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Permit CITY OF TIGAR® i ELECTRICAL PERMIT PERMIT #: ELC2004 -00723 VIII ,., DEVELOPMENT SERVICES' DATE ISSUED: 11/10/2004 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 1S135DD SITE ADDRESS: 11900 SW GREENBURG RD BLDG 1 SUBDIVISION: ZONING: C P BLOCK: LOT : JURISDICTION: TIG Project Description: 1 200amp serv. and 4 branch circuits. 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: 4 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: STEVENSON, MICHAEL J + KAY L NEW TECH ELECTRIC 2825 DELLWOOD DR 20811 NW CORNELL ROAD LAKE OSWEGO, OR 97034 HILLSBORO, OR 97124 Phone: Phone: 503 - 648 - 1900 Reg #: LAC 41868 SUP 3849S FEES ELE 26 -418c Description Date Amount Required Inspections [ELPRMT] ELC Permit 11/10/2004 $106.90 [TAX] 8% State Surcharge 11/10/200' $8.55 Elect'l Service Rough -in Total $115.45 Elect'l Final 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: Permit Signature: 0)1. ii `C��� 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. E LEC'N: DATE: LICENSE NO: 30 1 R.p l Call 639 -4175 by 7:00pm for an inspection the next business day • 11/08/04 MON 18:38 FAX 503 648 3131 NEW TECH ELEC 2 001 Electrical Permit �, hcatio - p� -'- - - -- - --- hOR olihrc USI ()NLY City of Tigard n S F C E V E © Received /l 1312 SW Hall Blvd., Tigard, OR 9 7223 Dare/)] : 0 ,e + „OAP Phone; 503.639,4171 Fax; 503,5918.1960 �:, i,• oil; iN Plan Revle yi Inspection Line 503,639.4175 NOV 1 ® � 200�} ■ �[ �'� Datr Da . Other PerrriPermit: tV V e 1 iOadyBy' Jurist ® See Page 2 for Internet: www.ci.tigard.or.ua - r r' r 'rt r A Notified/Method' ... ....... ......,..._, - -... , •�•• • Ca fl 5uppletecntal In[ormntion .__ 2..' - ... -. - .. - :7b;:_ e.t, .'� _ _ . - I " ' ' ` _ "•'' X 97" 1 J__I4 ID New ... ; - ,r- : _.. � � :��r ''' ' '' _' , ,rte „�?�t5, +� 5s ° :isuf�,...�':. :,� .,_ construction � - Ail `drhon /altersuion/replacemcnt Please check all that apply: ❑ Demolition DService over 225 a 32mps, o Ocher. f ce over 320 amps - B comm'1 ❑H zard llq location _ - _ - 1tra : :1,�(15.(Up? .lCa'6i %A�'!1: ,dEi i• = ,)t tti ' - : °1 p rating ❑ uildng over 10,000 sq, ft., - , --- r •__F. _ .- .,,.-. _,,.�: 1 ?,_ $ .;::•: 2-family dwelling .._ _.: ,.,__. ._ :. _.,...,..__. :.,_�, . , of 1- and 2-family dwellings 4 or more new residential ❑ 1 - and 2- fa Y g _2 Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑Building over three stories ['Feeders, 400 amps or more El Multi-family ❑ MSSttr builder ❑ Oth - - o T . lit a :_h " p . 1 = .o r i . ' �n i' , . ` - ' - ❑Occ upant l oad over 99 persons ❑Manufactured stru . i •�` 5•" r d �' P ctures or .._. ... •.:- t . ........... _w .. : .,� :_ :,a :r5,.., : ,,, ,4a� esslli hn R _ . ... �Egr 8 ng plan RV park J ob no -: �• .,.:.,.:. Job site address: f (• 0 G D Health-care facility ❑Other. �� Submit 2 sets of plans with any of the above. City/State/ZIP' - A p• 6 - 9 The above are not applicable to temporary construction service, Suite/bldg. /apt. no , .,,!........_-.7.....L..". ...._.___ x'l i . r .._ ._. - -., .. �,..r -. Project name: t, ,4 e. .. :, .: 0.14 ; »P:k.l, y•1 t il . pir'uL :, -r•; ••r • - �W 1. 4 u r.., . :....mi�Gt : : :. :'rTn.. �sra" c - Description Qty. Nee. ]bial " 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'1500 sq. ft. or portion 3140 l Tax map /parcel no.: L invited energy, residential 75,00 2 : ..r_•.. ._. :. :.� :• :- : . ':; •i3 - -�4� ?r' ' ;.