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Permit ELECTRICAL PERMIT CITY OF TIGARD �" PERMIT #: ELC2005 -00859 DEVELOPMENT SERVICES DATE ISSUED: 11/2/2005 °' 1 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 104 D C -06400 SITE ADDRESS: 13766 SW FERNRIDGE TERR ZONING: R -4.5 SUBDIVISION: MORNINGSTAR LOT : 005 JURISDICTION: TIG Project Description: (3) 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: 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: 2 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: WAYNE YOUNG GARNER ELECTRIC 46 SW FERN RIDGE TERR 2920 SW 247TH AVE #A TIGARD, OR 97223 HILLSBORO, OR 97123 Phone: 503 - 705 - 4138 Phone: 503 - 591 - 1320 FEES Reg #: LIC 121159 Description Date Amount SUP 3707S ELE 34 -305C [TAX] 8% State Surcharge 11/2/2005 $4.81 [ELPRMT] ELC Permit 11/2/2005 $60.15 REQUIRED ITEMS AND REPORTS Total $64.96 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or 1- 800 - 332 -2344. Issued By: � ^�o Permittee Signature: OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. FROM : GARNER ,ELECTR I C FAX NO. :5036427925 Nov. 01 2005 01:47PM P1 i • Electrical Permit ! i � lb\I - _ • _ • . �; :C]1iF[CE'TlSE•� - R. • • d Pe �� i 1 W of Tigard Hall Blvd Tigard, OR 97 2�++��,,�� 1 . 2 Dates : ' J� - /'" rrnlNo, .� et { l Phone: 503.639.4171 Fax 503,598.1960 ,ttnr,1 +Mi, Plan Review ARD 4114 Date/$ . Other Pennft: Inspection Lino' 503.639.4175 F TIG . j Date R ea d /B' t7 See Pa t I for CI 0 g,•11•,„ I , � . 'r._� y �' Tote/net; www ci.tigard or.us • IN G IVISI I Notifaed/lblethod: C I a8 I �� g i 9 �{ l , 7i e t D +� INi t Supplartiental Information I�'Wi + i '� �11 11 { s { ' T ' 3 l i� r p} r" i ' F� �� � ", Ali II r 1' Y 'r f "•�. I aFlll %,,, L� 9'kl,g ! t,,1 f ∎l a,, : I I' t i 1 ! ln l, «, e ,. .,. 7,. 7,, d 1 ,,_� i " 1 r Ii yr,r,. 1�A . I ,� ' �I��I' lea Y• +.: G�f J�1 i': yr � � {„ ��" � ' Q New construction Addition/alteration/replacement Please check all that apply: Q Demolition Other: ❑ Service over 225 amps, comm'I ©Hazardous fOCdl {on im s i a V^ q r i h i . �, ' 7Lt1r ' rp ti T r, �'wtir r l 9h'h si ctr r r i atL' S �i7A "t 'tR+ i'1' . , ° Ser v i ce Over 32 amps - rating Bui •� 4� 7 .1 Vii 1 > v F 9r_ d ,'�Tr' f , , I, , mi l mP g I (dug over 10.000 sq. ft., lkra i;1_ f i 4 i d' 1 !t'xi r i f tu.4m : t,els4lit :RY oat rf'i 6:1,,,7 , ;,,rz ' I Al.x ' 14 ' I of 1- and 2-family dwellings dwelling '�'' y 8s 4 or more new residential II 3 -and 2-family g ❑ Commercial/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure , ' Q Other: QBuilding over flues stories Feeders, 400 amps or more Ili ulti- Family ❑ Master builder 'r s1• aaij, "i+ 'ai i; „i {`rr P • + • rr' ci�i t [ , 777.. atro, <pto ,,. %, ‘ - .•s ile i'Tttj': t t 't: vee , p, 1 e . :Occupant load over 99 persons ClManufactured structures or N.;; lft1.2`7! iii: :' 'itr 11 :.