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Permit
WI CITY OF TIGARD ELECTRICAL PERMIT ic r r( PERMIT #: ELC2007 00785 :I MMUNITY DEVELOPMENT DATE ISSUED: 11/20/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 103 DD -00436 SITE ADDRESS: 10600 SW FAIRHAVEN ST ZONING: R -3.5 SUBDIVISION: FAIRHAVEN COURT LOT : 002 JURISDICTION: TIG . PROJECT: SELLERS Project Description: Job No 24637, service upgrade, sub panel and shop wiring RESIDENTIAL UNIT TEMP SRVCIFEEDERS 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: 3 W /SERVICE OR FEEDER: 5 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: MONTY SELLERS MIKE'S ELECTRIC 4040 NE 20TH ST 11070 SW ALLEN BLVD OTIS, OR 97368 BEAVERTON, OR 97005 Phone: 503 - 730 -2574 Contact #: PRI 503 - 649 -6991 FAX 503 - 641 -1902 FEES Description Date Amount Reg #: ELE 34 -18c [ELPRMTI ELC Permit 11/20/200' $274.15 LIC 50209 [TAXI 8% State Surcharge 11/20/200' $21.93 SUP 4230S Total $296.08 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: C r?Ir Permittee Signature: ..--41 G �� 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. Sant By: MIKE'S ELECTRIC; 591 7847; Nov -20 -07 15:10; Page 1/2 ''' To: TIGARD At: 511 59: a6 ,.,.,. i. , 1; , EY _ ,,,,, e ; ie ermi4 Applic�. i 1 - • l�t)lt OFl ►t F: t SF: O7' 1, City R eceived - z.� a oo7 -D 07g..5" Ci of Tigard Permit No.: e � ' 14 13125 S W Hall Blvd., Tigard, OR 97223 2 O 2007 Plan Review µ - 4 �� Phone: 503.639.4171 Fax: 503.5 s ,1 t y; Qther Permit: �Al lurk. I t 1, t RI I Inspection Line, 503.639.4175 Ca v/ ur i it. J , Il a endy/ny: ii! See Page 3 for Internet: w ww.tigard-or.gov 'Lr -. o fled/Method: Supplementalletermation ['New constIuction n/alteration(replacc lent Please check all that apply (submit a seta of plans w /items checked below): ❑ Service or feeder 400 amps or man ❑ Building over three stories ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. 150 v olts it ... CATEGORY OB CUIV UCTION 10,000 amps a at Floating buildings. I - and 2 -famil dwelling Commercial/industrial , Accessor building a% or ".--- less to ground, or exceeds 14,000 [] Commercial -use agricultural ❑ Y g ® � y ins amps ter al l other installations. buildings. ❑ Multi-family ❑ Master builder ❑ Other: ❑ Fire Pump. 0 Installation of 75 KVA or . CI Emergeney system. larger upnralely derived system. ' JOB SITE INFORMATION 'AND LOCATION • .. , • C l Addition of new motor load of © "A" "E" "t •2 "t •3" Job no.; 24637 Job site address: 10600 SW Faa, r en St. 100HP or more. or more residential na occupancy. il %. ❑ Recreational vehicle parks. City /State/ZIP: Tigard, OR 97223 0 Healthcare facilities. ❑ Supply voltage for more than ❑ tlevedous locations. 600 volts nominal. Suite/bldg, /apt. no.: Project name: ❑ Service or feeder 609 amps or more. _._„ ,. — • FEE SCHEDULE • ' Cross street/directions to job she: _ Description 1 .Qb• I P5 e 1 Tofal 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. Well 500 sq. ft_ or portion 33.40 1 Limited energy, residential .. DESCRIPTION OF WORK (with above sq. ft.) 75.00 2 upgrade; sub panel and shop wiring Limited ei e tial(s multifamily Service u PP s P P g re (with aD4ve sq. ft.) 75.00 2 " Services or feeders Installation, alteration, and/or relocatio 200 amps or less 1 3 80.30 240.90 2 ❑ PROPERTY OWNER, . ❑TENANT .. 