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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2007 -00304 COMMUNITY DEVELOPMENT DATE ISSUED: 5/3/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S114BA - 01500 SITE ADDRESS: 16200 SW CRIMSON CT ZONING: R - 4.5 SUBDIVISION: PICKS LANDING NO.2 LOT : 124 JURISDICTION: TIG PROJECT: CLINE Project Description: Hall bathroom alteration (3) 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: 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: CLINE, JOAN D 205 ELECTRIC 16200 SW GRIMSON CT 7831 SE JOHNSON CK BLVD TIGARD, OR 97223 PORTLAND, OR 97206 Phone: Contact #: PRI 503 - 771 - 5491 FAX 503 - 771 -5491 same as above. FEES Description Date Amount Reg #: ELE 3 -452C [ELPRMT] ELC Permit 5/3/2007 $60.15 LIC 34255 [TAX] 8% State Surcharge 5/3/2007 $4.81 SUP 3805S 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 By: �� ; / / / /� L Permittee Signature: d / pP I C GI+l rnn 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. 05/ 03/ 2007 12:35 5032444667 WALKER INTERIOR REMO PAGE 02/03 Electrical Permit A lie 'tion -•.. l' • FOR OI•'� USE ONLY . City of Tigard r 4 .: ,, ' Received ry bard "� . D SLpJ PermitNo.: C '} — W304i 131,25 SW hall Blvd., Tigard, OR 97223 114 Plan Review k+ L : • ' Phone: 503.639.4171 fax; 503,598,1960 Dale /By: Other Permit: TIGARD inspection Lille: 503,639,4175 HAY 3 2007 Date Ready /By: tiri. 11 ei Sec Page 2 far Internet: www.tigard- or.gov Notified /Method: 1 Supplementallnfor•matlnn ' L`YPG O, E W' frig ; A` c: Fy FLAN REVIEW El New construction ®Adr3ljit rl'/ ft <f •tyt ^ � Please check all that apply (submil 2 sate of ptaplan:, w /items checked bckow): : ;) t vt g �tf Y® 7� © Service or (Ceder 400 amps nr tt ore CJ f ililding over three stories. ❑ Demolition ❑ Other; where the mmi1;tblc fault current L Marinas and boatvtneis. — CATEGORY .., bP: `ONsti uctIo.N .' :, : . tl' ::.. '' ' ' , exceeds 10,000 nmp5 it 150 ynitc or 0 Floal in buildings. less In ground, or exceeds 14,000 ❑ Commercial - use ; Z I - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building imps for rill other installations. buil dinpc, ❑ Multi- family ❑ Master builder ❑ Other: 0 Fire pimp. ❑ 'M* 111E10071 of 75 KVA or • = 10EI SITE 1NTb.RMATI r aAN.l ,i l " ,; 1 ., . °ly"�;i:_;,:_;; ; ❑ Emergency syalent. larger separately derived syr:I cni .d�"i A , 1! , .. : ❑ motor ID " „ ,.1 -p, ..1.3' , r ., ur.t ..;,.: . ,, � . , , �.�. ;,, .:.2.. Addition of mr r r oad of I Job no.; 3082 Job site address: 16200 SW Grimson Court 100141 mom. occupancy. ❑ Six or more residential trails, ❑ Recreal.ienl vehicle parks. City /State /71P: Tigard, Oregon 97224 ❑ Health -care facillriec, 0 Supply vollagc for more than ❑Hazardous Incnlipns, 600 volts nominal. Suite /bldg. /apt. no.: N/A Project name: Cline ❑ Service or feeder 600 amps or mom, :. ' 1 SCHEDULE Cross street/directions to job tine; SW Durham Road Dcecrip1inn i Qty I_pee rnrnl New residential single - or multi - fam ily dweilliC unit. Includes attached garage, Subdivision; Unknown Lot no.: ? 1,000 sr) f3, or less 145,15 4 Ea. add' l 500 Eq. ft, or portion 33.40 1 Tax map/parcel no.; Unknown — Limftcd energy, residential ' DCSCR i'tEON:l r WORK' :,:;,,:':,,,,,,::,,:,:.7,...4.::::,::.,0:.:p,,,,,,:.44:,: (with above gLfl.) 75.00 2 Limited energy, multi-family Hall Bathroom /alteration residential (with above sq, 0,) 75.00 2 _ Services or feeders installation, alteration, and /or relocation 0 20 amps or less 80.30 2 ' la' PR()li1 RTY.OWNER : : : `G j:, " :"t l _ ' c.B Ina 6 N' .!• ,, :' T f ; :. 201 amps to 400 amps 100.8 2 Name: Joan Cline 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240,0(i 2 Address: 16200 SW Crimson Court Over 1,000 amps or volts j 454.65 - I 2 City /State /ZiP; Tigard, Oregon 97224 Temporary services or feeders installation, alteration. and /or ___ • relocation Phone: (503)318.1588 Fax; ( )None 200 amps or less 66,85 I Owner installation: This installation is being made on property that 1 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 599 amps 133.75 2 Owner signatu Date; Branch circuits— new, alteration, or extension, p,cr pa tel 1 A. Fee for branch circuits with ® APPLICA : :'1.:.:. ".1:"..'''J:. ` • . :;k "' r 4. . " ? ?1. 