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Permit C ITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00077 DEVELOPMENT ld.. TI_ga d 97223 DATE ISSUED: 2/11/2005 13125 3 (503) 639 -4171 PARCEL: 2 S 112 BA -00500 SITE ADDRESS: 07865 SW BONITA RD ZONING: R - 12 SUBDIVISION: BLOCK: LOT : JURISDICTION: TIG Project Description: Installation of (2) branch circuits for sump pump and irrigation control timers. 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: SIGNAL/PANEL: 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: 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: BONITA ROAD TOWNHOMES LLC ROSS ELECTRIC INC 9500 SW BARBUR BLVD 2870 SW 221ST AVE #203 220 HILLSBORO, OR 97123 PORTLAND, OR 97219 Phone: Phone: 503 - 642 - 2800 • FEES Reg #: LIC 157891 ELE 34 -436C Description Date Amount SUP 4232S [ELPRMT] ELC Permit 2/11/2005 $53.50 [TAX] 8% State Surcharge 2/11/2005 $4.28 REQUIRED ITEMS AND REPORTS Total $57.78 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules - •- set forth in 1 ' 952- 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at (503) 246 .699 or 1 -800 -332 -2 •4. Iss -d By: L Permit Signature: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTORJNSTALLATION ONLY i♦ / SIGNATURE OF SUPR. ELEC'N: � ►_: _ , .L�r In DATE: LICENSE NO: Call 639 -4175 by 7:00pm for an inspection the next business day Electrical, Permit Application ,. _ :,u :. �FOR'O ° City of Tigard g Plan Review imam 13125 SW Hall Blvd., Ti Permit No.: t,L(! / /It- -0x07 Tigard, OR 97223 Phone: 503.639.4171 Fax: 503.598.1960 � y/� .i11� '1G ii �I'' \ DateB : Other Permit: Inspection Line: 503.639.4175 c -u'1'• el Date Ready/By: F El See Page 2 for Internet: www.ci.tigard.or.us Notified/Method: W / Supplemental Information ate.- ��e��.;; -� <.:. �.. p - .. ,,, ,- _..�;.,, ,... ., w „�� :�:.-�c s: _ rn,��:�LL x �.,,�., , _ . . w r . =. :tx" T °- ea ` n `?� w yam` :.M - *P.x �.�rK », : ri 3 . ;:a."`." 133 iX: = .�2 -: ;s .:!° V r- i w�f- '4'.., =° a -. - .s a '�i. „ft ;sz , '' <'!k;. to ';F a ..�. - `f y:; "4.r., ' 4 a ,:z,. s t,� .. . 1 °���"< �T E OES�,F' �k� .�» ha �'. �`, �: g•.. ci$°��,�`x �`�^"5,sr:;. �t���cs�?a''„ �. +•�� -, k%.`l'¢,r,�:�;_,�� °.,:'��F. � �.m��'a m�"f �, :a�;., ;�,;:�"g= �',R�t..,- . _ �:.` "�.,�',' t';, R - . _ _ -. _ _ M New construction [1] Addition/alteration/replacement Please check all that apply. ❑ Demolition 111 Other: ['Service over 225 amps, comm'l ['Hazardous location a: : Demolition t t. - ;: a� r . . " _ ,b :. ,a q _ .. -;;:�. a �:w 'z?.. ❑ Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., ;: y t 1,4 7 0 - ' " Yom= ( '1~roQRY wirol) J'CtTIO t' ,, , ;y . =z „(z �`v).; tp " of 1 -and 2- family dwellings 4 or more new residential . ..,... at 'x*3114;:t iatfic 3' :;-- ._,:. .,,,a: t ,, ut- - ,':� :0 Sim , ...k. - Avi .:3,.5 gtzwak a € r:, �r`a ❑ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure �� Multi - family - CI builder 11 Other: Building over three stories ['Feeders, 400 amps or more ) ' t Multi-family K yx C , Master u ; t W � T _ DOccupant load over 99 persons ❑Manufactured structures or ~ 1 1 4 JOBSI')? , 1F I „ Oi81. 2 40 51 . t's.? I(O Nt k ❑ /li plan RV. park F.e�' :,. `, ,ad tii-- -,4 ;-, t+3Z :ee :v.i a4,6eiie'" .,;.