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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2007 -00350 COMMUNITY DEVELOPMENT DATE ISSUED: 5/22/2007 TIG RD ' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S126DC-03800 SITE ADDRESS: 09255 SW CORAL ST ZONING: R -9 SUBDIVISION: LEHMANN ACRE TRACT LOT : 001 JURISDICTION: TIG PROJECT: FISHER Project Description: (5) branch circuits for bedroom and kitchen remodel. 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: 4 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: MIKE & RANDI FISHER PREMIER ELECTRICAL SERVICES INC 9255 SW CORAL ST 9329 SW 42ND AVE TIGARD, OR 97223 PORTLAND, OR 97219 Phone: 503 - 669 -4200 Contact #: PRI 503 - 293 -3060 FAX 503 - 293 -3061 FEES Description Date Amount Reg #: ELE C53 [ELPRMT] ELC Permit 5/22/2007 $73.45 LIC 163299 [TAX] 8% State Surcharge 5/22/2007 $5.88 SUP 5142S Total $79.33 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 B • 1/ �jj �� Zl. ` Permittee Signature: -eQ AppitCail rj—n 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. lirt Electrical Permit Applicaiiii4n t" °''''' 9 i . � 1•()it ()VIA( r SE • . . City of Tigard f.; ..t 'I. t .t/ '°' » ) Received ' i �c^A,, ) ' Permit No : 111111 • . "I 13125 SW Hall Blvd , Tigard, OR 97223 " Plan Review � ,, bb.. — � - �1 I �� Phone. 503.639.4171 Fax: 503.598.1960 Other Permit M c ► 70 - -o/W qq 2 .. i 2007 Date/ By. C A 1L.0 Inspection Line: 503.639.4175 �'1 1 r „ .; 2007 Re v Date Ready /By: ) BI Sec Page 2 for Internet: www.tigard- or.gov Notified/Method: 5 Supplemental Information TYPE O} `W ORK1/4 %< A A.J PLAN REVIEW ❑ New construction ® - Addition /Alteration /replacerr�e ltrI T Please check all that apply (submit 2 sets of plans w /items checked below). R ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ® 1- and 2- family dwelling 0 Commercial /industrial ❑ Accessory building amps for all other installations buildings ❑ Multi - family ❑ Master builder ❑ Other: ❑Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system larger separately derived system ❑ Addition of new motor load of ❑ "A ", "F. ", "i -2 ", "I -3 ", Job no.: f Job site address: 9255 SW Coral St. 100HP or more. occupancy ❑ Six or more residential units El Recreational vehicle parks. City/State /ZIP: Tigard, OR ❑ Health -care facilities. ❑ Supply voltage for more than ❑ Hazardous locations 600 volts nominal Suite/bldg. /apt no.: Project name: Fisher remodel ❑ Service or feeder 600 amps or more FEE SCHEDULE Cross street/directions to job site: Green burg and Coral Description I Qtv. 1 Fee. l Total l • New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lol no.: 1.000 sq. ft. or less 145.15 1 4 Ea. add'l 500 sq. 8. or portion 33.40 I Tax map /parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above sq. ft ) 75.00 2 Limited energy, multi- family Add (5) circuits for bedroom /kitchen remodel 75 00 2 residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 ❑ PROPERTY OWNER 0 TENANT 201 amps to 400 amps 106.85 2 Name: 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 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. 401 amps to 599 amps 133.75 2 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, each branch circuit 6.65 2 Business name: B. Fee for branch circuits without service or feeder fee, I Contact name: 46.85 2 first branch circuit Address: Each add'I branch circuit 4 6.65 2 Miscellaneous (service or feeder not included) City /State /ZIP: Each manufactured or modular dwelling, service and/or feeder 90.90 2 Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Business name: Premier Electrical Services, Inc. Signal circuit(s) or limited - energy panel, alteration, or Address: 4548 SW Taylors Ferry Rd. extension. Describe: Page 2 2 c City /State /ZIP: Portland, OR 97219 Each additional inspection over allowable in any of the above I Per inspection 62.50 Phone: (503) 293 -3060 Fax: (503) 293 -3061 Investigation per hour (1 hr min) 62.50 CCB Lic.: 163299 6X liIs' Electrical Lie.: C53 VI //41 Suprv. Lie.: 5142S 1O/1`61 -- Industrial plant