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Permit
4 Y 0&ck ed ELECTRICAL PERMIT CITY OF TIGARD. COMMUNITY DEVELOPMENT PERM#: - DATE ISSUE D: 6/19/200 ELC2007 00418 7 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 103DA -05000 SITE ADDRESS: 10605 SW COOK LN ZONING: R - 3.5 SUBDIVISION: FANTASY HILL LOT : 009 JURISDICTION: TIG PROJECT: PATINO Project Description: Install 200 amp service. 7/12/07 ADD (2) additional 200 amp services for a total of (3). 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: 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: CARLOS & BLANCA PATINO BADGER ELECTRIC INC. 10605 SW COOK LN PO BOX 55446 TIGARD, OR 97223 PORTLAND, OR 97238 -5446 Phone: 503 - 680 -6264 Contact #: PRI 503- 288 -4756 FAX 503 - 493 -7173 FEES Description Date Amount Reg #: ELE 3-571C [ELPRMT] ELC Permit 6/19/2007 $80.30 LIC 156851 [TAX] 8% State Surcharge 6/19/2007 $6.42 SUP 4951S [ELPRMT] ELC Permit 7/12/2007 $160.60 (additional fees not listed here) REQUIRED ITEMS AND REPORTS Total $260.17 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 N• ' ..• ente Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct_que ions to OUNC at 503 46.6699 or 1.800.332.2344. \/ I Issued B . // Permittee Signature: S 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. JUN -18 -2007 07:38P FROM: BADGER ELECTRIC, INC 503- 493 -7173 TO:5035981960 P.2 City of Tigard rt ��ss t� Dofe /By: I C) / ^. S'� Penn" �' n 2 - 1' 13125 SW Hall Blvd., Tigard, OR 97223 JUN 1 9 ? (J (; / Plan Review l / � / r J C+ � � Phone: 503.639.4171 Fax: 503.598.1 weary: Other Permit: Inspection Line: 503.639.4175 TY OF fl l t 'I I Ready/By: to ` 0 See Patte2 for �ry :, -� Date R / .. Notified/Method: Suppkmentallafarwatton Internet: www.ci.tigttrd.or.us BUILDING DIVISION - — E OF WORK PLAN REVIEW El New construction Addition/alteration/replacement Please check all that apply: ❑ Demolition ❑ Other: ❑Service over 225 amps, comm'I ❑Hazardous location ©Service over 320 amps - rating ❑ Buildng over 10,000 sq. It., CATEGORY OF CONSTRUCTION of I - and 2- family dwellings 4 or more new residential and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi -family ❑Mosier builder ❑Other ❑Building over three stories ❑Feeders, 400 amps or more ❑Occupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park 3(� SO COOL, r w ❑Health -care facility ❑Othe l r. _ Job no.: Job site address: l lv Submit 2 sets of plans with any of the above. City/State/ZIP: The above are not applicable to temporary construction service. no.: Project name: l r i19 FEE SCHEDULE Suite/bldg./apt 1 /'�� 4S V Utlera prim I Qty. I Foe. I Total I •' Cross street/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. R. or less 145.15 4 Subdivision: ( Lot no.: Ea. add'1500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax map /parcel no.: Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular dwelling, service and/or feeder 90.90 , 2 ‘2 /1 Services or feeders installation, alteration, and/or relocation � V?. 200 amps or less 80 QO' �) 2 201 amps to 400 amps I 106.85 V 2 ID PROPERTY OWNER ❑TENANT 401 amps to 600 amps 160.60 2 Name: ell. r 'OS 'N ax co. Pad (\ 0 601 amps to 1.000 amps 240.60 2 Address: 10( Os s (o c c-. Over 1,000 amps or volts 454.65 2 , t 1 