�,a, k- r. :;"a€.. aia:S. ..a 1- Other: Job no.: Job site address: - 5 ' 4 ti-A. ❑Health -care facil ty ❑ �� Submit 2 sets of plans with any of the above. City/State /ZIP: - 771 i 14-12 0 7$ (, ; The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: I Nz4 :Vfik - ., I St-f-�1 "r ki ko n Fee. Total �4 � ..:" D escr i ption Qty. Cross street/directions to job site: r /JO Care.. +-- - Ut.0 t+A New residential single - or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: d N j ti-4 -F- ■jW k ervIe s Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax map /parcel no.: . „ $ " - ,. u ,� ". „ Limited energy, non - residential 75.00 • 2 °{; s �i r b i'v� ' Y °3 .o , :y w it.,`r` " . i lk g0 , .Ki,# : I . ` � >:? 5C TP ' '0 12 -- ° : " „. tR $> 64 .,; = 1 k - �,� -,. «,.. • - „� . ", � �" x��� � �u- :�'sa.,...,�u�,�'� `. -.,: �? Each manufactured or modular dwelling, service and /or feeder 90.90 2 2 et ret.l t i S Pc-iv L i J€.- FOC So P P U Wl.1P Services or feeders installation, alteration, and /or relocation ..t-- (I( it i 9 f .. {-14 ti 200 amps or less 80.30 2 , ., ;., ,, s •Zd r,,, t,r,. >g.: x.; x I:, ` ;»:, x: ., 0 , - x'44,; , :, . , ,,w , 0 , "-,v 201 amps to 400 amps 106.85 2 ,� 3. .ROFTRTY : Oww$E r R: " . v S 1 , =s�,, ,, , r? 1 p �: Smr„ig " .,. : =:..f : ,tg ,:,, € ..... . l'i ,, a,. .':. � t, - -vim 401 amps to 600 amps 160.60 2 Name: SL S ctl .i-Q rn }-to me, s 601 amps to 1,000 amps 240.60 2 Address: ( Izo S 1,Nt - ge_f-h,jt t.iy C+- Over 1,000 amps or volts 454.65 2 / Reconnect only 66.85 2 ` City/State /ZIP: e. �Nr�TC) J 0e_ ci 7 �J C) b Temporary services or feeders installation, alteration, and /or Phone: Ss ) 2p 4 6 goy Fax: ( ) 2000 0 amps relocation 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 exch.,• ge, accordin to ORS 447, 449, 670, and 7101. 401 amps to 600 amps 133.75 \ 2 ' Owner signature: S. Date: 2_1 t l ` © Branch circuits - new, alteration, or extension, per panel T e p ` !b 1;ICAN a l . C,'t� - i GAT �P )�2StO t � fa t A. Fee for branch circuits with ' e... m a ",t fr? -, . ,,,, k .:. z+413:3,tt .,a"'�w.-#,., ,'ts,.?„'.&.. i�1 : « . � , 'vS rA. e,r4: .t. 5M ' service or feeder fee, each 6.65 2 • Business name: ' branch circuit B. Fee for branch circuits Contact name: -Dv:v Crc 4 jZ without service or feeder fee, each branch circuit 46.85 2 Address: S v,/t '-e,„_. Each add'l branch circuit 6.65 / 2 City /State /ZIP: Miscellaneous (service or feeder not included) Phone: ( ) °� Fax: ( ) Pump or irrigation circle 53.40 2 / Sign or outline lighting 53.40 2 E- mail: - a, 0.. ) s - i-- f 4 44 . C3 Signal circuit(s) or limited - h,., ..ya' L$a� .' *.: ii^."';,. _ tx ' N " Mir^ at:.s..> ;� a ;_ f' u "t ®11101s ' r;�s;'� s�..�� ���.= �a?U�;�,.�`� t�,�O�112�CTOR.°",�:3,.,� " � , �3 �.., � ��,.,, R energy panel, alteration, or 1313.. s t "3�a.0 extension. Describe: Page 2 2 Business name: 1 2 p s S e (e. c -r- . C 03e....., Address: ? Ow t I / kpo5 Each additional inspection over allowable in any of the above Per inspection 62.50 City /State /ZIP: (,/ Az, g bie. F7/2-3 Investigation per hour (1 hr nun) 62.50 Industrial plant per hour 73.75 Phone: (5'09 (,4',D- -a-g Fax (5133) 6 -TVS ; = ry ;: ){SLlr �) I��k' CCB Lic.: 1 5 7$q / Electrical Lic.: '3ff- -t{3l, Suprv. Lic.: 4'? 3g S Subtotal 5 - 5 . 