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Permit
CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2008 -00237 •I " <. COMMUNITY DEVELOPMENT DATE ISSUED 4/29/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 102AB -00202 SITE ADDRESS: 09455 SW CENTER ST ZONING: R -4.5 SUBDIVISION: MARIELL LOT : 002 JURISDICTION: TIG PROJECT: NUTIAL Project Description: Installing (2) branch circuits. 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: KAREN NUTIAL GRF ELECTRIC 9455 SW CENTER 15460 S PARADISE LN TIGARD, OR 97223 MULINO, OR 97042 Phone: 503 - 332 -6969 Contact #: PRI 503 - 829 -4146 FAX 503- 829 -5747 FEES Description Date Amount Reg #: ELE 3 -484C [ELPRMT] ELC Permit 4/29/2008 $53.50 L1C 76751 [TAX] 12% State Surchar 4/29/2008 $6.42 SUP 1655S 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. 1111PIP !s,„ Issued By: , `-� Permittee Signature: ?� s7/1 OWNER INSTALLATION ONLY s' 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. Apr 28 08 10:18a GRFELECTRIC 5038295747 p.1 n • , i ie n • c Permit Application hcll1 i( I. us t 0\1,1 ; A . City of Tigard ere /MAIM Permit No.: t � -� ■ 7 ' t 3125 SW Rail elvd., Tigard, OR 97223 Plan Rewiov+ Odin Permit: r1� % j r' , Phone: 503,639.4171 Fax: 503.599.1960 Date/B ' /� �i _ -i inspection Line; 5(x1.639 4175 Dare RaadylBy. lieu. is See Pane 1 rot t t!:. \l:'Lt Nanifiod/Method; Supplemental informs anon inters= wwa.tiga*d- rrr.goV T1i'FE OF WORK . !IAN REVIEW 1 Please cluck an that apply (aube+it 2Ica of plans whims cbeakcd below): [ New construction (idition/alterationhCpiacement ❑ Service ar fccdcr400 wain ormove Q Building wet shracaeries. QI3ctnolitiml ❑ Other: Muse the availtblefaalteurreet ❑Marinssand CATEGORY OF CONSTRUCTION eecccdt 10.000 ampa at ISO volts w ❑ Flatting butldinps• Iloilo wind, or exceeds 14,000 ❑ Coramcrci.tl -arc apritottural I and 2 family dwelling {] Conunercialfindustrial ❑ Accessory building amps for Al caber installations, building'. ❑ Mire 'lira'. Li lotraltaoon of 75 KVA or [] hrlulti•fernily ❑ Master builder ❑ Other: ' Emergency fynt+ri- Luger tcpuatcly derived tyracm. JOB SITS WtFORMATION AND LOCATION ❑ Melben of new motor toad of O "iv, "E t•2 ", "1 - 3•'. 10011P or more. import", Jab no.; Job site address: 1 (--/- 57: S L .) Le VI il -- ❑ Sin or more residential units. 0 a.onauinnal vehicle psrlm. ❑Flaaldr tart feoilitiao ❑ $app1Y voltda° fw mots than City/State/ZIP; 1 / A 1 ,-- [ j 7 Li- 3 ❑Hamrdouslnadons. 000 vnlmnotnival, Suite/bldg./apt. no.: J PjV name: a some. m feeder 600 amps or moic- f 1� r Gt— FEE SCHIVULL , Cross street/directions to job site; Dnerinniaa 1 4h. j rw . 1 row • , New rcildeatial single- or multi. family dwelling unit. Includes attached garage. , Lot no.: 1.,000 S. ft of less 145.15 4 Subdivision: Ea add'l 500 sq. It or portion 33.40 1 r Tax map/parcel no,: • Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with *boar fin_) Limited energy, multifamily 75.1111 2 2 L / (/(- ._p• 7 '�` a residential (with above so. n.) t S/ C (•< ' / l C { Services or feeders tar tauatina,alteratiun, and/or relocation _I 200 amps or ICU 80.30 2 ❑ PROPERTY OWNER , 0 TENANT 201 amps to 400 amps 106.65 2 �ff 1 401 amps w 600 amps 1b0.60 2 Natnc; Cti r /,J in ` �� 601 amps to 1,000 amps 240.60 2 Address: t 5 5 U) EC - ,--, -- f:1(-- Over 1,000 amps or volts 454, 2 Temporary services or feeders installation albendon. aad/ar - City/State/ZIP: -7 � ° 2-1. 