Reconnect only 66.85 2 City/State/ZIP: ' ) c�...rd. 01 el 9-72:5 Temporary services or feeders installation, alteration, and/or / A � i relocation Phone: (.5V5) b p7J _( Fax: ( ) 200 amps or less 66.85 _ 1 _ Owner installation: This installation is being made on property that 1 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 to 600 amps 133.75 2 Owner signature: Date: Branch circuits- new, alteration, or extension, per panel - 0 APPLICANT I ❑ CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 each branch circuit Address: Each add'l branch circuit 6.65 2 City/ State/ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) I Fax: : ( ) Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited- , CONTRACTOR energy panel, alteration, or extension. Describe: Page 2 2 Business name: 134100 T C., Address: -. / / Each additional inspection over allowable in any of the above Address: "- P•0 . CXJ� ��b Per inspection 62.50 City/ State/ZIP: `prW O (s3 Investigation per hour (1 hr min) 62.50 _ Phone: ("3 - 9 29/ 1 I Fox: (S'p'?a) 493 -•°1 3 , Industrial plant per hour CAL PERMIT FEES* CCB Lie.: t i Electrical Lie.: 3 -'11(, Suprv. Lie.: 4CIS t S Subtotal SO ' - J(7 Suprv. Electrician signature, required: C Plan review (25% of permit fee) State surcharge (8% of permit fee) .42. Print name: Cvliv A Wale: TOTAL. PERMIT FEE 5 � t_ Authorized signature: Tbh permit application expires If a permit is not obtained w ib >af l� days after it has beta accepted as complete Print name: Date: • Fee methodology set by 7ti- County Building Industry Service Board " Number of inspections per permit allowed CITY OF TIGARD BUILDING DIVISION F PERMIT #: ELC2007 004 1 8 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/19 /2007 Phone: (503) 639 -4171 G) • • N�Q° Inspection Requests (24 Hrs.): (503) 639 -4175 s� V'I �.. INSPECTION WORKSHEET FOR DATE: 7/17/2007 TIME: 7 :03AM PAGE: 28 SITE ADDRESS: 10605 SW COOK LN CLASS OF WORK: SUBDIVISION: FANTASY HILL LOT #: 009 TYPE OF USE: PROJECT NAME: PATINO DESCRIPTION: Install 200 amp service. 7/12/07 ADD (2) :Additional 200 amp services for a total of (3). OWNER: PATINO, CARLOS & BLANCA PHONE #: 503 - 680 -6264 CONTRACTOR: BADGER ELECTRIC INC. PHONE #: 503 -288 -4756 Inspection Request Scheduled For: Date: 1/17/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 052144-01 503 - 888 -7369 N Corrections/Comments/Instructions: 3 P1 ' t i 4 A.. t5N • 'ASS I I PARTIAL APPROVAL ❑ CANCEL NO ACCESS H FAIL ❑ CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspector: 3 'b W Date: 11I1109 Phone #: (503) 718 - VIL16. CITY OF TIGARD . BUILDING DIVISION PERMIT #: ELC2007- 00419 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/19/2007 Phone: (503) 639 -4171 / ritiiilli?\ Inspection Requests (24 Hrs.): (503) 639 -4175 ,.' INSPECTION WORKSHEET FOR DATE: 7/16/2007 TIME: 7:04ANi PAGE: 22 SITE ADDRESS: 10605 SW COOK LN CLASS OF WORK: SUBDIVISION: FANTASY HILL LOT #: 009 TYPE OF USE: PROJECT NAME: PATINO DESCRIPTION: Install 200 amp service. 7/12/07 ADD (2) additional 200 amp services for a total of (3). OWNER: PATINO, CARLOS & BLANCA PHONE #: 503- 680 -6264 CONTRACTOR: BADGER ELECTRIC INC. (� \^ PHONE #: 503 -208 -4756 yl_) Inspection Request Scheduled For: \ Date: 7/16/2007 Pour Time: Code # Inspection Description -Con it Contact # Message 115 Electrical service 052046-01 503. 