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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00212 DEVELOPMENT SERVICES DATE ISSUED: 4/1/2005 Ai l 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S110DD -00400 SITE ADDRESS: 10985 SW DURHAM RD ZONING: R -7 SUBDIVISION: WILLOW BROOK FARM LOT : JURISDICTION: TIG Project Description: Alteration of existing 120 volt service. Job # TG25A1. 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: FOWLER, TRACEY DRYER ELECTRIC INC 10985 SW DURHAM RD 9409 NE COLFAX ST TIGARD, OR 97223 PORTLAND, OR 97220 Phone: Phone: 503 - 771 -5667 FEES Reg #: ELE 26 -1 i42C Description Date Amount LIC 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 13:43 FROM- T -933 P.017/043 F -594 2/01/2005 15:12 FAX 5055981960 Lail ur iiunaur • I�ec lric�l P lit Application �: t1S o.� 111. x (2ityofTi 'lard Rai r � Parmir24e.: - "t125 SW Nall Blvd., Tigard, OR 97223 FJ.an 'Review one: 503.619.1171 Fax: $03.548.1960 +' ^.:•v l \ Dnu/By: Other Permit _J J '�ispection Lint :, . 503.1139.4175 :;.w 1 . 'Date Ready/3y: - ' . ' Jr us. 7 Sec raga 2 far :ntemet: wwve':ti tigard.or.u.s Noti$ed/Mothod: ' Supplamont,Il information J ' I -1r 1 1 7 J- 7!J l' ^)75W} F 01 - I. 1 r , JJ� N� 1 f:1••r+ -.: •_ j _ t)1 -I - l r - .' .. t . : t ` f ail t ' „ -1 I. J1 r *,, l' • � , 1 : LI: t.; i1„ rw, L�..�..:BlrL..1a.41 I��: •,. � I_�f.�. l ='� * 1W: .. ••r._.: �... • .. • '7 New Cops Iry ction ■ Addition/alteration/replacement Please check sit rho. alP1y: _ DCmol c•n D Other: ve- 320 amps, comrl'1 © Build oi 101000 eq. fr., 0S-vice o n p - r r I i r - ,7 i 3,�� l s SO over n g _e2L ... ® • • .\ r _ . I. r 11 1 ..;'-_ 1i J�. 1 � IL , }. i7 4 1 i t lei l c, ? _01,!,,iig o +•1- and 2.fiitl y0Weltings 4arrr:ore hawresidtnnal IL] - ! ' CiSyatem over 600 volts norninal 1 211'S 102 One se- ocr'itre 1- and 2�iraaily dwelling • r Commercial/industrial 0 Accessory building ©Building over slu stories ❑Fenders, 400 amps or rtorc ivfultl fact it • 0 Master blinder 0 Odra _ Ntaut aeci ted structures or 1 : 1 "11 •.�_ -, , Occupant lose crl•xc 99,per �• 1 t is 1 1 t i i r RV. park 1 � _ . _._ . .... .`:. Egre • earth -care facit ty C10the:: k\ ■ �b no.; Job site r dress: �� a �I 9, nit z sets cfpil.n. with any of the above. . - iy /State /2'T• ?_ v tl/ \ _ The above are not a;1p?icable to temporary stru; cenetion serv,ce. ��i 7797,:7:77..1-7':•-::.:'. .:r » .+_,.:.-+. "{ Ir ^,YS^z•f•7-"'r.._.' lilte/bldg. /apt. RO,' P eject names: ! t 1• ...-_:._...;::,. t sa :.�wr: neterip490 l Dry. Fit. 1 Tout foss sireet/cirectiolas to job site: Ncw residential single:- or multi•frlmity dwclliof unit- - -- -- - - Includes attached gut age. _ 1,000 sq. ft. or leis 145.15 ; 4 abdivision: Lot no.: Ea. add'1500 sq. 2.or portion 33.4C. • 1 Limited energy, iesi4 :ttial 7S.0C; 2 ax reap/parcel no -: ' Limited �.fi non Li ted en : rnsi.dential 75.0d 2 - - f.i" •'r; aC ,:a' --- r; :,: pet „ ^nY' ; :' , ' Ham' 1 t -"L'' r ' ' . Each mono ac'S;r:d )T :nodular • dweilin :, sery re 607 �'or feeder 90.40. 2 I � L '�'�• ��/I � _ 6 _ Servtces or feedl;ra installation, ait and/or relocation '"� 200 amps or less ____ 80.301 �tft '�"h 2 'r ■ • .r � /. / t , 1 Al 201 amps to 40 ar 106.85 - U r : , t .._ .. . • • _ -._ + • 401 amps w 600 arnp 160.60 2 3lne: .., y .e ! :m. 1 0 LL . . 