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Permit r. _5_ '..,� re " `wli. "' ., ,. C.� ..�_�_� ELECTRICAL PERMIT � �TY O F TI GA RD . = i ,,,, PERMIT #: ELC2005 -00120 DEVELOPMENT SERVICES DATE ISSUED: 3/1/2005 13125 SW Hall Blvd.. Tigard. OR 97223 (503) 639 -4171 PARCEL: 1S135AA -01901 SITE ADDRESS: 10225 SW HALL BLVD 102 SUBDIVISION: METZGER ACRE TRACTS ZONING. C - BLOCK: LOT : 037 JURISDICTION: TIG • Project Description: (10) 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: 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: 9 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: GERIG, WAYNE L. AMP ELECTRIC 10225 SW HALL BLVD #101 14300 NE 20TH AVE #D102-227 TIGARD, OR 97223 VANCOUVER, WA 98686 Phone: 503 - 244 -1004 Phone: 360- 910 -5805 FEES Reg #: LIC 78152 tion Date Amount SUP 37 Description ELE 37 -561 C [ELPRMT] ELC Permit 3/1/2005 $106.70 [TAX] 8% State Surcharge 3/1/2005 $8.54 REQUIRED ITEMS AND REPORTS Total $115.24 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 R 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -069 or 1 - 332 - "%- Issue By: K______ ,id- Permittee Signat �� --` 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 IN TALLATION ONLY SIGNATURE OF SUPR. ELEC' • -!� �5 / L��� DATE: LICENSE NO: Call 639 -4175 by 7:00pm for an inspection the next 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. IIIIIIIIH t A i:, iilf ) PE TOR OFFICE USE OtiL � 1 Eta,.. . ,;.:.t � ..; .. _ • xR ,.ta 3 � - 9'2 Permit No.:. e W 0 I. City of Tigard �' 13125 SW Hell Blvd., Tigard, OR 47223 1 plan Review valet mimic Phone: 503.639.4171 Fax: 503598.1960 O L O� " ! / i Daw18v i �� ra ( ®- a e Page z nor • inspection tine: 503.639.4175 �� �� Dale Rrndy/By. , j f Supplemental Information Internet WWw ei tigard onus . ell 1loti5ediNiabod: Y•d .'J. :. ment 1 . . _-� r 3 -rWil . ,.: ,� ,i '.7•F t`,.i4 i .i: 7 _ = e� r , Ty r . r - .f.`�'i� •S4 %i=;w ;' y i – ...'.. t ;,+ tiw, s.Y la,. it: _ . c:A s _s '� Pleasecheckallt e — .° .. • _ w .: cement ❑ New construction al : �OService over 225 amps. comet ❑Hazardous location r Service over 320 s - rating �Huildng ft., 4 " amp over 10.000 sq. o or more new residential 0 D�afitlOp _ • - --. .. ;.,- I � of l- and 2- family dwellings � .- " .° Y '. s , ,'� ' _ =� _� '% ' : • ,'",.-A0.---::_'-_- t . • 1 ..w . _ T OSystem over 600 volts nominal units in one structure 1- and 2rfataily dwelling ,m l/iudustrial CI Accessary building pHulldun8 over Ones stories ❑Feeders, 400 amps or more C3 3 Master builder ❑ � ^ _ DOccupant load ova 99 persons ['M v matured structures or ❑Mina Multi-fondly , c= , . (., � 7._ QBwees/ ghtingpla n ocher: l:. _ . _ _ - • _ /I ' . ' QHcalthca a faelligr ❑ Job no.: O a Job site address: / d 2... Su/ 005 ,41/0 ; Submit 2 eels of plans with my of the above. © The Move are not applicable t0 mmp�lY construe service. City /Statel7lP: 7fG . 4 472. t / �: 0..:-.....,,:_sery .. Suite/bldg./apt. no.: //Z j Plojeet name: J G- 1 • A., — l7a�W Qtr• a.. T•ml New residential single-or multi- fondly dwelling onit. Cross street/directions to job site: Includes attached garage. - 1,000 sq. ft or less 1 145.15 4 I Fa add'150D sq. it. or portion 33.40 I Subdivision: I no.: Limited energy, residential 75.00 2 Tax map/parcel no , , - - Limited energy. non - residential 75.00 , 2 . ' L . t; kW t4 . Each Imnufactured ar module 2 1 90.90 ..c 7 � ‘•••':::s.' 1•. r .� .T- _..• dwelliRf;,SCrvieeaTl: / erftxdcr Services or feeders installation, alteration, and/or retortion Z 200 az�s or less 80.30 . 