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Permit C ITY OF TIGARD GARD ELECTRICAL PERMIT • ,, 111 DEVELO SERVICES DATE ISSUED: 2/27/2006 �, 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PERMIT #: ELC2006 00156 PARCEL: 1 S 135DD -04400 SITE ADDRESS: 11900 SW GREENBURG RD BLDG 1 ZONING: C -P SUBDIVISION: LOT : JURISDICTION: TIG Project Description: 1 200amp service, 2 branch circuits to (2) AC units on roof. 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: MANE 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: STEVENSON, MICHAEL J + KAY L SOHLER ELECTRICAL CONSTRUCTION 2825 DELLWOOD DR 41131 SW BURGARSKY RD LAKE OSWEGO, OR 97034 GASTON, OR 97119 Phone: Contact #: PRI 971- 832 -0807 FAX 503 - 214 -6246 FEES Description Date Amount Reg #: LIC 167949 [ELPRMT] ELC Permit 2/27/2006 $93.60 ELE C121 [TAX] 8% State Surcharge 2/27/2006 $7.49 SUP 5945 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 -. :0-332- • 4. Issued By: -41110_ , / Permittee Signature: C32- 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. r ' , L„ EN E .......... o.an..xaf nWp i — .rt. 0 x. ', -:.7t , .... i .:''= -0 City of Tigard E 4 V* z y R . .a [6v AR P er= m , N tdbG -a2/5"6. b t 3 1 2 . 5 SW Hall Blvd , Tigard, OR 973_23 ` Plan Review O[hcr Permit_ Phone: 503.639.4171 Fax: 503_598-1960 S ' � Y Lion r in.- 503.639.4175 c it _R ►' . - - r`� .. DateR Inspection O A r...,. hate ltadylBy_ fur;r Q See Pager 2 for internee wwwci.4gai- J.or.us c‘ IN p1 ^ n p l1 C,^ " ' � Notifed/Meyhod_ r!(k - Suppf<meo sae reforaador. - . _ ...: ,R vIEw - � - - -= :: -- ... - ;_ : TS'P . - • : Qom; _ °= � � - - -- _ _ • ... - •- - _ . _ PLAN - ❑ New construction IP Addition/aiterationlreplaceutent Please check all that apply: ❑ Demolition ❑ Other: DService over 225 amps, comm•1 0 Hazardous 30c2tion 4 or more new resident . : CA_T GURX'OE CO - Qsee rvvice over 3Zo amps — racing ©Buildng over 10.000 se TT TBUCTIOIH - : - _ . ' ; . ;;_ of I- and 2- family dwelling. - 7y dwelling Commesrcial/ ndusttial El Accessory building LJSystem over deo volts nominal units in one structure ❑ tilerr1:tily ❑ Master builder ❑ Other: ❑Budding over Three stories ❑Fe tiers, scups or n ❑Occupant load over 99 persons ❑Manufact ure ured structure JOB 'Sr!'E 'INI oR14!AT OTT 4W r.:O(crioN _ .. . - ❑E sni plan RV pant lob no.: i Job site address 1 9 6 6 SYV G al,- d /ARC /0 ❑Health -care facility DOther: Submit 2 sets of plans with any of the above. City /Stare/ZIP: 7 1 L-/3 g ,> d c7a...) 73 ' '1 7fe above are not applicable to temporary construction service p l 5 f J I ' 4 = - P 1 CA L ' - ..� : _ " I FED S t y. C. Sttite/blei a t no_: Project narr+t Cross street/direr_tions to job site: New residential single- or multi- family dwelling unit. - Includes attached garage. 1,000 sq. ft_ or less 1 145.15 Subdivision: I I_.ot no_- Ea_ add'1500 sq_ ft. or portion 33_40 Limited energy, residential 75.00 Tax map/parcel nom Limited energy. non - residential 75.00 - DESCRJI flON ?0E WOES` l !) ' - - - F_rh manufactured or modular • /], (. [/ i T 5 A) - C 0 dwelling. service and/or feeder 90.90 Services or feeders insta C f'1 ] 4 alteration, and/or re(oatioa 4, / 1 4 1 L1 L, . r✓ Z, Z00 amps or less ' ' 80.30 . • 4 - - -; . r -- - • 201 amps to 400 snips , 106.55 _. ❑. PROPEitTY -OWNER" : � _ � - , .