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Permit ' CITY OF TIGARD G w^ VHK D ELECTRICAL PERMIT r PERMIT #: ELC2007 -00205 COMMUNITY DEVELOPMENT DATE ISSUED: 4/5/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S134AD-03400 SITE ADDRESS: 10945 SW 108TH AVE ZONING: R -4.5 SUBDIVISION: BLACK BULL PARK LOT : 012 JURISDICTION: TIG PROJECT: FRISCH Project Description: 1 service, 12 branch circuits. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: 1 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: 12 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: FRISCH, JEFFREY LEE AND HEBERLE ELECTRIC - CHERYL D 18645 SW FARMINGTON #326 10945 SW 108TH ALOHA, OR 97007 TIGARD, OR 97223 Phone: 503 - 620 -7763 Contact #: PRI 503- 628 -2095 FAX 503 - 628 -3076 FEES Description Date Amount Reg #: ELE 34 -160C [ELPRMT] ELC Permit 4/5/2007 $160.10 LIC 152342 [TAX] 8% State Surcharge 4/5/2007 $12.80 SUP 3053S Total $172.90 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. Issued By: 1-...) Permittee Signature: d+y Q wl` OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 04!04'2007 07:35 5036283076 HEBERLE ELECTRIC INC PAGE 01 or 1.01:01'1 It 1. T"yi�'.ONI, \' n �CCt�it"1tC�tI Pe it l•CAtTiO s 1� / ' , Permit No/ 2 0 / " ®D� City of Tigard ` plan Ravi fl tb a r F• rmit 13125 SW Hall 13Ivd., Tigard, Oft 97 In * 1 � 4 10 y • , ; �� n l I ilat�e . gee Page 2 for Phone: 503,639.4171 la ax: 503.598.1960 ,' � _, D ope R C A Y /OY : � atippfrmeafnf lnfnr+naHOa Internet: www,ei. f^ �y 1 ethott oetion Line: 503 639.4175 F -� v NotiScdlM F> r16 . tigardor.us LS • I a 16, �'pp1� VV pp�� y�,- ! X 61 1 � a i ` I;q i ' �C}y' q�+ n 's; 1 1 6 th i 'lPF1�, '1Cr;a r i t ;r1+ 494 ;Y1 &aS,�•nl� ,r. ,ll I C / ON tr , 1rm�Id . ta xV l''''' i 11 f; ' 1i 160,7111 IM � Fl chock A ll th app p }�Y New c \''...$,T, } r ? s f . u. y' tt x � l t:ann t Fn , Hazardous location [] New construction .i a Addition /alteration /replacertt ❑garvieo over 225 amps, carom 1 � Buildn over 10,000 9q. , ice over 320 amps -rating Q g Ot h . i t % ,l r Oi u o and 2 amity dwellings 4 or more new residential [] Demolition I e p x ` , 4i 4 •: 7' . ?I' r r+ l;, a 9r- k•,7Ylr. �,jp�,1 ki l ,• 6 Pl ^�',•`�..`., ✓ry'JS, ; a .�� 5 r. rS,�:1. G units in one Structure lY , i�` a 1 �yml ra ! ; c o ; n sa , 0 System over 600 volts nominal �1^ ' "`tfr�sf k}r A ccessory building ['Feeders, 400 amamp snore :i I - and 2 fa mily dwelling 0 M ast nercialfindusaial p ❑¢nilding over three stories ea 0i ee nufaotured structurce or 0 ]Vintner builder 0 Other: r j]Occupant load over 99 Ma park [Irk Multi-famil =in, r'> r i q � °'• 1 � +• P .. k, wadi htingplan (] Other "YJ'iiin.lu "f''r cyr, K: f:.. 'd • `�16`u�l�]'dp.IR,"Y 41' 0 ...�rI ' , r J : +' . : .i. ❑ gr g ' .,,V <; :, . - ! ",. a kff .'- �,'" , r.' P, nr k *iissiesio . ' /�, a. - 01-l4att}I•QarC 1 lllty Job no.: Job site address: \ pg f I s V �j '' F t' ' k Submit j sets of plans with any Of the above. /� Q� 4 ' 2�- The above arc not applicable to totrlpora cnnstntction service. City /State/Zll': -it ( =7 "� -�•w • 7 / ° � i'k�,' 'it "r,I, a a� o7n'N'. "' ffar14 l '�i. '' � a / �i� ` QtY, ran moil Suite/bldg /apt. no.: Project name : - 2 •.