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Permit C TI ^��® ELECTRICAL PERMIT V PERMIT #: ELC2005 -00333 DL PMENT SERVICES DATE ISSUED: 5/19/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S101AB -01501 SITE ADDRESS: 07555 SW HERMOSO WAY 120 ZONING: MUE SUBDIVISION: HERMOSO PARK LOT : 021 JURISDICTION: TIG Project Description: 12 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: 11 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: JOENS, JOHN D MARJORIE A GALLAGHER ELECTRIC 7545 SW HERMOSO WAY P.O. BOX 70 TIGARD, OR 97223 GRESHAM, OR 97030 Phone: Phone: F - 666 - 7296 503 - 666 -8816 FEES Reg #: LIC 127527 tion Date Amount SUP 2 Description ELE 26 - 533C [ELPRMT] ELC Permit 5/19/2005 $120.00 [TAX] 8% State Surcharge 5/19/2005 $9.60 REQUIRED ITEMS AND REPORTS Total $129.60 This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or 1- 0- 332 -2344. Issued By: Permittee Signature: - OWNER INSTALLATION ONLY The installation is being made on property I own which is not intended for sale, lease, or rent. OWNER'S SIGNATURE: DATE: CONTRACTOR INSTALLATION ONLY SIGNATURE OF SUPR. ELEC'N: DATE: LICENSE NO: • Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. . ... . - v. �+ w ar axncw WO UU1 1I+@C CaI.. IF ° 'z, II ' � F.::0,,i,r:t:LS1:.Oti,►.v` City of Mun Y >: 13115 SW Nall t$lvd..3tL, OR 97$23 t .J — , ! P.-- 1..G. • —003 . Phaaew :SO2.639,e171 Fax: 303.998.1o§o ; b3speadtki um: 503.639,4175 F 1 2005 -, ;j;.' .,j`j taodn�daiirboa: r,,,r [ m �v en nt:J:4.� mile _ , , r .r-^i i j 14:4'71--,77-::',:-: 4 ti r 71« r..70 - , 7 74ii. - . c >~,,:." n .a s fz' .. ,.. w.1 } r r ri � S.'�.. `S�s4i riM.•urr,F, t a.,,, ,..1, . ,,, ,. .� ^ i,+- A6r,s.II..- aw -a�' 1 r i Nov construction Bit :, .Ki , AI�i`!!� �_P:T� TFl !!►:1 New cheat ai eel appty , ❑ DetWar -t-aat 0 Other: faservice over 215 amps, a omx1Y1 1711 uttlaus toratton ,- Y . _. - -- - _ T , . _ : , n. , a y . „,,,„ 0 m over 320 amps - t' ing QAuildng over 10„000 sq. (C, .t .: W::.: • � � .- - 7 ,� _ .r �. ,nf .,vn 1 of t- and a fam9ly dwcf(inge 4 or new rasiala�t • 01. 2.An afly dwelling , ... 0 r scessory building L71 ratan over bon valor tltrrtdawl ,snits , ore struaaue tit# ::.. , throe or mere :..:: Other �tn lldieg over eedess, g00 amps •,': iiti : _ -, = . -;. - _- _ :•, �O tloadovex¢9paasons ❑}MattafsAUaed • ❑1ligittmg i J o b no., ( e i Job site aaddreses X555 s , N R t3 o so w OF tbeare itv pother,. Sutunia sass afAstotwith nay of the above. eitY/S t - riAtap D p R • 1223 1 , i -fill 'z'� (hove arena alsplicabte to teovoracy toatstruction salvia. Saioafildg /aia6usa.: n& .:':' ° :, i.. 7 := z " . : .. f , Uw sea _s Pea TAW rr • • - • dis*ct ouo to,) • • sits: ;17.57 New esitentlat single. Or ntnttldamiiy dw4iiing unit a� ioctudax ottaCgEd�orige_ � ► 1400 _ a or less 145.15 4 500 sq. Subdivision: mow-- Lot no.: Zia add'l ft or pardon 6b Tax •r•.,1 , ,, • no : Limited mew, residrudal 1111 q9 75.00 - - -_: ,.. -: ' : ,;�_� - — :� •.