12S i'V;; <is•' ?;;:;: ,' above service or fccdcr fee, �� ` ,.. '" each branch circuit i Business name: Walker Interior Remodeling, Inc. B. Fee for branch circuits Contact name: Gary Burkhart 1Plfhoul service or feeder free, 1 46 85 46.85 2 first branch circuit Address: 6775 SW 111 Avenue, Suite 201 — Each add'I branch circuit 2 6.65 13.30 2 — Miscellaneous (service or feeder not included) _ _City /State /7.lP; Beaverton, Oregon 97008 Each manufactured or modular 90,90 2 dwelling, service and /or feeder Phone; (503) 452.1383 -� l Fax: : (503) 244.4667 Reconnect only 66.855 2 ) F -mail: None Pump or irrigation circle 53.40 2 ' . . .'.,CON;1'Y2.d:C'. {O t afV .i '." : ;: ,, 1 ;;)a`t;. lr ' . ^,9 re15 ij4(" d Sign or outline lighting 53.40 2 • Business name: 205 Electric Signal eirCuit(s) or limited - energy panel, alteration, or Address: 7831 SE Johnson Creek Blvd. extension. Describe: Page 2 2 City /Sl :etc /Zll': Portland, Oregon 97206 Each additional inspection over allowable in any of the above r I F Per inspection 62.51) • Phone: (503) 771,5491 ax: (503) 771.5491 . investigation per hour (I hr min) 62.50 CCI3 Lie.: 34255 Electrical Lie.: 3 -4520 Suprv. Lie,: 38055 industrial plant per hour 73.75 .....%!':.:,. ` ELECTRICAL PER IIT IMES Suprv. Electrician signature, required: ��/ /,r .., Subtotal: 60.15 Print name: Robert Caron Date: 5/2/07 Plan review (25% of permit fee): 0.00 �'° State surcharge (8% of permit ace): 4.4 Authorized signature; ' . r L �,--t■✓ TOTAL PERMIT FEE: 64,9' Print name; Robert Caron Date: 5 /2/07 This permit application expires if n permit Is net ehtninrd wlthia 1411 days after it hn>; been accepted ne complete. * Number of inspections allowed per permit. 1A Duildingll 'enrndre \F,t,C- PermiIApp.doc 05 /2,];0(+ 44 0 - 4 6 1 57(1 t /05 /COWW61 • . . C ITY OF ��mu n *.�m uu����om�� BUILDING DIVISION ^ '' - � =°~,"~~~~..~~� ~~"~"~,"~~"~ PERMIT #: ELC2O07-00904 13126SVV Hall B|vd.. Tigard, OR07223 . DATE ISSUED: 6/3/2007 Phone: (503) 639-4171 4104 00 1 Inspection Requests (24 Hrs.): (603) 639-4175 a� ^ �-.. INSPECTION WORKSHEET FOR DATE: 6/5/2007 TIME: 7:01AM PAGE: 42 SITE ADDRESS: 16200 SW GRIMSON CT CLASS OF WORK: SUBDIVISION: PICKS LANDING NO.2 LOT #: 124 TYPE OF USE: PROJECT NAME: CLINE DESCRIPTION: Hall bathroom alteration (3) branc:h circuits. OWNER: CL JOAN D, PHONE #: CONTRACTOR: 205 ELECTRIC PHONE #: 503-771-5491 Inspection Request Scheduled For: Date: 615/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 049610-01 503-452-1383 N Corrections/Comments/Instructions: Y y PASS pART|ALAPPR�yV4L 0 �ACANCEL | | NO ACCESS �� ''FAIL FOR INSPECTION n ADDITIONAL FEES ASSESSED , ,Inspector: • ' . Date: (;(. ~ ^ / w ' Phone #: (5O3) 718' �� ~� /�� � � ' � . ' CITY ��u���7��������� �v'p"m~�` ��m u n ��m m nm�|���n�� _ ,,,__,,,i, A .' BUILDING DIVISION � � . , PERMIT #: ELC2007-00304 I 13125 SW Hall Blvd., Tigard, OR 97223 ? k? ^»*���* — DATE ISSUED: 5/3/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 _AI. A I� INSPECTION WORKSHEET FOR DATE: 5/9/2007 TIME: 7:00Ak4 PAGE: 45 SITE ADDRESS: 16200 SW GRIMSON CT CLASS OF WORK: SUBDIVISION: PICKS LANDING NO.2 LOT #: 124 TYPE OF USE: PROJECT NAME: CLINE DESCRIPTION: Hall bathroom alteration (3) branch circuits. / OWNER: CLINE JOAN D, PHONE #: CONTRACTOR: 205 ELECTRIC PHONE #: 503771'6491 Inspection Request Scheduled For: Date: 5/9/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough-in 047939-01 503-452-1383 N Corrections/Comments/Instructions: / � y:xy • \ ` ��P�S \ - 1 .PARTIAL APPROVAL El CANCEL I NO ACCESS - ^|L INSPECTION I |AO0T|ONAL FEES ASSESSED i 42 a~�~ . .-- Inspector: ~�-- '= ^ Date: 6U1� 0 Phone #: (503) 718- . � � `� _ ~�-___ ~ ~~ - - ' '