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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2006 -00191 44.. III DEVELOPMENT SERVICES DATE ISSUED: 4/11/2006 - 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 2S112BB-06800 SITE ADDRESS: 14230 SW FANNO CREEK CT ZONING: R -7 SUBDIVISION: COLONY CREEK ESTATES NO.2 LOT : 051 JURISDICTION: TIG Project Description: 1 branch circuit. 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/ FOR: 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: 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: MICHAEL NEWMAN EMPIRE ELECTRIC COMPANY 14230 SW FANNO CREEK CT 2014 SE 9TH AVE TIGARD, OR 97224 PORTLAND, OR 97214 Phone: 503 - 624 -8179 Contact #: PRI 503 - 777 -3108 FAX 503 - 777 -4152 FEES Description Date Amount Reg #: ELE 3 -52IC [ELPRMT] ELC Permit 4/11/2006 $46.85 LIC 147727 [TAX] 8% State Surcharge 4/11/2006 $3.75 SUP 3192S Total $50.60 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: '� /L 400.-1 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. CITY OF TIGARD BUILDING DIVISION PERMIT #: 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/11/200'6 Phone: (503) 639 -4171 ""lit Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/13/2006 TIME: 7:00AM PAGE: 60 SITE ADDRESS: '14230 SW FANN() CREEK. CT CLASS OF WORK: SUBDIVISION: COLONY CREEK E.L:1'ATES> NO.2. LOT #: 051 TYPE OF USE: PROJECT NAME: NE.lAN DESCRIPTION: 1 branch circuit. OWNER: NEWMAN, MICI PHONE #: 03.6 24 8179 CONTRACTOR: EMPIRE ELECTRIC Ct.)i'r1PAN`( PHONE #: 503 - 77/ - 3108 Inspection Request Scheduled For: Date: 4/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 1=3S A/C or heating unit circuit. 027907.01 50 :3- 777 -3106 N ,Corrections /Comments Instructions: otwe.4,7 IIM6.11' 11 cZ; ad Pr t e4 "(25Ak A S6 eV 19- 4 7* r • M cco - 0 6)I d n PASS ❑ PA' IAL APPROVAL ❑ CANCEL NO ACCESS FAIL • ' ALL FOR INSPECTION ❑ ADDITIONA FEE ASSESSED nspector: Date: - Phone #: (503) 798- F MP ELECTRIC CO FAX NO :5037774152 Apr. 07 2006 10:22AM P1 Fult FICr.1.�1 ONLY viva Per it $40.4//' '''- City of Tigard d Ra a.43 : 0 , : / Pend; No.; ' _ II ' / a0 / / I D■da ' 13125 SW Nall Blvd., Tiut4.OR 97223 ". unA - OtherPe'rmit: Additiontahera503.598.1960 •`-' -' 1:' �lii Datm Phone: 503. 5 71 9.4 1 NI II Sae PRO roe 503.639.4173 1 " - t f ' " ' y 5 .. mama rerer,ea6oa. Int erne: WW . 7 atifc41)44At04 Interne: vYWW.Ci.t��t'� -OT -ui 1 ./ ( 11 . I',..4`,.. .� ..�( ..s �{+�f�i`{y . ,;.t: .. . , �-- . .. F 1 y p ({,..7•�Q�{��• ..,.1:•- •„ , :t • 1 , 3'; -•P ..RZ l i1'f:U. ' i l • 1 � :'h ��P.7 ��. '�r �,!' I'J 1 'f� � •�''1 7 ' Ili ": � ' KY i .� 1 :. •fjA ... Please check ally that y- © New constriction ►.c dodreplaelntic it °Servi over 5 mps, control DHaardous location ❑ Demolition � I;' r !i' v o f &, 2 20 dwsllia in O 4 or tnore I residential fl. ,. , ; , ,' lt. t 01*** TIt .g oto o:! : !! ❑of yam, d - voiu nominal g 4 or In one structure e ,�., ,;.::; •::..:., . T v 600 r% 1 • and 2- family dwelling ❑ Co ttl merciavinduatrial ■ Accessory building over three Surics OFcc0c n.400 ■mpE or more Master builder ❑ Other: ['Occupant load over 99 persons OManufactured structures or Q ilY ❑ , Rv b : Earn r: �... ,1:1, y.. : ❑ iii htelPim hark • ' -' " , .