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Permit U8 %'" - �/ r /� guek� &'t G r , . ELECTRICAL PERMIT IT } �� TIGARD PERMIT #: ELC2008 -00592 COMMUNITY DEVELOPMENT DATE ISSUED: 10/20/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 25111 CA -00800 SITE ADDRESS: 09900 SW SATTLER ST ZONING: R -7 SUBDIVISION: ALDERBROOK FARM LOT : 009 JURISDICTION: TIG PROJECT: EVEN Project Description: (1) service and (6) branch circuits for remodel. 11/21/08 ADDED (6) branch circus. 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/ SVCI FDR: 601 +amps -1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 1 W /SERVICE OR FEEDER: 6 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 6 IN PLANT: 601 - 1000 amp: PLATTFtEVIEW SECTION 1000+ amp /volt: > =4 RES UNITS: > 600 VOLT NOMINAL: Reconnect only: SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: MARC & MICHELLE EVEN JEROME ELECTRIC WIEBE, MACK/MEREDITH S PO BOX 751 9900 SW SETTLER ST HILLSBORO, OR 97123 TIGARD, OR 97224 Phone: 503 - 806 -4795 Contact #: FAX 503 - 648 -9723 PRI 503 - 648 -5144 FEES Description Date Amount Reg #: ELE 34 -119C [ELPRMT] ELC Permit 10/20/2001 $120.20 LIC 158119 [TAX] 12% State Surchar 10/20/2007 $14.42 SUP 2877S [ELPRMT] ELC Permit 11/21/2001 $39.90 (additional fees not listed here) REQUIRED ITEMS AND REPORTS Total $179.31 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 5 or 1.800.332.2344. Issued By: -rmittee 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: Cali 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. .v cr >�= electrical hermit A Iicatio Z;1/4,, - • ,', -- . - r- toRtottilkt.„ust,-oN2, , ; ,. 4 . 4 . , ti' fii f ReceL City of Tigard �.- y // ! AE= 'snit N°': : CO S7 L O 3 . I d'' 7 Z a Phone, 503.639.4171 Fax: 503598,1960 C ' q � a y: other Penult: s,r''.x inspection Line: 503.639.4175 ` ` �' �� a rua dylBy : luris ld See Page 2 for llG ®l 0 Notilled/Me M Supplemental Information isa ,t :J Internet: www.tigard- or.gov A ��cc 1 ,r z �.. o a � "Ul ll tk` '�'p, t f tt 11M1 er r I ar 7Nt•f�f r ., f #44 _ t s t. t.�'f - '!,7* '�. s ' _..- ..i ... .a I -' ' �.0• ❑ New construction ■ Addition/ulterutio'replacement Please sheds al that apply (submit a sets of plena wlitems checked below): ❑ ServiOn or feeler 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current in Marinas and boatyards, JV � ra i'"" 1G' / t t 'st4>l0v a a� 1 o? . u5 t ,, l I,i( Igo) ..ai'1 exceeds 10,000 amps at ISO volts or 0 Floating buildings, ,.> 4 ' loss to ground. or exceeds 14,000 ❑ Commercial-use agricultural 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ■ Multi - family ❑ Master builder ❑ Other: 0 Fire pip 0 Installation of 75 KVA or O Emergency velem. larger separately derived system A •. f w r x if �u ih -r � , . $elegy, i j Ir+ilCii1: Iff i'[ .i:u:' ;- 6'1'ti. +1�,- nr. (�..A....E,. 1 _ z ..... i _ 3 .. ...._. _.-...,.. iel!.... .,_ ., s... .L `...14 .. . _.. ❑AdditionofncwmotorloadoP �/ Job site address: [ C)) h - ` y , 1001e or more, occupancy. Job no.: v ` ,0 J tat , t ❑ Siz Cr more residential units- Cl Recreational vehicle parka . city /Stat&Z1P: a1 Q 0 Health - care facilities. CI Supply voltage for more than l Cielf t- O ° Hazardous locations 600 volts nominal Suite/bldg./apt. no.: uu 1 Project name: 0 Service or feeder 600 amps or ,bore Cross street/directions to job site:. % S tfJ j CI 4 :h. r/. e . I artriptlan Q R.., Tend • , New residential 'single- or multi- family dwelling unit Includes attached garage. __ Subdivision: Lot no.: 1,000 sq- ft, or less 145.15 4 - Ea. add'} 500 sq. ft. or portion 33.40 1 Tax map/parcel no Limited energy, residential — . x K x r a Fa with above „(� y sld Lam'':';.': -. _''-t. 14:7 .. .. IJY 1 J; L ,ft t rUl li M ..'