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Permit CITY OF TIGARD ELECTRICAL PERMIT 44 " PERMIT #: ELC2007 -00336 COMMUNITY DEVELOPMENT DATE ISSUED: 5/17/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S110AC -02100 SITE ADDRESS: 11492 SW LAUREL GLEN CT ZONING: R -4.5 SUBDIVISION: LAUREL GLEN LOT : 004 JURISDICTION: TIG PROJECT: BUSS Project Description: Investigation only to final expired permit ELC2000- 00344. 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: 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: YOUNG CHUL PARK 11492 SW LAUREL GLEN CT TIGARD, OR 97224 Phone: Contact #: FEES Description Date Amount Reg #: [ELPRMT] Investigation F 5/17/2007 $62.50 Total $62.50 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: lam Permittee Signature: 19A /9 -P/°G / / — T/©AJ 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. Mai 17 07 10:31a Hur 5036745060 p.1 Electrical Permit Apptic_ati n 1 '• , V City of Tigard (t� f} K at eI 3v: r Perm" No.: &�� 009. 10 3 - 5� ° 13125 SW 112111 Blvd., l'i 1 tr'd - N ej '/2,'Z3y Plan Kcvic 7 � ' �L -Cp� � Phone' 501639,4 171 Fax: f1 " ( 't- flak /By: - . Usher Per O -.0035,/ Ti Ci A Inspection Line: 5)13.639 4175 r r r /J I)�te Ready /11y: lair. ii7 Sec I'agc 2 for Internet www.tigard-or.gov CITY u OF b I VIP eP Not /Method: _ Supplemental lnformadnn T a 'i PLAN REVIEW apply (submit 2 sets of pL,ns w /iielog c h e cked be low): ❑ New CQn.51.rU Ul1Un �-' Addlll0il /a11L'f7l.intr /r(;pIklcCmen1 please check alt llml a � -- ❑ 1)t;nIbllllUR ❑ Other: ❑ Service o feeder 1110 amp:: or ,nnrc ❑ F1 n1din); over three Still ies. where the available fauit current ❑ Marinas ;toil buatyardr CATEGORY OF CONSTRUCTION exceeds 10,000 amps at ISO volt w [I Floating buildings. less to )around, Ill exceeds 14,(1011 ❑ Commercial -Ilse agricultural 1- and 2-family dwelling Cornmcrcial/in t ,. r y F_ ❑ (t 1 ittl ❑ Accessory building, amps for all otter insrauatious hldtdinls. ❑ Multi - family ❑ Milstcr builder ❑ Other: ❑ Fire pump. ❑ lasraliati01101 75 KVA ui JOB SrI'E INFORMATION AND I OCATION ❑ 1 nwrgent:y system. 1a1'hCr SCparacly derived .ystcm. ❑Addition of new rnidur l of Job 00.: I )oh site addiese: // 9� _S J L4t!/2 Z G.L.E/\/ 1 t)utu>o, bore. occupancy. d Sax or more residential units. ❑ Kecrealiimal vehicle ivrIcs, City /Stale /Z1I': 776/1/12. ❑ lim.;oltll•care facilities. ❑ Supply voltage for mole Mao 0I limsaidous locations. 60(1 vntts 110ohird. Sidle/bldg./apt. no.: I Project name: ❑ Set vice or li:eder 600 amps or snore. - FEE SC-HEDIft.MR - Cross Street/directions to job site: Description Lgiy. I Fee. " F Total l ... New residential single.- ur multi - family dwelling unit. r47) 7 -. s / e r` - Includes attached garage. Subdivision: c5 Q3 - 64 7- a?L /V,P' Lul no.: 1,000 sq. ft. or less - 145.15 4 "'- I/il. add "1 500 sq. ft. or portion 33.40 l Tax map /parcel no.: - - _ ... Limited energy. residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) r ,�_ J,i�'. -- limited energy, multi - family /rt/vc ST /riq -T / On/ / - eE&7 6�, _ 5 DA /L• 77) residcnti:d(with above xq.lt.) 7$,110 Services or feeders installation, alteration, and /or relocatio r/\/ )</ 6 f'zri2/ 7 E 2.c , 26 , 00 UeT •.3 %r _ .__ 200 amps or Ices 80.30 2 gIS PROPERTY OWNER 1_ . ❑ TENANT 201 amps to 400 amps 106.85 2 Norte: Y(, 1A e p f It _ 401 amps to 600 amps 1(10.60 _ 2 ' 601 amps to 1,000 amps 240.60 2 Address: _. . . / 1(_/ 9 S t -J Lit tt re. ( 6-.) /-a n C:'f _ Over 1,000 amps Or volts 454 65 2 City/State/ZIP; a I C� > Temporary services or feeders Installation, alteration, and /or - relocation Phone; ( 03 ) Fax: ( ) 200 amps Or less - 66.85 l Owne ' tallatio • 'ltd.' insl(tllatio being moody on ropert.y 1.1 . i own , hich - of 201 amps to 400 amps 100.30 • Miende •o -ale, lea.' , .