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Permit C ITY OF TIGARD ELECTRICAL PERMIT �,. „�•�•: PERMIT #: ELC2005 -00191 DEVELOPMENT SE?RVICES DATE ISSUED: 4/1/2005 13125 SW Hall Blvd., Tigard, OR 97223. 503 - 639 -4171 PARCEL: 2S104CD -03400 SITE ADDRESS: 13506 SW HILLSHIRE DR ZONING: R - SUBDIVISION: HILLSHIRE ESTATES LOT : 034 JURISDICTION: TIG Project Description: Alteration of 120 volt service. Job # TGO6C2. 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: 1 W /SERVICE OR FEEDER: 0 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: LE, ADAM DRYER ELECTRIC INC 13506 SW HILLSHIRE DR 9409 NE COLFAX ST TIGARD, OR 97223 PORTLAND, OR 97220 Phone: 503 - 590 -0860 Phone: 503 - 771 -5667 FEES Reg #: ELE 26 -1 142C Description Date Amount LIP 153466 SUP 2876S [ELPRMT] ELC Permit 4/1/2005 $80.30 [TAX] 8% State Surcharge 4/1/2005 $6.42 REQUIRED ITEMS AND REPORTS Total $86,72 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: .5:2 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. 03 -30 -2005 13:32 FROM- _ ._ T-933 P.005 -F -594 ;:01/2005 15:12 FAX 503 1 or 1"Inw i Vw * . , Ele Permit Application qqq ((�� (� ur49lk� l 1 � � 0,i l!. i.��lu.;ti' MAR 0 2Q U Received i �_ .'1 ! 25 SW t' of Tigtird Rea v . / . „ V _.. FermtNo. :�L ��`yU� O /I L__I Hui LB Ivd., Tigard, OR 9722 '� • . • Rev )ne: S03.6.19.4 Fax: 503.598.1960 ITT y OF .4, r: e , i A pare/,, . — - - -. — Other Permit �A ! + v� �� �1i Iurir: 0 Sev Page; Zfar �:fnectionLine; 503.639.4175 _ .11, Pate ReativBy: ::itemet wwW'!ci tigaid,ot.us BUILDING I '1 Natinedivlethad: __ r r 8upptemearrt Informe non - t _ '.r . f j 1. ' •, 06. LLn1Xt1/4:9 ' . , G �f., rl ..ardua :. ,f.7.--:2 II . 1 New caastruction • Addition /alteration/replacement Please check all ;ha apply: ❑Service eve: 225 arup_, conun'1 ❑li:rzerdau4 location -J Dcmolitital ❑ Other: ❑Service over 32:� amps -ramp ©Bunting o.i,er 10,000 Sy. ft., r 17.7 I, , 7 1 ,413 , tiiI `v c' g 4 or rrnre now residential .„ . 1 r' . , �.. t I -- , , ` ;: +k �' . i � 7 .0 . � y , y rce of l- 2114 2"Ninil,y dwel lii2„S or in a ft s,v residential rc 1 and 2Tiatrily dwelling Q Cammerctal /industrial 0 Accessory building ' LiSyste:m over 600 welts nominal ❑Building over tlo »c stories ❑Feeders, 400 amps or more 3 lviuld••farril III Master builder ❑ Qt11or ❑O cupen 1ua o' cc 9.pGrsons .. CI Manufaonired Structures or ,. n art r ..:271!;1777.7.7-7) ; 1 �,r ,,. ; I ' fr n t i r - , � r i •, t - , •;; EgteSS/1ig11`irrl; :03x, ❑Heald: -c far. ty ❑Other. c � � ub no.: . J ob si .. dress: le ` / Submit 2 sets o1'pllrrs with any of the above, 'iy /State /2`f': .ri� �� 1 _ T The above are nor a ;rplicable to temporary eons* bnoc service. I . -.' . .. . ` Muir.. s,. -aitei11dg./apt. Ito.: I t name: . u boccriptioo I gq• Ns. '7 Toss street/c ill Ctions to job site: - New residential single- or multi- tamily dwelling unit. lnctades attarthe4 iNU uge. 1,000 sq, ft, or leis 145.15; ' 4 .ubdivisian• ......I Lot no.: Ea. sdd'i 500 sq, ft, - Or portion 33.4CI i l Limited energy, tesidr :,trial 7S. 2 fax map/parcel no.: Ltrnited energ /, trou_vesidential 75.00; n r • `r , •• i r , , r i .d )I'.trlodu1ar 1 r-- • • '"' Each 7rlRnUfaC'1ir- I12 ,,�,vy r ,� � -■►y, 1 , ` dwelli es or vi. /o a 90. 2 rr� , dwel icn54r(eedlF a ln rfe e feeder Alt•rutiatl,an 0, retocartpn �,� 100 amps or less _ _ 80.30+ {�� 2 r ` .. • . ', • 201 amps to 4110 amps r, 106.851 Mil z - • �` ; 1 491 amps to 600 60.601. 