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Permit CITYYQF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2008 -00200 COMMUNITY DEVELOPMENT DATE ISSUED: 4/4/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 102AD -01600 SITE ADDRESS: 09033 SW BURNHAM ST ZONING: CBD SUBDIVISION: LOT : JURISDICTION: TIG PROJECT: ECOBLAST.COM Project Description: Intalling (2) branch circuits for dust collector. 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 HMI 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: STEPHEN DEANGELO HEIL ELECTRIC CO PO BOX 230281 8425 SE STARK ST PORTLAND, OR 97281 PORTLAND, OR 97216 Phone: Contact #: FAX 503 - 255 -4139 PRI 503 - 255 -4074 FEES Description Date Amount Reg #: ELE 26 -66C [ELPRMT] ELC Permit 4/4/2008 $53.50 LIC 387 [TAX] 12% State Surchar 4/4/2008 $6.42 SUP 81 OS Total $59.92 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: - / or. Permittee Signature: 7p/ G��V 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. , Ilk 't 04/03/2008 14:57 5032554139 HEIL ELECTRIC CO PAGE 01 Electrical Permit Application r ED FOR OFFICE USC ONLY • City of Tigard �J ReEo& , i... • 13125 SW Hall Blvd., Tigard, OR rermitNo.: Phone: 503639.4171 F. 503591960 2 �a . 0 T GA r.T_i Inspection Line: 503.639.4175 R 3 bete • Other Permit; P bate A NotificdA See Page 2 for Internet_ www_tigatd- or.gov A 1G�1 � � ethod. Supplemental Information '- ^'�? -'�.. ,, %^, spI- .;,,an''i��' '`' h,. htlinform a?:u.:tiS� } !!, .�.�,� i i l � t. �' 1 r �, ,, ,, a • - ? 3 0 'i �- - � 7 , r.r _ , n- o.. - .,��. ❑ construction , .r 'r '-i,';‘''',1 - ' ,- -, 1 , v vl.�rpl. _ ,.�:•,. r :. 4„ :II !�':o.,.r:;ay;Y� I.l�l+f ilk ° .m:lii I I,i „'i ;:';',..,41'''' 1Vew con 11 Addition /alterat(on%rreplaCCment Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ©l5uilding over three stories, [] Demolition ❑ Other; i the }'— ri..:ta �� -T---.;--1—-- where te available fault c 4.!. , g: 5 }t;J!>3 . : -' ,- 0 Tr l: r p' -:�, - -•..- — current ❑Marinas and boatyards, E...:"„ •� -- ,;• �'d: r- s�; .StYa ,59 4,,��: I ! i, I ' I ' • I exceeds 10,000 xmpe at 15Q volts or ❑ Floating buildings. ❑ 1- and 2-family dwelling :4 Comtnera al/industtia] less to ground, other installations. exceeds 14,000 ❑ Co tune al.use agricultural ❑ A ccessory building Multi-family amps for all Other installations. 111 - family (] Master builder ❑ Other. ❑ F ire pmts), buildings, I , !; , :' �r : • � _ I ns t a l lation of 75 KVA or Lr'I rI; It --04-,--a*,-,-''. l-`'(.,G: I o r p" i.. V.,"v ❑ Em a r gencysystem. IW ... -L %i,_„ ' v, ' V.tl�� hinter separately 2", derived Systen Job no.: 41 � � . ". .`: • '-' Addition of new motor load of ❑ 0 °A ^, "E" "1-2", "1.3• Job site address: 03 '5 u) i 1 n n 100HP or more. occupancy. V Y 14� i Y 1 ❑ Six or more tesidenhaI units. ❑ Recreational vehicle parks. Li e sate facilities. ❑ Supply voltage for more Mau ❑ Hazard= locations. 600 volts nominal, Suite/bldg. /apt no.: Project name: 0.. MASS: co vrl ❑ Service or feeder 600 amps or more Cross Street/directions to job site• ' Description I 1 ,I; ' ` �5",,;,' 4c -1, �I:I ?;�1� :; I �� ,li gl i v rl an ' }* .. : Q17• Pee. Term New residential single- or multi - family dwelling unit, Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Tax map/parcel no.: Ea. add'! 