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Permit ELECTRICAL PERMIT 4 - le TY OF TIGARD PERMIT #: ELC2006 -00701 COMMUNITY DEVELOPMENT DATE ISSUED: 12/8/2006 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639A171 PARCEL: 2S112CA -11300 SITE ADDRESS: 07755 SW ASHFORD ST ZONING: R -4.5 SUBDIVISION: RENAISSANCE WOODS LOT : 039 JURISDICTION: TIG Project Description: (2) branch circuits for landscape lighting and water feature. 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: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 1 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: DARYL & BARBARA JENSON BEAR ELECTRIC 7755 SW ASHFORD ST P.O. BOX 389 TIGARD, OR 97224 DONALD, OR 97020 Phone: Contact #: PRI 503 - 678 -1355 FAX 503 - 678 -1108 FEES Description Date Amount Reg #: ELE 24 -107C [ELPRMT] ELC Permit 12/8/2006 $53.50 LIC 20919 [TAX] 8% State Surcharge 12/8/2006 $4.28 SUP 49025 Total $57.78 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 - f6r more than,180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those Pules are set forth in\• • R 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.46.6699 or 1.800. • .3y . , - =— -, , Iss By: [ >, ) /1/1A-d3-.2./ Permittee Si� nature:. , —•, 6 Agri'/e i / • j IV/ -----/. 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: � '� 'd � 1 � (c;j'-'ZL`� DATE: LICENSE NO: / l / 962-- 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. /07/2006 THU 11:44 FAX 5036781108 Bear Electric, Inc. e1002/002 ii Electrical Permit At ti a t r i FUR OFFICE tTSEONI.Y • City of Tigard Received i9� ' 13125 SW Hall Blvd., Tigard, OR 97223 DEC 0 7 11 Date/By: %� �_'L Per'nitNo.: d610 . - -cv ?o` , 1 1 Review Phone: 503.639.4171 Fax: 503.598.1960 /d <sw ! Date/By: Other Permit: Inspection Line: 503.639.4175 el' 1 Internet: www.ci.tigard.or -us ro �/ �. Date ifie&M 4 E3 See meatal or Cii d U ' 1 , j+!d f Notified/Ivfethod: - 7 / (` Supplemental information .: +; ig; .v n. „! I - '•..�•.r. -w,,.V ..,,, ^^.• �7' .' -"'-`. J• ' ,iG14 'ti-.""li . �..�,_- _ ; :rte • � ±y � -n-° - .. h., rz , � -SY: ^ , s'rrc s's� ;{ +, <c.= x:. , •- -_ ._ -...._ _., rr,.-- wr .,.ar.�..__::E•.,v.: -.,n „2'•�X .- �k''.... -. :u� %Va �_ " %` • y .�...,...��.,.�., { �-,•�,�� -'� .. r ......<t.. _..��.• _ .. ���� €����e"'.� i `'£Ii'T'�T�r:r � ., ::�el-t ��lU .- �•Y=,-n:�Y.Y.= ` :.;; .: ,. .. - �.. E' 7 �: �r .:�.t4,,......v.,- �... -...w :'i- 1..i- _..: ,. ;�:i .._ n:• v,.:,:✓.>: 3rr��t: j:.,, . ,.. .- . L... - .: . :... �� ❑ New construction ; Addition/alteration/replacement Please check all that apply: 1 ❑ Demolition ❑Other: ❑Service over 225 amps, comrn'l ❑Hazardous location t� ~„?" r . 2: �: r =:M, -K• �c , =.,a._w ;r. r= _ - ❑S ervice over 320 a s - rating ❑Build» over 10 000 s . ft. >j r . ,. r > }f`�..'ri._ 4 t a -'-�<c . 5 a �'->:•'.-s,'''i 1, a. :5' t l �,> �. .�: ;tercic:aa x. n'`rl� " "vc ti ~ F : _<: ;. f >.r., :- . - .�..., ,..,,;:.z' RJR:.,- K:. ��,<,:<_; �.-:, �r«„ r,- �•. v- ��,, ���, E,, r _ � ; , t � ti �, =; � ; , ; �� : '�,,.