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Permit CITY OF TIGARD ELECTRICAL PERMIT rw PERMIT #: ELC2005 -00194 ":����► y DEVELOPMENT SERVICES DATE ISSUED: 4/1/2005 c 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 1S134AC-01200 SITE ADDRESS: 11410 SW IRONWOOD LP ZONING: R -4.5 SUBDIVISION: ENGLEWOOD LOT: 040 JURISDICTION: TIG Project Description: Alteration of existing 120 volt service. Job # TG0863. 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: 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: TAIT, WILLIAM DRYER ELECTRIC INC 11410 SW IRONWOOD LP 9409 NE COLFAX ST TIGARD, OR 97223 PORTLAND, OR 97220 Phone: 503 - 590 - 8794 Phone: 503 - 771 - 5667 FEES Reg #: ELE 26 -1142C Description Date Amount LIC 153466 SUP 2876S [ELPRMT] ELC Permit 4/1/2005 $80.30 [TAX] 8% State Surcharge 4/1/2005 $6.42 REQUIRED ITEMS AND REPORTS Total $86.72 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: - 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. 03 -30 -2005 14:00 FROM- T -933 P.036/043 F -594 •:ir01/2005 15:12 PAX .CIS 5981960 CITY OF T1(.Alell - - r it - 1EIeCtriC j Fex 't AI? iiCation a:i ` `E t JSI :O.l'Ntl. . 1' City of JI. [ Ord Receivad . 7 .. 2 .. _ PC,m1C No.: GC ! 4.�� OO , � f '125 SW Hall Blvd- , Tigard, UR 9722, plaza Review sac: SD3.6's9 -1.171 Fax: 503.596,1960 1.an <'r,,r, �'f\ DZte(gy: other Permit spec Lima:, SO3.6394175 `' . Date Ready/By: 2a05: ! �l Sce Page 2 for 1 r mtcmet: wwa.ai tlgard,or.ui NetiO.ed/NieMust: _ - ,. ( SuPprt:olenc•Il lnfortnntioa • ' I . ® I_ __, , ..1•.� - I . . .,_. a.-,. t,.' 1- 114... ' '..,. '•' # % 6 . - ; :u -A, ,1 'u , ' `� " .''..., . `.• _ 1 -] New cOns Ira stion 0 Addition /alteration/replacament Please check all lha. apply: ©Service °v<. :225 atop:, conurel ©13a2.".rdou,; location � Delnoliticu E 3 O ther: _ DS v p - rating ©Buildng aim!. 10.000 :t;. ft.. ervlce o e 32: amps I; r..;,. _ .. . : .� w }rtl , i9 t.Y,.K. + ` II P 9 g 4 o r r l'.ore' ew ,' I - .. .: r , r - I t I i , ? ; li 5 i 1 I r f o �I C ti e o, ] - =412 falA.",lye. 4elling residential • t 1 - and 24 ily dwelling Q Cattlntarcial /lsldu6triel III Accessory building • L System over 601) volts nominal units is arlc atrucrate any a : o ') , ] Multi fatril © ,Master builder ❑ Other: sons .. d str or kg/ ,. . •. , _.,,... �_. �O ©1`/Isnufacaj euctures � ��Ull s or more . . _ 1... . t l r ❑ � Y . , r i :: i J �EgressAigh in„ psn RV. psk ' .. elllth -care facility []Other: ! ' lb no.: Job site • +dress: , - i _ ' '. 1 _ �'. . �� ��,� � � abinit 2 set: pPU7 :, with i'the about. ,, i . _ Tk1 set wish to temporary cons • • lion service. 'iy /State /21'. , ���� -- - lit ldg./ ]1 O. • ��ectnamo; Lt :...11 ' " '` � :L .. ; wi : :m _ a._.;•i dnJ a C. R a. Tu ts! 1 u booee iptiart _ i 47 F , _. •rosy street/c in etiOtt9 t4 )ob SitC: : above New residential single not a2plic . or multl•family dwdlinlj unit. - — -- — Includes attached lint ago, _ - 1,000 sq. ft. o1 Pais 145.15' I 4 �ubdivisian - I Lot nu,: •add'] 500 sq. ft. portion 33.40 ' 1 " _ ..� -- Limited energ /, lesidicitial 75.00; 2 - -- 1 ax map/pare el no Limited enCrg - j nan rtsidcntial 75.00r 2 r it i , r r lunch mana ured •)!' modular • i e ' .N� dwelling genee �;til�+'c�r feeder lati on, alt ration, an �IO_90 Services or fe 2 �' ,. / e d :T3 tnitalla relocation Milli • • 'tom 200 amps or less - .