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Permit .� CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2007 -00571 COMMUNITY DEVELOPMENT DATE ISSUED: 8/15/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 25111 AB -01700 SITE ADDRESS: 09230 SW ELROSE CT ZONING: R -4.5 SUBDIVISION: ELROSE TERRACE LOT : 013 JURISDICTION: TIG PROJECT: BEARD Project Description: 3 branch circuits. AC, furnace, GFI. 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: JOHN + LYN BEARD WEST SIDE ELECTRIC CO INC 9230 SW ELROSE CT 1834 SE 8TH AVE TIGARD, OR 97224 PORTLAND, OR 97214 Phone: 503 - 639 -6882 Contact #: FAX 503 - 736 -0677 PRI 503 - 231 -1548 FEES . Description Date Amount Reg #: ELE 26 -135c [ELPRMT] ELC Permit 8/15/2007 $60.15 LIC 13306 [TAX] 8% State Surcharge 8/15/2007 $4.81 SUP 4654S Total $64.96 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: Permittee Signature: eti .C,64"I! fib` 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 Application j FOR AFIH'lc'r': ONLY City of Tigard i LTV/ 1 .s 'eceived - - '4 p : • 15 01 4� Permit No. 1 31z5swll aOCilvJ., 'rigard,ort 97223 AUG 4 2 0 0 7 � � ' 7 _ 1 _ o - '- Phone: 503,639.4171 Fax: 503.508, 1960 1'll,n Review !.late /I Sy: Other Pcr Writ; 'r iGARD' luspection Line: 503,639.4175 cow /�� !tale Ready /liy: RM.: See t 'ugc 2 for Internet: www,ti'un1 -or, ov ' v i/s� �' b b T N uJ; I S upplemental lnfurmatlon TYPE OF WORK PLAN REVIEW ` ❑ New construction AdditiUtt /ilheraliott/replacemcni� Please check all that apply (submit 2 sets of plena w /items checked below): ❑ Service or feeder 400 amps or mom ❑ Building over three sinrtes. ❑ 1)clltotilinn ❑ Other: ... where the available lutilt duncnl ❑Marinas and boatyarels, CATEGORY OF CONSTRUCTION 1 exceeds 10,000 craps at 150 voltn or ❑ I::loet,ng buildings. u I - and 2 dwelling ❑ less lo round, or exceeds 14,01x) Commercial /in ❑ Accessory building �' ❑Ci aae3gneUlfUral mps for all other installnliunx- buildings, ❑ Multi-family U Master builder —..,_ -__ ,.w _ ❑ Other: thCl•: ❑ Fire panto,. ❑ trulanation of 75 KVA or JOB SITE INFORMATION AND LOCATION % • - ❑ Luergeucy system. larger separately derived system. 1(11, no.:7 C; rt L ( Jut) silk'. address: Of -1 7 S.(---, / /�, ... O 100111 or more. v uwlo, lead o r ❑ an up, � ' ` Y '" , " - ( C 1 2 "1-3", — - . -i- • 0 Six ur mart. rcaidunual units, El Recreational vehicle parks. 1 City/State/ZIP: ❑ 1lculth - care filit,mm, ❑ Supply voltage for more than —fi c ... — 1 '7 Z.. z , Jl - - ❑ I Lv.uduus bur unons. 600 volt, nominal. Suite /bldg. /apt. no.: Project name: } /A775/ J , ❑ ti � , 1 . t 7 ervr cur Iceder GW more. amps or more. -_ Gross streCt/tlire'L'iiUlls to job site: - ,_ FEE SCHEDULE Urr t•al 1 Qcy 1 der. Tolnl - New residential single- or multi - family dwelling unit. - Includes attached garage. 1 Subdivision: T,ot no.: 1, 000 sy. f(. or l ess - I 145.15 4 — CaX Itutp /parcel no.: -- — - P add ') 500 .it-{, (t. orponion I 33,40 Limited energy, residential DESCRIPTION OF WORK (wid,:,lk,ves, t1. 75.00 2 (3') *(r ( � f T /' i - Limited energy, multi-family T 75.00 2 S .. �•- (., C F .41 v n e z . . . C e N 6 1 1 114'• i t . L . - 4 _ residential (with shove sq. (IL .. ._ Scrviccs or feeders installation, alteration, and /or relocatioi — _... • 20(1 :imps or less 80.3(1 2 V PRO PIrR'L\' OWNER 201 amps to 400 amps ,. 