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Permit
J 6. ' -CITY OF TIGARD ELECTRICAL PERMIT la l PERMIT #: ELC2006 -00273 ,ek DEVELOPMENT SERVICES DATE ISSUED: 5/17/2006 ''III 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2 S 104 CC - 00300 SITE ADDRESS: 14115 SW MISTLETOE DR ZONING: R - 7 SUBDIVISION: HILLSHIRE ESTATES NO. 2 LOT : 108 JURISDICTION: TIG Project Description: 8 br. circuits for kitchen remodel. 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: SIGNAUPANEL: 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: 7 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: O'BRIEN, JEFFREY T + KANDIE A 205 ELECTRIC 14115 SW MISTLETOE DR 7831 SE JOHNSON CK BLVD TIGARD, OR 97223 PORTLAND, OR 97206 • Phone: 503 - 524 -9338 Contact #: PRI 771 -5491 FAX 503- 771 -5491 same as above. FEES Description Date Amount Reg #: ELE 3 -452C [ELPRMT] ELC Permit 5/17/2006 $93.40 LIC 34255 • [TAX] 8% State Surcharge 5/17/2006 $7.47 SUP 38055 Total $100.87 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: l h t __ Permittee Signature: 072/al 'rr. mil_' 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. • 05/16/2006 14:57 503244466 i cr WALKER INTERIOR REMO PAGE 03/04 - r 'Electrical Permit i s 1'()k ()I i 1(. I.. kis : UINI.i City of Tigard aeaei- ii ono a IS Permit N! .1015e712-4:1"01:73 13125 SW Noll Blvd., Tigard, OR 97223 MA Y . .. LUU po Review nvoe 5 r '. k ii ii 1 'h Datear Inspection Line: 503.639.4175 r Permit: Phone: 503.639,4171 Fax: 503.598.196T j ib I ma f See rime z for `) ( l . ....� : _.. Date men Ed g J Internet: www.ci.tigord.or.us I.., 1 �./ b , Notitied/Method: Supplemental tnrermc a 1 T i r 7 8. r 1 k'; 1 1 ,'15 :!II � �..r;r , �{� I Rp f , 'f�'v 4 � I ) I lij4 {iii '! . • I r IVY Iri I I ! 1� W, l Il _F U i �,� 7 I I 31 i r 1 f I l' _ I f 7 1� II t p l;,)ti. lif�1U 1 1 i �� .� 11P / �' ) ; 111111! r Ih II:"' i { �i: erl� i��mir�1�! �li)? i'* r.. ��! tt�HllltifH��ll�l. l�l' d.+, r..V! eS: i�tUtl )�,��'(?w! I ,f�El {;Llli, P:) f Irl�fll�l�! ff1 �. t! 1��111�) 1 1f` �r�- r,{ ��;, �1er e�, l �„ �Ik�u�eil !���il.�tl�!lti� r u ❑ New construction P: Addition/alteration/replacement Please check all that apply: ❑ Demolition ❑ Other; ['Service over 225 amps, comm'I ['Hazardous location � i � r . I , ;{ m n r r ; rr r ., ors{ { .r l pr� r «; ,� .�„ o^i C '!I'gI Ih: r,., ['Service over 320 amps - rating ❑Buildngover10,000sq.ft., It1ll7,�:..1 }ilIil I, Oil irailliilt:'r1 ,,tr, i r : lrtd i !Iii li;�, t;i;;y' t, ;tRr r. }'-', ktl �!, j !l;ily uil�tu �i:s iliali s;� ^, ,� i, of 1- and 2- family dwellings 4 or more new residential ! 