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Permit CITY O TIGARD ELECTRICAL PERMIT • PERMIT #: ELC2008 -00341 COMMUNITY DEVELOPMENT DATE ISSUED: 6/16/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S110BD -02300 SITE ADDRESS: 11949 SW BULL MOUNTAIN RD ZONING: R -2 SUBDIVISION: SHADOW HILLS NO. 2 LOT : 055 JURISDICTION: TIG PROJECT: HUNT Project Description: Installing (10) branch circuits for kitchen remodel. 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: 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: 9 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: HOLLY HUNT COHO ELECTRIC INC 11949 SW BULL MTN RD PO BOX 40 TIGARD, OR 97224 WILSONVILLE, OR 97070 Phone: 503 - 730 -0616 Contact #: PRI 503 - 582 -9774 FAX 503 - 582 -9840 FEES Description Date Amount Reg #: ELE 3 -575C [ELPRMT] ELC Permit 6/16/2008 $106.70 LIC 157169 [TAX] 12% State Surchar 6/16/2008 $12.80 SUP 5255S Total $119.50 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 obta', npiPs of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. Issued By: < - � Permittee Signature: e• ip /k//1/ 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. FRC'M :COHO ELECtRIC i FAX N0. :5035829840 Jun. 13 2008 10:32RM P2 Electrical Permit Applicatiot E r < of i'ic : iiwl oNi ' w City of Tigard • JUN 3 Received ' -. , 13125 SW Hall Blvd,, Tigard, OR 97223 JUN 1 3 2008 Dat o/B : � 1 , emir h 1 .w� Phone; 503.639,4171 'Fax: 503,598.1960 Plan Review Datday; Usher Permit' 'II 6 Ann Line: 503. Internet www.tigard- ar.guv 639.4175 " <� Date Ready/By: hula; RI ��� OF J tr rc et to d Nc 'f d/M 1 ' See P � 1 ' 11 Ill n vii 11 1 Snpfd aqe 2 for , , "> t, rx^� WV', *re 5' ^'tv „ a t' Y +u,.s^ tl m a;' lu�ly, r' � ar " GrrlanMl Information aft l 1 Y :JA` f > t+ !" i , ,r llo 37 1t 'it i o i� 1 I' +HC: g ' i s I t 'fr rap Y w : u a >ro ,n „vr • r „KtA Rr1 iNY� .lO,Y(,.,rtt. r,dil'�,t R l A �, \ t,5 ! , G a il l i, 1 r' Y app v ax 4, , !,,!. + 1 z, 1„ ,.,,,, � �' � u �,��. �� I � a,��.r�?:����,>�,.x�•�l � ,I,`�,�'����I�����a.��i�'��''' �p'�ia��ti�ft�6 � ?v�+'�r �' wG���G���r�: il�r •�,,�'�'���5��tA,��!�tt�p�?x'� �tu�,� o�������`G'���;�,�����'� El New construction 01 Addition /alteration/replacement please check all that apply (submit ,a sets of plans w /items checked below), ❑ Demolition 0 Other; 0 Service or feeder 400 amps or more CI Building over Three stories. Aill m 1 p F � j where the available fault current © Marinas and boatyard¢. IRIPM u ` ie� S er �st� ;l t r hO' W �d `1 4 vu E �r, a , , �aat A r ,11 5" 1, , 41 si s jh ti exceeds 10,000 amps at 150 volts or © Floating buildings. , t ,afT )./ , °�Y ,w� less to round, m exceeds 1 4,000 1- trod 2- family dwelling 0 Commercial /ipdustrial Accessory building g El Commercial -use agricultural 01 amps rbr a • Multi -family installations. buildings, Y J Master builder O Fir "'�•''�' in ;,ri' a' <� ;,f1' , y w,. , >,� 0 Other: D a pump, !' KVA or " ,„ Installation n 7$ ;� „ ?:,' + ;: .. ,..�t, � i �>r a , :I {G. IYI, .',. 9, � r 5�14d °A' "6v ,,: ; k 'rn, , . p ' . n , uv 5 , + �,; 4 y , ;:� Ar'ev i' F4 J a 1 nv a r 'nY r ,.1 " + N S F td 55k' " " Y + i y y ❑ rimer nc c s ,�Cp�teM ,,,,, k+nr4`utdPlu: N-01 4',441,4,rt, cd,x• :b Al 0 :4APe> it & lue'1 tt aa kodc,� - 444 ti0 a 1 mt ;tt' 'IM. io Y Y fem. "A", "E", "1 BYStem. wr,- 'Rs r ra , r a a a r ,�.51mY rb',. , \fit v ° vtf W r.,rs ah"�..,�,tt'_, fr. 1 Sri, ❑Add of new motor load of I] "A", ^p °, "I - 2" `�I 3 ^' Job no.: \ ;i 1 5 Job site address: k • `t w or more. occupancy. Six or ❑ Six er more residential units, Q Recreational vehicle parks. City /State /ZIP: l t c4..' a 1 c \ - 1 +. Lt ❑ Health -Dare facilities. 