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Permit
CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2007 -00758 p COMMUNITY DEVELOPMENT DATE ISSUED: 11/9/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S112BC -13000 SITE ADDRESS: 14559 SW 83RD CT ZONING: R -12 SUBDIVISION: STARLING'S CROSSING LOT : 011 JURISDICTION: TIG PROJECT: KEKUA Project Description: Install (2) branch circuits for sun room 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 HM/ 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: 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 AREAISPEC OCC: Owner: Contractor: PAT & JAN KEKUA CARR ELECTRICAL TECHNOLOGY INC 14559 SW 83RD CT 2240 NE GRIFFIN OAKS TIGARD, OR 97224 HILLSBORO, OR 97124 Phone: 503 - 684 - 2007 Contact #: PRI 503 - 640 -4326 FAX 503 - 640 -6547 FEES Description Date Amount Reg #: ELE 97 -905C [ELPRMT] ELC Permit 11/9/2007 $53.50 LIC 144433 [TAX] 8% State Surcharge 1 1/9/2007 $4.28 SUP 4482S Total $57.78 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: �j Permittee Signature: Q ,970/04:e e¢77ON 23 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: D/l/ /, 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. • Nov. 8. 2007 9:55AM No. 3437 P. 1 Electrical Permit A r t lie ; , ; ■ FOR OrFIC.'r. i. ;sr. ONLY City of Tigard Date/By: / //� 3; y 2 P- mitNo.1EZE.2OO7 / 7 . 13125 l Blvd., Tigard, OR 97 Ilil C : Phone: SW 1 Fax 03.598.19 ®8 2007 w Other Permit: i 1 c; A R -) Inspection Line: 503.639.4175 Date ReadyBy.. Saris; Il See Page 2 for Intcmet: www.tigard- or.gov CDT y Of I I� pSed/Nfethod: , _ Supplemental Information i, -R> l r y ti � r, ;10 RW�diat d L\ Vii V e A P � 4 � ' ,-- n . i - 4 - - – 4 � ■ t . l .a © New construction I Addition/alteration/replacement Please check all that apply (sue h sets of plans w /itcms checked below): ❑ Demolition ❑ Other: ❑ Service or feeder 400 amps or more ❑ Building over three atones. _ where the available fault current ❑ Marinas and boatyards. 1 ' OW �. t �f l 3't 5 . g . t f' n f _ 3 r a", r�� 5"! F I exceeds 10,000 amps at 150 volts or 0 F10alnlg buildings. • -.-- 5 _ 0- be_l _ ...._.__.. in dwellin less a ground, or exceeds !4,000 ❑Commercial -use agricultural ❑ 1- and 2-family dwelling ❑ Commercial/industrial 0 Accessory building amps for an other installations, bv'eli"gc ❑ Multi family El Master builder • . er: ❑Fire pump- ❑ Installation of 75 KVA or ,, . t 4 r iii, _ _ k 1 u tr 1 — ❑ EIncr y �' linger separately derived system. _ = 4 - - __ ❑ Addition of new motor load of ❑ " " " -2 " " -3 " Job no.: Job site address: Le y 100FPdermore. occupancy. 1 (� ` �`a 7 [] Six or more residential units. ❑ Recreational vehicle parks. City/State/ZIP: c „ Ai u3 ` -1 2_2_ . ❑ Health-cme facilities CI Karat dolls locations. D Supply voltage for more than 600 volts nominal Suite/bldg./apt, no,: Project name: s ,b. r- Q6. ❑ Service or feeder 600 amps or more. Cross street/directions to job site: Description Qty. Fen Tots! • New residential single- or multi-family dwelling unit. Includes attached garage. Subdivision: l Lot no.: 1,000 sq. ft. or less 145.15 4 Tax map/parcel no.: Ea. add'! 500 sq. ft. or portion 33.40 1 : Limited energy, residential rk a,, •ti , x ;:; t :.::,c :: : , ::•:;: . :.:: • ': . , i s ��L..