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Permit a •. � ELECTRICAL PERMIT ii CITY OF TIGARD • COMMUNITY DEVELOPMENT DATE PERMIT ISSUED: #: 6/7/2007 ELC2007 00381 TI GARD• 13125 SW Hall Blvd., Tigard, GR 97223 503.639.4171 PARCEL: 2S102BA -04800 SITE ADDRESS: 12385 SW GRANT ST ZONING: R -4.5 SUBDIVISION: PADDOCK PARTITION LOT : 002 JURISDICTION: TIG PROJECT: PERRY Project Description: Install (1) branch circuit for lighting. 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: 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: LORINDA PERRY HILLSBORO ELECTRIC 12385 SW GRANT ST 21185 NW EVERGREEN PKWY #110 TIGARD, OR 97224 HILLSBORO, OR 97124 Phone: Contact #: PRI 503- 439 -9666 FAX 503 - 601 -3680 FEES Description Date Amount Reg #: ELE 34 -4399C [ELPRMT] ELC Permit 6/7/2007 $46.85 LJC 134481 [TAX] 8% State Surcharge 6/7/2007 $3.75 SUP 4941S Total $50.60 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: L #i / Permittee Signature: � ji ct-77.7 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. ay 0- 07 -`07 07:27 FROM Electric 503 - 601 -3680 T -106 P002 /002 F -180 taectricai rermir A iicalEl' L� �` -- ` - � l OR Ol'FIc'l•' I Si• ()NIA Ci ' f r' `� ��� r. . Received City of Tigard Dute/a D .1 21� Permit No.. ELL • • • 13125 SW Hall Blvd., Tigard, OR 97223 j Plan Review Phone: 503 639,4171 Pax: 503.598.1960 JUN �t 7 �R+ ° i' 1 ; . b1 ' l ff . I ` Date/By: Other Permit. I Inspection Line: 503.639.4175 r ° . . Date Ready/By J21,61 n Sec Page 2 for Internet: www.ci,tigard,or,us CITY C.. ' °'w' ' ••- __ Notified/Method l5 3i.pprem Information 1:4010 Min rillliPlIIK1 .'E OF \ i PLAN REVIEW ❑ New constructionddition /alteration/replacemtnt Please check all that apply: ❑ Demolition ❑ Other ❑Service over 225 amps, commi ❑Hazardous location -:. , .. - �- .. ['Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft, .. (ai • GARY . . .... 1iBCT)< 11V, : of 1 -and 2- family dwellings 4 or morn new residential Et 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure 1:3 Multi - family ❑Master builder ❑Other. ❑Building over three stones ❑Feeders. 400 amps or more d1�,:5)CZ`L�i �Il�tiErcliiltl�iaiioai I , „ ❑Occupant load over 99 persons ❑Manufactured structures or - , -AP, tkTXO$ ❑Egress/lighting plan RV park lob no.: Job site address: ' w I_ ['Health-care facility ❑Other: -4 f AO << A ` . !1 ' Submit 1 sets of plans with any of the above. City /State/ZIP: I-If/Am 41175//', L- The above are not applicable to temporary construction service. Suite/bldg /apt no : Project name:���l /1 tn UY t � � l 1 $G73EDU]t.)!r i :; . �`'� 1 , Description Qt. Rrc. TotAI Cross street/directions to job site. New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision, Lot no: Ea. add'l 500 sq ft. or portion _ 33.40 1 Limited energy, residential 75,00 2 Tax map /parcel no.: - — 75.00 2 ' - . . : : . '. 11PSS4 1AN••.OF. `'YORK �� � Each manufactured or modular /A A / _ V . 1 ' ' dwelling, service and/or feeder 90.90 2 Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 �pERTY PV 4W : PI r 400 amps ; : , ., , , , ' . �; .�.� amps to 40 106.85 2 • , 401 amps to 600 amps 160,60 2 Name, Lori 1(1C .O. f''er(ta 601 amps to 1,000 amps 240.60 2 Address: 1 �3 $ S S� c r J Over 1,000 amps or volts 454.65 2 Reconnect only 66 85 2 City /State/ZIP: T r / t , 2-2-li Temporary services or feeders installation, alteration, and /or Phone: ( ) I Fax: ( ) relocation 200 amps or less 66.85 1 Owner installation: 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. 