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Permit C ITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00570 A. �.�� DEVELOPMENT SERVICES DATE ISSUED:. 8/9/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S115AA -10000 SITE ADDRESS: 10920 SW BRETTON CT ZONING: R -4.5 SUBDIVISION: BRETTON WOODS LOT: 005 JURISDICTION: TIG Project Description: Installation on A/C unit. 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: 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: ZACK BECK GRF ELECTRIC 10920 SW BRETTON CT. 15460 SE PARADISE LN TIGARD, OR 97224 MULINO, OR 97042 Phone: 503 - 267 -8196 Phone: 503 - 829 -4146 FEES Reg #: LIC 76751 SUP 1655S Description Date Amount ELE 3 -484C [ELPRMT] ELC Permit 8/9/2005 $46.85 [TAX] 8% State Surcharge 8/9/2005 $3.75 REQUIRED ITEMS AND REPORTS Total $50.60 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: , - e - 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. - ''atAil'g, 9. 2005) 8:32AM GRF Electric 50382957410, 3234 P. 1/2 p. 19 Electrical Permit App lice i E 0 V � - 1 Ux OF F1C1� USE ONLY ° — Received /) �s 3 � Etettrioal 6.4,405" qA 20�� Date/13y: a v 7 � Permit No.: j/ Qj 70 City of Tigard ALb Plan 5igr- Dale�Y: Permit No.: 13 125 SW Hall Blvd. r Y r - T IGAR[ I Plan ltcvi ether Tigard, Oregon 97223 PtA l ,ice /E IGINEE - 04 ten Us Phone: 503-639-4171 503 -598 -1960 e Date/By; Case No. Internet: www.ci.tigard.or.us i ard.or.us �'�� + Contact Jun .' r See Page 2 f o 24 hour Inspection Request: 503 Name/Method: • ) J Supplemental Information. `'X <<r` ? ', - ''.' :`` `.t 'pa y: Y3t ...o ,0 .1 ' ;'''''.` .. ;, _, f 14 a;1, yR ' .1: ? }Y:ANIREYIE?W.(Please. check alf:ttiat•applY)'"." : . . • New construction © Demolition ❑ Service over 225 amps- ❑ Health -care facility commercial ❑ Hazardous location !I'/ Addition/alteration/re.lacement n Other: Serv ice over 320 amps-rating ps. rating of 0 Building over 10,000 square feet, riiattantiargL 6 t .4 9, CO •, 'SIP ''tJCTIOhi.•;'' I bt 2 family dwellings four or more residential units in • q/'1 1 & 2 -Famil dwellin: 10 Commercial/Industrial ❑ System over 600 volts nominal one structure !A Accesso Buildin: B uildi ❑ Building over three stories ❑ Feeders, 400 amps or more ❑ Occupant load over 99 persons [] Manufactured structures or RV park MI Master Builder n Other: ❑ Egress/lighting plan ❑ Other: Submit sets of plans with any of the above. e 9f 4 F?!> l' i r r�7IO (. d -1 C1.CAThON. The above are not applicable to temporary construction service. Job site address: : :�:;,..:.; : Suite #: Bldg. /Apt, #: Number of inspection per permit allowed 1 ro'ect Name: ;3 - .. Qty I Pee (ea.) Total l Cross sbreet/Dlreetions to job site: New residential- single or multi - family per dwelling unit. Includes attached garage. ,. Service Included; • 1000 sq. ft. or less 145.15 ^ 4 Each additional 500 sq. ft. or portion thereof 33.40 1 Subdivision: LOt #: Limited energy, residential 25.00 2 Limited energy, non residential - - 75.00 2 Tax a ./. arcel #: Each manufactured home or modular dwelling t , ,. , , .,.,�, service and/or feeder 90.90 '! i - , a. Ill: utt► 1t' OF:1?4?OBX.' bS Services or feeders - iastaltattion, MIFIMIIIIIMIIM alteration or relocation: - _ 200 amps or less 80.30 r 2 201 amps to 400 amps • 106,85 2 401 amps to 600 amps 160.60 2 fV 1QJ 1 X71:1'ES a.