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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELC2007-00243 DATE ISSUED: 4/17/2007 T;IGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 102 D C -00503 SITE ADDRESS: 08995 SW EDGEWOOD ST ZONING: SUBDIVISION: EDGEWOOD LOT : 012 JURISDICTION: TIG PROJECT: ABBOTT Project Description: 1 branch circuit to AC RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0.00 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 o 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: 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: TERRY ABBOTT OWNER 8995 SW EDGEWOOD ST TIGARD, OR 97223 Phone: 503 - 684 -4129 Contact #: FEES Description Date Amount Reg #: [ELPRMT] ELC Permit 4/17/2007 $46.85 [TAX] 8% State Surcharge 4/17/2007 $3.75 Total $50.60 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 By: � _� / i � / Permittee Signature: / \( i Z��i�- 1 7 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. - Electrical Permit A lie �'' �I 6,1..0 e I; �f,ti t=om J .O, 1 �� ' ' �� r� ' �t, r>r ri �i i8 ti FORO k O�LI l, k 'i .7& °# tt i .: s a_ > .k t f F "e w iix # ,. , 5 1 .. lr.. �, ^ Cit of Tigard ceives y 3 r L. D Re ate/B . / O 7 Permit N.56474491 0 �.2�3 11 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie Phone: 503 639.4171 Fax: 503.598 Other Permit .iy�kri , " r}I Inspection Line. 503.639.4175 Pirk 1 , 2007 Date Ready/By ® � Page 2 for TIGAiR,D; g 0cnId; 7! , Internet www.tigard - or.gov Noti fied/Method Supplemental Information ; �, '."�+.Y'^ : yT. ��„ rr ,-t^`u:'`�4.'..�Y)J,_ ^ ^ &t',?�, t -? „� 5 ` ::'F'° 4� ?i' > e- ✓x' •, e: .,,� ,, y`; .. �,� r,� ^ x>>(•'. .� 'ff: '_r„,tcy: ii ` .rn. *TIPE " - - k:',44; ' &04,.. .. " , ?` , 3 x4: A'Al;' REVIEW - s :47 y.. r �. •� ��trr .. �x�t: . �, at; �sx»..��, .�1..<. - e,•�I, °'�-., �: �� „ � =�,, r .. , .._- - .,�. ....... _��'" �a�,�,h;��«..� ❑ New construction ❑ Addi th/RI6r �t ltVefllCnn rctlr () l'. Please check all that apply (submit 2 sets of plans wfitems checked below) ❑ Service or feeder 400 amps or more ❑ Building over three stones. ❑ Demolition Other: where the available fault current ❑ Marinas and boatyards. ' a ; 4 COIYSTR GTIO i∎I' f • 1, .z * A mr " ix; ` ,CATEGO O " U g {' - .s f i p . .* exc eeds 10,000 am ps at 150 volts or ❑ Floating buildings `� less to ground, or exceeds 14,000 ❑ Commer ©al-use agricultural 14 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump ❑ Installation of 75 KVA or t n, dry ri 4 ,w. 3. •sz.- .•.,, >, ❑ Emergency system larger separately derived system 1 .4 "'' ' * * , ,,:: ` : Jodi TE�=`.,INFOR,MZATION� AN D LOCATION(,;, °' ° 1, p '' s - , , .:a , A _ ... _ .. _ t t , ❑ dd of new motor load of ❑ Job no.: Job site address: f"iRS .J 5 Ect l e,�c� d e 51 ❑ Six or m six or m rmore c more residential units ❑ Recreational vehicle parks City/State/ZIP: / 1 ore q7 2 z3 0 Health care facilities ❑Supply voltage for more than ❑ Hazardous locations 600 volts nominal. Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more. ti f" ,�: k i: '^yea., sa - ` > * •a° ��* +,�` a <, � f^ ,,.:?FEE'aSCHE1QIJIE;•�' t �;k °, v �•.�� y , i Cross street/directions to job site: e s ci � � I � o t "`���'�' •" t j D hi a r<r. Description I Qty. I Fee. I Total I • New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Tax map /parcel no.: Ea. add'I 500 sq ft . or portion 33.40 1 Limited energy, residential fie.` at„s s y_5 �G 4 _� a ::3•'.••, 75.00 2 �• " .�, -° ) ��e1DESCR11PTlON OR ��WORK nit�� = ,,, , p , � "1 „ ,., • ? � ������. (with above sq ft.) C /a /� Limited energy, multi- family 75.00 2 � i r C, 1/4.4.1 t � S-le �S (Ov 'f ov 1�1 G residential (with above sq ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 �'�' it 'Q' "�� a,���x �•1"�l�u•c:x �+ c ' "( ,•. / •;PR �.,: .r_ _, '�d . � 4 ;`.