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Permit CITY OF TIGARD ELECTRICAL PERMIT `y PERMIT #: ELC2008 -00511 COMMUNITY DEVELOPMENT DATE ISSUED: 9/4/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S 134DC -07100 SITE ADDRESS: 11675 SW GALLO AVE ZONING: R -4.5 SUBDIVISION: GALLOS VINEYARD LOT : 002 JURISDICTION: TIG PROJECT: LEE Project Description: (1) branch circuit 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: SIGNAUPANEL: 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: 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: RAYMOND & ARLEEN LEE METRO ELECTRIC INC 11675 SW GALLO AVE 2809 SE MYRTLEWOOD WAY TIGARD, OR 97223 GRESHAM, OR 97080 Phone: 503 - 771 -9449 Contact #: PRI 503 - 666 -2159 FAX 503 - 674 -0123 FEES Description Date Amount Reg #: ELE 26 -403c [ELPRMT] ELC Permit 9/4/2008 $46.85 LIC 78173 [TAX] 12% State Surchar 9/4/2008 $5.62 SUP 2408S Total $52.47 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: � r Permittee Signature: '67"/ /' OWNER INSTALLATION ONLY der; 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. -° 1 FRO . METRO Elect �� FAX NO. :5036740123 Sep. 04 2008 08:59AM P Electrical Permit Appluatio ; (qi, .,, . - I 1 ..1. \ I 1 ,. ''' • City' of Tigard T� n ` ` °'` FYI- We.: 1 ( 3125 8W Hail Blvd.. Tiganl, OR 97 �� -1 � �I 1 Phew 50 ,639.417! Fax 103 S9tA46tl�C"� Ka i Other Permit inspection LDS' 503.639 4177 77ue .. • r, �_ ': Sea Page s for Internet. wwa.rr tta e+r.gov EP - 4 .( 1t1 $ nttaaaie . • Na -lemmata isfor..tcmt TYP: of WORK t uu PLAN RegYIEW eil New construction rrdidon / other • •.C,,. •, t • ' a P :lean a'' all that apply (iubrnit ,c . rams aheatuod balm), 0 ISIOI�t 1 II S6-: iew feeder coo a se more Q Mantling owl Ono warn. O Demolition 0 Other: (' 1 f]1 whore Ow available Fault =rant Q Matron and banyardi, CATEGORY OF O 'CTTON cawed. 10.000 at at 131 volts or 191 Pbadag bgitdmns. C r t lyd Malty dwelling ( 1 ommulilndu rciastrta1 0 AGOe390ry building hal tlt,and or tu nel exceeds mi . Co iling, al -rte agricultural 1CJ +' � $ 4010 Fdr cell other unm0aewoa. betiding, D Multi. faniity D Ma9tcr builder 0 Other; ' Oriel piiv p CI l ar 75 Kvet or 0t _ JOB $lra INFORMATION ANA LOCATION 1 PAddi 8 ria 9 i new motor to Taiga acparatdy derived rysrsM. ®Add{ri d taw rrxxng C3 "k', T'. "1.2".1.3 Job no Iob six address; I !(��rj Jam e S I ix or ut Moro, oear9aney. _ JJJ{{{ '• V im" ` d Six � mora csmdentlal uaitR L7 Rgcvrsunnil va6Eote "Was, City /State TtP; 1 , , ( ; pYeam, rae Raffles Cl Sturdy vala0.or Rr ttuxo men 1 y ` ClHamrdous location 600 rats oneutal. Sulte/1)1dg./ pt on,. I Prole:.t name: I I rl San lea er fader al RM.. or more. 1 t FEE SCHEDULE CASs Wee/directions to job site; 1 I IR. X3"711 I1r • New reetdteda a twee or nimbi-family dwaUina tart 1-- I [ncnttutlatckai re , ' Subdivision: J L ot no.: I 1_000 tq- ft prices _ 141.13 4 8t. add'1500 se, it. or portkm II 33 ill Tax rrapJparoel no.: Urritend =a 1p retidanual 76.00 a)6k..tott•coll.Q 3- DHSCIKIPTtON O19 WORK web .1110N6 a. 1l 0.ut + pLt? Li mited energy, rat t ft_ El 7S 00 '5 tZ. 7 e t. ^ imps o e in . tie Ilk an • . "ea ( 200 amps or less MI 80 NIMIIIIEI 0 PROPERTY OWN iR. [] '1TNANT I ; 201 amps to 400 env • MI 106.85 Name: 401. .. to 600 .. . 