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Permit CITY OF TIGARD ELECTRICAL PERMIT a PERMIT #: ELC2005 -00205 Ak DEVELOPMENT SERVICES DATE ISSUED: 4/1/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S110BA -01300 SITE ADDRESS: 11700 SW GAARDE ST ZONING: R -7 SUBDIVISION: LOT : JURISDICTION: TIG Project Description: Alteration of existing 120v service #TG15a1 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: 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: YOUNG, ROBERT W + HAZEL G DRYER ELECTRIC INC PO BOX 1075 9409 NE COLFAX ST LINCOLN CITY, OR 97367 PORTLAND, OR 97220 Phone: Phone: 503 - 771 -5667 FEES Reg #: ELE 26 -1142C Description Date Amount LIC 153466 SUP 2876S [ELPRMT] ELC Permit 4/1/2005 $80.30 [TAX] 8% State Surcharge 4/1/2005 $6.42 REQUIRED ITEMS AND REPORTS Total $86.72 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. l / Issued By: �! ILt� Permittee Signature: 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. 03 -30 -2005 13:49 FROM- T -933 P.024/043 F -594 i'"01/ 20115 15:12 FAX 5035991960 l.11t: ur 'j"" "" Electr Permit Application l :O KI ri ;ie: t : ()Nt l' eCeivn: *rig it PCr1Y11t t3o.: 0 �: its of T igasd u,wa J i L - _ . : � .t _ `'? - f1Qo • 1125 SW Mali Blvd, Tigard, UR 97223 ?Ian . cvie one: 503.63 9.1171 Fax: 503.598,1950 ''` :... aiiii\ Dnte/By= Other Permit: 1 . unection Lin a:, 403.63944175 Aare Ready/Syr - 7 Er Sse Pans z for ittetnet: wvra:.ni tigard.or.us Natll e4/MeWad: - SvpplemFnc,11 ____ at;.. :,.,.7.,r,..-.,:',:::' r. 1 1 ∎ ∎ 11 1 4-•,.::..',17..;'':. - i a- , r .rq 1 ` "zti `+ rt'! , . l t r r.ri cf. t t ? p ", )tsvitjrl. � . . , • '�e ,,,, ' ...j f- 1 .. ' :' ,r , . .W.!'hj.32., : kdPc..9t.5Jr.,in,',4 !,;ii ti.4..,. .J. 'xi; iV r.- 1teTI , iui.ua. :..�t.�+ ' : : , 7 New eonstruation • Addition /altexation/Ttrplacement Pteese check ell ,ha alrply (Service over 22: alr,p_, comrt'1 ©ki:t2ardou: IacatioL: Drmolixicn 0 Other! Serv over 32 : � amps -rati g QBuil direr 10.000 sq. fr. ! n "{r '7'ra-'-_ ', I ' -1 ,1,� t11in 9 F ntp ,.� "s ff Mks n .•e �l� \ , tlr - I -1J 1 , , ,il n ; a ; f , i;I , , �!! 'i` -. o #' i- and 2• fat:eiiv dwellings 4 or Tr:Dre ',new Pt'SIQLTI'.1H1 1- Bud 2-iarr fy dwellictg Q Commercial %industrial Q Accessory building • I:l ystern over 600 volts nominal units in one Saucture Mina farsdl) ❑ Master btitidcr ❑ pehar ElBuilding /Dee 99nasons . ❑Msnufaon tad morc •� ; : ,r e Up P k 4 q. . . 1 1' 1 t , . i q, I 1 ... 1 , L . -+ 1� w' 1 4, � i :. : :. , 4.-.).,(! ..: '..'•', OgressAighdn.ap,ar, �]OthpH* • OFlt filth mare fH�il tv er. -• lob no.: lob site : dress: �ti∎ V OW , i . I Submit 2 sett ofplum with any of the above. 'i /State /ZT. ? : :r ,V � 1 1� Ma a aro nor a icable to temporary consttu:etion 8t:rvLCe , •'.live1b1dg./a1it. 'do.: ��ect nai214": ; ` - -„ `" a ! , G, , 1 __ noseription i go rec. „' TnL l - I _ LOSS sireetic ire ctioas to job site: New residential si ngle- or mulct - family dwcUini). unit 1 . — — _. _ - ---- -- • - Insledesattaebcd __ 1,000 sq. ft, or leis 145 -t5 1 4 ubdivision: Lot no.: Es. add'1500 :.q. ft or portion 33.40; 1 - .. - Limited energy, teaide;•aial 75.00 2 fax map/parcel no_: Limi energy, eton resi dential 75.00 p r i . . (. • . ii • 1 ;', 1 • • . . - 11 ...._ ` I r ''- ' , - .o_.. ,•,:,•: a.