500 sq. ft or portion 33.40 1 F �)I!5� ; : `;Ir!;: +?'I1;1,'' >by��;l( .i" :^ - '• {t -. Limitedencrgy,residential :..'! ( M :4r - a,t j 1, a1 •2. i I +�tl • ! � , (,with above sq, ft) 75.00 2 MIZEMIEIMMINEMIIMIIII Limited energy, multi amity residential (with above se. it) 75.00 2 Services or feeders installation , and/or relocation ; ,.,. , , 200 amps or less 80.30 n 2 `: r M� _ ..; k 9:• . :' r 'F ;s i,1 ;a r a lL, I ' � _ 11 y 201 ,rnp' to 400 amps 106.$5 2 i A �' i 401 amps to 600 amps 160.60 2 Address �� a r 601 amps to 1,000 amps 244.64 2 • 0 46 Over 1,000 ampsor volts 454,65 2 EMMEMMEIM Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 Owner Installation: This installation is being made on property that I own which is not 291 amps to 400 amps 100.30 2 - intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701 401 amps to 599 amps 133.75 2 Owner signature: Date Branch circuits - new, alteration, or extension, per panel - y ?: i 3iip' i1.(! r,1C1 ,. 1. sl ,w 'r: ` . - A. Fee for branch circuits with . � ti .9F} n .. l;J �t . ..., -. l.., .�'.. c_�� 7 5r 1 : 77 3,3: 1 ;9 above service or feeder fee, Business name: each branch citntrit 6.65 2 13. Fee for branch circuits Contact name: without service or feeder foe, 1 46.85 � � 2 fuss branch circuit Address: Each add'! branch circuit 6.65 (o 2 City /3tgtC /ZIP; Miscellaneous (service or feeder not Included Each mtmufactured or mOddlaf Ill 90 -90 2 Phone: ( ) Fax: _ ( ) dwelling, service Reconnect only MI 66.85 2 Nit 'Met .Al Pump or out Ln lo 3 2 2 r "t. n , 4 a,T ^:l,r: f„ a'�l,ii , AM, Itw� t..,1 Sign o ' t � ",. � i': i1; i' a ` C- c. = or ' e ighting 5 3. �1 D Signal circuit(s) or limited- energy panel, alteration, or Address: • '"' 4� 1 .-1--- extension, Describe; Page 2 2 City /State/Zlp: p ! i I ip Each additional inspection over allowable In any of the above Phone: ( w ( Per inspection 62,50 N Blec Fax: " °3 Invest per hour (1 lu• min) 62.50 Suprv. Electrician signature, Lie.: ,� �& Suprv. Y ic.: C 0 ��1nus ph1°)perhd7g��5 >� if N{lP },; gna re, required: :a:, +fall,. I e +rN Subtotal: 5� Print nine YL� ' * \ Date: 4 3 0 s Plan review (25% of permit fee): State surcharge (12% of permit fee): L G •'Z,,r Authorized signature: _V i t ` / TOTAL PERMIT FEE: IZMISKRAM t Date • 3 This permit voiles den expires If a permit Is not obtained thin 180 days after It has been accepted as complete. t: 4 su0eiigcU 'mnlce\bz•c.Permlrlapp,GOO 05/2:406 • Number of inspections allowed per permit, 4404 6151(1 r /05 /COMUWED • - - • - -- • - • -------- . -.CITY OF TIGARD BUILDING DIVISION PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone:'(503) 639-4171 414. 00 A\ Inspection Requests (24 Hrs.): (503) 639-4175 C INSPECTION WORKSHEET FOR DATE: F:OCIP003 TIME: TOWN PAGE: SITE ADDRESS: F.U ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: C DESCRIPTION: int i,:i,uutty chis, OWNER: I )1 0 S PHONE #: CONTRACTOR: [I L Et..fX:1P.1 CO PHONE #: • Inspection Request Scheduled For: Date: 613:1120(ii Pour Time: ' Code # Inspection Description Confirm # Contact # Message ctri 3; C7197:1-01 b. CO Corrections/Comments/Instructions: 'IASS I I PARTIAL APPROVAL I I CANCEL 0 NO ACCESS FAIL CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: t Date: 5 0 - Phone #: (503) 718- . .