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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2007 -00809 COMMUNITY DEVELOPMENT DATE ISSUED: 11!30/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S111CC SITE ADDRESS: 10020 SW CENTURY OAK DR ZONING: R - 12 SUBDIVISION: SUMMERFIELD LOT : 080 JURISDICTION: TIG PROJECT: COOBS Project Description: (4) Branch circuits: Bath, range, micro. 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: 3 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: KATHERINE COOBS HEBERLE ELECTRIC 10020 CENTURY OAK DR 18645 SW FARMINGTON #326 TIGARD, OR 97224 ALOHA, OR 97007 Phone: 503 - 650 -9550 Contact #: PRI 503 - 628 -2095 FAX 503 - 628 -3076 FEES Description Date Amount Reg #: ELE 34 -160C IELPRMTI ELC Permit 11/30/200' $66.80 LIC 152342 [TAXI 8% State Surcharge I 1/30/200' $5.34 SUP 3053S Total $72.14 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: Zy).-7 i cy . 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. 11/30/2007 07:56 5036283076 HEBERLE ELECTRIC INC PAGE 01 Electrical Permit Application I'l It ( ) I 1 1( i I ', I. 11),V'i .1 /,� City O Ti . Cal ED Received j Permit No.�.oZLY71� Q Of 00 a (/ 1 � DOWB 13125 SW Hall Blvd, Tigard, OR 7 i•• - ' Plan Review Other NOM: Ph 0110: 503.639.4171 Pax: 503.598.1960 Dats1B Inspection Line; 503.639.4175 0.14 ` v s 1' ._ ll , DnteRoedyB lndn Y; a / !a See Pa>seafor Internet: www.ci lu 2001 Notified/Pacified, Supplemental Informatics re rr, i.,1.';‘,.' n • Y 1�5 x3:"f i r;r. t rY I',C`Sy 7' i . . a t �!... �i ij, ? r ` r) + '1 r i i i �r r r i (y t ' ? :.%.4'7,!d : , a t • S9i(~ i .. ' F }7 '_ q n twi rr 5 x •' Mr f aISA '�` i a. f g 'i t .iit c'-'44''' � , :0.4,: 1xi,∎0n ` " ., f, s I ;, I So fi ' ;dl r ���1" I 1 � ,r ` a3', t .+,,d : ** i', 1.1ilj Veln's�'hl � , a f ' ".' " ii A „ w '''' "'t�` �t ' � � : t i d a 4 � 4 . , , _ its � r mSu. �s?...1 �; ?� ;f�h��,++h:� :n���, + � ..� ? {i<J�rt 3T �Y �La, :�� t , Nl�,�m s � Plena check all that apply: ❑ New construotlon i. "F arl ∎ ' . ` '• acemetn Plena ❑Service over 225 amps, comm'I ❑Hazardous location © Demolition Q Other: ❑Service over 320 amps - rating ❑Buildng over 10,000 sq. it, Ii r : t '1tri. tw 3' zl + t '[/ Li ra''' ;+;! " l f ti'hI`k�Thr� ,ryata N ,rl1tt+ '8r + ^, fir r t ` � d arci oft. and 2-family dwellings 4 or more new roeidential X 994 14t . /4∎ , 7 L \,ti�;r ,...' q'i�J� � 1/•:4sur! i �iwnid. � ?. m./1....4,'111- n. - 8 4 (o , (r4. P.6. '�: d r i, t � , r }' g j '+ �' ' ❑ System over 600 volts nominal units in one structure ,61 1 and 2 family dwelling 0 Conunercial/industrial ❑ Accessory building QBuilding over throe stones OFeeders, 400 amps or more [] Mult1 ih:mil D Master builder ❑ Other: poccupant load over 99 persona 9ManufaetttrOd structures or �•a d'4 Ar r. y . "7'r i FFr ` f1F a � { 'A7 fA w< !S!�' F ! •.; at+ � 4A�p +'�"'{tiM'd.[t }1P}yL Ap�5 ' y r RV park r ,,. r a il, �eM1 ,..' e a l.v.