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Permit CITY O F TIGARD ELECTRICAL PERMIT PERMIT #: ELC2008 -00434 COMMUNITY DEVELOPMENT DATE ISSUED: 7/28/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S134DC-05800 SITE ADDRESS: 11840 SW 113TH PL ZONING: R -4.5 SUBDIVISION: MUTTLEYS ADDITION LOT : 017 JURISDICTION: TIG PROJECT: PIATT Project Description: Replacing panel. 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: 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: ROBERT & KARA PIATT GARNER ELECTRIC 11840 SW 113TH PL 2920 SE BROOKWOOD AVE A TIGARD, OR 97223 HILLSBORO, OR 97123 Phone: 503 - 504 -4282 Contact #: PRI 503 - 648 -4552 FAX 503 - 642 -7925 FEES Description Date Amount Reg #: ELE 34 -305C [ELPRMT] ELC Permit 7/28/2008 $80.30 LIC 121159 [TAX] 12% State Sul 7/28/2008 $9.64 SUP 3707S Total $89.94 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. -0 Issued By: -� = Permittee Signature: �/I���7�.ii✓ 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. L I :GARNER ELECTRIC FAX NO. :5036427925 Jul. 28 2008 07:28AM Pl �; Electrical Permit Application « I OROrirl('1 115N U N I- . �� ��¢ r � . p ,i: w `. Ravo 7 $ r ermit No.:. '� ea-C U - t�)8� City of Tigard �_�� � ate/By U P J - , a 13125 S W Hall Bl vd., Tigard, OR 9722 1t ,k >: .- i' •i�l.n tyView otherPcrmiu i I• Phone: 503,639.41 Fax; 503..598.19.') _, • ' t _ _ Inspection I.ine: 503,6394175 , ; t! �4`t\ cadv/By; 1"ri% 1 8 s Page 2 for 't IC Nita od/Nicthod; Supplemental Infotmatinn 'Internet' www.tigard- nr.gov ' -� h v, c ip . � r yr . I ,ts r i f „ , 4:o r ;, .ti, ,., t l 1 l rt (t." 1 �I l ° ?aY� fl art °qtr , to lilt ���t"it� ¢ q z ,� � ii ri t, f i ? � n t Jm a�"1� I ,e •. .e t rhlt t'9Mm,... a �;,� i + stl.� y. 1 1' C . ^.,� t ' � � by aG.u, v _!�.�R ;!.1. � ^ r . , _ ' IJi t �I (JPhd� tttr,� r I T * 1 ■ Plcnsa chock all that apply (submit j sets of plans w /items shacked below): © New construction U Addition /ttJleration/rcp �- � ,,, ❑ Service ur feeder 400 amps or more ❑ Building over three stories. ❑ Demolition • Other: where the available fault current © Marinas and boatyards. p . {' s " i r yA+ P f1 p f v ' rat l "� �V ,�� }1r exceeds 10,0nn amps at 150 volts or ❑ Floating buildings. 3t �r. f ' , r a l ��t � „ Li r a d ; n : i • ;'Si rt 4,0" { .rd r a e. ' ii ,., 7i. , nill�c, c L1 less to ground. or exceeds 14,000 d Commercial -use agricultural 1- and 2- family dwelling Q Commercial /industrial [] Accessory building amps f a ll other installations, buildings. ■ Multi-family ©Master builder ❑ Other: ❑ Fire PUMP. ❑ installation of 75 K V A or � t � „� ❑ ErlurP.ency ...;y00111. larger separatCly derived cyelarn. n h�,t.ugc W W d', 'a' i l ( 1 vv1i.. 1 {' 92 t , '4 G 'i, mild o r c b ECd till 1Y. � ', t , ( _ l Addition of new motor load of ❑ ' A" F 1.2 ' ' 1 -q ,zI a /,l a. a y a_.d ,^/ tr 1001-11? or more occupancy Job no.: ioh Site address: 11$ 1 D S Y Y i) 3';"' f 1. ❑ Six or more residential units CS Recreational vehicle parks. Cl /State /ZIP: v rj Health-care facilities. ID Supply voltage for more thnn ( _. .. ❑ Hazardous locations, 600 volts nominal, Suitc/bld - /arp t, no,; 3 �� Project name: ❑ Service or feeder 600 unrt,s or moTe, g Pro �� �' ,., I a t 15X1 ir6J��l,i ld ft ' 4 9't�1SG�l,�' , Cross street/directions to job Bile: Ptwcription (NY, ) Fee. - Total " New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision; Lot no. 1,000 sq, ft, or less 145,15 4 • hla. add'l 500 so, ft. or portion 33.40 1 Tax ma Limited energy, residential 0 2 P P a nm,. «rr otir ., . ;., l 1 < la r 1 (with 8, t�ta arc I , 1 . ° s, li Lii�i ''.0 A. i.9 , ii� iii3,! i,ti, w ( q ) 75.0 t'ini k '„ Limited energy, multi- family 75.UU 2 &� residential (with shave sq. N) .— m Services or feeders installation, and /nr relocation 200 amps or less 80.30 ffiQ -1 2. I .� �, G ' rt r . w tr h i ., i Vi C ' ,„� { ' i ~ i z �' r � �F 1 201 amps to 40U a s 106.85 2 • �// , tE ... 