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Permit a .Jr ', : ELECTRICAL PERMIT -CS4r CITY OF TIGARD • IN PERMIT #: ELC2008 00559 COMMUNITY DEVELOPMENT DATE ISSUED: 10/3/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 112C D -07700 SITE ADDRESS: 15900 SW 76TH AVE ZONING: R -7 SUBDIVISION: PP1995 -049 LOT : 002 JURISDICTION: TIG PROJECT: SANDERS Project Description: (6) branch circuits for kitchen and porch addition. 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 HMI SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10): SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: W /SERVICE OR FEEDER: 0 PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 5 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: RODNEY & KANA SANDERS BEAR ELECTRIC 15900 SW 76TH P.O. BOX 389 TIGARD, OR 97224 DONALD, OR 97020 Phone: 503 - 968 -8059 Contact #: PRI 503 - 678 -1355 FAX 503 - 678 -1108 FEES Description Date Amount Reg #: ELE 24 -107C [ELPRMT] ELC Permit 10/3/2008 $80.10 LIC 20919 [TAX] 12% State Surchar 10/3/2008 $9.61 SUP 48$ I S Total $89.71 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. 1 Issued By/ „ Permittee Signature: _ w67/ ro,) C('V arm- 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. 10/02/2008 THU 15:35 FAX 5036781108 Bear Electric, Inc. [2001/002 a n rr�•v t er +n Q � i Electrical Permit Application ° `" ,, 4 " ,N . 1 � � ,0 , pp (fit u i ti41 w1� ,,tx,'„ „ u Y FOR OFFI USE ONLY ,, ,C if 'p ,1, , i J t r� ti 71� + v4. „ ,, aofv,r71Yr44r „ TAivot / ' � 4 S•t, :.: 5:41 rr 4 n, :..- j ,, � � ` - Date/By: LV - [/ Permit No: L-4 -Iir A. ""-ww 1 ,� t C of Tigard ceived ; 1 n 13125 SW Hall Blvd., Tigard. OR 9 ` ¢ �r/ , Plan Review Other Pe /� % k r 1� �/ Phone: 503.639.4171 Fax: 503.598.`1= eol Date /Hy: V U f ob Ti G r ARD` Inspection Line: 503.639.4175 O l• • Date Ready /By: • _Arts: _Arts: id Sce Page 2 for „ .,_„*,,,F -,_ ., Internet: OC \ Internet: www.ttgard Or.gOV , 1 , Notified/Method: TT° Supplemental Information '} f :� >i ,: °''' �( s �T" Y } . �5 { ..' _+''?f t. " ,n r( � {- '�jr�}''a�,v. ''F r.9* e ,e3 - i'e w . t,43, ,. -. s 3 ro� {A. ,, � - t y .* <.-er � . � = , ":4'; : ha i (.'• .tl nom? '3-. e,}•Y rt P'i �1°.g"_•l'i.%M.y.TiM:40�' o u5 .. g, - 1, - "Ff '1 $ 1 . i 4 ` "'. r i ..., �,' .„* r m' , ; _. = ' . ;.1 . I3A1 -' L .. -.._ t , AS,, '..a. -: ate, •: ❑ New construction ® Addition/alteratio M, . + ..- Please check all that apply (submit 2 sets of plans wlitems checked below): El � t ❑ Service or feeder 400 amps or more ❑ Building over three stories. Demolition ❑ Other: �J where the available fault current ❑ Marinas and boatyards. • L 1 - t "" f ' r ' ^ 1 ` r te na x g r 6 ' iy' fi t ` ., r te " ` m exceeds 10,000 amps at 1 50 vo1 u or El Floating buildings. • {. rats rim 1Cs �]s¢1Z�0?FtilCldlvr "'° '''' ' `x ae '''''' ''"`' '' � t� less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ® 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building amps for all other installations. buildings. • Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of75 KVA or Rix, .•� .. =rte -yam l " rr ` ' ' , - ;; :, i "` �•- _ - ❑ Emergency system_ larger separately derived system. t, t Z (�,r a.>_.,..,..- � _,t ... ���-;,;� «- .v.• >� _. £�� r _w - y'�a,.. ❑Addition of new motor load of ❑ "A" •'E "1-2", ' - ", Job no.: Job site address: 15900 SW 76 Ave. • iOOHP or more. occupancy. • ❑ Six or more residential units. ❑ Recreational vehicle parks. City / State/ZIP: Tigard, OR. 97224 ❑ Health - care facilities. ❑ Supply voltage for more than ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: �i c ❑ Service or feeder 600 amps or more F--�,• d ,. J —^.. fr :5;� A.Y�t O . Fz , F_f: G l '�f .�. r iF�? / '�" "a`f - Cross street/directions t0 job site: � n W . Fee, err ,,-.. 