1] Supply voltage for mono than ❑ Hazardous locations. 600 soft, nominal. Suite/bldg./apt. no.: Project name: I s o, li1 , III. 0 Saryioc or feeder 600 stn • s or morn. iN'A' '. k1.Wr ';?Id' °5 ,�.rh 'f S't }p p t r 1 u4mG r a, , r..,(r Cross street /directions ' to - lob site; w:vA f. "rvxrJa�er " haw. c ii` i ug r l: w? 51 u. 41• oi' �� uMA a ,C n�'m�';t`/.vtYS�„^MfIY', /�� - riestriptton rr Total New residential ,logic- or multi- family dwelling unit. Subdivision: Includes attached garage. Lot 110.: 1,000 sq, ft, or less 145.15 4 Tax map /parcel no.: — Ea. add'I 500 sq. R, or portion 33,40 1 iiiiiiiii;i;;;;;;i';Iai;iggiglegggiO . isJ: �. �tPriT� :�'. ^fl�l,.t!:iei(ITalliiS4(+4 r . "onr' ;arol�, - snvrc •s Limited ener resident' +da.�,- ,.�J,�:i .'1,1�1...n,n „c,.vPa` .ty� .�i�' «uu,'�nrg, q ,:; t� " a �, v .1; "''i8�ti4k ".w,�r'..: v.'up,'['(,i<tul , }:, `:i:�A..:,ry,r o-;,N.r{ ;(std l "I:i,Q�v¢' �'t t'N.\.i QI ivu ',�! ea5%vs ", n, 'f'j. . I "' {, 75. a ( �f I .i.14;;; { 1 , +r; X1'4, 'i', ))..Fl. rJ+7 g.. .,�. 4 C.(nH "° 1 111 ,wy,� ( 00 2 . �, ......,,.�„ , Gu'....S,,.na:nn:nY.NVA�NF F l,..r..,, rMA.,.txa:•.,45.• ,�.�1 w�l�,.t 1 5V ,'.' F,I'V47M11' .� ! 4 I ' ' Y�, ( 2 ..�,, ,,,. , n... , .:,��..,... ,t,:,,,,',����n a ' , r ,l x�f�i,,M dY F1�r.�i (with above sq. ll.) Limited energy, multi - family • . ,. op r !MIMI residential,(with above 59, a,) 75.00 Services or feeders installation alteration and /or relocation u t . t.; l • .` . ;' {, zA a'u u r, 200 amps or less 80, 30 2� , � , qi 1 r i ��� , , ) x g d 1 y; lt`61 ''j,f>,y 11, I s ". 1 �`rf i l' k qY;,'` d � (y ' ' rr"�S , ,'sl At >.nt•„ iN�N Ana l� giat�u� c, v ,� 1irt,A,M464 5NAikietk: l li �6;Il ' 145,A,AAss: ! t tit' ,, o, . l i /ki f$',s W 201 amps to 400 amps ar.,�8 vi }5ilrx P P T 106.85 2 Name: �ha 1 �� 401 amps to 600 amps 160.60 2 - Address` 601 amps to 1,000 amps 240.60 2 in ` _ ' Over 1,000 amps or volts _ 454,65 2 City /Slate /ZIP: Temporary services or feeders installation, alteration, and /or relocation Phone: ( t3•3) - 1 C5 t b Fax: ( ) 200 amps or less 66.85 I 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 salt, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133,75 2 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: T ,42 i�� , *.q. om r., ylmy s;; t' I „z ;,,' } ^.e'u ^,' :r n, ^ A. Fee for branchcircuits 1 , ,• ,,:.,,:�l ; g. lil � ,,i 1n✓'V1 "t +,7n/" , ¢4�'F':': ?r.'� } tflt li5' ' :l'In ti i "�I�e 4p . xa: d n r u,�'.sgYi, +G','p5i4. rS:.'. to -, '.ryrs; I , �; 1 �'�li'' " �.t l ' �ta Yi : feeder with :i+ a,,,.! lµi l „an :+uv,,4fal +,.i.V:t,1^,�Aaua e rc ;'kh (t„!.^l'i k..: am. PJl h' C }Id� d ,,,, { ,,,,,,, ., ,, ,�all,/u�;+Sj,s w� above service or fCGder fee each branch circuit 6.65 2 Rosiness name: _ 13, Fee for branch circuits • Contact name: without service or feeder fcc, first branch circuit 46.85 �r� 2 Address: Each add'I branch circuit 0 1 j 6.65&i, 2 Miscellaneous (service or feeder not included) City/State/Zip; Each manufactured or modular Phone : ( ) t MIIIMIIIIIM dwcllin>t, service and/or feeder 90'90 2 ReconneCtonly 66.85 2 E -mail: n circle d ;,p +:� ,,,.,,arrvrw,...:n,:,Y „ ")�...,,vo ^sac ..., „.,�, ¢ +r,�, Pump or irrigation circle 53 40 2 gi, I yd��il�,Tr.