;'''� i. a tr'°7l r ( rn',l >{� DE r hti g plan R ���:r'�7� ���cwr�..r.e•. , �,,. z ,..,,... . �'€,' t�#;+ i:"- s�.:., �..,.,.,,.. �: �,. E�; �:., il=' ;,.�`��;�.t�.M'��;,i,-. ?•e�.� ^. g ress/1' g t► p n park P • Job no.: ' Job Site address: /� " /� ' .1 I�-� �, ❑ Health -care facility Daffier: , "I j-tl � (� S). � DO , , ` AIX.J Submit 2 sets of plans with any of the above_ . City/State/ZIP: ! t • The above are not applicable to temporary construction service. Suite/bldg /apt no.: i Project n *: ; .:„ i'•'l %: x :4040, d 's' r. ;J: k: 140:4N A _ r »cycrtpdpn Qty. Fee. Total IN Cross street/directions to job site: / New residential single- or multi-faintly dwelling unit. Includes attached • aratte. 1,000 s.. R or less =EMI 111 r Ea. tidd 500 sq. fl or portion 33.40 - • Subdivision: I' Lot no.: Limited energy, residential , 75.00 MI Tax map /parcel no.: Limited energy, ion-residential MI 75.00 eigi .��. °£ .�tS�� 'CI � I :S1AP< O+�p•' O ?' ; `'.?'•�G'•�''�,• A ��?��' ��p b,'v'pI f+. k_ 4LS'. �tf+., a... i! s, Y� �, 74��nL ,e.,�+i..,J.S"l,r.- .._..:.. _. �..? i!...:.,., a; � ..,';Y,R�:r,:liT';� >....,h -:..' . t� .�a,a�.�.�.':$- % Each mannfacturcd pr modular �J G I 1 dWeIlin' service and/or feeder 90.90 II • ,_�- C_4 1- f' . - ' a • services or feeders installation, alteration, and/or relocation 200 amps or less IIIII 80,50 -fl 4 1,'i Iii � AT ..iW.: lu �i. /(i ,, ' -�"S >.S R':�d1Y -•:r . . .. ,.�, t :p;ae� 'ti:>w:� 201 amps to 400 amps 106.85 - p U K�1 �j y,. "y� :. 5 , , , t�,`S 401 • amps to 600 amps 160.60 - 4^ V , 1 r `J.. n °L� �,.\ -t.3 �t '?�..{;?k..I :TSaA�'..t 1 .o-�' 'a P�'�'y rl.z'�. Name: • 601 amps to 1,000 am• s .1. 2 'MI© Address: Over 1,000 am.s or volts NM 454.65 © . Reconnect only III. 66.85 _ Cit /State /ZIP: • Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) I Fax: ( ) 200 amps or less MI 66.85 Owner installation: This installation is being made Ott property that I own which is not 201 amps to 400 amps • 10030 � intended for sale, lease, rent, or exchange, according to ORS 447, 449. 670, and 701. . 401 amps to 600 amps - 133.75 a Owner signature: Date; • _ Branch circuits - new, alteration, or extension,.per panel �--1. •ij r, :k - � � �r�u. iva oa� r � ,;� +�,� : � �:c• -. -+: �f:;'z' .k , A Foe for x' ' tt' - p1 � ,r,Mr�� : o- s g ; [a s <ys ,� ty§: ae:�lG c R 7 I�3�w . " ` ....1'al.1a � . };7:M.E%if LT;�,G. > .�i1+Y�.':h�l:, �.. �, ,.s- 1 Y .�,�:. t i�`.i ranch circuits with service ee or feeder fee, each • 6.65 Business name: • branch circuit 13 Fee for branch circuits Contact name: without service or feeder fee, each branch circuit . 46.85 _ Address: • , Each add °I branch circuit 6.65 � - -_ - - - - - -_ - _ -• - -- . ' - '1Vliicelleiiiinis sereee or r )inehitIZ4I -- "- - -' -'- - - CiiylS�aie1ZIP ..-- • - - - - -- . Pump or irrigation circle I= 53.40 = © Phone: ( ) �= = ( ) 1 Sign or outline lighting 53.40 E-maih. signal circuit(s) or limited - '.: . _'Ci+l' i^'l .,,w >d! v.:t;?+':!" rl r_Q'•fi: tm4:'?r :'. : yy',v'' �A,w,1f�ibyLG energy panel, alteration, or _ �:. � ` �< �•.> u�., �' �' �` �, i�..,., �'` i .F:, _3>�.'�;"t�'�;•:L�?,.y� CrTOIt�,..;..._�:t,.. �,.,..s,.; ,1���ri�'�.... ,.,�.w.+..Ya,. -.., � ��� . E.:. •,.. I:,:.,.,,.,.. , , 1, „ , :, �^ / r� extension. Describe: Page 2 $usineSS lame: CL , n d i t .i r f 1, . • Each additional his ° ectlon over allowable In an of the above Address: i C L (_(.-) c3cq A Lases Per ins action 11111 62.50 IIIPEINit - City /State/ZIP: r u , fi Q �. I L; fo / � Gi` f i D Investigation per hour (1 min) In 62.50 �al al - -- - - _ - - - w -.__ _Jnd n _ . Rhone: (�3) �C)D J�f� - 'Fs( 13S `-( -- ustria t 4.0 our �,,� r r - �" `1' ` i . / � y'e'a ;. it':� F�^`:.�n�..� ..�.�..�.'.•.�" .. •��.•�+�i4"�, , u;a + ?Alg�'. �x-u ' %i;: CCB Lie.: /63"qtpi Electrical Lie.: 9(0- S .rv. Lie.: 4 /5/ /,,s . Subtotal (OD Suprv. Electrician signature, required: /•'. ,, / Plan review (25% of permit fee) '^� L� St surc harge (8% of permit fee) IMMIral Print name: 01 � 1` 3 Yr I Date: 1 TOTAL PERISer PEE MEM Authorized signature: This permit applicntran expires if a permit is not obtained within 180 • - days after it has been accepted as complete Print name: Date: • Fee metho& olegy set byT fi Building industry Service Hoard -- Number of inspecti per permit allowed • Mgullding\emits\ELCFmmitApp.doc 12/03 440•46157(10/n2ICOM/WEn CITY OF TIGARD , ,L BUILDING DIVISION PERMIT #: El c a a as 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/1200; Phone: (503) 639 -4171 /om � e 4mg61�,1, Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/6612007 TIME: 7 :00AM PAGE: 19 SITE ADDRESS: 14270 SW 100TH AVE CLASS OF WORK: SUBDIVISION: TIGARDVILLE HEIGHTS LOT #: 025 TYPE OF USE: PROJECT NAME: SMITH DESCRIPTION: Re- inspect. for ELS87786. Job #1394. OWNER: SMITH, SHELLEY ANN, PHONE #: CONTRACTOR: CONDUIT ELECTRIC PHONE #: 503692 - 1423 Inspection Request Scheduled For: Date: /15/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Ell . •ical final 041846 -01 503-484-5983 N Corrections /Comments /I tructions: \ ‘ /// PASS PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED I 5-1-'°1-1 Inspector: - NO ?) L - Date: J Phone #: (503) 718- 2