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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2000149 COMMUNITY DEVELOPMENT DATE ISSUED: 3/13/2007 7 -0 'TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S134DD-00102 SITE ADDRESS: 10505 SW TIGARD ST ZONING: I - SUBDIVISION: LOT : JURISDICTION: TIG PROJECT: COAST PAVEMENT Project Description: (2) branch circuits. 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: SCHAEFER, DONALD M + MILYNN 0 ABC ELECTRIC PO BOX 23697 135 NE 9TH AVE TIGARD, OR 97281 PORTLAND, OR 97232 Phone: Contact #: PRI 503 - 233 -7551 FAX 503 - 233 -7552 FEES Description Date Amount Reg #: ELE 161501 [ELPRMT] ELC Permit 3/13/2007 $53.50 LIC 26 -1226C [TAX] 8% State Surcharge 3/13/2007 $4.28 SUP 5096S 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: ._5 . 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. MAR -12 -2007 04:29P FROM: tom TO:81P5035981960 P.1 , { w 1701( OFFICE USE ONLY Electrical Permit A sir �'� s �-', c .. � / Penrtit No. f /1 `.c' . - C ity of Tigard 13125 SW Hall Blvd., Tigard, OR 9722 1 2 2007 Plan Revie Other Permit: Phone: 503.639.4171 Fax: 503.598.1 ' `... 1 al� p „ (,, Datag 'i r !' I Date Rea kris: 0 See Page 2 for Inspection Line: 503.639 4175 CIT Y OF IC3� Notified/M°thod: Supplemental Information Internet: www.ci.tigard.or.us BHILnI 8 PLAN REVIEW TYPE OF WORK , Please check all that apply: ❑ New construction `B, Addition /alteration/replacetnent ❑Service over 225 amps, corral ❑Hazardous location ❑ Demolition ❑ Other: ❑Service over 320 amps - rating ❑ Buildng over 10.000 sq. ft., CATEGORY OF CONSTRUCTION of 1 - and 2- family dwellings 4 or more new residential ❑System over 600 volts nominal units in one structure ❑ 1 -and 2-family dwelling Commercial /industrial 0 Accessory building ❑ Building over three stories ❑Feeders, 400 amps or more ❑Multi - family ❑ Master b uilder ❑ Other: ❑O load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park -- ❑Health -care facility ❑Other. Job no.: ) _ Job site address: 4 s •. & . - Submit 1 sets of plans with any of the above. - a� ' The above are not applicable to temporary construction service. Ciry / State/ZLP: 'AI($ ". SCHEDULE..- ' ' - Suite/bldg. /apt. no.: I Project name: c ... \Q .,53- Description Qty. Fee. Tent I " New residential single- or multi - family dwelling unit. Cross street/directions to job site: Includes attached garage. _ 1,000 sq. ft. or less 145.15 4 Subdivision: I Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 _ I Limited energy, residential 75.00 2 Tax map /parcel no.: Limited energy, non - residential 75.00 2 'J)ESCRIPTION. OF WORK , Each manufactured or modular 90.90 2 dwelling, service and/or feeder C ‘ Services or feeders Installation, alteration, and/or relocation 200 amps or less 80.30 2 201 amps to 400 amps 106.85 2 I ❑ TENANT amps to 600 amps 160.60 2 ❑ PROPERTY OWNER 2 � ` \ ` 1 'C �� Name: V �� 601 amps to 1,000 amps 240.60 454.65 2 Over 1,000 amps or vo Address: Reconnect only 66.85 2 Ciry /State/ZIP: Temporary services or feeders installation, alteration, and /or ['hone: ( ) _ relocation 1 Fax: ( ) 200 amps or less 66.85 Owner installation: This installation is being made on property that ] own which is not 201 amps to 400 amps I 100.30 1 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 circuits - new, alteration, or extension, per panel Owner signature: Date: (g APPLICANT - - I , - 0 - CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 2 ` branch circuit Business name: 4� ` � (- \ (- B Fix for branch circuits ��V & \ ��' without service or feeder fee, I 46.85 2 Contact name: each branch circuit �, Address: 1 \ ..s„.......) Each add'l branch circuit I 6.65 (p 4,5 2 Miscellaneous (service or feeder not included) 2 City/State/ZIP: Pump or irrigation circle 53 40 Phone: ( ) Fax: : ( ) Sign or outline lighting 53.40 2 r Signal circuit(s) or limited - E -mail: energy panel, alteration, or 2 /� CONTRACTOR extension. Describe: Page 2 Business name: ��{y I 5:- �1 Q `��( \C -- k C \ (j I--)U Each additional Inspection over allowable In any of the above Address: I . h Q Per inspection 2.50 r Investigation per hour (1 hr min) 662.50 Ciry /Start /ZIP: e�\ \C1.�( ` q '1 I )0 Industrial plant per hour 73.75 Phone: (..,:) a5� 7 ,- I Fax: (�j a 5 7� ELECTRICAL PERMIT FEES” �69 _�� p 1 Suprv. Lic.)Q (0 S Subtotal f i .0, mi CCB Lic.: )� �� (� � Electrical Lic.