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Permit ', CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00631 4 DEVELOPMENT SERVICE DATE ISSUED: 8/29/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112AB-00400 SITE ADDRESS: 07400 SW LANDMARK LN "` ZONING: I -H SUBDIVISION: LOT : JURISDICTION: TIG • Project Description: (3) services /5 circuits to machinel RESIDENTIAL UN IT 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: 2 W /SERVICE OR FEEDER: 5 PER INSPECTION: 201 - 400 amp: 1 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: HAYTER FAMILY LIMITED PARTNERSHI PHOENIX ELECTRIC 23643 SW STAFFORD HILLS DR PO BOX 14037 WEST LINN, OR 97068 PORTLAND, OR 97293 Phone: Phone: 503 - 231 -8006 FEES Reg #: ELE C89 • LIC 162753 Description Date Amount SUP 5154S [ELPRMT] ELC Permit 8/29/2005 $300.70 [TAX] 8% State Surcharge 8/29/2005 $24.06 REQUIRED ITEMS AND REPORTS Total $324.76 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialt Codes and all o t► - •rapplicable laws. . All work will be done in accordance with approved plans. This permit will expire if work is not started within :0 .'.ys of issuar ' -, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the`J r :.. n Utility N. "lcation Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these ru s . .irect ques . ns to OUNC at 503 - 246 -6699 or 1 -800 23 / Issued By: � l� Permittee Signature, 41;x:;..« .11.l _ \---- OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease o rent. OWNER'S SIGNATURE: DAT : CONTRACTOR INSTALLATION ONL 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. Aug 28 05 09 :48p Terry Koch 503- 266 -8394 p.1 y, • Electrical Permit A t 1 i 4.,:,N; , ENE* -- l O k ( I "I (: I I � . 0.. i'.1 City of Tigard /21 / A % Permit No.: J� 'OOI23/ 13125 SW Hall Blvd., Tigard, OR 97223 AU G 2 9 20 t , ' ... Odi Permit Phone: 503.639.4171 Fax: 503.598.1960 ''� ": `` i Date/By: f„� ®SeePsge2for Inspection Lace: 503.639.4175 �j.1 ` Ready/By _ /,) Supplemental www.ci.tiga d orris CITY OF TIG' " 0 Na; a: !/ HI V I btOt t PLAN Please check as that apply. El New construction Addition/alteration/replacement ❑ Service over 225 amps, comm ❑Hazardous location 0 Demolition ❑ Other: ❑Service over 320 amps - rating ❑Bulldog over 10,000 sq. it., CATEGO *Y OF CONSTRUCflON of 1. and 2- family dwellings 4 or more new residential © ID System over 600 volts nominal units in one structure El 1 - and 2 - family dwelling ❑Accessory building DB,d over three stories I:Weedets, 400 amps or more ❑ Multi - family ❑ Master builder ❑ Other: ❑Occupant load over 99 persons UMaaufacnaed structures or JOB SITE INFORMATION AND LOCATION ❑Egesa/ligltting Plan RV park Olfealth-care facility DOther. Job no.: / [ Jab site address: 74) Sul 4 f I l' , Submit setsz of plans with any ofthe above. City/State/ZIP: 776 • 0 , 972x¢ The above are rot applicable to temporary construction service FEE* SCfW.Di1 Suite/bldg apt. no.: I Project name: t( / i�, 'zJ£ 4 t i cry. i vac J row , • ' Cress street/directions to job site: /� � New rr *tee- or nadd- family dwelling unit. A 1(1 Includes attached garage. 1,000 sq. 8. or less I 145.15 4 Subdivision: I Lot no.: Ea. add'! 500 sq. ft. or portion 33.40 I [,united energy, residenial . 