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Permit CITY OF TIGARD ELECTRICAL PERMIT a,. PERMIT #: ELC2006 -10090 , DEVELOPMENT SERVICES DATE ISSUED: 3/30/2006 ` ---� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S134BD -05300 SITE ADDRESS: 11570 SW GLENWOOD CT ZONING: R -4.5 SUBDIVISION: ENGLEWOOD NO.2 LOT: 141 JURISDICTION: - FIG 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: ED BURNS GRF ELECTRIC 11570 SW GLENWOOD CT 15460 SE PARADISE LN TIGARD, OR 97223 MULINO, OR 97042 Phone: Contact #: PRI 503 829 - 4146 FAX 503 - 829 -5747 . FEES Description Date Amount Reg #: ELE 3 -484C [ELPRMT] ELC Permit 4/6/2006 $60.15 LIC 76751 [TAX] 8% State Surcharge 4/6/2006 $4.81 SUP 1655S Total $64.96 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: ` / i Permittee Signature: �'_ f1� _� 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. Mar 29 06 02:50p GRF ELECTRIC 503 - 829 - 5747 -- p.1 '� ' +.: F OR OFFICE USE ONLY --- ` � Permit Application G 2046 : : R ece i ve d 2 _ El ectrical. L� - ' "'' '' % 0' No ✓ • �gp Planning proval Sim - ::*'.. � r ` ;'' o" ' t . a • c . Date/ By: Date/By: Pet?rtitNo.: �A'' Plan Review Other :' � - •i . ' l9 i ® OQ� Date/By: Permit No.: - a.. S t 171 Fax: 5 03 -598 -1460 Post-Review Land Use .,,. � 44Y . : 5 iaac i p i i, Date/By: ca a ,�,�, y; N o.: 'r. j t;'.;www.ci.tigard.or.u.9 N . R .,, c , _ � _ � I Contact !list/ ® See Page 2 for `" 24711ovI Inspection RequestTNS 63 t \GARS -5 Name/Method: •-•\ Supplemental Information. 41, - ' U �1 -p1 v, $¢43 ' +• I .. .mac :.: q 74 s 01i m r'.g i + •« far. t', ? : PLAN'REYIEW (Please check sitlthat apply) i 2": • it ❑ Service over 225 amps- ❑ Health -care facility construction 1111 Demolition commercial ❑ Hazardous location -'r': 1,,; • , : on/I • lacement III Other: 0 Service over 320 amps- rating of 0 Building over 10,000 square feet. .',!1":•%,.-3/41,!.'..,.. . . - Ito, '`r +• rii F.r c < `u u• a t, 1 & 2 family dwellings four or more residential units in System over 600 volts nominal one structure .. ,, �;�� a 'wail (i{I/elul7: mM Carliunereial/Industrial 0 Building over three stories ❑ Feeders, 400 amps or more M . _rte . t _ Multi-Family ❑ Occupant -load over 99 persons ❑ Manufactured structures or RV park £ 1;!.. � 4 ' • Other: •,�„ -• � ID Egress/lighting plan , Other: Submit sets of fans [:,1 with an of ih above. CrS:-: IVIT' II' :17 IGrU,; itl :'*la TIOri! "-t•.' <'ati.` P Y 4 - ! f " _ Ct The above are not applicable to temporary contraction service. I. ' a r • , ,I . r- , . .. l C.t. t :tFEEM`SCSF.D�17 Eti; :;' :' : '' i , N um ber of inspections `; # :- : Bldg. /Apt. # : ections per permit allowed p eclptioi Qty Fee (ca.) Total 1 ,; �� %, ' " tl New residential-single or multi- family per ri , -- '4 � ,'.1..• 3=C�tlf>ItlS tU jOb site: dwelling unit. Includes attached garage. .<,..ff ; ,,a.;;,•,a Servkeincluded: ,' •.• tb IM1 ,r�a, : . � -n_ ! •; i, „ '!`� , q. R. 1900s or less 145.15 4 . . al i+ '...1`1,”, , .,”; • ' . ' . ' .: • 33.40 1 Each additional 500 sq. ft- or portion thereof 33 Limited energy, residential 2 .00 $ .4. . { i s n 1 L #: Limited energy, non residential 15.00 2 • T Each manufactured home or modular dwelling Er: "s'�L a.. .ri: , l , • ur`t t. K +t' : service and/or feeder 90.90. 