` t r ,P, ;`ill 601 tunes to 1000 amps 240,6D 2 ` Over 1000 amps or voles 454.65 2 Name: Z11UIh k, BAS 1 e , _ Reconnect only 6685 2 Address- _ Temporary services or feeders - installation, City /State/Zip: alteration, less relocation: 200 amps or le 66.85 I Phone: c 2 " if . I Fax' 201 amps to 400 amps 100.30 2 • 401 to 600 amps 133.75 2 :.. IR U .. i 1i �ii` ➢ ,,a; ;.;-: t ;: ';. ii Ili •. 0P.,I R,SOy, Branch circuits - new, alteration, or Name: - extension per panels A. Fee for branch circuits with purchase of Address: service or feeder fee, each branch circuit 6.65 2 City / State./Z1 : 13. Fee for branch circuits without purchase of �i � City/State./Zip: service of feeder fae� rust branch circuit ( 46.85 t. t5 `° 2 .. ' *Phone: • • Fax: Each additional branch circuit 6,65 .. E -mail: Ivfisc,(Scrvioe or feeder not included)_ .. "i:,... -1ii , „, 1 ;7j' , •ii - 1y7i , � . P ?"..A. u . ;.li . e i ' jf.. ,,,�, _ Each pump or irrigation circle 53.40 2 1 ?.. �e.: r`: +r:.. . 4 :: Y - Each sign or outline lighting 53.40 2 Job No: - Signal eircuit(s) or a limited energy panel, Business Name: G - alteration, or extension _ - Page 2 2 iw _ a Description: Address: 1 5'-ip O S. P Yii c /-(4-' . cl City/ State/Zip: MIA), (� Each additional inspection over the allowable is any of the above: �) p / f/ IA) , ,,„ p � '-i tt C Per inspection per hour (min. 1 hour) 6250 . Phone: 9) 3 - ek�i ,. y / `t�f_, Fax: 513 - O e � - S 7 `-17 Investigation fee: ... to '7 s Lic. #: 3 - y Other; k .. , e;r# 1 CCB Lic. #: i ` � C. �ry`�� } ,,.�� :�. . ,� ; :��� �rda eriait "Fee's. : ,.,r ^ : >:'-= , ; . Supervising electrician —� C - Subtotal $ 1 1 4 . S` si • ature re. wired: Plan Review (25% of Permit Fee) $ , Print Name: A r ; Lie. #: • , - State Surchar' e 5% of Permit Fee $ 5 TOTAL PERMIT FEE $ , Q . it r Authorized Notice: This permit application expires If a permit is not obtained within Signature: • bate: 180 days after lt.has been accepted as complete, *Fee methodology set by Tri- County Building Industry Service Board. (Please print name) i:Wats\Pernat lmonns\ElcPerrnitApp -doe 01/03 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2005.00570 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/9/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 �,�� INSPECTION WORKSHEET FOR DATE: 8/16/2005 TIME: 7 :05Am PAGE: 58 SITE ADDRESS: 10920 SW BRETTON CT CLASS OF WORK: SUBDIVISION: BRE.' EON WOODS LOT #: 005 TYPE OF USE: PROJECT NAME: BECK DESCRIPTION: Installation on NC unit. OWNER: BECK, ZACK PHONE #: 503 - 267 -8196 CONTRACTOR: GRF ELECTRIC PHONE #: 503..829.4148 Inspection Request Scheduled For: Date: 8/16/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message • 199 Electrical final 013604 -01 503 -557 -2220 Y Corrections /Comments /Instructions: 4 - / - ( — ? 6z____.._ <-0 F (L_ 14.4f 1-4i +.t //t4 AP a PASS E PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL % ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED /6' fir Inspecto Date: � Phone #: (503) 718-