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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT ISSUED ELC2007 COMMUNITY DEVELOPMENT DATE ISSUED: 2/27/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S110AD - 90066 SITE ADDRESS: 14970 SW 109TH AVE ZONING: R -12 SUBDIVISION: CANTERBURY WOODS CONDOMINIUM LOT : 066 JURISDICTION: TIG PROJECT: CANTERBURY WOODS #8 Project Description: Repair damaged wires. 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: 23 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: MITCHELL, RONALD P PACIFIC NORTHWEST ELECTRIC INC 14970 SW 109TH AVE PO BOX 310 TIGARD, OR 97224 OREGON CITY, OR 97045 Phone: Contact #: PRI 503 - 657 - 1188 FAX 503- 722 -9058 FEES Description Date Amount Reg #: ELE C6 [ELPRMT] ELC Permit 2/27/2007 $199.80 LIC 162893 [TAX] 8% State Surcharge 2/27/2007 $15.98 SUP 5089S Total . $215.78 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 / 1� Permittee Signature: Q1 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. G�2. /� X2007 22:58 5037229058 PACIFIC NW ELECTRIC PAGE 02/02 `r c K .��'"' 7.. 5. \ i F FAR OFFICE USE ONLY Electri Pe rxtxc-P, ,. 2007 Received n ....-___<7 p 1.40,; .-_/ 0 06/y City of Tigard f-EB 2, 7 Remit/ .��f V 13125 SW Hall Blvd., Tigard, OR 97223 PIanRA c �v Other permit: Phone: 503.639.4171. Fax: 503,598060 Car' i " ,t3f -i � rhli� Pate Rcrdy/By; Adis: El See Pa>;c 2 for T.ngpcction 503.639.4175 1 _,INe. niviPtoN Nat oRyfBy El See Nee Internet. www,ci-ti gard,or.ua a ., ' M, �i �r�ry�t + + u r tt� a' It ��'� F tF='r, R �'1 �,i "�, ' ' ffl f �i�i 1 '�.il'�.�" ff � , t'� �, t L�,.� � - ` �� �' '� ,, u ec i t 1 ?' , ' t '.hW'1 , jh �� ,1 tot ip ilia ;I ∎ '� +,: � � 1 check apply: �� ` . a ,�.� � � , Please all that - ❑ New construction [ v�Addicion /alCeration /xeplacczClent ❑Service over 225 amps, comm'l [Hazardous location E] Demolition [j Other: °Service over 320 amps- rating DBuildng over 10,000 sq. ft., �tt t r q of and 2- fltm d 4 or mart new residential I .,. a � � sfk +' ' a r v �' + r !I 'e', 1. r _rE . G unitS in one structure a a I n rot m h � y . , a. ,�f a ,� Ir' .t Jfu � rn . ,, it OW •. ^� rs ❑System over 600 volts nominal ComlxlerciaUiztdustri ❑ Accessory building ceder:;, 400 a ❑ 1- and 2 - family dwelling ❑ ['Building over three stories ❑F amps or more P Other: .Multi family 0 Master builder 0 ( Occupant load over 99 persons Manufacture structures or u-r, ✓y 51,I�t iM 3¢w' , I . tt'RC">i h ti , s Aye II ,lpt1s °� r: i l.l! I�u �F ' i4 q f By ess/il htin 1W park [�, F,P r F �i " ti : }�� , it i^ wr I t �. .f� Vl�1rJ�,at,i!T bt 8 B plan COthcr; 'T s3 ii t� "aTa)tl.,s, 6 a 'v +l1h ©Iealth -care facility lob no,: Job site address: `1 0 SW I OV. Submit; sets of plans with any of the above, The above are not applicable to temporary construction service, City/State/ZIP: C Q / ( I r r ' 1. PI16 A 1 4P'• ••'rr +,i '''; "r,I,.. �' °} �" �� �� �'" i�. I�' ���b ",fit: �. . �;�s,�.. `� ,. , ' � .td � [, s,U, to t T& �itk'�.,�u1�� � i • -�-- Suite/bldg. /apt. no Project name: q to r , ,r + DO ! peseription QN r ° ° ' Tbt" 1 ��jj New residential single - or multi - family dwelling unit. Cross street/directions to job site: � ( V Includes attached garage. 1,000 sq, i3. or less _ 145.15 a Ea. add'l 500 sq, ft. or portion 33.40 1 • Subdivision: L no.: residential 75.00 2 _ - Limited energy, Tax map /parcel no.: , y r . _ Limited en ergy, non - residential �_ 75,00 7 �l '�'i +1• a • r, I t F' t t. "',r . �n, i�° v u 'r I drl •„{ i (r 1y', a Each manufactured or modular ,,.1„._ I1 ( 1 % 1 . ��a r�• tit' 'ud{ • x 5 >3Itn, } UA, 1.7.. nl l �' r ,,oi �rrtii i;,(4! dwctlin ,service and /or feeder 90,90 2 -e (' d, 1► 1 •,.6 1A) s Services or feeders installation, alteration, and /or relocation • •f 200 amps or less I 80.30 2 p ;� !