1(}6.85 2 -, ❑ 'fF,NANT amps Name: Name: 401 amps to 600 amps 160.60 2 6 amps to 1,00(1 240.60 2 Address; (( (iv. Q . _... _ -- 7-c 5_.. Over 1,000 amps or volts _ 454.65 2 City /State / "Ill': Temporary cervices or feedet•s installation, alteration, and /or • r 3 ) m 4, 3`I —.65 3 2 Fax; ( .) 200 .Imps or less 66.85 1 Owner instolla(ion: This it is being made on property that 1 own which is not 201 amp w 4110 amps _ 100.3 2 intended for sale, lease, rent, or exchanl e, accorduig to ORS 447, 949, 670, and 701. 401 unyt d, 59 ;turps T 133.75 2 Owner signature: Branch circuits - new , alter;,ltion, or extension, per panel - - - -... Branch - -- _._ A. Fce for branch circuits with • T APPLICANT ❑ ' 0 CONTACT PERSON' above service or feeder fee, — -. _. 1 __ 6.65 2 each I)e, uch circuit 1 name; _ L3. l c for branuh circuits Contact Larne: without service or feeder fee, l ( f �5 2 - J first horich circuit 46.85 `7C� Address: Ilaclt add'I branch circuit " _ 6.65 3 0 2 — ' ' " ' - - Miscellaneous (service ot• fee nut included Ciiy /St to /7.,11' Ihich m;ut :taeturod or modular - 90.90 2 " dwelling„ service anti /or feeler Phone; ( ) Fax:: ( ) . , Reconnect only 66.15 2 E -mail: gleong(i' )westsideclectric.colu Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting _ 5140 2 Business name: West Side Electric Co., Inc. Signal circuit(s) or limited- •• - r - energy panel, alteration, nr Address: 1834 SE 8th Ave. extension. Describe: Page 2 2 City /State/LIP: Portland, OR 97214 Tech addition if inspection over allow ;upte in any of the above 503 231 -1548 _ Per inspection ___ __62.50 Phone; ( ) Fax: (503) 736 -0677 hlvcstiKatiun per hour (1 hr min 62,50 - CCB Lie.: 13306 Electrical Lie.: 26 -1350 Suprv, Lie.: 46545 Industrial plant per hour 73.75 — - . ► i — LLLY:TR[CAL PERMIT' I(EL'S Supt'. Electrician r ctrician signaturequired: �' I ©r „ --- _. h - Subtotal: U t Print name: Randall R oberts Date: ,5 f f (-1/ ' an review (25`/0ofpermirrco): ' - .. -' - ,- - State surcharge (8% of permit fee): J l � Authoriz(d signature: _ _ — TOTAL PERMIT FEE: t, (S This permit application aspire. if A permit is not obiu;ncd within 184 Print name: Date: - days after it has been accepted us complete, Nurnl,cr of inspections allowed per permit. i•\ Uuitdingurrnu ;r. \Ci.C- i'em,iinpp.dae 0.03 /0G Yuu.aalsr(I I '0 CoM /will z•d LL90 9EL1E0S) 'o0 o>- 1z0a13 ap'S -sap d6T:E0 LO b'T 2nd CITY OF TIGARD . , BUILDING DIVISION PERMIT #: ELC2007 -00571 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/15/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 . '•'L, INSPECTION WORKSHEET FOR DATE: 8/23/2007 TIME: 7:00AiVI PAGE: 26 SITE ADDRESS: 09230 SW ELROSE CT CLASS OF WORK: SUBDIVISION: ELROSE TERRACE LOT #: 013 TYPE OF USE: PROJECT NAME: BEARD DESCRIPTION: 3 branch circuits. AC, furnace, GFI. OWNER: JOHN + LYN BEARD, PHONE #: 503 - 633 -6082 CONTRACTOR: WEST SIDE ELECTRIC CO INC PHONE #: 503 -231 -1548 Inspection Request Scheduled For: Date: 8/23/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 054530 -01 503 -231 -1548 h! Corrections/Comments/Instructions: • .ASS ❑ PARTIAL APPROVAL n CANCEL NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: <C 2 J ' ' Phone #: (503) 718-