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Permit OF TIGARD ELECTRICAL PERMIT • . CITY PERMIT #: ELC2008 - 00561 COMMUNITY DEVELOPMENT DATE ISSUED: 10/3/2008 TIG.ARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 • PARCEL: 1S135BC -00201 SITE ADDRESS: 10765 SW GREENBURG RD ZONING: C - SUBDIVISION: LOT : JURISDICTION: TIG PROJECT: 7 - Project Description: Job No 14147 Install sub - panel 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: SIGNAUPANEL: MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 1 W /SERVICE OR FEEDER: 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: BELANICH, ROGER M BECK ELECTRIC INC BY SOUTHLAND CORP 15600 SE FOR MOR CT #B PO BOX 711 CLACKAMAS, OR 97015 DALLAS, TX 75221 Phone: Contact #: PRI 503 - 656 -7396 FAX 503 - 656 -4397 FEES Description Date Amount Reg #: ELE 3 -5C IELPRMT] ELC Permit 10/3/2008 $80.30 LIC 2629 [TAX] 12% State Surchar 10/3/2008 $9.63 SUP 5024S Total $89.93 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. � 5 Issued By: Permittee Signature: / A P � 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. Oct 03 08 09:25a p,2 I- '• , l3 Yfl I0N4., , oitiOF ittiisE�OI tvA1 t kigl �k" ii t t �trical Permit Application i f , t . a NA1, 3 t�r,rPAW, Nada �YNSrr ,t4 ?du'M- 6XSe uvel a.,.r, 1114{ �w ,a, ,.(.a,- v!'eka,�.1,ld.jkW.e. ttirti Received Permit No. �, r City of Tigard ('. (Melly: EL ti l r , , C 2008 -605 4 0 r 13125 SW Hall Blvd., Tigarr , Air 3 ,' s ". �'` r ?Ian Re■ie.o a E .4 s#. ' e 1 '' . 960 O� `e � Date;BV: Oilier Pennit: '�i�" f ) �l Inspection 50 3.630.4171 Fax: 5 f ^ \ T v 11 d El See Page 2 fnr Date Ready /By: RIM, ke i .•01 D f ^ l Insection Line 503.6941 7 \ ' ' •, eii ,ird t tethod: 1 1r..uc. TCrr�� Internet: wx4'x \' i1 and o r eov �- Supplemental Gnformatimt • TYPE OF %.'_ ti � , _t ' ent ( � a ® ®\ :, PLAN REVIEW • ❑ New construction NI Addition.altc' 1 , ``�� Please check nll plans rat apply (submit 2 sets of plans w;neins cheesed below). �' ❑ Service or feeder 401) :imps of more ❑ Budding aver trice <uones. El Deni011 ❑ Other: At) where the available fault current ❑ Mai in.re and booatyards CATEGORY OF CONSTRUCTION cxcecda 10.000 amps a: 150 volts or ❑ Floaring buildings, __-- ... -._ .. ...:.. - less to trouud. or exceeds 14.050 ❑ Commercial -use agricultural U 1- and 2- ialnil)• dwelling In Commercial /industrial ❑ Accessory building amps for all other iiutalla ;inns. buildings. ❑ Multi - family ❑ Master builder ❑ Other: ❑ Fie pump. 0Installation of '5 t,V:\ or r - - - - - ❑ Emergency system_ larger separately delived syslcm. .JOB SITE INFORNIATION ANEv LOCATION • •• 'A' ..`.. - , 5• ❑ : \ddil nP new n;otor load of 1001-10 or more. occupancy. Job no.: i u ( — t ddress: G� 1 1 f Job site a ��� �S 5vV e�iLl u ✓�' ❑ six or more residential units. ❑ Reeleational ■rhicle parks. City/State/ZIP: , 1 C1 GtG1 0 0- 117:3 ❑ Health-cal e facilities. ❑ Supply voltage !U 1111.1 c thin J ❑ Hazlydous lucattons. 600 volts nominal, Suite.bidg..apt. no.: I Project name: -] -1 - l f e— ❑ Service or feeder 650 amps or more. 1 FEE..SCLIED1 LE Cross street directions to job site: oeeeeripiiao 1 01.. l Fee. 1 Mt.] I " New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: J Lot no.: 1,000 sq. ft. or less 145.15 4 - -- Ea. add') 500 sq. ft. or portion 1 33.40 1 Tax map /parcel no.: 1 - -. Limited energy, residential 1 75 00 DESCRIPTION OF WORK (with above sq. ft.) 1 Limited energy, multi - family i 75.00 _ - vtS-\ - ciJ). SL,V - 1 0 tip,, residential (with above sq (1.) 1 Services nr feeders installation, alteration, and,or relocation 200 amps or less 1 80.31 I 2 CI PROPERTY OWNER ... ❑ TENANT 201 amps to 400 amps I 106.85 I 2 Name: 40 i amps to 600 amps 160.60 2 -- I 601 amps to 1,000 amps 240 60 I 2 Address: Over 1.000 amps or volts 454.65 2 City/State/ZIP, Temporary services or feeders installation, alteration. and or relocation Phone: ( ) 1 hax: ( ) 1 200 amps or less 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 intended for sale. lease. rent, or exchange, according to ORS 447. 