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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00246 DEVELOPMENT SERVICES DATE ISSUED: 4/11/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S110DA 07201 SITE ADDRESS: 15088 SW 107TH TERR ZONING: R - 3.5 SUBDIVISION: ERICKSON HEIGHTS LOT : 033 JURISDICTION: TIG Project Description: (2) branch circuits for A/C & plug. 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: 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 AREA/SPEC OCC: Owner: Contractor: BARTOLETTA, FRANK SOHLER ELECTRICAL CONSTRUCTION 15088 SW 107TH TER 41131 SW BURGARSKY RD TIGARD, OR 97224 GASTON, OR 97119 Phone: 503 - 317 - 4017 Phone: 971 - 832 - 0807 FEES Reg #: LIC 158285 ELE 34 -667C Description Date Amount SUP 594S [ELPRMT] ELC Permit 4/11/2005 $53.50 [TAX] 8% State Surcharge 4/11/2005 $4.28 REQUIRED ITEMS AND REPORTS Total $57.78 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: Permittee Signature: a 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. Elecitilat Permit Application - FOR OFFICE USE ONLY City of Tigard c EC V ' Da:va .. /i - D ° . - Pert xo• : e i - < . 13125 SW Hall Blvd., Tigard. OR 97223 Plan Rt..i..w Phone: 503.639.4171 Fax: 503.598.1960 ' * i�.!, Date/By Other Purne Inspection Line 503.639.4175 A 1► -_ ls. 1 ''_ r„ Date Ready/By. t� L - I H re See Pa Z For Internet www.ci.tigard.or.us �f -' -' Notified/Method: / S npplehn tofarm :lion i-... - TYTk':OF'. , :ii: , - ; ::; :ELAN:-.4E9 _ - - ❑ -New construction 130 Addition/ - ( - ,� - � 7: � .J A � Please check all that apply: • � -. t' A • • ❑ Demolition ❑Other a. QServiee over 225 amps, comml Ql4azardous location QService over 320 amps - rating OBuildng over 10,000 sq. ft ;Ctl TEGQRIF OH GQNS tibCTLON; ' _ of 1- and 2- fancily dwellings 4 or more new residential '► I 1- and 2 - family dwelling 0 Commercial' /industrial 0 Accessory building QSystern over 600 volts nominal units in one structure ❑ Multi - family ❑ Master budder ❑ Other: over moan - stories QFexders, 400 amps or _ QOccupant load over 99 persons QMartufautacd structures or JOB SOT ptFORNtATTON Arm =Z 7101 ' `' - . -.2.. ' ., ;' OEgress/lighting plan RV park Job no.: . I Job site address: / 5" 06 $ 5 N/ jp 7 L'� • ,,�, L Sub 2 -care facility Qotlt« Submit 2 sets of plans with any of the above. City/State/ZIP: � lI p i+ 6 q 7 as t. j The above arc not applicable to temporary construction service Suite/bldg./apt. no.: I Project name �;. f .. o %, `�':l .' ::�:' _ ? I;" .SL'HFDU E; •: Ct Desaipaion I Qty. I Pea I Tatal 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: I Lot no.: Ea addi 500 sq. ft or portion 33.40 1 Tax map/parcel no.: Limited energy, residential 75.00 2 .:.: ... _ . 75A0 2 Limited energy. ..... . _.... ... ... F�ch mmtthfactunod or modular / dwelling, service and/or feeder 90.90 2 4 C.. / 0, P PIJ�{ Services or feeders installation, alteration, antUor relocation J 200 amps or less 80.30 2 -- . _ . •: • - ? • . _ . -, . - - . .--:::::,1•::.. .... _ . .... • •......: _, - � -• P OWNER" ; � . ;. .:.r.-. :. ... '. .: . •� ":;:. - - ©1'Ei`lA1VT . .. - . 