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Permit
CITY OF. TIGARD ELECTRICAL PERMIT • ,r "r !' PERMIT #: ELC2005 -00204 c'1 DEVELOPMENT SERVICES DATE ISSUED: 4/1/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 110AD -07600 SITE ADDRESS: 14873 SW 106TH AVE ZONING: R - SUBDIVISION: LANG HILL NO.2 LOT : 068 JURISDICTION: TIG Project Description: Alteration of existing 120 volt service. Job # TG17b3. 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: 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: GOULD, DEBRA DRYER ELECTRIC INC 14873 SW 106TH AVE 9409 NE COLFAX ST • TIGARD, OR 97224 PORTLAND, OR 97220 Phone: Phone: 503 - 771 - 5667 FEES Reg #: ELE 26 -1142C Description Date Amount LIC 153466 SUP 2876S [ELPRMT] ELC Permit 4/1/2005 $80.30 [TAX] 8% State Surcharge 4/1/2005 $6.42 REQUIRED ITEMS AND REPORTS • Total $86.72 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952- 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or 1- 800 - 332 -2344. � � Issued By: 7 Permittee Signature: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503 - 639 - 4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 03 -30 -2005 13:52 FROM- T -933 P.027/043 F -594 - ''01/2005 15:12 FAX 5U:l5861Jbu , .,1 J.1 1.1 .I....a... p 1/F11 Electrical e>rmtit Application t: uISE f.0 City iff'ard Received 3 Pert�itrto -: _ i 2a4))-(761..2.0V '!25 Hall Blvd., • Tigard, CSR 97223 ',n F Tteviow — — - • e' - . -- -- e 50 9.4.171 Fax: 503.598,1960 1 k , f , 'r' y '+ ' ��, - ; B ''+ i`ii Da tc . Other Permit j �zispectian Line:, 503.fi39.4175 _! tr .` r l! Aato R;ad y : r 5$e Pa;a f or i Lntrrrtst: wwv' Sigard.or.us Netl£edlMethod: _l...._. 1 r ) L St,pplementill fnformaliou — 1 t I l hW Y I y , 1 . . ' + Il ".F , I - & -. 5 Il': ; . -°... �-- —� .. .. . .i • '. . .... .L, _.Yi �.. s!161rL1ll.41..,1X}♦!;;.J ._., '�' :�' - � 7 New cone ttu otion [] Addition /operettion/replaaolnt nt Please chock au 1311.. kpply: 271 DCUmlidtn [] Other: ❑Sereiae over 225 s,np,., cornr:t•1 ©Hivardor:.. location i:. r r,'rr I:•,Y1?a 7 f Id .» •ty., , ,q• . t; ❑Service Over 32•0arr:ps- rating Ol�btldngoi'er10,000 :., +4 a ,- i t; : •r•;S,n 3 u , ,y �� ;. S " ) . 1 . , t 1 V `,d y, of l and 2.f. ltu ?y clwt i ing S 4 or rorenew residentiel 1- and 2- igrtily dwelling- Q Corrunerctallistduatnal D Accessory "building - L3SY torn over 600 volts nominal Leis :n arie strucr.,xc 2 Multi-fart ' • 0 ,Master builder ❑ Other Occupant luac r p sons ❑ 1 /( ufaen1r sw ctures o o c .�1::d r r i r 1 ; ' ,:. . ..I1 ' ; r , Egr essAigla in,3 p.at, 99 V. park ❑ . Gr Z) ! ' b n o.: . Job site • I dress: �,7 �j ❑Eenith -care fa;i1,1- nod.- `' _ �. • _ -� 5ubttl t 2 set: ofpluU with eny of the above. 0 ity/State /21': ' The above are not a �plicable to temporary consti' ction service. 11PJbidgJajlt.'a0.. 1�'IJCCLIIatriO: De 6 a . i i ; . : ;:, . ,i l li .. i % .; * _._ V iJoacriptiea _ I qty. Fcc. ' , To t 1� _1 s toss stteet/cireatiarI$ to job Site; l Now residential in @h: - or multt•f�lmily dwcUln{ u nit I _... -- - Includes attsu:bedl;at'age. I . 1,000 Sq, ft. or leis 145.15 f 4 145. '• abdivision• __ ~� Lot no.: Ea. add'I 5001;q. Tt. or portion 33.40: i .. - - Limited enarlgr tc ;ideatial 75.00: 2 ax asap /parcel no.: Limited eaerr /, non-residential 75.00' _ 2 , ` r G t t .li:r Tr i rr r4 ' ' Each manufaCUred 1. modular 1 - �; . dweliilt serv:ea at7+3,c1rteeder 50.90. 