449. 670. and 701. 401 amps to 599 amps 133.75 I 2 Branch circuits - new, alteration, or extension, er panel Owner signature. Dale: I A. Fee for branch circuits loth ❑ APPLICANT '❑'CONTACT PERSON I I above service or feeder fee, i 6.65 each branch circuit - Business name: B. Fee for branch circuits without service or feeder fee, 46.85 Contact name: first branch circuit - Address: Each add'I branch circuit 6.65 2 Miscellaneous (service or feeder not included) — City/State/ZIP: Each manufactured or modular i 90.90 � dwelling, service and /or feeder Phone: ( ) Fax: : ( ) Reconnect only j 66.85 I 2 E -mail: Pump or irrigation circle 53.40 I '_ . . CONTRACTOR . ........ Sign or outline lighting 53.411 I Business name: L1..G tl.-: �. .,L energy Signal rcuit(s1 panel, alteration, or Address: ` 5 t o 1 ✓ p_ oYI U\2 G T- & extension. Describe: Page 2 Cit)' /Stale /ZIP: C. a . c,1.. et U �'� 1 C d Each additional inspection ove allowable in any of the above -- — - _ ? =7 G - l S r I _ Per inspection 62,50 Phone: ( � ) 7 J 1.61_49_ � _ I Fox: (.�U� 1O c_L ;C) 7 I Investigation per hour (1 In min) 6250 I C Lic.: , 2 _ i Electrical Lic.: 3 -5 (. Suprv. Lic.: - , f -S Industrial plant per hour I 73.75 , I ELECTRICAL .YER6'il "f FEES Suprv. Electrician signature, required: Subtotal: 20- • - Plan review (25% of permit fee): Prm1 name: Gy \�ri - e.s �Ctiv\ t • t t > Date: r I ) v State surcharge (12% of permit fee): �, (G 3 i Authorized signature: CI t Q1 TOTAL PCRMI'f PLC: �C c1 ` This permit application expires if a permit is not obtained ..ithin 180 Print [lame /`' --- l .��c,„. 5 � c , I � 0. t ,S.V.e 4 Date: `.b { 1 V� days after it has been accepted as complete. r 1 or_.._ Lumber n ° inspections allowed per permit 1 r .naddlnp'd'erniit a 1E1.C- Fermi ;A pp doe 55 ^itu6 440.45157(1 II05,COMP.vp,t3 CITY OF TIGARD j ABUILDING DIVISION PERMIT #: ELC2O(J8- 006$1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/3/2o0o Phone: (503) 639 - 4171 ,, r l illt Inspection Requests (24 Hrs.): (503) 639 -4175 li— INSPECTION WORKSHEET FOR DATE: 10120/2008 TIME: 7:00AM PAGE: 28 SITE ADDRESS: 10765 SW GREENBURG RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: 7-11 DESCRIPTION: Job No 14147 Install sub -panel OWNER: far; LANICH, ROGER M, PHONE #: CONTRACTOR: BECK ELECTRIC INC PHONE #: 504,656 -7396 Inspection Request Scheduled For: Date 10/20/2008 Pour Time: Code # Inspection Description Confi ft # Contact # Message s \ * 76892 -01 603 - 666.7396 N l i.� Electrical service Corrections /Comments/ Instructions: tcz�4- W0 . d Qa-la. oNsL Bl,00 'ti pwa. sc w N `P 6 Fes- roEL. Cs� � it pi . 0,3 1 Parz,A)‹: 6‘obrii00AL, 'NLyIkl F-%.* ‘'' 4It z, EX" E051©0 Cf - Two BIZAWA _CLC.0 rs. ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G • 1• ()6 Le Date: 1 01 2 t u Phone #: (503) 718- Z+ CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC20f]B -00661 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/3/200(? Phone: (503) 639 -4171 " '' 1 ,'felt Inspection Requests (24 Hrs.): (503) 639 -4175 ,':� INSPECTION WORKSHEET FOR DATE: 10/20/2008 TIME: 7:OOAM PAGE: ?7 SITE ADDRESS: 10765 SW GREENBURG RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: 7 - DESCRIPTION: lob No 14147 Install sub OWNER: E3ELANICH, ROGER M, PHONE #: CONTRACTOR: BECK ELECTRIC INC PHONE #: 503.656.7396 Inspection Request Scheduled For: Date: /070/2000 Pour Time: Code # Inspection Description firm -# Contact # Message 199 Electrical final 076892 -02 503 - 666.7396 N l Corrections /Comments/ Instructions: ' 5:r vitals ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 7 , \ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: a 0 8:3•1.--., Date: 101 VIM Phone #: (503) 718- Mgt