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Permit C ITY OF TIGARD ELECTRICAL PERMIT 0 t PERMIT #: ELC2005 -00213 c11A DEVELOPMENT SERVICES DATE ISSUED: 3/31/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S134CA-00503 SITE ADDRESS: 11205 SW 119TH AVE ZONING: R -4.5 SUBDIVISION: PANORAMA NO.2 LOT : 014 JURISDICTION: TIG Project Description: (3) branch 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: STRICKER, PAUL K AND TERESA J HEBERLE ELECTRIC 11205 SW 119TH 7456 SW BASELINE RD #414 TIGARD, OR 97223 HILLSBORO, OR 97123 Phone: 503 - 590 -9272 Phone: 503 - 628 -2095 FEES Reg #: SUP 3053S Description Date Amount L E 152342 E 34 -1600 [ELPRMT] ELC Permit 3/31/2005 $60.15 [TAX] 8% State Surcharge 3/31/2005 $4.81 REQUIRED ITEMS AND REPORTS 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. Issued By: 1_L2 ) Permittee Signature: ��� c)1")i 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. 03/16/2005 21:10 5036283076 HEBERLE ELECTRIC INC PAGE 01 EL ctr -4cal Permit Application Received �i, i Datri 5 ✓ 3/ Q 5- -yi�2 1. ,, ,, i t al �� � o mit No.: �i LC 3 City of Tigard �`� Planning Approval sign !� Nan Re : O the r No.; 13125 SW Hall Blvd. Nan Rcvicw Otitis Tigard, Oregon 97223 QQ 58 -1910 Post- Rcvicw t 05 Datc /I3y: Permit No,: Phone: 503 -4171 Pax: k�e�9-y6 Use "' Internet; wlvw_ci.tigard.or_us I C ontact C ►_i� .,. Dale/By; 6 v r' �. ris,' ple Page nor 24 -hour IrlSpec.tiort Reyues . f,.53 A j � + t ' "" Name/Method: �, 1 � - ' �, t �,� „- Supplemental Ininrmallon, / _ _ __ ___ 'TYPE OF WORK FLAN REVIEW (Please check all that apply) II New construction _ __ Demolition Service over 225 amps- ( Ileaith -care fncility • • ❑ tram.mdnus location NI Addition /altcration/r'epllacement Other: 171 Sc Service over 320 amps - rating of 0 Building over 10,000 square feet, CATEGORY OF CONSTRUCTION 1 & 2 family dwellings four or mire residential units in h I & 2- I _b 1::1 [iiil .dwellrll r Commercial /Industrial system over 600 volts nominal one structure + • _Accessor Y_ Bu- ildir -_ - ,Multi- IFamil f b over three stories ❑ hccdcrs, structures nr rrkstc — 0 Occupant load over' 99 persons 0 Manufactured strd uctures or RV pick • Master l ;udder Other: © 1lulydin CI Egress/lightingplan CI Other: JOU SITE INFORMATION and LOCATION Submit sets of plans with any of Mr Amyl-, Sat' add `t y ®S ,,...x, ' 'lite above ct e o e m m egr 1 I lion service. Job __ __- --- •- --....- . 5 W .. .,,. ill ..,....�._.. �� I E• SCHE Ul _ _ _ _ _ 0.rc net 0.p�i •u Suite 11: I nidg,(Apt,ti: — �__ Number trf inspec per pernllt allowed Project Nantc: Ar.,.ts u— Description qty 6ct(rrt_) 9'otel I New residential - single or malls- fanilly per Cross street/Directions to joli st ♦ +� dwelling unit. Includes Attached garage. 1p _ -- liwwww. Gm* Servkc included: 1000 sq, R. or less 145,15 d Each additional 5 sg, fL or pnninn tllctcof 13 I + 01 Limited energy, restdentiol 75, SU1X 1VISlOn; _.._._ _... - - - -- • - - - -- - •--- -_ - - -- - _ -- Limited energy non rc.aitkntia) _ 75.00 Tax 11i8p map/parcel #: � riach manufactured home or mtxlminr dwe - - - -- �_.' ' DESCRIPTION OF WORK service and/or feeder 90,90 Scrvkes or feeders - lnstallatton, • �� %- it Ap...