. ..:.:1 ( aQ ft-) 75.00 2 A a Cli A Pc A t f � 0' — U G Limited , multi-family 75.00 2 - residential meal (with about ac_ ft.) Services or feeder's Installation, alteration , and/or relocation «X , i ` '' Ii l a V I t _.. 1.,,: 200 amps amps .5 �• k.. y $ 1 01 t 3 + \i iLY m 7 .�7 I r ' t 'ri. ' .t! 1 to 400 m 1068 2 p Nam °: f -t. car C a i.. 401 amps t 60 0 amps 160.6 2 601 amps to 1,000 amps 240.60 2 Address: 9.� s \. s4,44 (0 ( S4 . Over 1,000 amps or vole - 454.65 2 City /State/Z1P: 9 -. H Temporar services or feeders installation, alteration, and /or r relocation Phone: { j ) .-0(„ `H q Fax: (tom( 3) ( ; 200 amps or less _ 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 arrips 400 amps 100,30 , _ 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 emus 133.75 _ 1 2 Branch circuits — new, alteretloO, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ,a I �.; t,� y, r l t r , „� I:YeI ` above servic or fee, ...._; . ._ L. I .�.,.. ..��- � � .,,.. : .i . r fd f ! 6.65 2 Business name: .,),2,r-00-.re. e -1 each branch circuit B. Fee for branch circuits - without service or feeder tbe, Contact name: Ch g • first branch circuit 46.85 2 Address: t Each add'I branch circuit 6.65 2 Miscellaneous (service or feeder not included) City /State /ZIP: Each manufactured or modular 90.90 2 dwelli g, service and/or feeder Phone: ( ) ( Fax:: ( ) Reconnect only 66.85 2 Email Pump or irrigation circle 53.40 2 n i;V 4i "UlJ'L LL� f tit --�04 Ye' B lighting � d ry t � � r u�,- t; tr:+�it+t`� :'� �; . Sign outline li tin 33.40 2 Business name: cyiNA./ 4 �c -(ry C> 1. V . C- t Signal circuit(s) or limited enemy panel. alteration, or Address: 0 00)C_ --1.51 extension. Describe: Page 2 2 C ity /State /ZIP: 1 `‘ 3 b> 't Oft 1 / 1 Each additional inspection over allowable lu any or the above Per inspection 62.50 Phone; (,03) Fax. (5c'3) ■ r -7� Investig rion er hour 1 hr min) 62.50 CCB Lic.: L5 11 Electrical Lic. :3I' . tt G Suprv. Lie... , %115 Industrial plant per hour 73 73 '_� ;srlr;.fwln.bi'. 'tl h� l,, 1 US�`.�iu y ^ r .. Suprv. Electrician signature, required :,1 Subtotal:. ? q _,Q Plan review (25% of permit fee): Print name: D R,V 1 / • 3..Gro yl , t .p„ Date: o • State surcharge (12% of permit Ease): o Authorized signature: TOTAL PERMIT FEE: il 1- f 0(ijq This permit applicalan aaplra if a permit is net obinined within 1110 Print name: I Date: • do vea f ter•ithes twee ereentedas%omelet.. TO 30' d ONI OIN1OT13 00Wil3f EZL68179E95 65 :60 8002 /T /TI 1y CITY OF TIGARD ELECTRICAL PERMIT il PERMIT #: ELC2008 -00592 - COMMUNITY DEVELOPMENT - DATE ISSUED: 10/20/2008 TIGAIRDi 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 111 CA -00800 SITE ADDRESS: 09900 SW SATTLER ST ZONING: R -7 SUBDIVISION: ALDERBROOK FARM LOT : 009 JURISDICTION: TIG PROJECT: EVEN Project Description: (1) service and (6) branch circuits for remodel.. 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 HMI SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 1 W /SERVICE OR FEEDER: 6 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: MARC & MICHELLE EVEN JEROME ELECTRIC WIEBE, MACK/MEREDITH S PO BOX 751 9900 SW SETTLER ST HILLSBORO, OR 97123 TIGARD, OR 97224 Phone: 503 - 806 -4795 Contact #: FAX 503 - 648 -9723 PRI 503 - 648 -5144 FEES Description Date Amount Reg #: ELE 34 -1 I9C [ELPRMT] ELC Permit 10/20/2001 $120.20 LIC 158119 [TAX] 12% State Surchar 10/20/2001 $14.42 SUP 2877S Total $134.62 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 -01 I a • • - • • - 'n copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. / �� Permittee Signature: Issued By./ _ r �� /�e %?