�n' . `�,ua�.5 rL .l 'a6ti ;; i'llt v. r s ep J i':, °.�S�+w 1 4' R r , nt br r�, , w� #�,<,�.�a� `��m��wb iuAi�k� A n�i�mb a t{ Sign or outline lighting 53.40 2 Business name: + 1 • Signal circuit(s) or limited- N energy panel, alteration, or - Address _ N„ (�� „� O extension, Describe: Page 2 2 City /Stale /ZIP: , L..) 1 k y ` c1R q ci --- 1 _ Each additional in pection over allowable in any of the above Phone: u 5( t � ^� T� Per inspection 62.50 P (S ) Fax: ( ) 5 "R` %L V Investigation per hour (I hr min) 62.50 _ — CC13 Lie.: l 5, t loot Electrical Lie,: , 15 Suprv. Lie.: 5 s Industrial lant per h our Suprv. Electrician signature, required 1 • ■ J 5 iir`a; i ; I.cg R' d'A'K1db ' ,rP,X 4 #i r .. b : •' 0 .1Aa C si atiu ar�:., i,��'>,,t� r,'dl„:l,�r,�f�r�,.�' ti I --• ' F ' 1 ' !.GI' -rte -,.1 — r Subtotal: 14c, , c) Pr name' Est t Date: t f , (3 le, T Ylunrevic_w(25%ofpermitsec); �1t State surcharge (12% of permit fee); Authorized signature: IP , 11 1'j,'I� TOTAL PERMIT FEE: Print name: DAte: This permit application expires If a hermit Is not obtained within 1511 b -- k 3 �� days doer It has been accepted na complete. • Number of inspections allowed per permit. I:\ IluildinglpeoatiislELC •PermilApp 05/21/06 440.4615T(!1/03 /COM/WCM CITY OF TIGARD ' . BUILDING DIVISION PERMIT #: EI C700 00341 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/16/2006 Phone: (503) 639 -4171 +� Inspection Requests (24 Hrs.): (503) 639 -4175 = :_.. INSPECTION WORKSHEET FOR DATE: 10/912008 TIME: 7:01AM PAGE: 18 SITE ADDRESS: 11949 BULL MOUNTAIN RD CLASS OF WORK: SUBDIVISION: SHADOW HILLS NO. 2 LOT #: 055 TYPE OF USE: PROJECT NAME: HUNT DESCRIPTION: Installing (10) branch circuits for kitchen remodel. OWNER: PHONE #: 6 ry- HUNT, HOLLY 44#1,144.1-/L/L/& cvrg ` 60 - 730.0616 CONTRACTOR: COFIO ELECTRIC INC PHONE #: 603-582-9774 Inspection Request Scheduled For: Date: 1019/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message D i i , r i 7u1 199 Electrical final 076478-01 503 -730 -0616 t; i i � Corrections /Comments /Instructions: Q. n' 5 • IA PASS n PARTIAL APPROVAL ❑ CANCEL U NO ACCESS FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: /4 Date: /hone #: (503) 718- / CITY OF TIGARD , . BUILDING DIVISION PERMIT #: ELC2008 -00341 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/16/2008 Phone: (503) 639- 4171i�i Inspection Requests (24 Hrs.): (503) 639 -4175 • '! al INSPECTION WORKSHEET FOR DATE: 61/9/2008 TIME: 7:00AM PAGE: 21 €6rrc' P,is: As' 6_21V Rr 06, Z: 5)2. SITE ADDRESS: 11949 SW BULL MOUNTAIN RD CLASS OF WORK: SUBDIVISION: SHADOW HILLS NO. 2 LOT #: 055 TYPE OF USE: PROJECT NAME: HUNT DESCRIPTION: Installing (10) branch circuits for kitchen remodel. OWNER: HUNT, HOLLY PHONE #: 503430 - 0616 CONTRACTOR: COHO ELECTRIC INC PHONE #: 503 -562 -9774 Inspection Request Scheduled For: Date: 6/19/2008 Pour Time: Code # Inspection Description Confirm # Contact # Messa 120 Electrical rough -in 07157401 503.582-9774 Y ' Corrections /Comments /Instructions: • • �� PARTIAL APPROVAL ❑ CANCEL U NO ACCESS ❑ FAIL • CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED i ■Ige,„.. • Inspector: ..r.or. ■....... .' Date: / .04 Phone #: (503) 718- Z.C7 _ -