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Permit i / /v .' fi � IV CITY OF TIGARD ELECTRICAL PERMIT PERMIT D. 12/2/2008 COMMUNITY DEVELOPMENT DATE ISSUED 12/2/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503 639.4171 PARCEL: 1S135CA -08600 SITE ADDRESS: 11440 SW ESAU PL ZONING: R -12 SUBDIVISION ESAU ESTATES LOT: 002 JURISDICTION' TIG PROJECT. NATIONWIDE Project Description' Reconnect only 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 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 1 SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC. Owner Contractor: NATIONWIDE BROKERS 15400 BOONES FERRY RD LAKE OSWEGO, OR 97035 Phone 503- 780 -7531 Contact #. FEES Description Date Amount Reg #: ICI.PRM I] ELC Permit 12/2/2008 $66 85 [TAX] 12% State Smchar 12/2/2008 $802 Total $74.87 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 Eab Issued By • r te- . Permittee Signature: � c-, / ^ l✓ r 75 rL" II /5,797, / 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 12/02/2008 11:19 FAX 5036442219 BEATTI' GROUP I { �`,�rOOOO � ® f�j0O1 • ., •c 0 c i `{ or �e,142_ cO ac?cu -w Gc21 0 — l ' °" ° Electrical Permit Application (� c 0 `L t Current Planning ,+ , Phone: 0n Request 0 50ax: 503-8463993, 3 w MS I rJ a %%` O $ ect ` Proj if 1 L� :I; ¢ +; I eK . 1/lMVrr '�l ;. ) b v IN ,aI ,l ` v,a I s, ��;, ,!1.4ttiJ3 ; r, a4 s 1 Aa • „ j l ° h t " wbF Wtlf` � ,> ( _ a .�. '"rmt^ New construction ❑ Addition/alteration/replacement ® Other: Please check all that apply ❑ Service or feeder 400 amps ❑ 14izgdous locations or more where the available Saw= or feeder 600 amps or mom r „, i, `u' + �'�;iPh;� �'�i{ � " "- ,;,,, �1 CONS ����lyGT1011lir ,, '':f - ' "" fault current exceeds ❑ Building over three stories Y I- and 2- family dwelling 01 Commercial/industrial ❑ Accessory building ❑ 10,000 amps at ISO volts or Marinas and boatyards less to ground, or exceeds ❑ Floating buildings ❑ Multi - family ❑ Master builder ❑ Other 14,000 amps for all other 0 commenial -use agsviturai I": H n ' i S Wq 4 Id� Lp ir• �;i! installations. buildings Job City/State/ZIP' : „ . - j � I ._ ti ❑ Frrc pump J ❑ Installation separately 150 KVA or larger Job address - ' z. , ❑ Emergency system separately derived system 7 �� ❑ Addition uf motor ❑ - A 2, "F3 ocarpeay o t load f 100ID' or more Recreational vehicle parks ( ❑ S Sde an'm SurrcJbldg /apt, no - g /� I Project name- N 4 in ormore=i ❑ El S vo for more g than ( �� Biotin -car facilities 600 volts nominal Cross street/duectionS to Job site. C�7irc C.vt 6 wV� �. I' �" 'w� ' Yl / 51 . , #��� •• y By ; ! � ?'I i_ !d i 9 "I m [h!P.i.� if Deseri•tlun � F en Total Ell Subdivision 1 Lot no • ! , I a - p r iPe ' . VY '1 I k or . portion P P „ ,.,a�, ,{, ,,.,.� �' E 1,000 sq R or less 153 00 Tax � map/parcel $ir"u ,M 'fJFSC - '' , �'J "v'" '�' }H;�r�� a. imitede sq. 0 mon 6 1. ® tW RIP•11OVItkF; � 'y' l Li Limited <nCrgy, res 61 00 laJ<� Limited comp, above ft. G comp, mirth- family 67 W 2 r - ,..5 C, residmil3l with above so, ft.) iT+, ; 01, iai)' 50i R '4 , •° ' ftY tlyd�) ,1 ,,. } ? m '¢1'LNANT:11517 T . : :: ,$crvlees e at`iuit l liatloni : ,tcraB0;) 411 air4Yt tWWii i Name: �b J4y.Ji/ l F1:1 r..,blR{how'e r sA,�di,Wl Tun .r:. ' !,1, less ITV 200 a mps or 400 92.00 2 YS Li r '201 amps to 400 amps 1]2.00 2 Address I iL�� (ApdS /— g a , _ 401 amps to 600 amps 11400 2 [) 601 amps to 1,000 amps 775 00 2 City/State/ZIP: h l l a q703 S Over 1,000 amps or volts r p e Phone: (C , ) 7S O —7 5 F a x ( .S 2,I z, - c o01? �T' *. ik& dcag0! alladou .