❑ ,TENANT'y "A "•" n,_ t :;; � �' �- r OPEBTl' ^sO i �� � u . � �; 201 amps to 400 amps 106.85 2 Name: i J erry A b (20 401 amps to 600 amps 160.60 2 pc �/ 601 amps to 1,000 amps 240.60 2 Address: f l S .50 d ei c I-) anJ .t Over 1,000 amps or volts 454.65 2 City /State/ZIP: 7 ' 1 , j D V eC u es 17z 3 Temporary services or feeders installation, alteration, and/or / relocation Phone: (so 3 ) 68 if - if( Z Qf 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, leas - . ore. ch. g- according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133 75 2 / / Branch circuits - new, alteration, or extension, per panel sign y Owner +n ature: r 4.as/ Date: 7- /7 -o A Fee for branch circuits with r a ^ ❑'fAPP oANT , : ,;iw4, :,,' � Y x ' ® - --, , -- , ,RSOIV'„., ^ .• • "k above service or feeder fe 44, �� . _v �1. �5 ;��, 1 w � ., - .. � `� ;,�a� b i fee, 6.65 2 each branch circuit Business name: B. Fee for branch circuits without service or feeder fee, Contact name: / 46.85 il/ 2 first branch circuit I ry Address: Each add'I branch circuit 6.65 2 Miscellaneous (service or feeder not included) City / State/ZIP: Each manufactured or modular 90.90 2 Phone: dwelling, service and/or feeder ( ) Fax: ( ) Reconnect only 66.85 2 E - mail: Pump or irrigation circle 53.40 2 'y i. t ' _ _ )I rat` `_. t Ar r 5 . r ., 3,' ,� € 1 ai.� 6i•Y°k'. - u.�. "= ``� ° :n' •r iM,, :,i �.`:r. 7�;�i:'r' >`t; °�.:'. �` s, ^ , �,.;' tr�::�,.. t. .��,, Si or outline lighting CO1V`I'RACTOB_ " „ �,� " �s�•- ,s�.,;• �, Sign o e gh rig 53.40 2 Business name: Signal circuit(s) or limited - energy panel, alteration, or Address: extension Describe: Page 2 2 City / State/ZIP: Each additional inspection over allowable in any of the above Per inspection 62.50 Phone ( ) Fax: ( ) Investigation per hour (1 hr min) 62.50 CCB Lie.: Electrical Lie.: Suprv. Li c.: Industrial plant per hour 73.75 't, * +r', i ' %a.ELECTRICAU'`PERMITs,FEES 1, ;vr.w:re ,1i' '' Suprv. Electrician signature, required: Subtotal: Plan review (25% of permit fee). Print name: Date: --IA surcharge (8% of permit fee): 3. Authorized signature: TOTAL PERMIT FEE• 10 This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. • Number of inspections allowed per permit- I \Buildmg\Pennits\ELC- PennitApp doe 0523/06 450 1615T(I 1/05 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: Fee for all residential systems combined .. $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other. MOIVIMERCIAI %.*:0- sONLY WIPR:3R ` ' Fee for each commercial $75.00 system (SEE OAR 918- 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: _ *No licenses are required. Licenses are required for all other installations I \Bwldmg\Permits\ELC- Permit App dot 03/23/06 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC1007 00143 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/17/2007 Phone: (503) 639 -4171 / u�� �VI +I� Inspection Requests (24 Hrs.): (503) 639- 4175�L f INSPECTION WORKSHEET FOR DATE: 4/18/2007 TIME: 7 :00AM PAGE: 49 SITE ADDRESS: 08995 SW EDGEWOOD ST CLASS OF WORK: SUBDIVISION: EDGEWOOD LOT #: 012 TYPE OF USE: PROJECT NAME: ABBOTT DESCRIPTION: 1 branch circuit to AC OWNER: ABBOTT, TERRY PHONE #: 503 - 684-4129 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 4/18/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 046693 -01 503 -684 -4129 N Corrections /Comments/ Instructions: PASS I I PARTIAL APPROVAL n CANCEL ❑ NO ACCESS I I FAIL I I CAL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: [ Date: // (/ 6 Phone #: (503) 718 -