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Permit . CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT PE E 4/2008 -00507 DATE ISSUE RMIT #: 9/4!2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S 134CA -00705 SITE ADDRESS: 11915 SW SUMMER CREST DR ZONING: R -4.5 SUBDIVISION: BURLWOOD NO.3 LOT : 040 JURISDICTION: TIG PROJECT: WAGONER Project Description: Reconnect only 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: 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: 1 SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: WENDY WAGONER REDS ELECTRIC CO INC 11915 SW SUMMER CREST DRIVE 6336 SE 107TH AVE TIGARD, OR 97223 PORTLAND, OR 97266 Phone: 503 - 524 -5912 Contact #: PRI 503 - 233 -6467 FAX 503 - 233 -1281 FEES Description Date Amount Reg #: ELE 26 -152C [ELPRMT] ELC Permit 9/4/2008 $66.85 LIC 4443 [TAX] 12% State Surchar 9/4/2008 $8.02 SUP 5010S Total $74.87 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 Permittee Signature:5 2 � � 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. Seo, 3. 2008p11.45ANI� Reds Electric No. 6622 P. 2 FOR OFF! . V. r City of Tigard C M ' Received , 13125 S W Hall Blvd., Tigard, OR 9722 DatclB ° �r t jai Permit No.: _ __..i.. C : Phone: 503.639.4171 Pax: 503.596.196 �00 a�cvicw TIGARD lnspectionLine: 503,639.4175 C Y Other Permit: C IV! le : eadyBy: kris: El See Page 2 for Internet: www- tigard- or,gov .c4G' CI , . shod: r Supplemental Iofo rmation TICRL: OR'*ONC >.� New con struction 11 1011 /alteration/ret t Plow chcheck all that apply (submit 2 gels of plans wiitems checked below) Demolition Other: El Service of feeder 40D amps or more ❑ Building over three stories. . , .:,..._ where C a current • • ,,.. . , ;, .. . ?a :• . IYS'FR]JC, ='- � c'�;:' 7 - -. cxcecdR 10,01)0 amps at IS volts or ❑ Ploa buildio g r 1- and 2 - Ihmily dwelling ED C:ommcrcial/industriai less to pound, or exceeds 14,000 Q C r ❑ Accessory building amps for all oilier installations buildings. r se agricultural ❑ Multi - family ❑ Master builder ❑ Other; ❑ Fire pump. ` ^ }._ • .: : '- ••r• Emorgeny m. QI natal rscp n of !y KV'Anr ' TOB ''10 INFOR ❑ c syste larger Separate) ......:: pt.. -. IV); 11ONr_AN1 . )-`4 . '9AT.IQ - .. :.:'. Y derived system. ' � � " "' ^�' "'= �' ❑ Addition of new minor load of Job no.: j _ _ 0 lob site address: • ,``,, 100F� ormore. occupancy. A . - ' O• - - �` • Li ❑ Six or more residential units. ❑ Recreational vehicle parks. City /State/ZIP: �� J ❑ Health -cue facilities. CI Supply voltage for more than 0 Hazardous locations 600 volts nominal. Q Suite/bldg. /apt no.: Project name: . A ❑ Service or feeder 600 amps or more. Cross sired /directions to job sire: • • c; cr Y;3i' <..:- „.r. g1E G`I11E l,IJE• - V e }; : " "' . I/ecrialion - 1 QIZ I rec. 1 T"[ul I • New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: 7 Lot no.: r 1,000 sq. ft. or less 145.15 4 'Fax map /parcel no.: Eu. add'1 500 sq. ft. or portion 33.40 I s"�)' V «4: "Y::'a 76��''��' `�:', o .. fir ?: �,.,.[�. _.,.., .. „ '. � ( � :r^ , - Limited energy, residential ... u..,. F 10 -OF•''VI?0 ;.4,• §1: . '. , :, 7,-..�:.;,::, ..�'.� �' 1� °-<'�, •i�;5 .> .- � " > i,.:�`'„e (with above sq. n,) 75.00 2 r. . Limited energy, multi - family 7500 residential (with above sq. ft.