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Permit • CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00229 DEVELOPMENT SERVICES DATE ISSUED: 4/1/2005 `---� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 1S133CD-R-O-W SITE ADDRESS: SW NO ADDRESS ZONING: SUBDIVISION: • LOT : JURISDICTION: TIG Project Description: INTESECTION OF 135TH & FEIRING LN. Alteration of existing 120 volt service. Job # TGO9a1. 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: DRYER ELECTRIC INC 9409 NE COLFAX ST PORTLAND, OR 97220 Phone: Phone: 503 - 771 - 5667 FEES Reg #: ELE 26-1142C LIC 153466 Description Date Amount SUP 2876S [ELPRMT] ELC Permit 4/1/2005 $80.30 [TAX] 8% State Surcharge 4/1/2005 $6.42 REQUIRED ITEMS AND REPORTS Total $86.72 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: �722:;? Permittee Signature: OWNER INSTALLATION ONLY The installation is being made on property 1 own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. 03 -30 -2005 14:00 FROM- T -933 P.037/043 F -594 .1')/01/2M5 FAX 50:3511l$luuu \.111 u1- A. 1..I C>4.a' Electrical PermitAju Ii ` w : i ti: t 1: F1al'. (.)Ni. t' - City T i ird - eceiveQ P ermirNo.: G i f3' ]n pAte<s . I i }' CO - 3125 5WSa11Hlvel.,Ti8aTd, OR 9722} 1aaReviaw — __..._ 4?` u�!P2� one: 503.63 9 -s i71 Fax: 503.598.1960 :1t, '!1 +'+ � .- Dare//3 . Other Per i I1 �tsoectfon Lin a, _ AM RcadyBy: lure 121 Sce Pa ^e {2 for ::rternet: ww'x:ro 403.635.$175 tigard.or.u3 N4tifiepCviethed: -, •_-- \ 1_ V Svppteincat {II intornlatiot _ L......_.• 1.... , , _ I .. ' ' ' '7..1:-.4.".r i u •1L.S , :n;]'i .i.&.iisr. � i;[_I i$..1: , ,• l fl ; ri d — s 3k .: ' : ; i •11 New co • 9tru otion ❑ Addiiian/alteration/replacement Please check Ell th.. apply: ] Dcmolititn r-i other: 05erviec 01 225 amps, conic 'i ©klazurdoua location. �,, - •, : r, + - z ' <t . I ,, ,* , r1g 1 .4� 0Service owl 32", amps -rang ©laufldng ol 10.000 :q. fr., r t� i �, , i f1c1 t tit tri 1 t l''.1 p I PO4$j nn .� i; ! 4 � t L •� t,� of 1- 3i:d 2.ffarlydwellings 4 or r'Ore 'new residertial `_: i- and 2- i1utily dwelling. Q Commercial/ ' duatrial ■ Accessory building !Systetn over 601) volts nominal li its n Ulie $t icrurc Multi- fat sil • - Q Master builder E] Other; QBuilding over thice stories ❑Feeders, 4:70 amps or more rt 0Occupant log to a 99.persom . i]lvlulufac4red strueelres or ' ' i 'il ; ° '' D ., ∎1 1 1 - t t r t ' t t f : , R RV. park a : � • • ._ t . . . _ . _ ❑EgreasA oh no.: Jab site . i • .5.11/11110 t II • - culttl -care faaikry clothe,: Ailli _ » / I 1 1 ! l j • u +t aut 2 set: ai pl'ut:: with any of t e above. Q , icy /State/Zf t 'b ' r�11W�� 1 _ 111; above are riot a;tplicable to temporary consmaclior . service. ilte/�ld$. /ajtC. 10.: P 4'it ct Tlairle: �.;I .__ . sd ,. �. 1. I. . . _ __ __ Aaeeripttart Q ty. I Fco. t Total :mass street/c ire ctions to job Site: New residential sirrgle multi - family dwcllinq unit. x ; ., - Inetades attauhtd tat a{;a. —_ i �' - 11.: 3'3 ) ) - o 'er � ,r ..�J 1 sq. ft, or less - -- 14 r 14 ubtiivisian Lot no.: add'1500 sq. _fl. o:' portion 33.40. i - -.. -- - ; Limited cner r les.�dcatial 75.0G; 2 g ' 1 ax :map/parcel el no v - - -- ' 1 C. ..., - - .` 1 , rt - •,r - $!