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Permit t ' n CITY OF TIGARD ELECTRICAL PERMIT • PERMIT #: ELC2007 -00400 ' ° COMMUNITY DEVELOPMENT DATE ISSUED: 6/13/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 25111 AD -18900 SITE ADDRESS: 14873 SW JONAGOLD TERR ZONING: R -4.5 SUBDIVISION: LADY APPLE LOT : 013 JURISDICTION: TIG PROJECT: LADY APPLE Project Description: (1) branch circuit for NC unit. 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: 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: BEACON HOMES NW CONNECTIONS ELECTRIC 12703 SW 67TH PO BOX 7136 TIGARD, OR 97223 SALEM, OR 97303 -0026 Phone: 503 - 570 - 8828 Contact #: PRI 503 - 390 - 7914 FAX 503 - 463 -6863 FEES Description Date Amount Reg #: ELE 24 -248C [ELPRMT] ELC Permit 6/13/2007 $46.85 LIC 65444 [TAX] 8% State Surcharge 6/13/2007 $3.75 SUP 361 1 S Total $50.60 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 Orego - ' . stification Center. Those ru are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direc questions to € ► _ - 0 . '..9 r 1.8 0.33 .2344. �,� Issued By: � 0'��. 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: OA/ �� /'G &9770/\/ 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. • . REC L-,.-..: ,,, � IV E D � _ •...,.._. . • Electrical Per Application JUN 3 2nn7 1•Y11r OF'I :1(} tP;s'..ONI.l'? lig 'City .:of, o f" Tigard n ` t �/B 6 v;I Permit No,; �L(o7 # 7 CO ,.�t, 13125 SW I3a11 Blvd., Tigar / a jrc' Phone: 503,639.4171 Fax 0 5 0V I ItjA .. ; OdherPamii"fE-(6 7 —QO9 '/ t Inapeotion Liam 503.6 mrie; la Ow Page 2for Internet ,Www.tigard'oe i , - ,DJNG DTVIS 'tt1L. Supplemental Inhumation TYPE OF WORK PLAN REVIEW ❑ New con5truCticn" ' R Addition/alteration/replacement Please check all that apply (submit j seer oleas f wliMms checked below): L ❑ 9arvioo or feeder 400 amps or more Building over three stories, ❑ Demolition: ..- -. tom • " Other: where the available their current ❑ Marinas and boatyards. • '+ ' CATEGORY OF CONSTRUCTION exceeds 10,000 =pot 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use aarioultural ❑ 1 and, 27fhrinily.dwelling ❑ Commerclal/industr'ial ❑ Accessory building amps fix all other ineullatiana, buildings. ❑ Multi- family - ❑ Master builder ❑ Other; ❑ Fire pump. ❑ hrstaltattonaf 7S KVA or e3a1B SITE INFORMATION AND LOCATION ❑BIDergen o system, larger separately derived RYR63nr, ❑ Addition of new meter load of ❑ "F:' "8 ", °l.-2Z ", "13" Job no.: • Job site address: 14513 S� 3q 111ollP or more, • oceapoaoy, ❑ six or more residential units. in Reereadonal vehicle parka, City/State/ZIP: - � CI Fkalth•cate facilities. C� Supply voltage for mare then I• ❑ llasardoes locations, 600 volts nominal, Suite/bldg, /apt: €' E, Project name: ❑ sarvica orfoodar600 amps ormore, i C Cross atreet/direetioni'4o Job site: FEE SCI�DUIE Derarlpdon I Qb. I Bon I Tort I • New residential single- or multi-family dwelling unit. V. ., ; Includes attached garage. Subdivision: 1- y J Lot no,: 1,00D sq. ft. or less 145.15 4 1 ' ' 1 Ea. add'l SOO sq. ft. or portion 33.40 1 Tax map /parcel: fits::° - Limited energy, residential ' DESCRIPTION OF WORK (with above ea. ft,) 75.00 2 Limited energy, multifamily _ residential(wtthabove se, R,) 75.00 2 ` Services or feeders installation, alteration', and/or relocation 200 amps or lass 80,30 2 PRO OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2 , Name: 401 amps to 600 amps 160.60 2 I 601 amps to 1,000 amps 240.60 2 Address: .U2 i O ` � NA o W Over 1,000 amps or volts 454.65 2 Ciry /Stato /ZIP: `,' 1 V 9', Temporary services or feeders fostallstioa ,alteration, and/or relocation P °c +; : Fax; 200 am or less 66.85 1 _ gOla mpsto400am _one: � )�, _ )S'� - ��69 amps 