- ...._�. . _.. -,;, N3, 1 tai., t0,.i J� .ogo;' f 5 ,:r, .... (with above sq. S.) 75.00 2 Limited energy, multifamily 75.00 2 I N s-r r .i_ Z N 0.nl C 1 rrs Inl 140.3 residential (with above sq. it.) S v (2-001v. 200 or feeders Installation, alteration, and/or relocation 200 amps or less 80.30 2 ."-: ,:` . _k' -'i. ':_..r' .Stag ;' !-le 7 .. •°, ::! ) • :..M TENANT }. ,: :: ': h: •.-': 201 amps to 400 ampS 106.85 2 Name: J 1 S 4 eV.. u A 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: /gs'5 Sec) cf . e7" Over 1,000 amps or volts 454.65 2 City/State/UP: 7-7c OA_ `77 71 Temporary services or feeders installation, alteration, and/or relocatlon 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 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 Branch circuits — new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with �" �' ', ' A 4 n k iz 1 " p - t� above se o r feede fee, s. .e<u ba a. i r .. _. 6.65 2 each branch circuit Business name: B. Fee for branch circuits Contact name: without service or feeder fee, ! 46.85 2 tQ `r I m, _ . a._,1 f_1 r first branch circuit �4 Address: Each add'! branch circuit 1 6.65 ‘ . 6 2 Miscellaneous (service or feeder not included) City /State/ZIP: Each manufactured or modular 90.90 2 dwelling, service and/or feeder Phone: ( ) (4O. 42 4, Fax: : ( ) Reconnect only 66.85 _ 2 E -mail: Pump or irrigation circle 53.40 2 _' : "l 't5 :1. 7.. -- a - - Sign or outline lighting 53.40 2 Signal circuits) or limited - Business name: (- E c 2-, f. energy panel, alteration, or Address: � i) NIG, r4� ` , � O 1 c S . extension Describe; Page 2 2 City /State/ZIP: ,,e6 o 6' i l ' 4 Each additional inspection over allowable In any of the above 6 `� Pu inspection 62,50 ' Phone: (9S) (046 ; Up Fax: (Sb') (p' . ,64-7 Investigation per hour (1 hr thin) 62,50 CCB Lic.: 1444$3 4$3 Electrical Lic.: 44 I Suprv. Lic.: 4482 Industrial plant per hour 73.75 a ,.,+:: ?. . • :vr; ECTRICAL:P.Di'..t.I3 is SK _ Suprv. Electrician signature, required: Subtotal:. h- s. V Print name: Date: '� ur � Plan review (25% of permit fee): �� State surcharge (8% of permit fee): — a t 3 IS 7' egg Authorized signatury TOTAL PERMIT FEE: —,,....±... � t^ This permit applleadon expires it a permit is not obtained within 180 Print name' I NI) a� Mc. la e Date: U a D'� days after It has been accepted es complete �/ • Number of inspections allowed per permit. �7 n 1 / O I:1 BuildierPermitaBLe- PermitApp.doc 05/Z3/06 449-,61m11/05/COMJWEB .)gliPf--- CITY OF TIGARD ( C , vsi �' #;t4,44 BUILDING DIVISION PERMIT #: ELC2007•00768 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 111912007 Phone: (503) 639 -4171 J Inspection Requests (24 Hrs.): (503) 639 -4175 irt ` _._.. INSPECTION WORKSHEET FOR DATE: 12/61200 TIME: 7 :06AM PAGE: 29 SITE ADDRESS: 14659 SW 83RD CT CLASS OF WORK: SUBDIVISION: STARLINGS CROSSING LOT #: 011 TYPE OF USE: PROJECT NAME: KEKUA DESCRIPTION: Install (2) branch circuits sun room addition. OWNER: KEI<UA, PAT & JAN PHONE #: 603-6 &1 -2007 CONTRACTOR: CARR ELECTRICAL. TECHNOLOGY INC PHONE #: 503640.4326 Inspection Request Scheduled For: Date: -12/62007 Pour Time: Code # Inspection Description Confirm # Contact # Message 109 Electrical final 060959-01 503-332 -0038 Y (&J (( 2 L" 44 irk yin, q$”Ol'i Corrections/Comments/Instructions: 1 t4PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: Date: Z 6 0 Phone #: (503) 718- . r CITY OF TIGARD BUILDING DIVISION PERMIT #: F_I.0 007 OC17 , 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/9/2007 Phone: (503) 639 -4171µ la Inspection Requests (24 Hrs.): (503) 639 -4175 ..' 