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Permit CITY C I " " O F A TIG RD r PERMIT # 0200 , F.1 I 1h DEVELOPMENT SERVICES DATE ISSUED: 4/29/04 13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171 PARCEL: 2S111AD -15100 SITE ADDRESS: 14814 SW 91ST AVE SUBDIVISION: MALLARD LAKES ZONING: R-4.5 BLOCK: LOT : 017 JURISDICTION: TIG Project Description: Hot tub circuit and 2 lighting 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: W /SERVICE OR FEEDER: PER INSPECTION: 201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR: 401 - 600 amp: EA ADD'L BRNCH CIRC: 2 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: CATHY GARCIA GARNER ELECTRIC 14814 SW 91ST 2920 SW 247TH AVE #A TIGARD, OR 97224 HILLSBORO, OR 97123 Phone: 503 - 684 -8219 Phone: 503 -648 -4552 Reg #: LIC 121 159 SUP 3707S FEES ELE 34 -305C Description Date Amount Required Inspections [ELPRMT] ELC Permit 4/29/04 $60.15 - [TAX] 8% State Surcharge 4/29/04 $4.81 Elect'I Final Total $64.96 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. r Issued By: / 1/ (2_4_____- Permit Signature: J/ 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 639 -4175 by 7:00pm for an inspection the next business day 05/13/2002 03:45 6427925 PAGE 01 -- ..-- ,- . -. -. -. .. 'Y.a d Electrical Permit Application r ,+._.f - - Foil O FICA: I1tiF c>NI Y . A . eceived mitNos/= -- ix, _40,,,,,,... _40,,,,,,... City of Tigard R nRate/B : Jt� Per 13125 5w Hall Blvd.,'Tigard, OK 97223 4 ot1 Parrett 62: ' h, '' i� Dana : A NI, Phone: 503. 5 3 Sax: 503 - 598.1960 , ai� See 'Pee. a for Inspection jit Line: 503.639.4175 a �' I•a Dote Roed the Supplemental information Notified/Method: Internet: vnvw cr.tigard onus • , ,r E Try �• �k tf "" °' Aa' u.,•�� +p . :i.. , �, r S y r », • r, ' ' p7. rl ii ,I is , t.7t y ` ° � a;c , , 4'1,1: , r 43.. Vii. er+pR t s , 5 �' 4°,, b : a 4, „ice a �4f a ,u ;; a pit ;(, r rr ,, r ITfl ` > , A ' � Please chock all that apply: S ; �r..�i+`.ir w t rra.,?t:>4 �l ;:�� ��.- .t�`i��f�a�,:�ic.' 4 r� ch..�i��.;S. 1 �1++:e�.: � • rte: �a . 0 New construction Addit ion /alteration/replaceinent ❑Service over 225 amps, comm'I , Hazardous location [] Demolition ❑ Other []Service over 320 amps - rating ❑Bunting over 10,000 sq. ft -, ,'r,� _+ �? .t„t 5f4i trw' , s r s *l ~ t�• ' °'s ` '''..04'..q' �• wollin s 4 or more new residential rr - "'RN,fo' ,tram . 1' "Sij l `" f" s 'lat'/' x 6t ` * ,1 : I 1 � Y. 1 + i '� ii 8i r ! it ! y• i�r i of 1- and 2- family d g tih �'Z'di�t:;lt 1i� µSi • t axm,!1?lrld�!a.s��":,.t�h�f,/ti r. ,e r,: s ❑S over 600 volts nominal units in one structure P 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑Building over three stories ❑Pecders. 400 amps or more ❑ Multi -family • © Master builder C] whet ❑Occupant load over 99 persons ❑Manufactured structures or Prri e4 rr ' a ?, s' r sr.�r Ffirx; z, i r1:1,i 1tx"'- (01 l 'v WI I t ' ,t i e i y 9: ❑gress li ghtingpIan RV park aS r:Vicii" ,L\A• ? v,Pl S ...• Ltti8�r �-'', .110,ii1' iltAtect4 � £ d•.•,2.. Bl iss e r.: 1 '>I - I E ❑Health -tare facility ❑Otkler: Job no.: Job site address: 1.4 $ J y $ W 9 1 st Ave • Submit 2, sets of plans with any of the above. OR The above are not applicable to temporary construction service. C1ty /State/ZIP: T 1 Q ✓ G� 1'� a 'ii }vs; ! i :'i� +�" u, " ' 7777 S a airy` -. Suite/bldg. /apt. no.. r Project name: •• neserloaen Qty. F. Total Cross street/directions to job site: New residential single- or multi- family dwelling unit. includes attached garage. 1,000 sq. ft, or loss 145.15 4 Ea. add'l 500 sq, ft. or portion 33.40 1 Subdivision: Lot no 75.00 2 Limited energy, residential Tax map/parcel no.: Limited energy, non- residential 75.00 2 r 1 A t'st;?,,. r' : 14 �O V � a t ; +,� x ay„^,r,'tno T +, T i' -'+v' /. lti R` manufactured or modular n t`+ 4 11 l d lnt� x s %" y 3 1 �' S�� �i; r al ; I j "i ,ll�M " � +` '� ,•��`: >..ai'e�i�'6 , tt�as (il �fl i a�:P. " ?u iceeri nts, e i, .i) H•r. v., s dwe fn se � �'�`• Sfi:� ��`� "'+,.