-_ . - .. = • i � : TEr�IAIV'I' - _ 401 amps to 600 an'gts 160.60 Name: 5 /yet ED/GAL 601 amps to 1,000 amps • 240.60 Address: "l I G 0 5 — R ( E N e u R G- { Over 1,000 amts or volts 454.65 f Reconnect only a 66.85 City /State/ZIP: g L--14 lJ / Q' c.,-),?_. 7 Temporar services or feeders installation, alteration, andJc Phone: (5 ) 541 7 _Sao © Fax: ( ) relocation 200 00 amps or less 66.85 Owner installation_ This installation is being made =property that I own which is not 201 amps to 400 amps 1 00.30 intended for sale, lease, rent, or exchange. according to ORS 447, 449, 670, and 701_ 401 amps to 600 amps ! 1 33.75 Owner signature: - Irat Branch circuits — ne alteration o extension. pe panel APPRIICAIVT - • _ o --ii -- 'tc1' :p'E'$SOtK • - ` A Fee for branch circuits with Business =rite: service or feeder fee, each 5.65 1 f— f /� t branch circuit O �t t �4 e . T `T r Gal t� Q ry 5 T � B. Hex for branch eimuits Contact name: / - without service or feeder fee, e t . ) 46 Address: /f each bunch circuit Y / [ S c' J � . i r� 4 r C .k [[ 1 � Facile atld'l branch circuit L 2 6.65 City /State/ZIP: ci 4 - / f ATssce lane�uns (service or feeder not included) 7 ra T n lnr‘../ _ • Phones ( 971) g?,.. g?,.. p r 0 "7 I Fa lc : (Sail S ign c or tline lighting t 53.40 � l� // y � � Sign or outline Iigirting 53.40 F --- E -mail: Signal arcttit(s) or 1 "uitited- ;COIaITI2AcrOI2 energy panel altenr_rion, or extension. Describe: Page 2 Business name: Sa Lt beat Eh_ c..4 , c.e , I c., r ' S 7L. ��,• Each additional inspection over allowable in any of the abr.' Per inspection I ' 6250 City /State/LiP: Investigation gatian per hoar (I l r min) 6_SO . Piton= ( ) f Fax: ( ) Industrial plant per hour 73 -75 • 1 ^ Eli ZCAL ?rilm r 1�ES CCB Lis: j t(sr 7 - • • Electrical Li L l: ( - Sup Lie.: f. _5 . Subtotal l 3 / 6 0 Suprv_ Electrician signature. required:/ ' % '/ of permit fee) 1— � - r a i � / / State surcharge (8% of permit f) ' Prins nazi= r" AI . /Y-4 -/ e C c Date TOTAL PERMIT FEE ' G I , 05 Authorized signaflim:: ! �� `� T s permit application expires if a permit is not obtained within 1 days attar It has hexn neoepted as eompfea_ Print name: h t .. ,&s r S , k. &AR.- Date: ' Fee methodology set by Tai-County Building Industry Scrvicc Bout - Number of inspections per permit allowee. t5a 5diagtPormnaglC•Po,riaano.daa ar/t3 .,aru.cr rn (SAM rr,..,,ucr I'd BLOT - 586 -EOS Jalyog or e6T :LO 90 .1,2 qa i CITY OF TIGARD ��,: e BUILDING DIVISION" PERMIT #: 7,06 6_ oU / 5-c, 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 4,, ul �� � �v , Inspection Requests (24 Hrs.): (503) 639 -4175 — -' I INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: / l 7 OQ 6- C" CLASS OF WORK: ...4 SUBDIVISION: T #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 3 _ 0 co Pour Time: Code # Inspection Description Confirm # Contact # Message 6 ie .,L,0-e-c- • t4,- . Corrections /Comments /Instructions: Y� 6 �'� % ' - F r / - 0c-b7 4 "Pca.0.. ■ice 7 .1. r z• p►� 11®4' - pi a e , C- , W PASS I I PARTIAL APPROVAL n CANCEL O ACCESS ` L FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: ' N /e LE Date: 3 .3 -06 Phone #: (503) 718 - 24 (14