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Permit 7 ELECTRICAL PERMIT CITY OF TIGARD ., PERMIT #: ELC2007 -00679 COMMUNITY DEVELOPMENT DATE ISSUED: 10/2/2007 .TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S 104CA -03000 4 SITE ADDRESS: 13552 SW LAUREN LN ZONING: R -7 SUBDIVISION: HILLSHIRE LOT : 030 JURISDICTION: TIG PROJECT: JACKSON Project Description: 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: I 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: . GREG /ALISON JACKSON PRECISION NW ELECTRICAL 13552 SW LAUREN LN . 12020 SE ANNA CT TIGARD, OR 97223 DAMASCUS, OR 97009 Phone: 503.- 970 -1475 Contact #: PRI 503- 413 -9870 FAX 503 - 521 -1637 FEES Description Date Amount Reg #: ELE C47 [ELPRMT] ELC Permit 10/2/2007 $60.15 LIC 163318 [TAX] 8% State Surcharge 10/2/2007 $4.82 SUP 5036S Total $64.97 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: / . /V Permittee Signature: a i ,j / c OWNER INSTALLATION ONLY r � 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- 503.639.41 75 -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. Oct 07 08:42a Mike P McDonald 503- 521 -1637 p.2 iki, ' zexeeciricai Yerr it ,{, ,tilllrt - 0. City of Tigard :..._ �. „, i. Received /0 13125 SW Hall Blvd., Tigard, OR 97223 7 ►'• ; • O .. . Permit N '• --VCS C 503.639.4171 Fax: 503.598.1960 C' O 2OO1 `' `+ » 1 - Plan Review inspection Line: 5 03.639.4175 �% DateB • Other Permit: Internet www ci.tid.or.us „ k '� �" ReB �; X � �' � � =. -�,�, eahoa EU la see i'agez for snpplm coral Iaformasoo ° 3 11 ION PLAN REVIEW ❑ New construction _ i./ . . r gl ION- Please check all that apply 0 Demolition 0 Othec 0Service over 225 amps, eunun'I ❑Hazardous location CATEGORY 'O OF CONSTRUCTION ❑Service over 320 amps - rating ❑ Bulldng over 10,000 sq. 8., dwell' of I -and 2- family dwellings 4 or more new residential K1- and 2 dwelling ❑ Comm ercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ ❑ Multi - family ❑ Master builder nuildin over three stories ❑F eeders, 400 amps or m ❑ Other: S more °Oewpant coed over 99 persons ❑Nianu tared structures or .10.13 SITE INFORMATION AND LOCATION °Egress/lighting plan RV park Job no.: I Job site address: 1 'tj SSZ 5 ❑Health -care facility ©Other: City /State/ZIP: i rry�/� 1._1.) Submit 2 sets of plans with any of the above. �l 0 w S C•• 1._1.) , Q • - 7 The above are not applicable to temporary construction service. Suite/bldg. /apt no.: ` Project name PEE* SCHEDULE J %'..J4r' ,1t 1"\J Description I 1 , ( '' Cross street/directions to job site: New residential single- or multi - family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145-15 • 4 Su bdivision I Lot no.: Ea. add'I 500 sq. ft or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 DESCRII?T30N OF WORK Limited energy, non-residential 75.00 ' 2 ��� _ - .- Each manufactured or modular 1 £ '� I b ice -QJw ti�» L i W 1 ktu U-�ti dwelling, service author feeder 90.90 ` 2 [ _ Services or feeders installation, alteration, and/or relocation {,.. - "6-1 _200 amps or less 80.30 2 0 PROPERTY OWNER ff ❑ TENANT 201 amps to 400 maps 106.85 2 I Name: C o , �,,� % \. - 401 amps to 600 amps 160.60 2 Address: `'� 601 amps to 1.000 amps 240.60 2 5j pf� Over 1,000 amps or volts 454.65 2 • City /State/LIP: Reconnect only 66.85 , 2 _ Phone' (b Temporar services or f tdcrs installation, alteration, and/or c 7 70 i `E 1 ` a I F ax: Fax:( ) relocation ()water installation: This installation is being made on 200 amps or less 66.35 1 g O R S 44 , 44 9, 670, and 701. I own which is not 201 to 400 atups 10030 ge, according to O RS 447, 44 2 Mended for sale, lease, rent, or exchan 401 amps to 600 amps 133.75 2 3wner signature: Date: Branch circuits - new, alteration, or extension, per panel 0 APPLICANT . 