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Permit
7.4A CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00171 DEVELOPMENT SERVICES DATE ISSUED: 3/21/2005 `---' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112CC -09000 SITE ADDRESS: 08292 SW LANGTREE ST ZONING: R -12 SUBDIVISION: LANGTREE ESTATES LOT : 022 JURISDICTION: TIG Project Description: 2 branch circuits. AC and condenser pump. 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: PEDRO HERNANDEZ HILLSBORO ELECTRIC 8292 SW LANGTREE ST 21185 NW EVERGREEN PARKWAY TIGARD, OR 97224 HILLSBORO, OR 97124 Phone: 503 - 968 -0537 Phone: 503- 439 -9666 FEES Reg #: ELE 34 -4399C LIC 134481 Description Date Amount SUP 4941S [ELPRMT] ELC Permit 3/21/2005 $53.50 [TAX] 8% State Surcharge 3/21/2005 $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 - -33 2344. Issued By: � Permittee Signature: O 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: Cal l 503_639= 41.7.5_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. From:HILLSBOR0 ELECTRIC LLC. 5036013680 03/21/2005 12:55 #204 P.002 S 1. Electrical Permit A.np ,k ; FOR OFFTC'F USE ONC Y City of Tigard Dateli3v: RoCeived J l c. 8 Permit No C 1: 7 13125 SW Hall Slvd., Tigard, OR 97223 Plan Revie i Phone: 503.639.4171 Fax; 503.598.1960 MAR 21 20►. " 'lit Date /B . Other Permit: Inspection Line: 503,639.4175 ��;► e_ Date Ready /6y: Juris: El See Pnge 2 far Internet: www.ci,tibard.or,us Notified /Method: Supplemental Information YE }� IQ , tlJ^ • • i PLAN REVIEW • • ❑ New construction A. di''t tl er' i�tx/rbTlLImtltN Please check all that apply: Service over 225 amps, comm'1 ❑Hazardous location ❑ Demolition El Other: []Service over 320 amps — sating ° Bui ldng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of 1 - and 2- family dwellings 4 or more new residential SU 1 and 2 family dwelling ❑ Commercial /industrial ❑ Accessory building DSystem over 600 volts nominal units in one structure QBuilding over three stories DFecdcrs, 400 amps or more ❑Mclti- family. E Master builder 0 Other: DOecupant load over persons DManufactured structures or • JOB SITE INFORMATION AND LOCATION : ❑Egress /lighting plan RV park lob s ite address: �� 1 ❑Health -care facility 110thcr: lob no. �� +� �q _ / L pt_ Submit 2 sets of plans with any of the above, City/State/ZIP: J I " The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name :l ' Mel' ' SC.Ii6DULE,: iDesert/am I Qty - I Fix, I Total "- - Cross street/directions to job site: New residential single -or multi- family dwelling unit. Includes attached garage. • 1,000 sq. ft. or less 145.15 4 Subdivision: I Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 _ 1 Limited energy, residential 75,00 2 • Tax map /parcel no.: - F., . DESCRIPTION O Limited energy, non - residential 75.00 2 IP N WORK .a. •. Each manufactured or modular dwelling, service and/or feeder 90.90 2 AA I ;J ., I! $ A L'/4 . li 1'4 A ilk Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 • 2 ,., ©:PROPFiRTX OWNER ; ...::'•:•::::••'.... � .... -; ....' .. ,,.'1', .. I�A ❑ TBNT::, •: "'':::':',.:: 201 amps to 400 amps 106 2 401 amps to 600 amps 160.60 2 Name: „ . Pc 601 amps to i amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 - Reconnect only 66.85 2 Ciry /State/Zl P: Temporary services or feeders installation, alteration, and /or ��/,,�� ,r�5 relocation Phone: (91)) / — 3 3 / • Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 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: Branch circuits — new, alteration, or extension, per panel 0••A.PLICANT ; :; '.. D. CONTACT PRRSON`; A Fee for branch circuits wish �" service or feeder fee, each Business name: branch circuit 6.65 • 2 B. Fee for branch circuits • Contact name: without service or feeder fec, 46.85 t - tS 2 each branch circuit Address: Each add'I branch circuit I 6.65 4.05 3 City/State/ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) Fax: . ( _n or outline lighting 53.40 2 , E - mail: Signal circuit(s) or limited -•, ener4 panel, alteration, or CONTRACTOR ::' , :. ;, ; -, ......... . extension. Describe: Page 2 ' Business name: Hillsboro Electric L.L.0 - Each additional inspection over allowable in any of the above Address: 21185 NW Evergreen PT(WY Ste #110 Per inspection 62.50 City/State/ZIP: Hi.11 sboro, OR 97124 investigation per hour (t 62.50 Phone: (5 0 3) 439-9666 Fax: (503 )6 01 - 3 6 8 0 Industrial plant per hour 73,75 - - ELECTRICA L.PERMIT FECSw . CCB Lic.:1 3 4 4 81 Electrical Lic.:3 4—. 4 9 9 C Suprv, Lie.: 4941 S Subtotal - G> "3. 5 Suprv. Electrician signature, required: /7 ., Plan review (25% of permit fee) ` ryt' State surcharge (8% of permit fee) -" ' Print name: Joe Vitacco Date: — - — a —. TOTAL irERMIT FEE 1. 1 Authorized signature: • This permit application expires if u permit is not obtained walla 180 days after it has been accepted as complete Print name: Date: • Fee methodology set by Tri- County Building industry Service Board " Number of inspections per permit allowed. i:\ Building1Pcrmiu '1ELC- PannitApp,dar 12/10 44 0-0 15P I WocoM/tvea • CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006.00171 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3121(2005 Phone: (503) 639 -4171 : "�u4puyp�6�l�1� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/11/2005 TIME: 7 :10AM PAGE: 70 SITE ADDRESS: 08292 SW LANGTREE ST CLASS OF WORK: SUBDIVISION: LANGTREE ESTATES LOT #: 022 TYPE OF USE: PROJECT NAME: HERNANDEZ DESCRIPTION: 2 branch circuits. AC and condenser pump. OWNER: HERNANDEZ, PEDRO PHONE #: 603- 968 -0537 CONTRACTOR: HILLSBORO ELECTRIC PHONE #: 503 - 439.9666 Inspection Request Scheduled For: Date: 4/11/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 004155 -02 503 -538 -2953 N Corrections /Comments /Instructions: P (Z_- F �� z o tJ 1 Z , / 0 14 Al i r� t° _PASS_ _PARTIAL _AP_P_ROVAL ❑ CANCEL ❑ _ NO ACCESS ❑ FAIL / CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: _ -.61b. Date: y // J Phone #: (503) 718-