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Permit C ITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2006 -00211 ,..,. DEVELOPMENT SERVICES DATE ISSUED: 4/19/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 2S 103CA -00603 SITE ADDRESS: 13400 SW 121ST AVE ZONING: R - 4.5 SUBDIVISION: LOT : JURISDICTION: TIG Project Description: (2) branch circuits for bathroom remodel. 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: g 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: THOMAS PETITT BOONES FERRY ELECTRIC INC 13400 SW 121ST AVE PO BOX 628 TIGARD, OR 97223 WILSONVILLE, OR 97070 Phone: Contact #: PRI 503 - 682 -4936 FAX 503- 682 -7946 FEES Description Date Amount Reg #: ELE 3 -223C [ELPRMT] ELC Permit 4/19/2006 $53.50 LIC 88482 [TAX] 8% State Surcharge 4/19/2006 $4.28 SUP 4918S Total $57,78 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: � r�� Permittee Signature: S Q \ �, n OWNER INSTALLATION ONLY r 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. +Apr, 19. 2006. 2'03PN ©0 ' °SUPER ' L -EC R,IC No. 0995 P. 1 City of Tigard FOR OFFICE USE ONLY 13125 SW Hail Blvd., Tigard, OR 97223 APR 19 Rec e 1 "ed _ Phone: 50 3 - 639.4171 Fax: 503,598.1960 �� . 6 Date/B ' I � Inspection Line: 503,639.4175 CITY >* 8g, : � Date/11 , ■ lternet: Line: i.tl ar lr` . Date/g : — i g d.or.us �( 1� p .I, Date Read Other ?emit, s , Vf i 1 b - y r, Ntau4 trod ....:., .:`: i � ,.+ , I � t s s' i, i o a � � suPPl to See Page 2for ❑ New construction tla u, men o nsinicti Addition/alteration/replacement 1.: 1 ri r i I i r,,, a tat [nf rmatlo„ Xi . + t s , r<, R c ' ` ❑ Demolitio , „e r } ` Imo! Demolition Please check ov ! .2.,..;• ,!e l�;�i� r, - ❑ Other: I heck al th at apply: a f ��� '` - �:::4; ❑Service i ? 11 � S 4 ; - 1 « , w , 6 ! , over 225 amps, COtnrrl'1 0 Hazardous ._,..�_ 1 �^ l '4k i 1Si t. 9 *I� !. , . F j ❑Service over 320 e newaes00 sq ft., Ai i 1 - arid 2 dwelling [� Cp : '_ i _ ,. t , : , amps- rating DBuildng over 10,0. Q i d fa mmerciaVandustrial g I,.;. ❑ f 1 -and 2- family dwellings 4 or more new residenttal Multi-family ❑ Accessory building I ;; �r b over 600 v structure J !r , � 1 l t i :> ;t ', _ :1 ` Mast uilder Q Other: ['Building ov 60 alts nominal units is one t „ I ❑ uilding over three slo .IL.:„ t ., :;.' $ l i 6 +1F Il Sl 11 ,) ; fir, i , r r t ,s , , 19' ❑OCCUpant load over r1CS ['Feeders, 400 amps or more Job no.. /9 � ; ,,; L w it 1 er 99 persons ❑Manufactured structures or t } / Soh site address: j3 y 3 / t ❑Egress/lighting RVpuk ❑ City /State /Z)P: Health•car facility 7' g [1 Other: n ►� a Submit above sets of plans with any of the above. Suite/b1dg, /apt, no.: The aboe ar Project name: TA b Q� a , t ,. o , a m not r applicable to temporary construction service, Cross street/directions rections to job site I . New residential single - or molt! fa s t ; q 'a ry I ti { �, Ice. Descripti i l `'. ��� �. I lmity dwelling unit. -• Includes attached garage, Subdivision: • 1,000 sq. l ess Tax map/parcel L ot no _ t- . ;,.. - _ _ onion n o Li Ea add'1500 sq, ft. or p = 4 7 ,; . ^r ' -�, _ mited 33.40 e =t';.. ':,•. `:`: ' : , : : r energy, residential _ 1 : ; :I 1 h 1 M . ..:.:. j l 4 t , d, l , ^,� , ! r � �� d l ` J i i � 1 : , i ' , r ' , r Limited 75.00 Inn co-- u'1t r M ?, . 'y. a j,l energy, no - residential 7 2 �r J t , : •. Each manufactured or modular 5.00 2 Cyr A rt., fv, rep., 4 `' I I dwelitn: service and/or feeder 90.90 2 7,''.0;7,, 5e . _ Services _;, r =;p, ,� s or feeders install � ;, ,��;,,:i� ~i . installation, alteration and/ - .