• K] Jewelled., r - — New residential single- or multi- family dwelling unit. Cross street/directions to job site: t0 - Includes attached , Ara : e. 1,000 s9. ft. or leas 14533.15 40 • - Ea, add'i 500 sq, tt, or pardon , Lot no.: residential or portion 75.00 Subdivision: - - Limited energy, Limited energy non - residential 73.00 Mil Tax map /parwl rte.: .. "ri ,.. ' i ( p . Ua'_a0, fJ � "'!�- � i+' tt�`•if:�. 1 wa,I.R . , 11t i,l . l:l { 6 f5 � •.l;rr,:jlf''11'��`le .', • rt � � ; a , ��p � � '� Each manufactured or modulus 90.90 �' ; � . , �x t� . , dwt:ftin :, service and /or tlTCder , [.� Q E�-- T � ''T—" �� Services or feeders instnllntlon alteration, and /or relocation S l _ t �� 1 op. • 2 (1�.ti/ 200 amps or less 80.30 106 -85 2 L- ► � . �T,� i .y �, ... F p s , "1; }; { z ()l amps to 400 amps Y '0,- «, . o t i R f irz y Y ,Ni :11tr t7 4 ?, )' ' r T(. '� ° l s 'q ' i c ,, , ' ,. kli 401 amps to 600 amp = 160.8 .1.111:11 vN�; -1j t' r Q Name: `}p (��C - • G•u Z. '1 '. 601 tun to t A00 am ii MI 240.60 Over 1,000 am.' or volts 454,65 Address: _ Reconnect only 66.85 - City /State/21F: Temporary services or feeders installation, alteration, and/or Phone: ( ) i relocation �' 3 Fax: ( ) rel amps or less 66.85 Owner installation: This installation is being made on property that I awn which Is not 201 am .s to 400 amps 100,30 amps to 600 am• s intended for sale, 3,75 1111.111111 le, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 llr ash circuits - new, alteration, or extension, r and $ Owner signature: ;, 1 ranch circuits with ,� 1��y,��y A. fl far h I t '7 t ' •• 1 ,,. .5•' 11 �� j �y � sy - , .ir,ii R : ( ( SFy � iia ; ,; F ✓,ti`g� y d• e9i' CAV!J�; ":7kU;s °;6 ` service or f er fee, caoh 6.65 branch circuit Business name �. • ; • i is, Fee for branch circuits without service or feeder fee, 46.85 ip Contact name: ,. � 40 ac nc rah ccircuit m� o Each add'l branch circuit 6,65 V :n BM Address: Miscellaneous service or feeder not Included Phone: -- Pump or irrigation circle 53.40 �� Phone ( ) I sx:: ( ) - Sign or outline lightln c 53.40 53 -- — Signal circuits) or limited - E-mail: � r 4 °•+ -•�, I � ei, sltetatipn, or e 2 2 ,. z , ., P r,.. : .',. - en a Pan Pa ,>;r nxP,. � $,'" a,4 r•ifr�� y,. •1 "'.'fir �.:: rg" z;r 'k '.: iii''` ? "1 '` wi{^� , w ` a a' csi ei l t? ?,'_+ ., ti extension. Describe: g Business name: Heberle Electric, Inc, , , . t • - • •, : i tun additional inspection over allowable in any of the above Address: - Alaha,QR Per ins. action 62,50 e/ZIP, Invests _ . lion per hour (1 hr min) 62.50 City /Slat ,.gyp I industrial plant per hour � 73.75 MIMI Phone (� ) �O C.O i i�Q �' j Fax: ( 3) �- — Lo' - '7 �r� =''F': *'' ; NE a' WITE Jr�l« �� 1 : ;,'� "' ' + ��Id�;l £''� r _ l CCB 1_.ic.: i' 7 - Z� i,', Electrical l ic.:`� -I .-4.,/,..0 (�' Supty. Lie.; go a3� � suhtotni O 0 Plan review (23%ofpermit fed) Suprv. Elects inn signature, required: + i r - State surcharge (8% of permit fee) �2 o' � �� -:_r Dote: _ n — TOTAL PERMIT FEE 1, A Q ir AiithOriZC1d sigTratttse; Thin normit applleattim expires If a permit is 001 nhtalned wlttdn 180 days otter It has Run accepted MI coMplctc Date' ' Fee methodology not by Tri•Ceunty Building industry Service Ponrd Q t Print name; , Number of inspections per permit al owed, , -2,, 7 ,ul allninamsermlo ACLC- rormltApp. 