� : , ofl- and 2- farrrilydwellings 4or more new residential .. ,2ri- and 2- family dwelling 0 Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure El Multi family ❑Master builder ❑ Other: ❑Building over three stories OFeeders, 400 amps or more ry c ; ;- ;s a = ti r� - �� r r e , = : - . ;; ;,; , m - •:, ,:,,,, _ ❑Occupant load over 99 persons ❑Manufactured structures or ;.yv �.> >: :; r - .8-' Ste_ ; - ..,,, t l.i. :. - ._ ,:� '`>k r 012'i!�'A�cI w r N� ._ ;:....,�;.�,.,.s=�.. _. .�.__ ::rte':;- __�..::_.:..r_�,� _,.,: «.,- _.._..._.. >- ..�:;r�. .._ �� :�+���xi:.�^�::>~`W:}:��:'`s`. ❑ Egress/II ghtingplan RV park Job no.: Job site address: -1-155 Sw. As 1.K,eck Sfi ❑Health -care facility ❑Other: Submit 2 sets of plans with any of the above. City /State /ZIP: ---cc L A(!�i OR The above are not applicable to temporary construction service. -"' - --- -d- - - - --- '.'"-- -. - --- ... . �,--• T - . _ _ . - . . ._z -' w`s »'`i'ys x° +-.g @'� 'I b:t7: rf'. • ' - - . ' Suite/bidg. /apt. no.: Project name: ` - c s :a� .. ,0..,...�:......' .,;.. _—, - :- .__z, - -, -- . : ; ° i = . - z Q Qty. I Fee. i Tow ( "• ' `� �- t Desc ription Cross street/directions to job site: / Crkt— AV L. , New residential single - or multi- family dwelling unit. Includes attached garage. 1,000 sq. ft. or less i45.I5 I 1 4 Subdivision: I Lot no.: Ea. add'3 500 s ft. or portion 33.40 I 1 • Tax map/parcel no.: Limited energy, residential 1 I 75.00 1 2 s ::ky' w ; ; __ ,, z:• - ;. - - e , Limited energy,•non- residential j 75.00 2 _.a 's�7�S.:rr.;c: . :...v3:... :.<Sa ` is;,':'.yEF:..- i.v: ?3 �^•+}- +✓�'.,,., hfl ©. (".,.:.�, _m,.: ; _,.".�;d_ 1=..,t •;: s- ��';.' ^�*-- ..- .. >_.-- ��'� n_FYr:r.;�,�� �,N'au:: --�r:� '„';�,.:�� =�: Each manufactured or modular • 1`� . ( eW L 5th 'L ' Cll,{ 4 1 M 64Ar dwelling, service and /or feeder I 90.90 2 i�Q // T _ • � ' ` Services or feeders installation, alteration, and /or relocation " r e . . P f C L a U t 200 amps or less I 80.30 12 �.-2..:.?,.,:.: z <.,... :;•` : -i`r _ Vii. : 5,.:";a:. gg- �. f`` :: ; .-z-- +t= ::'a-...�= . � -:q• ., -:n - �:,• -� y, c'.., _ `� .,� „ - ,.�.,: • � �� >�: ;: - ,rw, ; amps 400 s to 40 amps 6 s 1 .p V .^)�:l':� = 1ZQS'� •�:L l' . °`✓$n7 %, 3Sr:�:_!<t:J ... �'� ....._.. �. �.... - , - \::7, 201 a t ' "' 0 ()5 2 ;_:: ^: �a �w::i<a:::3.�: ��_; ,:_.. _... ; .:e,rr. .,,�, _�fz2 %eta: ;,�: °a=s':=cis ":' `, y' • - > 401 amps to 600 amps 160.60 I2 Name: 1 ),1 2y , ( J tJ Sc i 601 amps to 1,000 amps 1 240.60 1 2 Address: Over 1,000 amps or volts I 454.65 I 2 Reconnect only I 66.85 I 2 City/State/ZIP: Temporary services or feeders installation, alteration, and /or Phone: ( ) I Fax: ( ) relocation 200 amps or less I ! 66.85 I 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps I 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps I 133.75 I I 2 Owner signature: Date; ut z - ....._ .,.„ „<.- ,:: . v _• - new, alteration, or extension, p � �-.r:-= :c;• : panel t ranch circuits ne kterat' on per a n i• � � � � 1: "',;,i 2Y, ' ^x):-.;. ..,:fi•.t - z �.•....� " ,' '-" °� s We :4 : k ; - . :,- ; : g .C`A' 1, x Fi5 -- r . 4, ,•,0 T F - .. ` k(`'.'. •5�'`�.,��� � u� • � A. Fee for branch circuits with +<'k \�u.<i- lo. }'�.:. „ �. .u:z.m�'.ti:.. 7� -^�”. ' „ ,.�,Yt,� .')z.