��ai :ft:_, �__.c - �. �':'J'i�i�;' "a�[1 a5• ^.': ? � t�`:r)r+' 200 a � Or relocation .._...t:, ,_. 3x_.: ;.� ". <':, • a ; ,,, y mpa or less ton Name: amps � J " y � r ; ,; 5 n,;? 201 amps to 400 amp 80.3 2 401 amps m 600 steps 106.85 2 � ddress: 601 an to 1,000 amp 66 2 160.60 2 ' ''' 240.60 2 City /5t I O ver 1,000 amps or volts _�_ Phone: ( I Reconnect only 2 I Temporary alteration, and/or Fax: ( p ry services or feeders installation, alte Owner installation: This installation is being relocation intended for sale, lease, rent, or exchange, according made on property I 200 amps less inter Owner Signature: 447, 49, 6 0, and 701 n1 201 amps to 400 amps • • ; _ 1 ... ...,r, - 100.3 2 ..r 1 F ` Date 4 01 amps to 600 amps MI� fir` A -,;- - I , �� 11 f r c r Branch cirrUlt 2 Business name. t t � } `t j ' } r I,, s -new, alteration _ A. Fec for branch circa' + or extension, per g e net Its with Contact name: service or (ceder fee each ' II branch circuit 6.65 III Address: Each B Fec for branch circuits 2 I . without service or feeder fee City/State/ZIP: each branch circuit 46,85 I '1 branch circuit 2 Phone_ ( v 6.65 nig Miscellaneous service or feeder not Included) 2 E- mail: p � ,. ,... _ Pump or irrigation . >`• +� >'i, ar' - I nt 0 40 Fax: ( ) t- ..:z.._ r' is ^i _ ,`, ;'i' +tl(;. Sign or outline 1' circle 53 Business name: ~. -- : , j :', _I t ....... .! a... 7r , 8a1 circuit(s) alter 53.40 2 51n orli mited. $ D o n e e 1' e r r I;, r t; ;f > energy panel, alteration, Or Address: 1? Z extension. Describe: P • 0 . 110x 628 Ci /State/Z 2 ty iP: W i 1 s ollV i j E ach additional Inspection over allowable In an of t le OR 97070 1 Per inspection 62'50 Y he above inn Phone: (au 3) 66 2 -4936 ! Fax: (5 0 3) lnvestigation per hour 1 82_ p (hr hone: ( a g g 4 $ 2 6 7 94 6 ; Industrial plant min) I. 6x.50 cr h our Supty. Electrician signature, required: %�1 SUpty. Lie.: 9. 9! 8.51 ` ; :,j e t , ` i ' ! �`I _ : t i t, lr-v17 } I ial _ ' } -- �,, y ' = a ,, f:t 1; rint name: I subtotal S3 . S 0 / Authorized signature: -14 ''' Hgr l3 O n Date: Lt. Plan review (2590 of Pcrrrtit fee) ----o gesture: p7-04- Stab surcharge (8°i, of permit fen) y - L $ i Thlc penult TOTAL, PERMIT ]a E$ S 7 , 7 Q P mlt application expir if R P is ant obtelhed within 150 l;`,BOdt,t T Date: nays attar It has been B erm tslEt C _ p NDp.doc 17/03 . Fee methodolog set b 'I'd-County � cc e ldin as complete tuber of inspections per t an""'" Building Industry Service Board 440 - 46137 10!07/ Nu . t CoMrwoA P permit • CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006.00211 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/19/2006 Phone: (503) 639-4171 mph °� Inspection Requests (24 Hrs.): (503) 639- 4175�''I �.. INSPECTION WORKSHEET FOR DATE: 7/24/2006 TIME: 7 :01AM PAGE: 3 SITE ADDRESS: 13400 SW 121S1' AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: pE - w DESCRIPTION: (2) branch circuits for bathroom remodel. 5/12/06, ADDING PANEL CHANGE AND (9) BRANCH CIRCUITS. Job No. 950 OWNER: PEflTT, THOMAS PHONE #: CONTRACTOR: BOONES FERRY ELECTRIC INC PHONE #: 503.682 -4936 Inspection Request Scheduled For: Date: 7/24/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 033612-01 503- 936.7092 N Corrections /Comments /Instructions: TiNysba NSA— . citN.,6-E We; t c-L. oik.0 w .4 rki \-\o8i a3 f3t)10 Q 14 54 iA ok PASS I I PARTIAL APPROVAL n CANCEL NO ACCESS N I I ADDITIONAL FEES ASSESSED Inspector: � t•1 Date: 1 ` "W Phone #: (503) 718 -1A . N , -:., ■ - CITY OF TIGARD BUILDING DIVISION Ai ,.... PERMIT #: ELC2006 .002'i 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4119/2006 