201 amps to 400 amps 106.85 2 Name: Monte Sellers 401 amps to 000 amps 160.60 2 601 amps to 1,000 amps 240,60 2 Address: .4040 NE 20th St. Over 1,000 amps or volts 454.65 2 City/State/ZIP: Otis, OR 97368 ^ mm Temporary services or feeders installation, alteration, and/or Phone: (503 ) 730.2574 Fax: ( ) 200 amps or less 66.85 1 201 amps to 400 amps 100.30 2 Owner Installation: This installation is being made on property that I own which is not intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701 - 401 amps to 599 amps 133,75 _ 2 Owner si truce: Date: Branch circuits - now, alteration, or extension, per panel 8n ,.,,,,,,., ' A. Fee for branch circuits with ` Q APPLICANT .. , ' I ❑ CONTACT PERSON above service or feeder fee, 5 6.65 33.25 2 • each branch circuit Business name: _ 13. Fec for branch circuits • Contact name: without service or feeder fee. 46.55 2 first branch circuit _ Address: Each add'I branch circuit -_� 6.65 1 2 • _ ---- - Miscellaneous (service or feeder not included) City /State/ZIP; Each manufactured or modular 90.90 2 ... — dwelling, service and/or feeder Phone: ( ) Fax : ( ) Reconnect only 66.85 2 E - mail: Pump or irrigation circle 53.40 2 g e CONTRACTOR • ' , - • . Sign or outline lighting 53.40 2 • 13u_sinessname: JD Miller Construction DBA Mike's Electric Signal er circuilimited- •,,,, energy panel, . alterltcration, or Address: 11070 SW Allen Blvd. extension. Describe: Page 2 2 City /State/ZIP: Beaverton, OR 97005 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: ( 503) 649.6991 Fax: ( 503 ) 641.1902 tnvcstigatinn Er hour (1 hr min) 6250 CCI3 Lie.: 050209 Electrical Lie.: 34 -18C Suprv. Lie.: 423 S Industrial plant per hour 73,75 - . . ELECTRICAL PERMIT FEES ' ' . Suprv. Electrician signature, acquired: T) 44) T Subtotal: 274.15 Print name: Douglas J. Miller ate: 11.20.07 ' Plan review (25% of permit fee): Stale surcharge (8% of permit fee) 21.93 Authorized signature: TOTAL PERMIT FEE 206eN This name: Date: his peraait appneadon expires if a permit in ■ue obtained within t80 Jaya after It has been accepted as complete. ' • Number of inspections allowed per permit. ( 6 t lBuildinglPermrtr ,ELC- PermitAep.doc 0sh3 /06 440-4011T(111113 /(,YJM/WCit /-' ' CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007-00705 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/20/2007 Phone: (503) 639-4171 i matigill( Inspection Requests (24 Hrs.): (503) 639-4175 A- , t L. INSPECTION WORKSHEET FOR DATE: 6/12J2008 TIME: 7:02AM PAGE: 41 SITE ADDRESS: 10600 SW FAIRHAVEN ST CLASS OF WORK: SUBDIVISION: FAIRHAVEN COURT LOT #: 002 TYPE OF USE: PROJECT NAME: SELLERS DESCRIPTION: Job No 24637, service upgrade, sub panel and shop wiring OWNER: MONTY SELLERS, PHONE #: 503-730-2574 CONTRACTOR: MIKE'S ELECTRIC PHONE #: 503-649-6991 Inspection Request Scheduled For: Date: 6/12/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 071272-01 503-649-6991 IC ' • . Corrections/Comments/Instructions: . 0. PASS 0 PARTIAL APPROVAL 7 CANCEL 0 NO ACCESS 0 FAIL 7 CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: • ' 'II Date: 1311201 . Phone #: (503) 718_1)K, . _,.. CITY OF TIGARD .” I I BUILDING DIVISION PERMIT #: ELC2007 -00785 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/20/2007 Phone: (503) 639 -4171 kieptu� f i+ l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/11/2008 TIME: 7 :00AM PAGE: 45 SITE ADDRESS: 10600 SW FAIRHAVEN ST CLASS OF WORK: SUBDIVISION: FAIRHAVEN COURT LOT #: 002 TYPE OF USE: • PROJECT NAME: SELLERS DESCRIPTION: Job No 24637, service upgrade, sub panel and shop - wiring OWNER: MMMONTY SELLERS, PHONE #: 503- 730 -2574 CONTRACTOR: MIKE'S ELECTRIC PHONE #: 503-649-6991 Inspection Request Scheduled For: Date: 6/11/2008 Pour Time: Code # Inspection Description Co mr Contact # Message 199 Electrical final' 071178 -01 503-649-6991 N Corrections /Comments/ Instructions: y V;6L- '61: AQ. , o )o. A _ ■ PASS ❑ PARTIAL APPROVAL n CANCEL I I NO ACCESS ,11 FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED ��jj ® 22 �, • Inspector: GM �v 0 Date: 4 I I Phone #: (503) 718- 1. 