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Permit
CITY' OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2008 -00627 COMMUNITY DEVELOPMENT DATE ISSUED: 11/7/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S1146A 04400 SITE ADDRESS: 09945 SW KENT CT ZONING: R -4.5 SUBDIVISION: PICKS LANDING NO.2 LOT : 096 JURISDICTION: TAG PROJECT: ANDERSON Project Description: (1) branch circuit for greenhouse. 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: WARREN ANDERSON GARNER ELECTRIC 9945 SW KENT CT 2920 SE BROOKWOOD AVE A TIGARD, OR 97223 HILLSBORO, OR 97123 Phone: 503 - 648 - 4552 Contact #: PRI 503 - 648 - 4552 FAX 503 - 642 -7925 FEES Description Date Amount Reg #: ELE 34 -305C [ELPRMT] ELC Permit 11/7/2008 $46.85 LIC 121159 [TAX] 12% State 11/7/2008 $5.62 SUP 37075 Total $52.47 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 f e -ttian 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those ru s are set fort .in e • T 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain commies 5fthese rules or direct questions to OUNC at 503.24 .6699 or 1.800. . • . Issued By: ` Permittee Signature: . ., i .: mss_ i 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: /� `` _ , f . /n' DATE: r 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. .'i FP01'7 :GRRNER ELECTRIC ' FAX NO. :5036427925 Nov. 07 2008 07:33RM P1 u , 1E leetrical Permit Applicatio Permit L ONO( n , � Received ' FOR ()MICE - _ City of. Tigard cavE 7 b 1.d a'-60 (o 7 13 125 SW Ball13Ivd.,'I igard, R CE V F lan Review i a ? Other Permit; .,. Phone: 503.639.4171 Fax: 503.598 l\f (I, f ; i]atoBY _, inspection 1.ine: 503,63 V y' ° t Date Readyll3y, W heiw IA Sec Puge 2 for ►'l� ARI) P NotifiodiMethod; �� 1 8npplementallnformnaon ,.__ ct. www.tigard-or.gov Bard- or.gov _ �I,r'� a a' to i p 1� I i {d i , { I wi yrr :1 i lyl i l r rJ9 i a� '' A iii ?I tern � r �e,� r i}� �1� � . 11�,� a f.14.� R fA,,, � S, �t,.d it r 7; j �tittt ', h a'r � "V , t y , ! r n �j c l Jk��, G4I �S' 4.ftVi�'. r, s. i, k.'i, 01 Il�,� wk9'� tl � f,t �. '� �'.1� �ImJ�� W Y I�ONM�mrY •911oi�+rw�,..� �i�.'S' %.4,� L. ��„�, ' R �,v I, I s l '1. : � ant Please check all that apply (submit j, sett, of plans wfiterns chocked below): ❑ New construction re AddtUO 1 , "+ ' Q Service or feeder w0 amps or MVO 0 Bedding over three stories. ❑ Demolition • Other: where the available foul' current r] Marinas and b t i l t pl�pp, , • t a) d rID ' 11 (a 1 � Id 'r . 1 r (r� 0 ams exeocde 10,00p at 1$0 volts err El Floating buildings i d . o .. ; M', 7ti1, O •. ' ',' d6 . ' IJ chid , h a Yl� �i�`� JAL'', i �I l ". �'' ' less n, s 10,00 or p s at 1 0 v ❑ Commercial 1-ci - use agricultural pa 1- and 2-family dwelling ❑ Commercial /industrial ❑ Accessory building owes for all other etetallations, buildings. 0 ❑ P mp. CI installation (4'75 KVA or Master vi. Other; � ty , © ire re pu nry.,qyste,�� larger separately derived system. 'a a Multi-family y �f a let mull , i �. B 11� 1 A . . li' 17.t:l d i , ❑ Addition of new motor load of ❑ .. ., 2 „ ,. a.. v 4 i 1 u e , �t�l 4 r �,� o r M �4 l On Hr or more. occupancy. .lob no.: Job site address: (ill (..t 5 SV A / Lete-v.' f "- O ❑ Six or more residc units, 0 Recreational vehicle parks. volts nominal. ❑ He f rill' es. ❑ Supply voltage for more then 6 C ity /State /ZIP' �, + - �� ' M ON ❑ He locations, d Hazardous OCfl 1: Sarvicc or feeder 600 saps or more. • Suitnlbldg. /apt. no.: Project name: �„ •. �,.. i i,' as a #V dEM 9(s;y 4 ,/ Cross street/directions to job site: Dew/anon Qt . Fee. •, - ,form ' New residential single - or multi - family dwelling unit. Includes attached t'arege• Subdivision: i Lot no.. 1,000 sq. ft. or less . _ 1 45 15 El Fa- add 1500 sq II. n 33.40 in k% ' i oTporti d p /parcel no Limned energy, residential r e r 1 (, m v ^ ," 1 yVb Ui 4t t.p' above salt 75.00 III Tax ells ¢¢ y arcF� r � , � y ��I '.i ,!� J » A a rnt f. ��yv M' 41' 1931 S 1 �1 l'i't�9 Y"��ki eM I��k G�'t,l energy, . )3: N� .�.