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Permit CITY OF TIGARD i h' ELECTRICAL PERMIT PERMIT #: ELC2008 -00031 COMMUNITY DEVELOPMENT DATE ISSUED: 1/14/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 104CA -04200 SITE ADDRESS: 13589 SW MICHELLE CT ZONING: R -7 SUBDIVISION: HILLSHIRE LOT : 042 JURISDICTION: TIG PROJECT: SCHLOSS Project Description: reconnect furnace and adding heat pump and receptacle 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: 1 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: JIM SCHLOSS THERMAL FLO INC 13589 SW MICHELLE CT 7236 SW DURHAM RD STE 100 TIGARD, OR 97224 PORTLAND, OR 97224 Phone: 503 - 524 -6765 Contact #: PRI 503 - 670 -8343 FAX 503 - 620 -1953 FEES Description Date Amount Reg #: ELE C332 [ELPRMT] ELC Permit 1/14/2008 $53.50 LIC 151847 [TAX] 12% State Surchar 1/14/2008 $6.42 SUP 4821S Total $59.92 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: ! �rl Permittee Signature: �PQ , g ( ( �/ 7 Gl/✓ 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. 01/14/2008 12:23 5036709064 THERMAL FLO PAGE 01 !' r. :`Electrical Permit Appiicatio 1 FOR OFFICE (,ISE. tJNI.:`a� City of Tigard Rcoc;vea • Off JAN sr 2008 Date/13 : 't 13125 SW Hall Blvd., Tigard, OR 97223 ! ►( Plan Review Phone: 503.639.4171 Fax: 503.548.1960 !Dawn, !Dawn, : Other permit. T1G \ n.� Inspection Line: 503.639.4175 O TY OF f IOA61 - bate Itearly/ay: Ant,: >a Sea Pa>*c Internet; www.tigal'd- Or.gov Ai atif,cd /Mcthed; Supplemental ormatl n yp grrriItr . . k9 1�i .. I, � �:i i . .. .�1�,. ,.4 r l. # �,... : ,F! , I",?y,.i��.. y:,Nl r� ; .., i 'ti c n n �Ii , I ,. ��. IiIN it .. �n it C {i� �.�I. : .. ...7 . �, u, �,, uh'y, .. .... SI a��i;li i I +. l 1 ;6 r. n.l.ii, .i '.,�I.. . I * i i „ ! I niln, 6 1 ,,I 'I ∎r > iRr;.kgi,∎g:ii.:ia',! :::... .: „n�,�, �.I,�,:��,,. IL,,.,i .,.`1�1'1;,lip .>�b� I,II,r, .. �,� ,,..:;,,,, (I. �,� ��Il�,e.� .'I, !9eu ';�I1 ?ySN - - yi "' il:�" 'i�':,a.��,.,�j�l.�l[I , F V . .�,� 1��,.L, i .l L . . �,. ... "I u , � ., .:.,.. 1. .,.. 5' � ��::,.. � � .�,.,,. . ■,. .��.,,,, ��.II�, �� ii', .,� 1. �:r.:nlliXA�� , t 51 ��' „�.�;� .t fp.,�ll.,�r,niti �, <. I i :.:':'v,..•,ia� ,:...q; „�,. .,,.., .,,� rig 0 New construction Addition /altLration /rep] actient � $CSYSCC or feeder that apply (submit �� M. ,,. ,1� rlul.�`' IJ1 ":. 1. I,P' {y 4j', ® l t AC plan w /hems checked below): 0 feeder 400 amps or more El Buildin over three stories, Denolition ❑ Other; where the avlrr able tl3trh current ❑ Marinas and boatyards. ii ;YC "C'i4.: "�� �. li.i:', „�r . I . pl I „� u.n ,I tl e �f i ':::' I ;' ; i. ! :O. . „ % TE001,0 , ii0[)'� }'k�jlCp!�14*,i.l i; . i exaeds10.000 amps al lSOvOltcor 0 Floating buildings. less re ground. or exceeds 14,000 b Commercial - use agricultural ® I. and 2- :family dwelling [J Commercial /industrial ❑ Accasscay building ramps for all other incrnllntinns, bulldlaga. 0 Multi -family ❑ Master builder ❑ Other: E Fire mime. ❑ installation of7S KVA or a „, 1 ] Emcr c ncy s steno. larger separately derived system• ”' 'did <” e* S1i[I YN 'O.1ilii � iiiN k0 .TS17C 141,Y4 R y l �3 1 .5(A) II , i _ �/� a " i'. ❑ Addition of new motor load or CI "A", "E" "'1 -2” "1 -3° Job no.: Tob site address: 1001•iP or more, Oecnpnncy, . ❑Six or more residential unite, ©Rccrearionnl vehicle parks. City/State/ZIP: 1:1 klenrt11-care iticitilies. 