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Permit . 9' `�' . CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2006 -00385 �JI DEVELOPMENT SERVICES DATE ISSUED: 7/13/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2 S 103 D D -01302 SITE ADDRESS: 10630 SW GARDEN PARK PL ZONING: R -4.5 SUBDIVISION: LOT : JURISDICTION: TIG Project Description: (3) branch circuits for A/C unit. 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: SVCIFDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: BOB TORHEIN ELECTRICAL SPECIALTY CONTRACTORS 10630 SW GARDEN PARK PL PO BOX 2853 TIGARD, OR 97223 OREGON CITY, OR 97045 Phone: 503 - 332 -3494 Contact #: FAX 503 - 656 -4537 PRI 503- 723 -0371 FEES Description Date Amount Reg #: ELE C126 [ELPRMT] ELC Permit 7/13/2006 $60.15 LIC 168161 [TAX] 8% State Surcharge 7/13/2006 $4.81 SUP 15585 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: c;_f_t, 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. 2006-07,13 09:52 » 5035981960 P 2/2 -« E UVOt ttOLIJN tit;611111-L0-900C U. ... . . . . ' I . ii . ! (il ()I I (( I I 4i 5 D : . I ° •-■ I 2 i'.. 6n j E Rearm l' -, City of Tigard 1 -*' : ..... _ , -.- P h 13129 SW HO a1vr1., Tivoli, • ' 97223 ' sa Pb: 903.639.4171 Fax 503.5911157 .1 56 -... Inspoltion Line 503.6394175 Faigill 1 ■ Internee www.rigard-or,gov , otined/Methot L' . , 4,42 '',' ' , ; r. , .: „ 1 ' 90',Virtir dir 1,rei,..1'''ilW1141r'i. 41,411604'.4 : ":... ' .,..:.,•„..L.::._:;_.J . i : IC • New construction • Addid .. ,_ .. ,4 i - . : , Muse - • ' • • y subssita sass • • w lees ebedad bolos); O&M= miss* 400 maps or mon • Beikbog crow *doe Marko. a Demolition . Other emelt me evaluate Ault aims* Childs= cod as*Virdi " '•': •-k ' , 61 - FAPirig ,•' ::' ,1:..` •,, ,':', ' ' ' ' snoods 10,000 bop it 110 ooluor CI Rabin building'. lees 10 Fand. re cum* )4.100 a Coatoireaeis14se egeothetel 7 1- and 2-fluidly dwelling LI Commercial/indusniel 0 Accessary building mops fur ail Mire irietallericae buildings. 0 Multmily 0 Master Wilda 0 Other: ['Fire puop 0 Istrallsicm at 75 KVA er 47 6r 1 , . 1 , - e ‘,'' • -, ' - • Th "" r , . :" , , . • 1 , .1, -- ,.: .:ie,• - 1 ,i r 0 Ermat/404Y Olt= largo sepoillely derived system !! 1- •,. ', , , , 0 minim at new motor load of , 0 "A". 1-2°. "1-3". 1001fP of moo oosipiney. kb no.: Job she address; i . . -. V • 0 4 • ' ° • CI Six or Were 1044.i1iii WAS- 0 140/041001141 vehichl psis. City/State/ZIP: . ' • 4 0 0 licalthosra Militia. 0 Supply wimp in mars Ma fp Ilszerdau lassions. 600 nits naralad- Sultebidg,/apt no.: ' Project name: Q Service Or (rodar 600 mop or We. j.., „ l' . ,:. Cross Mrent/directions to Job site: 11F.7‘11111.1111.. 1•11177"M 1 . 144W 'caldrons] ark. or 1111110-fasav diVegile OWL I•el•des attached vamp. Subdivision: I Lor no,: !,00O 9. 11. a less 145,15 4 _ Ea. midi 500 sq. It or pardon 33.40 1 Tax map/parcel no.: LiminA cure, residential r gagailagei ,', , ,..."41, .. , ,,, . • ' ' - A." .