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Permit C ITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2006 -00117 � ,' q DEVELOPMENT SERVICES DATE ISSUED: 2/13/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S111BA -07000 SITE ADDRESS: 09487 SW INEZ ST ZONING: R -4.5 SUBDIVISION: BUTLER TERRACE LOT : 004 JURISDICTION: TIG Project Description: (3) branch circuits, trim out only. Job #A6187. 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: LADD MCKITTRICK MCCOY ELECTRIC CO INC 9487 SW INEZ PO BOX 42428 TIGARD, OR 97224 PORTLAND, OR 97242 Phone: Contact #: PRI 503 234 - 7521 FAX 503- 234 -9473 FEES Description Date Amount Reg #: LIC 8277 [ELPRMT] ELC Permit 2/13/2006 $60.15 SUP 2175S [TAX] 8% State Surcharge 2/13/2006 $4.81 ELE 26 -82C 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 B y: 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. Feb. 13. 2006 10 MC COY ELECTRIC No 8089 P. 2 LIG►:tl &c m, 1 Or Atilt ItIiplICaLlull FOR OFFIC . .... ■ : I.l R eceived ' City of Tigard D eters — — d6 Nn Pennit. L(' i %>J • r -' 13125 SW Hall Blvd., Tigard, OR 97223 p G .,. Phone: 503.639,4171 Fax: 503 - 598.1960 � ,, - I. - t` • i Other Pant; • Inspection Hoe; 503,639.4175 n � 1 , . '? . - Date Ready/By: 4 H SecPage 2 for Internet: www.ci.tigard.or.us , j o6 /I 6 t 8 i- Notified/Method: Supplemental Information . .. ' TYPE.OF WOR .' •. . . IP3.Ahf REVIEW ❑ New construction ❑ Additiot/alteration/replacc ev +7� L Please check all that apply: - _ Demolition Other: l l I OF ' 11(3A J 0 Service over 225 amps, comm'l ❑Hazardous location y �g�r r p 5ernce over 320 amps ' s rating Bttlldng ove 10,000 sq. . t}., . CATEGORY OIL CONS'TRIw 1 jilINV , r! ' ?v ' • of 1- and 2- family dwellings 4 or more new residential W ❑ 1- and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure ❑ Multi - family ❑ Master builder CI Other: ['Building over three stories ['Feeders, 400 amps or more ['Occupant load over 99 persons ❑Manufactured structures or . • . : . ' i JOB SITE INFORMATION AND .LOCATION . ' ` ' ['Egress/lighting plan RV park Job no. fl G 8 4- 1 Job site address Li 64 S ^ LA/ � 3 f. .rtt - ❑Healthre facility ❑O er Submit 2. sets of plans with any of the above. City /State/ZIP :7 O , © (2....., 1 i Z Z 4 The above are not applicable to temporary construction service. SCHEDULE, Suite/bldg./apt. IA/ � no_. f Project name: Mc �-r ���� Des FEE*' Qtr Few rued .' Cross street/directions to job site: New residential single- or multi- family dwelling unit. Includes attached g ar ag e. 1,000 s ft. or less 145.15 4 Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 I Tax map /parcel no.: Limited energy, residential 75.00 2 Lirnited.cnergy, non - residential 75.00 2 • ' : . . DESCRII'NX ON Oltr' WORK:, ;' ufactured or modular Each roan _ dwellin service and/or feeder 90.90 2 f �1 6U ' 0 N L e. services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 PROPER Y `OWI dER ©TENANT ' : ; . 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 Natne: m G k l T'r11 t c,K. 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City /State/ZIP: Temporary services or feeders installation, alteration, and/or Phone: ( ) Fax: ( ) relocation 200 amps or less 66.85 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 signature: Date: Branch circuits - new, alteration, or extension, per panel . ,CI Al'PLICANI'. w ..::,.:...; .... , : "'. OAIZ 'PERSOI.1: :'• .; A. F ee for bran A. branch circuits is w � service or feeder fee, each 6 -65 2 Business nap e: f r l c (�,_., B. �'L i, C_ branch circuit `" B. Fee for branch circuits Contact name: 31. LL & L (Z S without service or feeder fee, ( 46.85 1.1456 2 • each ch branch circuit 5644,..t'-.. Address: Each add'I branch circuit MI 6.65 ISZ 2 City /State/ZIP: Miscellaneous (service or feeder not included) Phone: ( ) F es; ; ( ) __ ' Pump or irrigation circle 53.40 2 Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - - CONTRACTOR energy panel, alteration, or . � C 6C �C extension. Describe; Page 2 2 Business name: � Address: Zc) 1 s' - _ Each additional inspection over allowable in any of the above _ �7 Per inspection 62.50 (,( (J City /Statc/ZIP: 1(j 1 6/L- 6 1"-d..15 1 �f investi per hour (1 hr min) 62,50 Phone; (503 ) 34 --?Sa f I Fax• (s,3 )a3', R .3 Industrial plant per hour 73,75 . ELECTRICAL rE.R v rr FETES' CCB Lic. :eaq - Electrical Lic.: ea C Suprv. Lie•: a /ls 5 - Subtotal 60 , i 5 - '-- Suprv_ Electrician signature, required: ire 1d-i' Plan review (25% of permit tee) Print name: S eZ _ I}. . V Date: 3 -�( _ State surcharge (890 of permit fee) 1 TOTAL PERMIT FEE C' C Authorized signature: This permit application expires if a permit Is not obtained within s0 - - days after it bas been accepted as complete Print name: Date: . Fcc methodology set by Tri County Building Industry Service Board — •• Number of inspections per permit alloy. i:\B eildata \emuitsu:2.C- t'erntit4.op.doc 12103 440 46 15T(O0/07/C0M/WEB CITY OF TIGARD eZc__ BUILDING DIVISION PERMIT #: mZ0!) c - UO // 7 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED;.. Phone: (503) 639 -4171 ritiT Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: 9 % 8 7 CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: `` n OWNER: V F � L. PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3-;_t( Pour Tim >'` /- . Code # Inspe Description Confirm # Contact # Message 1 2 _ ry3O —3--O6 5 Corrections /Comments /Instructions: 16A1 — a ift-4/7/ /,' ) ay>te >g_ / .C,�Cs , ..- 0 C Q - A O®0 � ....- lt 4■-__ li 7 - - evirRe19 M I I I I r k : : a 6 ..,At . - 0 II ' ° \ • v / irri • -V � V ' Iv v jo y/ ■ PASS n PAR . AL APP'OVAL ❑ CANCEL n NO ACCESS I FAIL /:LL ►" - - - -= - H AL FEE ASSESSED Inspector: / (/ Date: 3_4 , . Phone #: (503) 71 y ■ CITY OF TIGARD _ ELL BUILDING DIVISION PERMIT # :vZ 00 / f 7 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 Jul L. INSPECTION WORKSHEET FOR DATE: TIME: PAGE: SITE ADDRESS: 9 4/F CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: DESCRIPTION: OWNER: PHONE #: CONTRACTOR: PHONE #: Inspection Request Scheduled For: Date: 3 -- . 0 Pour Time: Code # Inspection Description Confirm # Contact # Message Corrections /Comments/ Instructions: ( EtoOOZ c� ' . Pk ► 0 ` *Am ti It, . ucbts ' T cAL (G-Pc I oN N 1 t s A4 213 �2 PASS n PARTIAL APPROVAL \; ' , EL 111 NO ACCESS FAIL 111 CALL FOR INSPECTION • A i DI ONAL FEES ASSESSED Inspector: Q L Date: 3 20 Phone #: (503) 718 -ZIi4 ,