5 -n Suprv. Electrician signature, required: Plan review (25% of permit fee) Print name: Date: State surcharge (8% of permit fee) y 9 ' TOTAL PERMIT FEE 57_ 7i Authorized signature: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: * Fee methodology set by Tri- County Building Industry Service Board ** Number of inspections per permit allowed. is\ Building \Permits\ELC- PermitApp.doc 12/03 440- 461ST(10 /02/COM/WEB Electrical Permit Application - City of Tigard Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: L � ?'' »'- e�T''L.^£.3fA'<' �``.4• na;..i.7'C, W', %'.m' M � "43 �.c•»y,�r'rras, ��!:'�' Fee for all residential systems combined ... $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ G arage Door Opener* • ❑ Heating, Ventilation and Air Conditioning System *. ❑ Vacuum Systems* ❑ Other: §O :' Ems .: Fee for each commercial system $75.00 (SEE OAR 918- 260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ F ire Alarm Installation ❑ HVAC ❑ Instrumentation ❑ Intercom and Paging Systems ❑ Landscape Irrigation Control* • ❑ Medical n Nurse Calls • n Outdoor Landscape Lighting* • ❑ Protective Signaling • ❑ O ther Total number of commercial systems: *No licenses are required. Licenses are required for all other installations is \ Building \Pernuts\ELC- PennitApp.doc 04/03 02/15/2005 04:48 5036425815 ROSS ELECTRIC INC PAGE 01 02/11/2005 12:00 FAX 303 533 4308 JLS CUSTOM HOMES Z001/001 CITY OF TIGARD ,h 13125 S.WI HALL BLVD, 1 0S ) TIGARD, OR 97223 IMPORTANT PERMIT NOTICE 4°C/ \c - IY \C) ROSS ELECTRIC INC \ p �04� 2870 SW 221ST AVE #2113 G p HILLSBORO, OR 97123 ct> Electrical Signature Form Permit #: ELC2005.00077 Date Issued: 211//2005 Parcel: 2S112BA -00500 Site Address: 07865 SW BONITA RD Subdivision: Block: Lot: Jurisdiction: TIG Zoning: R - Remarks: Installation of (2) branch circuits for sump pump and irrigation control timers. Your company has been indicated as the electrical contractor for the permit indicated above. In order for the electrical permit to be valid, the signature of the supervising electrician is required. Please have the appropriate individual from your com pany sign below and return this Electrical Signature Form prior to the start of the work to the address above, ATTN: Building Division. No electrical inspections will be authorized until this completed form is received OWNER: ELECTRICAL CONTRACTOR: BONITA ROAD TOWNHOMES LL,C ROSS ELECTRIC INC 9500 SW BARBUR BLVD 2870 SW 221ST AVE #203 220 HILLSBORO, OR 97123 PORTLAND, OR 97219 Phone #: Pho # :. 503 - 642 -2800 Reg #: LJC 157391 ELE 34 -436C SUP 42325 AN INK SIGNATURE IS REQUIRED ON THIS FORM X 1 ' // Signature of Supervising Electrician If you have any questions, please call 503.718.2433. � 5— 578-/94 5.(el I eti\r...: 'stITY OF TIGARD 1 ''�" BUILDING DIVISION PERMIT #: ELC2005 -00077 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/11/2005 Phone: (503) 639 -4171 +�%� N N��yi��l)f�l'I� Inspection Requests (24 Hrs.): (503) 639 -4175 A INSPECTION WORKSHEET FOR DATE: 4/20/2005 TIME: 7:11AM PAGE: 22 SITE ADDRESS: 07865 SW BONITA RD CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: BONITA TOWNHOMES DESCRIPTION: Installation of (2) branch circuits for sump pump and irrigation control timers. OWNER: BONITA ROAD TOWNHOMES LLC, PHONE #: CONTRACTOR: ROSS ELECTRIC INC PHONE #: 503.6422800 Inspection Request Scheduled For: Date: 4/20/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 004948-01 503 -642 -2800 N Corrections /Comments /Instructions: • X SS _ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1 l • i Date: i l ` )419 Phone #: (503) 718-