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Permit • CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2006 -00132 DEVELOPMENT SERVICES DATE ISSUED: 2/16/2006 �' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 1S134AC-02627 SITE ADDRESS: 11145 SW COTTONWOOD LN ZONING: R -4.5 SUBDIVISION: ENGLEWOOD NO.3 LOT : 184 JURISDICTION: TIG Project Description: (2) branch circuits for air handler & heat pump. 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: 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: KEN STREIGHT SOHLER ELECTRICAL CONSTRUCTION 11145 SW COTTONWOOD LN 41131 SW BURGARSKY RD TIGARD, OR 97223 GASTON, OR 97119 Phone: 503 - 590 -5731 Contact #: PRI 971 - 832 -0807 FAX 503- 214 -6246 FEES Description Date Amount Reg #: LIC 167949 [ELPRMT] ELC Permit 2/16/2006 $53.50 ELE C121 [TAX] 8% State Surcharge 2/16/2006 $4.28 SUP 5945 Total $57,78 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: • - f� L/U ��� Permittee Signature: g Ncxy 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. , .. .. RECE145) .. ... - . . -. - • . • ...........--............... .... ....a. amt. ca.}, INEA111-419.1‘1,21 FOR OFFICE 11 SSEONLY '\ .. b 7.0 .....,...._ ... * City of Tigard fEb Remi,.- DabaB ,■' - A "or< 7i 13125 SW Hall Blvd, Tigard, OR 97223 ok Plan Revtew PhD= 503.639_4171 F= 503.598.1960 F - 1' - o.ten other Pennit Inspection Line: 503.639_4175 GM( ° ,...1.r,....- : ' fAi 1 i .--- ......... Moe Rcadylayz -irrn 9 1. , I is Sec Pages for Enternim wwwgard-orus . SUIUD1" Nazirsod/Matho& -. I I Sapptesaessal tartsrmada "'": "E. . :- -..-. -::: .. - .":.• : - - - tY ? : . j... • - "..• " ..::' _ : :: :: -.. - I t:. - - ..--;!.:. .:-- . ." - 7 -- PLAN -REVrEvi ' • .. . 0 construction c'150 Addition/alteration/replacement Please cheek all that apply: ition °Service over 225 amps. Comm l Okiazardous location , 0 Demol 0 Other: °Service over 320 amps - rating C./Bruiting over 10.000 st • ...- ''. ,... " .- CA , .....,- .-.--- • : . 1 : .: • oft-and 2-family dwellings 4 or more new occident T a 1- and 2-fanniy &Venn ig Dc - ommextnil/ industr.al 0 Accessary building OSyStan OVer dIID votts a ominal units in one stmerure OBt6hling over three s OFeeders, 400 amps or r, 0 Multi 0 Master braider CI Other.- - ' :-:- • - -. . ' - 103 - --- - -- -- • - ,- .= -- - - ---- . ... --. „ ..,... -- .... . _.. °Occupant load over 99 persons °Manufactured structure ' : - : -• ::. A O13 -S q "g0 . - 1 . `*. 14 A 7 .4 7 X 45 i , WiT 0 . 14 -- ----.- -- ..- .: -. '.--'?; -.. - 2 - -:- °Eginssflighting W211 RV park DOther Job no.: 1 Job site address i / 145 .5 IA/ c 414 1, _ , 011ealtb facility a 1 i.vocl L N Submit 2 sets of plans with any of the above. iC -7 tyiStaterZEP: 1 -- I (..- A 1 . P3 The above are not applicable to temporary construction service i 4. .: ' - EE SPiTert.UI:t Suitabldg-tapt. tux: I Project nazi= syg L--- ! G / T Descrepstera I Q I P ` - ` [ 1.°131 1 Cross street/directions to job site: New residential single- or multi-family dwelling unit. Includes attached garage. 1.000 sq. it or less 145.13 1 Subdivision: - I Lot no..: Ea. adel 500 sq. ft. or portion 33.40 Limited energy. residential 75.00 Tax map/parcel no.= Limited energy. non-residential 75.00 _. . • . • -: -., . . - -.7. . .". I N ES C : RAtt:lictt i ritik . ." - iki*W -;-.