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Permit
, FROM :GARNER ELECTRIC FAX NO. :5036427925 Aug. 25 2006 09:26AM P1 b8.25/2008 08:45 PAZ 50380811980 i ' CITY OP TI ;; I; 002 : H ! : : : __ -:- . r( .',, l ', \ \\ .',1 '.` • $.. . Apr Pe>n d�c:Acdlaia • I .l • i ZW • ' 6 Pekorit 1512 SW Bloltit,'1 e 97 :�� t `L'' _S IPTlr Than 503.7 8240 : Par 503.59ki 0 ivgiipEy��l Ir.121 T . FROM: ❑ Owner ❑ .ApPl • ' I : co . ; : • • I . ❑ City Staff ' v ' C Address; Q.. 0 ,;. IC. il �e , #),4 �01:D 4 7 I Tv' ,Tv cr ' /ratite /ap: : ' _ .l I�S `1i • ..: Q "? [ ' E 1 AKE ACTION FOR TIPS ITEM(S) Sy CI ,CIKE$) (�: I , , \ CANCEL PERMIT APPi : I I REfND PST FEES (at h: kaript, if av blie). \ • ' EMOVE CON'TRACT'OR FRO FROliiI PERMIT (dl0iiiot cuieel penx>t). pee #: ; _ � 2 L) d)' - �) - DO d. 7 � Site Addreaa or Parcel #: ' , :_ `; _c tom : ";. -- ; /�'ff .: • Projrtt Name: _ D Ste) 5744 r . Ze • Subda'�eioa Names • I�� r , • . • Lot #e ON: — �� , Cl�!1C . ( ' I., r I - ---� -- i r •. • • - -ter F : i, .: • •• ,..._.....m....... . ' i I I F . • • • Signature: / •.; ; .• A • . _ , ' . ' "" :' .■ . • •••• i ., : ' 7--•-•••■,_ e7e-/:576 ytcy 1 • , it • beusuudiE 1. he Su digy O l Official any mamba a e caned eR ' . : :I i0 am Re v6Mob nit oeoncemly paW a ad�cctcd; !I o • b) not nook den 8D imam or tba plait Fee tau IMnnd f to z e ' ' et lrm mom . , c) not moei then pallet of Om Avleaq !1 as m cmede� (pa an Ain cup y • 44 �, � 2 Refunds All b� taolmud en the otigipd Aqaba the *die ' In Web reeeh el. • • , II L "*r"`e'= D.:1F.l':7h r = OOn !w _ A . , to L• =111 1 E Rained Processed: Date 3'Tr� {11 ,471111_°!5"'*!w 111 W' natz 9E-!7•9 ITS. ii ' I` I E"�� •, Date �Ylfl ' C � = ;fit • . • b cC-I • • Farm �T"s to - • • • :'`nr!r7 • 1. • 4 06 I �' x '70 • I • • rf, /,i Nv CITY OF TIGARD ELECTRICAL PERMIT ..., , PERMIT #: ELC2006 -00471 DEVELOPMENT SERVICES DATE ISSUED: 8/22/2006 ill 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 2S111 DD -05800 SITE ADDRESS: 15930 SW STRATFORD LP ZONING: R -4.5 SUBDIVISION: STRATFORD LOT : 055 JURISDICTION: TIG Project Description: 3 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: 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: MAHER, WILLIAM R + ANITA BERARDI GARNER ELECTRIC 15930 SW STAFFORD LP 2920 SE BROOKWOOD AVE #A TIGARD, OR 97224 HILLSBORO, OR 97123 Phone: 503 - 620 -5448 Contact #: PRI 503 - 648 -4552 FAX 503 - 642 -7925 FEES Description Date Amount Reg #: ELE 34 -305C [ELPRMT] ELC Permit 8/22/2006 $60.15 LIC 121 159 [TAX] 8% State Surcharge 8/22/2006 $4.81 SUP 37075 Total $64.96 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: � ` Permittee Signature: 1 CQ a OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the Job site at the time of each Inspection. , y . Fktl�I�GRNER ELECTRIC FAX NO. :5036427925 Aug. 22 2006 07:38AM P1 • Electrical Permit Application . FOk OFFICE 1;SI ONLY City o>f�'>!ga>rd �E� IVE® "°�� av�. o� i Petev;tNo. .. ,, - e?g7 13125 SW Ball Blvd., Tigard, OR 9722.3 Plan rteriew pater Petals • Phone: 503.639,4171 Fax: 503.596.19 B UG 2 2 2 00 . 