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Permit I,,I' g,,,,,, i„ I,„:!li CITY OF TIGARD ELECTRICAL PERMIT Il ' ° PERMIT #: ELC2008 00499 COMMUNITY DEVELOPMENT DATE ISSUED: 9/2/2008 TiG'ARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S126DC SITE ADDRESS: 09405 SW CORAL ST ZONING: R -12 SUBDIVISION: HANSEN PARK LOT : 002 JURISDICTION: TIG PROJECT: HANSEN PARK Project Description: (1) branch circuit for a/c & plug. 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: 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: AMATO DEVELOPMENT CORP GARNER ELECTRIC 5151 SW SANTA MONICA CT 2920 SE BROOKWOOD AVE A PORTLAND, OR 97221 HILLSBORO, OR 97123 Phone: 503 - 998 -7102 Contact #: PRI 503 - 648 -4552 FAX 503 - 642 -7925 FEES Description Date Amount Reg #: ELE 34 -305C [ELPRMT] ELC Permit 9/2/2008 $46.85 LIC 121 159 [TAX] 12% State 9/2/2008 $5.62 SUP 3707S Total $52.47 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 rule -re set • h in • • • 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.••99 or 1.800. . .2 • • . • Issued B • • ' ‘' , '" 4 Permittee Signatur• . .. .:.ail 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: - ONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: C ..P d W. 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. Electrical �C )If ar j y lti,1 �n J ^ ai�".CYP:tV 1 7' " , 1at�e T Y,ar,i ma J p t ■lh ^d > • i r , t l r , * d �.,i r , i r t, ri '� � r l,, r , ' 4 N ',t r �.�, � , �., I a � t � .. r i . � a t`r,,'� rTr, l � � �. 4 . , , , r °.'+ e el , " stig.at��lY`IK. .itite � iT, «f f } E,42 :,- ` ). ;� .4 I,nM1 °1 4:0 City Qf Tl and �' ex..e ,g 0 08 - oe 9-7 V ' tA}! lhartnir. tVn.. 13125 SW Hall Blvd.. Tigard, OR 97223 Pin Review '` , PIIOna' 903.639.4171 Fax: 503, x518.1 Sao AUG 2 Lit! " 1)a1nlBy: Other permit: ut �,, +,os � 1 Inspection Lino; 5C0 ,639.4.175 2vU �/'� • ( Date 13y: kris; El See Page far . •'t.as Internet; www,tlgard•or,gov CITY ®� TINA Notinsd�t tlrod: Supplemental informed,' • 1 t t TYPE OP ! r, 1PF REVIEW r _ a rho " a ' • . El New construction 74 Addition /alters on p • - 1,! ' ., '" Please cheep all that apply (submit 2 seta ardent w /items checked below): Q Demolition Othcit In Omit* or fasdar 400 amps or more 0 Building over three aMrles, where the available flat currant © marinas and boatyards, CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Pleai buildings, dwelling leas to pound, or mopeds 14,000 O Commercial - use agricultural 1 -and 2 -famii Y g 0- Commercial /induttrrial ❑ AOCOSSOry blinding amps far all other installations. bclldlogs, Multi- fhtnily ❑ Master builder i,_I Other: CI Piro pump, 0Installation of 77 KVA ur JOB SITE INFORMATION AND LOCATION i — G tnorgensy system. larger anparttely derived svtem, �^- 10 Addition of maw actor load of 0 "A" °> , "1 •Z" "1.3 ", Job no.: Job site address: tt1 G V n f ( C 100HPormore, occupancy, C Vi ! U Alit or Imo residential unite. ❑ Recreational vehicle pacrlta City /State /ZIP: 1)0 �/' lay) 1 _ /J ,f� 0Iiceltlr.eam facilities, 0 Supply voltage for more than ti49 J .L 0 Hazardous locations, R00 volts ruCalinal, Suitok ldg. /apt. no.: Project name; m Sarvieu or feeder 600 amps or more. FEE SC111LE Cross street/directions to job site: 111_e -rlr t:ME0 Tetnt '.