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Permit C ITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2006 -00493 el 1 DEVELOPMENT SERVICES DATE ISSUED: 8/31/2006 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 PARCEL: 1S136DC-03800 SITE ADDRESS: 07080 SW CLINTON ST ZONING: MUE SUBDIVISION: ISAACS SUBDIVISION LOT : 005 JURISDICTION: TIG Project Description: Removed exposed wiring. 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: 6 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: CHARLES TAYLOR ROSS ELECTRIC INC 5285 SW MEADOWS RD #369 2870 SE 75TH AVE #203 LAKE OSWEGO, OR 97035 HILLSBORO, OR 97123 Phone: 503 - 635 -1513 Contact #: PRI 503 - 642 -2800 FAX 503- 642 -5815 FEES Description Date Amount Reg #: ELE 34 -436C [ELPRMT] ELC Permit 8/31/2006 $80.10 LIC 157891 [TAX] 8% State Surcharge 8/31/2006 $6.40 SUP 42325 Total $86.50 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: 1 c M C OWNER INSTALLATION ONLY T 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. 08/31/2006 11:30 5036425815 ROSS ELECTRIC INC PAGE 02/02 E lectrical Permit Amp 'icatno>n `\, j roR of H OFFICE USE ONLY 3- ^ �, p i E :/ 3 ( / ob Review other Permit; Phone: 503.639.4171 Fax: 503,598.1960 `€ 2Q� 'P" - I I' Date/13 R ' 1„r s: la Sec Pa go t) Daze IteadyBy: Line! 503.639.4175 ect : t.,in AA ti n i nsp r Notified/Method:, Supplemental Inf orms o Internet www i�, _ ct a and o I a `�� - i 7 ' i" LiPi,�.' ... +,.- if Inspection e en r.u5 .13Af j „ ^':n iin " ' SI'fi'rl it ` • , �1�'S ° �i " 'l ft s ,.+ �1 +'- • c,: ,,� . .a. R : 7!.. - ,1'F ' r ' ' .r- ��,. 1 -u, . ,vt,"y." 'i : 0+, �..L ,t ' R ':F . E + r,11 �ro a , yin t uh l e d lF. , . ` ti ' r < +l�S« . ,I,.,:,;/;,dr;r;., ..,.t� �• ru. ... �2 7 " ...,..�: �'.'ir E',:,tt-i�,�.. � ^ ( ,�: 1 � i i �. }k .1• -.:� �. , �` . r., t,��,1n � -' �,L. � , , , please check all that apply: • 0 New construction f ddl0OP /replacement [�gerviee ever 225 amps, eotnm'l [lklazardaus location [] Other: ❑Service over 320 amps rating ❑ Buildng over pcmolttton er ! 0,000 sq. ft., ,.,.:. . .. ..:•: : "r` £a it dwellings 4ormorenewresidential u F.t F:�" , I•'6 ;; °'':'t,,r,:: ^,.. °a',. �a. of l - and 2 m Y '.g >;1, 7:F;�:f i l<5 .glib: .: , i,. - .. :--: : ' - !r .7'{r� , • 1 .,r , t.. ;.YL .:_,.,,�..rA. ,, .: ,..f , ..J ;! �l�' ; ,t ; ,Fl::�� .4 � .. „. :� -!t� . .,... ,,.. C is •' � °�� +s�` � `" [] System over 600 volts nominal units M one structure gi and 2-family dwelling Q Commercial/industrial Q Accessory building ❑Building over three stories ❑Feeders, 400 amps Or more Q Multi - family [] Master builder C1 Other: [Occupant load over 99 persons ❑Manufactured sn- uCtures or • ::,. s 'F "h' ' g 9k • .,Ir . ; u,ly, . ? Ir 1 ress /li hting IZV park ,.;,: , 4. : ;s,,:!Oiv q :t "'T !. , u "" • 174 ” ('. . ; :,41,;:::,,,,4.4, ,:; . . o ❑ g B P . ��� Health -care fa Job no.: Job site address: Q Eo $iii G r .. , /1.t,,,,, ;S' . Submit sets of plans with. any of the above. ,{ "∎ The above are not applicable to temporary construction service. City /State /ZIP: ! a d N .- T ;r a Fi;s a' p" ::m ' y g8 ( ,} .R;<•;2.4 i, 1 A ' -, ,:7" ✓ Ifi�u , r,, , r il l: X1'1 i '. 4.•:t :11. .g a k _ r , i ' •r. • Suite/bldg,/apt. no.: J Project name: p scriw° „ Qty. F'e- Total T Cross street /directions to job site: J . � �, t ." New residential single or multi-family dwelling unit. '� a�" c Includes attached garage. 1,000 sq, t3, or less 145.5 4 I Lot no : Ea. add') 500 sq, ft. or portion 33.40 I Subdivision: Limited energy, residential 75.00 2 Tax Inap /parcel no.: _ Limited energy, non - residential 75.00 2_ ,,. -aa• � I s4 rii;:::];ti:; a.� :31i:4;�:.:;: :! :0 • :;v,4ir' ,�•'., :1>i'. 1q !'i.tN., .-6fii .,Yt °1,i'? ", ; 'A ,:�' ;::'0;:01' ,,, :, .' ,. Each manufactured or modular ��: �:a �. }�. •. + , :; , 1 ^iry, vi ,, i;• ili ! :.. -�,��i 'fn.