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Permit A CITY OF TIGARD ELECTRICAL PERMIT � d 'w PERMIT #: ELC2006 -00461 DEVELOPMENT SERVICES DATE ISSUED: 8/17/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112CC - 09800 SITE ADDRESS: 08436 SW LANGTREE ST ZONING: R - SUBDIVISION: LANGTREE ESTATES LOT : 030 JURISDICTION: TIG Project Description: (1) branch circuit for microwave. Job # LYNCH. 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: 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: TRACY LYNCH THREE PHASE ELECTRIC 8436 SW LANGTREE ST 493 NE 3RD AVE SUITE B200 TIGARD, OR 97223 CANBY, OR 97013 Phone: 503 - 692 -8598 Contact #: PRI 503 263 - 2558 FAX 503 -651 -3540 FEES Description Date Amount Reg #: ELE 24 -390C [ELPRMT] ELC Permit 8/17/2006 $46.85 LIC 128282 [TAX] 8% State Surcharge 8/17/2006 $3.75 SUP 4498S Total $50.60 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: �75 Permittee Signature: j v\ OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: _ Call 503-639-417_5 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. ' ?9QA- Q$„17„" DI; 13 503,- 651:354a -- three phase electric -,4 /2 •sleeve" mit x � li�a ) FOR 111 "t•: 11 ON 11.' k , IL lleaefva - ,, X u , , -,. City of Tigard DacNB : ` ► V ) Pant No.; � (i . a . - : A 13125 SW Ball Blvd., Tigard, OR 97223 FinRSVIaw Phone: 503,639.4 FIX: 503598 -1K6C` 17 2OQ6 A�,��� •'' it ' DswI , Other permit Inspection Line: 303-839.4175 , ,,. Dote • . �� Internet: www,Ci"tig,irQ.or.us Notified/Method: fiwA.�1• " Ellie — ;11;. ��'rl' "� ��i'�:. '�p� }.. - =� �y.,� 't? �:RY , �; It � `r 41! `� ,= p � ' : .W: . d '' ..�, • , . I a •i ,�. J ; .. q „_ . t` I `i L I T'i' �I t � d I!'" A ' .i M \ f !.' I `e I; ii � '' Q SS . �J � � 1 ,�� � �,W,: 1� •' 7 � ' �t�t4f(' � �. ' _l. ��: ti,, �t;,z l�iy�� :f'..�. � �i� !'�.�Ilnv�IM'..b L � s.k:�f �` =��`,e.���.+Y._7�ia�i,' r 17 Plevr! construction '. '• r ^ Additionialigg4ioslreplacamrn4 Please check all trial apply ❑Service over 225 amps, cornm'i ❑Hi:ardeua location ❑ Demolition ❑ Oder: ❑19u g c 10,0 ft., ' t r fi ' ' , , r - r `F � q . 7 " ; 7 — s . : ' - r . u: -,m, t`> ti ❑Service over 320 amps — m lien over 00 eq. {t' °' ;ti r ? i� d J � 4%� f , , iC 4 . 1;31...f:l +I "��I +'ral '�(lf { �. ,� ' tY� } �Z S� Ofl- and2 familydWillings 4 or morenewresidential oF - - and 2- family dwelling ■ Commercial/industrial ❑ Accessory building ['System over 600 volts atrtninal units in one atructurc ark Multi ❑ Master builder ❑Other; ©Building over three fabrics ❑Feeders. 400 amps or more © ^ � Y �� - „ :�, r,.71.,71:. ,r t ClOccttpant over 99 persons GMznufitetured teructures or ' s - 2x' 1a, 'a 'µ-. :, i', r+ + k: .a1 'i-,I i1:1 �i -1 I._ '. a'u?Y -: t t. , P. •T �. T.. a RV ti}���''r'� :. �.. l.�!, • '•�z�':'' ..::.,.eL•�`:�1 , �( �i...;slr�: :`� . , +r_.��'��,�. '.,;,I ..;� I P �Isgreas/tightingplat+ P .!F,,, �y .:, '-.e.:•, ...4. -° - ❑H ] fu ❑Other• ,9 Z ea thtare ihry ����, Job site address: / , rg Submit a sets of plans with any of the above. City /StateJZIP: The above are not applicable to temparity construction service. Sulte/bldg.apt tin.: Sa '" _, •71"-t'-'7.44.7717.11•;',/,.,' '.t ± &rvtr!7' * Pmja carne: _ t►erulpda. Q. turn, „ Cross street/directions to job site: New residendal single or malts- ramlty dwelling unit, Includes attneoad garage. 1.000 aq, R. ar less 145.15 4 Subdivision: Lot no,: Ea. addl 500 sq. ft. or portion 33.40 1 Linmtrd energy, residential 75.00 2 Tax map /parcel no.: - _ sr�rr .cmr p . Limited Gncrgy, non rcaiderltiel 75.00 2 + _ : °" :'t;' n l rr :.f . 7,1' t _ ,,'i ....t 1._,41:!..7- .:i,.J' ,., i . t. 1 � +i':".,. .i re , " y i "f,_11 1 'il'�I Eachn nufactured or modular dwelling. service and/or feeder 90.90 , 2 Et . -ti A affflill01111111111111111 Services or feeders installation, alteration, and/or relocation 20o amps or iepa 20.30 2 •. - -' - • -- ': ,, - `I' , ; ,, ,,, , t: z' .. : r. ".r : i ' :{ ? � L! { ,= '<:?t ' r H og, �� 2 snips to 400 amps , 106.85 2 ..i - „ -1,`�_ 7t - -� ti �!'4 ' � 1 ..,;.t2 „Ott: � � - 401 amps to 600 amps 160,60 2 N a m e : � ` o \ \LI 641 eirw to 1 0 e r g s 240.60 a Address: Over 1,000 air ps or volts - 454.65 2 Reeemteae only 66. K5 2 City /State/ZIP: Temporary services or feeders Installation, alteration, and/or 9 relocation Phone: ( ) , % —� Fax: ( ) 200 amps or Rae 66,95 1 Owner iaslallattion: This lation is being made on property that I own which is not 201 a . s m 400 snips — 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449. 