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Permit 'e CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00660 DEVELOPMENT SERVICES DATE ISSUED: 9/8/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S125CD 06600 SITE ADDRESS: 09763 SW LANDAU PL ZONING: R - 4.5 SUBDIVISION: LANDAU WOODS LOT : 003 JURISDICTION: TIG Project Description: (2) branch circuits for A/C & WP plug. 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: TRICIA BULL SOHLER ELECTRICAL CONSTRUCTION 9763 SW LANDAU PL 41131 SW BURGARSKY RD TIGARD, OR 97223 GASTON, OR 97119 Phone: 503 652 - 8483 Phone: 971- 832 -0807 • FEES "Reg #: LIC 158285 ELE 34 -667C Description Date Amount SUP 594S [ELPRMT] ELC Permit 9/8/2005 $53.50 [TAX] 8% State Surcharge 9/8/2005 $4.28 REQUIRED ITEMS AND REPORTS Total $57.78 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: Permittee Signature: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. --- a.. -, -• J• ••. •,.a,a,su.. raI.s /Flit ilLaW i tle C .' U � FOR OFFICE USE ONLY City of Tigard P / -� D'_ k � Z�066 b Blvd_ SW Halt B, Tigard, OR 97223 ' - 0 8 2 `�' - eeaaut Ko. (,?l� Phony. 503.639.4171 Fax: 503.596.1960 : inspection Line: 503- 639.4175 OF '` ' L L D r Ready/By Oder Permit: gard.or.us CITY Oa � -• - • r n+c / ,, Internet wwarsiti T1 OA, . `". Date U I t�J Soe Pa 1 for ...� �� t i�ai6ed/Irteiyad. } I elfal�i _ - Snpplr laforma ❑ �Ntw construction ' � ` Addition/alteration/replacement Q : :: 4 �� -� ' J t:....,":":.;..,- . .: : • l'L ' . ' =- Ahl RBVi$W - . Flease check all that apply_ 0 Demolition VII Otbex []Service over amps. compel QH v 225 axardous location CATEGQItY ; OR'GO1 tfJCITUN ; ' -'1:7-,..:-::',..-_:':::::1:-...:.' : QSe rvice over 320 amps — eating © Buildng over 10.000 sq I and 2 famil dwelling 0 Co of 1 - and 2 dwellings 4 or more new reside/1d ❑ Accessory building []Systan over400 volts nominal units in one structure M ❑ Master builder Q Other. ❑Building over three stories ❑Faders. 400 amps or rr. JOB Sl1'B 1NFO A2; D "LO t load over 99 persons QMattufacturcd structure CATION " ' r . : . . .. -. DEgii:ssnigtdEn plan RN park no.: Job site addr C 763 5 I / 5(4/ LAlit v PL At GC �bmitt 2 sets plans of the above. Job n 7 &Ai< P> y City/State/ZIP: q P 7 �a 3 T a are not applicable to temporary construction service. Suite/bldg./apt na: I Project name p : `: ::: -` ='' 5,-7 + b$E* SCSEtiili:E. . Cross street/directions to job site: 1 a ) Total New residential single- or motel- family dwelling unit. Includes attached garage. Subdivision: 1,000 sq. R. or less 145.15 1 i..ot no.: Ea. add'l 500 sq. ft. or portion 33.40 Tax map✓pareel no -: taunted energy, residential 75.00 • DESCRI LION =OE :WO Limited i energy. neon- residential 75.00 ��•• / Rai ; •'' � • - Y _ - '`•.:~ Each manufa�tredormodular 4 I... -, <-• v✓ !7[ �f e / • t L/ G dwelling. service and/or feeder - 90.90 s.,.....5 or feeders installation, alteration, and/or rdocatian 200 arils or less 8030 YROPERTy= OW1NElt' =. ,.- - 1 -:: ... .Q NAiv'i' 241 amps to 400 amps 106.85 Name 7g) C / A. Fu L L 40 1 aatps 600 160.60 601 attips to 1,000 amps 240.60 Address: 9 7 6 3 5-1,. L A nj O A t A i_ A e1L Over 1 .00p cam_ amps or alts 454.65 .