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Permit A - CITY OFT ARD ELECTRICAL PERMIT PERMIT #: ELC2003 -00504 ,71,40111t‘ DEVELOPMENT SERVICES DATE ISSUED: 08/14/2003 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S111CB-05200 SITE ADDRESS: 10042 SW LADY MARION DR SUBDIVISION: ULWELLING MLP96 -0015 ZONING: R-3.5 BLOCK: LOT : 002 JURISDICTION: TIG Project Description: WIRE HOT TUB 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: DEAN MEYERS CONDUIT ELECTRIC 10042 SW LADY MARION DR DBA DU IT LEVEL TOOL CO TIGARD, OR 97224 2074 NW ALOCLEK STE 405 HILLSBORO, OR 97124 Phone: Phone: 466 -9754 Reg #: SUP 4501S LIC 109669 FEES ELE 26 -905C Description Date Amount Required Inspections [ELPRMT] ELC Permit 08/14/200: $46.85 [TAX] 8% State Tax 08/14/200: $3.75 Elect'l Final Total $50.60 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 -6699 or 1.800- 332 -2344. Issued By: Permit Signature: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 639 -4175 by 7:00pm for an inspection the next business day "tuAug.13. 2003' 2:35PN'"'-'CONDUIT ELECTRICx Qr 1 No.7633 P. 1) Electrical Permit Ap plicWatiol� +-. ;i�:O2Z.OFFJCE isE 1 LY:- ;; .:;::.. R eceived . Fleotrical r • ' �� e Y ® Da - - , PermitNo.6 OD .7) L i City and Planning Approval &ling `J g t Permit No.: 13125 SW Hall Blvd. Plan Review • Othcr . . Tigard, Oregon 97223 AU G 1 3 2003 Date/B : Permit No.: Phone: 503 - 6394171 Fax` F 8 11(�G�`R� POS�'"e"' !G?r' ± tt i\ Date/B Internet w,i- w.ci.tigard.or.0 ice ±_- . 1 J uris - - *4 Sec PabTL 2 for 24 -hour Inspection Rcqucs lil33P# i s4..iemental Information. ..1:M90,914 11, P*r 'jr.•YneV0i:,l',rTil%' ';rJ. �, G, l,,, ,,::j:^�• ' . .. 1.t pafgii`li' r _�'•Ya, VO "�1avW0ib :-.ar•F.V. �l$t''d 4, :t✓r • New construction El Demolition I Service aver 22$ amps- in Health -tare facility oOT El •'•Iazardoos location Addition/alteratio - s laoemennt 0 Other: ❑ Service over 32o amps - rating of ❑ Building over 10,000 square fit, enlr' -T k' ; ' „ r �,. h �s'�Y' "fir- .... ;i~.�;�''!T• �a�2 •6,'n•�Y3CT;�QN�';•'. - �.: _•,_ = I & 2fa rnilydwcti inl� r - ,� � •� • =. four o Mare residential units is ' ►mil I & 2 -Famil dwellin • ❑ Commercial/Industrial - © System over 600 volts nominal one structure ❑ Building over three stories ID Feeders, 400 amps or more A. - ' ' B' `' R Multi- Farrel 0 Occupant load over 99 persons Q Manufactured structure, or RV park ❑ Master Builder IN Other: D Egress/lighting plan ❑ other. i i ?_;: k 0. +r n t {. , , ", i ' {li ,i ?y,li i _,_ , Subunit set5 of plans with Any of the above.. ,':':#:'•':i��`:I,:.:..: =s, nh,» 4kfi;rA'�S[� . II QQ� 41I.0 =�:.: ' ..., `' ' ' ` `' The above are of a . linable to tem • era construction service. Job site address: I -2---Cw M/ .-1 --1 t/ - ! _C- ILL,•:. +; S - I rrtrtrx�P v ..I:�, , y p ,q � .�I;, +'7::: "�'"1��,- I, :';nll1� � 1131 ?f. ��Saiuv�l: .��,':� '4'.,f;:.,�F�Fe�iy�:r:93' ":;: Suite #: B1d , ., Jr ■ t..#: • • Number of ins editing per permit allowed Pro'ectName: .`T' D e9r ri ption - Qty Pea (wt.) I Tonal Cross 51Teet/Directi a s to job site: New residentialsioslo or multi - family per t dwelling unit. Includes attached gara .. • Service Included. . 