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Permit
CITY O i TIGARD ELECTRICAL PERMIT " PERMIT #: ELC2007 -00627 COMMUNITY DEVELOPMENT DATE ISSUED: 9/10/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S125DD-03200 SITE ADDRESS: 06630 SW VENTURA DR ZONING: R -4.5 SUBDIVISION: WASHINGTON SQUARE ESTATES NO.2 LOT : 040 JURISDICTION: TIG - PROJECT: MORLEY • Project Description: Add (3) branch circuits for kitchen. 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: 2 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: MORLEY, RICHARD A + JOAN L TAKE CHARGE ELECTRIC INC 6630 SW VENTURA DR 7270 NW HELVETIA RD TIGARD, OR 97223 HILLSBORO, OR 97124 -8538 Phone: Contact #: PRI 647 -0946 FEES Description Date Amount Reg #: ELE 34 -287C IELPRMTJ ELC Permit 9/10/2007 $60.15 LIC 81761 [TAX] 8% State Surcharge 9/10/2007 $4.81 SUP 3687S Total $64.96 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100 You may obtain copies of these rules or direct question NC at 503.246.6699 or 1.800.332.2344. Issued Bta / % / Permittee Signature: \ /pp OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503.639.4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. FROM.:!,IsrKE CHARGE ELECC503)647 -09460 PHONE NO. : 5036470946 Sep. 10 2007 08:19AM P2 D E leetrieal Permit A t 1li Irk i - `� 1�l'1c . 1.SE•: 0NE1 `J { - tlT f � FOR O � Dao�/ Pen rlit Na: City of Tigard ° f tk . • ' II 4 13125 SW Hall Rlvd_, 97223 Plan Review Phone: 503,639,4171 Fax: 503.5 Plam/►3 t . . l i, I) Inspection Line: 503.639.4175 �� 2007 Date Ready/By: 14 See Palle 2 for Internet: www Lt$ard- or.go(.fl y of j I Notified/Method: �/Method: Supplemental Intbrntatlon PLAN REVIEW . ❑ New Construction ® rrlinISTU Meame check all that apply (submit 1 sets of plans wdtems checked below): ❑ Service or feeder 400 amps or mom 0 fluildmg 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 0 Commercial -ma egdculLt al ® 1- and 2- family dwelling 0 Conunercial/industrial ❑ Accessory building amps for di other installations. buildings. ❑ Multi - family 0 Master builder ❑ Other: Cl Fire pump ❑ Installation of 75 KVA or JOB SITE INFORMATION AND LOCATION ❑ Emergency system. l separately derived system. Addition o of new ew motor load of © "A "", , "k. ", "1.-2 "", , - 1 - 3", Job no: Job site address: 6630 SW Ventura DR I OOHP ur more wet: SUMS', MS' ❑ Six or more residential units. Cl Raemaikme l vehicle parks. City /StateIZIP: Tigard, OR 97223 . 0 Health -cam facilities. ❑ Supply voltage for more than ❑ Hazardous locations 600 volts nominal Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more. FEE SCHEDULE • Cross street/directions to job site: SW 65 to Ventura Description J Oa I Fee. '- T TuUd New residential single- or multi- family dwelling unit includes attached garage. Subdivision: Lot no.. 1.000 sq. ft. or less 145.15 4 Tax map/parcel t1o.: Eu. add 500 sq. Et. or portion 33.40 I Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft) Limited energy, multi - family 75 00 2 Add Circuits to Kitchen residential (with above sq. R) °'______ Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2 Name: 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454 2 City /State/ZIP: Temporary services or feeders installation, alteration, and/o relocation Phone: ( ) I Fax: ( ) 200 amps or less 66,85 _ _ 1 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, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel A. Pee for branch circuits with ❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 6.65 2 each branch circuit Business name. - B. Fee far branch circuits Contact name: without service or feeder fee, 1 46.85 46 2 first branch circuit Address: Each a dd'l branch circuit 2 6.65 13.30 2 - -- - ---- -- Miscellaneous (service. or feeder not included) city /State/ZIP: Fach manufactured or modular 90.90 2 dwellma, service and/or feeder Phone: ( ) Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Signor outline lighting 53.40 2 Business name: Take Charge Electric Inc. Signal circuit(s) or limited- energy panel, alteration, or Address: 7270 NW Helvetia Rd. extension. Describe: Page 2 2 City /State /ZIP: Millsboro, OR 97124 Each .uJditioual inspection over allowable in any of the above Per inspection 62.50 Phone: (503) 6414)946 Fax: ( ) same Trrvastigation per hour (1 hr min) 62.50 CCB Lic.: 81761 ,ti Electrical Lie. 34 - 287c }/l / , Suprv. Lic.: 368 $ lo 146 Irtdtt rial Plant per hour 73.75 Suprv. Electrician signature, rc ed c' ` ELECTRICAL PLRMlr FEES Su P required: 7": . . ; - / Subtotal: 60.15 Print name: Scott D. Hamilton Dom; 8-1 Plan review (25% of permit fee): "_.. w—.-_. .,—_,".- ,,.- ,. "..._. ,_ ,_-..__ _"-..._._ ____ ..- ,...,. ... .. State surcharge (8% of permit fee): 4.81 Authorized signature: TOTAL PERMIT FEE: 64.96 This permit application espire% if a permit is not obtained within 180 Print name: 1 Date: days atter it has been accepted as complete. • Number of inspections allowed per permit. I:' BmldingtPam .its'bl.C- PermiNPP.dOe 0523/06 4,40.4615T(e1/05 /COM/WPB . .CITY OF TIGARD . • BUILDING DIVISION A.. PERMIT #: ELC2007- 0 y i 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/10/2007 Phone: (503) 639 -4171 ill Inspection Requests (24 Hrs.): (503) 639 -4175 :..' R:_.. INSPECTION WORKSHEET FOR DATE: 9/12/2007 TIME: 7 :01AM PAGE: 17 SITE ADDRESS: 06630 SW VENTURA DR CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT #: 040 TYPE OF USE: PROJECT NAME: MORLEY = DESCRIPTION: Add (3) branch circuits for kitchen. OWNER: MORLEY, RICHARD A + JOAN L, PHONE #: CONTRACTOR: TAKE CHARGE ELECTRIC INC PHONE #: 64 7-0946 Inspection Request Scheduled For: Date: 9/12/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 055576-01 503-310-2827 N Corrections/Comments/Instructions: f z,6G.. Co t/ /P91 /I9 PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /A% // I / Date: / , v 0, Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007.00627 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/10,'2007 Phone: (503) 639 - 4171 161it Inspection Requests (24 Hrs.): (503) 639 -4175 s1.L. INSPECTION WORKSHEET FOR DATE: 10/29/2007 TIME: 7:01AM PAGE: 12 SITE ADDRESS: 06630 SW VENTURA DR CLASS OF WORK: SUBDIVISION: WASHINGTON SQUARE ESTATES NO LOT #: 040 TYPE OF USE: PROJECT NAME: MORLEY DESCRIPTION: Add (3) branch circuits for kitchen. OWNER: MORLEY, RICHARD A + JOAN L, PHONE #: CONTRACTOR: TAKE CHARGE ELECTRIC INC PHONE #: 607 -0946 Inspection Request Scheduled For: Date: 10/29/2007 "Pour Time: Code # Inspection Description ,Confirm Contact # Message 199 Electrical finial 058540 -01\ 503310 -2827 N Corrections /Comments /Instructions: IV P 2,rvu,1 PASS ) ❑ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS II] FAIL /// ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: cT' . (v Ve L Date: el Phone #: (503) 718 - MI6