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Permit C ITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00924 e. ' �� DEVELOPMENT SERVICES DATE ISSUED: 12/1/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S101AC -R -O -W SITE ADDRESS: SW NO ADDRESS ZONING: SUBDIVISION: LOT : JURISDICTION: TIG ' Project Description: Install new meter at ODOT right -of -way next to power pole closest to intersection of 72nd & Hunziker. Job #89049. . 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: CITY OF TIGARD - WATER BUREAU OREGON ELECTRIC GROUP 8777 SW BURNHAM ST 1010 SE 11TH AVE TIGARD, OR 97223 PORTLAND, OR 97214 Phone: 503 - 702 -0780 Phone: 503 - 234 -9900 FEES Reg #: LIC 203 Description Date Amount SUP 4460S ELE 26 -95C [ELPRMT] ELC Permit 12/1/2005 $80.30 [TAX] 8% State Surcharge 12/1/2005 $6.42 REQUIRED ITEMS AND REPORTS Total $86.72 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: _ ,��L-, Permittee Signature: ti Alp OWNER INSTALLATION ONLY 1 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. DEC -0.1 -2005 11:00AM FROM -OR ELECTRIC SERVICE 5035352763 .T -675 P.001 /002 F -425 .'I,.J1<Cl.11ll.au 1 C1 Ana t. .[-Lic pitui abavu /� (// � �� E �. Received X 0 . 5 t/ .• 7 City of Tigard C ' Received u� PermitN 9 wl • 13125 SW Hall Blvd., Tigard, OR 97223RE P1an Review other Permit: ty+ '! Phone: 503.639,4I71 Fax: 503.598.1960 4 j i . 1 % Date far ' S Pogo 2 fir Date Ready/By: ) Inspection Line: 503.639.4175 -'4 Supplemental Information l:aternet: www.ci.tigard.or_us n� 0 _ , :u Notified/Mcdwd: . r,r\ TYPE,, u;,c,In P REVIEW © New construction ® Addin4rililu�ia"ti�o 1/r Please check atllThat apply: ❑Service over 225 amps, cormn'1 ❑l•Iazardeus location ❑ Demolition 0 Other: ❑Servi over 320 amps - rating [] Buildng over 10,000 sq. ft, CATEGORY OF CONSTRUCITION of 1- and 2- family dwellings 4 or more new residential A ccess building ❑ System over 600 volts nominal units in one agrtcture ID 1 -and 2-family dwelling ®Commcreial /industriAl ❑ �Y g OBtrilding over three stories ❑ Feeders, 400 amps or more ❑ Multi- family 0 Master builder ❑ Other ❑Occupant load over 99 persons ❑Manufactured structures or JOB SITE INFORMATION AND LOCATION DEgress/lighting plan RV park 011=1th -care facility El Other. Job no.; 89049 Job site a addressi SiJNZIK}:R ST. Sub 2 sets of plans with any of the above_ City/State/ZIP: 1TGARD, OR 97223 The above are not applicable to temporary construction service. FEE* SCHEDULE Suite/bldg./apt, no.: Project name: HUNZIICER ST. STATION norertpaoa i Fee. I Total _I " Cross street/directions to job site: BETWEEN SW 72 AVE. & SW 77 PL, New residential single or multi family dwelling unit. Includes attached garage. • CLOSE To 217. 1,000 sq. it_ or less 145.15 4 - Subdivision: Lot no.: Ea. add'l 500 sq. ft or portion 33.40 1 • Limited energy, residential 75,00 2 Tax map/parcel no.: . _ Limited energy, non - residential _ 75.00 • 2 DESCRIPTION OF WORK Each manufactured ormodular dwcllin • service and/or feeder 90.90 2 INSTALL NEW METER Services or feeders Installation, alteration, and /or relocation 200 amps or leas I 80.30 I $O ,3o 2 201 amps to 400 amps 106.85 2 ❑ PROPERTY OWNER ❑TENANT _ 401 amps to 600 amps _ 160,60 2 Name: CITY OF TIGARD - WATER BUREAU 601 amps to 1,000 amps 240 -60 2 Address: 8777 SW ]BURNHAM ST. Over 1 amps or volts 454.65 2 — — Reconnect only 66.85 2 City /State/11P: ' IGARD, OR 97223 Temporary services or fbedcm installation. alteration, and /or relocation Phone: (503)702 -0780 Fax: ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits - new, altercation, or extension, per panel ❑ APPLICANT ❑ CONTACT PERSON A. Fee for branch circuits with service or feeder fee, each 6.65 2 Business nettle: branch circuit •. B. Fee for branch circuits Contact name: without service or feeder fee. 46.85 2 each branch circuit Address; Each radd'l branch circuit 6.65 2 City /State/ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 I 2 Phone: ( ) Fax:: ( ) Sign or outline lighting 53.40 _ 2 E-mail: Signal circuit(s) or limited - CONTRACTOR energy panel, alteration, or extension. Describe: Page 2 2 Business name: Oregon Electric Construction CfM4ACV 1 - — Address: 1010 SE 11th Ave A ( ---e . Each additional inspection over allowable In any of the above Per inspection 62.50 City /State/ZIP: Portland, OR 97214 5b) 21.1q _34 0 investigation per hour (I hr min) 62.50 Phone: (503) 234 - 9900 I Fax: (503) 535 -2763 Industrial plant per hour 73.75 ELECTRICAL PERMIT FEES* CCB Lic.: 203 Electrical Lie.: 26 -95C Su.. - Lic.: 4460S Subtotal 8 p . 3 p . Suprv. Electrician signature, required: . � Plan review (25% of permit fee) /i" j - /tea State surcharge (8% of permit fire) 6 . 4 a Print name: , .)ate: 12/0 ��k3 . ► = TOTAL PERMIT FEE gta - - a Authorized Signature: — ' This permit application aspires if a permit is not obtained within 180 � ,� t' .r.1 � days alter d het WOO Accepted as complete Print name: A L. �� = ate: 12/01/05 ° Fee methodology sot try Tri- County Building Industry Service Board dil V ** Number at' inspections our Permit allowed_ \J .5 A • I V 0 4 35 J � J i C) o y CITY OF TIGARD ` BUILDING DIVISION • PERMIT #: LC200&00924 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1211/2005 Phone: (503) 639 -4171 A N f il l IL Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/15/2005 TIME: 7:04AM PAGE: 75 SITE ADDRESS: SW NO ADDRESS CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: HUNZIKER STR • T STATION DESCRIPTION: install new meter • )DOT right -of -way next to power pole closest to intersection of 72nd & Hunziker. Job #89049. OWNER: CITY OF TIGARD - WA R BUREAU, PHONE #: 503-702-0780 CONTRACTOR: OREGON ELECTRIC GR ►'UP PHONE #: 503 - 2349900 Inspection Request Scheduled For: Date: 12/15/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 02.. 19-01 503- 702 -0780 N Corrections /Comments/ Instructions: a PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: v-"tit N V G e k Date: 14 Ilk � Phone #: (503) 718- z� � %