� r,,n ,,, rry rrpq 201 amps to 400 amps 106,85 2 m r „1 e i r . / r; ,� 9 i syy c nl '1 ([p�f17r�r 'l ?F t i �} '� y bb 4 iV' '. '�ii� P �� �� r rr�,{{ AOl amps to 600 amps, - lb0,G0 2 i . , P (, , N1� kh• .,,,�l',1 61111ra�ta tt �,lM� i7r ,,,,, . , , ddrt'I I1 r. }-,al - 2 A) i O 601 amps to 1,000 amps 240.60 Name: ct a + A • V) e — 454,65 _ Over 1 ,000 amps or volts 2 Address: Reconne only • 66,85 2 City /State /ZIP: 'temporary services or feeders Installation, alteration, and /or relocation 1 Phone: ( ) I Fax: ( ) 200 amps or less 66.85 •1 Owner installation: This installation is being 201 amps to 400 amps 100.30 2 ng made on property that I own which is not _ _ - 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401. amps to 600 amps 133.75 with Date: Branch circuits- new, alteration, or extension, per panel Owner signature: , 4 .,, • , ,,, t t t; t a 1 , ; ., I• , , tr? rt 4. • � r , r. ?r�r;4r, � + tt�g.:r; �l� I A ' ;srttr "3 # A, Pee for branch circuits e00 tk ' s ''•`i1+' t{'O'r au ci I �' ?1� ,t 'V + s ,� :;f� �ta %.4,1t� service or feeder fe each 2 riij s, l t�lii I F 1 Y, n aF ,.r -. , 1 OT T � h a 6.65 r branch circu Business name: (' � L , Q L c t �' 1 13, Fee for branch circuits .— / Contact name: ‹ V� without service or feeder fec, 1 46 "85 y6) " 2 each branch circuit Address: PQ Each add'l branch circuit ' 6.65 � 2 �7 Miscellaneous (service or feeder not Included) _ CitylState/ZIP: (�� p � ( 1'� , C — q��� pump or irrigation circle 53.40 ?_ Phone: ( ' 3 (P ) ” - 1- - ') [ 0 , 1 Fax ( -b3) 722 - 9 6S1 J - Sign or outline lighting 53.40 2 ' L signal circuit(s) or limited- E-mail: b �' t� • 1� G� sr t ,,, mg tact anti alteration, or u, � nr c, ! rr1'r °, , F krait t r �'t >3Y p � 2 _� �� p e xtension, Describe, page 2 4 �s� J n'ry`� � I• ��t t icQ. ci ,,,,.,. ,x� R�R�i.a.c � * : , .L`l i Ol :A lF,.,af� ,. E i + V l . ���1L�.'17V1, +�i�l��l. �.�tif � c1t�a�,: S. � Ay Ai�:. , , Business name: �i C, � � I �� �� C , . C . any l � ) Each additional inspection over allowable in nn of the above Address: PO . -.III.- Per inspection 62,30 C4' Investigation per hour (1 hr min) 62.50 City /State /ZIP: 0, r t,IYI G d 73,75 Industrial plant per hour _ .hone: ) (f) S i Fax: ) 22 aS z "tIi m tikli , l(d� r, t 1 v 'i ':ii G, Gt +' ... IfiNrIFM CCB Lie.: )62%5 Electrical Lie,: C ( Suprv. Lie.: j S Subtotal 1 • O u Plan review (25% of permit fee) Suprv, lectriciati signature renuize.� ,. „� ,„ State surcharge (8% of permit fee) iffinil ' Print name_ / f• PZ `ate: 2�Z ,J 2 ' 5 '� TOTAL PERMIT FEE Authorized signature: : C. . This permit application expires If a permit Is not obtained within T$0 days otter It ltas bean nceepted an complete Print name: t�l �J k. / n lM� Date: 7 7 ) • FcemethodologysetbyTri- County Building Industry Service Board -* Number of inspections per permit snowed. M0- 46 ISTl10 /02 /COM/M CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007-00122 - A 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/27/21)07 Phone: (503) 639-4171 _ 1 1 Inspection Requests (24 Hrs.): (503) 639-4175 -.4.19.0- t - INSPECTION WORKSHEET FOR DATE: 11/5/2007 TIME: 7:01AM PAGE: 3 SITE ADDRESS: 14970 SW 109TH AVE CLASS OF WORK: SUBDIVISION: CANTERBURY WOODS CONDOMINIU LOT #: 06G TYPE OF USE: PROJECT NAME: CANTERBURY WOODS #8 DESCRIPTION: Repair damaged wires, OWNER: MITCHELL, RONALD P. PHONE #: CONTRACTOR: PACIFIC NORTHWEST ELECTRIC INC PHONE #: 503-657-1188 Inspection Request Scheduled For: Date: 11/5/2007 Pour Time: __— Code # Inspection Description ( Confirm # Contact # Message 199 EIeWical final N. 503.793-5233 N ,. ...-_,...- - \\,. Corrections/Comments/Instructions: '..,„..,. 6 k • .