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Permit C ITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2006 -00412 AM. DEVELOPMENT SERVICES DATE ISSUED: 7/27/2006 '---- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 111 CA -10200 SITE ADDRESS: 09823 SW KABLE ST ZONING: R -7 SUBDIVISION: TAMI PARK LOT : 009 JURISDICTION: TIG Project Description: (2) branch circuits for NC unit. 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: 1 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: RON BOSSERT OWNER 9823 SW KABLE LN TIGARD, OR 97224 Phone: 503 - 684 -4033 Contact #: FEES Description Date Amount Reg #: [ELPRMT] ELC Permit 7/27/2006 $53.40 [TAX] 8% State Surcharge 7/27/2006 $4.28 Total $57,68 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 • nce, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Noti icaf n 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 O 503- 246 -669 1- 800 - 332 -2344. Issued By: s Permittee Signature: f "(- J 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. .. . . . ' ' 11 '" ' !till .I 'I I ..-: 1 n.' - -"• • !-..,"' s' ' • ' .. . ii•Ii- ... • • " it "4 4"" . .r" . ..:.110•1: '' • „ 1 ,,.,,,) ,l, it •. 1 I " i - • „ • r ;';' r' J I li •,' e 1 i 11'1'0 r 1 15: 4i, FAX 5035981960 CITY OF TIGARD , , i. ;, i,,,. l ',.- ; ,. 4. ; , I ili ; . :.,, 11 1, , ,. ;7 l 0 0 2 . .. .1 , ■ ' : ■ . ' ,.," fr„k 1 .''1: 1 '- . i .1 • , , ' ; • ' '. ' i f : ! . '' 1 i 1 .. : i '. : I 1 4 ' ' .t‘ ' '■!. 4!... I r . 1 ! • - IV F .'ili I Iliro illi, 1 f ‘ il Bi ;',[1,1 , pill i ' :. 't; P. • =Elect 'call. Permit A RE , ,,,,,c)Lt- , Ili: 1 1. ().7s,lin 1 1 1 .• 1 • , li : , I ,i' '', , • ..., • i , 1,011111'Am:I i',uci , it • at 1.i . :i : " - :',I.LL .' ' City :Of Tigard ., ,, . ...ived/'7-- 1,1 1....L-i 1 , f2 7 , Patg/Br / 1 .(1/. .11-- -, '. .i' , :_:.. u , 1- • '..'..,..:,. ,:-L.,_ ,4„1„L:z.i ■ ..' i 1!12, 1 , SW: Hrdl Blvd; tigaid, OR 97223 Plea Review • • 1 . ,. Plibie• .503.639.4171 Fax 503.598.1960 JUL 27 - 201! ,, , • Dide/Br . ,' : 1 1 .t 1 r , dt -...---..- • . Ipectian"Line: 5o3:639.475 ' iii.j_ , i i De. Ready/By: . . ,,. , i p, .;_l, •,, liurisi 1 f I ili 1.'or . ,- , • ,. - nti2nct: 9 gard ' ,.., s ' • '')' s . ,,. .1 hi Noti ', ' ' ' - fiesIsMethact - ,. ; i . ilL 11;1 ; i !.1 k . Sti.nOrments.1 Imfr.lettol.:1 .,„... ., ! ■,".: • 1 ' • '' '' - ' Js. ' ''. - ; • -•;. : .;........;:;:-... . -:, , 1 :: : ; * "..7.."...• •‘'....:: .7 ......:•; . '', Z...;- • '''.; • 1 1 ; I:. •:,',. ''...:::;'.; ;;;;;;.:::: 4); ..,... i 1 .,. .11:3 .New..doastrttetion ' is , . Ploasc.chca all thin ryiOty: .: , . '. , i i 1 1 , rr. 'i '; ' • I , ' 1 -. :: ,, r • 1 , .. ! CISeivia,oire4i4223 niimi, I Ilaxardou,s . 1 , 0 ! ,.: . 0 Dertroliiion ' ; )' ' --1245.ther: - 175;orvii:Ovcr•320 notpis•7- laiisg i i Ill 131101,6Ag ovei. 1. lg. f... I . i i. ,.., l':.4'.4 .'::::: 0 OkOrii*C* ... :. ' ::.:.';.; :: ....: . :. of 1 an thVellings 1 "1 1 I ,.4 of;morii i it vu P.`:5i4ii:ri.',i Ell r : • 1 . ' 'i 1 •' atid 2 , 0 Commercialfindusttial 0 Accessory building ['System nir606 liolifiliaini"..iinii il juiiMiii mr: An:twine I:1131111d*, oveithie%i'siiiittil,• i . 