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Permit ;CITY OF TIGARD_ !# ELECTRICAL PERMIT PERMIT #: ELC2006 -10061 DEVELOPMENT SERVICES DATE ISSUED: 3/21/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S133DA-00600 SITE ADDRESS: 11050 SW SUMMER LAKE DR ZONING: R -7 SUBDIVISION: AMART SUMMERLAKE LOT : 028 JURISDICTION: TIG Project Description: PEDESTAL FOR POWER IN VAULT 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: 1 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: RICHARD CALDWELL BUCKAROO ELECTRIC 11050 SW SUMMER LAKE DR 31601 S WRIGHT RD TIGARD, OR 97223 MOLALLA, OR 97038 Phone: NA Contact #: PRI 503 - 880 -6326 FAX 503 - 829 -5207 FEES Description Date Amount Reg #: ELE 34 -361c [ELPRMT] ELC Permit 4/5/2006 $53.50 LIC 154750 [TAX] 8% State Surcharge 4/5/2006 $4.28 SUP 3954s Total $57.78 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: rf' I-L ' c 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. Karen Veltman BUCKAROO E (503)829 -5207 p.1 , : • t i ••3l Permit App ' , C V t tttt tai, rc t t `1 tali• .... ` ,c rnit Ne City of Tk�ard - — __A P6.._43 _ 1 r t � -- -- %���1 ili2 SW Hs! Blvd., Tigard, OR 9??:? tutu,: • -- py�wPsirrsa. P►u0c: 1C.3.639,1 '_ Faa • iC .$93:D5^ � t ZO .. I ��e/i - --. Inveetiot Limo: SO p 1•D at 75 +! / r ,' ' : $K 7>. } 1l suilti 3 Far 'Imerner, wer...n Haan! o,. .a `a•FwMtv.roa _ t 74 t SteraW'emateetletorrnatwe _ r . .. - IL.N rY1Jit1>r 1:34° n F- 7�n ldw�r� p � t f 9ivase check all that apply ❑ thaw cOnetrYCltOr l^!1 b}�•oErvu-pme 10Scrims over 221 amps, 4>rnn:'1 O'1i.:e•eoua location I I 0 Demulttioo ❑ O t>er• - -- I r!San ac o.ir 22 Samp - Her i6 ❑lituiLdnaI•:ar t ' C)Goy : i t CA`fD: O t OF C_OtcSlBti167_:ON ' of 1.- mewl 2- ?.dsly 1 ,4 1nas 4 Oa nose MI% MI' rw4■13t:3! 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SD q...1_55 . f.5. 57' -7g CITY OF TIGARD _ BUILDING DIVISION - PERMIT #: ELGIN/G- 10061 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3121/2006 Phone: (503) 639 -4171 • Inspection Requests (24 Hrs.): (503) 639- 4175 INSPECTION WORKSHEET FOR DATE: 8/22/2006 TIME: 7 :03AM PAGE: 36 SITE ADDRESS: 11050 SW SUMMER LAKE DR CLASS OF WORK: SUBDIVISION: AMART SUMMERLAKE LOT #: 028 TYPE OF USE: PROJECT NAME: CALDWELL DESCRIPTION: PEDESTAL FOR POWER IN VAULT OWNER: CALDWELL, RICHARD PHONE #: NA CONTRACTOR: BUCKAROO ELECTRIC PHONE #: 603-880-6326 Inspection Request Scheduled For: Date: 8/22/2006 Pour Time: Code # __lnspectien- Description Confirm # Contact # Message (1 ' Misc. inspection 035371 -01 503-590-5772 N 1 ti Corr Comments /Instruct ..„. ..., Z C% ... , ,IlI PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS LI FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G N ve LE Date: 1:•'ZZ -'0b Phone #: (503) 718- Z446