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Permit /> CITY o f TIGARD ELECTRICAL PERMIT A- TIGARD #: ELC2005 -00542 DEVELOPMENT SERVICES DATE ISSUED: 7/29/2005 ' a 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2 S 109 D D - BV006 SITE ADDRESS: 15655 SW GREENFIELD DR ZONING: R - 7 SUBDIVISION: BELLA VISTA LOT : 006 JURISDICTION: TIG . Project Description: (2) temporary electrical services for sales trailer. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: ' 0 - 200 amp: 2 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: 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: RIVERSIDE HOMES BEAR ELECTRIC • 1925 NW AMBERGLEN PKWY #200 P.O. BOX 389 BEAVERTON, OR 97006 DONALD, OR 97020 Phone: 503 - 645 -0986 Phone: 503 - 678 -1355 FEES Reg #: LIC 20919 ELE 24 -107C Description Date Amount SUP 4902S [ELPRMT] ELC Permit 7/29/2005 $133.70 [TAX] 8% State Surcharge 7/29/2005 $10.70 REQUIRED ITEMS AND REPORTS Total $144.40 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 suspend or more - 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules re set forth in OA' 9 10 -0010 through OAR 952 - 001 -0100. You may obtain copies of the - - :s or direct questions t0 OUNC at 50 - 246 -6699 or 1 -800- 2 -2 Is ued By: � j .� �/ �. Permittee Sig • • ture: A ���� « � 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: - CONTRACTO - INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: -�%t, 2 f � , � .:!_`:���1 DATE: LICENSE NO: rte A- S 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. iv, i (../. er _.5.ce PI 0 te->t i/ r • EIeo Permit Application FOR OFFICE USE o City of Tigalyd �® I r � 0 � Received Date/By: 7 Ai Qg A. • / Permit No.: ghC ? _5 c 0,.. 13125 SW Hall Blvd., Tigard, OR 97223 ' Plan Review Phone: 503.639.4171 Fax: 503.5 0 ^o � 4 zwl i ' + Dgt y Other Peru's: Inspection Line; 503,639.4175 �j L Ja.� U. Date Ready/By! lu+'' D Scc Pa e 2 Coe Internet wvvry,Ci,tigard,m.us \\ ` � Q Noti{e/lvlethod: Net • Supplemental information •: r5"A =F � hia`n• ilta:•.Fi= mir� :c ,r �n 1 \\ N _ � i a : ,�'1 'b.: 1-5 n . , ,? mead .a, - :,, `'ry :.:.; s 'Y ry+ 10. dL,tl Is, a r W_,. :iti r ;� � : t : +�- .prii, f ^'r; • � A ' j .�' �C` �'r G� il;'!. , ud `';:: ,l�f� +i , m.n::.;�.,. , •. m s 1a1f , :.i , c r l � ∎14 ` . t 1 s T a + : 7110 f is N4 z, .f � t 1 4. L' : 2 o'AT 'ei le t •. . „ "n' ,, S �� Mrs.. :: JM ,..r,l n .. ,.r5,.�.,iu �.,t�'.,. � F;,i .,tf {�, �y, p r� C.�..0, ��,._2 ��... �h -rf �L. l , >I !!' �..i ,y ''�: T��' y� ., _ ., ; t t.,.,�.a P f�..'iQa,+#,� wa -.. .a4'r.�t't,<di., .r. „13 r ., M �i i�•ttyl�. �,;�; I!' t- ' " ..,c. ' �5'�:1, FI:- •:❑ �. .. .. -: ,,.. :die cl•, .. .. 1 �n- ., - i�i �zl rli;; i .l:us i.•.:� "il - .. +� r.G.'d ,yy .. . Now construction, ❑ Addtti&a tt r eri eplacei n.ent Please check all that apply: • ❑ Derrtolition hers Y\. OService over 225 amps, comm'1 °Hazardous location • '.I`' i lth;• - �[ 'r�; e , ti> ;T Y' H • 5 •i •• •- ,,;,:c ,,„, •:n.• ,,, ❑Service over 320 amps - ratin ❑Buildn over l O 000 5 . ft. .r!i,�: > ,.! > :111;.: i:�t ., . <T1.LS'r.�� 1!'}(a_l l ;1 i .t;:: fr„ ` �..- : �- ��.. t. � �. „, . �a.. �. ..�1TaQ.;,i.�_,:z_,_i.._ 193' �1i .Fl!;awa?,,_: of 1 -and 2- family dwell a, or more new residential ❑ 1- and 2- family dwelling ❑ Commercial /industrial ❑ building ©System over 600 volts nominal units in one structure ❑ Multi- f'arnily ❑ Master builder , {)thee: E13uiidirg over three sbrics (]Feeders, 400 amps or more [ ' j�'^=' q�= `�`-3ti:1?;'.iF.