���i/75G .0:- 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. 10/20/2008 08:27 5036489723 JERMOE ELECTRIC INC PAGE 03 M . 0.- Electrical Permit Application ySOINI , y .� > , 7. t ` ' " r oes o E G F,4 1S F ONI v ', . � ° / ' w „� ;:': City of Tlga d., iced / 0I 7f► E t3=- AS � , Permit No -: � , r 13125 SW Hall Blvd., Tigard, OR 972 /00% Pi= Review µ 9 = Phone: 503 - 639.4171 Fax; 503.598 -1960 r \ 'L O Dnte1 v: Other Permit: rkktrr 4. Zi I ns Inspection Li 5 03.639.4175 �) k Q® Date Ready/By l M See Page 2 ibr i,T IGARD 1 °" titled/Method: ! / Supplemental Information �aisiav sr i Interact www ngerd or gov I r _. u PP ' i ' i:" '-J i , h n .;V w '4k `1 �^i h y i O fi y , 0 ' x .. < 7. i , y r t 9 n a fi .,. Ar .41".',:::"...'; .. ie � � , ; .....; ; �"` �,...�1' )I � ill ' .�t � * T:4: _.... ., .!';;..►'. Y.. � r t ..,..;_ ,..,i.i:. r 1\ .' Plearo check nil that apply (submit j sets of plane wltcros checked below): :3 New construction El Addition / alteratio ' - • - merit ❑ Service or feeder 400 amps or more ❑ Building Over dime stories ❑ Demolition © Other. whcro the available fault corm ❑ Marinas and boatyards. ' 7. A e s t Z : }� _ „ E i t:5rI h : ot r ? /1 ` d ` {nl,,, y , j 1 exceed: 10 , 000arnps at150voltsor ❑ Floatingbuildlnas, { ' ; less to ground, or exceeds 14,000 ❑ Commcrcial•use agricultutal 1 - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other instailations. buildings. ❑ Multi family ❑ Master builder ❑ Other: ❑ Fire puinP, 0 installetion 0115 KVA or t , v, ❑ Emergency system. larger separately derived system, r r � . i . S . ,g a i'a� t u 4 - rn7 `,�P'GYir. U�apelf n ip °I1tn t..::,..,'.:-,TO: .. . 1,�"� � . . ...:. ... , . . .. � . _x ��:. .. , .,- r.._.:� - ., ❑ Addition ofncw motor load of CI..A., „g „,'1_z.. Job no.: IVE31 Job site address. / �� l or more, oconpeney. / ❑ Six iz or or more residential omits. ❑ Recreational vehicle pnrkx City/Stine /ZIP; - f (� a / 2 '-) tons. Supply voltage 600volt for M more than V , I ® P� !!! EI Health-care facilities. ❑ Haxardouslocetions Suite/bldg. /apt. no.: I Project name: YAi ❑ Service or feeder 600 am s or more i N i14! ed ',CU''.'IY I ?4til Zia r .< e. Cross street/directions to jab site: X + ) Y PI - }ti p"♦; VI Description QIN, Fee 'raw • i New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: 1 Lot no.: 1,000 sq. ft. or less 145.15 4 Ea_ tidd'l 500 sq. ft. or portion 33,40 i Tax map/parcel no Limited energy, residential ,�. t , „ 75.00 2 e " -i � 0.„ye, 4, r}, 9 tia TA t'47:' I :. ri (with above sq. ft.) ,i p� Limited energy, multi - family 75.00 2 M _ i / 1 •4 ! MIN residentiaijwith above sq. R,) r r Services or reeders Installation alteration and/or relocation Pl 200 am•sor1ess 80.30 Fate:. 2 1, Pf , ICS ' a �'e 1 i, aAti F,'PYi R �yli '� ' P* 15 .4I 4`1 v < Y ' &i" • r : tis" i 201 amps to 400 amps 106.85 2 IMI11_.i.& R.Al■ 401 amps to 600 amps 160.60 2 601 amps to 1.000 amps 240.60 2 Address: r Pi 00 IAA& r , e a Over 1,000 amps or volts 454.65 2 City/State/ZIP: s I a,r CfrP. I "72 g Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) 7+ fa - 1 P Pax: 6p3) Gear - 57/ 200 amps or less 66.85 1 201 am to 400 amps 100,30 2 Owner installation: This installation is being made on property that 1 own which is not F' intended for salc, lease, rent, sr exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits- new, alteration, or extension, . er panel Owner signature: a Date A. Fee for branch circuits with ,, •fi s3 d 1 t i y' 1 al. r r�lnl u 1 1�1 rF + •r�r above service or feeder fee, 6.65 �pq A 2 ..._:.;' i . i . _i I ... ,,a,. io,r, :,.w , .