1' , I 13111,1 ;LrIgt1; or mere •Mul11.6mily. . . . ., r. 0 mast= bolicior 0 Other: . . • Do cc i n i arn f ., i o t ,‘•;'51k r i. r i s, l' 1 ,0,141itiufaCias it d szt03: to-.; cm' 1 ' I, ; '■.! .:i';‘, i4O)t. , .. - - ...:,..,'..•.:* . • f .,‘ ; 1 DEgressfithting PlaTi . : ' '•• ■ ''. 1 .': 'I I :• • ,-- inb ! J OH4ahh-c. ace I ''• ' ' /, 1 ! 1:1 ., L._ ... __ ...._...._____... i ', . • .: .. ob site address: 9.82.3 st.,)144a/,- 5 / Submit ,teits; tiails 'Wit li' any'. ofilic'alioke.'r ' , , I.. (, 1 , • , t , i ,1 ; . ' - ' t Oty/Stati/ZIF: ',. ..7 G f t- 0 '' 7 2- z y- .Thc abovnaic nut upplicablii•ti tesxpqrary traa.stru.:1'xii.,3• , ''.-.- '."' :;s:.''.1:.' 7."..;•;'.i; .. P y.....L'ili1 • r ' ' 'SiiiieibldgJapt no.: ' Project name ' . . _ _ Descriptiad ,0 I;'4 ' :.._:: i I' 1(1 Fie. : :I '. t..I '. I DS.S StieetidireCti611.5 ID job Site: qe5 ?"W , I NtWreSetitatiei siairle.'60. intiiii-lhatily ciiaraitirq zir,.,... . , ,• , . . „, ., „ . . , I Includes ";■illat:thed irsie: : i !,. I, ',. r 1 ,.. ; ;:. 1.,, .. I 1,000 sq. ft orient'. , j. !' ; i:1 '1 11 , 1145.15. .1 1 ft; - ; l' ' ii ,, , . • • E.i &dell SOO sit, ;, or 'Option ! '; i ri J',''. 1'33.40 1 ' . , . ' 11 1 i ISOdiviSiOn: ' Lot no.: - , Limited ng4nxiiticntiiill . f: ti l'i.i . . 1Tax TaPiParool no.: -' __-___ ----------- ,,,,,, ---, . Limited cri=gy; non • ; !' I ; 1.75.00 illigatiltitgl: . 016Rtoliit'! : ' :: ::: .: ''. ' 7 '....' : '''............! .. .. Each mannfamarcd c4 . 1 ) ! 7 . 7 .77 i 1 1 - (.04 - ti 7 cc' /AC ut) 0422, dwilin - seivine ne4Vor fireie 1.• '1 1- .1 ,i: ',:•'90,90 ,, . 6 rc.....7"/ 4 ( 2. ' 2 kg. t ,? , .00.-L ),. t . 770 A) /Al ee 20 o =Ps or leas '': ' : .. ;_..., , '; 1 1 . I 80.30 1 • ' ::: :):KiitOtEOrt. 4 !..., ..;. - ,... 'sir...* CI'. l'Eria4017: • ... ...•••:', ' • '. • . .. .• • • • - • • • • - , - .. .. 201 amps to 400 iiiip ' ;„ . .1 1 i 1 . 106.35 1 ' ' " 401 amps tot 00 sairs".±. • !. : i ... i I . 160.62 ,,... ..... 1.. 2, • !MAC ; X0 Ai . .,8 0 5 0/2-1 601 am! 1? 1,000 imtoPs ,.,.._ t 1 ! !I - Address : : 9 1,:t? - CO e/4 cf/ e S r Over 1,000 imps oi:inits ; :. , ,, '' 1: i :1 i• 48 I Romumeet ii ' '::' ■ ., ' ' ., ' i II :1_ 66 1 5 .. „ T 04 /2 Q R F? 22.K 1 Temporary servic4 or reedier°, inntalbitiun,. alit' li0111, 1111■41 , .. .. i Illionet ( t'va) C 8 ci- 4 3 - 1 Fax ( ) I relocation ; ;), , l. 200 • .5 ci leis j, '.,, *.!; i : ' ; ,', € LI i r... 66.35 ] j I 'Owner installation: Thi . ' • ..s. lotion is belts. .. ".. - on property that I own Which is not 201 amps to 400 atims` , ! • ; '• 1. i I . i., . 10030 1 intended for sale, lease,ren , = _ ox 44 Date 4 4 9,670 7 . = 401, amps to 600 minis' :: i : ; r 1 ' 1 i 11 53.75 2; , 1 a ' .i. i . ! Diviter Signature: Brnach circuits - new, alteil,tion el extszciiina [;1",r.,111,1q,„_ " , .• ...." ; ; • '';',,:•...". ":'?..., • .."; fl dotiatr.rolgor ! - service or feeder liteolaiit , , {.. i' : i j, , . ,. ■ ,,. II ..,I, ;„ „ , , ' ,. • 't : : .1- . i 6 „. 