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Permit C ITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2006 -00261 DEVELOPMENT SERVICES DATE ISSUED: 5/11/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S105DA - 17500 SITE ADDRESS: 14560 SW CATALINA DR ZONING: R - SUBDIVISION: PACIFIC CREST LOT : 063 JURISDICTION: TIG Project Description: elec. service with 2 branch circuits. 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: 2 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: RAY BUNKOFSKE T & T ELECTRIC 14560 SW CATALINA 4120 SE INTERNATIONAL WAY TIGARD, OR 97223 SUITE A -105 MILWAUKIE, OR 97222 Phone: Contact #: PRI 503 - 652 - 7610 FAX 503 - 652 -7612 FEES Description Date Amount Reg #: ELE 26 -1105C [ELPRMT] ELC Permit 5/11/2006 $93.60 LIC 161187 [TAX] 8% State Surcharge 5/11/2006 $7.49 SUP 5176S Total $101.09 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: •R LSO IA/ Permittee Signature: 6-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. 08/12/2014 15:10 FAX ,ar, NI a 001/002 .y',A 0 ^3085 Electrical Permit Applica,tio:n �j)� r EoR OFFICE USt; ONLY „. City of Tigard - A . �\ / �` , J� Rcccivcd Permit N �/ �� r J PntefEi "� / f A. 13125 SW Hall Blvd„ Tigard. OR 97223 C) en itevloN Phone: 503.639.4171 Fax: 503.595.1960 \Ws 4r , 7 ig,, ;''ilia \ lb Ieifiv, Other Penns: Inspection Line: 503.639,4175 '-,1 . - Dale Readv/By Jar / ® See Page 2 for Internet: vti vw.ri.tigard.or.as A ,‘ r� ,,- . ' ” Notificd;Method 6( Supplemental Information TYPE OF WORK Ir P PLAN REVIEW © New construction ii. Addition /alteration /replacement Please check all that apply: ID Demolition I=1 Other; ❑service over 225 amps, comm�'I ❑f hazardous location Service over 320 amps - rating EBuildng over 10,000 sq, f CATEGORY OF CONSTRUCTION of I - and 2- family dwellings 4 or more new residential 1.:/ 1- and 2- family dwelling E] Commercial /industrial ❑ Accessory building ❑system over 600 volts nominal units in one structure E] Multi - family ❑ Master builder ['Building over three stories ['Feeders, 400 amps or mot Ogler, ❑Occupant load over 99 persons ❑Manufactured structures t JOB SiTE INFORMATION AND LOCATION ❑F ;gross /lighting plan RV path Job no.. Job site address: 1� r -h 01 health -care facility ❑Other: 1 � J • (V1r� Dr, Submit sets of plans with any of the above. City /State /Z1P; a 110 I " - Z The above are not npplieuble to temporary construction service. Suite /bldg. /apt. no.: Project name: __ FEE" SCHEDULE • ,,_ Deseripdne I Ow. Bee, Toni ' Cross street /directions to job site; New residential single- or multi- family dwelling unir. Includes attached garage, 1,000 sq, h, or less r 145 15 . Subdivision, Lot no.: Ea. add'1 500 sq ft, or portion 33.40 ' """` - Limited energy, residential 75,00 ' Tax ,oar /parcel no.: Limited energy, non - residential 75 00 ' DESCRIPTION OF WORK rnV Each munufacturcd or modular ` dwelling. service and /or feeder 90.90 , - Services or (ceders installation, alteration, and /or relocation 201) amps or less 1 I 80,30 , h' ate ❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106 BS ame: -- 401 amps to 600 amps 160.60 N _ -- , a� _, V k .k. G" ��_ _ _ 601 amps to 1,000 amps 240, 2 Address; .., 3 � �. ` ^ Over 1.000 crops or volts - _ 454.65 -- - - Reconnect only 66.85 City /State /ZIP: ! . v' 40 2 Temporary services or feeders installation, alteration, and /or Phone: ( ) Fax: ( ) relocation 201) amps or less 66.85 l 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 C. 447, 449, 670, and 701, 401 amps to 600 amps 133,75 2 Owner signature: _Date: - Branch Circuits - new, alteration, or extension, per panel ❑ APPLICANT ❑ CONTACT PERSON A Fee for branch circuits with feeder fee, each Business name: s ervice or' 0 branch circuit 6.65 IS '� 2 Contact name: 0 Fee for branch circuits wilhouf service or feeder fee, 46.85 2 Address: first branch circuit - Each add branch circuit 6.65 2 City /State /ZIP; miscellaneous (service or feeder nor included) Phone: ( Pump or irrigation circle 53.40 2 - Fax: ( ) _. Sign or outline lighting 53.40 2 E - maii; Signal circuits) or limited - CONTRACTOR energy panel, alteration Or Business name: T & T Electrical, LLC extension. Describe Page 2 2 Address: 4I20 SE International Way, Suite A-105 each additional inspection over allowable in any of the above Per inspection 62.50 City State /ZiP; Milwaukie, OR 97222 Investigation per hour (I hr min) 62,50 Phone: (503) 652 -7610 Fax: (503) 652 -7612 Industrial plant per hour 73 75 i ELECTRICAL PERMIT FEES* CCB Lic.: 161187 Electrical Lic.; 3 Suprv, Lie.: 5176S Subtotal Suprv. Electrician signauu'e, required; ___. Plan review (25% of permit fee) • Print name: Date: I , + - State surcharge (8% of permit fee) TOTAL PERMIT FEE 0 Authorized signature: / 7 �, „� This permit sppiise1ion expires Ira permit is not obtained within 180 5 da s after is has been accepted its complete Print name; mm I LJate: , . G + h' ec m ethodology set by Tn•County Building tridnstry Service hoard Number of inspuctiona per palms allowed r \autln PernvcApp Sac i MO eon - 5T(I13 03iCOrnM•E:u CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006-00261 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/11/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 6/17/2006 TIME: 7:06AM PAGE: SITE ADDRESS: 14660 SW CATAI„.INA DR CLASS OF WORK: SUBDIVISION: PACIFIC CREST LOT #: 063 TYPE OF USE: PROJECT NAME: BUNKOFSKE DESCRIPTION: elec. service with 2 branch circuits. OWNER: BUNKOFSKE, RAY PHONE #: NA CONTRACTOR: T & T ELEC1 RIC PHONE #: 503-652-7610 Inspection Request Scheduled For: Date: 5/17/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 029914-01 603-662.7610 Corrections/Comments/Instructions: / NIE`PT F2 PASS 0 PARTIAL APPROVAL 0 CANCEL 0 NO ACCESS FAIL n CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: G N8 U1I Date: 51 n Phone #: (503) 718- 9-06