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Permit
CITY OF TIGARD ELECTRICAL PERMIT r + PERMIT #: ELC2005 -00208 -..,, " DEVELOPMENT SERVICES DATE ISSUED: 4/1/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 25111 DC -14600 SITE ADDRESS: 09105 SW DURHAM RD ZONING: R -7 SUBDIVISION: STUDIO ESTATES LOT : 004 JURISDICTION: TIG Project Description: Alteration of existing 120 volt service. Job # TG27d4. 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: 1 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: HINTON, MARK & REBECCA DRYER ELECTRIC INC 9105 SW DURHAM RD 9409 NE COLFAX ST TIGARD, OR 97224 PORTLAND, OR 97220 Phone: 503 - 443 -1857 Phone: 503 - 771 -5667 FEES Reg #: ELE 26-1142C Description Date Amount L1C 153466 SUP 2876S [ELPRMT] ELC Permit 4/1/2005 $80.30 [TAX] 8% State Surcharge 4/1 /2005 $6.42 REQUIRED ITEMS AND REPORTS Total $86.72 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: 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. 03 -30 -2005 13:55 FROM- T -933 P.031/043 F -594 2. '01/2005 15:12 FAX 5035981960 t,tlx ur lillziw E Perm Application . yn ,�: CIS(: ti 1 111.1' • 1. it, of T iglard 7, ealiveQ 1 A A if Daloffi , — I 0 . ' 6) J'crm� it'tv'o. t 00 y– ' +125 SW Hall aive_,'rlgdrd, OR 97223 aaReview — xi 503.6: 9.x.171 Fax: 503. 598,1960 d?.a: "' "'x .. r.. 'r \ Da rc1A : Otl ec tion Li a:, .903.639.4175 '1 _-� `--cis . Pate ReadyB eu : — see Page ',2 for ••'" I p I C r �zLimner: v✓wN ei dgard.or.us Notlkad/Motbvd: ^ R ' Sf Sbpptemonctit information : 7.7,4g,.;:.-..;,:, 1 S_ni 1 I a i -'£ "' , �? ;{ . �� �..r' v ,tn , ... ....,... , .,...�.. _ ... ,, ,._.....:...v. 1. i.r ! .. `.J!.M� 1- :.li;,Pi � Ikt2 L'I i { ` ' � ° r' 11 . s _ . :.. 1 New cons try scion • Addition /alteration/replacement I Please check ell ay. apply: Demolititn 0 Other: over 223 31:,ps, corni '1 Cl•?azardou! location Li ® _- - r r: r t., ; ,,t- �• . :. (, :�, .:Serviceevtr -ra5ng ©8uildago'er 10.000;q.f:., r r ) : ) . 2 ' . 1 ._....' ' .: ` ' . 1 , t :..�. - ki ter r +fie vs of I- and 2-family dwellings 4 or more ;new reside:n:131 _ CI� _t, ..... . 1 ' i �^ ' .. , 1 ,lei.__.- a -. .3'1- and 2.iattily dwelling 71 Commercial /industrial 0 Accessory building rziS over 600 voits nominal unis in or ;e strucrux: Multi-fa/2 ' Q klester h aildar [] OthCr; C lBuilding of er three, stories :Weeders, 400 amps or mom _ , ,, .. ; . h ,, , _ ia -- ,.,r - _ ., .. ,,; ❑ Occupant toss. trier 99.pvr•sons . ❑Manufacnlred structures or , 'r.''::::,:-'1'5".,:;r7„� ' .. : 11 1... __ ' 1 7 ,-, -, • ❑Egress /lighaa;p,au RV. pack i DO.: Jab site dress ' . �n� (� DIleIIlih -care facility lCltllet: TVA ' — - �►-'� 5ubin t 2 set oJ'�,tu1: with any of the above — Q - ity /State /2r'_ ag 1 _ � The above ate nor a•,piicable to temporary constNction service. _ - ._�r.... x ls =s.; -- ... ..AitPlbldg. /alit, W.: P •4jeatnazrle: 1 :i;_I_ _ ■ A ! i �ty ;1;* : ,. i;!-)4 a : :.,.. - ' -- New Foci Tarsi sass street , /c irections to job sitar � Ncw reyidential sir,g(i�• or tnultf•faltuly dwelling. unit Includes nttauhcd gar age. 1,000 sq, ft. or less - -- 145.15 ; 4 T •�.—..-.. T.__-- E a. add') :,q. ft. or portion _33.40' i rbdivisian: Lot nu.: ,_ •. Limited energy( reside:Ma] 75.00; 2 zx map/parcel no. r i L 01iled energy, non-- rtsidadial 75.00' .. • � ....... : .. .. ` ...,_ .. ,, �.._., _,', Each metro o read A . modular /1 r tea r memo S _ dwnaern ellic 90.90; 2 l /. ' Services Or fe {13TS installation, alt•ratiou, and/ r relocation I u f ir i ,� �1' 200 amps or less j mu S02 r i ! : ? 