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Permit ° CIT CITY OF TIGARD ELECTRICAL PERMIT Y PERMIT #: ELC2008 -00481 COMMUNITY DEVELOPMENT DATE ISSUED: 8/20/2008 r I G AR D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112DC -01800 SITE ADDRESS: 15787 SW 72ND AVE • ZONING: I -L SUBDIVISION: PP1994 -006 LOT : 002 JURISDICTION: TIG PROJECT: NADEAU Project Description: Installing (2) branch circuits for automobile lifts. • 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: 1 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: NADEAU, ANDRE R TRUSTEE CENTURY ELECTRIC LLC 7774 VLAHOS DR PO BOX 10646 WILSONVILLE, OR 97070 PORTLAND, OR 97296 Phone: Contact #: PRI 503- 241 -8020 FAX 503 - 244 -7041 FEES Description Date Amount Reg #: ELE 5 - 51C [ELPRMMIT] ELC Permit 8/20/2008 $53.50 LIC 146978 [TAX] 12% State Surchar 8/20/2008 $6.42 SUP 4804S Total $59.92 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: 4, 5. J irG01]j ' 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: CaII 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. INSPECTOR'S SIGNATURES ARE NOT • • Inspections Required for: iii c a,u1R--cam e{ &-i REQUIRED ON GREEN INSPECTION CARD. ✓ • Code I Inspection Description PASS Date I By ✓ Code I Inspection Description PASS Date By BUP - Building Permit ELC - Electrical Permit 405 Excavation 105 Underground /slab cover 410 Fill 110 Temporary electrical service • 415 Grading 115 Electrical service 205 Footing 120 Electrical rough -in 805 MFG - Structure grading /footing 125 Wall cover • 210 Foundation walls 130 Ceiling cover 215 Footing drain 135 Low voltage 220 Slab 140 Sign installation 310 • Crawl drain • 145 A/C or heating unit circuit 225 Post /beam structural 150 Hot tub /spa /pool • 230 Underfloor insulation 195 Misc. inspection: 235 Shear walls /anchors X _ 199 Electrical final 240 Exterior sheathing 245 Firewall 250 Roof nailing ELR - Restricted Energy Permit 255 Wtr proofing basement walls 135 Low voltage 260 Tilt -up panel 195 Misc. inspection: 265 Masonry 199 Electrical final 270 Reinforcing steel (rebar) 275 Framing 810 MFG- Structure set -up MEC - Mechanical Permit 280 Insulation 605 Post /beam mechanical 285 • Drywall nailing - 610 Gas line 287 Suspended ceiling • 615 Mechanical rough -in • 295 Misc. inspection: 620 Hydronic 899 MFG - Structure final 625 Duct work ••• 498 Grading final 630 Fire damper 299 Final inspection 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection: 699 Mechanical final BUP - Fire Protection System Permit 905 Sprinkler underfloor /slab PLM - Plumbing Permit 910 Sprinkler rough -in 305 Plumbing underslab 915 Fire alarm rough -in 310 Crawl drain 920 Suppression trip test 315 Post /beam plumbing 995 Misc. inspection: 998 Alarm final 320 Plumbing rough -in 999 Sprinkler final 322 Shower pan 330 Water service 335 Rain drain • 340 Storm drain SIT - Site Work Permit 505 Sanitary sewer 405 Excavation 345 Culvert /catch basin 410 Fill . 350 Septic tank 415 Grading • 395 Misc. inspection: 205 Footing • 399 Plumbing final 210 Foundation walls 215 Footing drain 420 Sprinkler supply lines SWR - Sewer Permit 495 Misc. inspection: 505 Sanitary sewer 498 Grading final 595 Misc. inspection: • - I 499 Final inspection 599 Final inspection • I: \Building \Forms \InspCard- AOP- Blank.doc 02/02/07 CITY OF TIGARD ELECTRICAL PERMIT ° \� COMMUNITY DEVELOPMENT PERMIT #: ELC2008 -00481 DATE ISSUED: 8/20/2008 TIGA}D 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 112 DC -01800 SITE ADDRESS: 15787 SW 72ND AVE ZONING: I -L SUBDIVISION: PP1994 - 006 LOT : 002 JURISDICTION: TIG PROJECT: NADEAU Project Description: Installing (2) branch circuits for automobile lifts. