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Permit „ r . I �� ELECTRICAL PERMIT l' PERMIT #: E L C 2006 -00682 COMMUNIT DEVE LOPMENT DATE ISSUED: 12/1/2006 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 102CC -00402 SITE ADDRESS: 13705 SW ASH AVE ZONING: R -4.5 SUBDIVISION: FREWINGS ORCHARD TRACTS LOT: 015 JURISDICTION: TIG Project Description: (1) 200 amp service & (1) branch circuit for hot -tub connection. 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: 1 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: DANIELLE TILL CONDUIT ELECTRIC 13705 SW ASH AVE 19461 SW 89TH AVE TIGARD, OR 97223 TUALATIN, OR 97062 Phone: 503 - 550 -7705 Contact #: PRI 503 - 692 -1428 FAX 503 - 692 -3652 FEES Description Date Amount Reg #: ELE 26 -905C [ELPRMT] ELC Permit 12/1/2006 $86.95 LIC 109669 [TAX] 8% State Surcharge 12/1/2006 $6.96 SUP 4501S Total $93.91 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: . Permittee Signature: _s_. e e_, 'RV\k R 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. 20"6 /N.1, /30 /THU 10:09 AM Conduit Electric FAX No, 5036923652 P. 001 t. . FOR ()MICE L LIST ONLY Electrical Per A V :1 City Of Tigard ' - Rewtved p ermit Na. 0 2 006 Date lY - 3 ' o i� )off a . 13125 SW Mall 131vd., Tigard, OR 97223N 0 3 Plan Review • +m: , Other Permit: 503.639.4171 Fax: 503.598.1960 , .os. l''� • Date/By: )nspeciion Line: 503.639.4175 CITY OF TiGARD J .:. � Date Ready/Ey: 11111 lid See Paget for Internet: wWW.ci.tigard.or.us BUILDING DIVISI1(NI Notitied/lvletltod: • Supplemental Information .... ..:...:;, ... , ,....,,..,...{p}mE „01;' RIB , ,...,.,: ,�� , 's 4P iu; iu..• =r 0 New construction Addition/alteration/replacement Please check all that apply: • ['service over 225 amps, comm°1 ❑FiaZardous location ❑ Demolition Other: ['service over 320 amps - rating ❑Buildngover 10,000 sq. ft., • ^. .; ` ,,';,'�, -' , _ .1:i; r iliUORCYtiCIt.*CfJ. T, RTJ0 ;.:;:;; ;i'::;.' - and 2- fatnilydwellings • 4 ormore new residential WI . and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building LI System over 600 volts nominal units in one structure ❑Building over three stories ❑Feeders, 400.amps or more • ❑ Multi - family ❑ Ma ster build ❑ Occupant lad over 99 p ©M structures or ' builder Other: � o o anufg ctured st y °•,' r , .; ;, , ,,p, ` . 1 ti 11,v park . ❑ 7A1g ' SZrT _F.i��9kt14X�i1'•�bN' „A'N)S�� O .L�:�I0� 1 :`';:.:.. (]Egess t ri plan la 1 ❑Other• • • Job no.: .... • Job site address: 13 , " AV Health care ci try { t� I loS ► Submit 2 sets of plans with any of the above. City / State/ZIP: -`'Z la-r - d Old The above are not applicable to temporary construction service. • ti ( swa �7"t ;"i•i <��';i';:,Ae r ' ; i i.Z•• + _t..t4,6 pis. ,I,,'3.4:•'_s °�''-4'�% •1: : :tt;;: i' t : � Project name: fi- - Suite/bldg. /apt no.: L i �� _ v �Y 1i Description Qty Btu Total Cross strcer/directions to job site: New residential single- or multi- family dwelling unit - • - Includes attached garage. • _ 1,000 sq. R or less 145.15 • 4 Subdivision I Lot no,: Ea, add'I 500 sq. ft. or poition 33.40 1 Limited energy,.residential • 75.00 2 Tax map /parcel no.: Limited energy. non- residential 75.00 2 . :':.;1 : ' ( ;sin:. &,e:.: - ;.• - •.•x•' ::7,^VS ^.V" ri, <<; - i .. =:�i:; :, :Vt: ;,t : • ; 3 .: ' i ;'k .0 t:- i'r `, q: s,_..:. ,:�'::! `: Each manufactured or modular ,;::�.,. „ •;;as ;l .... 'r • , -, 'c;;': Ohl ?•� , .. rr .,.. '� .... ... , � �..