$ .4d�,l u #41 � 'dr1 , '4S r..r.1 i s�k�!4.wo• we , I rF.w�;i�s d.�NO trk7"kS'� tl��¢ ❑Egre9eAigltting plan z 014ealth -carc facility Job no.: Job site address: 5 Submit i sets of plane with any of the above. City/State/ZIP: -2r f p - �' The above) are not applicable to temporary construction service. y M r r+u-+r r ;. y ^. ra.� s r y� ,1n1 'AL77).Vilig ifT 1''. r ,71,1, �Ral�';'l � IR.r0wfi lltll iift i ti Suitc/bldg /apt no.: Project name: C t2, S ,. it i i , n�+1:4 tuA 7, „ - ,� • // nmcd l dl ...., — - . Qty Bee. Tou t Cross street/directions to job site: ( -5 New residential single- or mnitt- family dwelling unit. Includes attached ;,era: c. 1,000 sq. R. or less EMU 4 Subdivision: Lot no.: Ea, add'1 500 sq. ft. or portion 33.40 111 1 Limited ener residential 75.00 2 Tax map /parcel n o . : y �p �� _y� t 1 � 'Limited enesr:. • nonaesidentiet 75,00 2 yr �,, '� ij VV}l t� I ¢u RSgQ_,�1 ` IyX'�," :h 1 1 "il, 'h1!.,i1�ff xst' _ f � £4AwLCpnr'1'id � ^t � � n3'tR %fr'�i l''' % t;"4i+.�.l1,�,1 -.. �r1,14Y.,IdN h.. :SVYi.,,..ri r �ltr nbo 1 r, W' , �. �,• ' Each manufactured or modular a.-454>r/4- (` i p11. dwollin: service and/or feeder 90.90 2 Scrvlcce or flecdere Installation alteration, And /or relocation T C ryf • t r s 0 Imo , - 'L—‘,43.-- , r 200 a .21 or less 80.30 2 w ti r r r s w ' w Yj tt " ri7 ; P m i y y+ �� I +77 +� . Y m r , yf{ 201 e s ko 400 am s 106.85 2 ° r. 0, 0F1 , pNi�M rR + • od '.4. v 1 d�MY.�p1 IMokil l t. }k l4. A0411.6: ?v. „ i � t u l r 401 amps to 1, 0 em s _ 140.60 2 a a£� . . J 601 amps to ],000 amps 240.60 2 Address: - Over 1,000 amps or volts 454.65 2 Reconnect only _ 66.85 2 City/State/ZIP; Temporary services or feeders Installation, alteration, and/or relocation Phone: ( ) 0 200 s or less 66.85 1 Owner Installation: This installation is being made on property that 1 own which is not 201 amps to 400 nmpa 100.30 2 intended for solo, lease, rent, or exchange, according to ORS 447, 449.670, and 701. 401 anpa to 600 amps 133.75 2 Owner signature: r.rtlll . , Avouch circuits - new, alteration, or extension, per panel {� r ,C7 � 'RS's �'1N F 1. &• +r . r rera,iN W c"? , ms Ymm a• t riggi`fige l vk$& r`r•!`.,?' ��"r��';3s�i� ll i'Ih�l i t , , II ia�rt11 4 , r h�t 1, �1� r�: V a ..: , .R ? A, Feo for lxauch circuits with �' ^` + �' , service or feeder tbo, each 2 (k s branch circuit 6.65 • B. Fee for branch circuits \ Contact name: , ; J s 1 • w ithout service or f eeder fee, 44.85 each branch circuit �,,,,,r 6 A.11111111111111 Address: l M- 2 T Each add'I b r a n c h circuit � 6.65 City/State/:ZJP. Miscellaneous (service or feeder not Included) Phone: ( ) Pump or irrigation circle 53.40 _ 2 CSIMI Si" ar outline lighting ____ MISII EHxa 33:40 2 M Signal circnit(S) or limited- u, Ye,'4Gr Irti r4 r!,(: �",C +' yi�F� n s T7 M �c. I n A 4r r '�!I f 1C ;1 ... en alteration. ar '';-�.'1 >F z nn�an.l