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Permit CIT CITY OF /� 1 ®1 TIGARD --1, ELECTRICAL PERMIT PERMIT #: ELC2005 -00675 kw/It DEVELOPMENT SERVICES . DATE ISSUED: 9/14/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 110BC -07700 SITE ADDRESS: 12410 SW ASPEN RIDGE DR ZONING: R -7 SUBDIVISION: THORNWOOD LOT : 048 JURISDICTION: TIG Project Description: Service change. 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: 2 W /SERVICE OR FEEDER: 4 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: ROBERT ERNST BAILEY'S ELECTRIC LLC 12410 SWASPEN RIDGE DR 2160 SW LEEWOOD DR TIGARD, OR 97223 ALOHA, OR 97006 Phone: Phone: 503 - 849 - 3134 FEES Reg #: LIC 159814 SUP 5115S Description Date Amount ELE 34 - 389C [ELPRMT] ELC Permit 9/14/2005 $187.20 [TAX] 8% State Surcharge 9/14/2005 $14.98 REQUIRED ITEMS AND REPORTS Total $202.18 riii • 1 - c> 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: OWNER INSTALLATION ONLY tri The installation is being made on property I own which is not intended for sale, lease, or rent. ` OWNER'S SIGNATURE: DATE: 8 CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: 6 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. in Approved plans are required on the job site at the time of each inspection. CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC200 &00575 13125 SW Hall Blvd., Tigard, OR 97223 I DATE ISSUED: 9/14/2005 Phone: (503) 639 -4171 he ° Imblo V��l� Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 10/25/2005 TIME: 7:10AM PAGE: 57 SITE ADDRESS: 12410 SW ASPEN RIDGE DR CLASS OF WORK: SUBDIVISION: THORNWOO© LOT #: 048 TYPE OF USE: PROJECT NAME: ERNST DESCRIPTION: Service change. OWNER: ERNST, ROBERT PHONE #: CONTRACTOR: BAILEY'S ELECTRIC LLC PHONE #: 503849 -3134 Inspection Request Scheduled For: Date: 10/25/2005 Pour Time: Code # Inspection Description J Confirm # Contact # Message 115 Electrical service 019250 -01 503 - 849.5890 N Corrections /Comments /Instructions: A S ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL n CALL FOR IN PECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: / Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006-00676 , A 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9114/2005 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET WORKSHEET FOR DATE: 10/13/2005 TIME: 7:04AM PAGE: SITE ADDRESS: 12410 SW ASPEN RIDGE DR CLASS OF WORK: SUBDIVISION: THORNWOOD LOT #: 048 TYPE OF USE: PROJECT NAME: ERNST DESCRIPTION: Service change. OWNER: ERNST, ROBERT PHONE #: CONTRACTOR: BAILEY'S ELECTRIC LLC PHONE #: 503-849-3134 Inspection Request Scheduled For: Date: 10/13/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 116 Electrical service 018284-01 503-849.5690 Corrections /Comments/ Instructions: r ett Nr(i •C, I vis 1c€ i( n 144/eAkr me, it 14 t u tA, 4-- OA- e f IA wee Nfmr /•e c ' lArACt e 4 Q- El PASS fl PARTIAL APPROVAL CANCEL ID NO ACCESS 5ALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED Inspector: Date: 0 13 —0 (--/ Phone #: (503) 718- � • -`_- - 1 ��� OF ' ��m ��m TIGARD , �%UU0���U0��� DIVISION � - - ~�~~"~~~°"..�� ~~.°"~~"~°"° , ' ' PERMIT #: EL C2005-DO675 ' 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3V14/2005 Phone: (503) 639-4171 av i f Inspection Requests (24 Hrs.): (503) 638'4175 a�14 AL INSPECTION WORKSHEET FOR DATE: 10K11/2006 TIME: 7:08AM PAGE: 43 SITE ADDRESS: 12410 SW ASPEN RIDGE DR CLASS OF WORK: SUBDIVISION: THORNWOOD LOT #: 040 TYPE OF USE: PROJECT NAME: ERNST DESCRIPTION: Service change. OWNER: ERNST, ROBERT PHONE #: CONTRACTOR: BAILEY'S ELECTRIC LLC • PHONE #: 503-049-3134 Inspection Request Scheduled For: Date: 10V11/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 125 Wall cover 01796%01 603-84%6690 N Corrections/Comments/Instructions: • 25(As.; , | ( PARTIAL APPROVAL 7 CANCEL I I NO ACCESS ' U FAIL 7 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED 1(9 f Inspector: Date: ^(/ -/ /~h9 J Phone #: (503) 718- _______AlgA2, CITY TIGARD ELECTRICAL PERMIT • PERMIT #: DEVELOPMENT SERVICES DATE ISSUED: 9 4/220 0500675 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 2S110BC 07700 SITE ADDRESS: 12410 SW ASPEN RIDGE DR ZONING: R -7 SUBDIVISION: THORNWOOD LOT : 048 JURISDICTION: TIG Project Description: Service change. 