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Permit CIPraiF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2008 00494 6 7 .. COMM�JNITY DEVELOPMENT DATE ISSUED: 8/28/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 110AC -02100 SITE ADDRESS: 11492 SW LAUREL GLEN CT ZONING: R -4.5 SUBDIVISION: LAUREL GLEN LOT : 004 JURISDICTION: TIG PROJECT: DUNCAN Project Description: Installing (2) branch circuits for heaters. • 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 HMI 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: LLOYD & JANET DUNCAN GARNER ELECTRIC 11492 SW LAUREL GLEN CT 2920 SE BROOKWOOD AVE A HILLSBORO, OR 97123 HILLSBORO, OR 97123 Phone: 503 - 746 -6156 Contact #: PRI 503 - 648 -4552 FAX 503 - 642 -7925 FEES Description Date Amount Reg #: ELE 34 -305C [ELPRMT] ELC Permit 8/28/2008 $53.50 LIC 121159 [TAX] 12% State Surchar 8/28/2008 $6.42 SUP 3707S Total $59.92 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 -001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. Issued By / Permi `ee Signature: �2 . / C7j \ c / v- OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: - - - Call 503.639.4175 by 7 :00 -a.m. for an inspection- that - business -day. - This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 1' • , T'IC of .gilt II . ,,� •- -:-L�r l@CtCI �'F gard . i, iI<, Ii, 1 I fi.\'1' 1 ', ; : ,; ,, ui , ;,:ti M l3i23 SW Mali g ivd, Tigard, O coB . • 03,639.4171 lvo :50 1y961 '� Re 'nnReVIMM i ; , , In$pcation Lino; 503.639.41 AUG �y 8 r nn ' 10 ,: Olitor,Pannir: 1. 1 , , . ,:. ■ lhtmrnee www.tigard-or.gov H U l] G C3 (' L:;, i Data e ! H ' .c Pn 1Ytldfiedit thod: le Jim!: Pap 2 fb r , Su emu ntallnfi ttmn information 1'11! OP ` ;L! i. ._� 1 New con9truption 1. ! 'PLAN REVIEW lease Addi t ion! , oboe a t at apply ail, It 0 Dtmolitloat 10' LU�� ���SI ®�1 ar Y seta nffltanawhi»mc chocked .clrnv) ; El Other: 10 ' Serhoa or firWd0.r 400 arnp8 or rotate ❑ Building Over three atorief, when the available Fault 1'RCJCT IpN currant Li tii boatyards, _ Fault 10,000 mpg nt 150 voila Or ❑ Pie Planting b buildings. CATEGORY OF CON !,',t 1- and 2 -�mily dwelling ❑ Commercial /indudtrlai [I Accessory'buildtng , Ions ground. bT ?t' 4orattcda 1 5,000 ❑ Ccmmcrrial.tt apricaltnral d Multi.fsmily ❑ Master builder Fire puree, vtBorinatallet{ana. building/4, mage atio ❑ Other; f:/ Fire ❑ Imagination of 75 KVA or JOB E INFORMATION AND LOCATTON ❑ Emergency nyatem lar r aeparatnly derived ayatam. Job no.: Job site address: I:1 Addition etiiaw alrn motor load of ❑ "A^ "B". ",1.3 'gig �,L� t l,tl hmo armers. abdupancy. City /State/ZIP, / ❑Six er re rcaidantinl traits. • Q uaraational vehlcto parks. ,' / /i , A n ono ran eie, 3 In Hazar © Supply voltage for mura than Suite/bldg./apt no.: ''reject nariEn: Mnzardoua Iton1,'ona GOO volts nominal. at Service or Feeder 600 amps or Will Cross gtr,cot/directl0ng to Job site! PEE BCHEta><1I.13 , t71s��i!4r411I© • ew residential single. or inai1i- family draining unit. • Subdivision: Include attaclfed garage, Lot no.: 1,000 so, tt, or less 143,15 4 Tax map /parcel no.: EL MO 500 s . '!t, Or portion 33.40 • ammo DESCIW►ITOF1 OF WORK m taxi energy, residential 