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building __ System over 600 volts nominal units in one structure ['Building over three stories ❑Pecdcrs• 400 amps or more ❑ Multi- family ❑Master builder ❑Other ni y lllt ° 1 " '1 pp 11 �17���77�fi1'jt�umrrtgf-;r.,p ..r r,'r „ i F I {{t ^)::xF 4 :nc, ❑Occupant load over 99 persons ❑Manufactured strictures or li . i,. h •. i ili IICgfllmtllluln mei � v . c' ; �. �1•i • 1' IA m i� li p .G � ^ ` •.::i"I G � ' ! "," ;; tt r� ht, v y , Sh n � [ dm, F' rm' �tmfetntin��• a' z��hn` DErr�ifm8,r,�,�min�'n1„�li!ir., )i�l,� ..r..flh�fEl `�;,���t'a:!:t:p'kp ©ggressllighting pian RY park Job no.; 27_. Tab site address: 14.4 k .-W i I\A - 1 - L� �1°_ ❑Ffcatth cart facility ❑Other; Submit 2 scti of plans with any of the above. City/State/ZiP; / P � ZZ T he ab ove are not applicable . app blc to temporary construction service. Suite/bld .1 t no.: Project name; �� N {: °,altl I> ' il i . : iC. 1'tli '.'iVl " "t 7_ >' 1 .. R amt:w 1di,le;r !m cl�'scii;iii�j �i G / ` Druerptaon Qty. Fee. Total Cross street/directions to. job site: LLS,W iZ ' New residential single- or inulti• family dwelling colt. • Includes attached garage. • 1,000 sq ft or leas 145.15 4 Subdivision: Lot no.: Ea add'i 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 ,, i Limited energy, non - residential 75.00 2 • Iii 1 111 ii 11 u ' I '6 11i1 l a'irilI' I:'r � �� I1 y s' i `f Hlli ii liiiiil,l,.j { . .,�r.t i .,i ,$..+,. " Bac manufactured or modular I1 r' i,� 0 • ; ., 7rii1,'Clli!a��1Wi11�tuAn �1: •!'r1iljGlll,.!t'h, ' 1 'i;1�4 `- - - ���A-n 0 , ` d welling service and/or feeder __ 90,90 , 2 �l Services or feeders installation, alteration, and/or relocation 200 amps or less 80,30 2 . '"• 1. wa.. i i I:u11pf)t7:ttrmrl i �• ., ., r Mhanq , + , +� 201 aan 4 ti m 1 I �1 �, "'£1' �ni alv � p. to 400 amps 106.85 2 ! i 1� :�r�U.���' ,, l�il iih,< I l I� ! � i'. ti''' nr'aii6't�tiari;l�'•�1��in�Ku,a (i, ,k�� ,i , _ 401 turps to 600 amps 1 60.60 2 Name: ,..1. d - e 601 amps to 1,000 amps 240.60 2 Address: , Gl ( ..,.. _ ` rib ',` . Over 1,000 amps or volts 454.65 2 City/State/VP: Reconnect only 66.85 2 ,.. \ ism. q -- Temporary services or feeders Installation, alteration, nod /or Phone: (S03) '2 CI 'F.,,. Fax; ( ) 200 snips or less 66.85 1 Owner Installation: This installation is being made on property that I own which is not 201 s 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 `.4�'�l'iillllli� 'll� � I �, ! � , 1'; I M(''hi u' I?" :ii„ I r {I 11�� � fr »�T f' (, • .t. ''1♦I i . , f!1�'tisz :i::4��a ' x 1G1 d + ' : iiii 1 •1L . ,1 ni 1 i» 1r11i ht rAM A Fee t brAnCh Ci rcuits wllh s ervice or feeder fee each 6.65 2 branch circuit Contact name: B. Fee for branch ciir , tits - . , _ _ wlthhour service or focdcr fee ' "Tj[ J w Address: . ' - first branch circuit 46.85 2 -'i� �, Z W Scholia = t S. ".'. Each ad branch circuit . 7+ 6.65 City/State /ZIP; . I Portland, OR 97225 Miscellaneous (service or feeder not included) - Phone; ( ) a '"` ...... ''' = i I s Pump or inigmion circle 53,40 2 all Sign or outline lighting 53.40 2 i ± ''+ Signal circuit(s) or limited - .)`r'ikli',:;,� . .'t t l I II'r mli , v r �1 ,!.. r�elltW'pil� t, iih Il�. energy 0 nn i {�, � �li•f %' �11 t ,��. �,:tll i �11� 'iti�,l. ";!