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Permit 4 e--a o k. ;LECTRICAL CITY OF TIGARD PERMIT PERMIT #: ELC2007 -00264 COMMUNITY DEVELOPMENT DATE ISSUED: 4/23/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S134AC -02650 SITE ADDRESS: 11080 SW COTTONWOOD LN ZONING: R -4.5 SUBDIVISION: ENGLEWOOD NO.3 LOT : 216 JURISDICTION: TIG PROJECT: HAYNES Project Description: Service panel and (5) branch circuits. 7/20/2007 ADD (3) additional branch circuits for remodel. 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: 8 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: KENETH HAYNES OWNER 11080 SW COTTONWOOD LANE TIGARD, OR 97223 Phone: 971 645 - 8856 Contact #: FEES Description Date Amount Reg #: [ELPRMT] ELC Permit 4/23/2007 $113.55 [TAX] 8% State Surcharge 4/23/2007 $9.08 Total $122.63 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 /� , Permittee Signature: Sp 19A01; at -h o p 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. 07/19/2007 13:29 5032210495 PAGE 02 Electrical Perini# A�pplicatio; rol ()I 1.1( t: 1. Sl 0Nl.1 • City of Tigard E V � Received . ' C) 0 S Pe,roitNo.: ELL ail►' - as . 1N 13125 SW Hall Blvd., Tigard, OR 97223 ' Plan Ravimw Other Permit R Phone: 503.639.4171 Fax: 503,598. 9 2001 Date./B ■ I :; l : Inspection Line: 503.639.4175 C� t- � . t eT Date Readyt8r aids: 61 Sot e2foronttatbm Internet: www.tigard -ot •gov 6 d on iD Notified/Method: PD �: Oe �6®°+ ex• . : - ,-.I: -.,la, ..•'.P.''.8 ;r , ,maim(ut:y�Kr flin ryy�•),,.!,e and,d ��,�'�� '� r !.f -. r'C.Fi��`��. :: 5 s ";�ii ;v s ' ' .'4_• ,�, 1:: < ".U.�." :JI .r. '. 2� •'.7tt`�ai3 Vk N?khlt�N!i(•ivl gad.. di•. �... ate itt °Wul f..:,`- ,F,z... ,r 7 .,.' i ..:.: I:. .,'� ;Lis,t:.1,,,i,., r. YI Sbr III New construction ® Addition /alteration/replacement pl.. cheek all t at apply (submit acts of plans wraema checked below): 0 Service or feeder 400 amps or more 0 Building over three atones. ❑ Demolition 0 Other whore the available fault current 0 Marinas and boatyards. 3� , W,•,,, -, ,. ...` t ' a a t a rlr w fi exceeds 10,000 amps at 150 volts or ❑ Floating buildings, , 4x...- ,? : , :- , ; , ,' : . � jeali . trearin ,ux +aa, :r ;lr.�',til.r,401$3ireikMr. rrfi'u , & Si n .: t �'.. laser to ground, or exceeds 14, 000 [] Commercial -sac agricultural 21 1- and 2- family dwelling ❑ Commercial/industrial 0 Accessory building amps for all other installations. buildings, 0 Mlrltr family 0 t builder 7 ne t, o � , t ❑Piro pump. ❑ Installation gr separately at Of ly 75 KVA or -, -,, > , 7777 seas ,"?'rr , i V i „Z "r r'mrlin� r , inn mirrmr larger sapa,ately derived system. i ' ' ,; ^ t ftt 2 Y : i t ' ' ki 4 ck ` �, „ , . , ❑ Em7ency system. ❑ Addition of new motor load of ❑ " ,.E,...1 2....1.3'•, Job no.: Job site address: 11080 SW Cottonwood Ln. loo>tP or more rre anoy. II R Six or mom residential unite. 0 Recreational vehicle parka. City /State/ZIP: Tigard, OR 97223 0 Health -ease facilities. 0 Supply voltage for more than O Hazardous locations. 