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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00704 I DEVELOPMENT SERVICES DATE ISSUED: 9/21/2005 ° �I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 115BD -00100 SITE ADDRESS: 11584 SW ROYAL VILLA DR ZONING: R -12 SUBDIVISION: LOT : JURISDICTION: URB Project Description: Service for MH. 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: 1 601 +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: CAL -AM PROPERTIES PARKIN ELECTRIC INC 11200 SW ROYAL VILLA DR 14001 FIR STREET TIGARD, OR 97224 OREGON CITY, OR 97045 Phone: 503 - 968 -1280 Phone: 503 - 657 -4958 FEES Reg #: SUP 4241S LIC 35151 Description Date Amount ELE 34 -4C [UELPMT] ELC Permit 9/21/2005 $90.90 [UTAX] 8% State Surcha 9/21/2005 $7.27 REQUIRED ITEMS AND REPORTS Total $98.17 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: ,l/ Permittee Signature: 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. 09/20/2005 15:44 FAX 5036574958 PARKIN ELECTRIC f1001 - E Permit A liCati0lik �v FOR OFFICE USE ONLY Iu j 4�J D P er mi t N o._ v (, 1� ao/7 4 , City of Tigard' • � \ ' ibTd j 13125 SW Hail Blvd., Tigard, OR 97223 e ` t ^e � P l m an Review Phone: 503.639.4171 Fax: 503.598.1960 I '' '� s °i ate Other? • :L: Inspection line: 503.639.4175 s ! " ? 1 I n l i • � �Y• - _ bate R Cte ady/By; RI See Page 2 for o r.us F v Nodtied/Method Supplemental Information I1tCtneLt CI ngald + Q - , • ti ;'-= 9 1 d'Y ,' n. 7. 2t : » ,,r i 1 1- IL s" ,as . G l - t:1'-4' c 5 N�.- 1) i71 ` n 1C T�'-1 S= y 'y;, � , l i n ., - 1'r:LY t :�s� 9; ' ,: �� .i r i , F i ry�,t , ❑ New construction Rf Addition/-- 1 7ation /replacement Please check all that apply: ❑ Demolition © Other ❑Service over 225 amps, comm'l ❑Hazardous location ❑Service over 320 amps -.rating ❑ Buildng over 10,000 sq. fi., ^ S E' s ' -! 4 t� t 1 j 1 ; � � " i ; C3 ~ r j d� f �� ['. ,�C'�i .r ^,;: 7_7, .._ : _ .: .: _._ . _.,. 1)W. of 1- and 2- family dwell 4 or more new res /'3 1. and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building ❑system over 600 volts nominal units in one structure • Multi-family ❑ Master builder [] Other. ❑Building over three stories ❑Feeders, 400 amps or more 7 t �� , L y ❑O ccupant load over 99 persons ❑Manufactured structures or 4,L' ,_, :., °t r i. , - 2:_ I _ w��l\ 9 ` tV _4 ti' c [ I .,. ' LA _ -- . ri , fs .3.k, ..� ❑ EgTesa/llghtmgplan RV park . - � ❑Healthcare facility ❑Other; Job no.: [(001 Job site address: S' 6 7 6;1 u i j ei Submit 2 sets of plans with any of the above. City/ Statc/ZIP: The above am not applicable to temporary construction service. Suite/bldg./apt. no.: I Project name: Cr t t �Y� r' . ', •` �+' "` `� - .. � , .. 1 �•. nQ a _. l� . i . `III 3 �S1L , , `J �r'7 D escription Qty. per_ I Term Cross street/directions to job site: New residential single- or multi- family dwelling unit. - - Includes attached garage- 1,000 sq. R or less 145.15 4 + Subdivision: I Lot no.: Ea. add500 sq. R. or 33.40 _ '1 I Limited energy, residential 75.00 2 Tax trap /parcel no.: ,FA; re ia� ,n : , - , Limited energy, non-residential 75.00 2 ■ J',P1. l' '.1.;2.. ' ' ..., ' - '''' '. - -: . -.1 ; :.. . 