�,�. �i�, fit!t;tYliJ';�.'���ll :inn.•'. t', ; r � 1;�" en panel, alteration, or I I lfi�4l -:i;i Busin • , •• • - extension. Describe: Page 2 2 _ r: i +.l it :i' - •T•1l :!: A lob no: rrt� ZZ t � r Each additional inspecdoa over allowable in any of the above C lir «. �.� > 7 . Per inspection 62.50 P] ,/ c r G� 13� �r) � Industrial plant per hour 73.75 Investigation per hour (1 hr min) 62.50 U � w 9 P O6 G /) state: °' ZIP: /' 4 CI � one; / �: , 7 IlMri�!f(�� "r:. °� dyT "ajl.l'���`a ?�...f p'�..����� � '11+ ; w ' , • E .i; t �.di r' . .,, : iu:.Lv: 1 j ■ Subtotal '- A St ' CBs•: ) if ..S' s*-- _ Elec. bus. lic. no: G' - �• Plan review (25% of permit fcc) � P _ I: ity/m • • He. no.: /A . �� -���� 4 State surcharge OM of permit foe) '� q Al igssature of Su , -, fog Electrician (Required) Date "�`� TOTAL PERMIT FEE f elect na �Thia perm application expires if a permit is not obtained within Ian • Pr me (pr j n t); L O .. , /,... L no :3$ ' s ' days after It has hive accepted as complete r • • Num Foe ma►hodolo xet by Tri -County Building Industry Service Board "ber or in,,rctjortg per perm allowed i:\BuildingVomitamGprnhiIApp .doe IZll 4 4o - 4615T(1e/02/COHYw; s CITY OF TIGARD - BUILDING DIVISION PERMIT #: ELC20f &0h2 /3 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5117/21106 Phone: (503) 639- 4171 Inspection Requests (24 Hrs.): (503) 639 -4175 - INSPECTION WORKSHEET FOR DATE: 5/19/2006 TIME: 1:01AM PAGE: 48 t SITE ADDRESS: 14115 SW MISTL,E[OE DI: CLASS OF WORK: SUBDIVISION: t IILLSHIRE L ; TATE } NO. 2 LOT #: 1013 TYPE OF USE: PROJECT NAME: O'[.1RIEN DESCRIPTION: f1 Ix. circuits for kitchen remodel. OWNER: O'IJRIEN, JEFF RLY I + KANDIE A, PHONE #: 503.524 - 9338 CONTRACTOR: 205 ELECTRIC PHONE #: 771 -5491 Inspection Request Scheduled For: Date: 5/19/2006 Pour Time: Code # Inspection Description Confirm # Contact # � - - - . • - 125 Wall r :over 0:1016 - 03 503-452-1383 A,\ Corrections/Comments/Instructions: $ ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: NCB L Date:.: /�1- Phone #: (503) 718- Z-4 4f7 CITY OF TIGARD r. BUILDING DIVISION PERMIT #: ELC2006 -00213 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/17/2006 Phone: (503) 639 -4171 � v , i Inspection Requests (24 Hrs.): (503) 639 -4175 I.E. INSPECTION WORKSHEET FOR DATE: 11/8/2006 TIME: 7:03AM PAGE: 42 SITE ADDRESS: 14115 SW MISTLETOE DR CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES NO. 2 LOT #: 108 TYPE OF USE: PROJECT NAME: O'BRIEN DESCRIPTION: 8 br. circuits for kitchen remodel. OWNER: O'BRIEN, JEFFREY T + KANDIE A, PHONE #: 503 -524 -9338 CONTRACTOR: 205 ELECTRIC PHONE #: 771 -5491 Inspection Request Scheduled For: Date: 11/8/2006 Pour Time: Code # Inspection Description Confirm # Contact # 404 199 Electrical final 039387 -01 503- 452 -1383 AlAdi Corrections/Comments/Instructions: • i , �1 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: CAP Date: `L 8 04 Phone #: (503) 718 - 2 ■