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Permit • 't CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2009 -00035 COMMUNITY DEVELOPMENT DATE ISSUED: 1/26/2009 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S135CA -01402 SITE ADDRESS: 11420 SW GREENBURG RD ZONING: R -12 SUBDIVISION: GREENBURG HEIGHTS LOT : 6 - JURISDICTION: TIG PROJECT: WONG Project Description: Reconnect service and (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/ 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: 1 SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: ' Owner: Contractor: NORMAN & ANN WONG PACIFIC NORTHWEST ELECTRIC INC 2433 NE 11TH PO BOX 310 PORTLAND, OR 97212 OREGON CITY, OR 97045 Phone: Contact #: PRI 503 - 657 - 1188 FAX 503 - 722 -9058 FEES Description Date Amount Reg #: ELE C6 [ELPRMT] ELC Permit 1/26/2009 $113.70 LIC 162893 [TAX] 12% State Surchar 1/26/2009 $13.64 SUP 5089S Total $127.34 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: 1, �Q�� � (A0 Q ,App Q.01 n 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. 01/26/2009 15:15 5037229058 PACIFIC NW ELECTRIC PAGE 01/02 p R ECEIVE r Ei i � rmtt AD licotio - . R C)R (�F "F It ., . . I l!Si ON l..l 1/4 , City o#' x Pe 'igat^+d Iieccived q 13125 SW NaII Rivtl„ Tigard, OR 97223 JAN 2 6 2009 Dab fB ` • ZCa • di ' l'ermnNo,: •. �,_,q ." B ' , Phone: 503.6394171 Fax: 503-598,1960 Other Permit: i i Gr�R:r4 Ingpec 503.639.4175 CITY OFTIGA T 1'72 : . traetnet: rvwwtip/nrd- or.gov • `, TYPF VF rt BUILDNG- BIVISIOPI PI nN >t:EvI>T P k,r,c rat r tn,bnn>,ttnri Q New construction 1E-Addition/alteration/replacement _._. Plenaae check ell met apply (euhmii X seta of plane w/itcme checked below): Q Demolition either: ❑ Service or feeder 400 owe or snarl ❑ Building nver three !donee, whore the m•r iteble fails r ❑'Mnrme and Malynrds, And 2-family , . C 01C? A'CRit0i ',,; CONSTRUCTION .. ..: ':.. exceeds 10000 cope et 150 volt. or Floating buildings. lecti to ground or excccde 14,000 ❑ Commercial-nee ngriculturel LI 1 y elling 0 Commercial /industrial 0 Accessory building '�� bildi g amps For all other imtnllAtions. baildings• 0 Multi-family ❑ Master builder ❑ Other: CI Fire pump insrotintion 01'75 K'/n or JOB it &.'II$FOfilt4Anr$4: 'ATIW# LOCATION .. . D Hm litho s 7 ew rn torpor separately derived system. . © Addhimofnew cnor londof ❑ "/1" "E" W.7. °,"1 -3 Job no.; Job site addre : ' ( J C O f r , iF or K mote. m�er 1 cror>❑ Six or more residential units, 0 Reerentionel vehicle prrtka. City /State/Z j 0 n El 14eelth -crane faeititiee, 1:1 Supply voltage for more than 1 "1 f i - , Q tL+asrtlous krcmions. G00 volts nominal. Suite/bldg. /apt no,: Project name: 0 Sconce or feeder G00 ramp.: or trrore. 11k SCftltl3iJ) Cross street/directions to job site: 1 r1, rah airam .� Nev t residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no,: 1.000 sq, 11. or lose I 145.15 Tax map/parcel no.: Tin. add', 500 sq. R. or portion 33.40 Limited energy, residential bESCRIt TIO . WORK 75,00 . (with nbovc sq. il Limited energy, me = (lenity 75,00 2 r-e C nett on 1 ( V i e,Q t2 10 0 n:aidenlim (with m„,„ sq. n.) Qv-cc-elf IJ J' � . I� Services or feeders 1lndt*rliathm, ?iteration, and /or relocation T �'C. • 200 amps or loss 80.30 2 .. 0 ,1 OWN R . . D. Ti+.ly/►IVT 201 amps to 400 amps III 106.85 2 Name: 401 amps to 600 amps 160.60 2 601 amps to 1.000 , a _ 240.60 Address: Over 1,000 ampa or volts MIIKEMIIIIIIIIIO City /State/ZIP: Temporary services or feeders installation, alteration, and /or teiocatlon Phone: ( ) Fax: ( ) 200 amps or less 66,85 I Owner installation: This installation is being made on property that I own which is not zOt mnpsto 4001unpe 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 Owner signature: Date: Branch drones— new, alteration, or extension, r and s A. Fee for branch circuits with . ' • LJ A .1CC'AIVT ' '.1 : • 0 , CC NTA(1' PERSON drove service or feeder fcc, 6.65 each branch circuit Business name: ? r, M� y „') „� .