8884369 V Corrections /Comments /Instructions: • gl? V ko-az --, t ,) G-Iklitcf . 4(11 II D ' 1 Oh) lo L , 2--- - NA*,, — 1 --Z kitsc C.;10—_-%,) MiNkt - OVELLto Abet t • I PASS PARTIAL APPROVAL n CANCEL I NO ACCESS `K FAIL A CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: - r Iytil Date: 1 1 4 s Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00413 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/19/2007 Phone: (503) 639- 417100 Inspection Requests (24 Hrs.): (503) 639 -4175 A- " L INSPECTION WORKSHEET FOR DATE: 7/16/2007 TIME: 7:04AM PAGE: 21 SITE ADDRESS: 10605 SW COOK LN CLASS OF WORK: SUBDIVISION: FANTASY HILL LOT #: 009 TYPE OF USE: PROJECT NAME: PATINO DESCRIPTION: Install 200 amp service. 7/12/07 ADD (2) additional 200 amp services for a total of (3). OWNER: PATINO, CARLOS & BLANCA PHONE #: 503.600 -6264 CONTRACTOR: BADGER ELECTRIC INC. PHONE #: 503 - 2B8 - 4756 Inspection Request Scheduled For: Date: 7/1612007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 052047 -01 503- 888 -7369 N Corrections /Comments /Instructions: S^- CIXOSi:C110t.)..4 c N) S N ) I PASS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: . W•A2A--6 Date: � v((r) Phone #: (503) 718- '^ 1'V 1 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00418 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/19/2007 Phone: (503) 639 -4171 a ' 41u i 61 i Inspection Requests (24 Hrs.): (503) 639-4175 .4 i INSPECTION WORKSHEET FOR DATE: 7/12/2007 TIME: 7:0401111 PAGE: 36 SITE ADDRESS: 10605 SW COOK LN CLASS OF WORK: SUBDIVISION: FANTASY HILL LOT #: 009 TYPE OF USE: PROJECT NAME: PATINO DESCRIPTION: Install 200 aml service. . OWNER: PATINO, CARLOS & BLANCA PHONE #: 503-680-6264 CONTRACTOR: BADGER ELECTRIC INC. PHONE #: 603 - 2/38.4766 Inspection Request Scheduled For: Date: 7/12/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 116 Electrical service 051879 -01 503-888-7369 N Corrections /Comments /Instructions: . ❑ PASS I I PARTIAL APPROVAL IX CANCEL NO ACCESS FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: GY1 NI t 6 Date: 1 • L1-' tl Phone #: (503) 718 t. CITY OF TIGARD BUILDING DIVISION i ` \ PERMIT #: ELC2007- 00418 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6119/2007 Phone: (503) 639 -4171 P "� Inspection Requests (24 Hrs.): (503) 639 -4175 '., INSPECTION WORKSHEET FOR DATE: 7/11/2007 TIME: 7:01AM PAGE: 22 SITE ADDRESS: 10605 SW COOK LN CLASS OF WORK: SUBDIVISION: FANTASY HILL LOT #: 009 TYPE OF USE: PROJECT NAME: PATIN° DESCRIPTION: Install 200 aml service. OWNER: PATINO, CARLOS & BLANCA PHONE #: 503 - 680 -6201 CONTRACTOR: BADGER ELECTRIC INC. PHONE #: 503 -288 -4756 Inspection Request Scheduled For: Date: 7/11/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 051811 -08 503 - 718.2426 N Corrections /Comments /Instructions: O •®NIE ALI- V v o- A _ . • ; F - I) A• e Aaa_ 1e c 2 t00 • Ne1, (/I3 -3(Q) cp P koq t o o IJ PDDs f/664.._ &vim 0-loDs px4-• ikta. E a . r v s f CALL. 02, S Eet v i cam' 1 0 sre a i ()A 0 n PASS n PARTIAL APPROVAL I I CANCEL I I NO ACCESS A FAIL CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: GT` N ®o `''L` Date: , I 1 ' Y1 Phone #: (503) 718- 2 -4 11 A `