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Permit S ,u . CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2007 -00271 COMMUNITY DEVELOPMENT DATE ISSUED: 4/26/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 102C D -01400 SITE ADDRESS: 13565 SW ASH AVE ZONING: R -4.5 SUBDIVISION: FREWINGS ORCHARD TRACTS LOT : 016 JURISDICTION: TIG PROJECT: ADAMS Project Description: Temp power for construction 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: SIGNAUPANEL: 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: 2 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: ADAMS, VERNE E GLOBAL ELECTRIC, INC. 13565 SW ASH PO BOX 162 TIGARD, OR 97223 NORTH PLAINS, OR 97133 Phone: 503 - 701 -7200 Contact U: PRI 503 - 647 -5650 FAX 503 - 647 -5649 FEES Description Date Amount Reg #: ELE 34 -655C LIC 156838 [ELPRMT] ELC Permit 4/26/2007 $80.15 SUP 52105 [TAX] 8% State Surcharge 4/26/2007 $6.41 Total $86.56 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: ; / 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. ••.•,,r: cvu4 ii : +L: 3•4A 5 ua;/ 1 /33 11 uJ (:i 01 TIGARD X1001 ' Elect rt al • • •1i.,A41e; r ilr:t ►rlv(.1.US('ONI ik City of Tigard gard, QI Pi 2 4 2007 M, yy cr t it t� ,b oo - oc� - 7 / '� 13125 SW Hato SPILL Ti 3 Piro A•vtavi , a Phony 103.639.4171 Fast: 503.598.1960 D , ,.r Other Ps c � , - i ��J� � a � —© / "/ lospecatin Line: 54.3.635.4175 CITY OF TIGARD Rcs air /uric I ®ti• Pap 2 for t inhnpct www.d8ard�r.gor BUILDING DIVISION Noao.d/na.thoa: - I $apf ®l laferOtatioe I S New construction 0 Addition /aiteration/reptaecrri t �e>ve aunt apt y a" 2 i ern ens... rm2 o. emi.ad eelow7: 0 Serum or Ceder 400 amps or , not• 0 Building orwr t *aria 0 UxmolitICO ❑ Other whore the a+aitabis Wit esmreaz C Mamas and botyare,. ..: C t*ObliCY OF CONI4f : • ' i exts t 0,000 imps m l90 volts or ❑ Rodin building* _ . ot 1:∎ 1. and 2 dwelling Q Corn merclat/taaustnel 0 Accessory building n far s 11(9 or ante&! s ati oou, ❑ coa�ini.n.a as uawst ri' sl it ls¢r;d;staltoa., paitdtags, ■ lvt ultf farm [� Mu ct buil ❑ OTher: Firs pump. U Insmtt.ston ,a1 } KVA or rr rt JO girt •INPORW TIO A ND L OCATIEON. ' E/n litioe r e new m larger a ", "1-2 , 1-3 ern ❑Ad9lioo of new motor toad of ❑ A ", "E", "1 -2 ", "", 1 -3 Job no.: ar more. ' J Ss: t," WOW 'cy. �_ Tob site , � (7 d ❑ NA or more residential mist. ' O R votta `ye is 1264 - Cly /Statn/ZIP. �r (.�,,(• 6 1 __ 7 ei� -� l7 teg1 .�nrs facilities. �'haN The mom. than 0I iistardous {cessions. 600 volts maim!. SUite/bItiigJept. no.; - j Project name: — Q S 600 amps or mom -- .. . Cross street/directions to job Bite: FH�.9C]YEAi11 New residential it rglo or wulti {Gent,!! • ,tail, Laclede; ateaebed :a . e. 1,000 1,N.A. or icsa MI 145,11 Subdivision: � Lot no,: �• - _.• � Tax nSta . ft. I inlitrad energy. de. 24.00 _ ' .1nESCR1 ION Ole WORZC ' ' : ' . (with above ig R.) '�� P ]"� LAm energy, muui•camily � t .. c ? o �. cO ✓ Yf vc 4,e. I- _ roldaatt.[ , dors .. it, , 75.00 sem.. or ..; ,,t. -1 Mekon, &!berate r. a.. •1 • _ 200 .