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Permit Y+ CITY OF T "BAR® ELECTRICAL PERMIT �' '' PERMIT #: ELC2006 -00173 DEVELOPMENT SERVICES DATE ISSUED: 4/4/2006 11141V11 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S134DC -07900 SITE ADDRESS: 11700 SW GALLO AVE ZONING: R -4.5 SUBDIVISION: GALLOS VINEYARD LOT : 010 JURISDICTION: TIG Project Description: (2) branch circuits for hot tub. 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: PAT O'NEIL WILLAMETTE ELECTRIC INC 11700 SW GALLO AVE PO BOX 230547 TIGARD, OR 97223 TIGARD, OR 97281 Phone: 503 - 720 -6096 Contact #: PRI 503 - 624 -3631 FAX 503 - 624 -2938 FEES Description Date Amount Reg #: ELE 34 -283C LIC 75059 SUP 1965S Total 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 f'_J_7 Permittee Signature: - E 1 25,e 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. APR 04 200G 7:OGFIM WILLAMETTE ELECTRIC 5036242938 p.2 F >. . g } 5e t _ EI ct`8cad lE ermit A' .c1 1 1try s t .. ' ry r 't C fi ; 1 F(gI3 C)l :, l USE L y _ - .. .. � - � / (� , /. _F ., f5•'�t.n �i/ , f,i�:�l: r .;E u v..+.l. // 1 ..1i i , .i7,1:,:.- 'y1 .�7.14 =S City Of Tigard ss kite /B F� T U�. -_ -Y Permit No S2. a /�©/ ri 13125 SW Hal) Blvd , Tigard, OR 9722 Plan Rev -ew Phone. 503 639 4171 Fax. 503.593 19'a0 APR 0 4 < ' it .'. DatcfI y ONi Pernnt. Inspection Line. 503 639 4175 ,� 1,1 Date Rcad /B Krs , P c ,�- -� _ 3 � Y Y' / i� (� @See Pa ge.. for -- Internet www ci.tigard.or.us } . • Notifiei/Methad- j I ' �.1 Supplemental Jntormaden i„,,,,�� { t'1� ,�5S, ""'p � {N m r b r�'1`aR.3Lx9,r.. ^� , } �, - �!"'i� �i'`'= °'��',k i ^'dt�',�9 s.., ry,��^� Sx1ftl:BT $ . � , , i ge 9 h �'� t7.� (} t _wit 4 y �" , { • .' , .. :: to'' -i., :7 , ' .' f ' 4' � fl(J' --"." D New construction ‘ 2a. Ii 5. ta- - : pro replacement Please check all that apply: El Demolition Other f e j I ['Service over 225 amps, comm'l ❑Hazardous location 5 r 4 , it r r M n h „ .. �. — ., -� ,;., -. ❑Service over 320 amps -- rating ❑ Buildng over 10,000 sq. ft., -° ° t s 9� „ � e t y „54 d y', ' ' .. i 4, :' a,, } -,w, if yl g} of 1- and 2- family dwellings 4 or more new residential j i - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building 0 System over 600 volts nominal units in one structure ❑ Multi - family ❑ Master builder ❑Other. OBuilding over three stories 0 Feeders, 400 amps or more 7�� ratrNes t tS . � ['Occupant load over 99 persons Manufactured structures or I - 10 4 t n Ri l9lt+ yI „”, ` F rr NTR nr x le ❑ Egress /lighting RV park Job no.: 7J/ Job site address: � 1 0 6,,, 6�lI) ✓ ❑Health -care facility ❑Other. Submit 2 sets of plans with any of the above / i City /State/ZIP: 1 f , 7 t 43 The above are not applicable to temporary construction service Suite/bldg. /apt. no: Project name: T r 4-/''`', xrk � J�li � l sI �tl *t spa x 1 M Description Qty. Fee. Total Cross street/directions to job site: New residential single- or multi- family dwelling unit. ! Includes attached garage. 