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Permit
CITY OF TIGARD ELECTRICAL PERMIT • PERMIT #: ELC2005 -00742 e DEVELOPMENT SERVICES DATE ISSUED: 10/4/2005 d1 'I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 2S102BA- 01.100 SITE ADDRESS: 12220 SW GRANT AVE ZONING: I -P SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND LOT : 058 JURISDICTION: TIG Project Description: (4) branch circuits. Job # 47593. 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: 3 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: HAYS, THOMAS R + LORI J REDS ELECTRIC CO INC 12220 SW GRANT AVE 2002 SE CLINTON ST TIGARD, OR 97223 PORTLAND, OR 97202 -2245 Phone: Phone: 503 - 233 - 6467 FEES Reg #: SUP 5010S Description Date Amount L1C 4443 ELE 26 -152C [ELPRMT] ELC Permit 10/3/2005 $66.80 [TAX] 8% State Surcharge 10/3/2005 $5.34 REQUIRED ITEMS AND REPORTS Total $72.14 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: Permittee Signature: ,.. QN\ OWNER INSTALLATION ONLY 4 The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. • ' Sep. 30. 2005 10:53AM RECEIVE r) No, 5341 P. 1/2 • ' Llectrical Permit Application FOR ol•'FICI: t 1I•: ONLY 1312$ of Tigard vd., SEP 3 0 2005 Y y � i �, t� bean.5 o ) 7vz `.7 Pemut No: 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone; 503.639,4171 Fax 503.59:40 I y OF TIG • : ; .•,, ,. t ' Dale/By. • Other Permit: Inspection Line: 503.639.4175 D� a pp T�TAT g��y ,.,-! ! ► 'il l , Date Ready/By rd: See Internet: www.ci-tigard,or.us BUILDING G D1 y . u. Notified/Method . f � � supplemental Information :!i�:'Y+ �, "/iii �'�1::.ti.�a `C •:l���I: �. \' :i{: ,-.r. uAr .l i + • 4`1 Ye- ' 1, . ,R. • "•' ..S',:... AT t'v i' :) 3. • 01 .,t , : r: - •-r. ,„ -V. 1 e h• *� ;.l� '6,','C';:?,,,,, t'i" 4. ; ; Yr 't �� f. f ,y ,...?>; i ':. ti't' ' • Y'• r yy ..� .. ..��, ; fir. ,n. ,: ?� � � �.aj `;K , 1 1 !DRf�.c: 'X; , . ,��: �r�t. :+ y • '�i'� f i�. :i. . : a:t , fj k, ; , � i• G'ri $.'.4.5.4: r . a .n: ...V.:i?:,c. \ ... .. ddition/al k..:_,. .......,�.......p.. — .. ".5.: �R'i�•,�L �r, n', ' a.,4•r..y,, � ? /.':�(' . •..• ) '+ 11 i s ` F..� &�' \ < . °i� ❑ New construction Please check all that apply: ; tom ;: teration/replacement PP y: ID Demolition ❑ ply: ID Service over 225 amps, comm'l ❑Hazardous location • r {ncra. •.,a; ., `7 . , ,�.... ; r H �,,,, =•.: r . _ +a . 4, � ❑Service over 320 amps — rating ❑Euildn over 10,000 s ft, ��' -� :' ..,�n�:N" .11 �_,.. .,.;~�,.y- ..:.�;:;.:M �� `,;: ' ' farm dwellings 4 or more new residential • i:�• ,a:::w:r�' .��f�,, fat .:, �, 'Q :t(`; t " . �;:y< i : . l -and 2- lY g ❑ 1 - and 2 fitnily dwelling t CominerciaYindustrial ❑ Accessory building ❑System over 600 volts nominal units in one structure 0Building over three stories ['Feeders, , 400 amps or more ❑ Mtild family ❑ Master builder ❑ Other: ,,:,' ' ❑Occu ant load over 99 ❑Manufactured structures or :.. �, X .;� n .:,,�,.,..t a ;; �, , a�. - :r�•- ...�,.^ .a. r ,..� a;;;;;,�r. "r %i.w.ro,�say.. pri4 ;�1 ;'i,y0,gr" : P persons u � i �, r. ,,, -'r, ., a• - :-`k.,,'�^;a ' ,.. ' .... :0 , y'•,`% . ;:?c v $,�`' RV park F : ...:•" `....r.