• • s or lest M 50.30 U Q ra.ormt7CX. •ovvida 0. TENAN . , . 201 em • t to 400 mops 106.83 U N*me' �.-- ` 6v� 401 um • to 600 , • • , 160,60 WI 111.1 • --_••� 801 am • a to 1,000 240.60 11..11111:11 Address: Over 1.000 amps or volts ' 454,65 2 City!Sta> t<JZ)P: t Temporary serrteat or feeders installation, dtcrwtlow s idior - — relocates Phone: ( ) i Fax: ( ) b200 • ... or !miff L I' 1 Owner 1nstalItttion: This installa is being made on property that C own which is not 201 amps to 400 amps 100.30 _, 2 intended for sole, lease, rent, or exehatlge, according to ORS 447, 449. 670, and 701. 401 a01�ta to 599 limps 133.75 _ 2 limed limed circuits - • ter milterstte% or aregur Itr psnrI _ Date: Owner signature: A. Fie Air btentth ctrtuiti with F .. .. Q,•A,1TOC4lvr . - ... • .. ❑ CON Y`ACT N • above service or feeder R+e Business rents: ' each branch circuit 6 -65 2 _ . r alg`r Brach circuits widhoat servicc or fe eder fee, 4 6,85 2 ,tams ti it branch circuit Address: Each oriel branch Omit 6.66 2 Clry/3tata'1Cf": "" hwow • . trice or feeder lass iaohsded Lech manufo urc4 or • 90.9p 2 dwelling. tpnica anchor fepkr Phone: ( ) Fax:: ( ) - ._ Remnant only 66,85 2 )r.trtail: P in p or irripoon sink 53.40 2 CorrI3iAC1'O ' • ` .: _ Sir or (ohne 11. tin. 13,40 2 T3uslnest name: - � F' . / i Sips! cirouil(s) or limited. L enem parcel, alteration, oz i Addlttsl: b, IP • _ etaonsioa• Describe: Ptt;e 2 C I II a St4te/ZIP: 1 e , * M ir F-- 4 i . 7 1 3 3 Each add[tiossl 1Bt3iiliop over i. a' e el m u o. • above // Per on 62.50 Phone; (� p� o 4 Fax: (503) , 7 d [nvcatlgetion .., hour 1 in rein 62.50 • CCa Li e_: / ectrlos Ell Uc.: MEMINEMIll indmtrl d a. t •lent ..r hour 13.75 Su Subtotal: ':.. prv, Electrician signature, rraQutred: ♦ill I Print m one: L/5 �f� s a , - GT ._ i Date: ' L/ _ -- Flan review (25% ofpermic tbo); r Authorized a'sgnatlurm: < 7 State ewdta►ge (B%ofpermit fee): 7p. (o. _` 1 I .-� I TOTAL PERle rr PEE: a IV , Jr Print name: } rr i \ e e t . Date J aff a m permit d their u biz bea e b not oeasimed t re. awyt•d Si watts st► e Number of m petttMs allowed ;OW pertlit s: W. , ;ielinatYamiosZLe•PannItApp,doc W/2Mb 410. tootxmiwua CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00271 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/26/2007 Phone: (503) 639 -4171 egp„l � �i� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/2/2007 TIME: 7:01AM PAGE: 83 SITE ADDRESS: 13565 SW ASH AVE CLASS OF WORK: SUBDIVISION: FREW1NGS ORCHARD TRACTS LOT #: 016 TYPE OF USE: PROJECT NAME: ADAMS DESCRIPTION: Temp power for construction OWNER: ADAMS, VERNE E, PHONE #: 503. 701 -7200 CONTRACTOR: GLOBAL ELECTRIC, INC. PHONE #: 503.6417 -5650 Inspection Request Scheduled For: Date: 5/2/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 110 • Temporary electrical service 047471 -01 503-647-5650 N Corrections /Comments /Instructions: \I\ my/ • 4 '‘ PASS ❑ PARTIAL APPROVAL I I CANCEL I 1 NO ACCESS I I FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: ( Date: 6 .2 01 Phone #: (503) 718 - `k)