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Permit ,11 A CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00923 DEVELOPMENT SERVICES DATE ISSUED: 11/30/2005 ° 'III 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S125DA-10000 SITE ADDRESS: 06606 SW WALNUT TERR ZONING: R -4.5 SUBDIVISION: PP1993 - 011 LOT : 001 JURISDICTION: TIG Project Description: (1) 200 amp service, (1) 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: 1 W /SERVICE OR FEEDER: 10 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: JAY & MICH GILBERT VANGARD ELECTRIC 6606 SW WALNUT TERR 3800 MORRIS ST TIGARD, OR 97223 NEWBERG, OR 97132 Phone: 503 - 977 - 9229 Phone: 503 - 537 -5006 FEES Reg #: LIC 150204 Description Date Amount ELE 36 -104C SUP 4880S [ELPRMT] ELC Permit 11/30/200' $146.80 [TAX] 8% State Surcharge 11/30/200' $11.74 REQUIRED ITEMS AND REPORTS Total $158.54 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: — -e_, \ev 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. , r� Chris Strange (503)53'7 -5019 p. ,,'S. ' • � Electri4Lal Permit: Applicartioir FOR �Q� (� u u 1s.29 liOFFICE lsr:oNl -1 City of igard Received 13125 SW H I Blvd., Tigard, OR 97 223 NOV C 2OO Plan Review Phone: 0� P ermitNr / ( ` �J��! G J � ,, ,. Phone: 503.6 9.4171 Fax: 503.598.1960 /°" " 'Kl �l Date/6y: Inspection OthlxPenoit. - Fd� J vC Li e: 503.639.4175 Li .ci503.6 503.639.4175 . I I Date Ready/By. Internet: Jury ® See Page 2 for CITY OF TIGAH Notified/Method. I l� I $up atat Information • ry � J ��y bR � !VI rep J ac 1U1v ❑New con traction ddition /altera Please check all that PLAN REVIEW ❑ Demoliti n apply' ❑ Other. ❑Service over 225 amps, comet'! ['Hazardous location CATEG O CO OService over 320 amps - rating ❑ Buildng over 10,000 sq. ft, of 1- and 2- family dwellings 4 or more new residential 1 _ and 2- ily dwelling ❑ Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure ❑ Multi- ily ❑ Master builder ❑ Other: ['Building over three stories ❑Feeders, 400 amps or more JOB SITE INFORMATION AND LOCATION ['Occupant load over 99 persons ❑Manufactured structures or ❑EgressAighting plan RV park Job no.: E76-r)(_,- � (.3 ❑H ealth car facility ['Other . Job site address : / OA £� lekt, Sub mit 2 s ets of l with any of the above. City/State/ZIP: p y o j / (P.-. 7-223 - Q / The above are not applicable to temporary construction service. - Suite/bldg. /act. no.: I Project name: FEES` SCHEDULE Cross str,ret/d sections to job site: �1 Q n° Qn rem Total •• e ) G...) C ! rk. . 634640.7- Te New residential single- or multi- family dwelling unit. Includes attached garage. 1,000 sq. 11. or less 145.15 4 Subdivision: Ea. add'I 500 sq. @- or portion 33.40 4 I Lot no.: 1 Tax map /parcel no.: Limited energy, residential _ 75.00 2 DESCRIPTION OF WORK Limited energy, non - residential 75.00 2 Each manufactured or modular S �- N qA� � il,�e� W 2.�� dwelling, service and/or feeder 90.90 2 Services or feeders installation, alteration, and/or relocation 200 amps or less f 80.30 jo, fd 2 1.5-PROPERTY OWNER 1 ❑ TENANT. , 201 amps to 400 amps 106.85 2 Name: ` (>/l �, �� �� \ 401 amps to 600 amps 160.60 2 V r 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City /State /ZIP: Reconnect only 66.85 2 � / +� p Temporary services or feeders installation, alteration, and /or Phone: ( ; C / / - / ,1 I Fax: ( ) relocation made on property 200 amps or less 66.85 1 Owner installation: This installation is being p perry that I own which is not 201 amps