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Permit ' x CITY OF TIGARD ELECTRICAL PERMIT v COMMUNITY DEVELOPMENT PERMIT ELC2007-00847 DATE ISSUED: 12/17/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S 134AA -01500 SITE ADDRESS: 11343 SW IRONWOOD LP ZONING: R - 4.5 SUBDIVISION: ENGLEWOOD LOT : 068 JURISDICTION: TIG PROJECT: HAINES Project Description: Panel change and (4) circuits for outlets. 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: 4 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: NEAL HAINES WEST SIDE ELECTRIC CO INC 11343 IRONWOOD LOOP 1834 SE 8TH AVE TIGARD, OR 97223 PORTLAND, OR 97214 Phone: 503 - 524 -4284 Contact #: FAX 503 - 736 -0677 PRI 503 - 231 -1548 FEES Description Date Amount Reg #: ELE 26 -135c [ELPRMT] ELC Permit 12/17/200' $106.90 LIC 13306 [TAX] 8% State Surcharge 12/17/200' $8.55 SUP 4654S Total $115.45 REQUIRED ITEMS AND REPORTS This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100, You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344. Issued By: ,$ 4 jt Permittee Signature: ,f}- �2. 0.,c_ 7in. 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. Electrical Permit Applic ,R_ CE VE . FOR OFFICE USE ONIA City of Tigard Received 00 /� �(��j IN 1 200} e&By: / /// 7/O7 b Permit N ,/ 109-- . C> / ' 13125 SW Hall Blvd., Tigard, OR 97 1 Dal L Film Review • Z ' Phone: 503.639.4171 Fax: 503.59 Other Permit: Is i !GAR U DateiRe': Inspection Line: 503 -4175 1 p (,ITY OF Date Ready/By: luris: El See Page 2 for TIGARD Internet: www,igard- or.gov BUILDING DI vISIO N Iio[ified/Methad: Supplemental Information TYPE OF WOWORK R. ` 1 . P1- R , 0 New construction Addition /alteration/replacement Please check all that apply (submit 2 sets of plans wtitems checked below): 0 Demolition ❑ Other: © Service or feeder 400 amps or more ❑ Building over three stories. ' where the available fault current ❑ Marinas and boatyards CATEGORY OF CONSTRUCTION : exceeds 13,000 amps at :50 volts or ❑ Floating buildings. 1- and 2- family dwelling ❑ Commercial /industrial less to ground, or exceeds 14,000 0 Commercial -use agricultural ❑ Ac cessory building amps for all other installations. buildings. ❑ Multi -family 0 Master builder ❑ Other: ❑ Ne pump. ❑ Installation of 75 KVA or • JOB SITE INFORMATION AND LOCATION ❑ Emergency system. larger separately derived system. • 0 of new motor load of ❑ ",q ", "g ", "1.2 "I -3 Job no.: b b • Job site address: i i 3l F -." J / / 100P or more. occupancy. - L�`7t1k f O'r [ ! !J ' ❑ Six or more residential units, ❑ Recreational vehicle parks. City /State /ZIP: (` �r 974: ry ` t ❑ Health - care facilities. ❑ Supp :y voltage for more than J ❑Hazardous locations 600 volts nominal. Suite /bldg. /apt. no.: Project name: I i �l f 10 Serviec or feeder 600 amps or more. y � • FEE,•SCHEDULE : Cross street/directions to job site: Description don QtR Fee. j Toad �. New residential single- or multi - family dwelling unit. Includes attached garage. Subdivision: Lot no.: I 1.000 sq. ft. or less 145.15 4 Tax map/parcel no.: ' Ea. add'] 500 sq. ft or portion ' 33.40 1 Limited energy, residential • DESCRIPTION OF WORK (with above sq. ft.) 75.00 2 • y r Limited energy, multi- family 1,e �Q i`, G - f a i G f L 4( r c 1 � ( l residential (with above sq. R) 75.00 2 v Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 