(�i i �W14 -at i 1 ;1 i ;.::74-. ^ ,;:),1 6,t,;,1., F r n i ' 1 4 , '� `i' ,ir,l 5 u t.. ;Jr h( : ` l t1 ,' l y ; , ii �f;:i' Yk © Egress/lighting plan p ' ' RV park Job no.: Job site address: l3' c r . _ [ Health - care facility Li Other: • is - 4 Submit 1_ sets of plans with any of the above, - City /State/ZIl: ' r 912-23 The above are not applicable to temporary construction service. • Suite/bldg. /apt. no.: lui }F, { / jD {li i 4 r{Illl� l 171!!1 ni! Project name: ':" r,ali.". t eu r4,. �i �L�; ,;�L�'�u z(�.l,cn, E011,n:�l .. ^^- Demeiiptlmn Qty. Fee, - Teem '" Cross street/directions to job site New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145 4 Subdivision: � Lot •n0.: Ea.. add'l 500 sq. ft. or portion ^ 33.40 1 Limited energy, residential 75.00 2 Tax map /Parcel no,: lji{;: �'P)I" i4.i l I: o. � ' It1„ i; l ix "ri:i llTSt:;: t' >>;l1 , •r , •� L ll ,,,f a gran v;n res. , . 4 ,. , , T,, 'V`4,0. lt. ; ,, Limited energy. non- residential 75.00 2 (, fir REllIi,..At•. .ilttl'tot::r ., 4!.�, ..' o. 7 ' xi. x ,La L # 4, r. f., rai ,Ili a 'I l dr ,,i t �0m. ,1; ' B ac hmann acturad o mo d u lar dwelling, service and/or feeder 1 l /`� � _ y 1 • 90.90 2 `."""' l c.4[7L --R 4" , • ' Services or feeders installations alteration, and/or relocation • . U =. - f ��Q..'.�u.�L (r' • , r - 200 amps or less 80.30 2 �I';j u:S;'�` l pp ��+ }c' ir ll' IU���B r.' iv; +,: f 1r �X�Yi °'''br! ' ' i L1 1A 1 S•'r1� "' . ; xrl f,, .y���irt, i x;n: + { � F � i�1 t 1{ t icq, 1 , W , n ' _ ,. E � ( '�;.r { 4 4 1 / „{.Zrs1 6 ' 4 , 4 rRpnliu�uW'r i'0( 1 iii i i qq "1II to n Ra : zzJ l u�� r "o i /s �f ,l ili'.d,fN':'1 ii 7.01 amps to 400 amps 106.85 2 1t1�h'tll "tl�irt 401.amps to 600 amps i_ 160.60 2 Name: i NC - • • 601 amps to 1,000 amps 240 60 2 • Address: Over 1,000 amps or volts 454 65 2 Reconnect only 66 +85 2 City /State /ZIP: Temporary services or feeders installation, alteration. and/or Phone: ( Sbi 2 Q', -'-1 ( 3 Fax: ( ) relocation r 5c 200 Amps or less MI 66.85 1. Owner Installation: This installation is being made on property that I own which is not 201 amps to 400 amps 1111 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 70I. 401 amps to 600 amps 13175 - 2 Owner signature: o , � e d;, l e r f , eifn +' u r , • +nI VRBSr!I D; - ° r r , • , . p +.� , � � a : a •.: , "Date . • . , , Bra nch circuits - new, alteration, or extension, per panel ,, li W' in1 �.ke. l t E'ffi ,, i.f�Ji ;.Y ", - +,; F.'•,' , ,ir i f',y, , Ij, 7i ,�,�� {;. y.T,g i: •u , t p� :als',tl�•y , �., � ^ y . Yr ,' � . ; • . 1 { `A ell ...tE'i+.e00:d) ii l •0 - . 1 e . r r Jr X 11:, r , l '.'t, � �e i i � ,E1, +.,,,I a ti „A,` C :1..6,Y , 'el∎ ttY )7 �, .,. i� : 1 6; 14. �. 