17sa9 440•A615T(1a102/COMAVEl 114TH \— . `j-> I 1 I V - C100 _N.01100 �,A ibi te n— — y� 3. .� —SW 1 14 T k 1 -PL �'� ■ 111111 Z 0 o `o _30V1d H1£LL MS O I\. � \�� ■ l0 aooN _ DR / Ill i ----- __---- SW G ALLO_A1LE z ------ o — 70 Mil MS 0 • J � -1 b 01,df , _ J z � SW BOXWOOD �� J 112TH_AVE� � � �O %p, TWIN PARK PL` 6 D f • • 1 11 TH L '3AV Hll l L MS , 1 d • -I 7L y — 000M� � 1 H _PL < W CORNELL PL i, > LAKEWOOD �� r 1 SW 109_ —� ` :77 � O � 08 H y AVE - -.�o �� AVE o(\9 O) L-1 / y.r' 108TH q a i -`21 -(' 6/'?6---1 q pl. SW 107TH PL\ \ 1- A y am. and 1 1111 \ 0 106TH AVE ■ o Iz _____J 0 i 7--/- O O co r ld_H I A � ^1 TH UNDER T�� d d R r d� 0��\(J v L 1 l O 010 �1� --- D 1 \I I L_ �M o � _0 J, 0 0 i ��F I D Ico det ----\ ..___,) / \ CITY OF TIGARD p D N to (off` BUILDING DIVISION 1 4 PERMIT #: ELC2007- 00206 13125 SW Hall Blvd., Tigard, OR 97223 ( DATE ISSUED: ! &2011 Phone: (503) 639 -4171 Ap ` 'II Inspection Requests (24 Hrs.): (503) 639 -4175 "�:_.. INSPECTION WORKSHEET FOR DATE: 12/6/2007 TIME: 7:06AM PAGE: 26 SITE ADDRESS: 10946 SW 108TH AVE CLASS OF WORK: SUBDIVISION: BLACK BULL PARK LOT #: 012 TYPE OF USE: PROJECT NAME: FRISCH � r DESCRIPTION: 1 service, 12 branch circuits. i� l- 6k. k �^ OWNER: FRISCH, JEFFREY LEE AND, PHONE #: 503 - 620.7763 CONTRACTOR: HEBERLE ELECTRIC PHONE #: 503 -62U -2095 Inspection Request Scheduled For: Date: 12/6/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electiical final 060967 -01 503M49— 989 Y ��"` '' Q (�� 0 �V 1 Corrections /Comments /Instructions: r ��`� . r .:--..,--'' , \\. .,... Ns, \\ PASS H PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL I I C LL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: t `t ( Phone #: (503) 718- . 1() , . • CITY OF TIGARD BUILDING DIVISION A A PERMIT #: ELC2007-00205 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/5/2007 Phone: (503) 639-4171 a/0041A Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11/15/2007 TIME: 7:01Am PAGE: 64 SITE ADDRESS: 10945 SW 100TH AVE CLASS OF WORK: SUBDIVISION: BLACK BULL PARK LOT #: 012 TYPE OF USE: PROJECT NAME: FRISCH DESCRIPTION: 1 service, 12 branch circuits. OWNER: FRISCH, JEFFREY LEE AND, PHONE #: 603-620-7763 CONTRACTOR: HEBERLE ELECTRIC PHONE #: 503-628-2095 Inspection Request Scheduled For: Date: 11/15/2007 Pour Time: Code # Inspection Description Confirm-# Contact # Message ! .. 199 Electrical final 059682-01 503-049-5989 , Y Corrections/Comments/Instructions: ® to toefact loW oP WatKsOL btolq.D 51221V7 .__,_ _ a.) -- S. b Nve (‘QPirg c‘*.k(z) wIAITE- - vie PRzw07: 131: cssrtk.(z.. (craieR) t.-L-- Ft e- c-rzitb\)■-r6 A Ell PASS PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: C3 ( 1 \1 46 € L-' VI 0101 Phone 4#: (503) 718 , _ CITY OF TIGARD BUILDING DIVISION A PERMIT #5: '----------- ELC2007-00205 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4!6,2007 Phone: (503) 639-4171 70091it" Inspection Requests (24 Hrs.): (503) 639-4175 J.. --- INSPECTION WORKSHEET FOR DATE: 11/13/2007 TIME: 7:01AM PAGE: 91 SITE ADDRESS: 10946 SW 108TH AVE CLASS OF WORK: SUBDIVISION: BLACK BULL PARK LOT #: 012 TYPE OF USE: PROJECT NAME: FRISCH DESCRIPTION: 1 service, 12 branch circuits. OWNER: FRISCH, JEFFREY LEE AND, PHONE #: 603-620 CONTRACTOR: HEBERLE ELECTRIC C \V\.