160.60 IMMO ---- -- 60I tun •• to 1.000 amps 244 CI UMW Address: Over 1,000 ern .5 or volts =EMEELIIIIIIIIIIIIEMI C1g7/9teterZIP. Tettperaty aerrle;5 er feeders installation, alteration, sad/or Phone: ( ) I Fax' ( ) 200 erne ices ,,,. 66.85 - ns .. 1 - Owner htetallationr ThIs installapon is being made on property that I own which is not 201 imam to 400 ernes 100.30 2 iotcndod for ealy, lease. rent, Or exchange, Incordingto ORS 447, 549, 670, and 701, 1 ' 401 nine* tv 599 rater 133,15 2 Omer! elrellee - sew. aberstiom or Mansion, or panel Owner signature; - ��ate: A. Flea for mud tr eta&c waft ' . . © APPI,ICAsT 0 CONTACT PERSON above tRVica or feeder fee. each blanch c,re,s 6,63 2 Buse , • env: all-r (c,_`. 3. pee Ter }trench eirwita d , = �, vtth nt.t service or f ee d er fee, t 1 46 85 l 5 2 ' aattsct name: _ __ first branch oirGUit Address: O - ^ _ vo I F Adel t rances circuit t 6,65 _ 2 r _ Miteellsac:ouspaervece or feeder not In _ OM) City/Stxte/ZIP: "a . mentailetured or modular ( ) �„ f'5 i ) rp � -61 �'1 service ro,cVor *der 9[1.911 2 Phone, 4 1 s Reconnect o� 66.85 z E-mail: I Psamor irti won circle S3.A(1 CONT Signor ocarina Herein gg,4 Fluginess name: i SII;r,a1 aireuit(s) or litotes . Address; — _ „ energy a lian altsratinq or Page 2 2 City /tate/VP: i Suet sabirlanafins . oboe over aiithrrb to ■m+ oftM above 1 Per • ctk,a I 62.90 r Phone: ( ) I Fax: ( ) ! Tribes .....fm , Omar (1 hr m B 1..1c.: MN 62.50 n Ct C 7 1 Electrical Lie,: Z. —11,63,ej Septy Lie .• , 2 4 10 1LT, , ir xhntria plant per how 73,75 8:t r.+. Electrician signature, required. """" C i tT> iIiCAL ry 8nbnotal, ' ,. . Print name- (_ka Dare: I P18n review ( , o , w it fee "' �� ``���� — 1 — - � i stem scrump (12 %ofpermit tett); . Z, AuthorJzed signarea e: TOTAL PERVIr EEE; Print name: I Dale; 1 Thin perarlt 41 anon at<pire If e e nos Alined wields ieo 4gye after it hat tear, accepted n tenpin*. • arr„ Naafbaree +DaofIari dlSartwrrnit S •.-4� w v.rr v,nr,a� taros .ac, w: str::.aswaowin it CITY OF TIGAlip BUILDING DIVISION PERMIT #: ELC2008-00611 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/412008 Phone: (503) 639-4171 isolTio Inspection Requests (24 Hrs.): (503) 639-4175 La1.41. INSPECTION WORKSHEET FOR DATE: 9/22/2006 TIME: 7:00AM PAGE: 26 SITE ADDRESS: 1 SW GALLO AVE ' CLASS OF WORK: SUBDIVISION: GALLOS VINEYARD LOT #: 002 TYPE OF USE: PROJECT NAME: L E E DESCRIPTION: (1) branch circuit. OWNER: LEE, RAYMOND & ARLEEN PHONE #: 503-771-9449 CONTRACTOR: METRO ELECTRIC INC PHONE #: 503.666,2159 Inspection Request Scheduled For: Date • 9/22/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 115 Elipctrical service 075600-01 503-624-8238 Y FL Correctidns/Comments/Instructions: If ik()V 1 Ggik C..;rt \\" v rfi PASS fl PARTIAL APPROVAL Lii CANCEL I I NO ACCESS n FAIL I I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: s L E Date: C t[ 21 11) Phone #: (503) 718-1_&I