` Each nanut€c'ui.i )r modular 2 . dwellin :,sern�e �Ydlclr te;.dar •90 _ , �. Ora r � _ Services or fop :lore installation, alteration, and/or retoccdon 1 1-' r _ 200 amps or l less _• - 11 80.301 -. IMO 2 , 201 tlrstps to 4 110 arrip 106 .,t1.4';'.. t:;....;:...,........1 . ! v. ,, �' v ......._ :_...: - -- ±:_.::./r. , yl L• i i.ii .;. ' 401 amps co 600 nrr,<ys 160.64 ' I® • ''3me CC �iLIne-4 � �. + _ Pa.+ t� 601 amps to 1,000 amp 240.60' � i 2 Over 1,000 sups or vehs 4.4.65i 2 �tjdT8S5' Ake • _ _ • A li �� Reconnect 66.85- 2 -- .. ity /State/Zil': • ie & �• [� q_"] I T sn - v k i; e r faHdera installation, altaq attan, and/0r relocation t�orAe ( ) Fax: ( _ ) 200 amps ar less 66.851 l _ ��� Owner ittst:allation: This installation is being made oti. property that I own which is not 201 amps so 400 aroos 100 illill© :,tended for tall:, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401grips to 6(600 amp 133.75: 2 1wnor st stunt: v Date: Breach circuits.- - alters o panel v t r 1 i'% I t a y t I ) - • 4 . Fee for b rar.a1i vu u its with a "per n, ar extension, a ' L ... __ - .. • I .. , . 1 ,:..:......... ._ . , „.. ,... 1. ..:y...:,:' service or i,:eC et crr, earh I I Ft LLSine55 name: branch circuit _ - 6 65 , I w..,...• - B. Fee for brand: cif cu 'cntaot Marx withou: service o: feeder fee, 46.85, 2 -- ---- -- - -- each brand. cirmmc it _ ddtess: _ _ Bea ch add'l branch •relit 6.65 2 i /State/ZI ?: - Miacellaneou :: (;ler , ifi.e or feed ,riot included) — PUrnp or iaigaticn tircle 53.401 2 ; b.one: C ) F ( ) . Sign oro4:dint.light � 53.401 z mail: Sigma' e1touit(a) orl_ralted- y "+. -, , _ r l ✓ t ,7 - : ^'s energy panel, ,&1117n1irnt. or I �...!. : ' ,. . . _ E� ` 4 extension. (tetse. Paget 1 2 - ►,L r •usiness name: i ( 4111 . I p Eat:lt itt:p.:ctton over allowable in nay of the above ddress: �L �► / � � G�.. Fer ins Fee additional iS of - -_ i I 6Y c(i I . ity /State/ZI ?: . 40'. ,e/ �_ t lnvesdgation per hour p hr lain) I i 62.56 t 1 • ill � a� i * a „ - : L Ldueu •latttFa iw't 7 375 - till }4Jlie: ) - / Y � � art --1 f, .. ' i'! '1 Irn� r it !hill ,. 11 1 .75 -'`.i4KMs rte "V CB Lic.: Electrical Lie.: -- a Suprv. Lic.: Subtotal iivretA op 40 W ;tprv. Electrician sigt re required: - ,-mss Plan r riew (25% of permit fee) - - State surcharge (8% o:sp rtit fee) gnat name: Dare: �.. �'� -- - ' TOTAL PERMIT FEE =•ethoriZed s. ga Laarc: This permit appl expires tf a permit is not ab t ka,bi:i ine with ,n t - 1 --• days ai :c :• it has beau accepted u complete , "lilt name: I Date: • Fee methodo lo5y nu :t l:y T-i•Couaty umildirs industry, Service 3 oarrl Number of iospietir m:, per permit allowed. :• :C Pam,iApp.doc l:s'oI 440.45131 {,e,o /vc .OWE9 CITY OF TIGARD 11. `+ BUILDING DIVISION PERMIT #: ELC2005 -00205 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/1/2005 Phone: (503) 639 -4171 .° Inspection Requests (24 Hrs.): (503) 639 -4175 .-_-_-_&V "__.. INSPECTION WORKSHEET FOR DATE: 6/7/2005 TIME: 7:17AM PAGE: 44 SITE ADDRESS: 11700 SW GAARDE ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: COMCAST DESCRIPTION: Alteration of existing 120v service #TG15a1 OWNER: YOUNG, ROBERT W + HAZEL 0, PHONE #: CONTRACTOR: DRYER ELECTRIC INC • PHONE #: 503- 771 -5667 Inspection Request Scheduled For: Date: 6/7 /2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 00063 5-04 503. 771 -5567 N rrections /Comments/ Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 7 i1 // Inspector: �� 1 �` Date: 7.-(5- Phone #: (503) 718-