Phone: (503) 639-4171 ispitivilt Inspection Requests (24 Hrs.): (503) 639-4175 . .. - e__. ., , INSPECTION WORKSHEET FOR DATE: 5124/2006 TIME: 7:12AM PAGE: • • 44' SITE ADDRESS: 13400 SW 121ST AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE PROJECT NAME: PETITT DESCRIPTION: (2) branch circuits for bathroom remodel. ti/12/06, ADDING PANEL CHANGE AND (9) BRANCH CIRCUITS. Job No. 950 OWNER: PETIT1, THOMAS PHONE #: il CONTRACTOR: BOONES FERRY ELECTRIC INC PHONE #: 503-682-4936 l' Inspection Request Scheduled For: Date: 5/24/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 4111M-jectrical setvice 030502-01 503-682-4936 N Corrections/Comments/Instructions: . 1 i . i I V: PASS E PARTIAL APPROVAL E CANCEL E NO ACCESS I I FA L Ti CALL FOR INSPECTION ADDITIONAL FEES ASSESSED Inspector: Cr• i \168 L Date: VA NO Phone #: (503) 718-% . _ , • CITY OF TIGARD BUILDING DIVISION ,- --, -., PERMIT #: ELC200&00211 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 41/9/2006 Phone: (503) 639 -4171 �i iiti Inspection Requests (24 Hrs.): (503) 639 -4175 ._' INSPECTION WORKSHEET FOR DATE: 5/11/2006 TIME: 7:00AM PAGE: 40 SITE ADDRESS: 13400 SW 121ST AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PETITT DESCRIPTION: (2) branch circuits for bathroom remodel OWNER: PETITT, THOMAS PHONE #: CONTRACTOR: BOONES FERRY ELECTRIC INC PHONE #: 503682 -4936 Inspection Request Scheduled For: Date: 5/11/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 125 Wall cover K\`\ c To 029708 ,01 603- 682936 V 1 2fl (2.d = - .- ---- - ------ Corrections /Comments /Instructions: T . , . ., ) - cz■J a, S QZ Te .. - r o F 1, E, .0 41 Pk 0 V REY • ) lir S SV t-V-IL . EIN) h■Oa 1 1/4 60 t A PASS 0 PARTIAL APPROVAL I I CANCEL NO ACCESS FAIL 1 I CALL FOR INSPECTION 1 ADDITIONAL FEES ASSESSED / rr Inspector: N 0, Date: S 1 i (N,1O Phone #: (503) 718 - VH v • CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC200600211 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/19/2006 Phone: (503) 639-4171 10 /4fiv,il# Inspection Requests (24 Hrs.): (503) 639-4175 ett. INSPECTION WORKSHEET FOR DATE: 5/5/2006 TIME: 7:10AM PAGE: 36 SITE ADDRESS: 13400 SW 121ST ,AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PETITE" DESCRIPTION: (2) branch circuits for bathroom remodel. OWNER: PETITE*, THOMAS PHONE #: CONTRACTOR: BOONE'S FERRY ELECTRIC INC PHONE #: 503-6824936 Inspection Request Scheduled For: Date: 5/Ed2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 029367-01 503-682-4936 COrrections/Comments/Instructions: P (Y\ PASS I I PARTIAL APPROVAL 0 CANCEL XNO ACCESS >qlFAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: -- 01 1 1./k6 Nr(S6 L-s"' Date: 5-6 N. Phone #: (503) 718- 244 CITY OF TIGARD BUILDING DIVISION ' PERMIT #: ELC2006-0021 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/19/2006 Phone: (503) 639-4171 • . Jr Inspection Requests (24 Hrs.): (503) 639-4175 M INSPECTION WORKSHEET FOR DATE: 412012006 TIME: 7:04AM PAGE: 27 SITE ADDRESS: 13400 SW 121ST AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: PFIIIT DESCRIPTION: (2) branch circuits for bathroom remodel. OWNER: PETITT, THOMAS PHONE #: CONTRACTOR: BOONES FERRY ELECTRIC INC PHONE #: 503-682-4936 Inspection Request Scheduled For: Date: 412012006 Pour Time: Code # Inspection Description Confirm # Contact # Message 125 Wall cover 028387-01 F 682-4936 Corrections/Comments/Instructions: PASS I PARTIAL APPROVAL CANCEL n NO ACCESS n FAIL El CALL FOR INSPECTION I 1 ADDITIONAL FEES ASSESSED Inspector: , Date: 2- 6 Phone #: (503) 718- tot