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Permit CITY TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00303 DEVELOPMENT SERVICES DATE ISSUED: 5/5/2005 � �h 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 114 BA -13700 SITE ADDRESS: 16280 SW COPPER CREEK DR ZONING: R -7 SUBDIVISION: COPPER CREEK STAGE 4 LOT : 102 JURISDICTION: TIG Project Description: (3) 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: 2 . 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: LARKINS, JANIS L + SHARON A SPARK ELECTRICAL CONSTRUCTION 16280 SW COPPER CREEK DR 4508 NE 123RD TIGARD, OR 97224 VANCOUVER, WA 98682 Phone: Phone: 503 - 701 - 7822 FEES Reg #: LIC 143886 SUP 4394S Description Date Amount ELE 26 - 9970 [ELPRMT] ELC Permit 5/5/2005 $60.15 [TAX] 8% State Surcharge 5/5/2005 $4.80 REQUIRED ITEMS AND REPORTS Total $64.95 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 • • - 63.e in accordance with approved plans This permit will expire if work is not started within 180 days of issuance, or if work is susp- ded for more t 180 days ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility N5ift'ation Cen -r Those rule are set forth in OA 95 0: II through OAR 952 - 001 -0100 You may obtain copies of these rules or direct quesfie s t• e r'y at 503 246 -6699 o 1 -800 -3 344 Issu:d By: I. • PermitteeSignatur OWNER INSTALLATION ONLY WA The installation is being made on property I own which is not intended for sale, lease, or rent OWNER'S SIGNATURE: DATE: CONTRACT,OrINS .1.,y + SON ONLY i - - ,♦.ice �/� SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: 1 Call 503 - 639-41 5 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. Electrical Permit Application . tT� = iii - t FoR OFFicEtUSEroNLYd �.� a '" : ' ' r '* , r Kt ■ , , 6 r , ,r , Ci t rn : t ,r ? _ City of Tigard Received r J Permit No: LI 00S 13125 SW Hall Blvd , Tigard, OR 97223 Plan Review / Phone 503 639.4171 Fax 503 598 1960 y/�,> hill ' Date/By• Other Permit. Inspection Line 503 639.4175 ...( 41 , 1*. eAL• : ,, Date Ready /By Suns El See Page 2 for Internet www.ci tigard or us Notified/Method a Supplemental Information TYPE OF WORK PLAN REVIEW ❑ New construction Addition / alteration /replacement Please check all that apply: ❑ Demolition ❑ Other: ❑Service over 225 amps, comm'l ❑Hazardous location EService over 320 amps - rating ❑ Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential E( and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure El Multi family ❑ Master builder El Other ❑Building over three stories ❑Feeders, 400 amps or more ❑Occupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION C ❑Egress /li plan RV park ❑Health -care facility ['Other Job no.: Job site address: Z D S�� ��� w �e G �, Submit 2 sets of plans with any of the above City /State /ZIP: `,rq .,q r — '7 2 2 >.' The above are not applicable to temporary construction service. Suite/bldg. /apt. no: f Project name: i 1 t,.. C) FEE* SCHEDULE Description Qty. Fee Total Cross street/directions to job site: / 2 cite C2 e .,, Ey ' .. rle New residential single- or multi- family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145 15 4 Subdivision: Lot no: . Ea. add'l 500 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 r.e--.2 e'- t 1 � Services or feeders installation, alteration, and /or relocation 200 amps or less 80 30 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160 60 2 Name: k.A 1) �/ 1 601 amps to 1,000 amps 240 60 2 Address: �`� f ` 1 F , 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: ( ) 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 600 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel ❑ APPLICANT ❑ CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each Business name: branch circuit 6.65 2 Contact name. B. Fee for branch circuits without service or feeder fee, r 46.85 44,g‘ 2 Address: each branch circuit Each add'l branch circuit 2- 6.65 , 3. 2 City /State /ZIP: Miscellaneous (service or feeder not included) Pump or imgation circle 53.40 2 Phone: ( ) 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. � C ` � � f`� ,yam £ ? ^/ Each additional inspection over allowable in any of the above Address: . S Dy ,r./� /2 zfr, cie,C 44-?..z, Per inspection 62 50 City /State /ZIP: C..a... y (.L ,/ � Investigation per hour (1 hr min) 62.50 Phone: (cog) 7 of „ 7,-IT Z Fax: (34 .-P — V 7 '' Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES* CCB Lie.: / Y_�,4'e Electrical Lic.. 2G - 9; ( Suprv. Lic - ? 9 xi`l Subtotal 6 ! S Suprv. Electrician signature, required. 4.1r Z.. ' , Plan review (25% of permit fee) • Print name: U �. D ate: �J / ! State surcharge (8% of permit fee) y w v! , , L•74 /o,( ,� TOTAL PERMIT FEE ,, q Authorized signature. ,,,,- �� . This permit application expires if a permit is not obtained 5vithin 180 � � l days after it has been accepted as complete Print name: L /r' X 4 4 %_ r ,././4/.1., Date: Z2 17,3* - * Fee methodology set by Tri County Building Industry Service Board ** Number of inspections per permit allowed i .\Building\Permits\ELC- PermitApp doc 12/03 440- 4615T(10/02 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information - '- LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined ... $75.00 Check Type of Work Involved: I Audio and Stereo Systems* Burglar Alai_iii Garage Door Opener* I I Heating, Ventilation and Air Conditioning System* Vacuum Systems* Other: COMMERCIAL WORK ONLY: Fee for each commercial system $75.00 (SEE OAR 918 - 260 -260) Check Type of Work Involved: Audio and Stereo Systems n Boiler Controls I I Clock Systems Data Telecommunication Installation Fire Alarm Installation HVAC y I Instrumentation I Intercom and Paging Systems I Landscape Irrigation Control* Medical Nurse Calls Outdoor Landscape Lighting* I I Protective Signaling I I Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations \Bmldmg\Permits\ELC- PermitApp doc 04/03 II IA- CITY OF TIGARD Lkti, 41-4 ' BUILDING DIVISION PERMIT #: ELG200"rO1303 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/6/2005 Phone: (503) 639 -4171 / / iv�di�n��lh ili Inspection Requests (24 Hrs.): (503) 639 -4175 „_' INSPECTION WORKSHEET FOR DATE: 5/12/2006 TIME: 7 :08AM PAGE: 71 SITE ADDRESS: 162130 SW COPPER CREEK DR CLASS OF WORK: SUBDIVISION: COPPER CREEK STAGE 4 LOT #: 102 TYPE OF USE: PROJECT NAME: LARKINS DESCRIPTION: (3) branch circuits. OWNER: LARKINS, JANIS L + SHARON A, PHONE #: 1 CONTRACTOR: SPARK ELECTRICAL CONSTRUCTION PHONE #: 503- 701 - 7822. Inspection Request Scheduled For: Date: 5/12/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message ll 00 199 Electrical final 006692 -01 503- 701 -71322 Y Corrections /Comments /Instructions: ((,..- PASS ❑ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS n \\ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 4,2 Inspector: Date: Phone #: (503) 718-