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Permit CITY O F TIGARD D ELECTRICAL PERMIT V K PERMIT #: ELC2005 -00254 DEVELOPMENT SERVICES DATE ISSUED: 4/13/2005 r 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1 S135DA -02801 SITE ADDRESS: 11280 SW 90TH AVE ZONING: R -4.5 SUBDIVISION: LOT : JURISDICTION: TIG Project Description: (1) feeder (2) circuits. 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: 2 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: MCTAGGART, BRENT JARMER ELECTRIC INC PO BOX 231207 5105 SW 45TH AVE TIGARD, OR 97281 PORTLAND, OR 97221 Phone: 503 - 684 -5807 Phone: 246 -5381 FEES Reg #: LIC 6924 4044S Description Date Amount SUP 26-14 ELE 26 -144C [ELPRMT] ELC Permit 4/13/2005 $93.60 [TAX] 8% State Surcharge 4/13/2005 $7.49 REQUIRED ITEMS AND REPORTS Total $101.09 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: 7 � - f f Permittee Signature: © 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. • `El''ctrical Permit Application : -- FOR OFFICE USE ()NIA' CI of Tigard _ REC Received / 'Z Permit No.: �' g Date/By: 7 �� ..1, - �Ci � 6�1 - - 04,25 1: I 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review I Phone: 503.639.4171 Fax: 503.598.1960 ` r"" °' ' I '� Date/BY: Other Pemut' Inspection Line: 503.639.4175 APR ` il l Date Ready/By: Juris: fa See Page 2 for I Internet: www.ci.tigard.or.us OAR Notified/Method: I' (5 Supplemental information • 7 ,;,. tl"' '€ z .�- _,a':. - > :r' ,. ' :r ,�+ A "ic' - + - . ...>_ •x u M t : r •,-.. ,,.,... ., „ -r. 1 : ' ei li al j iz' : ! 'TYPE ` .-., , " 74-1 ;:F + -: •;^ PLANi;REYTEW e"M' ` ` e e. • +, .r�.i; f��.,�tl >m, s'. :7�i +4".r.;7M�v.,�... � �' , r t'+N ',�f•: � n � "- ir. :''t�.��:� v'. sy'i-A .lt.. , � 7 .�:. R't' .i ,,.ra. a •, ; : � i k . , r,. - r :�5 '- .' 7'^; u_ x•:..r.... '4•! a P(^.:r.`.�'+i. ❑ New construction , Addition/alteration /replacement Please check all that apply: OService over 225 amps, comm'l ['Hazardous location ❑ Demolition ❑ Other: t ..�•• � }a; s., �. .- 3,� „�,,,.H� ' K,y - -_ ❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft., +; '1 r`�! r ''' ` +� CA_TEGOIiY_- OF�CUNSTTiUCTION ? } ? '; i ' of 1- and 2- family dwellings 4 or more new residential a1 and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure El Multi - family ❑ Master builder ❑ Other: ['Building over three stories [Weeders, 400 amps or more r f l - es b ui lde r• �, „ x•.•.. {.G ['Occupant load over 99 persons ❑Manufactured structures or , t i ; ,' t 4 4,, : "kk� � •'k10 INIt!URMATI 6.KMO°i•LOCA1`WORN �,, ';.� ,kt,,, E ' •,;.( �.. -.t' ai•: r. -. . .ham :...� mr ..,.�.r.. -..,.. �a�,..:. t�nw.. f�• rr. �..:< d'. e`rv�,�SR�+:}r'.T+�: :'s+�•W'��'a ❑ g hlin g plan RV park Job no.: Co (-fit f/ Job site address: 0 S( ant ❑Health -care facility ['Other: / / Submit 2 sets of plans with any of the above. ! City /State /ZIP: 1 5 Guy-4 The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: 13acr1p qty. Fee Total I •• 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.: Ea. add'l 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax map /parcel no.: -•- ,,, j * >•$ }v - `-, , t Try •• � Each manufactured or modular Limited energy, non- residential 75.00 2 YG jlla rrv: :H..s ” 5 :;;.q.I. ' `:; `DESCRIPTION bFrWORK' "F +, rr '' ',: ,•' *-:, :?� _h::4. ., r ,.: � -_ .:.. :: ..._,. , �7.h�,r �i,'�: "v`!.