• P Plan review (25% of permit fee) Suprv. Electrician signature, required: State surcharge (8% of permit fee) LI , L] / d r 4,� Di f � , n y ^ I Date: TOTAL PERMIT FEE 51 , fl Print Warne: /� r7j f R / ' J r This permit application expires If a permit Is not obtained within 180 Authorized signature: days after It has been accepted as complete /� I ` Date:1 1-4„11 • Fee methodology set by Tri -County Building Industry Service Board Print name: � 0 3 (1 \ v sk 1 " Number of inspections per permit allowed. 440-461 ST( toio2rronvwco 1• �auildmgrPenmtstELC- FermuApp.dae 13/03 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -00149 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/13/2007 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 W F'I I INSPECTION WORKSHEET FOR DATE: 4/13/2007 TIME: 7:00AM PAGE: 60 SITE ADDRESS: 10505 SW TIGARD ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: COAST PAVEMENT DESCRIPTION: (2) branch circuits. OWNER: SCHAEFER, DONALD M + MILYNN 0, PHONE #: CONTRACTOR: ABC ELECTR U PHONE #: 503 233 Inspection Request Scheduled For: Date: 4/13/2007 Pour Time: Code # Inspection Description Confir Contact # Message 120 Electrical rough -in 046420 -01 503. 233 -7551 Y Corrections /Comments/ Instructions: ( � �- -- --1 i'16 P 1 6� '.. ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ►,Ii CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector:. N� Date: 11[69 Phone #: (503) 718- - 24i�j CITY OF TIGARD L •- • BUILDING DIVISION - . A' #: ELC2007 -00149 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 3113 /2007 Phone: (503) 639 -4171 :relit Inspection Requests (24 Hrs.): (503) 639 -4175 :� % IL. INSPECTION WORKSHEET FOR DATE: 4/16/2007 • TIME: 7:00AM PAGE: 50 SITE ADDRESS: 10505 SW TIGARD ST CLASS OF WORK: SUBDIVISION: • LOT #: TYPE OF USE: PROJECT NAME: COAST PAVEMENT DESCRIPTION: (2) branch circuits. OWNER: SCHAEFER, DONALD M + MILYNN O, PHONE #: CONTRACTOR: ABC ELECTRIC PHONE #: 503 - 233 Inspection Request Scheduled For: Date: 4/16/2007 Pour Time: Code # Inspection Description " onfirm-# Contact # Message " ' • a« , -- - -_' 046498-01 503- 233 -7551 Y Corrections /Comments /Instructions: r- C6 ALA, tsh t■Z 11 t LiSa-1 Ak 614, tl1/4(1, 'w ih.,1 LO asz...,, MI\ w1 T ik kg - 6 , ni6 - - 2- AA c,6 • 'I ts INisi y 0 i s v1‘) 1zsavas c61Jb)6- 6NIt 1 _I PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED . Inspector: ' &' N /) es L--�-+ • Date: /4 1 1 6 11 Phone #: (503) 7183 . ' CITY OF TIGARD ,. BUILDING DIVISION PERMIT #: ELC2007- 00149 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/13/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4127/2007 TIME: 7:00AM PAGE: 69 SITE ADDRESS: 10505 SWTIGARD ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: COAST PAVEMENT DESCRIPTION: (2) branch circuits. OWNER: SCHAEFER, DONALD M + MILYNN 0, PHONE #: CONTRACTOR: ABC ELECTRIC PHONE #: 503.233 Inspection Request Scheduled For: Date: 4/27/2007 Pour Time: Code # Inspection Description /Confirm #-- Contact # Message 199 Electrical final ' 047233-01 503-227-4515 N Corrections/Comments/Instructions: ►� 11514b on Rkm g t sp1461Z StaiPkk 6 PeszA L61- 6 v■Itrtlii bi mis)ka f\LL O®k) bkk6 ' a(s f∎)S V7 A L. CRI 01.-z cA7 ;Go Na- Cr P R.6lt 10 'C't 6 . Z'EtairL, �„ /11411, �►� d . 40.3 . The electrical installation defects noted on this report shall be corrected and an inspection request made within 20 calendar days per OAR 918 -271 -0030 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL , CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CY N L -C Date: Lk .2-1(01 Phone #: (503) 718- 1.-q4) rd_ • CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007 -001 .19 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/13/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 7/20/2007 TIME: 7:03AM PAGE: 73 SITE ADDRESS: 10505 SW TIGARD ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: COAST PAVEMENT DESCRIPTION: (2) branch circuits. OWNER: SCHAEFER, DONALD M + MILYNN 0, PHONE #: CONTRACTOR: ABC ELECTRIC PHONE #: 503 - 2337551 Inspection Request Scheduled For: Date: 7/20/2007 Pour Time: Code # Inspection Description = - 'KM # Contact # Message 199 Electrical final 052334 -01 503 - 233-7551 N Corrections /Comments /Instructions: PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION , ❑ ADDITIONAL FEES ASSESSED Inspector: v � l i - 8).0 Date: 2 el Phone #: (503) 718- 9 Lk'