0 CONTACT PERSON A. Fee for branch circuits with 3usiness name: se<viee o feeder fee; each branch circuit 6.65 2 - :ontact name: R. Fee for branch circuits without service or feeder fee, .e� ddress: each branch circuit r+- A6.85 L 2 Each add'I branch circuit y 6.65 13 30 2 ity/5tate/ZIP' • Miscellaneous (service or feeder not included) hone ( ) F ( ) Pump or irrigation circle 1 53.40 2 - Sign or outline lighting 53.40 2 -mail• Signal circuits) or limited- . CON'1'IlACTOR . . . . . energy panel, alteration, Cr tuskless name: extension. Describe: Paget 2 SA 4.1u.1 \' CV J C� ,ddress: V2,..0 1.-4.) S �� Each additional inspection overallow9ble In any of the above Per inspection 62.50 ity /StateJZIP: (off S W . C 1_ cirro 16 9 Investigation parhour (I hr min) 62.50 hone: (5,' 4..\ — .n 0 I Fax: (. ,'3) SZ l-- k 3--1 Industrial plant per hour 73.75 33 is ELECTRICAL PERMIT FEES* CB Lie.: 1 11,0 I Electrical Lis: (."') I Suprv. Lic.:Sj3L,5• Subtotal , t Plan Electrician signature, required: ah review 25%of permit urv�1 1 ( tare) • •int name: A 'P a. � ` Date: 10 _ _ a State surcharge (8%ofpermit fee) r � _ TOTAL PERMIT FEE - (0741_ — utlforized- Sigllahlre: This Permit a walla on rzp&es a permit is not obtained witrria 280 • Fee me int Dane: 1 Dale: dqs a Rer It has.bem aoap4cd as complete thodolopr set by Tti- Conroy Building Industry Service Board •' Number of inspectims per permit allowed itdmg\Permirs \Ell.'- 1'ermirApp.dac 12n3 44O4615TV C0MJW B 1 . CITY �~�����U�������� ��w n m ��n n un�ma~unn�� BUILDING ��U��U�K��� PERMIT DIVISION #: E^=2007006' 9 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1002007 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 - INSPECTION WORKSHEET FOR DATE: 11/26C007 TIME: 7:00AM PAGE: 16 SITE ADDRESS: 15652SW LAUREN LW CLASS OF WORK: SUBDIVISION: HILLSHIRE LOT #: 030 TYPE OF USE: PROJECT NAME: JACKSON DESCRIPTION: 3 branch circuits. 10/5/O7 ADD low voltage steno / speaker wire. OWNER: JACKSON GREG/ALl SON PHONE #: 503:970-1475 C DNTRACTOR: PRECISION NWELECTRICAL PHONE #: 503-413-9870 Inspection RequeotSchadu|md For: Date: 11/2612007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical al 060215'01 503-381-1428 Y '~~ Corrections/Comments/Instructions: i � M� / � ` , \NN N, - ~~ „A, PASS ri puRTIALAPPROVAL CANCEL fl NO ACCESS - fl CALL FOR INSPECTION �� ADDITIONAL EES ASSESSED �� Inspector: Cr Le' Date: iK a-1 yn Phone #: (503) 718- CITY OF TIGARD . BUILDING DIVISION 411 _ PERMIT #: ELC2007 -00679 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/2/2007 Phone: (503) 639 -4171 / iµ guy i & Inspection Requests (24 Hrs.): (503) 639 -4175 J INSPECTION WORKSHEET FOR DATE: 10/5/2007 TIME: 7:01AM PAGE: 38 SITE ADDRESS: 13E62 SW LAUREN LN CLASS OF WORK: SUBDIVISION: HILL SHIRE LOT #: 030 . TYPE OF USE: PROJECT NAME: JACKSON DESCRIPTION: 3 branch circuits. OWNER: JACKSON, GREG /ALISON PHONE #: 503, - 970.1475 CONTRACTOR: PRECISION NW ELECTRICAL PHONE #: 503-413-9870 Inspection Request Scheduled For: Date: 10/5/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 05704:,01 503.413 -9870 Y Corrections /Comments /Instructions: C AL w i 71 yv\,E- • c CA PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS 1 L CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: GT. 1 " 00 I--E Date: 10(6-ill Phone #: (503) 718 - 1,4L