2 � Services or y. a : installation, tilt ration, and/ relocation i, r �a �� 200 amps or test _ _ � 80.301 67,11/Z 2 ■ ; ' I 2 01 amps to 4110 ar --� — i © .: 1 ' . . . _ :. . .......... , ...._.._ - •- -....: _...u__ � , . I.. 401 amps to 600 a m p 1 2 4. -lane: '�(�� -, ,� +9' • r _ 601 amps to 1,000 a.cefi 240.60 2 r'--'+'' -16"...4.),,. _ 454.65? 2 tdzass: �� CL I2 Over nett am or vo:its �.. � l�l.P Reconnect only f 66.$5: 2 t y /State/ZI}': t C • /Z�tj 6(2_ Tetnparary st rvice!t or feeders in@tallation, alteration. and/or p relocation _ tone: ( ) . 4 y Fax: ( ) J 200 aatpe or leae 66,8 FT t ner litstal1a don; This installation is being tole oil properry that I. own which is riot 201 amps to 400 amts ______ 3w 100.301 ' 2 ccarrtkd for 44 lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 6110 atnp� 133,751 1 ___I 2 w,vnor sijinatorrti Date: Branch circuits - uue., alteration, or extension, i per panel r " ' . r . Fee for brataail cinctuts � ® , a 1 c A , ' ..... .... . .. service or i :ed el ire, each 6 z Business D33t:8: branch circuit - _- ..___... -.-- — B. Fee for bratrc?:. oil %tits - ontact p_ without scnric: 9: Leder (cc, 4ti.aj: 2 each brand. circu it. _, tddress: Each add'1 branch h ra;rc tit 6.6 2 1 iry /State/Zt ?: - Mist eUaneuus (::er feeder ulot indudad) �-- -- - Pimp or urigaticn cacle 53.40; 2 'b.OIIe: ( ) PVC : ( ) Sign or ot:tlint' ligb:tir : 53.40; 2 pane Y om 1 , z , ;, L energy lilb:r 111ml. or 1 ..... � � .. ., ; ..... . ., :........: _ ....... 1 z extension. psscrbe; Pagt 1 1 1 2 :usiness nano ' !►i r / I _ Each additional Iwpi.etton over �� t — - ,ddress: /L���%� � /_ f ��` r allowable in art,y of the above 1 62_5 Perinspeetion - _ (,' ■ i sty /Stateal?: - .1 -1.1 ' Iij `� I t • _ ^ + Investf:acion perhOI T (l hr rr u) 62.50 hone: ) / � U Irtduautal lantA� how: 73.7 I - Pax' .r , L ,_' 1 ) 71 . . _ /' • a k ,�911ir iFA� I {d t :1 ? !�i �.i %: e ' t 4•;tyft�?,`�i,; - 'CB Lis.: ' y r Electrical Leo $upry Subtotal r � 6 • r # NW . .t i prv. Bled: avian sip] •• ire, Tegtured: .4W _ Flats review (25% of pc :mit fee) Stale .itlrchaxge (8% of permit fee) • . - �1int name; � �� iurJ. 3c>C / / i 1 � .4r - 11�3te ,r - , . rC yERMTT FEE 'I- L/ ^ - .ethorized's.gt Attire; Vila parfait altpileatio:: expires if a permit ;9 aoe *bonne • within : _-••••- -- -. I days at :41 It has bccu aeocpred ss complete -tint name: Date: • Fee icedsode Logy lec T:i- Ceusty 13uildir s indusa-yl Board —' • • Number of isspsetirtts per permit allowed. - ...,neingtl'a nia\E.0 PcrrnItApp,doc 1:1/03 440.4sisroorozic6M/WE.a • CITY OF TIGARD v BUILDING DIVISION PERMIT #: ELC200 00204 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/1/2006 Phone: (503) 639 -4171 lieil Inspection Requests (24 Hrs.): (503) 639 -4175 =__:. INSPECTION WORKSHEET FOR DATE: 4/8/2005 TIME: 7 :10AM PAGE: 24 SITE ADDRESS: 14873 SW 106TH AVE CLASS OF WORK: SUBDIVISION: LANG HILL NO.2 LOT #: 068 TYPE OF USE: PROJECT NAME: COMCAST DESCRIPTION: Alteration of existing 120 volt service. Job #TG17b3. OWNER: GOULD, DEBRA, PHONE #: CONTRACTOR: DRYER ELECTRIC INC PHONE #: 503 - 771 -5667 Inspection Request Scheduled For: Date: 4/8/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 004118 -22 503.516 -3126 N Corrections/Comments/Instructions: G ; ASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS 1 I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 41 Date: ( i'" t e af Phone #: (503) 718-