600 wits nominal. Suite /bldg. /apt no.: Project name: Haynes 0 Service or feeder 600 , .s or more - +; /it',�! 9 A ¢ ; d, 1...,� w . g F)t ' ,.. by } . ,", I "�`ii rj 02 Cross street /directions to job site: Springwood w iM4hPl.' M ); I< r v ,e +, 1 :.: , Description New residential single- or multi- family dwelling snit. Includes attached garage. Subdivision: Englewood Lot no.: 1,000 sq. ft. or less I 145.15 I 4 Tax ma /areal no.: Ea. ELM! son ft. or portion 33.40 1 , p , r� air,,v r,m.•v,rF ,e, ,k,v,vim ,w to °f�,r,, t, Li nited energy, residential 75.00 2 c 4 r v, � . .., - N '�S • i s i r ao a 70 ;a' . ∎ 4 , 2 ,,, ?"n g iri un i a . h 4 ' :y (with above ft) ( s4• Original permit taken out was ELC200700264 Lem ntiak th above multi 75.00 2 Additional circuits for remodel. Ori >� lx residential,�ch above sq. R.) Services or feeders installation, alteration, and/or relocation 200 amps or leas 80.30 2 a1 i s `ry < r ‘,.446„,i,..., ',4i e a , � , t k �s ' , .a�1� s f a h "k . „ ^ 201 amps to 400 amps 106 -85 2 g. Nance: Kenneth Haynes 401 amps to 600 snaps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: 11080 SW Cottonwood Ln. Over 1,000 amps err volts 454.65 2 City/State/ZIP: Tigard, OR 97223 Temporary services or feeders installation, alter and/or relocation Phone: (971)645 -8856 Fax: ( ) 200 amps or less 66.85 1 Owner' installation: This : tallation is be made • . . erty that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, .fu ow : . , ordin ORS 447, 449, 670, and 701, 401 amps to 599 arnps 133,75 2 signature: ' / . ' Branch circuits - new, alteration, or extension, perparrei Owner si gl �� I i % Date: ' -O A. Fee for branch circuits with �°" l"r' „ fit `� rt above service feeder fee 3 6.65 19.95 2 r n. : ::.:‘'...1.":',. },. , -IV , ; 4 w� 1747 W 7 ;., ?M ..•t~cti �G• w� ,t a, r Nt 0 ' „ ga.1 ot.:1:'r A iiAt '&4'.. . ' r each brad 11. , c circuit Business name: B. Fee for branch circuita Contact name: Kenneth Haynes without service or feeder fee, 46.85 2 first branch circuit Address: 11080 SW Cottonwood Ln. Each add'l branch oirouit p 6.65 2 Miscellaneous (service or feeder not included) City/State/ZIP: Tigard, OR 97223 Each manufactured or modular 90.90 2 dwelling, service and/or feeder Phone: (971) 645 -8856 l Fax: : ( ) Reconnect only 66,85 2 E- mail: lcen(ra�UpwardMarclages.org Pump or irrigation circle 53,40_ 2 1 outline r � eF i s gi 1- : %�t,.,',.;1 . r `µ+l �'q "�(�Haag 1f u�lyti'.�E ,{�Y ` a*1�'",'I Sign or lighting 53 At) 2 . \',9, � � ... { {y V- »tek..? J1.1, ily 9�r ''1 .. :d �tT'k� 1' t7', $i 1 eircuit(s) or limited - Business name: Done by owner energy panel, alteration, or Address: extension. Describe: Page 2 2 City/ State /Z1P: 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 Lic.: Electrical Lic.: Suprv. Lic.: Industrial plant per hour 73.75 Suprv. Electrician signature, required: a/ yalzon Subtotal 19.95 A•: u Pratt name. ♦� Date: . ` i .. P lan review (25% of permit fee): -.NAPA. h i �M - 0 State surcharge (8% of permit fee): 1.60 Authorized signature: , TOTAL PERMIT FEE: 21,55 t / 'Rt6s parndt application expires If a permit is not obtained within 180 Print name: `ate: days after it has bees accepted as complete. " Number of inspections allowed per permit. a ■BuUQintreratstAEL.C- PemitApp.doc 05/23/06 44o- 461srp1o5COMAvss ,.