�s'�d�;t�,l�” •qe- ,v,Fl - gyp, r,F•e,,..- ,.;,,,�, ,.:ac� r +.� ,�n :r�: •: r.;v . , �., El =pant load over 99 persons ❑Manufactured Structures or ??' :.,P„ c 1A14TajF. kuCr'IT6\T. :..N . - ,��,�:. ,,,.ei.�. i .: �,. ti,.: aa..., a: �i ;, ?.:ISf,.;,..,::<;:,i� ❑ ggress /lighting plan RV park Job no.: _ I Job site address: /670 5 doP,e, � :, e L ` i OHealth - care facility ❑Other: Submit 2 sets of plans with any of the above. City /State/ZIP: , piaW it D M; The above are not applicable to temporary construction service. Suite/bld ./a C. no. - -. - . .._ — - -- 7, , " a 1f� . i tti i � Y' 1 ,. t ... F, r9 i! ; . ;; !:!1 j ect na e: d �j L 1�/ w =„ C i ' .,.. t, 111 . , 9 r.,.. . g P - Pro — m. - �L � } STf9' • � -., , -� ��i�. �• r. i::.:, �: i,:,,.; ?7L'? �' �:? , �t�;'�jEAIJPEG!� i .;:�,,; �.,:.; . - v �,' .• r v • . ntseription Qty. Fee. f T41o1 Cross street/directions to job site: A _'_C , ,... 4 6 and.... „p / New residential single- or multi family dwelling unit. l � Q 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 lily,t.l;'.S'r+'Q°,[.i r, map/parcel o. 'i "'' t i 'C;i:, ai: �.. ,,n,., ... � ��;:�:, 'Si. • :^ t Limited energy, noon- residential 75.00 . 2 '�ir� !1='�. tdl�':t.9'o lr: ,�:I::,I,.,4',. . ., .174V.:',!1;1,2 16 ° . . ' r - tw is t + faidC'•'; : i?{�' q ::if il ` .= a ly,,{�.' s Ji" IIN r: I : • `Y: ' . 1 1i ,+� �s,.,,.- . ! �• ,� " +:� c a:�'rt �� i ;wt,:, -, .:'e1 . a, . t �, Each manufactured or modular �`�� dwelling, service and/or feeder 90.90 2 - t ,,0 kh"Ql p' d 1 e (l— - Services or feeders installation, alteration, a nd /or relocatio r .;Q- a - .4 /e- - 7 -c., 200 amps or less 80.30 2 Nlf' 1;iv, :, Ail:: °mm.. „ u, t .,, .•. ""alt "star '^ '"� i':f #7?b,:.l;:rl0,7 ciC,4 ?!i . - �i14, 7, i n ii55';': „f 201 amps to 400 amps � 11\ 4;151' *!'" 'O l inM7 .. r .i , . ; I.rri,.. bTie % :o , i ,�!„�T P �P E 06 - 2' 7r 7 -:I ..,- :.� � r->� ". 1; 'i .l ?Ii�+�1 i R I : F .��,+� -�. �A � I ' t r , .rt ,.. ... *F] .�..�..�,. . { an.:... nF',„�� lilt.:.... �. ri:':+' r'.. q. �_' �.:N'�,,'�,9'�ilJ�!II4 l'�i� {�1�1'e'! Name: J. �' ' 4 01 amps to 600 amps 160.60 _ . 2 ! -D� �'d s, i p 601 amps to 1,000 amps • 240.60 2 Address: I u- SO4 ►N►r�Y /1'9.5 iJiL RN4?.4420.1 y- Over 1,000 amps or volts 454.65 2 i ^ 7 / --- Reconnect only 66.85 2 City/ State/ZIP: oil Q Temporary services or feeders installation, alteration, and /or r relocation Phone: ( o ?,) t .. D ig Fax: ( ) 200 amps or less 66,35 I 70) 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 Si Branch circuits alteration, exten hate' rcus - new, [i nn, r u 'an per a i r r {, ,5 ///4 p e t a ip+;ipk�,.ti�i�ft; €li 'p "t . r, 1 1� W „si�`�'�l '� ; t r •! r�.._ i _,;�°� :t'�° y "-` i "''tti ,.t 4- P panel I:: k I.: %'INt�l2 ih. WW1. iU�ta �.� b17ViY., - ��^t•"'., '(N r1.l�R'F�,��IAl7,l:. � "il I� ��fi`,_. ��'�{ '�''1 Y' � ��. drq k• 4'S, 1 ..._:.•.`P r '' , �` lJl`;. Fee for branch circuits with or feeder fee, each Business name: branch circuit 6.65 2 E.1'ee for branch circuits • C�..