- ;- .. Liaised d ...� , non-residential 11111 75 -00 "� 7 6 M. 'v'. liar t1Wa�tltirdhRlltl arretOdnibr • .. .. -max :...... �.. .. _.. : ... .: .. dweEtiog, Service and/et & der 90.90 C . r ., Serviaes et. -ke bs s irot,atiatioo. altaratton► w ,wrncattap 200 imam or loss 111111 80.30 . H ._. _ . :• . +u c'.^e .1 r rr 301 amps 14.0 40i „ 600 amps Name; 1,4 IN Tl f...1 Pak) PRESS _. _u.._ 601 to 1,000 looP4 111 24040 EIBI Address: --1 w to OS D la Over goon arms ar iwkrs MIMI Ill R000nn `ot • •1 MI 66 1■131 ciwstato!Z.[P: ¶1Ci4 RU OR Q 12 2 3 Tetmporatr) services or faders tnitolietit+a, aloxtarlon, andtor r,to Phoney ( 503) . eta nc ai • 1 Iaax ( ) BOO cup or least 6685 1 Orrner int acts n: This installation is baring inside on property that I own wbich is not 201 to 400 , • • ' 10030 2 intended >br sale, iteae, rent, Or • :1 _- a u din: to ORS 447, 449, 660. sad 701. Owner 6 _ 401 amps to 600 sIllin 133.73 2 signature: / -� Rr anA eireaRs np+►, tdteratte•tt, pr antattok y Par paeea . • - :.. : _.::. . - . . - � btanabaAtva • •.: :^ .. _ Fee tier _ .;": f hb. ... • ,:.:. _. :,.= . :_ • • •:;:.,: - - .. . :.. , _ _ - tot Business name: _. �viric EI 6,65 2 ltrme.b.sircuit Contact wow walnut hosier bench c suite walnut seryica or ftior boa. i Js d6,46,61 4 , b. 2 Address: aba�cb uirauit Nutt ad41 testa circuit I ( 645 1 ' 15 5 2 City/State/ZIP: - lidltgelU •peons (aes-viee or fonder not mcladed} F"' _ _or 1' circle $3.40 2 Sign of evstirm it 2 . 1;4 .- iii 53 -© m a l s oil _ _ _ S Ca+4;44( or iizai s .;i: ;'ri - ' : energy panel, altaratieka or 13u-1104 ... wonatrlon, Daaeerlro: 1141.4 -A rie Fi .,-- CTR IC, ,Cr c_, Address Po • 8e x '7 p PA& •d lines tl Aaapectioit over albwabte in any of the abovt 0 4 1 /State/ZIP! 60,S5 I- P t-% Ds2 R l O 30 7 1- v - 0'1 62,30 .�� � EL 6150 il �efe -:$tb �e 6iofo-72gb 1f , :.;:, - .._.; .,, 73.75 MOM 31 lo '; �_ -s� , ,;•:. . ^ 1 5 .., T CC's Liz; t .15 2 ! Elc tricsl Ue : -5 33 : �_ rte= ..y:r �t SasOmeat t Q O. p S jti. � dI! I . - .: / _ Pisa tallest ( 5 o moat fee) 16 ir. Pmt s ` _1 . Oa. l • . D 5.1 ; • 05 stun statthuge lams of permit es) q • Iv p TOTAL PERMIT PER 1 29, b0 arngS Appd4a SOISv®aee Its permit Is out phoned within -00 pm days after IS has beam nrscp ••d a: oampipte I3at r • l4o medantotaty e•• b Building Industry servfet ew•>d +•ZYtteatfa impactions ptr pan* akr.td UditsildsouTuntitettLe•PasItkApuise CMS 44046i3I't10102X0MtUES