3; , a �, f Dmrintion 1 Qty. 1 Fee, 1 Total 1 • New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no -: 1,000 sq. ft. or less 145.15 4 Ea. add'l 500 sq. ft. or portion 33.40 1 Tax map /parcel no „� �, T y �� v Limited energy, residential :t - n kz 6 D ? SC '10T C' ';.v ` ?'j i �} �� ate s {r with above s.. R 75.00 2 ,„. �_. �.i� ..(� m .» � � �ir7- ,�:3��`�•,i - ,x- .: }�'���I'v- fi."v,��< £%u . .r� �s?c�;'- } Kitchen- Nook -entry porch addition. Limited id residential (with above 75.00 2 residential (with a sq. ft.) Services or feeders installation alteration, and/or relocation 200 amps or less 80.30 2 r x .I )yy��+,��y y ra-:y r nn,_ -..sa ��(���� s � f �'2 ^s +-s -*, � � � �S / /9 YJ� Swe l`9t�....._t +. <1,4� �,,.. -4 rP r,_ ks�r,>,c x <: „- J,2 .,, ? a- , 201 amps to 400 amps 106.85 © Name: Rod Sanders . 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: SAME • Over 1,000 amps or volts 454.65 2 • • City /State/ZIP: SAME Temporary services or feeders installation, alteration, and /or relocation Phone: ( ) I Fax: ( ) 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 I00.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: .,;� �� A. Fee for branch circuits with i, `r :n_ 01-r�°r' � ..1 . , � j iii = z it Y L � ff EA` I : s : above service or feeder fee, each branch circuit 6.65 2 Business name: B. Fee for branch circuits • without service or feeder fee, 1 46.85 Contact name: 46.85 2 first branch circuit Address: Each add'I branch circuit 5 - 6.65 33.25 2 Miscellaneous (service or feeder not included) City/State/ZIP: Each manufactured or modular dwelling, service and/or feeder 90.90 2 Phone: ( ) I Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 � f.•.:'. ' "'- r?,tzuc " %�::b °4x'rY: ,�... <�..,r�'24i c?t "'�,^ � Sign or outline lighting 53.40 — IMI 'i r ' a 'v�,,. �. Fp s d cc; t;fR" '*'- b ,; . r r r" a . �ic..�.:-. wsYC�..3_ i - - .. <a 15,:.�C. Min. a.�ft.?�:� - -.�', ,43� _��h�.0 .t;�. _,fir.. _1�`��s..r ->.r- ia. Business name: Bear Electric, Inc. Signal circuit(s) or limited - energy panel, alteration, or Address: P.O. Box 389 extension. Describe: Page 2 2 City /State/ZIP: Donald, OR. 97020 Each additional inspection over allowable in any of the above Phone: (503) 678 -1355 I Fax: (503) 678 -1108 Per s t igec igatio on 62.50 Investon per hour (I hr min) 62.50 CCB Lic.: 20919 I Electrical Lic.: 24 -107C ; pry. Lie.: 4881S y Indu�sstriial plant per hourr 73.75( a '(,,.�sy - �: '}. fl k '�} , , LV ��yr1 ✓A ^'L 5I' C !41- Suprv. Electrician signature, required: ` k.;�E'2 Subtotal: 80.10 1 Plan review (25% of permit fee): Print name: Stephen Shepherd Date: 10 - - State surcharge (12% of permit fee): ,P6' 9. I,, Authorized signature: TOTAL PERMIT FEE: 89.72 i eM1 , Print name: Date: This p ermit application expires if a permit is not obtained within 180 days after it has been accepted as complete. Number of inspections allowed per permit. I: Mudding tPc 'mits\ELC- Permithpp.doe 05123/06 440 -4615T(I UO3fCOMMEB CITY OF TIGARD A BUILDING DIVISION PERMIT #: ELc2008,00669 13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 1013/2008 Phone: (503) 639-4171 kopo „I\ Inspection Requests (24 Hrs.): (503) 639-4175 Eg fixi■ -.LI! INSPECTION WORKSHEET FOR DATE: 11/2512008 TIME: 7 PAGE: SITE ADDRESS: 15900 SW 76TH AVE CLASS OF WORK: SUBDIVISION: ppi995_049 LOT #: 002 TYPE OF USE: PROJECT NAME: SANDERS DESCRIPTION: (6) branch circuits for kitchen and porch addition. OWNER: SANDERS, RODNEY & KANA PHONE #: 503 CONTRACTOR: WAR ELECTRIC PHONE #: 503-678-1355 Inspection Request Scheduled For: Date: 11/25/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message it); co ' 199 Electrical final 078498-01 503-793-8576 Y ..„------- D - - Corrections/Comments/Inst uctions: ' a ''' ---- i '-. z/22-- :., 1 ' 41 - 0 - '23o. 1Z 11 / 1 1 / /1)11 i ( -4 A.). c _ e ,4■4 g _____ 4-tt t r. PASS a DARTIAL APPROVAL 0 CANCEL n NO ACCESS / FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: Date: it /0,570e, Phone #: (503) 718-Z-C 4/-Y -.... ,....., _ , . . CITY OF TIGARD t , A i BUILDING DIVISION PERMIT #: ELC2008-00659 13125 SW Hall Blvd., Tigard, OR 97223 • . DATE ISSUED: 10/3/2008 Phone: (503) 639-4171 i Mi\ Inspection Requests (24 Hrs.): (503) 639-4175 .