670. and 701.. 401 mops to 600 amps 131.25 2 Owns' signature: Date: Branch circuits- now. alteration, or extension, per panel .'” - ,' • • Or , . " ; = ' ,_„• ",, -,;,- A Fee for branch circuits wide service _..✓..:,. .....::'_. ^.:.,— rix�_Ttt.. -..._ .. , , ..- .�... .r r�'. feeder fee, ! f:� -'.j.; _ "•S�.^�— >_:.IiL1yt_:J't L�er ,'-'n Gi�.11 Business u _ branch circuit 6.65 2 n� - 13. F oe for branch circuits Contact =Larne: willow service or feeder fee, i each branch circuit 46.85 �% 2 Address; Each add'1 branch circuit I 6.65 L? 2 City/Brae/ZIP: Miscellaneous (service or feeder not Included) Phone: ( ) g am; ; ( ) Pump or irrigstioo circle ' 53,40 2 - Signor outline lighting 53.40 2 E - mail: Signal dui uit(s) or limited - ,.. i) .- ±t.••:nC,ni rr-- .,'� , .• >;�.....,. Y rl, �I panel' iltefatlon N5 _�..� � ^ � ..,.Sl.m ���'1 +'�•', '' i ' i -' NI "I q `IT. I' {• I•!Sp f. "•4� ° q�i�;`�41' '",. ���liti: ��9 I � �iy or r ' ., ? , . -a: t n'� i, 'N+ :i,/� _::'iJ':, ,� P it l,.c: ep ex-tension. Describe: Page 2 2 $risiness name- ' + 11/M1 1 / — Address • Each edditiwonl inspection over allowable in any of the above r _ " - i� 1 _ `�� Per inspection 62,50 City/State/ZIP. ■ � � L. lnvertigation per hour 0 la nth() 62.50 4 a x / industrial •lent per flour 73 -73 ..�.� jitta C „l'': -, • CCB i ic_: g - . `� Y� „� S • Lis-: <! �zr Subtotal , Suprv. Electrician signature, required ` Plan review (25% of permit fee) Satm nnchers.(8%ofpermitfee) •3 ,' 71j Print itamc:e ” t e ' la � i ? ` a ' _ TOrAT.- PERMIT -F81i- Authorized si - ' e - i Thu want applicadon expires If a permit is not obtained within too _ L . 1, , � •f . n, days after It ass been accepted al tesergWr• Date • Feu SMtaACoWby Set by Tr.- Coma• aail4ina tndnnRY S•r'i• D � ..a Eff 221211 •• Niu Mer of incpectioin put Omni ' 44 1 T(le o2lcOMM2a s ,RVerThilsampsrmirAap"doa 12X1) lo CITY OF TIGARD BUILDING DIVISION " ' PERMIT #: ELC2006 -00461 13125 SW Hall Blvd., Tigard, OR 97223 ..` DATE ISSUED: 8117/2006 Phone: (503) 639-4171 ivip NI u� �Il Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/23/2006 TIME: 7:03AM PAGE: 27 SITE ADDRESS: 08436 SW LANG I REE ST CLASS OF WORK: SUBDIVISION: LANGTREE ESTATES LOT #: 030 TYPE OF USE: PROJECT NAME: LYNCH DESCRIPTION: (1) branch circuit for microwave. Job # LYNCH. 61C 3 13 b � OWNER: LYNCH, TRACY PHONE #: 603 - 692 -0690 CONTRACTOR: THREE PHASE ELECTRIC PHONE #: 603-2€a2668 Inspection Request Scheduled For: Date: 8/23/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 036436 -01 360-607-4048 Y Corrections /Comments /Instructions: V A M_ _ • •% ! I �.,_ Cock .. C 13' 1a PAS. n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS IA FAIL 'CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G . w ®E7 L. Date: 4'0 c7' 0b Phone #: (503) 718- "2441Z)• CITY OF TIGARD BUILDING DIVISION . - PERMIT #: ELC2006-00461 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8117/2006 Phone: (503) 639-4171 111 011100 Inspection Requests (24 Hrs.): (503) 639-4175 Ai! INSPECTION WORKSHEET FOR DATE: 8/18/2006 TIME: 7:03AM PAGE: 63 SITE ADDRESS: 08436 SW LANGTREE ST CLASS OF WORK: SUBDIVISION: LANGTREE ESTATES LOT #: 030 TYPE OF USE: PROJECT NAME: LYNCH DESCRIPTION: (1) branch circuit for Jr* # LYNCH. OWNER: LYNCH, TRACY PHONE #: 603-692-8590 CONTRACTOR: THREE PHASE ELECTRIC PHONE #: 503 Inspection Request Scheduled For: Date: 8/18/2006 Pour Time: Cod- V t. • Description Confirm # Contact # Message 120 Electrical rough-in 035222-01 503-481-9529 Corrections/Comments/Instructions: ACY\ • PASS _I I PARTIAL APPROVAL ri __ CANCEL I INO ACCESS FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: N 06 Date: 1. Phone #: (503) 718- 11 44k) •