�' ��Hl; ,�',�: ,,� ,.. .. l.1tt�{5 ... ,2 .. .,�_. J.. _.. r. K � .Y -. '� }.•kr;: �;::.�., .:,::;. r v � ,- :.,; '.a :.,f,.., • ; ..... , dw serv ac rd /or feeder 90.90 e__. ',D ' + " I ' \ v--4 r r a F Services or feeders installation, alteration, and /or relocation _ 200 amps or less 80.30 2 , ., ., >. _ r .: ,, ,, ;: , T ... - ;i :: : ': Fp ,1 „! j ', 201 amps to 400 amts 106,85 1 , ::ix.r” 0+1.;•;� : '. ,o..,r s � - ;er .;: „4 .. 1Fi:i R ,,d ,...'.t. • i11� 'Y?,' �:. :R. :f�,.'• .� { <; " ; - 1� x:t,.� .- . ,�{T � ", 160 -60 "7 y -(A 1' �itf i ��r, ' �it� ' ` : / , : , , ,... ,.. ,... 401 amps to 60 0 amps Name: 601 amps to 1,000 amps 240.60 2 Over 1,000 amps or volts 454.65 2 Address: .. .. Reconnect only 66.85 2 City/State /ZIP: 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 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. r 401 amps to 600 amps 133.75 2 Owner Signature; - Date: Branch circuits , new, alteration, or extension, per panel ` r 4''F;: p;: t 7., S ;;;..:'':;40,4.41 s A. Fee for branch circuits with _G�iNns,,., :�.. , c��jrr5,i1E��?7C ;--,':..,,'A.''.: . ...... ... ... ........ „ , - .... .. ...... .... „ -. .. ervice or feeder fee, each _ 1., ..:... .:...... . .. .' : s 6.65 Business name: branch circuit - B. Fee for branch circuits Contact name: without service or feeder fee, I 46.35 IX ' - each branch circuit Address: M Each add'l branch circuit 5 6.653, - City/State /ZIP; miscellaneous (service or feeder not included) . ' Pump or irrigation circle 53.40 Phone: ( ) Fax : ( ) Sign or outline lighting 53.40 E -mail: Signal circuit(s) or limited- :,: �,,:..:,,,- .._ ;itcr•.,n f : ' i , .: ;P�'.:! sf {; e ner gy p anel, ateration, or , :h +�:. i:, :: r'i:: <'. a:.ri, f ., r;;;. '„AN,;(' i.t,'�9 ... :qc'� :�j',. :, G'= ���iH�� }.1.���.I�'k ;i +: - ;i cti' i y;nt .,, :: !tia�'. r;,<. '•'1'rji' a:.; , -=:' , . .,, • .. . r '',.. `, • _�. �,:.. i' extension, l Describe: Page 2 )3usincss rlamc:b SS L L.ECAL - _ , .f/1 C - Each additional inspection over allowable in any of the above Address: c2 g 70 S & 7 e.._ # 263 Pei 62,50 City /State /ZIP: f -1 115 (s - © i O r cL7 C '• Investigation per hour (1 hr min) 62.50 Industrial plant per hour 73.75 • Phone: (S"o (t ti-i7 7., `3 Cie> Fax: (SG3) c y Z s � (S i . ;fi v!w l l 't i. i +.;..' = "';'. "` `... CCB Lic.: J 6 ( Electrical tic.: 3 �,y3 Co . Suprv, Lic.: 1 2 1 2-3.)., 5 Subtotal . /0. 1 0) • Suprv. Electrician signature, required: _&. .7L- Flan review (25% of permit fee) • -• ; State surcharge (8% of permit fee) - ^ 1 Print name: rSf.e.. 1 1 S5 Date: TOTAL rEamrr FEE 6.{j _ 5 t Authorized signature: This permit application expires if o permit is not obtained within 180 _ days after it has been accepted as complete Print rlarne: Date: • Fee methodology set by Tri County Building Industry Service Board • • Number of inspections pet perm allowed. 440- 4611T(30 /02 /COM/w'aa CITY OF TIGARD - -- BUILDING DIVISION : 41 PERMIT #: ELC2006-00493__ - '-"- 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/31/2006 /� Phone: (503) 639 -4171 aia�� /E ,a�l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/02006 TIME: 7 :10AM PAGE: 1 SITE ADDRESS: 07080 SW CLINTON ST CLASS OF WORK: SUBDIVISION: ISAACS SUBDIVISION LOT #: 005 TYPE OF USE: PROJECT NAME: TAYLOR DESCRIPTION: Removed exposed wiring. OWNER: TAYLOR, CHARLES PHONE #: 503 -635- 1513 CONTRACTOR: ROSS ELECTRIC INC PHONE #: 503-642-2800 Inspection Request Scheduled For: Date: 9/4/2006 Pour Time: Code # • section Description Confirm # Contact # Message 199 Electrical final 036009.02 603-642-2800 N Corrections - • - s nstructions: ..A , Y1,e■SS I I PARTIAL APPROVAL n CANCEL ❑ NO ACCESS I I FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: - `\ (Sl1 Date: 9 4-64. Phone #: (503) 718- 47