to 400 amps 100.30 intended for save, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 2 Owner signature: 401 amps to 600 amps 133.75 2 ❑ APPLICANT Date: Branch circuits- new, alteration, or extension p per noel ❑ CONTACT PERSON A. Fee for branch circuits with Business name: service or feeder fee, each branch circuit 6.65 E6,60 2 Contact name: B. Fee for branch circuits without service or feeder fee, Address: each branch circuit 46.85 2 City/SlatelZlI'; Each add'] branch circuit 6.65 2 - Miscellaneous (service or feeder not included) Phone: ( ) I Fax: : ( ) Pump or irrigation circle 53.40 2 E -mail: Sign or outline lighting 53.40 2 Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or Business name: extension. Describe: P age 2 2 Address: U �.L� 1 � C / � 4 r l t [� . I�. t S 5 Each additional inspection over allowable in any of the above City/State/ZIP: 1\C .. Per inspection 62.50 LC / � � c f 7/ Investigation per hour (1 hr min) 62.50 I Phone: (L 6 3 7 _ 6006 F . ( � �-^ c Industrial plant per hour 73.75 `� ! ELECTRICAL PERMIT FEES* CCB Lie.: /6 RA S I Electrical Lie.: 36 -ioc,�I Suprv. Lie.: S Subtotal ! { ,8a Suprv. Electrici. signature, WV... , Plan review (25% of permit fee) Print name: = i ' - + - ' A � State surcharge (8% of permit fee) a 7 ( Authorized sign. t / TOTAL PERMIT FEE /.6.8. 5y This permit application expires if a permit is not obtained within 1811 7 Print name: days after it bee been accepted as complete Date • Fee methodology an by Tn-County Building Industry Number of i ons ry 8 �vY Service Board Build mgU+amintELC -Pe it 12/03 nSP� per permit allowed. i u 440.461 ST( i CITY OF TIGARD BUILDING D - PERMIT #: ELC2005 -00923 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/30/2005 Phone: (503) 639 - 4171. , a ik Inspection Requests (24 Hrs.): (503) 639 -4175 : `'.I... INSPECTION WORKSHEET FOR DATE: 12/2/2005 TIME: 7:19AM PAGE: 37 SITE ADDRESS: 06606 SW WALNUT TERM CLASS OF WORK: SUBDIVISION: PP1993.011 LOT #: 001 TYPE OF USE: PROJECT NAME: GILBERT DESCRIPTION: (1) 200 amp service, (1) branch circuits. OWNER: GILBERT, JAY & MICHELLE PHONE #: 503- 977 -9229 CONTRACTOR: VANGARD ELECTRIC PHONE #: 503 -537 -5006 Inspection Request Scheduled For: ' Date: 12J2f2005 Pour Time: ' Code # Inspection Description Confirm # Contact # Message 115 Electrical service 022809 -01 503- 793-2673 N Corrections /Comments /Instructions: ® CrRssQ t ?ekc - It 23 '8 C&RAoO ( v ■ epelr rA L p l ,; i Ni "To sTax E 1 4 . . , . . ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL ❑ ALL FOR INSPECTION . ❑ ADDITIONAL FEES ASSESSED Inspector: �I ‚- /I: Date: 11-1 tc Phone #: (503) 718 - 1441 CITY OF TIGARD - BUILDING DIVISION PERMIT #: ELC2005-00923 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/30/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 - 4175' ' I INSPECTION WORKSHEET FOR DATE: 1212/2005 TIME: 7 :19AM PAGE: 36 SITE ADDRESS: 06606 SW WALNUT TERR CLASS OF WORK: SUBDIVISION: PP1993011 LOT #: 001 TYPE OF USE: Ir PROJECT NAME: GILBERT DESCRIPTION: (1) 200 amp service, (1) branch circuits. OWNER: GILBERT, JAY & MICHELLE PHONE #: 50397791229 CONTRACTOR: VANGARD ELECTRIC PHONE #: 503537 - 5006 Inspection Request Scheduled For: Date: 12/2/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 125 Wall cover 022809 -02 503-793-2673 N Corrections /Comments /Instructions: 4Zi■ ALL. V63 (Y■geYv (14 Ytt) CI ZAZY • PV1 kii6a Pti*,47 ktb Leo 171 co,t6 otvat. F-- q-fizot4Zi'lloo It C Q P b.t.Z hop • n PASS XPARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS . ❑ FAIL ❑ A FOR INSP TION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 12 zior Phone #: (503) 718- 29 CITY OF TIGARD ,. BUILDING DIVISION - PERMIT #: ELC200S -00923 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/3012005 • Phone: (503) 639-4171 Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/7/2005 TIME: 7:00AM PAGE: 51 SITE ADDRESS: 06606 SW WALNUT TERR CLASS OF WORK: SUBDIVISION: PP1993 -011 LOT #: 001 TYPE OF USE: PROJECT NAME: GILBERT DESCRIPTION: (1) 200 amp service, (1) branch circuits. OWNER: GILBERT, JAY & MICHELLE PHONE #: 503- 977 -9229 CONTRACTOR: VANGARD ELECTRIC INC. PHONE #: 603- 537 -5006 Inspection Request Scheduled For: Date: 12/7/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 125 Wall cover 023082 -01 503 -793 -2673 Y fik0o•e•iN- Corrections /Comments/ Instructions: N d Atit►`1' 16N 04%6 12r i -1 j , wvt Nta1 /EIRS, A WO JtentaL. FQINkS SAN NZT Elf. 1 ► Lb; N0 N NN S W* PR N • • a b P r( • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL XNO ACCESS FAIL C LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: _ Date: ! © Phone #: (503) 718- Z-► CITY OF TIGARD _ BUILDING DIVISI PERMIT #: ELC200 &00923 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/30/2005 Phone: (503) 639 -4171 P°AN�g Inspection Requests (24 Hrs.): (503) 639 -4175 .. I .. INSPECTION WORKSHEET FOR DATE: 12/9/2005 TIME: 7:04AM PAGE: 43 SITE ADDRESS: 06606 SW WALNUT TERR CLASS OF WORK: SUBDIVISION: PP1993 - 011 LOT #: 001 TYPE OF USE: PROJECT. NAME: GILBERT DESCRIPTION: (1) 200 amp service, (1) branch circuits. OWNER: GILBERT, JAY & MICHELLE PHONE #: 503-977-9229 CONTRACTOR: VANGARD ELECTRIC INC. PHONE #: 503 Inspection Request Scheduled For: Date: 12/9/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 125 023196-01 503-793-2673 N 225 (1.95v0-1, �] Corrections /Comments/ nstructions: N 6 0 L7 • • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL C FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: I4 i Dr Phone #: (503) 718- Alf6 CITY OF TIGARD BUILDING DIVISION j PERMIT #: ELC2005 00923 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/30/200 Phone: (503) 639 -4171 Ar Inspection Requests (24 Hrs.): (503) 639 -4175 , i ��.. INSPECTION WORKSHEET FOR DATE: 1/9/2006 TIME: 7:01AM PAGE: 12 SITE ADDRESS: 0660E SW WALNUT TERR CLASS OF WORK: SUBDIVISION: PP•1993 - 011 LOT #: 001 TYPE OF USE: PROJECT NAME: GILBERT DESCRIPTION: (1) 200 amp service, (1) branch circuits. • OWNER: GILBERT, JAY & MICHELLE PHONE #: 503 - 977 -9229 CONTRACTOR: VANGARD ELECTRIC INC. PHONE #: 503-537.5005 Inspection Request Scheduled For: Date: 1/9/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 024595 -01 503 -793 -2673 Corrections /Comments /Instructions: � �� \ )e) pR.0■47Drie N■) C PrZ- \--Lk Q-6 SkesVOldb\ CYE Pc4" (4.L5 ve-a. t 1 . • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS K FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1 V aa Date: It " ! 6 Phone #: (503) 718- 2.0) CITY OF TIGARD • - • BUILDING DIVISION PERMIT #: LL.I-C200500923 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/30/2005 Phone: (503) 639 -4171 � Inspection Requests (24 Hrs.): (503) 639 -4175 �.. INSPECTION WORKSHEET FOR DATE: 1/10/2006 TIME: 7 :00AM PAGE: 7 SITE ADDRESS: 06606 SW WALNUT TERR CLASS OF WORK: SUBDIVISION: PR1993 - ()11 LOT #: 001 TYPE OF USE: PROJECT NAME: GILBERT DESCRIPTION: (1) 200 amp service, (1) branch circuits. OWNER: GILBERT, JAY & MICHELLE PHONE #: 503 -97/ -9229 CONTRACTOR: VANGARD ELECTRIC INC. • PHONE #: 503 - 537 - 5006 Inspection Request Scheduled For: Date: 1/10/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 024678.01 503. 