� g- Fee for branch circuits I t 1 x+11 Lit�� t/ without service or feeder fee, I Contact name: _ C / / 1 l'1 , �1J , C _ first branch circuit 46,85 a Address: Each add') branch circuit 6.65 City/State/ZIP: /State2Il': — Mrscejlmicous service or feeder not included Each manufactured or modular 90.90 MI 2 � r � dwelling, service and/or feeder 3) p Phone: ( ) A -7 — fq--j `1 p Fax: : ( ) Reconnect only II 66.85 0 G, 2 E -mail: Pump or irrigation circle 53.40 CYNTRt�(*i �lif' Sign or outline lighting 53.40 x Business name: PQ e I ill- ' C) (-11.Y-r-- ei �ce rg y panel, ttll er iialteration, alteration, o i, r ill I {� Address: Po Q ) extension. Describe: City/State/7.P: /l O ,sa /_ s nr �'7 0 (, - Each additional • on orer allowable in an • of the above l � 1 1 •� J i' _} Per inspection (12. MIE Phone:( N.�-/ ' 4 Fax: (` 1 3) • 7 Z- -- Mr l tnve4litalion per hour ( lhrmin) 62 50 CCD Lie.: tV,• „ ,7_t • i; v Electrical Lic.: C Suprv. L ie.: fc � Industrial plant per hour � - c s. tr. 4! . • • ; ELECTRICAL ;PERM1` • FEES . ; s: Suprv. Electrician signature, required: ( l . Subtotal: Print name: /1 li 'r VVVV 1)ate: / ^? (� Plan review (25% of permit fee); l Slate srucbarge (12% of permit fee): j 3, 6j C r Authorized signature: t / 1 - tom • V • . TOTAL PERMIT FEE: lnn _ This permit npplleat expires ifs permit 1e rust nirtntned within 180 Print Hint: (' )„ _ Date: /' - Z0,,, 6 -' -• CITY OF TIGARD BUILDING DIVISION PERMIT #: Et 02009.00035 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/ 25/2(10 Phone: (503) 639- 4171 '�����I� � Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/30/2009 TIME: 7:00 =AM PA E: 1 SITE ADDRESS: 1142() SW GREENBURG RD CLASS OF WORK: SUBDIVISION: GRFENL3URG HEIGHTS LOT #: 6.7 TYPE OF USE: PROJECT NAME: WONG DESCRIPTION: Reconnect service and (1) branch circuit OWNER: WONG, NORMAN & ANN PHONE #: CONTRACTOR: PACIFIC NORTHWEST ELECTRIC INC PHONE #: 503-657-1108 Inspection Request Scheduled For: Date: 1/30/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 E_lect.ric:al final 0(30159-01 50:3 -867 -1974 N Corrections /Comments /Instructions: N. SS ❑ PARTIAL APPROVAL ❑ CANCEL • n NO ACCESS n FAIL ❑ CALL FOR INSPECTION. ❑ ADDITIONAL FEES ASSESSED Inspector: _ Date: )• 5 D ` Phone #: (503) 718- .. , , .. . . . . _ CITY OF TIGARD BUILDING DIVISION A PERMIT #: FLC2009- 0003 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: -1/26i2009 Phone: (503) 639-4171 7141Milr1(1111' Inspection Requests (24 Hrs.): (503) 639-4175 ...,,_ -.... INSPECTION WORKSHEET FOR DATE: 1/2W2009 TIME: 7:01AM PAGE: 9 SITE ADDRESS: 11420 SW GREENBURG RD CLASS OF WORK: SUBDIVISION: GREFNBURG HEIGHTS LOT #: 6.7 • TYPE OF USE: PROJECT NAME: WONG DESCRIPTION: Reconnect service and (1) branch circuit. OWNER: WONG, NORMAN & ANN PHONE #: CONTRACTOR: PACIFIC NORTHWEST ELECTRIC INC PHONE #: 503-657.-1108 Inspection Request Scheduled For: Date: 1/290009 Pour Time: Code # Inspection Description Confirm # Contact # Message ,... 115 Electrical s vice 080125-01 503-969-88, . Y Corrections/Comments/ Instructions: 14 41-0-f. i ( 3 0 y CO, I4 "S Vt. p p 0-4 , P19.-__________ 44-4 02-xi i\ c-P,_ 44 e ..4 CZ 3 0 -24DI .ini al( c0 v uLr - 0 El PASS 0 PARTIAL APPROVAL D CANCEL fl NO ACCESS -1 El CALL FOR INSPECTION lEl ADDITIONAL FEES ASSESSED Inspector: .,....4_4,--LIA Date: ( -2 Qr -, Phone #: (503) 718- CITY OF TIGARD , 441 . 1110 BUILDING DIVISION PERMIT #: FIC-2009-00035 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/2612009 Phone: (503) 639-4171 t Inspection Requests (24 Hrs.): (503) 639-4175 ,........... It --... INSPECTION WORKSHEET FOR DATE: 1/29/2009 TIME: 7 PAGE: 8 SITE ADDRESS: 11420 SW GREENCURG RD CLASS OF WORK: SUBDIVISION: GREFNBURG HEIGHTS LOT #: 67 TYPE OF USE: PROJECT NAME: wow; DESCRIPTION: Rec:orinect service and (1) branch circuit. OWNER: WONG, NORMAN & ANN PHONE #: CONTRACTOR: PACIFIC NORTHWEST ELECTRIC INC PHONE #: 503 Inspection Request Scheduled For: Date: 1129/2009 Pour Time: Code # Inspection Description Confirm # Contact # Message • • 199 Electrical final 080127.01 503•969-8839 N Corrections/Comments/Instructions: i/I e- d S c 19 ,ge. El PASS 0 PARTIAL APPROVAL 0 CANCEL H NO ACCESS ajAIL 1 CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: N-, Date: Phone #: (503) 718-