*M g D79 0 � 201 P to M am ,: '.A... �.. 1 53 00 1„(, su4i ii l Owner lnsmnnnnni Thu maul .n i. properly aa , , mg msldcanal or farm owned by or or a member of 79 it 2 my immediate family Thu „• y1 ,1 or pie cramp (ORS 4794a1ganr i0 2 Owner signature II A a4 • 401 amps to 599 amps 00 2 ;,�I��':;RYa".4(iic';, C; ; ` c- 02:',0 + AlklV�';' i4l:t; 'i'e?;,"'.NTA'! 1�'r.PPE ,,':I(if �7 A gn th r i'r ts- ne wi aiitl4atiloa ' or ' dvoe 'ds`Ilu>% b ) for rmmh circuits with Business name. �nI ` above service or feeder fee, 175 AA � f i each brunch circuit 2 Contact name: ' V e L rite-fr. B. Fee for branch circuits �y- , . fee Addrress' ess' /ZIP' VV ` /� washout frr smite first bnmeh or circcuuit it al oo Ceo 2 Ci //,�� q a i Each add'I branch mom mom a 75 ” p �� � ��Lt 1 �.1tr1 ° .' n�u �i” Air kdoi notlffi/iGi,'�ry,i`^;id'N /.,_;.:.:'�`irvd, Phone c5 ) —7 S ��c I "' - ` ? -dTV m Each manufactrucd madulsr . IC 4 Co -- 7 �1 - 1 ` n I duelling, service and/or feeder E -mail ' mil �� Reconnect on/ .MI 't' Y ';, � :4,,l, r ^h TRAcTpke, i;, J .. °, ! ii�;��e y',, n;.�J aril��R����2 � "'„ �.. ° �� �fl � .��' un Pump .,,1,, ;d� ., „u�� � Pu orimgonon circle III 6100 Business name: Sign or outline lightin: 6100 Address: .,,4 xtent oneDesc Deor scribe limited- �.© energy panel, alteration, or e xtewion Dcu�ribe City/State /ZIP: Phone ( ) Fax: ( ) IIM , : a' „ tom ., , 1 � - l - rr, if li "like , Per Inspection 90.00 E-mail' CCH Ito. no - Investigation fee(sa COMP t>nm) Electrical he no,: City or metro he: Other I LECTRIGA6„P *RINJi 'i'.' l' nIT i,r Supervising electrician ,, /!�� p� signature, required: Subtotal y4 p, y Plan review (25% of permit fee) —$�� Print Authorizcd Date ( ) O L Authorized State surcharge 12% of rmn fee signature: TOTAL PERMIT PF 7 This permit application expires if a penult lake, outwore, Print name' Date within Igo days after It has been accepted as complete • Number of inspections allowed pie pcmm Revision 6/08 CITY OF TIGARD BUILDING DIVISION PERMIT # ELC2008 -0065t3 13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED 12/2/2008 Phone (503) 639 -4171 Inspection Requests (24 Hrs ) • (503) 639 -4175 s ' '`'IL. INSPECTION WORKSHEET FOR DATE 12/4/2008 TIME. 7:00AM PAGE 25 SITE ADDRESS 11440 SW ESAU PL CLASS OF WORK SUBDIVISION ESAU ESTATES LOT # 002 TYPE OF USE PROJECT NAME NATIONWIDE DESCRIPTION. Reconnect only. OWNER NATIONWIDE BROKERS, PHONE # 50371347531 CONTRACTOR PHONE # Inspection Request Scheduled For: Date: 12/4/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 078757 -01 503841 -7838 N _ - Corrections /Comments /Instructions t7 FJgrE 6l4 '33 N .\\.\\:\....„ c \N,\\ it \(t NJ \ N Ate I I PARTIAL APPROVAL I I CANCEL ❑ NO ACCESS FAIL �^ I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED \T Inspector: " • Iv c)a LE Date 1 2.' 4 •$ Phone #: (503) 718- .2-114/0