� 2 Services or feeders installation, alteration, and/or relocation r ;, _ _ 200 amps or l 80.30 2 ;y � >:."A o� Y ' F' 3Z'i; 'e 1 1* , f` x' c :s='•`^S•'u . ii- e,1:4'y { ^ -t, SV4 l: 400 ;, � .. sV �:., ?'_ . ! " :r,:_X .;?.fi .... . ,. 4"t' ;`74. !_ a3 , � �' rh 201 a _ . s to 400 am s :•��: ,' 4 .4 P P 106,85 2 Name: A . f 401 amps to 600 amps 160.60 2 Addres " 601 amps to 1,000 amps 240.60 2 Over 1,000 amps or volts 454.65 2 City /Stale /ZIP: Temporary services or feeders installation, alteration, and/or - - relocation Phone: ( ) Fax; ( ) 200 amps or less 66.85 I MI • 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, tent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133,75 2 Owner signature: Daze: Branch circuit% — new, alt or extension, per panel y I� t,�,, t , . ;�r ' A Fee for branch circuits with e'm �•�A��'lS7':f. i 8',+ a ^ir a y 't'f ' ;,, `. ,,� ”" ��� ;�`a• above service or feeder fee, 6,65 2 3.k ; 'ril Si "' I b i o � Business name; each branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, 66,85 2 first branch circuit Address: — Each add'l branch circuit 6.65 2 City /State/ZIP: Miscellaneous (service or feeder not included) Each manufactured or modular 90.90 2 Phone:' dwelling, service and/or ) • Fax: ( ) Reconnect only d/r feeder --- 66.85 f7 .5 2 E -mail: • Pump or irrigation circle 53.40 2 _ — � 66 �� .i _.l__„� , i l ;:i _.,t ' .T il e"q..: e,r - :l a ri Lei O` .I' r J: .• ,V '*.°...•; ,.C:14, 'C��?►� Vin. �- � ? � t�± t�;:��_���������..s� °:a�- sign or outline lighting 53.n0 2 Liusinj Signal circuits) or limited - • RED'S ELECTRIC energy panel, alteration, or Added TRIC CO. INC. extension, Describe: Page 2 2 6336 SE 107TH AVE City /5 PORTLAND, OR 97266 Each additional inspection over allowable in an of the above --‘ l 503 - 233 -6467 FAX 50 3-233-1281 - Per inspection 62.50 — ' Phone CCB# 4443 ELECRICAL LIC 26 -162C SUPRV LIC 5010S - Investigation per hour (1 hr min) 62,50 CCB L. industrial plant per hour 73,75 Suprv. Electrician signature, required: � '• I.'%' : * 's +�:: 's`i=l)uE ieti FE3i�Virt S s?_'::: s'::. . a lt Su btotal: Print name: / Date: _ Plan review (25% of permit fee): State surcharge (12% of permit fee): Authorized signature: TOTAL PERMIT PEE: This permit application expires ir permit is not obtain r thin 180 print name: Date: days after it has been nccepted as complete. I:1DuildinglFCrmiulCLC -Perm [App aloe 05/23/06 ' Number of inspections allowed per permit. 440.46 t sr(t vosIcotvJwee • 1 CITY OF TIGARD . . A BUILDING DIVISION PERMIT #: ELC2008- 00507 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/4/2008 Phone: (503) 639 -4171.at i �I�l Inspection Requests (24 Hrs.): (503) 639 -4175 _,'!� �__.. INSPECTION WORKSHEET FOR DATE: 9/52008 TIME: 7:00AM PAGE: 16 SITE ADDRESS: 11915 SW SUMMER CREST DR CLASS OF WORK: SUBDIVISION: BURL WOOD NO.3 LOT #: 040 TYPE OF USE: PROJECT NAME: WAGONER DESCRIPTION: Reconnect only OWNER: WAGONER, WENDY PHONE #: 503-5245912 CONTRACTOR: REDS ELECTRIC CO INC PHONE #: 503- 233 -6461 Inspection Request Scheduled For: Date: 9/5/2008 Pour Time: Code # Inspection Description ©nf'rmi # . Contact # Message 199 Electrical final 075137 -01 a 503 - 233 -6467 N Corrections /Comments /Instructions: Re - G - ow I V P PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G PJ 6G L' Date: C t 'rt Phone #: (503) 718- MIA