401 amps to 600 amps _ 133.75 2 Owner signature, Date: Branch circuits - new, alteration, or extension, per panel ,, ` [] •Mi∎k CANT ;;,. :. c0y'r &cr ipm> A ' - A Fee for branch circuits with service or feeder fee, each 6.65 2 Business name: branch circuit Contact name B. Fee for branch circuits j( �� without service or feeder fee, 46.85 [nV 2 frr5t branch circuit Il1lllssY++ Address: Each add'I branch circuit 6.65 2 City/State/Z1P: Miscellaneous (service or feeder not included) ( ) Pump Or irrigation circle J 53 40 2 Phone: ( ) J Fax.: Sign or outline lighting 53.40 2 E-mail. - _ Signal circuit(s) or limited- :•! , .. " CQi CTely :', .,: , , , energy panel, alteration, or Business name: ti I . • ': ` extension, Describe: Page 2 2 Address: ,1� At _ ` 1 A 1 J , Each a dditional inspection over allowable in any of the above j Per 'inspection 62.50 City /State/ZIP• L(S1) \ p / J Iii 4117 I Investigation per hour (1 hr min) 62.50 Phone: 7, i I t Fax. ( '2, t 1. Industrial plant per hour 7335 - - : :. : :.:. ;.:. ;: ELEc'IRICA)4..Jtzl P 1T 'FEES.: .:: . ..., . • CCB Lic.: 1 L AB Electrical Lic.: , I I Supry Lic : 141114.1 Subtotal Suprv. Electrician signature, required; i Plan review (25% of permit fee) ...AL... A 1... - ay? — Print name; / Date: Na p-1 State surcharge (8% of permit fee) . 5 TOTAL PERMIT FEE .t.17 Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name' l Date: • Fee methodology set by Tri- County Building Industry Service Board " Number of inspections per permit allowed i, \8alldtn \fe- mit,OELC- PermitApp doe 12/03 4404615T( IO /02/COM/wEa CITY ������N�������� ��o o n OF m wn�mm�unu�� ~ ~ BUILDING DIVISION PERMIT #: ELC2007-00301 13125 SW Hall Blvd., Tigard, OR 97223 ^ DATE ISSUED: 6;7r2007 Phone: (503) 639-4171 Inspection uests (24 Hrs.): (503) 639-4175 Vi � INSPECTION WORKSHEET FOR DATE: 8/1/2007 TIME. 7:03AM PAGE: 68 SITE ADDRESS: 123Q58W GRANT ST CLASS OF WORK: SUBDIVISION: PADDOCK PARTITION LOT #: 002 TYPE OF USE: PROJECT NAME: PERRY DESCRIPTION: |nnt3/| 0) branch circuit for lighting. OWNER: PERRY.LOR|NQA PHONE#: CONTRACTOR: HILLSBORO x��rn' . PHONE 503-439-9666 � �^�� y0t � • #: Inspection Request Scheduled For: [}ate: 8/1/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 052903-01 503'439-9666 -~Y PAA■14 ~` ��m� Corrections/Comments/Instructions: .',_ _ . 0 �u /x` �- � K� .-` _~ ", N(PASS | I PARTIAL APPROVAL El CANCEL | I NO ACCESS | | FAIL \ } CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED ^^~~� � xv~� � x � ■Inspector: ~�� ^ »~�v� ~~p� Date: K� v � �� � Phone #: (503) 718- ���'���• vy ` ' � , CITY OF TIGARD . BUILDING DIVISION PERMIT #: ELC2007 -00381 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/712007 Phone: (503) 639 -4171 "poll I Inspection Requests (24 Hrs.): (503) 639 -4175 r�l I.. INSPECTION WORKSHEET FOR DATE: 7/17/2007 TIME: 7 :03AM PAGE: 72 SITE ADDRESS: 12385 SW GRANT ST CLASS OF WORK: SUBDIVISION: PADDOCK PARTITION LOT #: 002 TYPE OF USE: PROJECT NAME: PERRY DESCRIPTION: Install (1) branch circuit for lighting. OWNER: PERRY, LORINDA PHONE #: CONTRACTOR: HILLSBORO ELECTRIC PHONE #: 503. 