1,000 sq. ft. or less 145 15 4 Subdivision: Lot no.: Ea. add'l 500 sq ft. or portion 33.40 1 Tax map /parcel no,: Limited energy, residential 75.00 2 �� y t i y Limited energy, non - residential 75.00 2 r . te. t ., ' : 3,1 irf �' ,'a 140t :i 4 i4K, - . itc .,. ,a . Each manufactured or [nodular P L dwelling, service and/or feeder 90.90 2 el ,,g,---,,,, r / t% 1" /47,1 . _ Services or feeders installation, alteration, and/or relocation 200 amps or less 80 30 j 2 If 00 ,. n a ura; l c AtUi. l �s n t`.�_ '.�v ,. ' ,% ,1; ar` t , !..Eric 401 amps to 600 amps 160 60 I 2 Name: ' em a ; 1 601 amps to 1,000 amps 240.60 2 Address: /// Over 1,000 amps or volts 454.65 2 Reconnect only 66 85 2 Cit /State /ZIP. Temporary services or feeders installation, alteration, and/or Phone: 0'3) -7 2 ✓ b 4 C Fax: ( ) relocation 200 amps or less 66.85 1 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 ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: _ Date: Branch circuits new, alteration, or extension, per panel s M�' ! + °I J ` r a �� ^- �11 -'r :1. :a>' ,t ak 3t1I la:t 'k ' i i,�- i4i .; " S * tik A. Fee for branch circuits with t§. F"t` a s_ '' � �'a 'K�� �'• � '�� � �'• "`'� `' ' �- " "s= service or feeder fee, each Business name: branch circuit 6 65 2 B Fee for branch circuits Contact name: without service or feeder fee, i each branch circuit 1 46.85 c /6 — 2 Address. Each add'/ branch circuit i 6.65 d 66 T 2 City/ State/Z1P' Miscellaneous (service or feeder not included) Phone: ( ) Fax:: ( ) Pump or irrigation circle 53.40 1 2 I Sign or outline lighting 53.40 2 E-mail. Signal ctrcutt(s) or limited - .'m l' aka '1'-_A dt lv} . K t!" , 'rf t ' 'Ia r , .31 fr r ' 'e ' }2.1 energy panel, alteration, or extension Describe: Page 2 2 Business name. Address: Each additional inspection over allowable in any of the above (..\ ,� 4 ,2 0 S Per inspection 62.50 City /State /ZIP: 1 - t s . +p, � (•) f,_. 9 f 2 t i Investigation per hour (1 hr min) 62.50 Phone: ( ji y ) 6 2u, - 3 4, 3 4 ` Fax: ( , ) 6 vi -? Industrial plant per hour 73.75 iii;LI; .t 7. � � Gs ➢i nOre/ M•I, m 1 t, ,, : 1. CCB Lie.: j' y.O 3 c I Electrical Lie.: Ot 74-3 c Suprv. Lie.: (L' r5 Subtotal ,s3� Suprv. Electrician signature, requir -- Plan review (25% of permit fee) p State surcharge (8% of permit fee) i /.2.2 Print name: ��, t t " t ' . Date _ - o TOTAL PERMIT FEE -57 — I Authorized signature. This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete Print name: Date: ° Fee methodology set by Tri -County Building lndutrY Service Board "* Number of inspections per permit allowed. , \Bwld,ng\Pcrnuts\E1.C- PemuiApp doo 12(03 1 40.46151110/02/COINWEB . CITY OF TIGARD BUILDING DIVISION PERMIT #: ,�a� ° 00� 73 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 / � A,,, tii; i Inspection Requests (24 Hrs.): (503) 639 -4175 ,41.4 � 'I ., _ - ' INSPECTION WORKSHEET FOR DATE: TI ` G-6,1 PAGE: r d SITE ADDRESS: / / 7 00 l o / ," e CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE (3) 62-- ' G l CONTRACTOR: PHONE #. Inspection Request Scheduled For: Date: 4 ,-----04k, kO Pour Time: Code # Inspection Description Confirm # Contact # Message l ol l p Corrections /Comments /Instructions: t PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS • r I I FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED , Inspector: 4 Date: L 0,6 Phone #: (503) 718-