� ;_ _ - -- - •- - energy. - 1 75.00 2 -;,,. - en a :,;,.:_ �„_.,::,_, � . ��::::::,.. ; • ,, ,;t;::= a._ : :. :_ : ;. : rl ; ;,,�1 Each manufactured or modular dwelling, service and/or feeder 90.90 2 • - - t'• Services or feeders installation, alteration, und/or relocation _ & j 200 amps or less : ( 80.30 2 r: _ _ I ,:, ?3;1 dG "t�OJ.,. i ?f -' , 1 ° :1r - , ^ � ' - _-'r : . � : f' ' - - 201 amps to 400 . -_ -'- . __...:. in- :i ._ - r ,2 -1 '!,kt.. . _`:.,. _'4} %a.tl,A -e'Me. .. - "1 P 0 amps 106.85 2 Name: " - �` "` "' -' _' 401 amps to 600 amps 160.60 2 , I - r• MM. _ 1G ; .. ` 601 amps to 1,000 amps 240.60 2 Address: 1 f - D Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 0 • tee:, • e " - Temporary services or feeders Installation. alteration, and/or Phone: - Fax: relocation ( '� o ( � .. -lei3) . I� i - e' 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 133.75 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Owner signature: amps to 600 amps 133.75 , , Ow s i _. n _. tur e _ , - �, <.,:- zi • - - - ,e' - ]oh, or extension, - , :�•,�• ent per panel o 1 __�sr �, . err, - ' " =r` J `• ' '' '� i c 1 „�W, [ % : :!J� A. for branch circuits u ,.,:,. wc.�L__5LL : :''� �w r.:. Uli3 with Burin �... - .L.�.. r - , " - 1- service or feeder fee, each ess name: branch circuit 4- 6.65 24, tL_' 2 Contact name: B. Fee for branch circuits • without service or feeder fee, 46.65 2 Address: each branch circuit Each add'l branch circuit 6.65 2 City /State /ZIP: Miscellaneous (service or feeder not Included) Phone: ( ) F : . ( ) _Pump or irrigation circle 53.40 2 - E-mail: Sign or outline lighting 53 2 -: ; _,�.. Signal circuit(s) or limited- : " - __- - - - rG: '�c �,'..i_ - - err _ - __- - - - - - _ - - - i5r;__, UC _ _G . ; �.;''� : � - - - - �� _..�'ee;'n_ :� -i+ ti�Cri, ^L.£'i - .v _ :.'�" energy panel, alteration, or extension. Describe: Page 2 2 Address: ell I 1Z47 1 _ Each additional inspection over allowable in any or the above Per inspection 62.50 :, . r 410 y„ ' Investigation per hour (1 lit min) 6230 S .. ( " eveve=:, Fax • ( 503 ) 6 31 Industrial plant per hour 73.75 Phone �� ..,. Electrical l,ie.: Lie.: S � `t �' ,M;o~ - 'Tw._ ,. : ? %vs : K er.;: �, ",�u`� N err, 7 51 � ���� Sulxotal 'OL -90 Suprv. Electrician signature, required: it V°� l/ Plan review (25% of permit fce) Print name: - ph i , 1 4� $b u Date: � 1._ 8- 0 /+ State surcharge (8% of permit fee) e_ 5-' TOTAL PERMIT FEE ' t S. ci S Authorized signature: This permit application exp■res if a permit Is not obtained within 180 Print name: days after it has been accepted as eomidotc Date: - Pee nsthodology set by 'rri-County Building Industry Service Board •` Number of inspections pet permit allowed. b , eu , mIngTerauuvZC- POrml,App.doe 12103 440-4615T(10070rCOM/WEa CITY OF TIGARD 24 -Hour BUILDING Inspection Line :`S 4J 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST / BUP Received Date Requested ` / 1 7 AM PM BUP Location ° oO 41/L_! dI Suite MEC Contact Person Ph ( ) � � 9 — 9e/3 PLM Contractor Ph ( ) SWR BUILDING Tenant/Owner ELC db ¥– ad 7 -7 Footing Foundation ELC Access: Ftg Drain ELR Crawl Drain - Slab Inspection Notes: SIT Post & Beam Shear Anchors , Ext Sheath/Shear Int Sheath/Shear Framing Insulation Drywall Nailing Firewall Fire Sprinkler Fire Alarm • Susp'd Ceiling Roof S Other: Final 167 PASS PART FAIL PLUMBING Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post-& Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL .ELECTRICAL Service Rough -In UG /Slab Low Voltage FireAlarm Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. AS PART FAIL Please call for reinspection RE: ❑ Unable to inspect — no access Fire Supply Line ADA / � Approach /Sidewalk Date / l / / Inspector Ale Ext Other: Final DO NOT REMOVE this inspection record from the job site. PASS PART FAIL