— alteration or relocation: _ 200amps or Ins 2 -- - -- , -. ,.M•, . ,,..... - -- -- -- - - 201 amps to 400 mttps _.. - 106,85 -- _.. 2 401 amps to 600 amps - -- 160.(r) 2 L:r' ROPERTY OWNER TENANT • . mps aMp - -- 240.61) 601 a to 1 000 s Na;tiac; rwj A iV.. _ tl!�+ ► .,1v 1000Atttps or volts r1s4,6S 2 - _ _ - -- t =unmet ono 6161 85 Address: _ ” Temporary services or feeders - installation, • Cot City/State/Zip: p - - - - -- - -- -_, -� -- "w� alteration, or relocation: ,_• : -. 200 amps or less 66.85 I Phone: S eto.- X3.17,. -. Fax: 2.01 am is to 400 am is .__... ` 1 110.30 V V 2 _�• CON'S` , ' E P '' toto(►an s -- 133,7s APPLICANT _.. - „ r, _ '�� nth circuits. new, Alteration, or Name: 1 . F pt • ,, alb :tension per panel: Address: — - -- - ' 503 U A. Fee for branch circuits with purchase of -- - - -- - -• - - -- 0 service or feeder fee -- ..•,.. -- each branch circuit 6.65 - -- R M 11_ se c fi st hrtmeh circuits' _ CI� .SII11C /jl 7: but �yrchoec of � 11 ''' / 011C (�aX. _ service of feeder fee, lust ranch circuit - -'� � - - 46 M Z !'ach additional brdnch circuij •- i a5 ' T 2 E -mail: - �� Mfsc.(Scrvitc or feeder no( included): ' CONTRACTOR " 1lael +l_p p 01 irrigation circle 5,1.40 • 2 • Job No: :.•..,. r __.. ' - -,, Each sign or outline lighlin _ —' 53,40 - 2 Signal circuit(s) nr a limited energy panel, Business Name: ' HEBERLE r p aa so wers un _ or extension - - 1 � - z Address: 7468 SW 8 NE RD allowable th cti -_ , x- -- - Each additional Inspection over e ae In art f he above; o t City/State/Zip: - -••" _ Per is - -- -• X Pht)1tC; (p 2. inspection per hots min. 1 1Hnrr — ' p � , — _._. 62.;5(1 8 • zO L - _ Fa x, - ` _ 5C✓ �- p'] � inv estigation fee; - -__. - f C _CB Lic. ft: l S' Z. 3 Lie. #: vt - - - ``" O , E lectrlcni Permit fees* - - - - - • Supervising electrician " ) •' --- _signature re uirecl: _ ��.. _ Nan Rcicw S v L" Permit - - -.. _ 2/nofiermitFee ) $ stg _ S Print NameJE m• L 4� ", LIL. { State S ur char a 8Ve ofPcrmri Fee TOTAL PEItMrr FEE S , __ _ �/ mac., "rhos permit *pplicaii'm erPires if n permit is tint obtained wit sin A..., Signature; .ate .. ._.._. -_ . Da ,r .0 180 days after II has been accepted as complete. 1 'Vet methedoh,gy act by Tilh's ttnty ftm tiling tnttnatry Service Board. V.. , t- i e (Plc, .. t'......:e _ _._ -,. — , 1� tame) //�� , i:\IJstsVPertt►i► '• .n, ,; . titApp,doc 01/03 WL. • CITY OF TIGARD . BUILDING DIVISION - PERMIT #: ' ELC2005 -00213 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/31/2005 Phone: (503) 639 -4171 � Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/21/2005 TIME: 7:08AM PAGE: 90 SITE ADDRESS: 11205 SW 119TH AVE CLASS OF WORK: SUBDIVISION: PANORAMA NO.2 LOT #: 014 TYPE OF USE: PROJECT NAME: STRICKER DESCRIPTION: (3) branch circuits. OWNER: STRICKER, PAUL K AND TERESA J, PHONE #: 503-590-9272 CONTRACTOR: HEBERLE ELECTRIC PHONE #: 503-628-2095,, N Inspection Request Scheduled For: Date: 4/21/2006 Pour Timed 3 )1A I 's I l Code # Inspection Description Confirm #. Contact # Message 120 Electrical rough -in 004990-01 503.830 -0719 N Corrections /Comments/ Instructions: cP / 7 1 ,1 1 • • 7 (1 \ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS I FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: 7-c9./ ` `S Phone #: (503) 718-