\ PHONE #: 503-828-2095 Inspection Request Scheduled For: Date: 11/13/2007 Pour Time: Code # Inspection Description ,onfirtm.. Contact # j1essage 199 Electrical final 059479-01 603.849-5989 N Y ii \il: Corrections/Comments/Instructions: ' P e(10 41D X Ne)t.A 5 7 0 eiNQ—.. 1 I 0, . . st 4 5VE-1 • iSi 1 13 (AO o I 1 .) fl PASS 1 I PARTIAL APPROVAL 0 CANCEL n NO ACCESS FAIL 011 CALL FOR INSPECTION g ADDITIONAL FEES ASSESSED Inspector: t L.,6 Date: Ri 4 401 Phone #: (503) 718- 1146 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00206 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/512007 Phone: (503) 639 -4171 : ,I( ii110 Inspection Requests (24 Hrs.): (503) 639 -4175 ��i► __.. INSPECTION WORKSHEET FOR DATE: 7/24/2007 TIME: 7 :00AM PAGE: 61 SITE ADDRESS: 10945 SW 108TH AVE CLASS OF WORK: SUBDIVISION: BLACK BULL PARK LOT #: 012 TYPE OF USE: PROJECT NAME: FRISCH DESCRIPTION: 1 service, 12 branch circuits. OWNER: FRISCH, JEFFREY LEE AND, PHONE #: 503-620-7763 CONTRACTOR: HEBERLE ELECTRIC — PHONE #: 503- 628 -2095 Inspection Request Scheduled For: Date: 7/24/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 052516 -01 503 -961 -2735 f Y Corrections /Comments /Instructions: tg w21'y 4p ;IA—) QUA s - Y LPASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: • N (SV r ' Date: 1 V` Q Phone #: (503) 718 CITY OF TIGARD y ^ ' BUILDING DIVISION PERMIT #: ELC2007 -00205 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/5/2007 Phone: (503) 639- 4171 ( (� © Inspection Requests (24 Hrs.): (503) 639 -4175 '•i INSPECTION WORKSHEET FOR DATE: 5/22/2007 TIME: 7:01AM PAGE: 22 SITE ADDRESS: 10945 SW 108TH AVE CLASS OF WORK: SUBDIVISION: BLACK BULL PARK LOT #: 012 TYPE OF USE: PROJECT NAME: FRISCH DESCRIPTION: 1 service, 12 branch circuits. OWNER: FRISCH, JEFFREY LEE AND PHONE #: 503 -620 -7763 CONTRACTOR: HEBERLE ELECTRIC PHONE #: 503-62B-2095 Inspection Request Scheduled For: Date: 5/22/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Electrical service 048814 -01 503. 849.5989 Y Corrections /Comments /Instructions: A acv`r 4 f-- •NVE ORAL sikcz i Qvc 6(L. .1 (967 tositi.LL sot4`(6. ciso bv 4ah ALL Pb w , ct ; F ag tf=- N v.) - wa.,, .000-cr PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED inspector: CS 6 Lr Date: 61 2�(0 Phone #: (503) 718- VILA) CITY OF TIGARD - . "ft BUILDING DIVISION PERMIT #: ELC2007 -00205 13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 41612007 Phone: (503) 639 -4171 3:01 ell Inspection Requests (24 Hrs.): (503) 639 -4175 :_.. INSPECTION WORKSHEET FOR DATE: 5/22/2007 TIME: 7:0'1AM PAGE: 21 SITE ADDRESS: 10045 SW 108TH AVE CLASS OF WORK: SUBDIVISION: BLACK BULL PARK LOT #: 012 TYPE OF USE: PROJECT NAME: FRISCH DESCRIPTION: 1 service, 12 branch circuits. OW► ' " " FFREY LEE AND, PHONE #: 503 - 620.7763 CONTRACTOR: HEBERLE ELECTRIC PHONE #: 503-628-2095 Inspection Request Sche led For: Date: 5/2212007 Pour Time: Code # Insp ion Description Confirm # Contact # Message 120 Electrical rough -in 040814 -02 503 - 849.5389 N Corrections /Comments /Instructions: • • 21, PASS n PARTIAL APPROVAL n CANCEL ❑ NO ACCESS I I FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: �r ,v d -LE Date: s I i-4Q 1 Phone #: (503) 718- 2-4 .J • • INSPECTOR'S SIGNATURES ARE NOT Inspections Required for. ELC2007 -00205 • REQUIRED ON GREEN INSPECTION CARD. ✓ Code Inspection Description