6% CITY OF TIGARD . �. ,k BUILDING DIVISION 1 PERMIT #: ELC2007 0(1785 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/20/2007 Phone: (503) 639 -4171 a 1g � Inspection Requests (24 Hrs.): (503) 639 -4175 -IL INSPECTION WORKSHEET FOR DATE: 5/2/2008 TIME: 7:00AM PAGE: 37 SITE ADDRESS: 10600 SW FAIRHAVEN ST CLASS OF WORK: SUBDIVISION: FAIRHAVEN COURT LOT #: 002 TYPE OF USE: PROJECT NAME: SELLERS DESCRIPTION: Job No 24637, service upgrade, sub panel and shop wiring OWNER: MONTY SELLERS, PHONE #: 50730 -2574 CONTRACTOR: MIKES ELECTRIC PHONE #: 603 649.6991 Inspection Request Scheduled For: Date: 52/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message EissiNioehtioftil 069222-01 503 -619 -5991 N 126 (to •c \ It 11s takAl i Corrections /Comments /Instruct ns: a -1-'R N` 00....L. o .� /S A,t.) D c_sa ex A UL, n PASS $PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS fl FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: G Ivoe Date: 51 CAI Phone #: (503) 718 -2"t .,, CITY OF TIGARD .,‘,. , .,4. .,, BUILDING DIVISION . I; . • PERMIT #: ELC2007-00785 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/20/2007 Phone: (503) 639-4171 "MO Inspection Requests (24 Hrs.): (503) 639-4175 ,,,..„.9- Al. INSPECTION WORKSHEET FOR DATE: 4/17/2008 TIME: 7:02AM PAGE: "i8 SITE ADDRESS: 10600 SW FAIRHAVEN ST CLASS OF WORK: SUBDIVISION: FAIRHAVEN COURT LOT #: 002 TYPE OF USE: PROJECT NAME: SELLERS DESCRIPTION: Job No 24637, service upgrade, sub panel and shop wiring OWNER: MONTY SELLERS, PHONE #: 503-730-2674 CONTRACTOR: MIKES ELECTRIC PHONE #: 503-649-6991 Inspection Request Scheduled For: Date: 4/17/2008 Pour Time: .."---- --...„. Code # Inspection Description Confirm # ---,Contact # N, Message 120 Elechical rough-in 068514 \ -01 F-649-6991 Y Corrections/Comments/Instructions: ii• • lib .. *,0 \.500't N A 0 D 60 bl ■ N) 4 ., si-v s o 0 • (1 AMIL , INN . \ vjb114 a to .24 Q0 (3)(e-ag:!KO s rirEztt it, CrAIRgo OTA 6 C — fs 1/4A-L-1 L-0Kb AU, . o 1/43ft.i 6 - W. v2-0 10 - - I I PASS 0 PARTIAL APPROVAL El CANCEL I I NO ACCESS AIL ' CALL FOR INSPECTION EI ADDITIONAL FEES ASSESSED Inspector: G --- /NM LE Date: 4(1 ipt Phone #: (503) 718- . CITY OF TIGARD k . BUILDING DIVISION r ' PERMIT #: ELC2007.- 007135 13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 11/20/2007 Phone: (503) 639 -4171 / 1 "iggitirq� i� l■ 1 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 12/12/2007 TIME: 7 :00AM PAGE: 59 SITE ADDRESS: 10600 SW FAIRHAVEN ST CLASS OF WORK: SUBDIVISION: FAIRI COURT LOT #: 002 TYPE OF USE: PROJECT NAME: SELLERS DESCRIPTION: Job No 24637, service upgrade, sub panel and shop wiring OWNER: tv1011TY SELLERS, PHONE #: 503 -730- 25 CONTRACTOR: MIKE'S ELECTRIC PHONE #: 5034349.6991 Inspection Request Scheduled For: Date: 12/12/2007 Pour Time: Code # Inspection Description C. m # Contact # Message 115 Electrical service 061 603- 649.6991 N Corrections /Comments /Instructions: 19flV • •• Uv 0l' ftc..e►b inn uST a0 rl- c,ONO.) 'aci5 A4 ILiera. ct N bvit p . Ka Vi • (J (j Nk ?\C 0 • 1 1�.7)sJ0 w`fult. O -6ic fr 6) ?coutVV s ua • ?\_ s' riL. Cv2. U)kb . N(1 - 2-13. 11 8ck: 10K .5 Ica fqL Pal - 31•1b PAS PARTIAL APPROVAL ❑ CANCEL fl NO ACCESS p y CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: LT • v� lam. Date: 11-s I (5 1 Phone #: (503) 718 -14%