17 Supply voltage fbr more 11rnn 'a`�J O ❑ p.m.. locaCinns, 600 volts nominal, Suite/bldg./apt. nn.: �Pro name `� protect a or feeder 600 amps or lt,Qrc, ; I ;P,tl P Ijl' , .: ' l lFEE"kSCIIEI1lULEI% r , • ' 11 IIII Cross street/directions to, job site; "nett-Joann . : _( F I Total Nf New recidofttinl angle —or multi- i'ntnliy dwelling unit. Includes at(slelied garage. Subdivision: Lot nn.: 1,000 sq. R._ or ]cgs _ 145.15 4 ^ — " - -- -�”. -- Ee. add'I 500 sq, ft, or portion 33.40 � - 1 Tax / no.; ma steel r . p Limited energy, residential ,V.,• I LIP � 4d I;. ,I., ,11 , ; D'ESCFtiPTltY,N :i3OP' ' 1: . ; Ii (with alxwe st, tt 7.5,00 2 Limited energy, multi I f (2 Con iv? r'} G.r C a h01�'h Ou P ft , 75.00 2 -'{" rn, lesidential {with ahnv 9 , j 1 Services or feeders installation, Ice t location O-Q,C # E" p (p�-j s Ct , 200 amps or less ' ,. I..Iw,' , r. rl �. , d. tt :i ;..i J if .u.l; ,, A':il::, I' �„ 'IdA�I . I..1;lli!i:1 201 sl ❑, 1' 01'171 Cl /ltd I� . A . � 11y1�Jti]V I;' , �• STtpS t 400 b117pv 106.85 - ra , on Dr relocation 80 30 Name:_ 401 amps to 600 amps 160.60 2 �'�" � 601 amps to 1,000 amps 240,60 2 Address: 1 t __ 1Glt r � Over 1.,00 y 0 a tugs or volts 1 454 - 2 City /State /ZIP: l a`( -� t 7 �y Temporary services or feeders installation, alteration, ttnd /or rdontion Phonc: t l 3) ,(f ` &76: Fax: ( ) ' 200 amps ay less 66.85 r 1 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 signature: arc; T3raticll circolts- new, alteration, or extension, per panel Fee for branch circuits lvlth �1i(rI�ICAi [�' +("I�YNiC4l'C'7" �RSON', I ( ' „�, about aclvicc r' feeder f oeeer ee, a _ : _ „. . W 6 -65 2 "" tech branch circuit Business name: t, Pee for blanch circuit% without service or reed et fee, 1 Contact name: d6 85 r name: first• branch circuit cud• 6- Address: Each adcl'l branch circuit t( _6.615 (a.lc� 2 — - Miscellaneous (service or feeder not Included) City /Stare/ZiP: Each manufactured or modular dwellin uervice and /or fccdcr 90.90 2 Phonc; ( ) I Fax; : ( ) Reconnect only 66,85 2 E-mail: Pump o irrigation circle W ' .'I CONTRACTO.1i' :' .., Sign or outline. c 53,4.0 �2 . 53.4 {1 7 I {+'1/? y r-y f ff Jy.•�r Signal circuit(i) or limited.- Business name: - /�eILLL -lSd �.�/„�.'t. i �r energy grind, Alteration, or Address: 2 _,_5 (.42 _ , r� extension. Describe: P age 2 2 City/State/ZIP' Pa i _9_ 7 4/. Lech additional inspection over allowable in any or the above Par hour (1 hr min) 62,50 1'ltonc: ( ) Per inspection I 62.50 - .. / Fax: I j J Investigation, - CC1Fi Lie.:�5 /� Elr,ctricn] Lic.: `A'.sc.�.. -. ....6'2 - Industrial Plant per Irc urr 73.75 � �� ` ELECTRiCA_ L "PERMIT 'FEES Suprv. Electrician signature, required: - '� Subtotal: - - / 7 .6V Pion review � 3 . Print name: {y 4 ,, ! - c• f p (25% of pcinit ice); Date: 1,25 Sratc surcharge (� o of pcnnit fee): . 7 /author; cd ,aignaturc: op �p �� _ TOTAL PERMIT FEE: T� lie; This p ermii applicnnnn n xPlre s It a p ermit I not o bta i ned within 1511 Print name: 1 rQ-I �j _,. C� V L days otter it has been accepted a9 eontpteic, I: \Dnildin 1r'crmnslCr.C- Prnnilnr Ot /�)rp( "' Number of iuspcctiont allowed per pcnnit, F 44 r1-46 t "Tr I 1 /OS /tX )M "WF_B CITY OF TIGARD ,i. BUILDING DIVISION PERMIT #: f LC2QQQ-G 31 131:25 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/14/2008 Phone: (503) 639 -4171 :olinl Inspection Requests (24 Hrs.): (503) 639 -4175 +� INSPECTION WORKSHEET FOR DATE: 2J7 /200B TIME: 7 :03AM PAGE: .44 SITE ADDRESS: 13589 SW MICHELLE {;T CLASS OF WORK: SUBDIVISION: HHLI_SHIRE LOT #: 042 TYPE OF USE: PROJECT NAME: SCHt OSS DESCRIPTION: reconnect furnace and adding heat pump and receptacle OWNER: SCHLOSS, JIM PHONE #: 601- 5245766 CONTRACTOR: THERMAL FLO INC PHONE #: 503-670-6343 Inspection Request Scheduled For: Date: 21712038 Pour Time: Code # Inspection Description ConfirmW -.. Contact # Message 199 Electrical final c - 064583.01 503-670-8343 \ Y Corrections /Comments /Instructions: CAA ) I \ N ,.._. \\, n \ (\ ("'■ Wi\%_ Y PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED Inspector: G ---- , N 1, l 1 .:J. Date: 2 ' 7 '01 Phone #: (503) 718- P + GV