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Permit • V IN CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2007 -00253 • COMMUNITY DEVELOPMENT DATE ISSUED: 4/19/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112BD - 01300 SITE ADDRESS: 14790 SW 79TH AVE ZONING: R - SUBDIVISION: BRITTANY MEADOWS LOT : 055 JURISDICTION: TIG PROJECT: COLTON /FETTIG Project Description: Service 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: 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: • HAWLEY, WILLIAM W AND GARNER ELECTRIC WEND! C 2920 SW 247TH AVE #A 14790 SW 79TH AVE HILLSBORO, OR 97123 TIGARD, OR 97223 Phone: Contact #: PRI 503 - 648 - 4552 FAX 503 - 642 -7925 FEES Description Date Amount Reg #: ELE 34 -305C [ELPRMT] ELC Permit 4/19/2007 $80.30 LIC 121 159 [TAX] 8% State Surcharge 4/19/2007 $6.42 SUP 3707S Total $86.72 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 6/4/a4.1" LA, 7� ^' Permittee Signature: �j/ , riaril - iml 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. FRAM faR NER ELECTRIC FAX NO :5036427925 Apr. 19 2007 1O:15AM P1 * h'•C)R . )►.1/ EC'E'if;sE ONLY Electrical Permit ' • E® / / 2 • Re coived Fer mitNo, :ELl��T 00253 • City �f Tigard _ Date /k3y: _. r 4 ` plan R UthcrPermit:' 131.25 SW •Hall Blvd., Tigard, OR 97 1 p 1 , r�� •,y. � � Cr , b ,� Pltatl; 503639,41 O3, Fax: 503.598. •60' o t l � il' _ i' D ate /Iiy . lµri:: sea Page 2 for ` Da Read yBy: • Int t Line: SD3,639.4175 CITY ®, ' T- "•• ' Natifie ethod: Supplemental Information Intcmist: wv ci.Rgard.or.us V 1 a I mo , ill , , , , il i 1 i , 1 i P .r 1 p V „ , ;;Al: l I A li /r' �t r S 1 i l 1 B „li e > • 'e B f Sri u� i� p i 0 qq ' .44'i pp ' i' 19' � i $ . l 'i;� {16 J ,, , ,,u - it . g � .. ,n r M ... . S' i' I I , •�Rr���'�ra.� LI � If �� �' �M 1�Ai i 'h' f . ,�, '}�,,, . : : � 1 ; !:� ++ ��h� "I;y ' � � �� � please check all that apply' ❑ New constriction .dditionlalteratiot]/t eplacement OScrvice over 225 amps, coining [] Hazardous location Q Demoiition • W. Other: - e- A S vi ( © Service over 320 arnps - rating [JBuildng over 10,000 sq, ft., g g {W l y[,,`�' i j','i� AIT e�4 rOW y � � a ' .,u IP '�� Su' ,.itP, 1>�a H L I �$ lbl q.'°,i't 'r tt of I- and 2- family dwellings 4 or more new residential i salt � + "1 ' r' �� . ` '1 and 2—family dwelling [] CCommercial/industrial DSystom over 600 volts nominal • units in one structure ..Accessory building ]Building over three stories ❑Feeders, 400 amps or more 0 Multi - family ❑ Master builder ❑ Otb.er: • ❑Occupant load over 99 persons QManufactured structures or ar . ,, o .n p rt, . , , .i lr t n III, I , r' 9 ,+ i r . 1 �tv RV park t w : '. I,.,' ; 1 u 3. .l c' J ri lt.' tat r,s ,ka r fi t , t3 . I r L 1pi a ❑ • Egress /lighting plan l I IMPRE > , Y!1. i P�n,M�r I � 1 , . ; ' 11 • [�Hcalth care facility dOther: • Job no.: Job site address: 1 k..4 _ 0 ' W 7 9 Submit .. sets of plans with any of the above, . The above arc not applicable to temporary construction service. City/State/ZIP: d5tate /G1P: i I Zi v ( rt r ,,,.,u m ;,,• , , . � . . . . n y { �� j a 7y � t ;; , I, ..r 31Lt d ,I y�, AP ::r7..` A t w,,,, "��•.:' �'.�:� . Suite bldg. /apt. no.; Project name: outetpn.n Fee. •Tatul •• Cross street/directions to job site: • New residential single -or multifamily dwelling unit. Includ_ es attached garage. f� �1 / j12_, / 1,D00 sq. ft. or less 1.45.15 4 / « te ` 1Sa. add'I 500 sq. #1. or portion 33.40 1 Subdivision: / A .� Lot no.: • . L imited energy, residential 75.00 2 Tax map/parcel. ® Limited energy, non - residential 75.00 2 Farr TV"( e "',�P� Iri} t f r t + 4 ,F will 1 ` 6' 1Y "y� Y ,r ' i i at e" W` i rl ,. e' • S fi Each manufactured or modular i,'l a � ' n./ �,. J g dwellin service and /or feeder 90.90 2 >� "t/1 C�Q� Services or feeders installation, alteration, and/or relocation • 200 amps or 1c9a 60.30 2 r, ' , + y,, 1, 201 amps to 400 amps 106,65 2 I .r F 1 , f 1M t `� 3 i sTicat>4�i i 1 n 1 ,:a a Ir k .k ii 4 - li� l �'il • � t 0 . ..: , i'Hlr' � tz s y i' ,1er y 1. t P P 160,fi0 2 w , r - � 40l am s Co 600 am s .., Nome: � (, / r---,_44-,c6,--- u 601 amps to 1,000 amps 240.60 2 '' Over - 1,000 amps or volts 454.65 2 Address: { : ...