793 -2673 IV Corrections /Comments /Instructions: 001 • ❑ PASS ❑ PARTIAL APPROVAL _X CANCEL ❑ NO ACCESS ❑ FAIL .CALL FOR INSPECTION - ❑ ADDITIONAL FEES ASSESSED Inspector: N Date: 10 ' Phone #: (503) 718- I . • CITY OF TIGARD , - . BUILDING DIVISION ' PERMIT #: E 02005- 0(1923• 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11 /3w.�f;Js Phone: (503) 639 -4171 ` !L a ' - Inspection Requests (24 Hrs.): (503) 639 -4175 ' ' "'I � INSPECTION WORKSHEET FOR DATE: 2111200€ TIME: 7: 02 AM PAGE: 66 SITE ADDRESS: 06606 SW WALNUT TER CLASS OF WORK: SUBDIVISION: PP1993 -011 ' LOT #: 001 TYPE OF USE: PROJECT NAME: G I LDE RT DESCRIPTION: (1) 200 amp service, (1) branch circuits. OWNER: GILBER I , JAY P. MICHELLE PHONE #: 603 -971 -9229 CONTRACTOR: VAVIGKRYCLECTRIC INC. PHONE #: 50,3 - 537 -500 Inspection Request Scheduled For: Date: 2/1/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 026046 -01 503.701.2600 Y Corrections/Comments/Instructions: . -i-k v 6 E 1-- C,E, NOS AM A' w , A 1) �(N) its ∎cCJ�6 r P J4 L. i Ns o c t vA, The electrical installation defects noted on this report shall be corrected and _c ----------__________,..s......,,,......, an inspection request made within 20 calendar days per R ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL yNO ACCESS FAIL XCALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: 1 '� � ® Ll. Date: 24' 6(3 Phone #: (503) 718- 2)444 . CITY OF TIGARD BUILDING DIVISION PERMIT #: rl ` 2006 t7bl923 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/30/2005 Phone: (503) 639 -4171r Inspection Requests (24 Hrs.): (503) 639 -4175 '1 INSPECTION WORKSHEET FOR DATE: 2/2/2006 TIME: 7:02AM PAGE: 47 SITE ADDRESS: 06606 SW WALNUT TERR CLASS OF WORK: SUBDIVISION: PP1993 - 011 LOT #: 001 TYPE OF USE: PROJECT NAME: GIl DESCRIPTION: (1) 200 amp service, (1) branch circuits. OWNER: GILBE_R (, JAY & MICHELLE PHONE #: 503.977.9779 .CONTRACTOR: VANGARD ELECTRIC INC. PHONE #: 5O3.537 -1, Inspection Request Scheduled For: Date: 21 Pour Time: Code # Inspection Description Confirm # - • - - Message 199 ' Electrical final 026171.01 503 -701 -2600 N Corrections /Comments /Instructions: -ba Coe (Nit NNW w • • Are ❑ PASS ❑ l PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION XADDITIONAL FEES ASSESSED Inspector:. Al 68 ( --'C Date: 2A-- 0 6 Phone #: (503) 718- ZiLib CITY OF TIGARD • BUILDING DIVISION • PERMIT #: ELC200E, -00923 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1//3012005 Phone: (503) 639 -4171 Ata l# Inspection Requests (24 Hrs.): (503) 639 -4175 11. INSPECTION WORKSHEET FOR DATE: 11/3/2006 TIME: 5:07PM PAGE: 27 SITE ADDRESS: 06606 SW WALNUT TERR CLASS OF WORK: SUBDIVISION: PP1993 - 011 LOT #: 001 TYPE OF USE: PROJECT NAME: GILBERT DESCRIPTION: (1) 200 amp service, (1) branch circuits. OWNER: GILBERT, JAY & MICHELLE PHONE #: 503977 -9229 CONTRACTOR: VANGARD ELECTRIC INC. , PHONE #: 503- 537 -5006 Inspection Request Scheduled For: Date: 11/6/2006 Pour Time: • Code # Inspection Descriptio\ Confirm # Contact # Message 199 Electrical final \ 039297 -01 503-701 -2600 Y Corrections /Comments /Instructions: 1 ^' • �MYV j' ,PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector,: q l i\I 8 LZ Date: 11 . � � ' V Phone #: (503) 718- 2-/ 1