4 �,:�ku 1 - I { D,�/p . Inspection Line: 503.639.4175 ,& ,' Datc Ready/By: . • age o • Internet: www.ci.tigard.or.us CITY OF TIGARD Notified/Method; VA" S®appremaSee pntal•Ia fnr formatnn • RS'"' r Zr �tt� Zvi r 7 In._ r n r l�. - r ri; g p • yP w. �r rr li , fir .r•, .�•�c¢ ..., �,a, • r 1-: k e'h , rtin 7 . i I � tfA 1 p { Ir. 4vi": W4 K� w an t ` I f Milk•` 1 �,�i t '�1't?.1� . "'i �'i' ' , E d ,y� q i .yy r , c�G S+ ti d R i s x' v . 4 ,....Y r �"s 1�1 U;t,$i , tt �'' yuwZ" •` .. ' i��.�.fsr,. - ,.,; +[f't•dt� "h.'.�,r� e �.� . :�...,:�iLl }1,sLF 'sul��I_ Zz� $'n.. � n�'�- .C13hi � New construction ' • K1 Addition/alteration/replacement Please check all that apply: Q bemolition ■ • ©Service over 225 ampa, comm'1 ❑I•Iazardous location • ■ ? ❑Service over 320-amps - rating EI Buildng over 10,000 sq. R.,' ,� . ...1..7, ,•r71r ::ig}' i Y7^,, �; :• 'l dr.'.'Up.; Aii trrt:,' i ,�fi ' ..;� , JiP p f r - i . ,,1 , =l i " '..r.,. r!. ii j � Q...i ii{:`_t.iL' >'IS - Jib ' 1- Ni...' t��`. s. i". „.> � lev. ,Sr t i P F ,+ '. f � f n-l i ie t { d oil- and 2- family dwellings 4 or more new residential 0 1- and 2 -family dwelling • ❑ commercial/industrial • 0 Accessory building ❑system over 600 volts nominal unite in one structure IN ulti- family ❑ Master builder ❑Other: DBuilding over thine stories [Weeders, 400 amps or more �� ,,,, ❑Occupant load over 99 persons []Manufhctured structures or o ., �r :nr,� y p ; � �w��....p ° -;r.�; E:T'P '.I;T S'PC_I�Ciih ;�, ,.C. .�,.y _^. �d :.' h °1 � Ia '. fri,�" ^ { ^;l�7?.`� � .. 1 ', 7 '; ' h; 4s,l .. L ..�t i � . :.: a:xi:,b1.s , r , t � ; ; ';' . '• .; 3 1 . 75 0 � r :rtia � � = '; ' U , i. ri lsti .r { . 1� ,i� ffe. ,,, A., �Bgross/lightingplan 1 Vpark DRealth -care facility ❑Other. Job no.: Job site address: I �. R/ i .. Submit 2 sets of plans with any of the above. . City /State/ZIP: "r` i o, _ . ei 1 2Z't' La o . • The above are not applicable to temporary service. . Suite/bldg. /apt no.. t+ Project name:T�. f ,;,' t�, f��ji, ; ^rnu1 - v%r. t .+5 •. ri•i�i :;,a .�iu�i�S'b't+�io,!•.�rb ' l �Ftt.• Description Qty. pee. Toter Cross slreet/directions to job site: New residential single- or. multi - family dwelling unit. --- --- . Includes attached garage. - • • - 1,000 sq. ft. or less 145.15 4 • Subdivision : Lam.: Ea. add'l 500 s q, ft . or portion 33.40 1 Tax ms /steel no.: Limited energy, residential 75.00 - 2 map /parcel g Limited energy, non- residential 75.00 2 I'�•i�f.1'Q-'•, : t '(� .;- ;.T ',�pr,Ft i^ti7 :�!1;; t, ?ti' :V�.{i is rl��..r ry ,..�',: . t Ja '•' •ti: y4 :',.y *• �,.Y�.,� �@YpA >..��.'x i' 1 ' 1 �S� , t�ir•,� Y'it' ?�•i IJ t Q 1 1 it ti�Iti �' p,rU m 1 7 ��' J Ai r y en,. 1 ri _i,11I li,f tf: p •.12.:.v1i ..A1 Ei Iwy....