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 0 - 200 amp: PUMPIIRRIGATION: EACH ADD'L 500SF: 201 - 400 amp: SIGN /OUT LINE LTG: LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL: 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: 1 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: NADEAU, ANDRE R TRUSTEE CENTURY ELECTRIC LLC 7774 VLAHOS DR PO BOX 10646 WILSONVILLE, OR 97070 PORTLAND, OR 97296 Phone: Contact #: PRI 503- 241 -8020 FAX 503 - 244 -7041 FEES Description Date Amount Reg #: ELE 5 -51C [ELPRMT] ELC Permit 8/20/2008 $53.50 LIC 146978 [TAX] 12% State Surchar 8/20/2008 $6.42 SUP 4804S Total $59.92 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 o 1.800.332.2344. Issued By: , L . � , <— �� Permittee Signature: C / yir '447, cn/' Tiff 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. 'g 19 08 04:49p 111 Tit A arpp0 licati.0 ..1.1c:vis 503 p . 1 ' Electrical Permit FOR OFFICE USE ONLY C j ity of g Recenred . -. l l. 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revew 1, % iii DatriBT. , AM t y- _ Permit No. ......,L 2. ___ eq i Other Permit: • : ; . Phone: 503.639.4171 Fax: 503.598143 piine: ..4175 C..) D i Y ady/By: hes. El See Page 2 far TIGARD Inspection Line: 503639 OV V‘S‘ tified/Method: Supplemental Information Internet: www.tigard-or.gov No XI t AO 1 T7PE::Or:live -- et •-• ' - - -- - muc.:REVEEW.. ..... . ...... .... . • ,__, . 1 Ple a m check all that apply (submit 2 sets of plans wliterns checked below): Li New construction gAciclitionfalt - . ron/replacement 0 Service or feeder400 amps or more 0 Building over three stories. El Demolition ID Other: where the available fault current 0 Marinas and boatyards CATEGOkt,'OF :CONSTRUCTION exceeds 10,000 amps at 150 volts or 0 Floating buildings. - less to ground, or exceeds 14,000 0 Commercial-use agricultural 01- and 2 - family dwelling Commercial/industrial El Accessory building amps for all other installations. buildings. D Multi Master builder 0 Other: 0 Fre pump. 0 installation of 75 KVA or 0 Emergency syste m. larger separamly derived system. ..................... - ... ...... ...-. -JOIK:SITE] INFORMATION ' Alsth LOCATiON D Addition of CICW motor load of 0"A", "r, "1-2", "1-3", 10011P Of MOM OCCUpaOty. Job no.: Job site address: /57 -) 5 .10 -ham fi 0 Six or more residential units. 0 Recreational vehicle pwks. City/State/ZIP: 7 be, claq 0 Health-care facilities. Pliazardous locanons. 173 Supply voltage for more than 600 volm nominal Suite/bldg./apt. no.: Project name: 0 Service or feeder 60C amps dr more. - • - - FEE.SCEIEDIDLE..... .. Cross street/directions to job site: Dem-Tipton - 1 QtY• I Fee. 1 Tata f • New residential single- or muld-family dwelling Emit. Includes attached garage. Subdivision: Lot no.: 1,000 sq. ft. or less _ 145.15 4 _ Ea. add'l 500 sq. ft cr portion 3 3 .40 1 Tax map/parcel no.: , . Limited energy, residential 75.00 2 _ DESCRIPTION' iC0V W.ORK (with above sq. ft) - , Limited energy, multi-family ' igsmahu& AuJeRs 7 Ca) Iva) residential (with above sq. 0„) 75.00 2 Services or feeders installation, alteration, and/or relocation AffrO/Y10/21/1Z L. /P7 200 amps or less 80.30 I 2 , ... C).NviyiR: . :.:: . . . :::: ..... ,: :TENANT ... '' ...... ' ............ '-- 201 amps to 400 amps 106.85 2 ' Nam e: 401 amps to 600 amps 160.60 2 CO/CA i /''4-44041 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City/State/ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) Fax ( ) 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 100.30 ' 2 intended for sale, lease, rent, or 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: Date: A Fee for branch circuits with . - -- El:APPLICANT ................. ' -, .... . . ...... . 0 : : CONTACZ tli:RSON above service or feeder fee, ...... ... 665 2 each branch circuit , Business name: eafrue5 eze_clte, LL-C.- B. Fee for branch circuits Contact name: 7r 9 ill° without service or feeder fee, 1 1 46.85 4.1ya z 6 a-ER/m first branch circuit Address: PO 13OX /4474.& _Each add'I branch circuit _ / 1 6.65 4.4.5 2 Miscellaneous (service or feeder not included) _ City/State/ZIP : Piniatiei /06 -- (De . (7 74i Each man ufachred or modular 9090 2 -- dwelling, service and/or feeder Phone: (<13) 704.1 Fam : ( 53b) „2/44- 70 4 1_ 1 Reconnect only 66.85 - 2 E-mail: ce i e n-tory ec-trre . it Pump or irrigation circle 53.40 2 CONTRACTOR ......... '- -- .......... '. ............... ' . : . -,* ... • " ---- ...... Sign or outline lighting 5340 2 ' Signal circuit(s) or limited- Business name: C . 6-__ _ e ..... & Le, energy panel, alteration, cr Address: PO ex)x. I 06‘80 extension Describe: Page 2 2 . . . City/State/ZIP: Poezz."0.1) 0 g- 17 .21‘) Each additional inspection over allowable in any of the above Per inspection , 62.50 Phone: (93,) 0 ? qv__ 704.1 Fax: ( Ail* --70i4i Investigation per hour (1 hr nain) 62.50 - CCB Lic.: /44 Electrical Lic.: 6- s/ - C--- Suprv. Lk.: 48645 Industrial plant per hour . / ELECTRICAL:-:PERMITERES'':' Suprv. Electrician signature, required: -,..., _ Subtotal: 63.5D Plan review (25% of permit fee): I Print name: 7 q \ repaiiilAj / Date: 5- - a is - „ State surcharge (12% of permit fee): 6. qz Authorized signature: / TOTAL PER_MIT FEE: 51 0 1 0 2, . ' This permit application expires ira permit is not obtained within MO Punt 118/12 e:7- (c-i--:„,w4,4 I Date: This form is recognized by most Building Departments in the Tri- County area for transmitting information. Please complete this form when submitting information for plan review responses and revisions. This form and the information it provides helps the review process and response to your project. I II BUILDING DIVISION ) 1,0,7 2 _0 0 0 0(o a3 TIGARD TRANSMITTAL LETTER a TO: n ( ,AODU DATE RECEIVED: DEPT: BUILDING DISION RECEIVED FEB 2 5 2010 FROM: - 3 - Oh n Scot c ,Z CITY C7 TIGARD BUILDING DIVISION COMPANY: PHONE: By._ RE: 7O .corl7c)L. • GL EAe.20 ©9 -0 0 (Q7 -3 (Site Address) (Permit/Case Number) C 1 1 (ProJecct m su name and lot num er) � w\\Mi ATTACHED ARE THE FOLLOWING ITEMS: Copies: Description: Copies: Description: Additional set(s) of plans. X Revisions: CO Ccu Cross section(s) and details. Wall bracing and/or lateral analysis. Floor /roof framing. Basement and retaining walls. Beam calculations. Engineer's calculations. Other (explain): REMARKS: FOR OFFICE USE ONLY Routed to Permit Technician: Date: Initials: Fees Due: ❑ Yes ❑ No Fee Description: Amount Due: 30 gyp► ecQ.r $ ► n r play, (Qf $ $ $ $ Special Instructions: a3 ..1 g Reprint Permit (per PE): ❑ Yes ❑ No ❑ Done Applicant Notified: Date: Initials: l: \Building\ Forms \TransmittalLetter - Revisions.doc 4/4/07