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Permit
• C ITY OF TIGARD.� .:, ELECTRICAL PERMIT PERMIT #: ELC2006 -00496 �,,� � DEVELOPMENT SERVICES DATE ISSUED: 9/1/2006 ' ° 'III 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S134CB -06400 SITE ADDRESS: 12480 SW NORTH DAKOTA ST ZONING: R -7 SUBDIVISION: ANTON PARK LOT : 026 JURISDICTION: TIG Project Description: (5) branch circuits. Replace receptacles throughout house. 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: 4 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: JULIE ROBINSON GARNER ELECTRIC 12480 SW NORTH DAKOTA 2920 SE BROOKWOOD AVE #A TIGARD, OR 97223 HILLSBORO, OR 97123 Phone: 503 - 380 -9532 Contact #: PRI 503 - 648 -4552 FAX 503 - 642 -7925 FEES Description Date Amount Reg #: ELE 34 -305C [ELPRMT] ELC Permit 9/1/2006 $73.45 LIC 121159 [TAX] 8% State Surcharge 9/1/2006 $5.88 SUP 37075 Total $79.33 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: ytl. r ! 1 Permittee Signature: y Q a‘no 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. • FROiI :GARNER ELECTRIC FAX NO. :5036427925 Sep. 01 2006 07:51AM P1 F OR Oi'I' "LISh' (.)N1. 'l I I Ictrical Permit A.p 11 E�V�� •- - ' • City of Tigard V Od ..... - /' . ' • ,� • permit No.; -= QQ I - «' 13125 SW Hall Blvd., Tigard, OR 97223 S E P. © 1 700 ' Plan Review Otlser Pcrrnda ' phone: 503:639.4171 ' Pax: 503.598.1960 ''"'^ ` ' I Date. I • 1 o 55 See Page 2 for • inspection Line: 503.639.4173 • CITY OF TIG !- , Notified/method: Supplemental Information Internet www.ei.tigard.or.us BUILDING DIVI ILt, ', 7 r ��II 1 ^^ � r r ' > `�, 1y , 1 .t r ,, rt+�Vir t[�f -��r,G l �to Y �� , I�.-. a12; y..'l '..� 4 T ',; - A:5 , , •l '!!::i. • ill+ , 1 y - . 1 1 it �AY.f id,,,. r .. a .t2 "'- t H11 7,IiUi /V,... J ! • idz . , aria; 7I I MP ' ar .• Sr • 4' � :Y_ 1.1:15 ", � +�.� ., , , '4rs:�i4�c�: Pl check all that apply: � .. 0 New cnnstruction 1 Addition/alteration/replaoement app y: DService over 225•ampa, coritrri'l DHazardeus location 0 Demolition ❑ Other ❑Service over 320•amps - rating ❑ Buildng over 10,000 aq. h., t o �1 , : ,„ . r.v ) + a 4 l 1 `^ r 'A R j' i' p ' + ( r . ~c r if' 7� r1 R Z ir vf-r't' " of 1 - and 2•tkmily dwellings 4 or more new residential ys „•' J i i i Zti a 2 9.i, i ' v r a c .._.,�'.r Ye4 . 1.. ` ,�eF ?• 41',- • -LIE 7L .rLD E ...” .� ti 1t~ I '� ❑System over 600 volts nominal , units in One stricture ►r 1 acrd 2-family dwelling 1:1 Commercial/industrial ❑Accessory building ['Building over three etories ❑Feeders, 400 stops or more ■ Multi family ❑ Master builder ID Other: ❑Occupant load over 99, persons OManufactured structures or �a� t , n Fl r rx I T l ty r ' t r f r l , d,7 "� w1 � y tPS N i �l r ) RV park !!1ti .. od::_ + .1't + �J 4 >M1f.ti.ir l i,4, .1 �)1 by rlXr Pi.bik.1447, • -5. �i.sP.4.ith + , I•. 1•1; ti r.!' -'.': � : l ©S� a/ligllt111$ oHealth -care facility OOthetr: — Job no.: rob site address: 1195 0 Sc,J fiky-1-14_01kilin Submit 2 sets of plans with any of the above. . The above are not applicable to temporary construction service. City /5tatdZIP: -1� r j �, ,�, ti , ,ter w �:, y ;�.,.,, .- ,'. ' . / Project flame: , r �ii:�•J, I t/ Suite/bldg. /apt. no.: r. pncsspdon Qty. Bee Total cross a treetJdirectiana to job site: New residential single- or multi - family dwelling unit. Includes attached garage. • 1,000 so. ft. or leas 145.15 , 4 Subdivision:. Lot no.: $i. add`1500 sq. ft. or portion 33.40 1 . Limited energy, residential 75.00 2 Tax ;� ma ./parcel no. Limited energy, non-residential 75.00 2 i''.',;.' ,� .1' �dJi ' ' ?" � 7 : S ! _�r +b ur s � r e t a �>< rh � i - 7i . t �? % i. 1'rrf 6 4 • 7 � �gg 4 � E ach mnmufaebtt'ed or modular p ., dwelling, service and/or feeder _ 90.90 • 2 / i 1 L �( LG1.Y -; d i �r / 7 r I l/' Services or feeders installation,, alteration, and/or relocation 20D amps or less 80.30 - 2 �i', "+•9 c1T— t 1m c r fff 7;;;rF- r,r rTigp ; ' �;� i r� t I1 201 MPS m 400 amps 106,85 2 R ,.. a •,(. II tl',/,,l ?, (f , -,-, X 11!� �,.'') ^.i , * 4,u,,4 1 1.0,,> .1L,LY, ! ', l' , 'L •21 --_, 1,V til .'. ,• �.i(d _._r 401 amps to 600 amps 160.60 2 M Name: t / e• i • I 1 . 601 amps to 1,000 amps 240.60 2 • Address: . Over 1,000 amps or volts _ 454.65 2 _ Reconnect only . 