�a. y:; �SClf14!xI 13. r 1 dwelling, service and/or feeder • 90.9'0 2 Et t�Y'1 C.02 �1 V_CY 14(t . TL .. . • Services or feeders installation, alteration, and/or reloe on 200 amps or less 80.3 0 2 .; ;.u ;a,. wr+t s 6.Yr: =r .,., .: ? yry .,,:;r.,; ;' .i,r; 20] amps to 400autps I06.85 2 . G e "',' , O . 4 .I..: )� •:tr.;I ..t, .,L'la, ,,ia•S4 3J\ , :'v:X:: fi'4:i'k :•'. :.. .� i , ' . fir" A „r .:.. ..:: -1PJkZ � . ,,.... �,,: ,3,:,, ., .,.. , y�::r;'; ',.. , . :., 401 amps to 600 amps.. .160.60 2 Q� -e\. � i Name: )\i \ / � ; \ 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts . 454.65 2 - Reconnect only 66,85 . 2 City /State/ZIP: Temporary services or feeders installation, alteration, and /or 3---63 _�� ^� I relocation _ Phone: ( ) r 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: • - Arendt circuits - new, alteration, or extension,. per panel ilt;. :.,,. :,q,4 `rfi, «j 4. ;,. ":":p>::: A_ F ee for branch circuits with "!',' :,�;:. . r,: l;r `: ,. '•r. "' . l i�f• - • R.S6I % c . ,r <:. ,) ' L"J l� ;:i•,', "r ,�Th.�:, ..:Z . .a, .,,. , .... , ,, .. .. . e ... p.. , .., servioc or feeder f ee, eac . • 2 Business name: . branch circuit - S. for branch circuits • . Contact name: without service or feeder fee. 46.85 2 each branch circuit Address: Each add'l branch circuit I ° ° 6.65 It 2 • __ City / State/ZIP: -- - - -- -- - - -- -- -- - -- - -- - -- Miscellaneous (service or fe� e tiil�u�)' - - -- . Pump or irrigation circle 53.40' 2 Phone: ( ' ) l Fax: ; ( ) Sign or outline lighting 53.40 • 2 E -mail_ Signal circuits) or limited- . -'... ', .i';: i,, . energy Panel, or extension. Describe: Paget 2 Business name: i . �[ _ Each additional inspection over allowable in any of the above Address: / I -.4.-/ ( S( a fl AO(' _ Per inspection . . 62.50 City /State/ZIP: I /� c • . 9_ .( . / n pie Q a D • investigation per hour (1 hr min) • 62.50 . - - - -- -- �`� r --- - - - - -- -Industrial-plant-per-hour - -- - 7.3, , Phone: (S( ) e el, 14. , i - - - Fax: .0.4d «tom i� -- - k 'AF.L *0.1;:0CAt '; '•k r, 7H ZESt a . CCD Lic.: /)24 , 7 Electrical Lie.: a 41 .rv. Lie.: 4/S • . Sutn013.1 . %i i � � rjr Suprv. Electrician signature, required: /'' � permit r - • 'I' • ' State surcharge (S% of permit fee) _ Print name: li GU i po 1 Date: " 11 13D1 pit TOTALPERMIT FEE - q 3 Authorized signature: This permit application expires if a permit is not obtained +v4tbin 180 • days after it has been ncccpted as complete Print name: Date; . Fee metbodoloev set by Tri County Auilding industry Service Board • °" Number of inspections per permit allowed i :\ Building \PCrmitame.PemtitApp.soe 12/03 440 4615T(1afo2/COM/WEB CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC Q Q0E;8? 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/1/2006 Phone: (503) 639 -4171 4',1011411111' i Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 12/20/2006 TIME: 7:OOAl PAGE: 21 Ytc 'j !! {!d° SITE ADDRESS: 13705 SW ASH AVE CLASS OF WORK: SUBDIVISION: FREVINC ; ORCHARD TRACTS LOT #: 015 TYPE OF USE: PROJECT NAME: TILL , DESCRIPTION: ( 200 amp seivice & (1) branch circuit for hot-tub connection, OWNER: TILL, DANIELLE PHONE #: 503-550 7705 CONTRACTOR: CONDUIT ELECTRIC PHONE #: 503 - 692- 1428 Inspection Request Scheduled For: Date: 1212W2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 041332 -01 503- 484.5983 N Corrections /Comments /Instructions: • 0 PASS I I PARTIAL APPROVAL ❑ CANCEL I NO ACCESS FAIL I I CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED Inspector: ���P Date: 4_2_ Phone #: (503) 718 - ` el