- '':".... - : : -:7•• :, -""' ,f: 7 -r . Each nsumfactured or modular dwelling. setvice andfor feeder 90.90 A t Rs 14Aki 9 LE" R ANI ,' HE A --i ?v pi P Services or feeders installation. alteration, andtor ocado y e E.--kir 200 amps or less 80_30 - - :." :-- - - ,,,Veilkpilekty .: 44-*NER- -. :.' ......::- - -.: ,._ - -::::: .0 -- . .• .- -• - .-- 201 ainps to 400 amps 10625 . ••: 401 amps to 600 amps 160.60 Name. K E N $ -- r - g C t - / r 601 mops to 1.000 amps 240.60 Address: i 1 ) Li 5 51a c o TT(-. NI 1A/ i L N Over 1.000 amps or volts 454.65 Reconnect only 66.85 aty/StaterZIP: 1 ) e ...._ A.„(t i") . , 7 go 7 Temporary services or feeders installation, alteration, and/or / relometion Phot= ( 5 3) 5 -- 5 77) 1 Fmc ( ) 2.00 amps or less 66.85 Owner installation: This installation is being made on property that 1 own which is not - 201 amps to 400 amps 100_30 intended for sale . lease, rent, or exchange, according to ORS 447, 449, 670, and 701_ 401 amps to 600 amps 133.75 Owner signature: Dot= Branch circuits- new, alteration, or extension, per panel i . ' - 2.1:::•91 , ' „:" ..A**IcApir ., : , , ., .. -..:::-,::::rif,'"77700.thi:VA--.-7. :.'. -- A _ Fee liar branch circuits wizh s or feeder fee. each 6.65 - Business nom= 5 0 I g F r ..I ( c..4 I C--0 v... S" 47, branch circuit - Et. Fee far branch can:uus Contact name: 1 ..e._. S 4-■ (R-tt< without service or feeder fee, I 4625 y6,65" each bratreh cirarit Address: L 7 / i i ? i s e.,t k -.../ (z..,/ Each addl branch eirctdt 6.65 City/State/ZI C P: ()az ' () 7 / / WEseellaneotts (servie e or feeder n Included) r-Cr 5 4 tn./ 7 Pomp err irrigation caacIe 53.40 Phone: ( 171 ) # .... ....... 0 .. o 7 Fa7C : (5-61 ) : i i l i 6,22 ii 67 . Sign or outline lighting 53.40 E-mail Signal circuit(s) or limited- .... i:r ' . .: .--, :' • . . : . _ : ' . .-: ': )01.1141:0...it "',...?.:' : ::::: 7,, .". • - 7 , energy panel, alteration, or extension_ Dee: Page 2 Busintss name: Co 1.., I ( E/e. c4 I C, r, .1- Address: Each additional inspection over allowable in any of the above Per inspection 6L50 City/State/211': Investigation per hour (1 to artio) 62.50 Phon= ( ) Fax: ( ) Industrial plant per hozu. 73.75 kEitivirr FcEP CC.I3 Lic-: 147? 9 - - Electrical Li e..: / :2 1 j Sure7: Lic-: 5 -5 . .. subioud Suprv_ Electrician signature, required:/' r' /•-• • .--- _ . , ' Plan review (25% of permit fce) ; Aif..t .- . ■ ... , Ili r Stale SU/Charge (8% of permit f"=) Print minim 0 • r-1 11./ 1-1-0y-le c s- Date: li i/o 4 Authorized signature: . _,_ 11:1,-.1 4 ... This Permit aPeUmlion i: ?It days after It Ives been accepted as cc:teplet: Print name: Date: - Pee mettradaieu sat by Tel-Col:any Building Industry Service Baare 4121 / 1 1WEIM - Number of/T.141=61ms per permit sibrunre. Ilabc.4tPosaassII.C.PcnsisAne.doe WM a ' 4 BLOT -S136-EOS .....laTLios aor 6S:130 90 ST claJ CITY OF TIGARD EZ-C__ BUILDING DIVISION , PERMIT #: Z0 U d /3 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 ���W�1i�d jel Inspection Requests (24 Hrs.): (503) 639 -4175 .. ...... INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: I I I Li GL/ Ai CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: Le-3 - O Pour TimeA /i e Code # Inspecc n De ription Confirm # Contact # Message (i ' _ S7 ©_S 73/ / ; Corrections /Comments /Instructions: 4f--G ---* fn c- .—..—a4 . / i • � �_, % / I I. g 'ASS ❑ r ARTIAL APPROVAL 7 CANCEL ❑ NO ACCESS i FAIL %` CAL r - :' SPECTION n ADDITIO AL FEES ASSESSED "Apr • Inspector: y 1 1 ■/ Date. AY 3 ° Phone #: (503) 8-