43 ti Services or feeders - installation, �, alteration or relocation: 2 tel 200 amps or less 80.30 r r - i 201 amps to 400 amps 160 60 2 N I r • r - 4 01 amps to 600 amps M+ 60l amps to 1000 amps 240.60 i; ci' ` I i r' . h�{ft4r i G �t tit1 Ovec 1000 amps or volts 454.65 2 �'� ' "'^ "=' ,.,: .0 S . - Reconnect only 66.85 2 Temporary services o r feeders - installation, ". .. : i . :• A !'' • •� -' `5 7 0 Si,� G eh r.,./ J nr7 �� alteration, or relocation: c 66.85 1 `:.:1 �tiac� - til �.; 7- 2- 200 amps or less - 20i tunpa to 400 amps 300.30 2 ,I..t, Fax: r r y , 201 w ps amps 133.30 75 2 • 5, . 1 r a \ - : `I ' ' .'; i :i 11 .3 , ' (� :! ' - . 0 t J .A �"4 • Q.14:ti'�'�"rt :$ Branch circuits - new, alteration, or ' . ' A. Fcc for branch circuits with p - : r , _ :, extension per panel: i, urchase of 6 65 2 17•4/ service or feeder fee, each branch circuit s y ` circuits without purchase of �. E.. s B. Fee for branch circuits service or feeder fee, first branch circuit ( 46.85 tf (, - 2 . • Y, ia., „�: Each additional branch circuit Z 6 2 7-44 _ ' c � `. Misc.(Service or feeder not included): • 4.44, • or irri alien ci rcle 53.40 2 . ; , r.; '!r N1r9'o hl''' : Each pi R 2 ^fi:xtl: a i :�`t�t�.y`'i u�1.J,'Nr,f ?+' : 53.40 ,, t. Each signor o utli ne lighting Signal eircuit(s) or a limited energy panel, s alteration, or extension Page 2 1 gg Name: 61-••f 0 ee.4 --y f r C. Description: � ' , '' . 1'f5' -Le P $ t Pk r , e ff dial ` Each additional Inspection over the allowable in any of the shove: Weal • : ': A/ . 12x. - ! ` , f 7 1_ 2 •— Per inspection per hour (min. 1 hour) 62-50 I ' ' / atl-1 . Fax: 5 )3 - . • • " Investigation fee: J c j a r g Lie. #: 3- if C .r.1:',.0 Mtn t;'' `{ °;t-r'" ' ' :I':.1-:• • - L1 t, r" WY " =Ra: i'- c �'''' ;.: : T•. . - . ' l-'F�,ItS.Y:L..fti• :i ". 11 J y • t ; 'l Gl$A ii Subtotal _ S ©. 1 ;� 3 lie, I J V Plan Review (25% of Permit Fee) S / '- .: .. 'r • .1 a ' - Lic. #: State Surcharge 8% of Permit Fee $ TOT 41 I • i Notice: This permit application expires if a permit is not oh within Date : 180 days after it has been accepted as complete. _ , L ' ' , *Fee methodology set. by TN- County Building Industry Service Board. ' ' :i porntt181cPernutApp.doc 01!03 CITY OF TIGARD -.-. 4 1 BUILDING DIVISION PERMIT #: Q q�7 4 ' © O 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 � ieiiii. Inspection Requests (24 Hrs.): (503) 639 -4175 4±i INSPECTION WORKSHEET FOR DATE: TI PAGE: SITE ADDRESS: i i j 70 ae■-•■C/ CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF. USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: dz CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: `I 3 --0(c. Pour Time: Code # Inspection Description Confirm # Contact # Message icil F2-...../.1_____5e Corrections /Comments /Instructions: y ,...... .„,../ - rz ,„ _____---- -- . PASS n PARTIAL APPROVAL ❑ CANCEL _ NO ACCESS FAIL n L FOR kti TI ' N n ADDITIONA FEES SSESSED Inspector: d 41" / Date: 3 �f� Phone #: (503) 718