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Permit CITY OF TIGARD ELECTRICAL PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELC2008 DATE ISSUED: 5/28/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 112C D -05000 SITE ADDRESS: 07996 SW BOND ST ZONING: R -12 SUBDIVISION: BOND PARK NO. 2 LOT : 030 JURISDICTION: TIG PROJECT: ROGERS Project Description: Installing (3) branch circuits. RESIDENTIAL UNIT TEMP SRVCIFEEDERS 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: SIGNAUPANEL: 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: SHAWN ROGERS ELECTRICAL SPECIALTY CONTRACTORS 7996 SW BOND ST PO BOX 2853 TIGARD, OR 97224 OREGON CITY, OR 97045 Phone: 503 - 746 -6950 Contact #: PRI 503 723 - 0371 FAX 503 - 656 -4537 FEES Description Date Amount Reg #: ELE C126 [ELPRMT] ELC Permit 5/28/2008 $60.15 LIC 168161 [TAX] 12% State Surchar 5/28/2008 $7.22 SUP 1558S Total $67.37 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: 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. 1 abed 0961868E69 6Z:60 Ll LO- OOZ - Ziwzi.t'A" ll Permit 4ppticatioo a L (1 t ) { 1Di I( I1 --. 'l1• l a d , ( i 4 0. , „ 1 10 >1'4 i; ' ' 4 i City of Til rd ,. r/1 e If !trait N0: , A _ 8 - - 13125 sw Ho Blvd, TiJr , � , d, OR p % a— ;,Y roar 503.639,4171 Fax: 503.59.6.1960 � � .• cPetmit 13r. • L. 1nspE�n r Ulm 503.639.4175 Mp� �r „ 18Y• E6o ?' ! eP4a eZ 4r , l�nic www tiisrd -or gov ' •. abort s! trWtmasa ri fw•o v �,1 ,, ; pp., . ��� yy r�r[, u ��� ��� pgpwr�yw ;.. ��``rw ' w74q,�A a k • r: , , ,fri , i._ vYe"a d ii a C�Z,t i u ,� ra.e.,.._. '.. W1•.1rR ; y * ■ New construction ■ Atldition/alterati • '- '1t . Bose •F''-' an OW aPplyiaabudteboa , w tang checked Mow); © Demolition ■ Other '3\ - a Savior or am* 400anuaor Mad* C 0iSivstCfim. um-eft avpilabla Wit ogrent Qbdremsa tiodlantyunis f . • • , f , . + y.� ,' . '', max& 10.000 M 1921 vont O Floatingluoadhies• f>:a .xr: ._so•: al-' list to 8tmmd. cur =reeds MAYO O Comm10rdaKaa actiouluiral C. f 1- and 2- litaily dwelling 0 Commemiabindtlsaiai • Memory building a,ap, ix rill other broil/dam. auit4np. 0 MuItI.;&TMily Q Master builder © cutler OR :emcee D lcsta8atlaa cf75 KVA or r'r p r �� ow (Lome BIr Y da bYswim � 1 load Of Q A” Job no.: Job she address: S 1041) Or mom oaapttocY- O Six vim= rssidetdiaiunits. ClRtpbitpmalviehideperkG. C i t y / S t m t e / Z i : " i L 4 4 Cale. 0 � ' Otte ttararca m O a if m o r e -- 0 Ifemodens loon tom. Suite/bldg./aptno.; Project name: User/ice Warty 600 or mote. Cross strreet/directians toga �' : `� ;'.. _''`� r ` b site: 11::*T',-__.. Ci,71L'lli1111■i New residential single- or mnhi-famtily /well* grit. Includes attached arm .t. Subdivision: LOL no.: 1000 - •. 8. or leas -� Q Tax map/parcel tto : -- Ea. add'l 500. ft or • • On - 33A0 Milli xE `k "fitaas;x+.°"-. ; er F . •` ,. .'�r;2 Limited mazy, . atidatt>9si ■ 7500 _ © 'r..,ar� ,�. ra,..., ,�,. ' .�,: .. with above R WOW energy. ammo -fan= �� A J a I / Cr r1 II rocdaotial with above , a. ■ 0 8a'vim , . iostaas altermtiu. • • or D n,• i ;e 200 • or lest I. 8130 MIMEO r Y: ; ,S fi. 2Dt e 400 In t --G ��Ltiis"axc .1 '"Sik�:-rr' � .,' �� amps to 06,E Name: 401 to 600 amps MI 1600 — 601 amp. to 1.000 MI 24040 Address: _�____ _ Oyer 1,000 amps or volts - 45445 -- City/Stete/7IP; Temporary serviera or feeders itttttattotioe, alteraton, andfer IMIIIIIIIMIIIIIIIIE 200 "" of lass ill 66 •-a 5 0 owner inetrtlrtiai: This installation is bring made on property that I own which is not 2Q1 . , .,- �ao0 son • 11111 100.30 El Intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, end 701. 