`x4 '1'- ..r :i.o-.:�.w, r_a ^ ( I) 6 0 ./ U weng, servce anor eeer 2 e �--� e Qi Services or feeders installation, alteration, and/or relocation (7) Ur �.c, fS 200 amps or less , 80.30 Ffb • 36 2 A:' r 1 a ' . .xi. TEN 'ANT' V ' 'r, x 5 201 amps.to 400arms 106.85 2 ''' . k ' ItUPERTY,OWN__ER? riW h'',E' .I' 'ry;'r s ` ® y �° fi-s {atYi,.� ., :r >•..k. ?F,." :r :'s •�r^ v - ti .Y.`�.;N?.. : :r& ' " " 401 amps to 600 amps 160.60 2 Name: �C�Q y )- 1 '3 mi ,� 601 amps to 1,000 amps 240.60 2 Address: / l ,7 2 ) w 9 ()V-- . - Over 1,000, amps :or Jolts • . _ _454.65 .. 2 . Reconnect only 66.85 2 City/State /ZIP: - `ne.7� Temporary services or feeders installation, alteration, and/or �/ / � � J Fax: relocation Phone: (537) t / y' . - U 1 ( ) 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 ;: r t !.SRati g' ;`* 'i "r' ,._.�?r ". :r!.' i .- 4 • '°i . v r : -1�' ,'.�: t >>; � =.APPLICA.NT .� y - : �_,I ..,� '"'•. ,: <•. � �'L- -• A. Fee for branch circuits with •�' °ter_ &•.uri3'�+�`' 1�eC;rsr 'i. ".'r ,•�,�. �® •i CUNTACT<FERSOIV.+�i.�-��. service or feeder fee, each 6.65 2 Business name: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, each branch circuit 46.85 2 Address: Each add'1 branch circuit a 6.65 J3, 30 2 ' City /State/ZIP: Miscellaneous (service or feeder not included) • Phone: ( ) Fax:: ( ) Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - 6�� :' .:7t4�`1. "`�� :., . �` -'�,`� €rCOPI`I'RAG'I'OR :`�� '` ,��+�3: :. ���., r'';;s'�t',.. �T... energy Panel, alteration, or L. ._ iA: :•Y' 't'a `4 ' "S 1,...3. +�`s'•�r . " +G1'1 �l.y.;e�'- extension. Describe: Page 2 2 BuSineSS name: TPr2+...,Ea_ E Ec rQr c TtvG Address: s/ ( 54_,...) C( S 7`, ST , _ Loo Each additional inspection over allowable in any of the above n t Per inspection 62.50 City/State/ZIP: /064_ 7 iU 4 02 97 2 2 / Investigation per hour (1 hr min) 62.50 Phone: (S(53) Z L/ - 5 / Fax: (So3) 244/ – �v 3 7 Industrial plant per hour .. . _ _73.75 is ' ::4 "'r �u FACEC ffita2 - RTWE I Er-iaS ;'t�_t CCB Lic.: // 2.. L( Electrical Lic.: 2 ' - / 4tic Suprv. Lic.: L 5 ... Subtotal q3,60 Suprv. Electrician signature, required: 7 /' 4.—........_______ - Plan review (25% of permit fee) Print name: 35, 4/27- j�, - E ate: LI .. 7 _ D State surcharge (8% of permit fee) 4-q TOTAL PERMIT FEE / o I. ,a Authorized signature: This permit application expires if a permit is not bbtaloed within 180 days after it has been accepted as complete Print name: Date: • Fee methodology set by Tri -County Building industry Service Board '• Number of inspections per permit allowed. i:\ Building \Perndts\ELC- PermitApp.doc 12/03 440- 4615T( 10/02/COMM'EB CITY OF TIGARD BUILDING DIVISION . - `° PERMIT #: ELC200600254 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/13/2006 Phone: (503) 639 -4171 �� s e fiii p i l l � l \ Inspection Requests (24 Hrs.): (503) 639 -4175 ...' INSPECTION WORKSHEET FOR DATE: 7/13/2005 • TIME: 7:10AM PAGE: 91 SITE ADDRESS: 11280 SW 90TH AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: MCTAGGART DESCRIPTION: (1) feeder (2) circuits. OWNER: MCTAGGART, BRENT, PHONE #: 503- 084 -5807 CONTRACTOR: JARMER ELECTRIC INC PHONE #: 2465381 Inspection Request Scheduled For: Date: 7/13/2005 Pour Time: Code # Inspection Descriptioh - : - • .1 # Contact # Message 199 Electrical final 111134-01 503. 2465381 Y NW Corrections /Comments /Instructions: Q +)■*- . " - r'n-c -- )i ( A - t l t 1 9 - PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR I .PECTIO ❑ ADDITIONAL FEES ASSESSED Inspector: Date: '� Phone #: (503) 718- Z11