'I �.. INSPECTION WORKSHEET FOR DATE: 11729/2007 TIME: 7 :00AM PAGE: 39 SITE ADDRESS: 14659 SW 8381) CT CLASS OF WORK: • SUBDIVISION: STARLING'S CROSSING LOT #: 011 TYPE OF USE: PROJECT NAME: KEKUA DESCRIPTION: Install (2) branch circuits for sun room addition. OWNER: KEKUA, PAT & JAN PHONE #: 503-684 -2007 CONTRACTOR: CARR ELECTRICAL. TECHNOLOGY INC PHONE #: 503-640-4326 Inspection Request Scheduled For: Date: 11/29/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 060460 -01 503 - 789-3014 N Y Corrections /Comments /Instructions: 30010. f\N p : 1∎ 00X. hn0k L; c. * Ltc0i52, S • ?r,CASS El PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: CY'i 1 4 VA Date: U I 9 Phone #: (503) 718- my‘• .. ,_ _ _ CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007•00758 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/9/2007 Phone: (503) 639 -4171 Lemvomr pr �f�i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 11/26/2007 TIME: 7 :00AM PAGE: 28 SITE ADDRESS: 14559 SW 83RD CT CLASS OF WORK: SUBDIVISION: STARLING'S CROSSING LOT #: 011 TYPE OF .USE: PROJECT NAME: KEKUA DESCRIPTION: Install (2) branch circuits For sun room addition. OWNER: KEKUA, PAT & JAN PHONE #: COs CONTRACTOR: CARR ELECTRICAL TECHNOLOGY INC PHONE 503 -640 -4326 Inspection Request Scheduled For: Date: 11/28/2007 our Time: Code # Inspection Description ' •ntact # Message 120 Electrical rough -in • 06i • 503 -332 -0038 N Corrections /Comments /Instructi• s: (b Cktsi= r RitieNCK N YIN) ■ 6111 — Rai Oh C45 ` b �t- w s -- .g, 10 12.00F WAS.. ASCEA pct' 300 - 3`. 6 Y1t N� , W �`t ci (oiC ' U (TO aOJ 10 Neiaca\ra0 r(sev4tict oN) , c , kt ct tbiNL.L. P� . c.c . ` g o E \,E'er Q -L pw\si-d- )SA.A 1<ON iA trza h oL 0 S E g . AMA ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ` /, FAIL XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: v" % (0 V i3 p_t : Date: 11 ..$I Q1 Phone #: (503) 718 - 7 -.'1 • CITY OF TIGARD BUILDING DIVISION _ PERMIT #: ELC2007.0075t3 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/9/21)07 • Phone: (503) 639 -4171 I � Inspection Requests (24 Hrs.): (503) 639 -4175 ' "!4 INSPECTION WORKSHEET FOR DATE: 11/27/2007 TIME: 7:01AM PAGE: Q2 SITE ADDRESS: 14559 SW 83RD CT CLASS OF WORK: SUBDIVISION: STARLING'S CROSSING LOT #: 011 TYPE OF USE: PROJECT NAME: KEKUA DESCRIPTION: Install (2) branch circuits for sun room addition. OWNER: KEKUA, PAT & JAN PHONE #: 603 -684 -2007 CONTRACTOR: CARR ELECTRICAL TECHNOLOGY INC 1 A l p l PHONE #: 603 Inspection Request Scheduled For: , Date: 11/2712007 Pour Time: Code # Inspection Description / Contact # Message 120 EIectiical rough -in . 060289 -01 503- 332-0038 Y Corrections /Comments /Instructions: CA . B•0N►�A 1 Art WW. ? Nhz-v ' S`f i c ; N PA 0c4.- D 6 m wia; pact ettal, NM T39, QQ Pcbz " qLL v 13 F2br• s G `t.5) S N�� qq V E,; � FT c_- Ikk. 33 `l ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: � N Date: LtI •1 On Phone #: (503) 718 - I-144N