1 ' i, [ i i g rlY . • branch circui't .1. ; •,'. I . ', I " i ' ' • ; i' , 1., .- , , : B. Fee for branch cirilics r 1 it i ti;ntictttante: '. . . iciriroutliirviee• &oda' l''''''' '; l i' • ! 46 3S I. . . first Manch circitif -,, i ' : i 1A, I i • . t 2 " " . Each addl Munch ciionit • ,.....: .: •• Fir . i ' 6.65 . i__ ..... ." .....7 Ciii/State./ZIP: Miscellaninis (seiviec or, lee der noi inellidettli_ i • i l', 1, ' ' • - ' - Pump or irrigaM;Meirele, . i ! 1.1 I • ':' 53.10 . 2..'..._1 ' • ''!" l i iiiitile: ( ' ) _ ' . Fax ) __ Sign cr outline lighting 53AO ......;, .1 .....* : ...... I ::,....... :. 1 :' it-jinni]: . . ' • Signal Alit(s) or Iiinited".. . : ! ..:"..k . :I.'"'i'''':;' , ..":••:"..'":CONTEiAtzatItier....7.'."::".. : '•'.:: ':' '';'''[.. ''''.".: ....:. '• '.r...:'..7 =cigar paid, allter4 I ,., - I , ' extension Desenist , '' ' i ' T I Iftge 2 • • , l' .1. "Busirtess name: ..- ' , • ' ., ,), '` "', •)" , Address: '. . Me Each addhIonal mo:in:11 nir aliliwthic in !al: 7.11tt1P.I o • ... Fer lil ;' .1 . ' 1: '...,... 1 '..' I ''. : 1 62.52 ,, ,.... ■ ,,.,: . . • iCity/StatiaZIP; InVestigation oar hoax (1 le, na) '.. i .1 I •. i 62.30 1 . . Phone' . ) I Fax' ) industrial Oat Ficnitinu;.., ' ' '' : i :,-i I ' i: 73.75 '.. I . .:1 :.....s..:•4 .. -'. •.::, iitli7i7i, :: trBlie.: FEIcctrical Lin.; . Suprv. Lic.: , i. ' ,. ,,. :. . . 'Supt.*. Electrician signan.tre, required.. ' '. Plan revievi'',23% iitieimiefee) . . gnu° Sal-di:Uric: (drib 6 , '• ' , )Print name: Late: ,--:-. 1 ' ' I ' • ' - • I I .Ti3Irkt,PER1423T BEE : 1---r7 _ • 1 I I ,Atinthorizod signature: • ‘ This perrair.anstkatios expilmi, its pCfailk ft.shatataiirisd v.ithfi31 - ' !, ';1 • ! •, . . days after It his hien eiamptvxlis,e6raffolta • I :. : ;FI'Mn' t,natric: • , Date: • pee metioadagy ic: by iti-i::Ptini&SirIldingInd‘by titi,•iial illtroi --..--•••••••'• ** Narnbeccif thaw :lots 124r iamilt 21160 4 ' . 1 i ' IMNIIiititaLC-PamitApp.dou LY3095 440-4613T(VY02/COM/WE5 '. r, .. .;, : . I ' ' 11 l'' 1 .• ' . ,.. ' : ■ 1 , I': !' • ' • ,' ' :, 1 * i ,i• ,• . i I • '1 ' ' . ' : :' '1 • ..,.. 1 . ,, ■ , I id j. i • ; " • ; ,,, i: ' , ; i • • .' • L , ' ' • 1. 1;1 ; . 1 .. ' . I ' I : III !:. . LI : , : ' ' , . , ; I , . ; , . • : . ' i CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC200 &00412 • 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/')7/7008 Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 - -- - i-L. INSPECTION WORKSHEET FOR DATE: 1/4/2007 TIME: 7 : 00AM PAGE: 29 SITE ADDRESS: 09823 SW KABLE ST CLASS OF WORK: SUBDIVISION: - cm{ PARK LOT #: 009 TYPE OF USE: PROJECT NAME: BOSSERT DESCRIPTION: (2) branch circuits for NC unit. OWNER: BOSSERT, RON PHONE #: 503 -584 -4033 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 1/4/2007 Pour Time: Code # Inspection Description Confirm # Contact # - • - 199 Electrical final 041782 -01 503.684 -4033 41. Corrections /Comments /Instructions: A'W & 10 1 M PASS PARTIAL APPROVAL I I CANCEL I I NO ACCESS FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: Date: /( b Phone #: (503) 718- Z-6 47"1-