R'� ( 33 C 2 .PROPERTY OWNER .. Q T?ELN'ANT 201 amps to 400 amps 106.85 2 Name: N le-et 1- ` 1 401 amps to 640 amps 160.60 2 Address: C'��5 601 amps to 1,000 amps 240.60 2 !.L Over 1,000 amps or volts 454.65 2 City /StateJZIP: ; Temporary services or feeders installation, alteration, and /or p � relocation Phone: (t.)12) ll c �--� _ �,, L _/ Fax: ( ) 200 amps or less 1 66.85 l Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amp 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 599 maps 133.75 2 Branch circuits - new, alteration, or extension, per panel Owner signature: Date: A. Fee for branch circuits with ❑APPLICANT I ' ❑ CONTACT PERSON' above service or feeder fee, LI 6.65 b �! 2 each branch circuit Business name: B. Fee for branch circuits Contact name: without service or feeder fee, 46.85 2 first branch circuit Address: r Each add'1 branch circuit 6.65 , 2 • Miscellaneous (service or feeder not included) City /State /ZIP: Each manufactured or modular dwelling, service and/or feeder 90.90 2 Phone: ( ) Fax: : ( ) Reconnect only ! 66.85 2 E -mail: gleung @westsideelectric.com Pump or irrigation circle 53.40 2 • • CONTRACTOR :. I - Sign or outline lighting ' 53.40 2 Business name: West Side Electric Co., Inc. Signal circuit(s) or limited - energy panel, alteration, or Address: 1834 SE 8tlt Ave. extension. Describe: Page 2 2 City/State /ZIP: Portland, OR 97214 Each additional inspection over allowable in any of the above Per inspection 62.50 Phone: (503) 231 -1548 Fax: (503) 736 -0677 Investigation per hour (1 hr min) 62.50 CCB Lie.: 13306 1 Electrical Lie.: 26 -135C Suprv. Lie.: 4654S Industrial plant per hour 73.75 • Suprv. Electrician signature, required: � !� ELECTRICAL' PERMIT FEES ._:.• .. ' � l .� � - i Subtotal: ' 0 67 • I {/ Print name: Randall Roberts Date: )-2 l 1 3 (D-7 Plan review (25% of permit fee): State surcharge (8% of permit fee): i 1g ` C j Authorized signature: TOTAL PERMIT FEE: b1 C r Li Print name: This permit application expires if a permit is not obtained within it6 Date: days after it has been accepted as complete. ' Number of inspections allowed per permit. t:' d3uilding1 ?ermitslE:.C- PcrT.itnpp.dac 05.123.'0G '-40- 4515T( I1 ;05iCOWWEB Z'd L866 NVdW00 01210313 3QIS 1S3M e6>VO LO • 001 CITY OF TIGARD 1 BUILDING DIVISION ',A! PERMIT #: ELC2007-00847 1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/17/2007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 12/18/2007 TIME: 7:01AM PAGE: 26 SITE ADDRESS: 11343 SW IRONWOOD LP CLASS OF WORK: SUBDIVISION: ENGLEWOOD LOT #: 0 6 8 TYPE OF USE: PROJECT NAME: HAINES DESCRIPTION: Panel change and (4) circuits for outlets. OWNER: HAINES, NEAL PHONE #: 503-6244204 CONTRACTOR: WEST SIDE ELECTRIC CO INC PHONE #: 503-231-1548 A) Inspection Request Scheduled For: Date: 12/18/2007 / Pour Time: _ r Code # Inspection Description Confirm # Contact # Message O 199 Electrical final 7 051745-01 603-7 1-1548 Y eiY) (..e_ Corrections/Comments/Instruct ns: , V 61 711--:=1 /2-0 &a — LA" (96 /7 _ i i 1 ' l ! r lamb ,,, 0 - ----,eg 2._,0r /77-/ ,04 c — 41. • .:, _. c-- I ASS El PARTIAL APPR• , ' 0 CANCEL 0 NO ACCESS 1 I FAIL fl !;ALL F" -k PECTI* Et ; • • AL FE ASSESSED 17, / -- /Zr 0 /---- Inspector: , rm ' : Dale: Phone #: (503) 718tW)- I e ( • • . - . - •.-