•� a..� �' dwellin_,service and/or feeder 90.90 2 • �� "r�„� r , rl lall Services or feeders installation, alteration, and/or relocation 200 amps or less I 80.30 2 s a , .te q .,.1.'s,' at 201 amps to 400 amps 106.85 2 1'441,x *LL Marra 1 st M i l ay„ r; a a1r Mi ra ~ a(� A :SSN;11),. r t ''2k n , • rt l ''II gg�p Tll� • ! , �i 401 amps to 600 amps 160.60 2 i'„imit�e+ �. a-rn i&r •'IS.e,3i1Z�Lc'14' ;u. a!�/h!,a*xrr�? e ",.u�'ia.m l,1...dSi,.a.or '1N'utL:G4]I 'ri..t�r .,yeti.[ •y. a Name: 601 amps to 1,000 amps 240.60 W 2 � a ! Over 1,000 amps or volts 454.65 _ 2 Address: _ Reconnect only 66.85 2 City / State/ZIP: Temporary services or feeders installation, alteration, and /or relocation Phone: (9 ) (O1 +4 4i 2-14‘ Fax' ( ) 2 00 amps or Leas 6 6 - 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, r extension, per panel j t' n o n, er a § ° t 'iy ` ;,; eittPli ,.��-�; n r°,�' WS ¢ r r ltI '�7� V r , µ WEE 'yritp1�1. je i r l e ` � rr gg service or feeder fee, each 6.65 2 A. Fee for br c with O :.? .. j ,. i, ti t t � { d `" . t ci e:. z's=•�'F d. L ., r� }f u r tip, d !iF°r.ti�•• 1d6� .�,�.. ,. . - -it:;, t, e. r.a3., • Business name: branch circuit B. Fee for branch circuits • Contact name: • w ithout s ervice or feeder fee, I ' 46.85 q(p-8 2 • _ each branch circuit _ Address: Each add'l branch circuit '). 6.65 13.30 2 City / State/ZIP: Misce1iapeous_Sservice or feeder not included) Pump or irrigation circle . 53.40 2 Phone: ( ) J Fax: : ( ) Sign or outline lighting 53.40 2 B tl pl4` Signal circuit(s) or limited - lir ry' I� �� �y T �y l - tt �G S 1 INNEa S ttli0 P7 Gn¢rgy pAnel, al terati on, or t.° kti .,tall \�Lriln�ls er:.ljtv�:��(k� G "� L)' 9[a.: 2 2 a.-� sn d� Ga ns n " extension. Describe: P age Business name: �S �r _ . • Address: ��{ '7� SC� ']t ' 2t-1 "` _ 04- Each additional inspection over allowable in any of the above y - ' per inspection 62.50 City/State/ZIP: (.�-; i I 5 a Investigation per hour it hr min) 62.50 • Phone f vim/ .Industrial plant par h 73.75 (�3) Cp y 55 2 - Fax: (513) CO ` 7 9 ZS per hour o al +it y a 'a iii - i S ":' , ,•,.... ail ,lW ' m . -,R,4,a, • st ,o.P,`tg' v' si ';` t:i1 -,i' ., . Y.L.�M h CCB Lic.:( Z( (c',/ 1 Electrical Lie.: 3 9--3 0 , c j, Suprv. Lic.: 3-7 07 s Subtotal (, Q, is Suprv. Electrician signature, required: review of permit fee) required: _ ( p State surcharge (8% of permit fee) �{. ® J Print name: C k In &v. ✓ I�G�. Date: t� 2 joti TOTAL PERMIT Mt • (� 4 q Authorized Si$2latUiG: This permit application etpires if a permit Is not obtained within ISO 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 al,haw iMulleleeeenere \2LC- Pernilf4DPAad ry03 440.4615T(10/02/COMTWEB CITY OF TIGARD 24 -Hour BUILDING Inspect)5n Line: (503) 639 -4175 INSPECTION DIVISION Business Line: (503) 639 -4171 MST BUP Received `o Date Requested 7 AM PM BUP Location / l 0 p I L( 1 `-ekr - Suite MEC Contact Person Ph ( ) PLM Contractor Ph ( ) 6 L( R - �SS� SWR BUILDING Tenant/Owner ELC 0700 Footing Foundation Access: ELC Ftg Drain ELR Crawl Drain Slab Inspection Notes: SIT Post & Beam Shear Anchors Ext Sheath/Shear Int Sheath /Shear Framing Drywall on Drywall Nailing Firewall Fire Sprinkler Fire Alarm Susp'd Ceiling Roof Other: Final PASS PART FAIL PLUMBING 6 21::&"' Post & Beam Under Slab Rough -In Water Service Sanitary Sewer Rain Drains Catch Basin / Manhole Storm Drain Shower Pan Other: Final PASS PART FAIL MECHANICAL Post & Beam Rough -In Gas Line Smoke Dampers Final PASS PART FAIL ELECTRICAL Service Rough -In UG/Slab C Low Voltage Fir larm in Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd. PASS PART FAIL $ Please call for reinspection RE: Unable to inspect — no access Fire Supply Line ADA {� Approach/Sidewalk Date � /oil Inspector ` ,� Ntle) Ext Other: Final DO NOT REMOVE this inspection record from the Job site. PASS PART FAIL