PASS Date By ' ✓' Code Inspection Description PASS Date By BUP - Building Permit ELC - Electrical Permit 405 Excavation 105 Underground /slab cover 410 Fill 110 Temporary electrical service 415 Grading X 115 Electrical service 205 Footing X 120 Electrical rough -in 805 MFG- Structure grading /footing 125 Wall cover 210 Foundation walls 130 Ceiling cover 215 Footing drain 135 Low voltage 220 Slab 140 Sign installation 310 Crawl drain 145 A/C or heating unit circuit 225 Post /beam structural 150 Hot tub /spa/pool 230 Underfloor insulation 195 Misc. inspection: 235 Shear walls /anchors X 199 Electrical final 240 Exterior sheathing 245 Firewall 250 Roof nailing ELR - Restricted Energy Permit 255 Wtr proofing basement walls 135 Low voltage 260 Tilt -up panel 195 Misc. inspection: 265 Masonry 199 Electrical final 270 Reinforcing steel (rebar) 275 Framing 810 MFG- Structure set -up MEC - Mechanical Permit 280 Insulation 605 Post/beam mechanical 285 Drywall nailing 610 Gas line 287 Suspended ceiling 615 Mechanical rough -in 295 Misc. inspection: 620 Hydronic piping 899 MFG - Structure final 625 Duct work 498 Grading final 630 Fire damper 299 Final inspection 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection: 699 Mechanical final BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab PLM - Plumbing Permit 910 Sprinkler rough in 305 Plumbing underslab 915 Fire alarm rough -in 310 Crawl drain 920 Suppression trip test 995 Misc. inspection: 315 Post /beam plumbing 998 Alarm final 320 Plumbing rough -in 999 Sprinkler final 322 Shower pan 330 Water service 335 Rain drain 340 Storm drain SIT - Site Work Permit 505 Sanitary sewer 405 Excavation 345 Culvert /catch basin 410 Fill 350 Septic tank 415 Grading 395 Misc. inspection: 205 Footing 399 Plumbing final 210 Foundation walls 215 Fboting drain 420 Sprinkler supply lines SWR - Sewer Permit 495 Misc. inspection: 505 Sanitary sewer 498 Grading final 595 Misc. inspection: 499 Final inspection 599 Final inspection I:\ Building \Forms \InspCard- AOP- Blank.doc 02/02/07 1 �_, e a � CITY OF TIGARD ELECTRICAL PERMIT 7 " PERMIT #: ELC2007 -00205 COMMUNITY DEVELOPMENT DATE ISSUED: 4/5/2007 TI 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S134AD-03400 SITE ADDRESS: 10945 SW 108TH AVE ZONING: R -4.5 SUBDIVISION: BLACK BULL PARK LOT : 012 JURISDICTION: TIG PROJECT: FRISCH Project Description: 1 service, 12 branch circuits. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: 1 PUMP /IRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAL /PANEL: MANF HMI SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W /SERVICE OR FEEDER: 12 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+ amplvolt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: FRISCH, JEFFREY LEE AND HEBERLE ELECTRIC CHERYL D 18645 SW FARMINGTON #326 In 10945 SW 108TH ALOHA, OR 97007 TIGARD, OR 97223 . Phone: 503 - 620 -7763 Contact #: PRI 503 - 628 -2095 FAX 503 - 628 -3076 FEES O Description Date Amount Reg #: ELE 34 -160C [ELPRMT] ELC Permit 4/5/2007 $160.10 LIC 152342 [TAX] 8% State Surcharge 4/5/2007 $12.80 SUP 30535 `® Total $172.90 REQUIRED ITEMS AND REPORTS 2 vi 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: „, Permittee Signature: (Pir Get 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.