1000 D ft, or lea 146 -15 4 Each additional 500 sq. ft. orporriot thereof 33.40 , 1 . Subdivision: Lot #: Limited encr4, 75.00 2 Limited malt non residential 2 ' 'L map/iarcel #: Each mane d h modular dwelling �•!!�i�•����e�, r w„rr; q service. and/oorf derma e or 90.90 • 2 flLttlreM''��i;^'r•af.'y ji : 11 1 , waltatrat01 4 a a. w ? 7 � s&;;i : tie i services or feeders - Installation, ' alteration or relocation: � I+"� 200 autos or leas _ 80.30 2 Lt1� , � �� . 201 amps to 400 amps l06.85 2 401 am'. to 520 acre 160;60 2 Er , - ,�� r, y N t n� , ' p y Y 5Dl nm. to 1000 arc •� 240_6D 2 >;1,�:C.r �LtA "3:d' r;;l,li •� } >= ti ):;I�:,;,: ; it trt� ^ .► a `�`.f.�f,riI, �. • ".'�- 7e�.�rr Ov er 1000 am -s or volts I 454.65 2 RECIIIMIr .1 �� t� e k) keconnect only 66,8$ 2 • Address• a 0 -.asj�,1" 0 P 1 1/6 .. Temporary serv ices or feeders - installation, 'alteration, of relocation: CIt /State/Zip: (gar; Q • r 200 amps or less . 66.85 1 • Phone: J ax; 20! tunpa to 400 auras 100.30 2 401 ro 600 slaw 133.75 2 Branch circuits -new, elteiatlon, of Name: citenslon per panel: Address: A. Fee for brand, circuits with purchase of 6.dS. Z _ _ _ service or feeder fee, each branch circuit Cl IState /Zi s : • B F e s f o r b r a n c h circuits wits Out purchase of - acrviee or feeder fez, feat branch circuit I 4615 2 Phone: Fax: E*eh additional hraneh circuit 6.65 IIII 2 T E -mail: Mist.(Serviee or £ecder not incluclyd); } + r 1,, :• , xr •, t , Each •tar• orirti•. lion circle 53.40 2 g' . .�'' blA: Q '.. . 2: bBal -1 . ::', -hell 1S e i' -. 'Each ti- =outline ti- tin - IIIIIIII 53.40 MIMI. 2 J No:, • Si eircult(s) or a limited mcrgy panel, alteration or exlsnsion EMI ' 2 Business Name: j �tC 1'l ( Descripdore Address: q to - Each additional inspection over the allowable In any of the above: III � ' ��� per inspection per hour (min. 1 horn) .. 62.50 Phone: P2 L— air♦ L Investigation 7.1.,,- 6 `-ii fee: • _- CCB Lic #: + _ d °1.4..2 i Lip. #: ' a G,, t� I 1 1. ,. t r..:• err ('. 1 1 s tx i1,....:. � vat_ • i:�l; � n � U.�is�it:' ��.� •�s.>.i�liw-: ` Supervising electrician ,'' Subtotal S • - h si: s attire r uI red: ,,, ;, jtl�'` _ Pla Review (2S% of Permit fee $ w� a i P N xinfame (lrIeg ' Lic: #: 4..0. State Surcharge (Y of Permit Fee) • $ „ ` , 7$ TOTAL PERMIT FEE S Authorized Notice: This permit application ezpirea if a permit is hot obtained within Signature: — - - - Date: � i 3�- _ -- 180 ddyv after It has been accepted as complete.— - - — A n �® *Fee methodology sat-byTrl -Coun Ttuildiug Industry Service Board, din / • (Please print name) - ' i :\Dsis\Pernmit Forms\Elc?rmiitApp,doe 01/03 Case Activity Listing 1/10/2005 1:18:10PM TIDEMARK Case #: ELC2003 -00504 COMPUTER SYSTEMS, INC. D n �� U dated:: ;. ,� am, m . ": . ,.:. ,,,.. ::'e`w'� ;,.«f"9"k�'. `, dad; ,�;�, ;e,,' .,Hold °`Dt '''To.;,a „ «;.�' B' `B , = y , Date'.3.. s Date 2 '-- Act►uit. Des ; 3� � .�;:,. ELCA001 Application received 8/13/2003 None DONE FAX 8/14/2003 JMT ELCA003 Permit created 8/14/2003 None DONE JMT 8/14/2003 JMT ELCA799 Elect'! Final 8/22/2003 None PASS FG 8/22/2003 HAP ELCA500 (F) Issue permit 8/14/2003 None DONE JMT 8/14/2003 JMT ELCC800 Case Finaled 8/22/2003 None DONE HAP 8/22/2003 HAP Page 1 of 1 CaseActivity..rpt