�' - :; "Y''ic.: " "'j':., ❑Egressrtightingplan Job no.: 175'93 Job site address: / 01 Su/ a t �1° (]Health - care lltcility ❑other: Submit 2 sots of plans with any of the above. . City/Stare/ZIP: The above are not applicable to temporary construction service, . Suite/bldg. /apt no.: Project name: � 9 j /J l�'7 f a .r t^ `1...i'�` : F•. s ).. r ' ° lk : kek:'. ,�. : s , Q� 1 4 beacriptlon Qty. Fee. Totpl ' Cross street/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 1 45,15 4 Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 3140 1 Tax map /parcel no Limited energy, residential 75.00 2 n 4 z r y k , fi.. .r.•. �-,, a _ ' �,�R 'AMOR Limited energy, non - residential 75.00 2 1 ' ; . �. \ { :7_ryas'4y. it r .v F, �.,r, i� 4 ',, y l . . > Y° ;, ''.. ?? Each manufactured or modular dwelling, scivtco a n d / o r f e e d e r ' " ' - • " ' • 90.90' 2 O et.,' c50 ��s _ Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 V „,. t (Zl , z7 2 *yy �, p ,'rX"( , �,,, a1 , . ” \:+ «r ., , y`�4'v , ,'.' t „,, 201 amps to 400 amps 106.85 2 • : , y'.'rt'+'> e.,`.6:61 ? . t . s ° a, yat:L . 11 �., ii.. '�:tSr v ° 4 , • . t Y „ • .Y,, .X?.0'', . .... 401 amps to 600 amps 160,60 2 N817e C i Q c 71 7 e-5 • 601 amps to 1.000 amps 240.60 2 • Address: Over 1,000 amps or volts .454.65 ' 2 Reconnect only 66.85 2 City/Statc%ZIP: Temporary services or feeders Installation, altrratiou, and /or • Phone: ( ) I Fax: ( ) retocatioa 200 amps or less 66.85 1 Owner installation: This installation is being made on property that X 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. 401 amps to 600 amps 133.75 2 Owner signature: Dace: Branch circuits = new, alteration, or extension, per panel `: ; a � t 9 �'.. `�4 " 'eB: * r1' „ t t �'s �e.�...• t t rc rte _ . ; - k t1 t .', t0, 4 1 c a. W - ' . ' A pep f or branch Circuits with service or fccder fee, each 13Usiness name: branch•oircuit 6.65 2 - B. Fee for branch circuits Contact name: without service or feeder fee, r Address: each branch circuit / 46.85 7r �� / . 2 Each add'! branch circuit , 3 6.65 /9, 95 2 City /State/ZIP: Miscellaneous (service or feeder not included) Phone: ( ) Fax: : ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E - mail: Signal circuit(s) or limited - to � � •i,., I efiE • .. ; . y ,,, c ...... .,,, N. 777 ,. "' 9 ` : ,. :i . energy .. a � 4' a', p tl , � • t� C Y. �'7� • ,� 4 4,. h y M1 , . ,.. ., ,�3dti< .G x..YrY a. ,� Y., a • . ,.;,,ia . .'16, Pa net, alteration, or extension. Describe; Paget 2 Busines Red's Electric Company _ Add 2002 SE Clinton Each additional inspection over allowable in any of the above Portland, OR 97202 Pet inspection 62.50 City /Ste (503)233 -6467 Fax (503)233 -1281 Investigation per hour (1 brmin) 62.50 Phone: ( CCB# 4443 Elec. Lic# 28-152C Supry Lic.# 5010-S Industrial plant per hour 73.75 � :» -' 'r •�''' Fir a -3.;r.'.'� i . ". •(( CC/3 Lit i:,� „�,�w: �:, . Nils; ��;> r' i�� ;��>�s�,.,�<,�;'�.