per hour 73.75 _ ELECTRICAL PERMIT FEES Suprv. Electrician signature, required Subtotal: 73.45 Print name: Michael Rushing ate: 5-21 -07 Plan review (25 % of permit fee): State surcharge (8% of permit fee): 5.88 Authorized signature: TOTAL PERMIT FEE. 79.33 This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. I' T9OE -E6Z -COS AJes Tent -Igoai3 .,latwaJd dTE :IJ LO tz FeW CITY OF TIGARD • BUILDING DIVISION PERMIT #: ELC2007-00350 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/22/2007 Phone: (503) 639-4171 A Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 7/3012007 TIME: 7:02AM PAGE: 23 SITE ADDRESS: 09255 SW CORAL ST CLASS OF WORK: SUBDIVISION: LEHMANN ACRE TRACT LOT #: 001 TYPE OF USE: PROJECT NAME: FISHER DESCRIPTION: (5) branch circuits for bedroom and kitchen remodel. OWNER: FISHER, MIKE & RAND! PHONE #: 503-669-41200 CONTRACTOR: PREMIER ELECTRICAL SERVICES INC M PHONE #: 503-293-3060 Inspection Request Scheduled For: Date: 7/30/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 052983-01 503-887-7526 Y Corrections/Comments/Instructions: cJ F otq 1.Foo_vt* Nil a:1 oLe CAN - ikzo‘Ty vy sof F GeXi t3uuk. 4" \ 'c\s IV \ PASS PARTIAL APPROVAL El CANCEL NO ACCESS , 0 CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: NuLer Date: sot on Phone #: (503) 718- 1416 CITY OF TIGARD BUILDING DIVISION w , . PERMIT #: ELC2007- 00350 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/22/2007 Phone: (503) 639 -4171 Hpu�ii�@�l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/27/2007 TIME: 7:03AM PAGE: 85 SITE ADDRESS: 09255 SW CORAL ST CLASS OF WORK: SUBDIVISION: LEHMANN ACRE TRACT LOT #: 001 TYPE OF USE: PROJECT NAME: FISHER DESCRIPTION: (5) branch circuits for bedroom and kitchen remodel. OWNER: FISHER, MIKE & RANDI PHONE #: 503 - 669.4200 CONTRACTOR: PREMIER ELECTRICAL SERVICES INC PHONE #: 503 - 233.3060 �,� 5 � t Inspection Request Scheduled For: Date: 7/27/2007 Pour Time: � 4 Code # Inspection Description Confirm # Cont t # Message Y \- 'd 199 Electrical final 052847 -01 : 687 -7526 Y 0% Corrections /Comments /In uctions: e AC.C , / PC.Vir .7- P AS I PARTIAL APPROVAL n CANCEL NO ACCESS AIL I f C LL FOR INSPECT ON j ADDITIONAL FEES ASSESSED Inspector: Z LC - Date: - �"` 4 #: (503) 718 -2 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00360 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/22/2007 Phone: (503) 639-4171 itfyi • '�j Inspection Requests (24 Hrs.): (503) 639 -4175 =�� "_.L INSPECTION WORKSHEET FOR DATE: 6/1/2007 TIME: 7:02AM PAGE: 14 SITE ADDRESS: 09266 SW CORAL ST CLASS OF WORK: SUBDIVISION: LEHMANN ACRE TRACT LOT #: 001 TYPE OF USE: PROJECT NAME: FISHER DESCRIPTION: ((5) branch circuits for bedroom and kitchen remodel. OWNER: FISHER, MIKE & RANDI PHONE #: 603-669 -4200 CONTRACTOR: PREMIER ELECTRICAL SERVICES INC PHONE #: 503.293.3060 Inspection Request Scheduled For: Date: 611 /2007 Pour Time: ,) ''_ tt Code # Inspection Description Confirm # Contact # Message , 120 Electrical rough -in 049424 -01 603 -887 -7 ._., r I p I l� Corrections/Comments/Instructions: n� 7I ASS I j P' 'TIAL APPROVAL U CANCEL NO ACCESS I FAIL II ALL .OR P. TION n ADDITIO L ES ASSESSED ..)---"1/ Inspector: Date: 1 Phone #: (503) 718- __ CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007- 00350 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/22/2007 Phone: (503) 639 -4171 jI �it ' Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/31/2007 TIME: 7:00AM PAGE: 25 SITE ADDRESS: 09255 SW CORAL ST CLASS OF WORK: SUBDIVISION: LEHMANN ACRE TRACT LOT #: 00'1 TYPE OF USE: PROJECT NAME: FISHER DESCRIPTION: (5) branch circuits for bedroom and kitchen remodel. OWNER: FISHER, MIKE & RANDI PHONE #: 503 - 669.4200 CONTRACTOR: PREMIER ELECTRICAL SERVICES INC �� C PHONE #: 503-293-3060 Inspection Request Scheduled For: Date: 5/31/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 049330 -01 503 -887 -7520 Y C� Corrections /Comments /Instructions: PASS I PARTIAL APPROVAL CANCEL I I NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: uv ® Date: 31 Phone #: (503) 718- v114k