100.30 2 Owner installetlap.:This installation is being made on property that I own which is not P intended for saie,;:leai , rent, or exchange, according to ORS 447.449, 670, and 701, 401 amps to 599 amps 133.75 2 Branch circuits — now, alteration, or extension, ter panel Owner signature... — ' Date: A. Fey for brsnoh circuits with Fir APPLICANT (g CONTACT PERSON above scri'ioe or feeder fee, F°'� , -- - - cash branch circuit 6,65 2 Business name ;. -., r - B, Fee for branch circuits Contact name: ; without service or feeder fee, / j' "` .mil first branch circuit / 46,85 * „ps- 2 � Address: 1 3 I 'e Bach add'l branch circuit 6.65 2 �- `� S 'C c� Miscellaneous (service or feeder not included) City/State /ZIP: , . - ((,lptyt� (y J1 11-...-3 Each rnattufacturod or modular 90,9D , • Phone 2 � ) ., r g Fax: : y ) —p dwelling, service and/or fender $�� F ( J S� t���9 Reconnect only 66.85 ' 2 E-mail: Pump or irrigation oircic 53.40 2 . I , CONTRACTOR Sign or outline lighting 53.40 2 Signal circuit(s) or limited- Business name:,,,,., ) n Q e i- I G ex -1- L en ergy panel, alteration, or I p "% =tension. ',t;,.� :, � 1 II t• ension. Describe: Page 2 2 City /State/ZIP 1 I ©� (37.2305 Each additional Inapeedoa over allowable in any . of the above nq Per inspection 62.50 Phone: (503) ._, a J l Fa (SQ3) LI bpi - 10,84,:c - Investigation per hour (I hr mlo) 62.50 CCB Lie.: ( 1; t, Electrical Lic.: Z . 2,14.15 Suprv, Lie.: . Industrial plant per hour 73.75 ° ._ ELECTRICAL PERMIT FEES Suprv. Eles: ici I signature, re. " - �i��► Al. 4/6 s— �1 >��' _ Subtotal: � Plan review (25% of ctmit fee Print name: �— Dat tt r� A ) tr1 I!� !S QV I q .. 1 vJ� State surcharge (8% of permit fee)_ g, 7 Authorized 'signature: • TOTAL PERMIT PM "T"LO r L 0 Print name: - - _ Date: This Permit application expires if a permit is not o(tolned within 180 days after Sebes beta accepted as eomptota Number of inspections allowed per permit. 1: 10 otalna1Paimirs lnlc- Peml4pp ¢5/13/06 440.4615T(11/0S/COM/WWa _ '-_ 7, 7 ,I s A9,6 CITY OF TIGARD . BUILDING DIVISION PERMIT #: ELC2007 -00400 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/13/2007 Phone: (503) 639- 4171 � d @ °1� Inspection Requests (24 Hrs.): (503) 639 -4175 - .. INSPECTION WORKSHEET FOR DATE: 6/27/2007 TIME: 7:00AM PAGE: 5 SITE ADDRESS: 14873 SW JONAGOLD TERR CLASS OF WORK: SUBDIVISION: LADY APPLE LOT #: 013 TYPE OF USE: PROJECT NAME: LADY APPLE DESCRIPTION: (1) branch circuit for NC unit. OWNER: BEACON HOMES NW, PHONE #: f03- 570 -882B CONTRACTOR: CONNECTIONS ELECTRIC PHONE #: 503 - 390 -7914 Inspection Request Scheduled For: Date: 6/27/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 051045 -02 503 - 407.0580 Y Corrections /Comments /Instructions: f X PASS n PARTIAL APPROVAL ❑ CANCEL f f NO ACCESS FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: , / Date: Phone #: (503) 718- CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007-00400 13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/13/2007 Phone: (503) 639-4171 "� Inspection Requests (24 Hrs.): (503) 639 -4175 j �.. INSPECTION WORKSHEET FOR DATE: 6/27/2007 TIME: 7:00AM PAGE: 6 SITE ADDRESS: 14873 SW JONAGOLD TERR CLASS OF WORK: SUBDIVISION: LADY APPLE LOT #: 013 TYPE OF USE: PROJECT NAME: LADY APPLE DESCRIPTION: (1) branch circuit for NC unit. OWNER: BEACON HOMES NW, PHONE #: 503- 670 -8828 CONTRACTOR: CONNECTIONS ELECTRIC PHONE #: 503-390-7914 Inspection Request Scheduled For: Date: 6/27/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 051046-01 503- 407 -0560 h! Corrections /Comments /Instructions: • X PASS n PARTIAL APPROVAL F I CANCEL I I NO ACCESS ❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: )—/ / Phone #: (503) 718-