� 8O "�d �� 6 2 I ,i v . , 201 amps to 400 arn� ?1'r 106.851 : , I . .._ I , 401 amps to 600 stops — 160.601 ! 2 fine: (C — \ , \ \\ \ ' - ' 601 amps to 1,000 amps 240.60 i 2 �• \ Over 1,000 arl4as or voltb 454. 2 dress: i c�,�.a _ s C-� n v�-� . � --... Reconnect only 66,85' MI 2 ity /State/ZIP: Temporary srri'icea or teederx installation, alteration, and/or �7 % / Fax; ( ) 200 s or less relocation ..hume: (r6 ? l - �7 a _- I - I G6,85i I i i ro I ner Ilea tllse ion; This installation is being Erode oa property that I own which is not 201 amps to 4no arn 100.30 2 ratendcct for a abl, least, rent, or exchange, according to ORS 447, 449, 670, and 701 401 a co 60 a mps � 133,751 _ _ 2 )wudr siguatut't! Broad eircufrs -nµ, alteration, or extension, p Date Hra ri n o per nei _ a r I • • r ! A. Fee for brsta:ll oil-colts With ! , 1 , ._ Ct ie'F.: each 6.65 • 4 ... . .. �... ' - -- ser vi c e or it'ec 1 i 2 Psusiuess inn 0: • breach circuit _ -_ ! -------------. B. Fee for brartel: ell VASS -octact nem: without servic :0::leder fee, 46.85 2 each branch. cir It _ -r- - - kddress: Each sdd'1 branch_c•:reait 6.65 _ ._ '•iry/State/ZL ?: A - Miseellaneou: (sergic.e or feeder not tacluded) i --. .• Pump or urigadcu catle 53.40; 2 :)laone Fax :: ( ) ' 2 ( ) Si arvutlinc liht.r,p 53.40 „_ _ E Signal circuit(i orlantted- 1 7--0 • . - - r1 r' 1. r ._ 1.' t t' ener6Y panel •t I'nL o 1, yr • i :._v� _ extension. Deserbr: 1 Fage 2� z L1sine$snen=G: w r + `,.-S -..._. Address: ,y � .- Each additional In pwctlon over allo In atiy of the above `/'I �f'•.IIVM,�a c• . P er i nspection - i 6 2 :,ity /5tate/2I ?: 11 �� /� f' !� ~ tiivcstigation rler hour Div ruin) I I 62.50 � e Iadustnal plant c er l to a 73.75 ; 'hobo! ) I L V ' g � pQ pl ( Ida _l l r Il, a i : :. `a�Jm fr_ :; '! -, ;', �'�' Y 1 '�a7C- *a / 1 � - Millii f. .rv', tar lfi • ' 'C tprv. B Lic.: Electrical Lis:. --- Suprv. Lic. Q -�r _ - . Subtotal i / �� v Flan review (25% ofp::rni: fee) Elect - lei; gl ter, required: _ -- — I Stale sl lntMarge (8% of pcnrtit fee) , � /ruxt name: )L.#( Lev / ^ f. ,,, I P4ee: -- - -- -. TOTAL PERM IT EE ! 41 _ - - , achoiiied 6. puma.: Thlo partial applic:l aa expll'es it a permit is uoe ebtbine • with a I :IU - _ 1 dsys.:.11el• It WObccn 213cpoUd as complete Date: . Fee medamle logy :r: t 1y -rri- County ]3ui1diT.5 Service 3oard iIIt name: ' • number a. 5asir:cci' »s per pclmil allowed. '.•.I!dir,gtPamitslE:.0 Pa+it[tApp. dos t;vo3 4n0- d615T(to /v:JCOM/WEB .cTY OF TIGARD BUILDING DIVISION PERMIT #: ELC2005 -00194 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/1/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/8/2005 TIME: 7:10AM PAGE: 18 SITE ADDRESS: 11410 SW IRONWOOD LP CLASS OF WORK: SUBDIVISION: ENGLEWOOD LOT #: 040 TYPE OF USE: PROJECT NAME: COMCAST DESCRIPTION: Alteration of existing 120 volt service. Job # TG0863. OWNER: TAIT, WILLIAM, PHONE #: 503-590-8794 CONTRACTOR: DRYER ELECTRIC INC PHONE #: 503- 771 -5667 Inspection Request Scheduled For: Date: 4/8 /2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 004118 -28 503516.3125 N Corrections /Comments /Instructions: • PASS I I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL fl CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED ________L_____ Inspector: Date: I ' ' 0 `C - Phone #: (503) 718-