2-1. refutation ' Phone: ( ) '? , _ -- (y 1(.r / Fax: ( ) 2 0 0 amps or less 1 64.E5 I Owner installation: This installation is being made on property that t own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease. rent, or exchange, according to ORS 447, 449, 670. and '701. 401 amps m 599 amps 133.75 2 Straaeh circnits. nrw. alteration, or extension. cr panel Owner signature. Date: A. Fee for braechcircuits with above s crviee or feeder fr-� © AYf'LICANT 1 ❑CONTACT PERSON 2 each branch circuit Business name: H. Fee for branch circuits r • , widioul service or feeder . ) 46.85 �� , ", 2 Contact name: first branch circuit , Each addl. breath circuit i 6.55 40,1, 5 Address: Miscellaneous (service or feeler not included) C ity /Statc/ZIP: . E ach rnarwfacetued or modular 90.90 2 dwelling.scrviee tytd /tlr feeder Phone: ( ) 1 Fax:: ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 5 3.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Signal circuits) or limited. Business name: 6 fL e f 1-1,,y r energy panel_ allrralion or S - F extcrtsinn. Des cribe: Page 2 2 Address r� �1 . City/Store/ZIP: O _- • 2 Ea ch additional inspection over allowable in any of the above Per inspection 62.50 Phone: ('t l) g Z9 ' +-( tfc Fax: ( 5 1 )3 ) f ?,Gj - 5"7 9--7 Investigation per hour (I hr min) 62,50 - CCH Lie.: 7 W - 75I Electrical Lie.: 3—ti- Sorry. Lie. p - ( . tndusuial plait per hour 73.75 1 ELECTRICAL PERMIT IFS Suprv. Electrician signorine, required: ' . y - Subtotal; 1::; 3 Q • D a t e: t� ] Plan review (25%of 'Mail fee): Print name: f l S /'Yl r ` _ 1 Li— 0 State surcharge 02% epermit fcc): (. Z '' r Authorised signature TOTAL PERMIT FEE: 2 This panels application spires If a permit le apt obtained i 160 Print name: Date: days after it has beta accepted as amplest. . • • Number of inapcetioni alln,wod per permit. VinsitainalrradUlJtLG9ene :Wp.Eoc ns/2;Ad «o-aei 7ti I csrcomnvEn • • CITY OF TIGARD 1 BUILDING DIVISION PERMIT #: ELC200I•00237 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/29/2008 Phone: (503) 639 -4171 i �rdl , ' 'f Inspection Requests (24 Hrs.): (503) 639 -4175 ' ::. I INSPECTION WORKSHEET FOR DATE: 5/8/2008 TIME: 7:01AM PAGE: 56 SITE ADDRESS: 09455 SW CENTER ST CLASS OF WORK: SUBDIVISION: MARIELL LOT #: 002 TYPE OF USE: PROJECT NAME: NUTIAL DESCRIPTION: installing (2) branch circuits. OWNER: NUTIAL, KAREN PHONE #: 503 -332 -6%9 CONTRACTOR: GRF ELECTRIC PHONE #: 503- 829.4146 Inspection Request Scheduled For: Date: 5/812008 Pour Time: Code # Inspection Description Confirm # Contact # Mess ? Kcvg- 183 Electrical final 069502 -02 503.261.6535 Y T° 1 0 Corrections /Comments /Instructions: 5S 4i? X2 I�(G 0 a1( Mfaf.3 CJ T' I1 i✓' Pk ft A+!& c ji,_BAs 7- 0IN PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL II CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: L _ Dater /S Phone #: (503) 718 - 2.e' M4%►