____ ` e l 17 . L V ) t ‘ 4 00 0 k 1149 • JP ' ,,_ ,..........._ ‘ PARTIAL APPROVAL 7 CANCEL I I NO ACCESS I I CALL FOR INSPECTION 7 ADDITIONAL FEES ASSESSED Inspector: - ,---1 ' OCNa I-G Date: Vif 09 Phone #: (503) 718- Of° CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007-00122 • 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2127/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 11/1/2007 TIME: 7:02AM PAGE: J • SITE ADDRESS: 14970 SW 109TH AVE CLASS OF WORK: SUBDIVISION: CANTERBURY WOODS CONDOMINIU LOT #: 066 TYPE OF USE: PROJECT NAME: CANTERBURY WOODS #8 DESCRIPTION: Repair damaged wires. OWNER: MITCHELL, RONALD P. PHONE #: CONTRACTOR: PACIFIC NORTHWEST ELECTRIC INC PHONE #: 503-657-1188 Inspection Request Scheduled For: Date: 1111/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 058827-02 503-793-5233 Corrections/Comments/Instructions: • Ta.0 C— t PR•trfdc1 riNgt_L. kflf\reP■ act)jvrs ka. 110-3 () Fok, Ac\ k ■ El PASS 7 PARTIAL APPROVAL 7 CANCEL 7 NO ACCESS FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: I ()() Phone #: (503) 718- CITY OF 1`IGARD BUILDING DIVISION PERMIT #: ELC20t17 -00122 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/27/2007 Phone: (503) 639 -4171 . lilt Inspection Requests (24 Hrs.): (503) 639 -4175 ,, INSPECTION WORKSHEET FOR DATE: 10/30/2007 TIME: 7:02AM PAGE: 20 SITE ADDRESS: 14970 SW 109TH AVE CLASS OF WORK: SUBDIVISION: CANTERBURY WOODS CONDOMINIU LOT #: 066 TYPE OF USE: PROJECT NAME: CANTERBURY WOODS HO DESCRIPTION: Repair damaged wires. OWNER: MITCHELL, RONALD P, PHONE #: CONTRACTOR: PACIFIC NORTHWEST ELECTRIC INC _ 6nN PHONE #: 503- 667-1188 Inspection Request Scheduled For: Date: 10/30/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 0b8627 -02 503-667-1188 Y Corrections /Comments /Instructions: rn� t If3 i LL X4962, 141,66 i t F',art`. f.tL - NI Q2 +b 1Licno _. 1441! — 1 . . . p. . b . I I y � PASS ' PARTIAL APPROVAL n CANCEL I I NO ACCESS I I FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: me) Date: Iti e a ° 0 Phone #: (503) 718 - 141 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007-00122 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/27/2007 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/26/2007 TIME: 7:00AM PAGE: 81 SITE ADDRESS: 14970 SW 109TH AVE CLASS OF WORK: SUBDIVISION: CANTERBURY WOODS CONDOMINIU LOT #: 066 TYPE OF USE: PROJECT NAME: CANTERBURY WOODS #43 DESCRIPTION: Repair damaged wires. OWNER: MITCHELL, RONALD P, PHONE #: CONTRACTOR: PACIFIC NORTHWEST ELECTRIC INC c'h PHONE #: 503 Inspection Request Scheduled For: Date: 6/2612007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 050850 -01 503.657 -1180 ' Y Corrections /Comments /Instructions: CALA • PASS PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Cr • NO 6 . l' Date: 94101 Phone #: (503) 718- 1 •°1 i tt I CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007-00122 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/27/2007 Phone: (503) 639- 4171uil i &I i Inspection Requests (24 Hrs.): (503) I � Ins P q ( ) ( ) 639 -4175 INSPECTION WORKSHEET FOR DATE: 6/21/2007 TIME: 7:03AM PAGE: 7 SITE ADDRESS: 14970 SW 109TH AVE CLASS OF WORK: SUBDIVISION: CANTERBURY WOODS CONDOMINIU LOT #: 066 TYPE OF USE: PROJECT NAME: CANTERBURY WOODS 08 DESCRIPTION: Repair damaged wires. OWNER: MITCHELL, RONALD P, PHONE #: CONTRACTOR: PACIFIC NORTHWEST ELECTRIC INC �� N PHONE #: 503 667 - 1188 Inspection Request Scheduled For: Date: 6/21/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough-in 060681 -01 503"667 -1188 Y Corrections /Comments /Instructions: CAS , ikca o )1 • 5 rf7, A 13t-t. � - ru vQ . tag ►ILaQ To ►G 'Pc 605 V.$ . cud tsto ` ikg -oo`i PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS FAIL CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: ' Date: 6 � Cr) Phone #: (503) 718 - ' r D