� •» '.111 ),(�l'. l� 4 1, Il, F.t {l I),ua � » � 11e e��i with ,.. �. �__ Limited energy multi - ferrety 75.00 2 by (Irl (\ Fy/ +�,,.: ' -Q_i/, �d 1esldOntial�with above on a _) , _„ J Services or feeders rnstallat.Ion. alteration, and /or relocation 201) amps or less 80.30 2, 13.11,111.' i * ' > Y.1127. Ntr 9r t�' i t w p a � t:r, r�,, ^ � t , ,� a t :Olt ti 106,65 2_ 401 i• R 201 amps to 400 ,I 5 - w }"fir 401 amps to 600 snips 160.60 2 Name: GW Y P.V1 Ptinder,S :P ✓) 601 amps to 1,000 amps 240,60 2 Address: Over 1,000 amps ur volts 454.65 2 Temporary services or feeders Installation, alteration, anti/or City/State /ZIP: c, / I _ � relocation �, Phone: ( 3) � ' D (, _ 1 4 1p� - Fax: ( ) 200 amps or less 66.85 Q • 201 amps to 400 ,tips 100,30 2 Owner installation: This installation is being made on property that I oven which is not 40 amps to 599 amps 133,75 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. Breach circuits -- new, alteration, or extension , er anal F branch circuits with Owner signature: t nod �'� ) )S cr l ■ 1� i p ate Fee for M 'Map 9 +Ill i , 4 above service per feeder fee, 6,G5 2 a � i setb, : ,l�o�'. „, , t P ' � , s : � ' , , u each branch ctreuit - Business name: B. Fee for brand, circuits _” - °" - without servico or feeder fee, 1 46,85 2 Contact name: first branch circuit -- Each add') branch circuit 6.65 2 Address: Mlscellancous (service or feeder not included) City /Slate /ZIP: Each inanufactule.dormodular 90.90 2 w dwelling, service and /or feeder Phone: ( ) 1 Fax:: ( ) Reconnect only - 66 -R5 2 E mail: Pump or irrigation circle 53.40 _ 2 4€ a if l � t , , . , r ' Ig , r wrYr .��$ q , r ,i;�•'c Si ut h,hting 53.40 2 si eircuit(s) or limited- + ', , a J o C yh tg ,; 0 ° r 4 � i ���b� r +,��t�M �'IYF+ sl�r��+�!ll�� or olinc .. p " - --- lie, A[ Business name: G. g N V ER L Tb —1 (,:_,_ energy panel, alterati Ur ', .�ir extension. Des the: Page 2 2 Address: 292C , *se. P p _ ,.v'.G. r �viC,Q01 �f�� f l Each additional inspection over allowable in an of the nbOVe City /Statc/Z.IP f (�j _ ,W _ ) 1�hQ J . .. e � , P er i nspection - 62.50 Phone: ( n ) 4 _ _ Fax: (5►• ) (f) Li 2 Investigation pct hour (1 III Min) 62.50 — Industrial plant per hour 73.75 CCR 1_ie.: j2_1 15 Electrical Lie.: Alk o5 Irv. Lic.:3 -2 D 5 C,I' '' %, * -�'' t 'i1 '.. ' rl i,'t'aA l4; j' „ p11I 4” Suprv. Electrician signature, required: ► Subto w _ ,r hK' plan rev W (25m% of permit fc :_. — Print name_ /'h r , c K A • t S tate s urcharge (12% of permit fee): 5 (� 1�t s�4 Authorized signature: 'TOTAL PERM Ft FEE: 1-4 C hiA _ _. - - permit appliculSnn expires Ire permit is not nblalucd within 180 Print name: Date; rises alter It has been accepted as centplcte.. C Number of inspections allowed per permit. _I ----" DR " cE `` NLEAF TER „,.' I.-. . , IIi= iii& 1 11 c 41111 W IN , \ \\` gUMMERF ` `- ‘t$1 Ik �, o ` \ \ \\ \`c�. aa� `` ``` D m .' i ® ` ■ ♦ 11111F. NAM . r G � �1 � � 6 1 D INK -III& URHAM RD //PA " Mai �E , E ,�„ ■cn v ,� fripm <— M 1.1:= milaw467, Na M. 111 r . ■- ,i _g - C *OK CT • 4 IN • � . I Walla � K'S C� � � •'� ■ �- , 1 111,E Ufl • 41 111111! � .. I� ► o I - ► l ii, ii ii 1110 1t, �, � ,� 11111� �I ♦ �,- i *q1 TITAN Lfy <�- ART ret .. .. �. ■ 31111► w � 11111111 � / f°11t t .Iiii . ► .. �• '� 1111 I /�����IS / W AY - , r ,,, Ir � 4/011 111 ' 4. , ............ ....... ..,....„ .... :, e`er, 0 A %off. . _ CITY ����������&���� ��n m m OF m n���mn��� . BUILDING DIVISION �� ` ~ PERMIT | uo��nu.u�xo��m ��n�n��n��o� "°\ : ELC2008-00827 | 13125 SW Hall Blvd., Tigard, OR 97223 , DATE ISSUED: 11/7/20011 Phone: (503)839'4171 Inspection Requests (24Hnnj:(503)G30'4175 ~ *� INSPECTION WORKSHEET FOR DATE: � 1i/1011/10n008 TIME: � 7:02AKA PAGE: N SITE ADDRESS CASSOFVVORK � O99�6�VV CLASS WORK: SUBDIVISION: LOT #: TYPEDFUSE � P1���LANC1N8 W(} � 0�� USE: PROJECT NAME: ANDERSON DESCRIPTION: / � (1) brnth circuit for qraenhouse. OWNER: ANDERSON, WARREN PHONE #: 5O3.648 CONTRACTOR: GARNER ELECTRIC PHONE #: 503 Inspection Request Scheduled For: Date: 11/10/2008 Pour Time: Code # Inspection Description Contact # Message 199 E|ecirice|fina| 853-01 \ 503-648-4562 N 1 Corrections/Comments/Instructions: \^ / ~/ . \ 14 . OA I PARTIAL APPROVAL 0 CANCEL | _ NO ACCESS I FAIL | I CALL FOR INSPECTION ADDITIONAL FEES ASSESSED � u J � �� [ � � • Inspector: - r — � �1���� -�� Date: »� /<� � Phone #: (503) 718' /41/4