• it.. or e,• rant; . ' 'Co - g to 0 4' , 449, 670, it e •01. 401 amps to 599 amps 1.33.75 2 Branch circuits - new, alteration, or extension, per panel ON or siirn:uttr • _ le: - - A. Fee for branch circuits with • ❑ APPLICANT `ZiCONTACr PERSON above service or feeder fee, J each branch Circuit (1'65 Rosiness name: B. Fee for branch circuits withr, sei or tcudt:r fe C;i)ntact mime: � -_ S, C/9 e-9-t -Z72- � 16,85 2 %�if ( first branch circuit A ddress: �,Gt 7Z - 2 - ,2/ . Lt ) Each ad(I'l branch circuit 6.65 2 v� /f1 � SGt ) // .. Miscellaneous Sscrvicc nr feeder not Included) City /Slate //.11 '�- /_ Q 2 y7D�0 Each nlanufacttied or modular 9090 2 Phone: (S2):3) service undlor feeder • - (,S�3) c p66 r 69 6 73 I'ex:: (SJ ) � 7 •- o y 7� Reconnect only 66.85 2 F. -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 , ,V6 C -••• e igiul p a n el , (s)or litnited- Business name: - -"• ''�c�b�'�� i"" s``' ��� energy panel, alteration, or Address: extension. Describe: Page 2 2 City /State /ZIP: Each additional inspection over allowable in any of the above Pcr inspection 62.50 Phone: ( ) I Prix: ( ) - Inv¢ Ligation per hour ( h r min) / 62.50 CCI3 i.ie.: Electrical Lie.: Suprv. 1.ic.: Industrial plant per hour 73.75 - ELECTRICAL PERMIT FEES Suprv. I lccu•iciml signature, required: Subtotal: - Plan review (25 %1 of permit fee): Print name: Date: - State surcharge QM of permit fee)' nuttiorizc(I sign.Uuro: 2<?L - C'G..,Z �C`.. J TO'i'AI. II:Rmi.i. hlyL: 6 c�ts This permit application capircn if a permit in nil nhtnined � within 180 �� Prim Hanle � _ e . s ,...._, t - e_,_. H t r- v/1)at.t:: 5 _ pi / pi days after it has been accepted an complete, 4 W.,Ild6n v>��„�t.or- .Lr'- I>,:�,,,�in p5 ` Niunbcc of inspections allowed per Norio. ' r n rp.doc /23no 440-MI: III • I City of Tigard II 13125 SW Hall Blvd. • .. Tigard, OR 97223 • NI Phone: 503 -639 -4171 TI GARD FAX 7 SMTTIAL Date May 17, 2007 Number of pages including cover sheet 2 To: Jessica Hur From: Dianna Howse Co: Co: City of Tigard Fax # : 503 - 667 - 2478 Fax # : Ph # : SUBJECT: Park property at 11492 SW Laurel Glen Ct. MESSAGE : Per our discussion yesterday, attached is the permit to final the electrical work at the above referenced property. You may call in for an electrical inspection for the permit number ELC2007 -00336 for electrical inspection code 199. Use the guide that I gave you to request the inspection. There is an option to leave a message for the inspector to call you and you may try to request an AM or PM inspection. I am mailing a copy of the permit and receipt to the address you provided on the credit card authorization. If you have any further questions you can call the permit technicians at 503 - 718 -2439. Thank you. I' \ENG \FAX DOT CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007- 00336 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/17/2007 Phone: (503) 639 -4171 ilpn�i I Inspection Requests (24 Hrs.): (503) 639 -4175 Jo INSPECTION WORKSHEET FOR DATE: 5/18/2007 TIME: 7:02AM PAGE: 18 SITE ADDRESS: 11492 SW LAUREL GLEN CT CLASS OF WORK: SUBDIVISION: LAUREL GLEN LOT #: 004 TYPE OF USE: PROJECT NAME: BUSS DESCRIPTION: Investigation only to final expired permit ELC2000- 003MM. OWNER: PARK, YOUNG CHUL PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 5/18/2007 Pour Time: _/ Code # Inspection Description Confirm # Contact # Message 199 Electrical final 048636 -01 503-866-0673 -. -- -Y Corrections /Comments /Instructions: .� , P PA lq - ______-f MOW c . r pr _/ ■4 ,I Z-IC\M■e- C2/61 et) /64b,V . 1 4-g( 0 14 - tali/ - M04. 0_67L4P L Tc D.-boo -063/ . PASS __ _ ❑.PARTIAL.APP.ROVAL_. n CANCEL _ . ❑_NO ACCESS FAIL I CALL FOR INSP C ON I I ADDITIONAL FEES ASSESSED r Inspector: 1 L iL Date: 6113(01 Phone #: (503) 718- 1 -4 I