66.85 2 City/State/ZIP: - services or feedes Installation, alteration, and/or relocation • Phone: • (3 ) 331)—q 3 Fax: ( ) 200 amps or lass _ • 66.85 —. 1 Owner installation: This installatidn is being made on property that I own which i6 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 antpe to 600 amps 133.75 ?_ Owner signature: • _ • Date: . Branch circuits - now, alteration, or extension per panel VRig 1, , '' 'r,7linY ;:c riwi�r rL, rr f`]1'^ a 11i �ltz °) ,� /,i Irk I^1c + ,/,..vi y A Fee for branch circuits with i l TY :t , "�( :'i.. f ` _.L Y rs :1, 1. I..t:I � D:n,' V,I./.S_ 4 J.,it,_�..t 2'rdd riLS�rr n Afn'4z4;.6.. service or feadcr fee, Caeh n�1.r, )...._ +�.. ter - 6.65 2 Business name: branch circuit - B. Fix for branch circuits • Contact narzme: without se rvice or feeder fee, ` 46.85 4� �5 2 • . each branch circuit A.ddreas: _ Each add'l branch circuit . 6.65 4A • •2 City /State/ZIP: . Miscellaneous (service or feeder not included) Pump or inigation circle 53.40 2 Phone • F ax :: ( ) 53.40 2 ( Si gn or outline li g h ting . E ignal eircuit(s) or limite , r^ rt 0 w , r '+r S r' 'n"° • . l i -r ( r , , , ' ;*',. " dtm, or . ' ri��1ti Fr� r ;; ?�a c � ld t f . ( N • • . � > t:� 1;E '- t ti o t i,.,., , f , energy panel altera Page 2 I�:ct,H.'Y,1a11.'L1�•5 ".J?�� s.:0.• +$- S3.te:ii!L� 9. DLO �.m'� aai S_�ian .S r L �, ti �: 1^ extension. Describe: g -2 • Business name: C.1-R tj EF., CL, i C— - Each additional Inspection over allowable in any of the above Address: g v (� f ;2 (� ` Ave , ., Per inspection __ MI 62.50 — City / State/ZIP: d ( o d '' I Investi per hour (1 hr min) . . k.> r - 1 �? 62 sD Li r '''' _ f f 2. ,... s -- Industrial plant t • cr hour 73.75 Phone: ( ) 6 4 � ` Fa tI y � -7� •YI fi'..7R, rc .. .:711:— %: (I(1 , y1t i: , 4, 1;74 , i:I . "..'. CCB Lic.: t ' ' + � � 1 electrical Lic -:. S /.. lc -S.7() 7 Subtotal "1 t- (S 5ttprv. Fslcctricitui signature, required: �;�/ %� / Plan r eview (25% of permit fee) State surcharge (S% of perpvt fee) .3, K y Date: Print natrre• - ). G r =��. 1-C_ _ ' 0 _ ^ TOTAL PERMIT FEE Authorized signature: This permit applicntio,t expires it permit i7 out obtained within ISO , days Otter It bus been oeeepted so complete • - _ • Print name: ( Date: • Pee methodology scttbyTri -Couury Building industry Service Hoard , -' Number of inopoatioes par paretit elloteert. • ;Au UdingPsrmcmACLGramdtApp.doc 12/03 ado 4515T(r a/ovCOMrvwEB • CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006- 0041)6 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/1/2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/10/2006 TIME: 7 :06AM PAGE: 49 SITE ADDRESS: 12480 SW NORTH DAKOTA ST CLASS OF WORK: SUBDIVISION: ANTON PARK LOT #: 026 TYPE OF USE: PROJECT NAME: ROBINSON DESCRIPTION: (6) branch circuits. Replace receptacles throughout house. OWNER: ROBINSON, JULIE PHONE #: 503.380 -9832 CONTRACTOR: GARNER ELECTRIC PHONE #: 503- 648 -4552 Inspection Request Scheduled For: Date: 1011012006 Pour Time: C• - - : Inspec • • Description Confirm # Contact # Message 199 Electrical final 037925 -01 503 -648 -4552 Y Coiie tions /Comments /In s: var- roam k -1 CV. 61 •Ve ■SW azitecii8 3 v4 NtiN. 1 - ' p`? 0:10 otA / V 1 �� PASS ❑ PARTIAL APPR • VAL U CANCEL SS � ' LL I SPE N -+�1 :DI 10 , : L EE • ED Inspector: CY Date: % " i a Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC200E -00496 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/1/2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/912006 TIME: 7 :01AM PAGE: 61 SITE ADDRESS: 12480 SW NORTH DAKOTA ST CLASS OF WORK: SUBDIVISION: ANTON PARK LOT #: 026 TYPE OF USE: PROJECT NAME: ROBINSON DESCRIPTION: (6) branch circuits. Replace receptacles throughout house. OWNER: ROBINSON, JULIE PHONE #: 503 -380 -9532 CONTRACTOR: GARNER ELECTRIC PHONE #: 503- 648 -4552 Inspection Request Scheduled For: Date: 10/9/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 037842 -01 503648 -4552 N Corrections /Comments /Instructions: No ors Via 1 d 1 3 Aal\ ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL X NO ACCESS ❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED • Inspector: • IV S16 L( Date: 16 V �D Phone #: (503) 718 - •