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Permit C ITY TIGARD RD OF ELECTRICAL PERMIT OF V H PERMIT #: ELC2006 -00196 ALIA■ DEVELOPMENT SERVICES DATE ISSUED: 4/12/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S103DB -00100 SITE ADDRESS: 13030 SW 115TH AVE ZONING: R - 4.5 SUBDIVISION: LOT : JURISDICTION: TIG Project Description: 200 AMP SERVICE 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: JEFF GIANOLA AMP ELECTRIC 11550 SW FONNER 14300 NE 20TH AVE #D102 -227 TIGARD, OR 97223 VANCOUVER, WA 98686 Phone: 503 -NA Contact #: PRl 360 - 910 -5805 FAX 503 - 643 -6798 FEES Description Date Amount Reg #: ELE 37 -56IC [ELPRMT] ELC Permit 4/12/2006 $66.85 LIC 16959 [TAX] 8% State Surcharge 4/12/2006 $5.35 SUP 38695 Total $72.20 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952- 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: Permittee Signature: 4.7k., tt l , OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503 -639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. i ..`v 4J , Electrical Permit AD i ' '. i 1 ,iii; HI : p. I , , . City t Tigard ' B r as 9 3 PR `, 20 � IRVA. `� • •, . i Phone 503.639A 171 ' Fats 503.593.1960 . . Otter Panne • Inspection Lbw 503.639.4175 .r V _a i.l ' i __ _ Read ft.... ft..... .rw o.$g inLmr.in . ' r ❑ New comorectian ENTP -r beiaaanhcp1ammen — Please duet all tima.pplr ion Other 05avice over= mops. cousn'i OHesatdtos!median Ogorv:oc over 320 sum -wf g CBtuldng over 10,000sq ti, . '; • -_ ''`- :. . ' :: :: -: -- nil- and 2- familty dwellings 4 cr mare oow residc+Ri*1 s m _' _ 2_ y dwdrno; CI C 0 Accessary btultrtng DSYstom over 600 vain muninai main in one macaw ❑ lvlulti family I] Master builder tlttee stories O 400 amps e: more ! - �: _ - -- - ❑ Othe�: load etver99 pts9mrts fircatred sbucaum,or _ 'r .. - .... --,• -L • -. � - _ z _.� ,.. _. O SPA • RV path Job no.: /02 6 f lobs : /Jc j., s,,, /f 5 Ar © -eatf Doan Submit 2 sets s Ofplaas with soy of tie above • GA'1SIatdy7.IP: 77 f5 4 � 22- The above are not appliasblosA y contra e meIQVtLL. • apt. no.: Praject ram= - , ( :. ', • , . I Q I rem j Dad I .. Cross street/directions to job to �,¢ i✓/v New re ti.l for analtid4slly dweatag MIL ' herkidee atteried Kamm 10000 sq. lt.ar less 145.15 - 4 Subdivision: 11 t ton ' 13a. add'l 500 so 8 a portion 33.40 1 Tax maplpeatxl no.: .if Brtr'sOpv 615 c ,/ 1 Limited °tQar• maw 7s oo 2 Limbed eneegy..oa.+esidearisl 75.00 2 dwelling. serviceasdfor feeder 90.90 • 2 Services or feedka bnfoaatt.s. allersitisa, awdtor eretoeaiioa 203 ompc or less 8030 - 2 0 _ .`.7, J — _ - - _; . . ,.�'. .,,,:l.•. 201 snips ma00 � 106.85 2 _ - y : rr 401 160.60 2 -- � aaRs tv b00 aaqu i;e :.. l)- 601 amps to 1.000antst 240.60 2 Address: / 3o 30 -,(A) (I S • ti E Over 10 00 amps mantis 454.65 2 C'�r/Staiddlt= + G 5 S 1,0 ' Reconnect only 66.53 2 0' (! N /vvlC reovorar, seer+ riaa� feeders easwbli .,,allerstioea,�aror Phone: (103) N.A • I Fax: ( ) ° relotaeros Owner r MS This installation is being ade on 2 w to lama / 00.33 d�G.frS 1 r sale, lease, sent, ar ore ange, 8 property Iowa which is not 201 mow to 400 amps 10030 intended * 2 aatarrlipg to ORS k7 449. b 10, and 701. 401 ammo to 600 snips I 1 133.75 1 i 2 Owner signature.: j''''.7-'-: -- _ Dons Branch airman -sew. altsredon, sr a xteauiae,Eer pima! ..`.,_ _.. - . .. .. - ._... - t — .�_. __... .... .. _ T • , •;;. T A F k branch westlO wit* Bttsitic ttaftte tteaacb C7Oaii eat 6.65 2 Contact name: . 13. Foe for hunch circuits wirkvvi sa.iecor feokr fee, 46.85 2 Address: each branch action each ndd9 bract circuit 6.65 2 Ci ty/SUM/DP: M1allann*s (nervier er keder not included) ( ) - )Fax:: ( ) Pump or irrigation eirde 53.A0 2 • E Sir or =die tightiog 53.40 2 , _ -- Signs/ eircuit(a) or limited- - - - -- - 777 ._ : - � - .7 . � Bominess 19 A, L•E GTit L - r+mmao,llDe.earibc Page t• 2 Addrese - t/ SL s - tti' ! f' L , f j L i/,(i 46 3 2-3' Foch addMaaal inspection sorer allowable in may of the above �3teao2IP= 157E.- r9 (/& 70st/ L. 9 7 oc> >n inspection 62-50 � favadlgailoe per hour (1 � ar� 62-50 ' not= subtotal subtotal ' ( ?4) LG - St e ps I Fax sp 3 6 6 4 /3 -- 7 9,F---- bsiestrrsl plant per Lam 73.75 c tic.: ! / / �/ , ! - l. Elecrxirel sic. j 7- 6/e Supra. � f� � b / . 4 ' Q 'V E �. Sipty El J O we, requited: ;AY P4 - m tevicw(25%ofpermit fee) Print re. i � ziG 41 ? ) Darr y- -/ / — O /j State surcharge (d„ of palish foe) f 3S I ! TOTAL PER rirFEE /2. 2_1, Authorized sigsteettrio. lab penult appeasing ammo no wawa bweasisivasvisa um i � /� err. a terit tam tees accup d m aed csote Print nem= y f l&i? I l i —I I — DC • Fee mobodNOp non by rri•Gbtog Mitibti4g Weree7Semi= Bud •. %mbar ofimpeati.as per vomitalloxed ::i9e.7d;ngremoialfe.C- amiNpy.dee 1263 4e0- es337l1ooaroowwan . T ' d 96L9- E- 9 -E0S- T R..1.,Iar dLZ :90 90 T T .jdii I ' CITY OF TIGARD BUILDING DIVISION PERMIT #: LI- ' %t 0S 00196 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/'12/200;; Phone: (503) 639 -4171 u y�ug1'�i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/18/2006 TIME: 7:05AM PAGE: 67 SITE ADDRESS: 13030 SW 116TH AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: GIANOLA DESCRIPTION: 200 AMP SERVICE OWNER: GIANOLA, JEFF PHONE #: 503 -NA CONTRACTOR: AE !' E'L.ECTRIC PHONE #: 360 - 910 - 5805 Inspection Request Scheduled For: Date: 4/18/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message Oc ., ,. e 028184 -01 36t?•910-6805 Y 1 F- N A L Co - tions /Comments /Instru. ions: • A PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: N cse Ge - Date: Liit61 Phone #: (503) 718 - 24 •