r;� °III aaa. R u�:� ~ r� : ; 4 ;; r 11 p extension. Describe Page 2 2 Business name: Heberle Electric, lrlc, - ! e - : • ' 16: Each additional Inspection over allowable In any of the above Address: Aloha 0: • t • per in:. on 62.50 City/Btate/!TF': Investigation per hour (1 hr min) Ill 62.50 Mil industrial . /ant . et hour 73-75 Phone: (ti`�7 " ,-2, *� Fox: V-9 ) � :'' , ,' Milo g?'j ii! "iii Fr; p .1^aE:35 X71 '.Jl f a s:igr l '"• igai CCB Lie,: t'�j'��1•'j Electrical Lie.:3l{ 41,..c) Suprv, Lie,:S�S ---c subtotal ir, , Suprv. Elect' Ian signature, requited; ,i. �..'� Plan review (25% of permit fee) r� �' „ � 'r'�� bate O State surcharge(8%eofpermitthe) .5. v J 1� TOIAI Pai1IRI kTR `'l � , l 1 L I Authorized signature: This permit appllcatlen expires if a permit is Ant nhtalned within 1110 days after It hero been accepted no coin ore) AatC. • Fee athedoloi y sat by -Of- County Bail ding tnduany Smith:* Board • mbar of inspodi per Wad allowed. — 7. t -I L; suffito PetrotrAmc•Penairnpp,doc 121w 440- 4615TO Oi02/COM/WPfl e .__, CITY OF TIGARD . BUILDING DIVISION PERMIT #: F1C2007-00809 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/30/2007 Phone: (503) 639-4171 "Olt Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 2E/2008 TIME: 7:03Am PAGE: 50 SITE ADDRESS: 10020 SW CENTURY OAK DR CLASS OF WORK: SUBDIVISION: SUMIVIERFIELD LOT #: 080 TYPE OF USE: PROJECT NAME: cooBs DESCRIPTION: 0 Branch circuits: Bath, range, micro. OWNER: COORS, KATHERINE PHONE #: 503-650-9550 CONTRACTOR: tiEBERIE ELECTRIC PHONE #: 503 Inspection Request Scheduled For: Date: 2/7/2008 Pour Time: Code # Inspection Description Cori irm . Contact # Message 199 Electrical final 061.513-01 503-961-2735 Y Corrections/Comments/Instructions: AN f ----- PAS n PARTIAL APPROVAL 0 CANCEL 111 NO ACCESS El FAIL 0 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: & N k)e) t-ts Date: 1 'CI Phone #: (503) 718- , . . . . CITY OF ^-`' ~ ��nm n ��m TIGARD � '` -- . ;,, -- BUILDING DUNG DIVISION pERK4|T ElC2007-00809 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/30/2007 Phone: (503) 639-4171 Inspection Requests � a4Hm.):(GO3)G38'4175 v��N- *�!.. INSPECTION WORKSHEET FOR DATE: 1/8/2000 TIME: 7:O1AM PAGE: � � SITE ADDRESS: 10020 SW CENTURY OAK DR CLASS OF WORK: SUBDIVISION: SUK4K4ERF|ELD LOT #: 080 TYPE OF USE: PROJECT NAME: c{)Oss DESCRIPTION: (4) Branch circuits: Bath, tango, micro. . OWNER: C00133, KATHERINE PHONE #: 603-654.955u CONTRACTOR: HEBERLE ELECTRIC PHONE #: 503-028-2895 Inspection Request Scheduled For: Date: 1/8/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message `-,_� 120 Bwd|icu�rVuohin 062710-01 503-961-2735 Y Corrections/Comments/Instructions: - kY\ � � �J PASS �� PARTIAL �� CANCEL �� NO ACCESS a� ' ' �� / ' ^ || CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED /� 0J� /� - � �L ~� |nInspector: k�� V`v�� L� �� Date: �~ \� » Phone #: (503) 718- '