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Permit (' CITY OF TIGARD ETC:: PERMIT 1111 ° PERMEL RICAL ELC2007 -00567 COMMUNITY DEVELOPMENT DATE ISSUED: 8/14/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 • PARCEL: 2S 111 AD -10100 SITE ADDRESS: 08720 SW REILING ST ZONING: R-4.5 SUBDIVISION: SCHECKLA PARK ESTATES LOT : 058 JURISDICTION: TIG PROJECT: THOMPSON Project Description: Replace (3) cans in celing, added (4) cans and (3) plugs. • 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: SHAWNA & RYAN THOMPSON OWNER 8720 SE REILING ST • TIGARD, OR 97224 Phone: 503 - 307 -2937 Contact #: FEES Description Date Amount Reg #: [ELPRMT] ELC Permit 8/14/2007 $46.85 [TAX] 8% State Surcharge 8/14/2007 $3.75 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, o if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility N 'cation Center ose rules are set forth in OAR 952 - 001 -0010 through OAR 952-001-01i 4 . You may obtain copies of these rules or direct questions UNC at 503. , • 6• !9 or 1.800.332.2344. Issued B Permittee Signature: 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. ` Electrical Permit Application FOR OFFICE USE ONLY • `.f g City of Tigard Received O AN 61 ' C Permit No B Date : J !..• / I• • 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review C Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit: TI G A It u Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard - or.gov Notified/Method: -77 Supplemental Information TYPE OF WORK PLAN / / / /I!!! REVIEW ❑ New construction Addition /alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural Zi 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. ❑ Addition of new motor load of ❑ "A ", "E ", "1 - ", "1 - ", Job no.: Job site address: v S W 1.4 / I OO or more residential R occupancy. Recreational vehicle parks. /��J " �J �� ❑ Six or more residential writs. ❑ Recr City/State /ZIP: / j , 1,,4 222 L/ ❑ Health-are a d cities. ❑ Supply voltage for more than �!! 7 J ❑ Hazardous ►ovations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more. FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. I Total I • New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'l 500 sq. ft. or portion 33.40 l Tax map /parcel no.: Limited energy, residential DESCRIPTION OF WORK (with above sq. ft.) 75.00 2 IP (� n n Limited energy, multi - family 75.00 2 K / Al... -4 1D / �� /1 ; ' e-- 41 �/ residential (with above s.. ft. /- G � 100 � / i ,'4 S Services or feeders installation alteration and/or relocation L 200 amps or less 80.30 14 PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 Name: g_,....) AL) --r � o� � 401 amps to 600 amps 160.60 601 amps to 1,000 amps 240.60 2 Address: $'4=20 5 a / L', Over 1,000 amps or volts 454.65 2 City/State /ZIP: ri4 # Ma. , Z2 ..1 5 .— Temporary services or feeders installation, alteration, and/or relocation Phone: (l) &/- g4 Li3 1 Fax: ( ) 200 amps or less 1111 66.85 —0 Owner installation: This installation is b- ing made on property that I own which is not 201 amps to 400 amps 100.30 —© intended for sale, le. . t, o exchan i -, , ccordi I • • • ' S 447, 449, 670, and 701. 401 amps to 599 amps — 133.75 —© O ' / 3. b �f Branch circuits — new, alteration, or extension, ■ er panel Owner signature: Date: T A. Fee for branch circuits with • ❑ APPLIC • ■ II ❑ CONTACT PERSON above service or feeder fee, 6.65 2 / / each branch circuit Business name: �/ j,. 4 B. Fee•for branch circuits e r Contact name: ?.�,ya� -�� :yy , f ithout service or feeder fee, 46.85 / first branch circuit Address: ' 7 Ji..4.„.) j t ovh 6-1; Each add'l branch circuit 6.65 Miscellaneous service or feeder not included City/State /ZIP: i_c_ =.' / G�l t � ' / ' 7------2.. Each manufactured or modular MI 90.90 © dwellin_, service and/or feeder Phone: ( , Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CORACTOR Sign or outline lighting 53.40 2 Business name: 0 t) r Signal circuit(s) or limited - energy panel, alteration, or Address: extension. Describe: Page 2 2 City/State /ZIP: Each additional ins . ection over allowable in any of the above Per inspection II 62.50 Phone: ( ) Fax: ( ) 4_ Investigation per hour (1 hr min) 62.50 CCB Lic.: - ctrical Lic.: Suprv. Lic.: Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES p Suprv. Electrician signa • e, required: Subtotal: 6 • b' _ Date: Plan review (25% of permit fee): State surcharge (8% of permit fee): 5. 