� ..,.Fi . �.•,,•.:. . 1: - .1.,,7 .... ,-4.0.,..... each branch circuit J N �40 Ena lan e e' 5t v --W i G / 1/L_C' t B. Fee fbr branch circuits without service or feeder fee, 46.85 2 Contact name: / _ first branch circuit Each add'i branch circuit 6.65 2 Address: - i4tlaccllnneous (service or feeder not included) - City /State /ZIP: Each manufactured or modular 90.90 2 dwelling, service and /or feeder Phonc: ( ) Fax: : ( ) Reconnect only 66.85 2 E-mail Pump or irrigation circle 53.40 2 -7 , >i+ n +ii ti ,:4;f, c,nr . i;l o-'ti'ifor 1 ay s9 ti ''pt,SJ 1, '4-+" r� Sign or outline lighting 53.40 2 •- -•_ •� Signal circuit(s) or limited- Business name: Q t / e, ;,- . cncrgy panel, alteration, or Q)L 151 extension. Describe' Page 2 2 Address: Cis+ /State/ZIP: \ ‘51::)1:Prto DR Pri i 3 Each additional inspection over allowable in any of the Above iii Per ins- alien 62.50 Phone: ( 03) cf 1 4 -C 25 14 Fax: (503) # S ~ 9 1 . "7 Invest' Laurin rcrhour 1 hr min) 62.50 r . u rv, Lie..' $ In d ust rial planter hour 7375 CCB Lic.: t Electrical Lic.: ic:-.1 l.F G P q1� . Y, a i `V.1.:t ` l - 4 .'r . I. it ali i - .411 . tis ?df 1,:g.1: ".K' -; ': N Suprv. Electrician signature, required „ iu -. Subtotal: av, t tq �, ,/ /.....05 Plan review 25e%of • rmit fee): Print name: � /kill 4, A . 3. (y / � D ate: ` grate surcharge (1290 of permit fee): inirE Authorized signature: TOTAL PERMIT FEE: This permit application expires it permit is not obtained wit in 180 Date: - d,... • use It h h,..n n- e.nt.d R. ...Mei.t.. Print name: CITY OF TIGARD .� -! BUILDING DIVISION PERMIT #: E 02008.00592 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/20/2008 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 ...' 67 ' �.. INSPECTION WORKSHEET FOR DATE: 11/24/2008 TIME: 7:O2AM PAGE: 21 SITE ADDRESS: 09900 SW SATITLER ST CLASS OF WORK: SUBDIVISION: ALDERBROOK FARM LOT #: OOr; TYPE OF USE: PROJECT NAME: EVEN DESCRIPTION: (1) service and (6) branch circuil.s for remodel. 11/21/08 ADDED (6) branch circuit::. OWNER: EVEN, MARC & MICHELLE PHONE #: 503..806..0% r CONTRACTOR: JFROME ELECTRIC PHONE #: 503 - 648 -5144 Inspection Request Scheduled For: Date: 11/24i2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 125 Wall cover 078411 -01 503 - 618.5144 N Corrections /Comments /Instructions: . ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: //€4/4- Date: 1/ Z 10e Phone #: (503) 718- CITY OF TIGARD - -i BUILDING DIVISION PERMIT #: EL C2008-00592 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/20/2008 Phone: (503) 639 -4171 4 1 � 4pgg' Inspection Requests (24 Hrs.): (503) 639 -4175 ': 1I.. INSPECTION WORKSHEET FOR DATE: 1//1012008 TIME: 7:02AM PAGE: 22 SITE ADDRESS: 09900 SW SATTLER ST CLASS OF WORK: SUBDIVISION: ALDERBROOK FARM LOT #: 009 TYPE OF USE: PROJECT NAME: EVEN DESCRIPTION: (1) eervice and (6) branch circuits for remodel. OWNER: EVEN, MARC & MICHELLE PHONE #: 503 - 806.4795 CONTRACTOR: JEROME ELECTRIC PHONE #: 503-648. -5144 Inspection Request Scheduled For: Date: 11/10/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 125 Wall cover 077856 -01 503 648 -5144 N. Y Corrections /Comments /Instructions: t i'Ptzvoi-- 6 c .ov j vi ALLS 4 .1 1.1 '2 u& ��ms - () 60‘.... ❑ PASS PARTIAL APPROVAL [1:1 CANCEL ❑ NO ACCESS ❑ FAIL / ❑ \ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G'` N to L Date: t 1 0 ) Phone #: (503) 718- 1_4__q_b_