- New residenllal Aegis or multMamily dwelling unit 'natal attaahc eara}1{e. Subdivi8io11: I Lot no.: 1,0011 sq, ft, or less 145.15 I 4 M Tax map/parcel no,: ] a. WTI 500 se. fl, or portion 33.40 ' 1 .im( • • energy, ae ticnttal II 75.00 MI 2 �� WORK With Abtlabove e a.. . •. $ Limited energy, multi - family ...,.. .. -,, � ' I/ .' • 4 . / /L 1 , L residential (wilt above sq. ft.) 7S III service OP feeders installation alteration and /or relocation Mil . 0 1'1t01'ELO OWNER 200 amps or less 80. 0 TENANT 201 amps m 400 amps 106,85 Name: /p lf?J of M6c.)T C�'o 40] amj,s to 600 am. III. 160.60 — 601 amps to 1 „000 amps _ 240.60 Address; f 57 (4�� RD c 9. C7 Over .1.000 amps or volts - 454.65 IN ' City/State /ZIP: A 0/2._ 9 7 . `O / Temporary services or Indira installadan, alteration, and /or �� J relocation Phonc; (E03) t9a10 ` 7/a 2 Fax: ( ) 290 amps or less 66.85 ILI Owner instailation: his installation is being made on property that I own which is not ' 201 amps to 400 amps 100,30 2 intcndod ft r salt;, lease, rent, or exchange, according to ORS 447, 449, 670,.and 701, 401 amps to 599 amps 133.75 2 Owner signature: Date: Breneh eireults — new, akeration. or eaten:, ■ n. DV panel A. Foe for branch circuits with _, ❑ AP P ..” --- NI - © CONTACT PLAN above service or fader fcc. 6.69 2 each branch circuit Business name: B. Fee fir branch circuits Contact name: wtthdtu service or feeder fee, , 46,85 46 r s(y 2 first branch circuit Address: Ervah add'i Munch circuit 6.69 2 MIscellaneoussacrviee or feeder not included) ,~ City/State/ZIP ; Each manufactured or modular 90.90 2 4 dwellins, service and/or feeder _ Phone (— ) Fax:: ( ) Reconnect only 66.85 2 E- mail : • rump or irtigattion air 53. 2 CONTRACTOR Sign or outline lightisL 53.40 2 Business name; 4 ,- .. Signal rrimuit(P) or 1 r a n tad Address: I / e energy on. pcaerb ion or Page 2 2 City/State/EP: i�r /� ��/ q�/g Each additional inspeodon over allowable in et1y of the above Per inspection 62.90 Phone; ( 6'03 / l �T^S> r Pax: (.. !7�a% Investigation poi hour (1 hr min) . 62.50 CCB Lie,: / // 6 Electrical Lie,: , 1.prv, Lic.: 3 1O7 5 indiattial u, 73.75 , ` : • ELECT1TUCAL PERMIT FEES Suprv, Elcetrioian signature, rs.r, red: i _ T Subtotal: Print name: ` «� / 1 Data: � v ���( [ /'' k flan review 954 of I t fee): 'riP#awr!Ia �l J Mi, I State embargo (12% of permit fee): 2,, Authorized signet v; !!! 'r' d _ _ TOTAL PERMIT FEE: G 7 Print name: ! Dam, permit application sa r r mit is not obtained within 180 days alter (1 has heen accepted as cnnaplcte. • Number of impactions allowed per permit, 1:1AulldlnefennittlIC 4manpa,doc (WI NN 44 _46i)T(11/09/COMwan Td WdL0:170 800E 8E '6nb SE6LEP920S: '0N Xdd OIa10919 e12Ni'it39: WOeld CITY OF TIGARD BUILDING DIVISION PERMIT #: El 02000- 00499 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/2/2008 Phone: (503) 639 -4171 61 ,, Inspection Requests (24 Hrs.): (503) 639 -4175 . ' 1 �.. INSPECTION WORKSHEET FOR DATE: 9/1212008 TIME: 7:OOAM PAGE: 33 SITE ADDRESS: 09105 SW CORAL ST CLASS OF WORK: SUBDIVISION: HANSEN PARK LOT #: 002 TYPE OF USE: PROJECT NAME: HANSEN PARK DESCRIPTION: (1) branch circuit for alc & plug. OWNER: AMATO DEVELOPMENT CORP, PHONE #: 503 -998 -7102 CONTRACTOR: GARNER ELECTRIC PHONE #: 603- 648 -45 Q Inspection Request Scheduled For: Date: 9/12/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 075347 -01 503- 648 -4552 Y 'I/T/70 10 3D If 3 1 Corrections /Comments /Instructions: • / )4 n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS t AIL CALL FOR INSPECTION ❑ADDITIONAL FEES ASSESSED Inspector: 111Ifll Date: /4 1)5 Phone #: (503) 718- 3,140