401 ... 20599 amps IIII 3 b — El Owner signature: Brand elroasee - Dew alteration or emetteioo • r c net { r. A. Pa= for branch circuits with I ,� * � :; i:` _..0, . ' y: 4:0 i 1 .r. 7 , above service or fader 6210. obi Business name: a>sh Mush circuit B. Fee • circuits Contact ran= withou service or tbcder for o 5rat bawd circuit • 6 `J" III Addrettt: Each add't brsneb circuit I N M NIM Miser . • -, as service or Roder sot include • City/Stuns/ZIP: - • nttmafarmrsad cur filer 111 90.90 mu dWdila : serviceand /or foeder E�teil: Reconnect only . =�. .Y El Oliiii r• Pam, curini' .. on circle 1.11 53 i10 `" _ . -_� _:"ZiEgiNalikiizfrail si or woo 0 „ tin: 1111 5340 =Md Buusineas name: 2 - Ie 1 l poet, a Or l i on or Madam : T. `. d . cube) x �: _ 3 extension. Dosorib> �2 sty/S 'JP: • .....4 0 • U' -4-(, .e. 1 D 4 gab additional ' • _. n over allowable is . me above Phone: Pet 1 • wion 663.50 IIIIIIIIIIII 11=11 41/Mill (��) r l , . b � 7 i Fax: ((O3) ( L 5 t,,, • 4 3 '7 Investigation hoar (l br min) - 62,30 i Electrical .e.: C I Co Supra. Litt: 1 5 i S lndn pleat • . hour � � IN stlprt+.Electric • i „ .. / : , 1 � _ gar *. art Frafiliall /� $ubto6ak Print manic: DDl • - # Flan MIOw(2S%{rof • - �.'t het): l i, r Q. I a ... 7 .O,fpamit file 7WA' r Aiutlosized 8i . �• .�• ' ye, L a r ri G r I TOTAL - :WIT RE: ! ' . 37 Print name: Date: w std aspires' a sure* 1s sot 360 (a5 2 `t dai atterit btu bees ,e az 000ar. G1Stdtdeti (pmai\a.c.Pam'ppdm • NnmDerOfimpr�auWlawedParPerfrfil 4ttl4ti75r(1 rbscC8slAttPB ii• zi O96[869£OG zt:81.'80 -8z -S0 CITY OF TIGARD GAG BUILDING DIVISION PERMIT #: �� �� �eg `�q 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 + I�i j t Inspection Requests (24 Hrs.): (503) 639 -4175 I INSPECTION WORKSHEET FOR DATE: b /lO /Dg TIME: PAGE: SITE ADDRESS: 7 '2 ,g1 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: R.04,4"-e, DESCRIPTION: `3 � m 0 h 4 4 OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Pour Time: RiPthi Code # Inspection Description Confirm # Contact # Message �� A v z,, ki g �' /-. & A d )t t' 1)3 i5 54- d if 60-7#10 4 q) ____._._._---- Corrections/Comments/Instructions: 444 MO / y 7? 4 / .e f C / e - / - i!, ii, At K PASS I I PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: / 0 A : Phone #: (503) 718- 1 CITY OF TIGARD � BUILDING DIVISION PERMIT #: ELC200B -00299 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/28/200£3 Phone: (503) 639 -4171 . /0 i . m�,�00 9 Inspection Requests (24 Hrs.): (503) 639 -4175 �f � I INSPECTION WORKSHEET FOR DATE: 6/3/200£3 TIME: 7:00AM PAGE: 26 SITE ADDRESS: 07996 SW BOND ST CLASS OF WORK: SUBDIVISION: BOND PARK NO. 2 LOT #: 030 TYPE OF USE: PROJECT NAME: ROGERS - DESCRIPTION: Installing (3) branch circuits. OWNER: ROGERS, SHAWN PHONE #: 503 - 716.6950 CONTRACTOR: ELECTRICAL SPECIALTY CONTRACTORS PHONE #: 503- 723 -0371 Inspection Request Scheduled For: Date: 6/3/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 070705 -01 503 -7 23.0371 • N Corrections /Comments/ Instructions: A i 1113 - PASS ❑ PARTIAL APPROVAL %CANCEL n NO ACCESS l FAIL ❑ CALL u R INSPECTION ❑ ADDITIONAL EES ASSESSED d Inspector: Date: `/ ( Phone #: (503) 718 -