601 amps to 1,000 t.cnps MI 240-60! ! 1 2 Over 1,000 sees__ __ voIts III. 454.65: 2 address: /o ? u. 2r -1:4_, [ A� -- Reconnect on l MI 66.85. 2 . ity /State/ZE': Q'� 4 f� _ Temporary sea-v or feeders installation, site +ation, and/or home ( ) Fat. ) �"_.� relocation 200 amps or less - - — 66.851 I` .)wmer !usual la dou: This installation is being trta4le ott propett'y that I own which is not 201 amps to 400 an 1 100.30; 2 ritended for r alb:, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 arnps 133.751 i z a r signet tang Date: Branch circuits - rton•, alteration, or extension, per panel r i u 1 , `.?• 7F - 7 -7-7:: A. Fee f orbrar,ch cir cuits with I t I !,r h p service or feeder fee, each i 6.65 2 r:usiness ¢ante: branch circuit __ ---,----- -•- - B. Fee for brartct cif cuits ontact RUM; :; wirhour servic: o: cc:eder free, 46.85 2 -- each b ranch. circa it _ .dress: Each add'i branch c,rcait 6.651 2 i icy /State/Z1 ?: Miscellaneous; (;:e1•_'hi or fouler pot included) , Pump or irrigation circle 5340; T 2 l>g11e: ( j - Fax: : ( ) 53.40 1 2 ��- Sign orocttint litLc�l: �_= n Signal cirouit(s) orl.rnited- r v �77-7774-0717:1'-.17:7-'77:''.1....-N-41::: r' r r - 1 ' r T . )pa4 energy panel, ill riiil Mt. ur " ._ .. r_.,.., ..r.'_ ,_�f . y : :' - extension. Des. L Page • 2 us iness antic: - r . / i _ ra . ._ .. ... -_ 1-ddress: _^ / L�. t`r ii? '�� l � Cit. F ach additional 111,4,ction over allowable in aty or the above i�� Perinspec6ac I 1 62.5C,! ity /S #ate(2I ?: ' �� ` J ' r f } + IP � - Investigation tier hour (1 11r ItZT j 62.50 1 Irdtttl4ial :IQ t Per itv.ir 73.75,1 / i -"r_.--46 �L /— f ; I r;,l a `4._E :'�r :e;ls,,... : 7ci5)r ^. fr :a. - r;.YS. :_ :CB Lie.: Electrical Lie.: , -- 191 Suprv- Lic.: � • / i - subtotal ' 10. d 6. .tprv. Elect ioi an sigtla re, required: la...,..r Finn renew (25% of pctrrtit fee) . ,„ - { i state :Au-charge (8% of perrldt :'ec) k _ „ ti2tt name 4 �j� D TOTAL IERMf1' FEE /a 1 �` kuthorized s.gr Laura: ThIa permit nppIlrit ion exptree ti a permit is doe oboain e3wtth' n 1 a �/ dnys ar:tc: It bra bccu accepted as complete ' - ant Damn: _ I Date: 7 • Fee eeeticodo toffy list E Tri•Cotulty lluilding lndustryr;ierv:ee Board — _ • • Number cif tesp:ecit per permit allowed. - . t3 PalniNpp.doc 11/03 440-4a 1sT(1oro2/COMlWea CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC200S -00212 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/1/2005 Phone: (503) 639 -4171 : ii �� li Inspection Requests (24 Hrs.): (503) 639 -4175 .--- INSPECTION WORKSHEET FOR DATE: 4/$/2005 TIME: 7 :10AM PAGE: 39 SITE ADDRESS: 10985 SW DURHAM RD CLASS OF WORK: SUBDIVISION: WILLOW BROOK FARM LOT #: TYPE OF USE: PROJECT NAME: COMCAST DESCRIPTION: Alteration of existing 120 volt service. Job # TG25A1. OWNER: FOWLER, TRACEY, PHONE #: CONTRACTOR: DRYER ELECTRIC INC PHONE #: 503- 771 -5667 Inspection Request Scheduled For: Date: 4/6/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 004118-12 503 - 516-3125 N Corrections /Comments /Instructions: • PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: //kit-64 Date: 7 —(do — ©J Phone #: (503) 718-