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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2009 -00012 °.< COMMUNITY DEVELOPMENT DATE ISSUED: 1/9/2009 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S102DA - 00200 SITE ADDRESS: 08720 SW BURNHAM ST ZONING: CBD SUBDIVISION: LOT : JURISDICTION: TIG PROJECT: CITY OF TIGARD NICHE Project Description: Install water heater. 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: 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: TIGARD, CITY OF OREGON ELECTRIC CONSTRUCTION INC 13125 SW HALL 1010 SE 11TH AVE TIGARD, OR 97223 PORTLAND, OR 97214 Phone: Contact #: FAX 503 - 234 - 1001 PRI 503 - 234 -9900 FEES Description Date Amount Reg #: ELE 26 -95C [ELPRMT] ELC Permit 1/9/2009 $53.50 LIC 203 [TAX] 12% State Surchar 1/9/2009 $6.42 SUP 4549S Total $59.92 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: 4 911,11 S t , S uL� Permittee Signature: SC p It 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. . JAN-09-09 13:03 FROM- OREGON ELE ^ it 1 5032349900 T -078 P.001 /002 F -179 Eleetricii Permit Application ■ , " FOR OFFICE LSE ONLY • City of Tigard JAN 9 Re ei P ermit No.: ~ 1312 SW Hall Blvd.. Ti 3r OR 97223 0 9 20 6 (• q' 04 4 � E IC 2_6 o9 - CgaZ g• Plan R ev i ew . . • 2 Phone 503.639.41 Fax: 503,598.19 Datci y: Other Permit: TIGARD Inspection Linc: 503.639.4175 (ATY MAR AR I to Ready/Ey: Jurisi m See Page 2 for Internet: www.tigard- or,gov . r ` N _ • 'fced/Mcthod: J ( C Supplemental Information -. .. gy p., °'u JJl' 1[.t.Y.c';!. ki :: 1.. 4i1, , ' 'i,', U '�7'., r ",art �(, : 'IQt"�'. 1 rr , S�1-.'q.: .-�. ly M i - -�(i �. ..1 �� �"l (,...St -t`•; , .4h, �50' VKU1tK� ` ��a'� ^�s��1�•;r�'I�y, :.�� ,n • " §'�; :r.;�,,1�, lL,:. f5; q;ritit�,,.,,�, "' r�ss 'f1= >1'4,�i'�PJtAN). .�,Ii�?b�, . ,... , :a� -,�•h� �°�,. .. ?. ikl? ry .:,.��.�..!c�- �_li�, :.rle't°F � .tta.,,,, .,.s�5.,�1.,';E .. . .. .... ....r`>?_�1, -,rK ,m u.. w,l _,r...,..,a, •. '� •:..- ❑ New construction ® Addition/alteration/replacement Please check alllthat apply (submit 2 sets of plans wlitems checked below): O Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the a ilable fault current ❑ Marinas and boatyards. """" a i n ee r *rt S ? T" 7; t q � ctceeds 10. 00 amps 150 v Floating buildings. ,', ti �, ]s y�r 1 tl c y s lt ,<' I;ti: P volts or ©F I :; '"$CATLtItYtO „GO [0 , s!i��' � � L�� " . �, :, .F!._ '�� ��cl � 'I�r : ?i�l :' - ,.�r ? _ , less to ground, or exceeds 14,000 ❑ Comrt[ereral•u;:c agricultural ❑ 1- and 2- family dwelling ® Commercial/industrial ❑ Accessory building amps for all bther installations. buildings. _ ❑ Master bu ilder © Fire pump, ❑ Installation of 75 KVA or ❑ Multi- family ©Oth Y1 y ,, ., ; - , . ❑ Emergency ; larger separately derived system. I �,rl ' 1 , 1' (. -9 . 3 s I A J . `�,X tit- 7eP.Cilt�. c, M ' 'l . ''i i i,.'' r W fiF? " ` i,,, 1 , :?, .., ,, .�JU : , S .. 2 ,',CfiiRCIetMA'PION o A ; ' GiJ.T i t i . !t st. std r;v .;t ❑ ; 3,- }' . 1°ti�> f!. -- - ,.._ ,,,... � ._ :. . .. , . ., �- - "'i`<( Add ition of new motor lord of ❑ "A ", • "1•. , r-ri,. t Job no.: 72636 I Job site address: 8720 SW � ex,. rrr, ha.tm IoOHP or mint. occupancy. 0 Six or more esidential unto., ❑ Recreational vehicle parks, City /State/ZIP: TIGARD, OR Oilcan-cam unities, El Supply voltage for more than 0 Hazardous l • ations. 600 volts nominal. Suite/bldg. /apt, no.: NICHE + Project name: CITY OF TIGARD NICHE BLDG ❑ service or feeder 600 amps or more. - • ;',V' i i;!: Cti , ail; '1'.„l'..;: t;;7 }? t.tr : :I.;$6IED1JE :5.i i..il I !.���,`.t 5; •;01 , ` :. Cross street/directions to job site: od ' - ,Qt r . Fee, I Total i • -- New residen single or multi family dwelling unit. Includes attained garage. Subdivision: 1 Lot no.: 1,000 sq. ft. or less 145,15 4 Ea. add'I 500 sq. ft, or portion 33.40 1 Tax map /parcel no.: Limited energy, esidential 2 .,,, �a ;,,r ? ri , ,:,.. 1 , r .y 75.00 �t�31 ; ' �` r ! � G j . b..,' � 7;: D�+ GRIPTTON'r0`b:�`Wplzlij,r �,; ," _� - � its -.je +a �s } �l`•;T • : ='.. " �.7 :.,' with aUovcls•. R. -'j,l . p, d-�1';'',- .. " „ .1,�, °�.�r_..ta� a r"`.'r:. l r h i��f •.�i'r . .. ' + :• - , INSTALL WALL HEATER Limited energy multifamily 75.00 2 residential (with above sq, n,) Services or feeders installation, alteration, and/or relocation 200 amps or Mess 80.30 2 Ii, J >�,�' .. , . rj+7 t•, ! t✓ i ii " •. ' r �'�E) k �'1 ... . t . . i F .