201 alums to 400 craps 106.85 2 :� r L 5 Y■• .l: i , -. I - i 4 { .. ' °', :_ fir r 160.60 2 . _ . - * a.. " . � � _ _� • r . . � ,�_L:i:>< -. . . . a : 401emps to 600 srrl _ `.' Name; 601 amps to 1,000 amps 240.60 2 Over 1,000 arms or volts 454.65 2 _ Address: Reconnect 66.85 2 City/State/Z P: - Temporary services or feeders installation. alteration, and/or — relocation s Phone: ( ) 1 Fax: ( ) 200 slops or less 66.85 i 1 that 1 awn which is not 201 amps to 400 amps 100.30 2 Owner installation: s a le , l e, This e installation is being according two property 7 , 449, 670, and 701• 133.75 2 . intended for sale, lease, rent, or exchange, 401 utsps w 600 amps Owner signature Date: — Branch circuits - new, alteration, or extension, per panel t , : 7754....--1 1 : A Fee for branch circuits with ` ° ! �--- _. : - 1 service or feeder fee, each 6.65 2 Business name: � Lyl Ei.�G'- ,0_,40 __.., blanch circuit ` - f= - /� ! B. Fee for bra circuits wirl,our service or feeder fee, / 46.85 4(G, /1 y 2 C�ntad name: ���Q r /LG, _ cacti {trench circuit l Address: I/ f 3 oP ( ) / ✓ - , 2 , 0 if ' e 1 L D I — ) - ' - ? Each add'1 branch circuit 9' 6.65 b' 2 w� dlaaeoas (service or fader not included) 2 C1tylStatr/ZLP: 6�/7+ .7.4-s.--6,3 � ' , p-9 � Pump or irrigation circle 5340 Phone: D 1 /O ?OS Pte' : Misc _ g e5 U ` Z ?? 'C Sign or o"tline lighting 53.40 z t 0 L L �_ Signal circuit(a) Or limited - E rnatl: /V 1�f' lT ^y : , : 7..2.,4 . 424 . : , '` G - ;. ILt ' my DD1" 1. alteration. or } t e.ex 7 _ _` _., " r ,.1... S' t .. . , - ` ,..._, _ _ , , .F' - .. , ...-'et, . i . a„'"�'is ene • , extension. Describe: Pagel 2 hour tiler , Business name: 4- -. r c ���/� (C J ` � A/ 2 ! Each additional inspection over allowable in any of the above Address: � Q p f _' �� vv Per inspection 62.50 itY V � y , 6j 6 Investigation per r "in) 62.50 C' iStateJZlP: � 73.7 7j�, // Q Pax �) /2 ! � Industrial p p er hour _ _ - e• �- Phan=g.'T�' .� S .' / I .ti' ant e: iy:?i 'vo :�� r:y :i�L: sr yl°' 2 :.: Electricall.ia. 5uprv. 7 Subtotal /D‘ , 76 CCS Lie.: 7 S2 SGI�] Ltc -: _ - Plan review (25% apemen fee) Sugrv_ Electrician signature., r ` _ State surcharge (8% of pcmdt fee) F SS- D :2-- Print rrna►l. Rr�ax ICES l / S- 2 S/ A Test r Authorized a sig : � . - t ` AUtharized gl&ttatt¢ +: � �� i 7 hfa permit aDVls a l engirt/ wants m Is act obtained within let days arlsr is n net •b crP accepted Si complete � --0S' • F e method ology Set by Tti-County Building Indusby Service Board Print name: , c , y ` — ; I 9 Da ., Number of inspection per pandit allowed. e 4 0.461 sr l l ogni co mmen isLBuldinePe +..�I�RI- CrPa,mirtA9V•dee 17/D3 • T ' d T 9LL -268 (09E l gy2neA RJJa(' eLir : LO SO T 0 -teW CITY Of TIGARD n , BUILDING DIVISION / v PERMIT #: ELC200&- 00120 13125 SW Hall Blvd., Tigard, OR 97223 t DATE ISSUED: 3 Phone: (503) 639 -4171 � /o, ,11 / 1N����u l�� i�� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/29 $05 e" TIME: 7 :11AM PAGE: 13 SITE ADDRESS: 10225 SW HALL BLVD 102 CLASS OF WORK: SUBDIVISION: METZGER ACRE TRACTS LOT #: 037 TYPE OF USE: PROJECT NAME: TAGLIO HAIR SALON DESCRIPTION: (10) branch circuits. . OWNER: GERIG, WAYNE L., PHONE #: 503.2441004 CONTRACTOR: AMP ELECTRIC PHONE #: 350 - 910 -5805 Inspection Request Scheduled For: Date: 4/29/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 litarMiab 005694-01 350- 910.5805 Y orrections /Comments /Instructions: ' 0 0 C7 -. cA'o )D ► 6 r '---/ CAE \I--rC (x \ K4% (A'I'D,A - '?wA'') l PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Am er / ('h Date :. / G2-9/ Phone #: (503) 718-