�� $ S F' .�� i . '�'° 11p�- L'��`FY,�1��'�::.s',< e.' � ❑HCeldtTa q ©Other^ Jab tto.: I .... Job site address: �4Z 5 ND Submit i P with any of the Wbwe Q The above are not applicable to temparsy construction service. City/State/ZIP: �' a"_ '.i.re451 r . r . r:.. 1 . ' '! # 1 , ''` >'. , . Slitdbldg. /apt - no.: Project name: _ 1Dae•0e• IM, I, se. Mai Pico residential single• or awHidataily dvvalGnB Halt Cross gtroebditeCdons to job Bite includes atYaebed re e. 1,000 sq- it- re lase_ 145.15 4 E a. a dd'! no seq. ft, or poman 33.40 1 I lot no.: 75,00 Subdivision: Lintited ceerirb toi.dwtial Tax map/parcel no.: - Limited • . , non teildeolie) 75,W 2 . y,1. n , -1 Y,t : - -, r : 1.1: : L. : . act, frantt� or modular I •G dv°elllli . service atld/ar teed.* 90.90 1 2 7 �D 11) /3 • ✓ xf '77 Services , or feeders inenttatimt and/or relocation __ ZOO afe��e orless - 8030 2 201 tp 4p0 --raft 0G BS 2 2 +'a:h: �: .; : �,;' :;�"yz' '1 �'. �$1:� • j .4 0, ,.: .. �]''7�E�gA1!i•1'. ..: �� .74.1 . i:. q O l ue�s e ti00 arts 160.60 „Y 2 . Naic: `... �I� Ei 601 emirs w 1,000 saws 240.60 Ova' 1.000 � or volt$ 454.65 2 Address: Reconnect only . 66.23 . 2 C i t y I S t a t c / Z i P : Temporary ■ of es or reader Ineallatiitw, iteration. and/or relocation 64.85 ! Phone: ( ) /a -_ Fax: ( ) Zoo WIPE or leas ' Owner Installation: This installation is being made on property that 1 own whist is not 201 amps to 400 r 100.30 - Z - intended for sale, lease, rant, or Melange, according to ORS 447, 449, 670, and 701. 401 ,. to 600 amps 31 2 Owner ii$uahat a k- '-' ea f bran h c• mt 4on. ttti0e, �■t' Pa itraneh eiresib .. OW, s ; -: f ii �°" s!i!b p� 'i };' r� ' ^ !i'. serv et feetkr ree welt 6.65 2 i! otretuit Business name: •-- B. Pee for branch circuits ,, I 0 Contact same: wiprkauPath oh scarce or flvder fcc, I 46.85 T 06 2 - bath clscuit - Address: Pa adds branch circuit . 6.65 2 .. Miscellaneous (service or feeds r not Included) City/State/ZIP: Pump or irrieallO t circle 53.4a 2 Phone: ( ) r '� ( ) � Si®t of wtditte 1iChtut� 53.40 2 Signal el�lit(s) or lindtid- F. -m8i1: p : r: -'s' c 1a6Y PNtl1, akeradoI' 47 2 �l °. - . `aiCau 'A.( :•��:� ., -.. .. e a ti- 1`.� ?; . �k.'��i`. .... � elcemta il7eseribo' Page 2 Business nutaa 6'• i A C � _ q _ Each addi4onal Inn ' n over snow Address: ZQ , �� C. 1/1A AV In auy of the above � J4 V Per inspection 62.50 - City /State/Z.1P: 0 � 0 0 ( Z I. • invent - lion r lour (t it min) 72.50 �h 93 4 ! 5 3, Industrial pl■nver hour' Phone: (� 77 3 ( 0 Pax: < ) ._. . ...;. '1i CA1.4MIRMTS•:irgE-9t' :; Subtotal -f(o� $ CCB Liu.: 141121 1 dal Lie -57 1 sue^'' tie - i q g�p - t� fee) --� Plan review(25%ofpermi 5 TM Electrician signature, '°' 0 � State surcharge (8% of permit fool ; . S m Print nae: 1 C - [^7 ©N t' l3 7 , - ' TOTAL PERMI FEE 50 t 60 Autlsorized 6lgnsture: 'ilbl. vicentit opelkodea e11pNa.lta Watt 11 Woe sbmleed ..lusin 186 dor alts It as boos ■o°epted a egmplete Dgto: • Vor methodology set by Trl-Ceuntf goading industry Service sword Print name: w Nimbi" of hapeeti°M ee pends wowed : - 440 -6615 (1047/COMMrba t ,���,,,,ItHP1C- ecmdtMp 1