1 2 • .. ... >. ' .. � ....':... _ •..... . •...., .. __�. _ ._ .. amps ung; C .. / o C.) � p j � ., 601 amps to 1,000 atrps 240.60 , 2 ^�^ �' —) Over 1,000 amps or volts 454.6 >< 2 ( .1 - 6 � \ -. \\ s�..,- - - 66.85; � 2 Reconnect only . :ity /State/ZE : — \ � .n�' Temporary service: or feeders installation, altej'at1oa, And/or relocation :,h _ : (�CJ.$) .)- ' jj (y ,� D Pax: ( ) 200 amps or Isis ^ _ I 66 — 1 Owner luseal lotion; This ilyl is being made 411 property that I own which is not 201 amps to 400 ass,ppps 100.30 2 Atendcd for tall:, least , rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 arnps _ 133.751i 1 z Owner signet urn : Branch circuits grow, alters extension, panel ": il ., I a , 1 A. Fee f 0,r brsr•elt sit coifs wFrk alteration, Date 1 r i._; :•� . or fled er fee, each I n ' n, ar exre per A a�- n.. _.. • ...., :...� :...._.. :. ...... ...:...., service 6.651 I Flushness nsxi let branch circuit _ _ — B. Fcc for branch. cif cults •:Ontaot num:: without service 4: seeder fee, 46.851 2 each brand. ci rec it • _ _ - lddress: Each sdd'1 branch , :',rc'ait 6.65 � - - 'ity /StatelZl; ?: Ntiscetianeouu (ear o feede blot included) Pump or iarigaticn c :re le 53.40:1 i 2 :' hgne: ( ) 1 Pax:: ( ) Sign or oadtr,t lightinii. _ 53.40, 1 i 2 •- nm 0, r I r `TT i , panel . i limited- I _ Sr il l' C ... i . •... t .: . Fa.. energy extension. llesathe: Page 2' ,, 2 :uSmess 1 E- .- .. -- ,_ 1 . l --- -- / w --- - � - '�, . Each additional lnrpvetton over allowable In arty of the above ,..d dress: r rI i 6x.50, 1 =yr L,�� ,/, . y Per inspaetor, •::sty /State /ZI?: ' if r� % / �' � � Investigation g0, ion per hour (I hr rain) I ■ 62 - 50 i �- y . r . b_ rndu9tt Alarm VET I :emi 1:103': 73 . 7 - . , hope: ) I y _ alt _ . � ! �" 1 1�I .. ° f; . • ' �[ :c :�. "iNi liar =r ' = i. f3•^; i:!:f t� ,r :I!Ydl:3��o�3(:v5)�'.-�,'.' r f !.Mil'... CB Lic,: ! Electrical tic.: --* -r . 1 Suprv. Lic.: / 'r J+ Subtotal ' � 6 li - .rprv. Electr lei an sign re, required: .-,.. T - ` P tan re - ricw (25%0, of permit fee) . - Pt Stale sluc:horge (8% of fee) i 0 _ - r �znt nsmA: • _ �� s /I : I�aae. `— TOTAL PFRIVI7,T FEE ti • '. Lthorized s g11ature: This penult appllcrl Fa expirea If a lrermlt is clot obtlaine: within 1:0 . i -- days li for tt has boon aecep ed as complete D ate: • • Pao methodalo, y:: e. r!•• y Tri - CounryOuildir .elsxt iAt name: Number of iasp :snorts per permit alirowed, xul!dina crluisa:-C PortuaAjp , daa t:1/o0 440- 460100/02/C01,1/WEe CITY OF TIGARD - BUILDING DIVISION PERMIT #: ELC2005 00'i9'i 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/1/2005 Phone: (503) 639 -4171 481/ 0 1 9111t Inspection Requests (24 Hrs.): (503) 639 -4175 `__.. INSPECTION WORKSHEET FOR DATE: 6/7 /2005 TIME: 7 :17AM PAGE: 40 SITE ADDRESS: 13506 SW HILLSHIRE DR CLASS OF WORK: SUBDIVISION: HILLSHIRE ESTATES LOT #: 034 TYPE OF USE: PROJECT NAME: COMCAST DESCRIPTION: Alteration of 120 volt service. Job # TCO6C2. OWNER: LE, ADAM, PHONE #: 503 - 590 -0860 CONTRACTOR: DRYER ELECTRIC INC PHONE #: 503- 7771 -5667 Inspection Request Scheduled For: Date: 6/7 /2005 Pour'Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 008635-01 503- 771 -5667 N • Corrections /Comments /Instructions: • • • • PASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS ❑ AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ' cam' Date: ` 7 j Phone #: (503) 718 - ,