1 ,:. T -. . _ . _'.',.. r 1 TS 1 � 1 � _ •1 1. ( � 1 �` . f 1 _...i: l � t _• : 1 ._ Y _ ; � � Each a anufactured or modular M S �� e �� dwelling, service and/or feeder 1 90.90 1 2 1•'1 Services or feeders installation, alteration, and/or relocatio 200 amps or less 80.30 2 ' y�y ., - it F v i' R •�r[ •Y ; • -r �,� S ' -�� t {�, . �1., ti �7E ` �_ r t � � [ � �1 � � 'f'',..7:0-,'• - �� , 201 amps to 40 amps 106.85 2 .. .r 1� � ,r � r ,,.. , _ -` .� fL..}_ ��l J �:_ �_ e.l:2's 1 2 401 amps to 600 amps Name: 601 amps to 1,000 amps 240.60 2 Address: • Over 1,000 amps or volts 454.65 2 - Reconnect only 66.85 2 City /State/ZIP: Temporary services or feeders installation, alteration, and/or - Phone: ( ) ' Fax: ( ) . relocation 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 1 I 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 , 2 Owner signature: Date: Branch circuits- new, alteration, or extension, per panel � ,, � 1 � a a r i , , t� Fee for branch circuits with ?.' t service or feeder fee, each Business name: branch circuit 6.65 2 B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 Address: each branch circuit Each add'l branch circuit _ 6.65 i 2 City/State/ZIP: Miscellaneous (service or feeder not Included) Pump or inigarion circle 53.40 2 Phone: ( ) j Fa x:: ( ) Sign or outline lighting 53.40 - 2 E-mail: Signal circuit(s) or limited - 1'aria n tiectric, Inc. 14UU1 t'l r Street =erBY Panty, alteration, or =tension. Describe: Page 2 2 Orcgon City, OR 97045 503-657-4958 fax: 557 -1059 Contractors License #: 34 -4C exp. 07 -01 -06 Each additional inspection over allowable in any of the above Supervisor. 4241 -S exp. 07 -01 -06 Per inspection 62.50 Contractors Board Reg #: 35151 exp. 10 -12 -08 Investigation per hour (1 Iv min) 62.50 _ Metro # 2416 exp 11 - - Industrial plant per hour 73.75 Owner: : `i: �, ��i,s0 Tar" , , a 1:iY:,°., _, t:: S.. r Subtotal yo, Ce0 Suprv.. fiectrician required: ' Plan review (25% of permit fee) Print name: Date' State surcharge (8% of permit fee) 7,L 7 TOTAL PERMIT E E qb . 17 Authorized signature: ae2 'Ilia permit application expires it permit is 1n0t Obtained within 150 days atter it hen been accepted as complete Print name: f,41/0 .B•P/i9 / Dare: • Fee methodology set by Tri.Caunty Building Industry Service Board •• Number of inspections per permit atlowed- et BuildingtPetmiu \ELC- PermiMAppdoc 120o3 440.4615Tp0f02ICO t/wge 1 CITY OF TIGARD • BUILDING DIVISION PERMIT #: ELG200C� 00704 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/21/2005 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 "'I �.. INSPECTION WORKSHEET FOR DATE: 9/29/2005 TIME: 7:08AM PAGE: 66 SITE ADDRESS: 1 SW ROYAL VILLA DR CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: ROYAL VILLA DESCRIPTION: Service for MH. , i/ OWNER: CAL -AM PROPERTIES, PHONE #: 503 - 968 -1280 CONTRACTOR: PARKIN ELECTRIC INC PHONE #: 503-657-4958 Inspection Request Scheduled For: Date: 9129!200 J Pour Time: Code # Inspection Description Confirm # Contact # Message 1'15 Electrical service 016987 -02 503-657 -4958 N Corrections /Comments/ Instructions: L i � .. PASS ❑ PARTIAL APPROVAL ❑ CANCEL 111 NO ACCESS _, FAIL El CALL FOR INSPECTION 11] ADDITIONAL FEES ASSESSED Inspector: /7Z("444 0•` Date:7%7/� Phone #: (503) 718- /