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Permit VW ®F TIGARD ELECTRICAL PERMIT 11 �� PERMIT #: EC PERMIT : , ..„ C�.IVIMUNITY DEVELOPMENT DATE ISSUED: 12!4/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S103CA 00213 SITE ADDRESS: 13170 SW HOWARD DR ZONING: R -4.5 SUBDIVISION: WOODCREST NO.2 LOT : 023 JURISDICTION: TIG PROJECT: WILLIS Project Description: (2) branch circuits for cans & circuits in basement. 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: RICK WILLIS A & J ELECTRIC 13170 SW HOWARD DR PO BOX 330 TIGARD, OR 97223 FOREST GROVE, OR 97116 Phone: 503 - 579 -0831 Contact #: PRI 503 - 359 -5891 FAX 503 - 359 -1981 FEES Description Date Amount Reg #: ELE 34 -1C IELPRMT] ELC Permit 12/4/2007 $53.50 LIP 959 [TAX] 8% State Surcharge 12/4/2007 $4.28 SUP 4534S Total $57.78 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Munidpal 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 nra than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rule re set fo , in OA: ' 2- 001 -0010 through OAR 952 -001 -0100. You may obtain copies of . -se rules or direct questions to OUNC at 503.246. 99 or 1.800.3 44 Issued B 0 IG�y� �'Z��' L� Permittee Signa. re: �I VP i // �r -�, �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: TRACTOR INSTAL • TION ONLY 7 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. .•.' 12/04/2007 13:24 5033591981 A &J ELECTRIC PAGE 01 Electrical Permit A o s li tv ED I''OR OFFICE USE O I.V City of Tigard - Re ceived i Permit No,; 0 g! 13125 SW Hall Blvd., Tigard, OR 97223n EC 0 4 i o % Dote/i3 ,2 ��� , �� L' �" I ( '0 4 jff i Plan Review Phone: 503.639,4171 Fax 50 Other Per ' .3.598 19 tir � t;ii l.. Date/33 Line: 503.639.4175 9a� f i ®� ��(� ^•I �� Date ReadylBy: Ka Sc e Page 2 for 'Internet: www.cr tigard.or us I Notitied,Method Supplemental Information 1 ®f�s0® ... ..._. , . , ,. ,.r.... _ i ' C :. . an e t. t ,� ., . �. ,- �, .,:. sv � � ca :..r i '? (,, Ynr r ,.., ; r It ri' 3ar , . 4 ilri,W i�E 1 7 r .a- li t �I� , ti t . ! , I., { t �- ,al, i U' ' f , 1r 4 ; zJ }.'t }pit rl ... r I i r.1 S 1, ii' { l 1 - ! v 4 'ifu.`.::``1'. Al .1 '11* ,� i • r k : y � , t�. t , ��t ii J g.,Ltq}# }} - {r��. f i ip� r r 1 I{ ;0 ' 4i. i1 F . iI' '��[[ . ' '' l';-11.14 �P ' irf}r ;, . F " ' a . m., , A r.!!. ,. b4i+ 4��htR� , {'l�ititai(t �l�' 1�+ .,. , t !l Yid{ r+'iiltll's1e'll� `r � , t ., `1 ' %6� .,� i r. . ` , . � Ilatial'u:. •�- u . -,r• ❑ New con S truct i nn Addition /alteration /replacement Please check all that apply: El Delttolltion ❑ Service over 225 amps, comm'l :Hazardous location ❑ Other. ['Service over 320 amps - rating ❑ Buildng over 10,000 sq. it., r i , 1 � ° • fr /�ik a s i k <: i ,U" 1 � 7 i 79 t i t tlut6?St77 > , r it i d{ +i" I t '' l . I 3 - ' ;;`n .i>3riu?iiVii yli,ilioi't .twirl" . ' } e ld,lit �,1 -ui.,, ] s.4 Jist .,, ` 81�A o f 1 - and 2- family dwellings 4 or mote new residential • ' 1- and 2- family dwclling ❑ Commercial /industrial ❑ Accessory building ['System over 600 volts nominal Unity in one structure :Building over three stories ❑Feeders, 400 amps or more ©Multi-family ❑Masker builder 0 Other DOccupant load over 99 persons ['Manufactured structures or lull+ +v iii Icl a.,?s rl F4ii !'i.1 I t1�Rt � 7,1 tlta,iyrI Pi'i' }�.�ett, F �I 6' r'� NIq; Ck r, r. il, -" t RV f' t, r .._. . .�t ■ , .bl M IITIAiiiritu la, ifIk of s I ei , �1Lti1 ii '' ❑-ls' 'sJliglning plan I2 park ' r ,r h fi t'' W rt�7rl?!!rwil?�i.x�, i�?ff�r.11! �^ _h�. -`1 :�`t;iklt�l!t r ?. t ❑Health -care facility ❑Other: _ Job no.: Job site address: \ �� \ '1. - N w �` N submit 2 sets of plans with any of the above. City /State /ZIP: •• N t4. ,` % �. A ., The above are not applicable to temporary construction service. tt \, F ' �6� �i :..l�`•'F�rehri;l,t Suite/bld /apt. no.: Project name: lGu #Ir lti fit E{ eM?irrriw �a+n , r et tag ; Il i� i} D!srription Qty. Fes l Total "' 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.: 15a- edd'1500 sq. ft. or portion 33.40 1 Tax and / Limited energy, residential 75.00 2 p parcel no l..imited energy, non - residential 75.00 2 t:.r4i&.'o f: 6 ' ldi , t r 'ti r.., t ew a «�uw> t r �r4 ,�x r"' t$ M It " ti' ` — iiilii,isu l� ° ;∎tal l i - : pp'' i iii ai,'{i ��f) fKF� r l r C „„i Y �� Irilir� � 1N1 If�i� ; �:�tmr'� tal{gttiilfy�ty!ill'lR��,VF!T� �d,�� ifli t��i.'