- ' ."': T ____(..tabove so. n) 71.00 2 III L II Limited energy. monmily 75.00 2 A a rmidentiall (witb allow so. ft) a a ■ lisrviess or kedge; 11011114001, al , dos. sied/or relocgtieti 200 Imps (e- less S0.30 2 . .7' ' ..,••■•"; :: oil - .. 1 !I • i ‘i' • - " V 7 , 31 ,- Ei : "';'. ':,' , '''',' '':' „,,,. .„,_ 1 , _ ,, _ i. ,2 • 201 amps to qt amPO 106.65 2 Name: 401 • to 600 160.60 2 - 7)r , lek d? I *VI ' V 601 amps to 1,000 snys II 240.60 2 Mdioss: ) , e_ , . • 4. b ehar 1 000 amps or volts 454.65 2 .., City/State/71P: 7 ,- 4,..d • 14114PbrarY services or hiders humiliates, sleasation, andkr rekisstkill 1:22MIMMINIFE11 Fax.( ) 200 amps or less I 66.8.5 1 Owner lestallation This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. etiLto 59 t33.75 2 _Itrataite -.ailm *Death% PorO11001 Owner signature: Date: _ A, Foe for branch circuits no '', ',.;„," ! :' , ",' ' • 4 ....; . '': .:. ''' * " : ' ":0•A',IA *C .; .. , • , ,: , ; , , - ;k: ..' MOvs service of fixer fce, 6.65 2 mob brim& circuit Business name: - 1 - 3. Foe fa =swim without service or feeder fox, I 46.83 gc, 1g 2 Omuta namm Snit branch cirsuil --.„ - Address: Each add'l tenth *Cali „ 2- =, T.5 ' i , 32 2 Miscellaneous (service se feeder s 4 11andst ___ City/StatrJZ1P: ' Each nurnitkotorod or modular 90.90 2 dwelliss, service and/or tester Plume-. ( ) I Fax: : ( ) keenness 9■24 66.85 2 E-mail: Pump or irrigation circle 53.40 ' 2 allaGaillaZONT • , ":‘ r r a. ■ ' I ' . : ...)' /Mtni '..' , ataajaidail Sip te Outlisc Heins 53.40 2 Signal circuit(1) or limited- Business name: , .. / f• . . 4_, (' ,, - ! , _ c- wetly Plod, oltes1 or 4stansion. Describe Page 2 2 A41"44: _ City/State/ZIP: c , c., 0 4_ ( 1 7C' ( 5- Estli additional *veering over slinwuble In Ostubave Per Inspection 62.50 Thom: (•; ) ) . 6 .., t . 7 / Fax; OLD )__k5 - ( < 1 Ifivestiption pm how (I hr mi. III 62.50 IMO CCR Lie.: i L 1 I Electrical Lie.: C - / z ( 1 Suprv. Lie,: i 5-5-6 5 itsaustrtai , ,.t , (sour 1.11 73.75 Suprv. Electrician signature, required: V Subtotal: ..._ _.. , Han review (25% of permit tee): Print nsmc: 6.. -, Date: 7 $ - / -c 4 - - • , , -, ( 441/ Stale surcharge (it% of permit fee): q . E/ Au/ht :ad sligsuivare: x e , t r TOTAL PURMIT FEE: C.,r_.1 9 1„,, cd4. 1, - -1/ Tbis permit appliesdos amino 11 s oink* is oat obeithed TAW. sita I - - dap starts Ion been acreptied so omereem. Print name: 6-6- c n:/ (- 1 e.‘ t Date: - / 6) - • Niatibst ot Inspratass *wood par perdaiL LiBeadeoperveltarAPenseiNeuSie COMM 141:6441flM 1/0SICOWWILB CITY OF TIGARD BUILDING DIVISION PERMIT #66 e d3F5 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Aka Inspection Requests (24 Hrs.): (503) 639 -4175 J INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 6,44ie bJ r / SITE ADDRESS: /6 �o 30 1 z CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: F ( Pour Time: Code # Inspection Description Confirm # Contact # Message C q ©l s33 / -o f . 3 . 3a - 3 45 Corrections /Comments /Instructions: d PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: eige Date: U 2 , 66 Phone #: (503) 718 - ���"