-4- ''' I INSPECTION WORKSHEET FOR DATE: 11/21/2008 TIME: 7 PAGE: 14 SITE ADDRESS: 15900 SW 76TH AVE CLASS OF WORK: SUBDIVISION: pp1996.049 LOT #: 002 TYPE OF USE: PROJECT NAME: SANDERS DESCRIPTION: (6) branch circuits for kitchen and porch addition. OWNER: SANDERS, RODNEY & KANA PHONE #: 50396&8059 CONTRACTOR: BEAR ELECTRIC PHONE #: 503-678-1365 Inspection Request Scheduled For: Date: 11/21/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 078382 603-678-1355 y ../ Corrections/Comments/Instructions: fV 0-- C9—w 9---t 4-e„ 0 PASS n PARTIAL APPROVAL CANCEL 11] NO ACCESS j*IL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED ....4 Inspector: Date: II — 21 4 Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION ' PERMIT #: C:l_C f}Cl8 Otl669 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1013/2008 Phone: (503) 639 -4171 ui l I � j Inspection Requests (24 Hrs.): (503) 639 -4175 " :_.. INSPECTION WORKSHEET FOR DATE: 11/19/2008 TIME: 7:82AM PAGE: 12 SITE ADDRESS: 15900 SW 76TH AVE CLASS OF WORK: SUBDIVISION: PP1995 LOT #: 002 TYPE OF USE: PROJECT NAME: SANDERS DESCRIPTION: (6) branch circuits tor kitchen and porch addition. OWNER: SANDERS, RODNEY & KANA PHONE #: 503 -968 -8059 CONTRACTOR: BEAR ELECTRIC PHONE #: 503- 678 -1365 Inspection Request Scheduled For: Date: 11/19/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message p 199 Electrical final 078254 -01 503.678.1355 Corrections /Comments /Instructions: e2144e4 iti NWT ;/, AI v p (i) • /1 PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL tKI CALL F R INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: rI t . � i Phone #: (503) 718- 4 4 0 CITY OF TIGARD BUILDING DIVISION ,• .• PERMIT #: EL.C2008-00,559 13125 SW Hall Blvd., Tigard, OR 97223 A-... .., • DATE ISSUED: 10/3/2003 Phone: (503) 639-4171 7:11 t Inspection Requests (24 Hrs.): (503) 639-4175 ..—.3.11• ---.. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 10/14/2008 7:00Ahil 20 SITE ADDRESS: CLASS OF WORK: 15900 SW 751 AVE SUBDIVISION: LOT #: TYPE OF USE: PP1995 002 PROJECT NAME: SANDERS DESCRIPTION: (6) branch circuits for kitchen and porch addition. OWNER: PHONE #: SANDERS, RODNEY & KANA 503-968 CONTRACTOR: PHONE #: BEAR ELECTRIC 503-678-1355 Inspection Request Scheduled For: Date: 10/14/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough-in 076663-01 503-313-7458 N Corrections/Comments/Instructions: ,..... — 6 .. e_49.4--P • S IN •ARTIAL APPROVAL El CANCEL fl NO ACCESS 7 FAIL CALL FOR INSPECTION Ilf ADDITIONAL FEES ASSESSED / ,..., Inspector: Date: f / Phone #: (503) 718- '.-., Nis. CITY OF TIGARD BUILDING DIVISION ,, . PERMIT #: ELC2008•00559 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/3/2008 Phone: (503) 639-4171 144, A Inspection Requests (24 Hrs.): (503) 639-4175 A. - AL INSPECTION WORKSHEET FOR DATE: TIME: PAGE: 10/10/2008 TIME: 28 SITE ADDRESS: CLASS OF WORK: 15900 SW 76111 AVE SUBDIVISION: PP19 LOT #: TYPE OF USE: 002 PROJECT NAME: SANDERS DESCRIPTION: (6) branch circuits for kitchen and porch addition. OWNER: PHONE #: SANDERS, RODNEY & KANA 6m-968-8069 CONTRACTOR: BEAR ELECTRIC PHONE # 503,678,1356 Inspection Request Scheduled For: Date: Pour Time: 1011012008 Code # Inspection Description Confirm # Contact # Message At a 120 Electrical rough-in 076546-01 603-678-1355 Y 4 114 r . , vIl'c' Corrections/Comments/Instructions: 4 ,, l Ll 4 ' , . . /5. 1 ‘0 ) 04;(3 d ka;&4/21, (oofk66// dAA/ : r n e-- 11 ) rabrg v h.,,.,.,. • , ,, re /Amid"- Li t pi Q ,91411/0 0, ke,,e44,04/7 ,. OK-1-7) c ,r c 1 0, it , 6 ,6 — wp 6 14A 1 PASS Fl PARTIAL APPROVAL fl CANCEL [ ---- 1 NO ACCESS fl FAIL 0 !ALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: II I Datet O Phone #: (503) 718-