438 -9666 Inspection Request Scheduled For: Date: 7/17/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message E1•a1 -fiRel 052103 -01 971 - 219 -8711 Y Corrections /Comments /Instruct ons: 9 " , (6 (n. N`t t bF cobs Sa - 1b0 1- ( c1c L al U.. Ilx -cvmvg kc dzy ti 0 304 3 _ I I PASS I I PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS I FAIL t•1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: N 6� L.L�a Date: f 'I !'O Phone #: (503) 718446 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00381 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/712007 Phone: (503) 639 -4171 . N, Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/28/2007 TIME: 7:01AM PAGE: 62 SITE ADDRESS: 12386 SW GRANT ST CLASS OF WORK: SUBDIVISION: - PADDOCK PARTITION LOT #: 002 TYPE OF USE: PROJECT NAME: PERRY DESCRIPTION: "install (1) branch circuit for lighting. OWNER: 'PERRY, LORINDA PHONE #: CONTRACTOR: HILLSBORO ELECTRIC PHONE #: 503 -439 -9666 Inspection Request Scheduled For: Date: 6/28/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 061121 -01 971 -219 -8711 N Corrections/Comments/Instructions: 40 PtkOV biS CA5LJNIF:_1-- sspec..41 ■)e � - P.0:11 1-3d . ® PRA3■40a A ccEci `1 P 13oa60Q No ASSw& ' T Dore V4 —b,11 — icy ` 6 . 3 v�c 61\ - 8 ot.a 5 vwbaa- bib NM • `LI ° I The electrical installation defects noted .�._ on this report shall be corrected and an inspection request made within 20 calendar days per OAR 91a-271-0030 n PASS 1 1 PARTIAL APPROVAL 1 1 CANCEL IXNO ACCESS FAIL 11 CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED Inspector: " w 6Q• Date: 2 1 Phone #: (503) 718 - 1 1 () • CITY OF TIGARD l q W k BUILDING DIVISION 6 ij ' , # PERMIT #: ELC2007 -003 31 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 617/2007 Phone: (503) 639 -4171 / u"�4p f Inspection Requests (24 Hrs.): (503) 639 -4175 °-__.. INSPECTION WORKSHEET FOR DATE: 66//4/2007 „ TIME: 7 :00AM PAGE: 17 SITE ADDRESS: 12385 SW GRANT ST CLASS OF WORK: SUBDIVISION: PADDOCK PARTITION LOT #: 002 TYPE OF USE: PROJECT NAME: PERRY / DESCRIPTION: Install (1) branch circuit for lighting. OWNER: PERRY, LORINDA PHONE #: CONTRACTOR: HILLSBORO ELECTRIC PHONE #: 503 Inspection Request Scheduled For: Date: 6/14/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message • 120 Electrical rough -ire 05023401 971 -219 -8711 N Corrections /Comments /Instructions: g Z -- (1Pvg< ,,R a V6) © YV PAC C-6Px.11-/r • PASS PARTIAL APPROVAL 1 I CANCEL I I NO ACCESS FAIL CALL FOR INSPECTION 1 I ADDITIONAL FE S ASSESSED Inspector: 16 / `' Date: 6 7 ,;'7 Phone #: (503) 718 - CITY OF TIGARD 2 BUILDING DIVISION PERMIT #: ELC2007 -0038' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/7/2007 Phone: (503) 639 -4171 0 414i# Inspection Requests (24 Hrs.): (503) 639 -4175 _•:_.. INSPECTION WORKSHEET FOR DATE: 6/12/2007 TIME: 7:00AM PAGE: 56 SITE ADDRESS: 12385 SW GRANT ST CLASS OF WORK: SUBDIVISION: PADDOCK PARTITION LOT #: 002 TYPE OF USE: PROJECT NAME: PERRY DESCRIPTION: Install (1) branch circuit for lighting. OWNER: PERRY, LORINDA PHONE #: CONTRACTOR: HILLSBORO ELECTRIC PHONE #: 503-439-9666 Inspection Request Scheduled For: Date: 6/1212007 Pour Time: Code # Inspection Description Confirm # Contact # Message 105 Underground/slab cover 050047 -01 971 -219 -8711 N Corrections /Comments /Instructions: `k' \ � � O % ) I A fl 0 A t s ; � ` � J A LLo W 4 N 1 1 b . A 1-U cA� SN- No czonvyl (» r v\) t,L.1,1 r��'►aT s \L t�E Fl. X The electrical installation defects noted on this report shall be corrected and an inspection request made within 20 *lender days per OAR 918 -271 -0030 • PASS PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: �- 1 V IA Date: t I 1 1 61 Phone #: (503) 718- V' #6