1 t�o :( 'l ' • ltr ' 't . l 1° 0 r j / �y _ 401 amps; to 600 affairs 160.60 2 Name: L).. (o� - � .. °f` f+ �i.. - _Gel amps to 1,000 strips 240.60 Address: _ Over 1,000 amps or volts 454,65 2 — C_ity /State /7l }�: — el Temporary services or feeders installation, alteration, and /or vocation Phone: (511 S O L(.rL 7 2--- Fax: ( ) 200 amps or less 66.85 1 - _ 701 amps to 400 amps 100.30 2 Owner installation: This installation is being madc on property that 1 own which is not 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 el • noel __ Owner signatu e; _ Dale A. Fcc for branch circuits with I1�� f "I a p 'ZEE }, C` , u y t V i t idyl above se or fender fee, u 2 iffilaf tm, , ' 1 ,1nlPXf 1 ;r i y i sr,: 1 _- 111, „k , 1 niirr�itt��1!l�r, bv 6,65 ■.. each branch circuit Business name: 13, Foe for branch circuits " — "— without service or feeder fee, 0.85 2 Contact name: _ first branch circuit _ "' Each add'l branch circuit 6.65 2 Address --•-- — Miscellaneous (service nr feeder not included) City /State /ZIP; Each manufactured or modular 91170 2 .-., - -.. -- t °. dweilin . service and /or fender Phone: ( ) Fax:: ( ) Reconnect only 66.85 2 j,, i � �� E mail: ;�� t w, y Pump or irrigation circle 53.40 2 d' n l fl'' .,d) 4 li � � tif§, . ,' � 1 i ' . ?$9 tNt Sign or outline lighting 53.40 2 r Signal circuit(s) of limrtcd- BusinCSS name: R N � C T c T energy panel, alteration, or p p extension. i)eaeribe: Page 2 2 Address: �Yr p. �ft City /Stitl:e Each additional Election over allowable in any of the abnvs --7. r - Pcr inspection 62.50 _ Phone: (503 ) t _ _ 4 Fax: (S rl,) (0 4 Z - - )c} S Investigation per hour (1 hr min) 62.50 _ CC13 Lic.: 12A I Electrical Lic.: ..' t►5 Irv- Lic.:3 -7 D-7_5 Industrial plant per hour 73.75 1, c . mom .`` t tly ; i irk p...,,�idl , ,ii f t.1Ti1�i'rg"ii�(18�4'(r�: ,ar i ii liR • Supra Electrician signature, required: / 1 ' ' Subtotal; ;41, r.; g .: . " ,,+ r Plan review 25% of ermit fee • Print na m 4 I, ZR a State surcharge (12% of permit fee); Authorized signature: TOTAL PERMIT FEE; !I e • _ ,._ - - -' � 'Chia permit application rsplrcG if a permit Is not obtained within so Print name: Bale' days after it hen been accepted as complete. • Number of inspections ntlnwed per permit, CITY OF TIGARD _ - .„. BUILDING DIVISION PERMIT #: FI_C2008.00434 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7 !281200( Phone: (503) 639 -4171 . : tt gm�ii1��,� Inspection Requests (24 Hrs.): (503) 639 -4175 i INSPECTION WORKSHEET FOR DATE: 8/1/2008 TIME: 7:00AM PAGE: 16 SITE ADDRESS: 11640 SW 113TH PL CLASS OF WORK: SUBDIVISION: MUTTLEYS ADDITION LOT #: 017 TYPE OF USE: PROJECT NAME: PIAuT DESCRIPTION: Replacing panel. OWNER: PIATT, ROBERT & KARA PHONE #: 5n504-4 202 CONTRACTOR: GARNER ELECTRIC PHONE #: 503-848-45(i2 • Inspection Request Scheduled For: Date: 811f2008 Pour Time: 1 Code # Inspection Description Confirm # Contact # Message 1 199 Electrical final 073599-01 503 - 501 -4202 Y 2e Corrections /Comments /Instructions: ✓ t 1 V 0) \- 7 PASS n ' ARTIAL APPROVAL ❑ CANCEL NO ACCESS FAIL 4(CALL FO' •''P -- ON n ADD 10 AL FEES ASSESSED Insector: , Date: i 0 r Phone #: (503) 71 . hit CITY OF TIGARD '1.. BUILDING DIVISION f f 3 PERMIT #. EI L2008 -00434 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/7W2000 Phone: (503) 639 -4171 a ��pi��l Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE 7/31/2006 TIME: 7:00Am PAGE: 55 I SITE ADDRESS: 1110 SW 113TH PL CLASS OF WORK: SUBDIVISION: MUTTLEYS ADDITION LOT #: 817 TYPE OF USE: PROJECT NAME: i~>IATT DESCRIPTION: Replacing panel OWNER: PIA ROBERT & KARA PHONE #: 503-501-4282 CONTRACTOR: GARNER ELECTRIC PHONE #: 503-646-4552 Inspection Request Scheduled For: Date: 7/312008 Pour Time: Code # Inspection Description Confirm # Contact # Message QIA 199 Electrical final 073435 -01 503 -648 -4552 Y Corrections /Comments /Instructions: l ( ( f I I \IAuA.r 41 1 . Ii41.0 A.Al :Ail .e.4 W Gds} 7 � � 0/1 - 7.(j a4 1 r = . / ) 4 4 %1C Lt-t}04 A 1. '. IA 4 . _ I / . ' .1 f ig / r i.i /Iii_ r ! � ! Il ) , ., ' f IV ( f ° ,/ 1, 1 if A VI ' a ‘ A_J i Ai - _At I .4 ..I .. ■ 1 1 t i _l 4 f /RI 5 ---- NeG ye's' LI 1 I PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS FAIL 12 CALL '.R INSPECTION n ADDITIONAL FEES ASSESSED Inspector: ` D ate: '0' a ! Phone #: (503) 718 -_ t i l Ya