� .. Reconnect only 66,85 2 � •�� City /State /ZIP: b L q, r ' (! (,l� '� '1 t';�,;�'C't' Temporary services or feeders installation, niteYatinn, and/or (1,- relocation Phone: ( ) ( U Fax: ( ) (•::)) 1 / ,(., ■ 5� '� �,i - 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 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133 _ l 2 ��: ,���1g signature: - Date . , Branch circuits - new, alteration, or extension, per panel 5 i �,i, i i r`a ' Et l !ta. fli+� ERM ° ti u�, i i ' i IC a 1 °�K I' � I , , ' `, A. service f u or feeder each • 4n' ai + ` � " I '` h • 6,65 2 Business name: branch circuit _ - 11. Fee for branch circuits • Contact name: _ without service or feeder fee, 46 -85 2 . each branch circuit Address: Each add'l branch circuit 6.65 2 City /State(ZIP: Miscellaneous (service or feeder not included) v T Pump or irrigation circle 53.40 2 • Phone:.( ) Fax: ' ( ) Sign or outline lighting - 53.40 - 2 E-mail: . -mail: Signal circuit(s) 'or limited - t i . qi ,,- t m 3 '£ "i','yTii1, dJ a ° a i ni !., {• e. 1 .q „ enor anel or �u gyp, alteration, ,. t i'( a ii F .. $ 0. k 4tn �i}, h' 1' .T41. r i;! .2 F , $ y' <I,o lea:. r.� P c 2 �.r� ? �t t extension. g Business name: t f\ N I � �(��_. TT- Each additional Inspection over allowable in any of the above Address: . G( .2 . ° ,.S (, ^ ) , . ` ”( '1 ` Ave. - -l- Per inspection 62.50 i ■ 7 ::::1?) Investigation per hour (I hr min) 62.50 _ City/State/ZIP; (� j t t _ Ire 0 ,-.0 �� � 1 ' e /- e i ! Fa (,,l -74:12., � .., Industrial plant 73.75 Y 19 "', � itssi:', i �r ti4: I. Phone: (�(J.) - ?S y �— n,�t aS. �!. y _ CCB Lic.: I . t 1 7 :1 _ Electrical L.ic. ; r r s S .. () . ;ic. : ---' . Subtotal env l Plan review (25 °/„ of permit fee) 5uprv. Electrician signature, required: J - State surcharge (8% of permit fee) , , c( Z Print name: r 5 - 1" 7 l - Date: 3. Z 9' O 7 TOTAL PERMIT FEE . • Authorized signature: . • Tis permit application expires if a permit is not obtained within I'I •_ _ — ., - days After it lift been accepted ns complete Print name: _ Date: • Fee methodology :at by Tri county Building industry Service Roard '" 'Number of inspections per permit allowed. �Pernits\0LC•Pra„i A dot 12 /C13 A40- 4a1�T(LO /02 /CoM,Wty • cViuilding LP• _ _ CITY OF TIGARD 1 VF BUILDING 'DIVISION PERMIT #: ELC2007- 00253 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/19/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/3/2007 TIME: 7:00AM PAGE: 59 SITE ADDRESS: 14790 SW 79TH AVE CLASS OF WORK: SUBDIVISION: BRI MEADOWS LOT #: 055 TYPE OF USE: PROJECT NAME: COLTON /FETTIG DESCRIPTION: Service for construction. OWNER: HAWL.EY, WILLIAM W AND, PHONE #: CONTRACTOR: GARNER ELECTRIC PHONE #: 503 - 548-4552 Inspection Request Scheduled For: Date: 5/3/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final - 04747401 503 -648 -4552 Y Corrections /Comments/ Instructions: Q • (L c." 6 is PASS _ PARTIAL APPROVAL 1 1 CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: ' . V ek's Date: S' T"OY Phone #: (503) 7187 -44 1 • CITY OF TIGARD • BUILDING DIVISION PERMIT #: ELC2007- 00253 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/19/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 .111°'"011111 . INSPECTION WORKSHEET FOR DATE: 4/23/2007 TIME: 7:00AM PAGE: 66 SITE ADDRESS: 14790 SW 79TH AVE CLASS OF WORK: SUBDIVISION: BRITTANY MEADOWS LOT #: 055 TYPE OF USE: PROJECT NAME: COLTON/FEI 1IG DESCRIPTION: Service OWNER: HAWL.EY, WILLIAM W AND, PHONE #: CONTRACTOR: GARNER ELECTRIC PHONE #: 503- CA84552 Inspection Request Scheduled For: Date: 4/212007 Pour Time: Code # Inspection Description Corfir -rn # Contact # Message 115 Electrical service 046868-01 503-648-4552 1V Corrections /Comments /Instructions: IQs1 t� sV'E ' Q,r,(3 AppRb■)g c���'r�R.�►btJ 'oC� Sub -pANL PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL CALL FOR INSPECTION 1 1 ADDITIONAL FEES ASSESSED Inspector: • U`1 0 '2) , Date:•, 23 1 0 1 Phone #: (503) 718 -4p