- .S.:ak w �-',.y ?* �s'd.�'� ��v�- T � u.��_ --.�i �.:s:�a .. �. .._?VO r �:R_,_. - .. �n: a .: v:2� , _ , uri i Business name: service or feeder fee, each 6.65 2 branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 W '' 2 Address: each branch circuit Each add'l branch circuit j 6.65 1.7.6c 1 2 City /State/ZIP: Miscellaneous (service or feeder not included) Phone: ( ) I pax:: ( ) Pump or irrigation circle I I 53.40 I . . 2 Sign or outline lighting__ _ __ 53.40 2_ - - - - - -' - - - - - -- -- - - - - -- -- -- - - -- -. -- - -� -- _ . ',� -"_ °_- j :_ _ _ _ , ;��:,� - - - ,::<;��:a.x. ,... .:,r ,.<„�c.�.,. - Slgnaj�C2rLUTT(S�Or "11miCeZ1 -. c,.n. • � •<£-, ; <�,•. -- -.� �a.,.al�.n.Ay:v's's ?'_::;m,.•a, _ ?gel •�: z�: � >:�<;: ,,�:�- _ ''." 'y:'�= •�..- .C>a?<TJ �.�.f30:R5 -: _ - .•r:: -� '� ^�= = =� =t'i� -=z: energy panel, alteration or .,.., ,..:� .....><:.• . �Yr�%. t= �.<.,- �. s_ a� _.,,..,.. ..�fzs •:� �.,,..;.,.:..« ., ,�..,.. �?'.' :-.rT =::Y'� i� it,,. � Il � ---- - - _ - -- — •.... Busrnss -nam: -n =- 0,_ . ... :.. .... .... .... ..... .....___ _ ... :. . .......- - exte -- Desorib�...... .. — P.agtr2- :__ : .::.:::.::::::72-:::- u Address: P v 6 ,,,,_ 8-1 additional inspection over allowable in any of the above Per inspection I 62.50 I 1 City/State/ZIP: - (;)o, - ,Klc.,( ter e 6..,\ 1 '7 0 7___Q Investigation per hour (t hr min) 1 62.50 Phone: K ( 7 / Fax: ( ?3) 6„-7 8.-.- /1 0 x Industrial plant per hour I 73.75 CCB Lie. : c t Electrical Lic.:24.4 ,-1 I Suprv. Lie.: t �Z S - _ . _........ tl... _ '` :'` Subtotal ..._ 'S3', S -, D ;, - 1 Suprv. Electrician signature, requir •. r � _ I Plan review (25% of permit fee) Print name: ( State surcharge (8% ofpe,mit fee) I " 1 , 2 I. � e ' f o� Date: - �( at - 6 5 TOTAL PERMIT FEE 5 7 ( g Authorized signature: This permit application expires if a permit is not obtained within 7S0 days after it has been accepted as complete I Print name: I Date: e pee methodology set by Tri- County Building industry Service Board "`' Number of inspections per permit allowed. iABuildiaR\Pcr izASLC-PasnitApp.doc 19103 <ae.,n rn>n,mrnunv =❑ CITY OFTIGARD BUILDING DIVISION PERMIT #: FLC:1006-00701 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/812006 Phone: (503) 639-4171 t )\ .1 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 12/12/2006 TIME: 7 PAGE: 15 Q44' ...255, SITE ADDRESS: 07755 SW ASHFORD ST CLASS OF WORK: SUBDIVISION: RENAISSANCE WOODS LOT #: 039 TYPE OF USE: sThs _ 4 3 (- Lat PROJECT NAME: JENSON C-c---1-- r7 T DESCRIPTION: (24 branch circuits for landscape lighting and water feature. OWNER: JENSON, DARYL & BARBARA PHONE #: 5 CONTRACTOR: BEAR ELECTRIC PHONE #: 503.678_1355 Inspection Request Scheduled For: Date: 12/12/2006 Pour Time: Code # Inspection Description Confirm # Contact # ess - e 199 Electrical final 040965-01 503-679-1355 MdP Corrections/Comments/Instructions: fitg :'.- CD - — yj '''. 4 ".11 1 '1_ ,,rijr/VAWiitiiviverlOitigjfiz*ti' z i,:"Ltfia•YZ41 - 111f± i i5;f1; 0 / ASS 0 PARTIAL APPROVAL pi CANCEL I I NO ACCESS CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: (2--/AF" Date: /Z-- Phone #: (503) 718- Z-6.--r-