201 amps ro 4110 seeps 106.85: 2 : :: >. .... t .. .. . ... , L - ... _...... '41'. .. , ...,., 401 a171]s CO 600 arnps 160.60i I 2 3me. 0 AAA 1 8" °r u - 60I amps to 1,000 amps 240 -60 ' 2 Over 1,000 steps br volts 454.651 . 2 address' _ op log Jot --- 66.851 2 Reconnect only icy /State/2D't�� A_ /22 - t -, CO_ q 7 7-'7 _ Temporary service l or feeders installation, attel•ation, and/or : ' 11°2e ____ '► -I4 Z $ S 7 7 Fax: ( ) relocation __ -- 1 — ZOO amps Or 1055 66,85! (7wner 1nstalla 11our This installation is being made on property that I awn which is not 201 amps :0 400 afar; ( 100.30' 1111111118 : itended for t a1 , Icasc, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 arms 1 133,75: )wnvr signet= r, Date: Branch circuits awn', alteration, or extension, :per panel +l ; . 4 r I' 1. j; i` 1 . Fee #'orbrsr.ehcilevitswith 4 I' A �� " ... . !.. , ...:. :....... :...._.. ._ . . .. • ... . . . ._._c_; :- - -y - ,_ ...,.. .. or rued error, each 6.65 service I . 65 •usiness nacre: branch circuit _ - - -„--°-- 13• roc or brar,cb. cu on its ontact RUM:: ,without smile' „o: .;rmder fee, 46.85 2 each brand.. circuit _ -. ddress: Each add'i branch ,h resit 6.651 _ 2 -1 icy /Stater ?: • MisceUaneou:: (;, or feeder pot includes() , - Pump or i- -r'igaacn circle 53.40 12 - holler Fax : _ 1-277 51817 or vutlirir lig],t; i,; - ..._ rstath Signal ciTQUitb3)+�ri:Tr i L .._ , rr ' r - , , , 1 *� r r�'rg. 1 .,13•: energy panel, dltlralinl,, or I . :: .. ._. : ..:... . ALL'_- ..... -'. extension.l7Sor:.be. page2 2 •.ddress: 'L � P %lla f . �li M Each additional lie :.ptctlon over allowable to ally of the above I V � � �r Per inspeetior. ^ -_ 1 I tit -SC: • icy /State /Z1?: . i ' �L � ♦ / f i Investigation per hour (1 hr rein) I I 62.50 i I ho e: ” : _. •_ Industrial •lantF 73,75 �' + _ _ � r i +r +"�I/1 L — �b r: l I i('::Tii:7:a,;ir su,;;��. - ,.. ,p,! ti;_ ..CB 13lecutcel1.. — Suprv. Lie _, _1_ l +rrJ 46 'spiv. Electrician sic , required: T Plan re ric x (25% of p_ alit fee) ---1 .- Al" 1 Date: _.'_- 3: ale st trcharbe (8% ofpealrill fee) e) . I1 :• , , — -- ' `� :int name • f`� -') -- � - � /�_�" �'" s,)' TOTAL FEER'1vn 41 4.12thori7td a partite This permit atipUcal lo;a expires if a permit is ace obt within I :o -T- day; sGair lrher bccu aceeprad u complete 'riut name: I Date: ` Fee eaethodc ton n u t: y Tri- County Sundins lndtistry Service 3oard -� :''lumber o.iesp :aq'ra per permit allowed. •- .t!ding\Pmslita ;C rirnill pp,doe 1:1Q5 44o.4s■ st(rao ✓COM/WEB CITY OF TIGARD z . BUILDING DIVISION PERMIT #: El_C200s00208 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 4/1/2005 Phone: (503) 639 -4171 ta �,ii4V��lp ' Inspection Requests (24 Hrs.): (503) 639 -4175 � L . INSPECTION WORKSHEET FOR DATE: 4/8/2005 TIME: 7 :10AM PAGE: 21 SITE ADDRESS: 09106 SW DURHAM RD CLASS OF WORK: SUBDIVISION: STUDIO ESTATES LOT #: 004 TYPE OF USE: PROJECT NAME: COMCAST DESCRIPTION: Alteration of existing 120 volt service. Job # TG27d4. OWNER: HINTON, MARK & REBECCA, PHONE #: 603.443 -1857 CONTRACTOR: DRYER ELECTRIC INC PHONE #: 503- 771 -5667 Inspection Request Scheduled For: Date: 4/8/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 004118-26 603 -616- 3126 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /1j2-11"/(4A Date: 1 — ivp -QS Phone #: (503) 718-