--T- I G # R >7 9 a a Tex Reconnect only 66.85 Phone (5-3.3 ) S/s-- — Temporary services or feeders installation, alteration, and/or a � t/ fj.? Fax ( ) rrtoton Owner installation: 37zis. installafian is being made on 200 amps or It 66.85 intended for sale, lease, rent, or exchange, property that I own wlnirdt is not 201 amps to 400 amps 10030 �, according to ORS 447, 449, 670„ and 701. Owner signature flat= 401 amps to 600 amps 1 33.75 'V" APPZ�I('�Livl Branch circuits— new, alteration, or extension. per panel • • ::.`',: �` =�: .-` .. `- CO £a_KL'7r sP_EA OLiT - A Fee for branch circuits wsrh Business name 5 0 L F7 .. ra itx or r eoacr fee, eac I ii r o ` c•�_� r e� �— ry ,_4...., biotech eitntir 6.65 Contact name: : ? [�, ! B . Fee far branch circuits T „ without sue= or feeder ree, atfefrtss; Y ! t ? - e . , r .4rr k gel E a heart 46.65 - . circuit / G j _ ty /State/ZIP: C.1 S tilt fin! / U aZ 1 9 7 / f ( Miscellaneous (service or feeder antacluded) , Phone (97/) ( — o a 6 -7 f Fmc : (5-63 021 / — 4:")44 (v Pump em• urigatiots circle 53.4v E-mail: 5igtn or outline lighting 53.40 ” OOTtx[tAC) UR _ = Signal circuit(s) or limited- ... -.. ..- ... - ` energy panel, alts abate, or sitters name: a ! E i' � ' N S A- extension. l?arnbe Page 2 Address: Each additional i L inspection over allowable in any at the above Per inspection Pbomc{ ) Investigation perhour(t 62_50 Fax: ( ) Industrial plant per boor l i�: 0,28 >at � Li L ;-_, ...:�.. - _ . 7EES- >.l � 66 � s tt�: Liu.: 5 _�_ S atprv. Electrician signature, required• /)� Subtotal co ill s • Print name / A ' �� is p Plan review (25% of permit fee) r4 Al IiF v rl e c S Dare' 1 8�t 3"' State surcharge (8% permit fee) Authorized agnanlre: J roe u. 1 s 7� t .la.. .. PrlDt.ilarme permit application expires ifs !!etmit u. not.ttbtained -wiWio -190 — �• . Dar= days alter it hoer beer amepled as cnwpletr Fee method/douse. byTri- County Building lndt6nY Sernca Board �d erert ton.doe 17/01 ' Number ofimpeetions per permit as tower Z'd ._.. BLOT - 586 -EOS Jai4oS aor eS- II SO BO dos CITY OF TIGARD , f iiiik BUILDING DIVISION r- ,•-• PERMIT #: 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ELC2005-00660 Phone: (503) 639-4171 � 8/ 012005 Inspection Requests (24 Hrs.): (503) 639 -4175 � INSPECTION WORKSHEET FOR DATE: 9/21/2005 TIME: 7:03AM PAGE: SITE ADDRESS: 09763 SW LANDAU PL CLASS OF WORK: SUBDIVISION: LANDAU WOODS LOT #: 003 TYPE OF USE: PROJECT NAME: BULL • DESCRIPTION: (2) branch circuits for NC & WP plug. OWNER: BULL, TRICIA PHONE # : 503 - 6528483 CONTRACTOR: SOHLER ELECTRICAL CONSTRUCTION PHONE #: 971- 832 -0807 Inspection Request Scheduled For: Date: 9/21/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 016061 -02 503-640 -3607 Y Correc 'ons /Comments /Instructions: 4/ ° - f iiive/v� D ,4iAi F -Kg g 4( 6- c) IV IT Li0 4 1 A 4 P riA-X' • A PASS__ PA'TIAL_AP_P_ROVAL — ❑_CANCEL n NO_ACCESS— FAIL CALL FOR INSPECTION F N ❑ ADDITIONAL FEES AS SESSED Inspector: D ate: Phone #: (503) 718-