75.00 2 Tax map/parcel no.: Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK Each manufactured or modular dwelling, service and/or feeder 90.90 2 I US % /mL 3004 r u#i to /300a eI.tee.& rrs. Services or feeders installation, alteration, and/or relocation 200 amps or less 2, 80.30 /60.40 2 201 ampalo 400 amps / , 106.85 /005 2 ❑PROPERTY OWNER I ❑ TAT . 401 amps to 600 amps 160.60 _ 2 Name: 601 amps to 1,000 amps 240.60 2 Over 1,000 amps or volts - 454.65 2 Address Rammed only 66.85 2 City /State/ZIP: Temporary services or feeders i®mlation, alteration, and/or relocation Ph one: ( ) I Fax: ( ) 200 amps or leas 66.85 1 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 I 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Bran* circuits - new, alteration, or extension, per panel ❑ APPLICANT I ❑ CONTAcr PERSON A Fee far breach circus with service or feeder fee, each 5- 6.65 .- 2 cosiness name: P 1)( ECTie /'L booth circuit B. Pee for branch cimtib Contact name: without service or feeder fee, 46.55 2 - eadt branch circuit Address: PQ . Sox (403 7 p Each add, branch circuit 6.65 _ 2 City /Slate/'LIP: / O / j 7"llfi t � , Q 9 70� 13 _ Miscellaneous Orrice or feeder not included) Pump or irrigation circle 53.40 2 Phone: (So3) 4 roo& Fax:: t03) i3 0 Sight or outline lighting 53.40 2 E-mail: Signal circuits) or limited- CONTRACTOR . energy panel, alteration, or Page 2 2 extension. Describe: age Business name: li �r,� �L�cse/c. (o ' _ / Each addianrtal inspection over allowable m any of the above \O Address: P. � Y. / 037 �/ �t I �r Per inspection I 62.50 1 { City/State/ZIP: , , r_ � 7cs 7 ' 111 per �w un) 1 62 50 G �_ w plant p a I 73.75 It Phone: (So 3 )0731- 0 oot, IF' S - T5o ELECTRICAL PERMS' FEES- CCB Lie.: Electrical Lie/ ` . Lie.: 6 5 Subtotal ,3Q0.7a _ Suprv. Electrician -+:.,..: o require' el. �Tal � Plan review (25% of permit fee) 1 e surcharge (8% of permit fee) .11.04 N '� - Print name: / i � � � �, fie: / - ( 1 f .2/S �� TOTAL PERMIT FEE S . b Authorized signature S' ! This p �N ®eapbes tra permit is not obtained within ISO dap attar it has been accepted as complete Print name: ,./ a,,.. I Date: b - ?(p -0j • Fee mGhudolna set byT h' Industry Service Board / bn P\_. AN v1 t LO -$ (VI (05— I , . CITY OF TIGARD , BUILDING DIVISION PERMIT #: ELC2005-00631 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/29/2005 Phone: (503) 639-4171 . "' - A Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 12/5/2005 TIME: 7:00AM PAGE: 15 SITE ADDRESS: 07400 SW LANDMARK LN m CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: BON % PIONEER DESCRIPTION: (3) servic ,, 5 circuit to machine! OWNER: HAYTER FAMI LIMITED PARTNERSHI, PHONE #: CONTRACTOR: PHOENIX ELEC "IC PHONE #: 50.3-231-8006 Inspection Request Scheduled For: Date: 12/5/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 0229411-01 503-886-9930 Y Corrections /Comments/ Instructions: I Ne,„6—_ECI) F\� a riii - givED ftsk MEScl I c/(SnxIN1j1 N . - 1 ,. 14M V tg- I 4 84C 7 c vt o 0 Lt• • v61. mut: e - ( iti\N ' 1 764,o ft 111k k ■ k W - 1111Laiill i al■-..— ■kr■ 11141"1117.11W A M W i ■-- 0 afillrirs..- • --m IIJIBILGRitatele- • 4.- \.1._ ) PASS I 1 PARTIAL APPROVAL I I_ CANCEL fl NO ACCESS I I FAIL Ir CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED A Z / .... / ' Inspector: I - Date:1 (16 Phone #: (503) 718- 1 • . .