201 amps to 400 amiss 106.85 2 . Name: 401 amps to 600 amps 1 60.60 ' 2 �r ,,,, h `J, e o .4-Gt 1 e. 44-c 601 amps to 1,000 amps 240.60 2 Address: (s ® 8 o , 5 - w % ..44_ Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City /State/LJ1': 7 r e � �d 1 0 ( 9 7 ?•A `i Temporary services or feeders instnitetion, alteration, and/or 2 relo�on Phone: (I-6 3 ) 317 ' U 1 7 F ax ( 200 amps or less 66.85 t Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 10030 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 to 60 0 atr>ps amps _ 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel I ' 3 '; A. Fee for branch circuits with :... -`. AP1?L][Cia1VT _ ' (1` IA [')E"FRS;13N ` / 1 " 7 service or feeder fee, each Business name: S O p �� re Flo C ; r era f ,. 5' • 4-. branch circuit 6.65 2 otutaU nttrtt� - j _ B. Fee for branch circuits n X- s t - 1n i P, without service or fender tea. `, . ff ` each branch circuit ' 46.85 /G / g 2 ( ? f S ' g . r eV a,r" s k `` e Each add9 branch circuit I 6.65 _ (p .65- 2 amity /State/ZIP: / 0 9 7 / f � Miscellaneous (service or feeder not Included) Pump or irrigation circle 53 -40 2 'hone: (`l 0) f.- — 080 I 0 '7 Fax :: (Se3) 9 g 5-- j v 7 15) Sign or outline lighting 53 -40 2 1,-mail: - Signal circuit(s) or limited- - - r.. .... - . CUl' TRACTOR `:,: ' • !... "' ' - . :,.....-.••-= : , -, "' : energy panel, alteration, or / extension. Descst'be: Page 2 2 business name: Co 1, � Ele led).- r''e I Ca r., S f � iddress Each additional Inspection over allowable in any of the above Per inspection 62.50 :ity/StateIZlP : Investigation per hour (1 hr min) 62.50 boner ( ) I Fax ( ) Industrial plant per hour 73.75 KL FPJ ALL *ERMIf 'CB Lic.: / - 6 ,2 8s - t Electrical Lira if -66 74 Supry: Lie.: 57 -5 _ Subtotal s g , S2 • uprv. Electrician signature, required:. I /i / •• Plan review (25% of permit fee) / / / State surcharge (8% of permit fee) 1l 7 rint name: l'F-0 Y! e -S C- ' Date: 't 1/ L D �� TOTAL PERMIT FEE , 28 , S uthorized signature: � li.. a .. This permit Application expires ill permit is hot red within 1130 l c. days alter It has been accepted as complete 'iiit name: 3 M i S 0 h. 1 oc. Date: `y A / / S Pee methodology act by Trio ovary Building industry Service Bond ` •" Number Di per permit allowed. ildtelopareiesu3C.PamitApp.doc 17/03 ••n.nt. cr. " ' •"n a 2 - d 8L0T- S86 -EOS .JaTt.10.S aot ESO :8D SO T T .add , CItY OF TIGARD BUILDING DIVISION PERMIT #: MEC2006 -00143 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/1/2005] ,' Phone: (503) 639 -4171 A„, i, Inspection Requests (24 Hrs.): (503) 639 -4175 „_,61- INSPECTION WORKSHEET FOR DATE: 4/6/2005 TIME: 7 :10AM PAGE: 77 SITE ADDRESS: 15088 SW 107TH TERR CLASS OF WORK: SUBDIVISION: ERICKSON HEIGHTS LOT #: 033 TYPE OF USE: PROJECT NAME: BARTOLETTA DESCRIPTION: Installation of NC. OWNS . BARTOLETTA, FRANK, PHONE #: 503 -712 -3227 CONTRACTOR: SPECIALTY HEATING & COOLING PHONE #: 503 - 640 -3607 Inspection Request Scheduled For: Date: 4/612006 Pour Time: Code # Inspection Description Confirm # Contact # Message 699 Mechanical final 003789 -01 503 - 640 -3607 N Corrections /Comments /Instructions: (7 7/- a 3- 6 7 c E 20 ELGe17Z, £- (�t / ,,-ir t 2. LA-krL - ,t 5 418 27 , ham- ' -7 e c ,,Cc.,7 -- ; /� /M v, -,, /7 . Filc - A ----- ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /1 Date: - �° - `S Phone #: (503) 718-