1Lr.i+:1:r.) A - l:ae forhranGh circuits with L,n,rSti�...l .i. L., d �, . ..,,,�. +t .1:Ee �A d u,,, . E 1, .1.. r n : n r r s service or feeder fee, each 6.65 2 Business name: _, , branch circuit Contact n B. Fee for breach circuits arlie• wftknut service or feeder tee, Q s • Address: each branch circuit j 46.8 k Q 5 2 _ Each add'! branch circuit WI 6.65 3 All 2 City/ State /ZIP, Miscellaneous (service or feeder not included) Phone: ( ) Fax:: ( ) Pump or irrigation circle I 53,40 2 E -mail: • Sign or outline lighting 53.40 2 'riti!;�IlfGri ?':1V'� +.i .'1 "l "JJ.,+.,F.,,hl..l rni, Y }S1YYlt, 7i ' 1j14 ' • d . ! s l{ :+ ., ,t,.. •. qr .. ,.,�,, ,l4 ,, t..:�. Signal circuit(s) or limited - I a�u,ut�u�flr3la,.if.>�i n,, 't } i ', +tr,;; r .t!'� ,' .�q�; f Lr� r �il Lti .� i i! Igligli giff i- �rt ,S{s��i i�T�; SE tE energy panel alteration, of Business name: � extension. Describe: Page 2 2 (�y/ Ill L-. - 6L. .GZ. . 7 - g 1 C Address: - 7 (� .;a "!. : �' ( .. ^ ' i - ti t vr_, Per inspection 62.50 Each additional inspection over allowable in any of the above City/State /ZIP: �.i - k I _ 1r) t) - U C " ' 1 :' t _ l c•- _,_:l Investigation per hour (1 hr min) 62.50 - Phone: ( c,, \) L : 1, -/k r- -1 ‘1-c------,., ) (,,,, G --7'./ •_7 -- Industrial plant per hour [{ ]y 73.75 L ie.. 1 ' l'P' lac y � rahli;!Ar1�� I Cx� r r L: W .' ' l4r'''Slu7ax,�l�f� �•t M' t P Rf % V 1 , ' ?... 4 `'I' - es'' C � Electrical Lic . Subro781 Suprv. Electrician signature, required: �� i ', Plan review 25a/ of permit fee) Print name + > l� - ., i bate: State s , arge (8% of ponnit fee) 8'I _ . (: �' -1 S - fs -- TOTAL PERMIT FEE . Authorized signature: !� This permit a , ppllcatfon expires If a permit Is not obtained within 180 days after it has amen aceaptod as complete Print name: Date: * gee methodology sat by rri•Couaty Building industry Service Board " r - *" Number of Inspections per pemvt allowed. ii BUildlee \ Permits \2l_GYcrmhAouday I ndn.d /Inm,Jr.namwp.n CITY OF �— . .. ��m n m a��m TIGARD BUILDING DIVISION , ' ��"��..~~° ="°"�,~~"~ PERMIT #: ELC2006-0086 18125SVV Hall B|vd.. Tigard, DR87223 DATE ISSUED: 11/2/2006 Phone: (503) 639-4171 A18 406 , ; Inspection Requests (24Hrnj:(GO3)03S'4175 a44; A.E. INSPECTION WORKSHEET FOR DATE: 11/14/2005 TIME: 7:12Ah8 PAGE: 160 SITE ADDRESS: 13766 SW FERNRIDGE TERR CLASS OF WORK: SUBDIVISION: hN0RN|N8STAR LOT #: 006 TYPE OF USE: PROJECT NAME: YOUNG DESCRIPTION: (3) branch circuits. OWNER: YOUNG, WAYNE PHONE #: 603-705'4138 CONTRACTOR: GARNER ELECTRIC l' |/ PHONE #: 503-691'1320 [. / Inspection Request Scheduled For: Date: 11M4/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199Nx Electrical final 021039-01 603-648-4662 Y Corrections/Comments/Instructions: f:_i C C. ),JJ1, • P�SS -- N FART|ALAPPROVAL �� {�AN{�EL �� NO ACCESS / / . / I | FAIL ' CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED |napeo�oc Jr» Oata� Phone #� (503) 718- ' � '//i /^ ~- ~ ` ' . /