(y....Ps.,,N �vtR.,;, : �5rni...erl .i1 t ,' • .. ' �t c:,s•vr 1.,..r- �,;, .1 ,1 finch manufactured or modular dwelling, service and/or feeder 90.90 • 2 C S -- � C Services or feeders Installation, ^ alteration. and /or relocation `� 200 amps fir less 80,30 r 2 � 1.tI 2 ',�i Gn�3rr r,cf ;i :gym,}}; � t , �� � , ..,i 4 i li . "] 701 amps to 400 amps _. _ 106.85 2 C L. ,,. .1, . -'4& 1�� l ,. , .:..4.1, 1 5�r.i ' a. 1, h{s I( ,L-. . S . l d'�.z> �I1,4,1 r .: ��i `'a , w yf 401 amps to 600 amps 160.60 2 Name: t ' t I a 1.1:C' 1.- 601 amps to 1,000 amps 240.60 • _ 2 • Address: _ Over 1,000 amps or volts 454.65 • • 2 - - Reconnect only . 2 City /State/ZIP: ' V Temporary service or fenders installation, alteration, and /or relocation Phone: (5 ( r !i Fax: ( ) 200 amps or Iess - - 66.85 1 Owner instvttatton: This installation is being made on property that I own which is not 201 amps m400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, turd 701. 401 amps to 600 amps 133.75 2 Owner signature: • Date: Branch circuits - new, alteration, or extension, per panel 1g n �� :�rtTi.' :�n := , _,Si� f'V i;7 c;4-t,;^C ;'r:•�;r :�c� f , ri,-l� �.�}'d�.;i1t�j5 ra-11�'r : :s"-- 41 :: ^54y : � 4 •' A. Fee for branch circuitswllh � rl� h of T .,CyI lii-1 '; ".:+:,F�l M �.� 'Ai t 2 ( :� •1. 7[�tl r'r rJ r1, 4 (- L4� Clilj �„ r 4-. 4i ?..�tr,.li,lf.u.. i...1,.L ik�P' t '•. n��1. Y. iW�� _1;,:�'�r�.Li.bt.'r�ill.�..'iii vi�.IbY 4�;1 tJi..rr,�.7C.•�LL,i !•.,_a ! :a, eervice or feeder fee; cacti 6.65 2 Business name: branch circuit , - V B. Fee for branch circuits ( ' • Contact name: • . wtthow service or feeder foc, 46.85 1p• 2 each branch circuit Address: Bach add'l branch circuit - 2 . 6. 65 (Z, 30 2 • City /StateJZIP: Miscellaneous (setvicenr feeder not included) Purmip or irrigation circle 53. 2 Phone: ( ) Fax: ( ) �„- Sigh or outline lighting r. 53.40 2 E -mail: . Signal circuit(s) or limited - m 1 q}S: s,;�-?;.'li` r, r1 T'r.. c •Cgv.•?'r. `��Cy� ;u'1.. 4 n 4 "1 - . oy :4,n4 energy panel, alteration, or ,".:iii/ ,' l �:PSR +• i : :i�G�` iS :ic 7 r : {t; r • D . l,. ,t, ,' iii �` i .7z t d` ?'i 6 • . ; �g _5.-la �i Pa e 2 B: a u, mo s r a. k . -. _ extension, Desc g 2 Business name: -1.2 , EL-Li l - _ • • Each additional lhspectlon over allowable in any of the above Address: CI 2,../.. ..: ' jl '7 • tie Per inspection 6250 City /State/ZIP: t ( 5 6 ov-o -` - : _3 -^ Investigation per hnur (I he nun) 62.50 � ) y industrial plant per hour 73.75 . Phone: ( .)) (D (.'( ' L( Fax• ( , 7 6 � � � -- 1:r : n'� , •.r 1, tt • ,5 n .:-:.71 °) r,, ,: *; ' . CC13 Lie.: C Electrical Lic.n Arflit S .. • ic.: --). - ,• Subtotal 4 I S Suprv. Electrician signature, required: / // W / / ; Plan review (25% of pemtit fee) � - State surcharge (8% of permit fee) s-1. O I Print startle: Date: 8/2-21 o �� ''�t . E.-... L ► �i TOTAL PERmIT FEE 1G,y to Th Authorized signature: - is permit application expires If a permit is not obtalnedwithirn 180 - - - days after it lam been a ccepted as complete Print name: Date: • Fee metbodnlugy set by Tri-County Building Industry Service Board - - •• Number of inspections per permit allowed. t uildmpu'crmdett+.ts;- ParMpp•dec 12/03 440 4615'r(tero2 /COM/WFP . • •