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Permit , CITY OF TIGARD ELECTRICAL PERMIT PERMIT ISSUED ELC2008-00227 COMMUNITY DEVELOPMENT DATE ISSUED: 4/22/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 111 BA - 02101 SITE ADDRESS: 09920 SW VIEW TERR ZONING: R - 3.5 SUBDIVISION: INGEBRAND HEIGHTS LOT : 009 JURISDICTION: TIG PROJECT: SMITH Project Description: Service replacement of (2) services. 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: 2 W /SERVICE OR FEEDER: Q 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: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: NICK SMITH OWNER 9920 SW VIEW TERRACE TIGARD, OR 97223 Phone: 503 - 310 -3439 Contact #: FEES Description Date Amount Reg #: [ELPRMT] ELC Permit 4/22/2008 $160.60 [TAX] 12% State Surchar 4/22/2008 $19.27 Total $179.87 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 -00 9h OA 52- 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 5�� 6.6699 or 1 800 332 2344 Issued y: Permittee Signature: ��` OWNER INSTALLATION ONLY The installation is being made on prope — own wi ended for sale, lease, or rent. w . / OWNER'S SIGNATURE: � /_ /I L// DATE: 7` 9 /� 0 g 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 l ity o ,/ Tigard Date/By 7 / n . erg 44 Permit No g $ - 7 li • 13125 SW Hall Blvd , Tigard, OR 97223 Plan Review III Phone 503 639 4171 Fax 503 598 1960 Date/By Other Permit TI G A Ii D Inspection Line' 503 639 4175 Date Ready/By him.-- ® See Page 2 for Internet www.tigard- or.gov Notified/Method 1 IC Supplemental Information TYPE OF WORK PLAN REVIEW Please check all that apply (submit 2 sets of plans w /items checked below) ❑ New construction E. Addition/alteration/replacement ❑ Service or feeder 400 amps or more ❑ Building over three stones ❑ 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 ixj I- 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 -2 ", "1 -3 ", Job no.: Job site address: 1 �)) C ' / View I Six or or more occupancy ?9 1_.0 711 / View Tei/Mi4 ❑ Six or more residential units ❑ Recreational vehicle parks City/State /ZIP: -i��i � / e �) -)-c1 ❑ Health -care facilities ❑ Supply voltage for more than // ❑ Hazardous locations 600 volts nominal Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more Al c, FEE SCHEDULE /7 Cross street/directions to job site: f a /v ( / /L 72) Description I Qty. I Fee. I Total I • New residential single- or multi- family dwelling unit. 1/ T4, -4 V C-- Includes attached garage. Subdivision: .7,9ar-Rpie,( ' 4Cr f Lot no.: 1,000 sq ft. or less 145 15 4 %r'� Ea add] 500 sq ft or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft ) _ Limited energy, multi- family 75 00 2 .cV144.e.... re fJ /4cei.1P.:y/- residential (with above sq ft ) Services or feeders installation, alteration, and/or relocation r ( / 200 amps or less 80 30 (66 , 0° 2 6- PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106 85 2 ■ �f 401 amps to 600 amps 160 60 2 Name: 4��h Skl r ' X 601 amps to 1,000 amps 240 60 2 Address: ge v Svl/ iC j . Over 1,000 amps or volts 454 65 2 City/State /ZIP: 7 / ,, r,'° \ 1 O /I 7 / )-c/ Temporary services or feeders installation, alteration, and/or q ` I relocation Phone: (ij7i3) 3 /U 3 413,1 Fax: 6Z3 ) 6eci _ 4 5-d_q 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, nt, or , ccording to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133 75 2 4 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: '�/ G 2/ z- O A Fee for branch circuits with ❑ APPLICANT ❑ CONTACT PERSON above service or feeder fee, 6 65 2 each branch circuit Business name: B Fee for branch circuits Contact name: without service or feeder fee, 46 85 2 first branch circuit Address: Each add'I branch circuit 6 65 2 Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular dwelling, service and/or feeder 90 90 2 Phone: ( ) Fax: : ( ) Reconnect only 66 85 2 E -mail: Pump or irrigation circle 53 40 2 CONTRA OR Sign or outline lighting 53 40 2 Business name: 010 A ) � Signal circuit(s) or limited - energy panel, alteration, or Address: extension. Describe Page 2 2 City/State /ZIP: Each additional inspection over allowable in any of the above Per inspection 62 50 Phone: ( ) Fax: ( ) Investigation per hour (1 hr mm) 62 50 CCB Lie.: Electrical Lie.: Suprv. Lie.: Industnal plant per hour 73 75 Suprv. Electrician signature, required: ELECTRICAL PERMIT FEES Su P g 9 Subtotal. Apo . 60 Print name: Date: / p Plan review (25% of permit fee) .