�,r,�;xlxi:< Subtotal & Wiv Suprv. Electrician signature, required: t Plan review (25% of permit fee) . Print name: I Date: 9,y 0/QS State surcharge (8% of permit fee) � Y � � ! TOTAL PERMIT nE . .7 ) 41 Authorized signature: This permit appllcatlon expires it a permit is not obtalued within 180 days after It has been accepted as complete Print name: Date: ' • Fee methodology set by Tri County Building Industry Service Board • •' Number of inspections per permit allovmet t: il uitates\permiMELC_przmitApp.doC 12/03 440.4615T(l0/02/C0M/WH8 • � • CITY OF ��nm n ��m nn����na�� BUILDING DIVISION PERMIT #: ELC2005-00742 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1014/2006 Phone: (503) 639-4171 Inspection Reque�o(24Hmj:(503)G3A'417G a��■ e�i. INSPECTION WORKSHEET FOR DATE: 11110/2005 TIME: }[2Alvi PAGE: 76 SITE ADDRESS: 12220 SW GRANT AVE CLASS OF WORK: SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND LOT #: OGQ TYPE OF USE: PROJECT NAME: ACSSPEQI8L11BS DESCRIPTION: 64\ branch cirnubw.Job #47593. 0 OWNER: HAYS, THOMAS R + LORI J, PHONE #: CONTRACTOR: REDS ELECTRIC CO INC PHONE #: 503-233-6467 Inspection Request Scheduled For: Date: 11N0/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 020942-01 603-233'6467 N Corrections/Comments/Instructions: . . :KPAS6 0 PARTIAL APPROVAL ri CANCEL ri NO ACCESS FAIL I I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED i Inspector: Date: / I 0 -- S Phone #: (503) 718- Offq OF TIGARD BUILDING DIVISION PERMIT #: ELC2006.00742 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10 /4/2005 Phone: (503) 639-4171 1 1. i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/17 /2005 TIME: 7:04AM PAGE: 27 SITE ADDRESS: 12220 SW GRANT AVE CLASS OF WORK: SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND LOT #: 068 TYPE OF USE: PROJECT NAME: AG SPECIALTIES DESCRIPTION: (4) branch circuits. Job # 47593. OWNER: HAYS, THOMAS R + LORI J, PHONE #: CONTRACTOR: REDS ELECTRIC CO INC PHONE #: 503- 233 -6467 Inspection Request Scheduled For: Date: 10/17/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 018499 -01 503233 -6467 N Corrections /Comments /Instructions: n ` l NO � S 6 U' ,.5 W I c t� �R-� CL R $ :, (V . E L x'� C2 cA L✓ qt AIL. W r` L\... ( vN Cir A0 c.'S cow '' r PASS 2 PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: `T"i'+2. N t.-C Date: 161 illatc Phone #: (503) 718- VI% 1 CITY OF TIGARD ,, BUILDING DIVISION PERMIT #: ELC2005 -00742 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/4/2005 Phone: (503) 639 -4171 N , ypufeil Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/5/2005 TIME: 7:00AM PAGE: 47 SITE ADDRESS: 12220 SW GRANT AVE CLASS OF WORK: SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND LOT #: 058 TYPE OF USE: PROJECT NAME: EGG SPECIALTIES DESCRIPTION: (4) branch circuits. Job # 47593. OWNER: HAYS, THOMAS R + LORI J, PHONE #: CONTRACTOR: REDS ELECTRIC CO INC PHONE #: 503.23 -6467 Inspection Request Scheduled For: Date: 10/5/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 017524 -01 603 - 233 -6467 N Corr ctions /Comments /Instructions: KONI©� 1 0-wA1 NcL. b4 w►cuN _CD. ' , ti z -r r\, ko cL \' b co rAgkCA AL 2 ' ' 6) eR..c.„ B, 'p--„-,_,,„,,, r_ s ---, av4 .)(utA, L_ �� v ► t c.0 S I - 1_C K ❑ PASS I l PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FA FAIL 4 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G`n , V �� Date: I Phone #: (503) 718 - 2- ' - r