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: 2 W /SERVICE OR FEEDER: 4 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: ROBERT ERNST BAILEY'S ELECTRIC LLC 12410 SWASPEN RIDGE DR 2160 SW LEEWOOD DR TIGARD, OR 97223 ALOHA, OR 97006 Phone: Phone: 503 - 849 - 3134 FEES Reg #: LIC 159814 SUP 5115S Description Date Amount ELE 34 - 389C [ELPRMT] ELC Permit 9/14/2005 $187.20 [TAX] 8% State Surcharge 9/14/2005 $14.98 REQUIRED ITEMS AND REPORTS Total $202.18 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 direct„questio 9J NC at 503 - 246 -6699 or 1-800344. i ce/ Issued By: c :27 Permittee Signatur94!, !! 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. Electrical Permit Application ,.K,, 1 * J - .1 oICnl I Ici "ON , N 7 ` 4 . p A City of Tigard ck �v IC Received _ �/ /� Date/By � / — 0 , ,Y ' 5- 9 �. Permit No.: c —. ( . ,6 ) ^ - t < A 7.---- i 13125 SW Hall Blvd., Tigard, OR 97Z2r Plan Review Phone: 503.639.4171 Fax: 503.598.196 201,':-, " !'C + "'' Date /By. Other Pennic �' " 1 Inspection Line: 503.639.4175 �� _!1_ � . l l �„ Date Ready/By: Buis: ® See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: J f 1j Supplemental Information GARD T • PLAN REVIEW ❑ New construction A1:1‘14- r1 ' 'I . ti V' P lease check all that apply: ❑ ' � R r . eraUOn / replacement PP Y: ❑Demolition Other: ['Service over 225 amps, comm'I ['Hazardous location ❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft., CATEGORY OF CONSTRUCTION of 1 -and 2- family dwellings 4 or more new residential p i 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure El Multi family ❑Master builder ❑Other: ['Building over three stories ['Feeders, 400 amps or more ['Occupant load over 99 persons ['Manufactured structures or JOB SITE INFORMATION AND LOCATION. RV park ❑ Egress/lighting plan Pa Job no.: Job site address: yl� �J /L t�� S � // //� ❑Health care facility ['Other: �� Submit 2 sets of plans with any of the above. City /State/ZIP: 776_ ,e_ D o ' 9 7z The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: FEE* SCHEDULE Description I Qty. I Fee. I Total I " Cross street/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: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 Limited energy, non - residential 75.00 2 DESCRIPTION OF WORK - Each manufactured or modular dwelling, service and/or feeder 90.90 2 St°2 ✓r c C"'; v• e__ Services or feeders installation, alteration, and /or relocation '200 amps or less o eT 80.30 /6t Cr 2 j .PROPERTY OWNER • ❑ TENANT 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Name: 6,�., '. o\ IA/ 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City /State /ZIP: Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) Fax: ( ) 200 amps or less i 66.85 1 Owner installation: This installation is being made on property that 1 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 600 amps 133.75 2 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel ❑ APPLICANT ' ❑ CONTACT PERSON • A. Fee for branch circuits with / / .t---/-5"-'7A service or feeder fee, each - I 6.65 . 2 Business name: r branch circuit B. Fee Contact name: /71.. .. / / Gi r / / wrtho ul service or f e e circuits c feeder fee, 46.85 2 Address: each branch circuit Each add'I branch circuit 6.65 2 City /State /ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone:( ) Fax::( ) Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited- CONTRACTOR energy panel, alteration, or �j extension. Describe: Page 2 2 Business name: 1 � c Yr/ f �f� kff g Address: Each additional inspection over allowable in any of the above �/ (9 () SLV 1-e e t/ c)0e)D � `-� Per inspection 62.50 City /State/ZIP: //— /(9 Le-, £ l2- 2 727.6, Investi per hour (1 hr min) 62.50 Phone: ( ) Fax: ( ) Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES* CCB Lic.: /5 Electrical Lic.: 7q —e G Suprv. Lic.: /. f5$ Subtotal /? -7,.. Suprv. Electrician signature, required: �'- Plan review (25% of permit fee) / _ State surcharge (8% of permit fee) � y, 4' Print name: g���k /7 / a /, ` Date: G / C'x C` TOTAL PERMIT FEE .. , / Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: * Fee methodology set by Tri- County Building Industry Service Board '• Number of inspections per pennit allowed. i:\ Building \Permits\ELC- PennitApp.doc 12/03 440- 4615T(10/02/COM/WEB Electrical Permit Application - City of Tigard „ Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK: Fee for all residential systems combined........ $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* El Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: 'COMMERCIAL WORKONLY... Fee for each commercial system. $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑ Medical ❑ Nurse Calls ❑ Outdoor Landscape Lighting* ❑ Protective Signaling ❑ Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations i:\ Building \Pennits\ELC- PermitApp.doc 04/03