�' GL w ithout service or feeder fee, 46 - 85 2 Address: . each branch circuit Each add'l branch circuit 6.65 2 Miscellaneous (service or feeder not included) T • Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 . Signal circuit(s) or limited- ® • " m energy panel, alteration, or extension. Describe: Page 2 2 Address: / i - 1 a Each additional inspection over allowa in any of the above f ” Per inspection 62.50 H r 0 Investigation per hour (1 hr nun) 62.50 Fax: ($a3) 67 8— L LO e Industrial plant per hour 73.75 ;7i -w lh t: Igg 7R ,311' ' ;F:' ;°i�s�` 7.: 1R;, ic��:. �F', t > a11. f. Y: ti�l' i, lE'` l' S, �'-• ti+ 1�5 , ''..'.�'�.�e%Ut.ei`��AF!5'w,47 . ... .4.� :',..F��i.�,siir - s ubtotal l 33_ required: / Plan review (25 °h of permit fee) ,, State surcharge (8% of permit fee) I l e3 y r � 9 Q I TOTAL PERMIT FEE / / Ci., i a Ahtborized signature; This permit appticstton cxptres if a permit is not obtained within 150 - days after it has been accepted as complete Print name: Date: • Fee methodology yet by Tri•County Building Industry Service Beard Number of inspection:: per pernut atlpwed, is 112uiIdinglPemrits \ELC- PcrndtApp.doc 12J03 440 4.6157(1O/07/C)M/t'UEB CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006-00542 13125 SW Hall Blvd., Tigard, OR 97223" DATE ISSUED: 7/29/2005 Phone: (503) 639 -4171 I � m�m1P�!�iup�I��� Inspection Requests (24 Hrs.): (503) 639 -4175 ... - INSPECTION WORKSHEET FOR DATE: 8/3/200 TIME: 7 :06AM PAGE: 28 SITE ADDRESS: 15666 SW GREENFIELD DR CLASS OF WORK: SUBDIVISION: BELLA VISTA LOT #: 006 TYPE OF USE: PROJECT NAME: BELLA VISTA SALES TRAILER DESCRIPTION: (2) temporary electrical services for sales trailer. OWNER: RIVERSIDE HOMES, PHONE #: 603- 645 -0986 CONTRACTOR: BEAR ELECTRIC PHONE #: 503- 678 -1355 Inspection Request Scheduled For: Date: 8/3/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message • 199 Electrical final 012716.01 603-678 -1366 N Corrections /Comments/ Instructions: 9 p(,1/,l cI-Q ci 64'1 14'I 1I__M__ Ca e IA) 0Nk of t C / /4.n477e- P ) 14 i c l ' - 1 9 t A .1 eQ 1 vile .,, t t dc i si /4 cej r �'&L c 'q ,-/q t4 7e_.. A c' / ∎amii t :. Q ...e, _ I . O .j.. e . "rt"AnA..t/r 1 64 a _ weer 9 , --- A .. " kf2 _A4 0 A.P Aglje OL /D, tye) o 4,c ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS AIL ii mL FOR INSPECTION n ADDITIONAL FEES ASSESSED / Inspector: 0 �,. Date: j -3 —Phone #: (503) 718- J"NliAlklit._ , Y OF TIGARD • BUILDING DIVISION - PERMIT #: ELC2005 -00E42 13125 SW Hall Blvd., Tigard, OR 97223 - ' '.DATE ISSUED: 7/29/2005 Phone: (503) 639 -4171 io \ Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 8/8/2005 TIME: 7 :07AM - PAGE: 89 SITE ADDRESS: 15655 SW GREENFIELD DR - CLASS 'OF WORK: SUBDIVISION: BELLA VISTA LOT #: O0g - TYPE OF USE: PROJECT NAME: BELLA VISTA SALES TRAILER DESCRIPTION: (2) temporary electrical services for sales trailer. OWNER: RIVERSIDE HOMES, PHONE #: 503-645-M86 CONTRACTOR: BEAR ELECTRIC PHONE #: 503- 678 -1355 Inspection Request Scheduled For: Date: 8/812005 Pour Time: Code # Inspection Description Confirm # Contact # Message I, 110 Temporary electrical service 01301801 503. 678.1355 Y is / Instructions: . ‘\ I1 2 ZR 0 AD v . Z —. 1 SVc RA `, C - l ) " - ( 7 : R o Q\\ ■) 8) ■D 1--L. walk 1 6 •\a c�. m A $ i- ?R-1:N1 \ O 1 .4 � �cLNA ca , I 1 1)\c,\5 -\--k PA'S ARTIAL APPROVAL El CANCEL 111 NO ACCESS ❑ FAIL YYY ❑l CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED . Inspector: v ' `a-' 0�V (., Date: UJ E -01 ----- Phone #: (503) 718 - tgAlio'