75.00 (with above no, tt.) /111 111 ! r - 4 - i Limited cnarg Multi-family 111 rnsidentlal Ith above.., ft 7i,Ab© P rvices or ' : erg Mate !on akterati l and /or reloaatio © PROPERTY gyyly 00 am or loss 80.30 © T NANO 201 amps UAW and ^ 8 MI Name: 10615 r 'z / 4 401 says to 600 turps in 160.60 O Address; 601 amps to 1,000 ampft 240.60 U City/State/ZIP: Over 1,000rnips or volts 454,65 Temporary services or feeders Installation, intention, and /or Pttotlo: ( 7� relocation "'�� Fox: ( ) 200 amps or loss Iyrwner installation: This Installation s titling made on 66.85 intended for sale, lease, rent, or bxchan Pr 3 that I 670, and 1 ' 401 amps to 599 , $ not 201 arts, , to 400 ,9 MI 100,30 Ma $e, according try ORS 4-17, 449. 670, and 701. Owner ai��aitrre: Bran elrmuita— 2 Date: r roui aircra on or extol fatr, , r ens/ INT ❑ APFLICA A. Fee ;-r branch c molts ,virh (] Ct)]+11 q G"M i"E • e N otiose vice or tiedCr fen, Business name: =vice eoc11 branch circuit 6.65 111111 Contact name' wi B. on 1br brgno circuits withr c feeder fee, Address: b , 113.11 th tinnier ci rcuiui t City/State/ZIP: FSnc11 nod's branch circuit 6. 65 � Miacd r Nneoua service or fee • , r not ire ded Phone: ( ._ Ea manuillctured or mode' er Fax: ( dvrollilt:, toxviet and/or £cadet 90 E-mail: Ream/leer only 66. CONTRA R `� Punta qr i lrlgtdion nettle 5J,40 MIIIIIIIEll ' 'b Sign or outline lit ing 53,40 El Addr r I / I / - Signal orcuir(R)orlimited- tP9S: ,- / energy panel, alteration or Stnte/Zll�; /� I r� a ,r / , � extension. Describe; P City / mil. //�4/ P ago 2 ,Phone: ( � ). t. E ieh additional ins ,coon over allowable In an of the above �r 1 ,� par Ins Ginn 62,50 f1�T, � . ,. • up Invent orlon •er hour I hr nln gri 4d; / Suprv. Lie.: p ., g industrial plant perhoar 62.50 1. Suprv, Electrician signature -. - 11::11:1111 5 ubtatal: r • Aulhnrized signatu ,� / /� / / i. , /" p lan review 5% of permit fee); M �,/i ..�f surcharge (1 o Print Priftttit foe); --77 • ri name: "'arm: PE • !r Dote: Mk a RI1fITpfiP,,: "r" r t+ trait •PA tOtioa ar plrae Ira newels not a Gritted wi •:n 1n0 > utuaainatlrorn ham[ C•rarm;v�p.ane av12groa ' clays a{4erit has hen race red aaar6 iSr(I lros/rotvrmpRi! . Memberofinepeiionnallowed per n 3 aenamplett 7 P4rIItL Td WdE2 : aT 800E 8E ' 61-1 U SE6�Et S2 S : ON Xd� O I �11��1� �18N : W0 CITY OF TIGARD BUILDING DIVISIDN PERMIT #: ELC2008-00494 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/28/2008 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 7211011,1'ti: INSPECTION WORKSHEET FOR DATE: 914/20013 TIME: 7:02AM PAGE: SITE ADDRESS: 11492 SW LAUREL GLEN CT CLASS OF WORK: SUBDIVISION: LAUREL GLEN LOT #: 004 TYPE OF USE: PROJECT NAME: DUNCAN DESCRIPTION: Installing (2) branch circuits for heaters. OWNER: DUNCAN, LLOYD & JANET PHONE #: 503-746-6156 CONTRACTOR: GARNER ELECTRIC PHONE #: 503-648-4552 Inspection Request Scheduled For: Date: 9/4/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 075059-01 503-746-6156 Corrections/Comments/Instructions: X PASS _ELPARTIAL APPROVAL LII CANCEL NO ACCESS LIII FAIL n CALL FOR INSPECTION [1] ADDITIONAL FEES ASSESSED Inspector: Gfl N L.d Date: ci..q1 Phone #: (503) 718- ivpa