� ''r~ ' . ~ CITY OF ��nm o n^�n� wn���mun�� � — BUILDING DIVISION . ^ � `' PERM|T ELC2007-00264 13125 SW Hall Blvd., Tigard, OR 97223 / DATE ISSUED: 4/23V2007 Phone: (503) 639-4171 � Inspection Requests (24Hmj:(6O3)830'4175 .�&�- ^��� � INSPECTION VVORKGHEETFOR DATE: 10/15/7007 TIME: ��O1Am PAGE: 45 ' SITE ADDRESS: 11080 SW COTTONWOOD LN CLASS OF WORK: . SUBDIVISION: ENGLEVVOC>[)N<].3 LOT #: 216 TYPE OF USE: PROJECT NAME: MAYNES DESCRIPTION: Seivimoponm| and (5) branch circuits. ?Y2QY2007 ADD (3) additional' branch circuits for rGmodeL OWNER: HAYNES, KENETH PHONE #: 971'645-8855 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For:. Date: 10/15/2007 Pour Time: Code # Inspection Description # Message 199 Electrical final 971'G45-8868 N Corrections/Comments/Instructions: . . ^^ � _ , PARTIAL APPROVAL CANCEL I I NO ACCESS APASS �� FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: C Noe L ~~i Date: 10 1 Phone #: /503>718' CITY OF TIGARD BUILDING DIVISION PERMIT #: • ELC2007 -00264 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/23/2007 Phone: (503) 639- 4171u�b4���i; "1�* Inspection Requests (24 Hrs.): (503) 639 -4175 '! INSPECTION WORKSHEET FOR DATE: 7/11/2007 TIME: 7:01AM PAGE: 68 SITE ADDRESS: 11080 SW COTTONWOOD LN CLASS OF WORK: SUBDIVISION: ENGLEWOOD NO.3 LOT #: 216 TYPE OF USE: PROJECT NAME: HAYNES DESCRIPTION: Seivice panel and (5) branch circuits. OWNE • KENETH PHONE #: 971- 645-8856 CONTRACT R: OWNER PHONE #: Inspection Request Scheduled For: Date: 7/11/2007 Pour Time: Code # Inspection Description Confirm # Contact # Mess. • - 145 NC or heating unit circuit 051751 -01 971 - 645.8856 8 -. Z Corrections /Comments /Instructions: • 'j PASS n PARTIAL APPROVAL CANCEL n NO ACCESS FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: p Date: I 1 1.I Q J Phone #: (503) 718 - 2414 CITY OF TIGARD `1 BUILDING DIVISION = PERMIT #: ELC2007- 00261 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2312007 Phone: (503) 639 -4171 An' ill ft Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/11/2007 TIME: 7:01AM PAGE: 67 SITE ADDRESS: 11080 SW COTTONWOOD LN CLASS OF WORK: SUBDIVISION: ENGLEWOOD NO.3 LOT #: 216 TYPE OF USE: PROJECT NAME: HAYNES DESCRIPTION: Service panel and (5) branch circuits. OWNER: HAYNES. KENETH PHONE #: 971 - 645.8856 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7/11/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 195 Misc. inspection 051751 -02 971 - 645.8856 N I US ttz:v W i Corrections/Comments'/Instructions: N 0 D Pku - ( 115 m 13(31 aiti (A©p , G0) 3 0p1 p; €,\) f\L B b`f ALL -�-- � 1 1& „5 ■n Tr tts)tp‘l wieft %ct:t 1-101,6 2. • 0 To NAB PASS IKZARTIAL APPROVAL ❑ CANCEL II NO ACCESS % CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspector: . ` ev ve LE Date: 1 1 1 Phone #: (503) 718 - 1-1514"