�fi,�at = �. „ t�, }i�,l �tri�.,c r , Each maoutactured or modular a C`�a �� a ``" 4 1,2"‹. Services service and/or feeder 90.90 2 Services or feeders Installation, alteration, and /or relocation f cif 200 amps or less 80.30 2 k : 1 11 1 N,, t e: , i` , i il'� r ii 1t 1 t,. i ix i i %iinfri lgkiA 111 # '; N t{" r�IEr ,. W c rn 11 201 amps toa00amps 106,85 z 401 amps • to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Over 1,000 amps or volts 454.65 2 • - 1t�...� Reconnect only I 66.85 2 City /State /ZiP: I n . - L - C . . . . C : : 5 4 - - - , + Temporary services or feeders Installation, alteration, and /or Phone: (t ~ .Fax: ( ) 20 ��' � � . 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 600 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel " n iii" y � i I it i i ' iii' l r ei r''B with • , • p er i ii� H I ii ir i 't {ill .,`vim i e.Im ti r l i,c,a Ilir:�, l a ,, i kli ,, A. Fee for branch circuits wi service or feeder fee, each 6.65 2 Business name: branch circuit Contact name: B. Fee for branch circuits without service or feeder fee, Address: each branch circuit 46.85 �� 2 Each add'I branch circuit '\ 6.65 2 City /Stale /ZiP: Miscellaneous (service or feeder not included) Phone: - Pump or irrigation circle 53,40 2 ( ) Fax:: ( ) Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - ret, rl �$1. ii i i.'i' I�:u ,wiii il trr t :: , r4 •., 4 GA f r' a74; 1tr' , , ` V. 0 $ c rr k energy panel, alteration, Or , � ., „ r f v irmin iinlet•Irhi i"rik 0 FA _? � N t' -. extension. Describe: Page 2 2 Business name: A & J Electric, inc Addre55: PO Box 330 Each additional inspection over allowable in any of the above Per inspection 62.50 - City /State /71P: Forest Grove, OR 97116 Investigation per hour (1 hr min) 62.50 Phone: (503) 359 -5891 Fax: (503) 359 -1981 industrial plant per hour 7'3.75 . 03,1511 B i ii ' 'utx, `gal'. lkl{rl ;4'4;` n { dill t>r..a! rr l'i 41.i t'.,0.'9 CCB Lie.: 959 Electrical Lie.; 34 -IC Suprv. i.,ie.: 5055S Subtotal 7 77, Suprv. Electrician signature, required: - Plan review (25% of permit fee) State surcharge (8% of permit fee) 1/..24 Print name: C3 ' .. L JA111111 Date: `i ,6—\\ TOTAL PERMIT FEE ' C,_ --,....'"7..S. 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: 1 Fee methodology set by Tu- County Building Industry Service noerd • Number of inspections per permit allowed. ■.Mull dime \rnrmiu\vLc- PerinitApp toe 12103 440 -0017 ro0/02 /Co iwse CITY OF TIGARD BUILDING DIVISION PERMIT #: R007 ttiI }0 �'; 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 17J4/2007 ' Phone: (503) 639 -4171 :VIP' Inspection Requests (24 Hrs.): (503) 639 -4175 .�' ° __J -. INSPECTION WORKSHEET FOR DATE: 12J10n008 TIME: 7:01AM PAGE: 26 SITE ADDRESS: 13170 SW HOWARD DR CLASS OF WORK: SUBDIVISION: WO ODCREST NO .2 LOT #: 023 TYPE OF USE: PROJECT NAME: W1LLlS DESCRIPTION: (2) branch circuits for cans. & ciicults in bacernentt. OWNER: WILLIS, RICK PHONE #: 503_679_0831 CONTRACTOR: A & J ELECTRIC PHONE #: 503-359.5891 Inspection Request Scheduled For: Date: 12/10/2000 Pour Time: Code # Inspection Description Confirm # Contact # Message 1199 Electrical final 078932 -01 503.359 --5891 N Corrections /Comments /Instructions: 1 A PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS _ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: & 4 NI 0 tr LIg Date: 1 2-10'1 Phone #: (503) 14t)_____ CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007•00817 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/4/200/ Phone: (503) 639 -4171 Vit Inspection Requests (24 Hrs.): (503) 639 -4175 -.. INSPECTION WORKSHEET FOR DATE: 17J5/2007 TIME: 7 :01AM PAGE: 28 SITE ADDRESS: 13170 SW HOWARD DR CLASS OF WORK: SUBDIVISION: WOODCRES f NO.2 LOT #: 023 TYPE OF USE: PROJECT NAME: Ail LIS DESCRIPTION: (2) branch circuits for cans & circuits in basement. OWNER: WILLIS, RICK PHONE #: 503- 579-0831 CONTRACTOR: A & J ELECTRIC PHONE #: 503-359-5891 Inspection Request Scheduled For: Date: 12/5/2007 Pour Time: Code # Inspection Description Confirm - # Contact # Message 120 Electrical rough -in (060644.01 ' 503 - 350 -5891 \ V Corrections /Comments /Instructions: ---- - -/ 1 -2 -1Ap s*, ?eoz1 '• 6 Pout V i r?aa -r,til i diRet.. - .0 ? L, i oaJ +s 10 i (4a 4 U ❑ PASS %PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS _ FAIL ❑ CALL FOR INSPECTION U ADDITIONAL FEES ASSESSED Inspector: G ---, 1`c Ni L-V- Date: 1 g (0'? . Phone #: (503) 718- ' JILIb