�. 2-!e7 State surchar aj$°lsefpennn fee): /9 , � Authorized signature: TOTAL PERMIT FEE• / 7 ? . 7 This permit application expires if a permit is not obtained within 180 Print name: Date: days after it has been accepted as complete. • Number of inspections allowed per permit I \Budding\Permns\ELC- PermitApp doe 05/23/06 440- 4615T(1 I /05 /COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: F,RESIDENT-IAL 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: COMMERCIAL WORK ONLY: 7-7-7 Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls n Clock Systems • ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: _ *No licenses are required. Licenses are required for all other installations I \Budding\Permits\ELC•PermiApp doc 03/23/06 CITY OF TIGARD 'p . . .1 • BUILDING DIVISION C. VLA -.4 -. PERMIT #: ELC2008.002 ?_7 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2212008 Phone: (503) 639 -4171 � �� Inspection Requests (24 Hrs.): (503) 639 -4175 !�+�� F'I i.. INSPECTION WORKSHEET FOR DATE: 6/8/2008 TIME: 7:01AM PAGE: 9 SITE ADDRESS: 09920 SW VIEW TERR CLASS OF WORK: SUBDIVISION: INGEBRAND HEIGHTS LOT #: 009 TYPE OF USE: PROJECT NAME: SMITH DESCRIPTION: Service replacement of (2) services. OWNER: SMITH, NICK PHONE #: 503 - 310.34439 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 518/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message . 1'15 Electrical service 069602 -01 503310 -3439 Y I, JI� I Ib Corrections /Comments /Instructions: P GLI 6 l ( r 1/441)A. I I /51V1- — PIRA )t 1/ (31/1, C.4440 1, • 111 PASS ❑PARTIAL APPROVAL CANCEL ❑ NO ACCESS Ill .FAIL ❑ CALL OR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ,, /P i1 Date: :: I i Phone #: (503) 718 - 'VA CITY OF TIGARD BUILDING DIVISION F �� PERMIT #: EI_C2008 (3f)227 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/22/2003 Phone: (503) 639 -4171 Aairro 11 1 ,0, Inspection Requests (24 Hrs.): (503) 639-4175 WORKSHEET FOR DATE: 6/4/2000 TIME: 7:01AM PAGE: 44 SITE ADDRESS: 09920 SW VIEW TERR CLASS OF WORK: SUBDIVISION: INGEBRAND HEIGHTS LOT #: 009 TYPE OF USE: ' PROJECT NAME: SMITH DESCRIPTION: Seivice replacement of (2) services. OWNER: SMITH, NICK PHONE #: 503310.3439 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 6/4/2008 Pour Time: Code # Inspection Description ( Con1;iF- • Contact # Message 115 Electrical service 07079501 503- 310 -3439 N Corrections /Comments /Instructions: .• V • , ' V '�� �� • \ Y , ' _ • tnApt N i c oAMr7.4 0 K. I fl gN)-L->a sue. .)1 c • ❑ PASS PARTIAL APPROVAL ❑ CANCEL . ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: A 6 6 Date: ® 0 Phone #: (503) 718- 1-4 CITY OF TIGARD BUILDING _ DIVISION PERMIT #: ELC2008.00227 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4122/2000 Phone: (503) 639 -4171 A i t Inspection Requests (24 Hrs.): (503) 639 -4175 :. _ F__ INSPECTION WORKSHEET FOR DATE: 6/18/2008 TIME: 7:02AM PAGE: 68 SITE ADDRESS: 09920 SW VIEW TERR CLASS OF WORK: SUBDIVISION: INGEBRAND HEIGHTS LOT #: 009 TYPE OF USE: PROJECT NAME: SMITH DESCRIPTION: Seivice replacement of (2) services. 6/9/08, ADDING (9) I3RANCH CIRCUITS. OWNER: SMITH, NICK PHONE #: 503 - 310 -3439 CONTRACTOR: OMER PHONE #: Inspection Request Scheduled For: Date: 6/18/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 071493-01 503 - 310 -3439 N Corrections /Comments/ Instructions: C ,evrouti4 S Cif ad Q 4-y r/ .LT(7 ci,r_____/ . . K PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED t, 616 _aCVO Inspector: Date: Phone #: (503) 718 1 , (, ', ti OF TIGARD ,. 4 BUILDING DIVISION A PERMIT #: ELC200&00227 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2212008 Phone: (503) 639- 4171 ikm��`l � 6 I Requests (24 Hrs.): (503) 639 -4175 ! �i�'" I �.. INSPECTION WORKSHEET FOR DATE: 6/1112008 TIME: 7:00AM PAGE: 20 I SITE ADDRESS: 09920 SW VIEW TERR CLASS OF WORK: SUBDIVISION: INGEBRAND HEIGHTS LOT #: 009 TYPE OF USE: PROJECT NAME: SMITH DESCRIPTION: Seivice replacement of (2) services. OWNER: SMITH, NICK PHONE #: 503.310 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 611112008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 07 071220 -01 503,310-3439 - Y Corrections /Comments /Instructions: 1 � , / 0(Z. CA L . CON l 1 o 4 Dik_, U kg 1 c.) 6 CS tr•OD egiVas ta-b 4 k4 v-kk c)k - 1' 49 - ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ,FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: (5 Iv(508 L* Date: b 14 bi Phone #: (503) 718- 24/41)