75 Authorized signa ure: TOTAL PERMIT FEE: / • Print name: Date: This permit application expires if a permit Is not obtained within 1:0 days after it has been accepted as complete. • Number of inspections allowed per permit. I: \Building\Permits\ELC- PermitApp.doc 05/23/06 440- 4615T(11/05 /COM/WEB Electrical Permit Application - City of Tigard " • Page 2 - Supplemental Information " • .l LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* -- _� ❑ Other: ( WORK ONLY: Fee for each commercial $75.00 system - • (SEE OAR 918 -260 -260) Q , • Check Type of Work Involved: ❑ Audio and Stereo Systems • ❑ Boiler Controls • ❑ Clock Systems ❑ Data Telecommunication Installation — — . / • 1 J \ ❑ Fire Alarm Installation • . ❑ ,HVAC S ' . ❑ Instrumentation • ❑ Intercom and Paging . Systems ❑ Landscape Irrigation Control* ❑ Medical • • Nurse Calls • ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ .Other • To`tal'number of commercial systems: • *No licenses are required. Licenses are required • :`for all other installations I: \ Building \Permits\ELC- PermitApp.doc 03/23/06 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007- 006.57 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8114/2007 Phone: (503) 639 -4171 �� Inspection Requests (24 Hrs.): (503) 639 -4175 il� INSPECTION WORKSHEET FOR DATE: 11/27/2007 TIME: 7:0 PAGE: 11 SITE ADDRESS: 08720 SW REILING ST CLASS OF WORK: SUBDIVISION: SCHECKLA PARK ESTATES LOT #: 05B TYPE OF USE: PROJECT NAME: THOMPSON DESCRIPTION: Replace (3) cans in celing, added (4) cans and (3) plugs. OWNER: THOMPSON, SHAWNA & RYAN PHONE #: 503 - 307 -2937 CONTRACTOR: OWNER , ` kE Q Q \\I PHONE #: Inspection Request Scheduled For: Date: 11/27/2007 Pour Time: Code # Inspection Description C n irm # Contact # Message 199 Electrical final ( 060316-01 503 - 419-8597 Y Corrections/Comments/Instructions: �, 5 T i L I\ 'l PASS) ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G ---1 N 6 ( 3 1 - Date: *- Phone #: (503) 718- 1-441J • CITY OF TIGARD BUILDING DIVISION - a ` PERMIT #: ELC2007- 00567 13125 SW Hall Blvd., Tigard, OR 97223 , DATE ISSUED: 6/14/2007 Phone: (503) 639 -4171 FI Inspection Requests (24 Hrs.): (503) 639 -4175 _ .. , INSPECTION WORKSHEET FOR DATE: 8/22/2007 TIME: 7:01AM PAGE: 34 SITE ADDRESS: 08720 SW REILING ST CLASS OF WORK: SUBDIVISION: SCHECKLA PARK ESTATES LOT #: 058 TYPE OF USE: PROJECT NAME: THOMPSON DESCRIPTION: Replace (3) cans in celing, added (4) cans and (3) plugs. OWNER: THOMPSON, SHAWNA & RYAN PHONE #: 503- 307 -2937 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/22/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 054447 -01 503-419-8597 N Corrections /Comments /Instructions: i ' \ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS , ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: <7 07 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: ELG2007 -00567 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/14/2007 Phone: (503) 639 -4171 Ate , f Inspection Requests (24 Hrs.): (503) 639 -4175 - INSPECTION WORKSHEET FOR DATE: 8/15/2007 TIME: 7:00AM PAGE: 41 SITE ADDRESS: 08720 SW REIUNG ST CLASS OF WORK: SUBDIVISION: SCHECKLA PARK ESTATES LOT #: 058 TYPE OF USE: PROJECT NAME: THOMPSON DESCRIPTION: Replace (3) cans in celing, added (4) cans and (3) plugs. OWNER: THOMPSON, SHAWNA & RYAN PHONE #: 503 -307 -2937 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 8/15/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 054019.01 503 N Corrections /Comments /Instructions: • , eh Amk,v - Le ti es^ t2' yokif ( , ) ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS KFAIL NC L FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: (� 01 Phone #: (503) 718-