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Permit , , / CITY OF TIGARD.. ELECTRICAL PERMIT PERMIT #: ELC2006 -00520 X 14' DEVELOPMENT SERVICES DATE ISSUED: 9/18/2006 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171 PARCEL: 2S1 10 B D -05600 SITE ADDRESS: 11904 SW VIEWCREST CT ZONING: R -4.5 SUBDIVISION: ASPEN RIDGE LOT : 023 JURISDICTION: TIG 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: 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: ED OSTERMAN MIKE'S ELECTRIC 11904 SW VIEWCREST CT 11070 SW ALLEN BLVD TIGARD, OR 97224 BEAVERTON, OR 97005 Phone: 503 - 887 -2318 Contact #: PRI 503 - 649 -6991 FAX 503 - 641 -1902 FEES Description Date Amount Reg #: ELE 34 -18c [ELPRMT] ELC Permit 9/18/2006 $53.50 LIC 50209 [TAX] 8% State Surcharge 9/18/2006 $4.28 SUP 4230S 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. `� � ,, /�� ,Q� Issued By: �� .� QiLLL G �1.r of &e. Permittee Signature: O>? _" T "_ ' ' t tfJlf\- 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. Sent By: MIKE'S ELECTRIC; 591 7847; Sep -18 -06 7:57; Page 1 To: TI3ARD At: 5035981960 / / .. .. Electrical Permit A lication FOR OFFI('1; IISE ONLY � ���® City of Tigard �� n us / • db Z P 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review a, .� , Offer Permit phone: 503.639.4171 Fax 503.598 1960 SEP 1 8 200!'! ° " , III natei y Inspection Lira: 503.639.4175 -'1j pate Ready/By: 7 uR & See Page 1 (Or Internet' www ct tigard or us CITY OF TIGARD Notified/Method: S up pl e ments( Information ' ":.,T,:,: t r , I I A tl A tl i l l e�_ tr ''� ''' it ~ I C�:,fl 7.AI u ': \ - .3!„,,,.,.;:,., � �. � : i . ! ' �'� ' .. <`'�ff'C ti ` F .� , a•�Ss�- :3�rs�u+:nnJuc�s ❑ New construction ❑ Addition/alteration/replacement Please check all that apply: Demolition El Other: ❑Service over 225 am mr amps, con'1 El Hazardous location ` ' ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq ft.. •721, .:, ; ` a i` I l a , l + , - I + ' • } T tl I kf '4' 11 t , t of 1- and 2-family dwellings 4 or more new residential ] 1- and 2- fanvly dwelling ❑ Coauner iiol/industtial 0 Accessory building ❑ System over 600 volts nominal units in one etrucnue ❑Build over three stories ❑Feeders, 400 amps or more 0 Multi family ❑ Master builder ❑ Other: ❑Occupant load over 99 persons ❑Manufactured structures or ' �r ,it ` =i r t ' I 1 I t,' 1 -, , ❑Egress/lighbng RV park J ❑Health tyre facility ❑Other. ob no.: 23180A Job site address, 11904 SW Vi eCrt?st rt . Submit 2 sets of plans with any of the above. City /State/ZIP: Tigard, Or. 97224 The above are not applicable to temporary construction sorvtcC. I.. , I y ' 1` Ill ru :;- :....t9 Suite/bldg. /apt. no.: Project name: :1 Data P .� 1peen Qty. Total giiii Cross street/directions to joh site: New residential single- or multi- family dwelling unit_ Includes attached garage. 1,000 sq, tt or less 143.13 4 Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 I Limited energy, residential 75.00 2 Tax cnap/parcel no . Limited energy, non-residential 75.00 2 , _, ' ..� l' •� � 1 r � `i : � ' 1 ',' ' ; 'r , ..... c Bach manufactured or modular Hot tub . wiring .. . dwelling, service and/or feeder 90.90 2 , Services or feeders installation, alteration, and/or relocation 200 amps yr less 80.30 2 „1': I , Zl c I I - _ c • 201 amps to 400 as 106.85 2 a , , L , ., Y Z I l ' ' . '' � 2 ;; , ' 160. ,,�; .., . . : � .. . . . ...... . . . . _.. .. _ i t .. --- - 401 amps to 600 �_ Name: Ed Osterman 601 amps to 1,000 amps Ill 240.60 © Ell Address: 11904 SW Viewcrest Ct. Over 1 amps or volts 454.65 -- - Reconnect only 66.85 2 City/StateJZIP: Tigard, OR. 97224 Temporary services or feeders Installation, alteration, and/or relocation Phone: ( 503) 887.2318 Fax: ( ) 200 amps or less M 66.85 -ill Owner installation: This installation is being made on property that [ own which is not 201 amps to 400 snips 100.30 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 •• s 133.75 =101 101 Owner signature: Date: Branch circuits - new, alteration, or extension, r panel _ ., { 1 fee, its each 6.65 2 A. Fee for blanch circuits . service or feeder ea Business name: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, 1 46.85 46.85 2 each branch circuit Address: Each add'I brmnch circuit 1 6.65 b.&5 2 City /State/ZIP: Miscellaneous (service or feeder not Included) - ' Pump or irrigation circle 53.40 2 Phone; ( ) Fax: ( ) Sign or outline lighting 53.40 , 2 E-mail: Signal circuit(a) or limited- extension. Describe: Page 2 2 Buaineasname :Mjk Electric - JO Miller Const. Co - . Each additional Inspection over allowable in any of the above Address: 1 10 7 0 S W A . - r t v ! _, Per inspection 62.50 - City /Sta.WZ1P: B _. - a Ti e , a s a Investigation per hour (1 hr min) 62.50 Phone: (503) 649.6991 P 641.1902 Industrial plant per hour 73.75 CCB Lic.: 05020° Electrical Lic.: . _ f Subtotal 53.50 SUIIrv. Electrician signature. required' t , I rM Plan review (25%of permit fee) Print name: di D 0 9 . 18.06 State surcharge (8% of permit fee) 4.28 Ao u_ l a s J M i. l l er TOTAL PERMIT FEE 57.78 Authorized signature: This permit application expires it permit It riot obtained within 150 _. days oiler it has been accepted as complete Print name: Date: • Fee methodology set byTri.County Bolding Industry Service Board .* Number of impactions per permit allowed. c%Bui dieg1Penm'MBIC.PernutApp doe 12103 440 - 41 I ST(10f02/COMAV6s r CITY OF TIGARD BUILDING DIVISION " PERMIT #: ELC2006-00520 00520 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/10/2006 Phone: (503) 639 -4171 1 1 Inspection Requests (24 Hrs.): (503) 639 -4175 .. &- I L. INSPECTION WORKSHEET FOR DATE: 10/2/2006 TIME: 7:03AM PAGE: 71 SITE ADDRESS: 11904 SW VIEWCREST CT CLASS OF WORK: SUBDIVISION: ASPEN RIDGE LOT #: 023 TYPE OF USE: PROJECT NAME: OSTERMAN ' DESCRIPTION: 2 branch circuits. OWNER: OSTERMAN, ED PHONE #: 503 -887 -2318 CONTRACTOR: MIKE'S ELECTRIC PHONE #: 503..649 -6991 1 Inspection Request Scheduled For: Date: 10/2/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 037439 -01 503-649-6991 N Corrections /Comments Instructions: •Al, PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL El CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: GT.' t) L_ Date: 1 0 ' 2 —' vv Phone, #: (503) 718-1)4M ii