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Permit CITY TIGARD ELECTRICAL PERMIT PERMIT #: ELC2006 -00495 8�1� DEVELOPMENT SERVICES DATE ISSUED: 9/1/2006 `--' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S104DC - 00500 SITE ADDRESS: 13398 SW BENCHVIEW TERR ZONING: R - 4.5 SUBDIVISION: BENCHVIEW ESTATES LOT : 005 JURISDICTION: TIG Project Description: (16) branch circuits for remodel. 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: 15 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: ART CORNELIUS COHO ELECTRIC INC 13398 SW BENCHVIEW TERR PO BOX 40 TIGARD, OR 97223 WILSONVILLE, OR 97070 Phone: 661 - 400 - 4001 Contact #: PRI 503 - 582 - 9774 FAX 503- 582 -9840 FEES Description Date Amount Reg #: ELE 3 -575C [ELPRMT] ELC Permit 9/1/2006 $146.60 LIC 157169 [TAX] 8% State Surcharge 9/1/2006 $11.73 SUP 178IS Total $158.33 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: — 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. FROM ,,.:COHO ELECtRIC FAX NO. :5035829840 Aug. 31 2006 03 :48PM P2 ' Electrical Permit 3plicatx.ori FOR OFFICE USE MIN 0 Tigalyd � � � � � � f Receives n Date /t3y; / l! ► '7 Permit No,: ' N C, 6 /O ' ' f All 13125 125 SW SW Hall Blvd - Tigard, OR 97223 � Plan Rcviaw � ' Phone: 503,639,4171 lax; 503,598.1960 AUG 3 1 20 J L y ?i , . ,. �� Date/By: Other Permit; a " J " Inspection Line: 503,639,4175 6. ' r)ate Reedy,B _ „, Lurie; ld Sao Pagel for ■ Internet: www.ci.tigard,or.us CITY OF TIGARD Notificd/Method I Supplemental Information TYrl f'v0ol ilVISION W PLAN REVIEW ❑ New constructionAddition /alteration /replacement Please check all that apply: — Ij Demolition Other; ❑Service over 225 amps, comi�i'l ['Hazardous location ['Service over 320 amps - rating ❑ Euildn over 10,000 sq. ft, _ CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential tlyi I - and 2 family dwelling 0 Commercial /industrial 0 Accessory building — ©System over 600 volts nominal units in one structure Multi - famil ❑Building over three stories EFeeders, 400 amps or more Y -- ❑Master builder [� Other: ❑Occupant load over 99 persons ❑ivianufaalured structures or JOB SITE INFORMATION AND LOCATION - _ ❑Egress /lighting plan RV park Yoh nn.; , Job site address: 0 3n Q ❑health -care facility [)Other: . ?ems CAN .� - Submit 2_ sets of plans with any of the above. City /State /ZIP: t o C"' cam„ The above arc not applicable to temporary constmotion service, Suite/bldg. /apt. no.: Project name: _ � C i . FEE* SCHTTIULL / (� [r^I11.- 14y,' be eriplren 1 Qty, I Tee, I 'Total 1 -- Cross street /directions to job site; New residential single- ur multi- family dwelling. unit. Itieludee attached garage, w,._. 1,000.sq..ft. or lesas _ . 145,15 , 4 Subdivision: Lot no.; Ea. add'l 500 sq. ft. or portion 33.40 1 " ' energy Limited r 75.00 2 Tax map /parcel no.: , x - Limited energy, non - residential • 75.00 2 T - DESCRIPTION OF WORK Each manufactured or modular ' .- — C tt dwellin ea vice and/or feeder 90.90 2 � � �� � '' �� �4 �� �t .:.1 g Services or feeders installation, alteratfort, and/or relocation 200 amps or loss 80.30 2 -- PROPERTY OWNER , ❑ TENANT 201 snips to 400 amps ^ 106.85 2 401 amps to 600 amps 160,60 2 Name: IN,,,- Gr"�r�le. - 1 601 amps to 1,000 amps 240.60 2 Address: \ � � . ' -- r Over 1,000 amps or volts . 454,05 2 ` e--)c...--C•13-\\I `N� _ _ Reconnect only 66.85 2 City/Slate/ZIP: , cwa, c\ `_ .. . Temporary services or feeders installation, alteration, and /or Phone: (td. ,O Lk Op Lk e . i F ax: ( ) relocation 200 amps or less 66.85 1 • Owner installation: This installation is being made on property that I own which is n ot - " ----- 201 amps to 400 amps �� 100.30 2 intended for sale, lease, rent, or exchange, according to OltS 447, 449, 670, and 701. 