� M 2 • - . • , :. .. r '•! . i . :_ • .... ., . ... - L eh =Lit ho mod )r tmodular 75y00 Jiff ' 1 ,. i ie, dwa ciyi llini cee a4t3lcr feeder 90.90 2 (♦ . � i �► Services or fePad!'s installation, all ration, and/or reiocarlon • '. N- • z idtr 200 amps or less _� -, • 80.30 '{1 =M 2 P'":':'': TT It a � _ • 1 201 a-nps to 4 uo ammo 106.85: 401 amps Co 61)0 err �:; l 60 - 601. • Tame: C ' 1 - - 01 amps ra 1,000 t p5 240.01 1 1 2 Over 1,000 err,ps or vc lrs a5a.651 _ 2 R.ecotmect only 66.85 2 try /State/ZIJ : _ Temporary services U r feeders installation, alteF•ation, and/or • home: ( ) - Pam ( ) _ -..r�. - relocation 200 amps or less { 66.85 r ' :iwlter lnseatl7tiau: This installation is being Madt: vii prope1Cy that I own which is not 201 amps :o 400 areas 10030` 2 ; ,tended for tali :, least:, rent, or exchange, accocditag to ORS 447, 449, 670, and 701. 401 amps �0 400 atop! .____ 133,75. z ' st _ or ni e1 )wnct' gasturu: ,,,- „- „•, Branch circuits alteration, e o a panel Date: ":111.;::.:...;:'.:7:- . ... •; -.,t�,- ,.7 _.. , . ., _ ,i;;• .. A. Fee for brat,ehoncuitswia a an, rr ere n,;per a ., service or feeder ter::, each 6.65 : iusiness name: branch circuit 1 ----- ---- -- - i . Fe; for brand': cit cuits ontaet nnsritt:: witour scr•ioe o: freder fee, 46.85 2 1 "» each branch. eirC _ ti ddress: Hach add'l branch h er.rsait 6.651: --i "iv/State/a?: Miseettaneou:: (.;et :gigs or feeder spot included) L Pump o iigaticn circle 53.4Q; 2 ' - one: ( ) .^.» • n Fax:: ( ) Sign Sign ar ocdint lighe;:;� ? -rte: 'Mang Signal cirouit(:s) or iirnited- ` Ti ' ... r : '' ai -, a a r ? Cr. rM - , :•:r energy panel. sitvrdIton, or I . : .. ... -. J --. a'• extension. De:crler , Page 2 i 2 -: usineas neme: i L r $ .v/As _ l l '..-- ess: - /t i est_i e ach additional In pe ctton over allowable in any of the above P eainspcctior. _ ___ { 62. "ity /State /ZI ? : . 'C 0 ' it arn r 9: ,/ _ investigation per hour 0 hr rrlrt) I 62.50+ i rr /r��U industrial latttperlw'�r '/3.7_ � I oar Lions: ) - `.. / ► .� Lr'lV ! , ..__.- .�_, , p7 ; :GB Lic.• , Electrical Lic. - VI Suprv. Lic.: hag ' � v : aprv. Elect lcian sigt : 1 ref,required: P ta - li re,dow (2S% o: pclmit fee) / State s:lr (8 of pem'it fen) y r M • ��ant name: - m _ CIS(. 6:„(6 `� ►^— la a:e. - - - - - - i TOTAL PERIN= FEE Ai t _ 1 a. -- -. thorized . s_. gt latnre: Thie permit appllca.tom expires if a permit is ant obtpinc wrtnia 1 =o I - Il eys s itar It Ilia been aceepred as complete 'Tint name: Date: - Fee =e 'node Io5y : , . y Tri•Cowlty Ouildiyg tndwtryi Sar ice 3 rd - - -- •• Number of in5pxrunt1; pet permit allowed, -....nstna\Pcmcw\E:.0 to nsA'p.dec i:V03 440.4 51 5'r( Io,o2/CC/WV/a " ITYOFTIGARD BUILDING DIVISION PERMIT #: ELC2005-00229 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/1/2005 Phone: (503) 639 -4171 � '� na+u4P ii ��p����'i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 4/8/2005 TIME: 7 :10AM PAGE: 17 SITE ADDRESS: SW NO ADDRESS CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: COMCAST DESCRIPTION: INTESECTION OF 135TH & FEIRING LN. Alteration of existing 120 volt service. Job # TGO9a1. OWNER: PHONE #: CONTRACTOR: DRYER ELECTRIC INC PHONE #: 503-771-5667 Inspection Request Scheduled For: Date: 4 /8/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 004118-29 503.516.3125 N Corrections /Comments /Instructions: IR PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: —Z Q — OT Phone #: (503) 718-