- '') il t ` 7 Q T t{ i. : ® °TE ,1 r�P r te- :, 201 106.85 2 Name: CITY OF TIGARD 401 amps to 400 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: 13125 SW HALL BLVD Over 1.000 apps or volts 454.55 2 City /State/ZIP: TIGARD, OR 97223 Temporary rierviees or feeders installation, alteration, and /or relocation Phone: ( ) I Fax: ( ) 200 amps or Mess 66.85 1 Owner installation: This installation is being made on property that I own which is not ?Ol amps to 400 amp 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 199 amps 133.75 2 Branch circdits - new. alteration, or extension i anal Owner signature: Date: A. Fee for branch circuits with : - ,y' ';e r ' , _.rl y p ' r 5$ L §? y " :' Sa" r. i.' :. A .PEA above sere ce or feeder fee, ii9r. r.i ® „ AP ... _ .. _� 1. ... f „ ^ �... C dNll CTl'' 12S41Y ..; <': ;; :Fat'; ,'._... f: - ... .. - . ial - :.i: is o.! ^. , .,. t,i -:J 'ii r:. , b F 6.65 2 each branch circuit Business name: g, Fee for bri Itch circuits Contact name: SHAWN HEINIGE without service or feeder fee 1 46 85 46.85 2 first branch c Address: Each add'I brkmch circuit 1 _ 6.65 6.65 2 _ Miscellaneotis Lerviee or feeder not included) City /State /ZIP: E ach manufactured or modular dwelling, sertiicc and/or feeder 90.90 2 Phone: (503) 793 - 5706 I Fax: : ( ) Reconnect only . 66:85 2 E -mail: Pump or irriglition circle 53.40 2 . t ,r j:O .,, 1•44, ;. ;u . r.`'s.i-kt,P'�;J' ' :CONTRA .OR 7 0 ;; ,40 ;.:. :.., :i _t ;;;;pt.= Sign or outline lighting 53.40 2 Business name: OREGON ELECTRIC CONSTRUCTION, INC Signal circuit s) or limited - ener4y panel, alteration, or Address: 1010 SE li AVE extension. D cribc; Page 2 2 City /State /ZIP: PORTLAND, OR 97214 Each additiolnal inspection over allowable in any of the above Per inspection} 62.50 Phone: (503) 234 I Fax: (503) 234 -1001 Investigation cr hour (1 hr min) _ 62.50 CCB Lie.: 203 I Electrical Lie.: 26 -95C Suprv. Lic.: 4549S Industrial plant per hour 73.75 - :: = i';, LEGIRICAI ;'PBRNAT : :FEES;'''.. - j . -;, ,!." ';i!; Suprv. Electrician signature, require Q I Subtotal: _.5Sr50 S3 5 Print name: RICHARD T. MCELLIOIT Date: 01/09/09 I Plan review (25% of permit fee): s Stlate surcharge (12% of permit fee): (o • 42 Authorized sigma " vr � TOTAL PERMIT FEE: 59.9 2.• Print name: RICHA.R.D T. MCELLIOTT • Date: 01/09/09 This permit s expires if v permit is not obtained within ISO ays after it has been accepted as complete. - Number of inspections allowed per permit. issBu, 1ding \Pcriair_.'FLC- Pcrrni[App,st0t 05 /23/00 0-16 t5T(11 /05 /COMAVE11 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2009-00012 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1f912609 Phone: (503) 639 -4171 A l P4Ir Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 1/1&2009 TIME: 7 PAGE: 15 SITE ADDRESS: ( }8720 SW BURNHAlvl ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: CITY OF TIGARD NICHE DESCRIPTION: In .ai wa ll h eater. Job No. 72636 OWNER: TIGARD, CITY OF, PHONE #: CONTRACTOR: OREGON ELECTRIC CONSTRUCTION INC PHONE #: 503. 234 -9900 Inspection Request Scheduled For: Date: 1/16/2009 Pour Time: Code # Inspection Description / Conf mri # Contact # Message 199 Electrical final 07978402 5033 -535 -2660 N Corrections/Comments/Instructions: A /1 4 ��\/ CkON, eVc �`T i 01.--— ar PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS n FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: J 1v CP) L Date: 1- ' t "Qt Phone #: (503) 718- 246 CITY 0 OF TIGARD BUILDING DIVISION PERMIT #: ELC200B -00012 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1 /9 /200q Phone: (503) 639 -4171 a�a 4pu�ii ll i :I Inspection Requests (24 Hrs.): (503) 639 -4175 A- f_ .. INSPECTION WORKSHEET FOR DATE: •1/1:3f2009 TIME: 7 :00AM PAGE: 11 SITE ADDRESS: 08720 SW BURNHAM ST CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: CITY OF TIGARD NICHE DESCRIPTION: Install water heater. OWNER: TIGARD, CITY OF, PHONE #: CONTRACTOR: OREGON ELECTRIC CONSTRUCTION INC PHONE #: 503.234 -9800 Inspection Request Scheduled For: Date: 1113/2009 Pour Time: Code # Inspection Description rm # Contact # Message 120 Eleclrical rough -in 079837 -01 503.2(9- 0805 N. y 11 0 CE «i Css4. , Correc Ions/Comments/Instructions: / ( \ I 1 • PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G. NI (0(2) Le Date: If 1 317 Phone #: (503) 718- 1.1143