401 am•s to 600 amps 133.75 2 Owner signature: _ Date: Branch circuits - new, alteration, or extension, panel ❑ APPLICANT ❑ CONTACT PERSON . A. Fee for branch circuits with service or feeder fee, each Bltsiracss name: - branch circuit 6.65 2 Contact name: R. Poe for branch circuits without service or feeder fee, Address: ~ each branch circuit ` 46.85 cr 2 Eaclt adrl'1 btrinch Uir uit ft 6.65 � - 2 - City/State /ZIP: Miscellaneous (service or feeder not included) • Phone: ( ) I Fax: ; ( ) Pump or irrigation circle 53,40 _ 2 E -mail. Sign or outline lighting 53.40 2 • Signal eircuit(s).or limited - CONTRACTOR energy panel, alteration, or . - - extension.. Describe: Page 2 2 Business name: - - - Address: Each additional Inspection over allowable in any of the above et ` 'C — . Per inspection 62.50 City /State /ZIP: .,. �(,r",v, e.• (�( c -) lJ ,__ Investigation per hour (i hr min) 62.50 + - - ,_... Phone: ( ) ✓ r _ c 1'-t `".j. Fax: ( ) 5a a - U �� `� Industrial plant per hour 73.75 CC k3 ;Lie.: \51 t ( pt_ Electrical, Lie, j _. p : I ELTCTIZICAT. PERMIT FEES* Suprv. Ltc.. _ \'1 Suprv, Nlcctrician signature, rc tri.oa ": 1171 �,�� 7 � 4a ,�� t:1 1 1" e' (25% of permit ll,(� (,c,,,. r fl kp�''l'�..9.e''./ ""•a rte,...,;,..1:.;),:„.01:: ' Plan review (25 permit fee) • Print name: S ato: �� �� State surcharge (8% of permit fee) 1 1 • a� a, � TOTAL PER FEE Authorized signature: Thi ermit a t licution ex Ires if a e is not obtalaed within 180 g � P 1 P P P days after it has been accepted as complete • Print name; • t lb i 1 - Dat e: c: 3 . 1/4,... c,,„ * Pee methodology e,et by 'I'll-County Building industry Service Board . " " Number of inspections per permit allowed. iAlauiktinglt 'ornsilslst,C•ParmitApp.doc 12/03 ' 440- 4615TOOu /02 /CUM /WEB • CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006-00495 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/1/2006 Phone: (503) 639-4171 4, 14401( Inspection Requests (24 Hrs.): (503) 639-4175 - 112. INSPECTION WORKSHEET FOR DATE: 7J2/2007 TIME: 7:03AM PAGE: 61 SITE ADDRESS: 13398 SW BENCHVIEW TERR CLASS OF WORK: SUBDIVISION: BENCHVIEW ESTATES LOT #: 005 TYPE OF USE: PROJECT NAME: CORNELIUS DESCRIPTION: (16) branch circuits for remodel. OWNER: CORNELIUS, ART PHONE #: 661-400-4001 't CONTRACTOR: COHO ELECTRIC INC PHONE #: 503-582-9774 Inspection Request Scheduled For: Date: 21212007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 042096-01 503 Corrections/Comments/Instructions: FASS • • n PARTIAL APPROVAL I I CANCEL NO ACCESS I FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED - 41(t\ N Inspector: Date: 2 -1 0 1 Phone #:. (503) 718- Atitt CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006-00495 4 01111 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/1/2006 Phone: (503) 639-4171 4010, q,t; Inspection Requests (24 Hrs.): (503) 639-4175 112. INSPECTION WORKSHEET FOR DATE: 9/11/2006 TIME: 7:00AM PAGE: 34 SITE ADDRESS: 13390 SW BENCH VIEW TERR CLASS OF WORK: SUBDIVISION: BENCH VIEW ESTATES LOT #: 006 TYPE OF USE: PROJECT NAME: CORNELIUS DESCRIPTION: (16) branch circuits for lemodet. OWNER: CORNELIUS, ART PHONE #: 661-400-4001 CONTRACTOR: COHO ELECTRIC INC PHONE #: 50 Inspection Request Scheduled For: Date: 9/11/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 1_20 Electrical rough) 036305-01 503-582-9774 Corrections/Comments/Instructions: 4.. Ts • • 1 to R./56W\ •• f PASS El PARTIAL APPROVAL El CANCEL NO ACCESS fl FAIL El CALL FOR INSPECTION pi ADDITIONAL FEES ASSESSED Inspector: c31\et o(ii Date: C I 11 61 Phone #: (503) 718-