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Permit s CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00216 n R.41- DEVELOPMENT SERVICES DATE ISSUED: 4/1/2005 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S105DD - 07400 SITE ADDRESS: 13835 SW SANDRIDGE DR ZONING: R - SUBDIVISION: COSTIUC PARTITION LOT : 001 JURISDICTION: TIG Project Description: Alteration of existing 120 volt service. Job # Tg06d5. 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: 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: VERDADERO, DAVID DRYER ELECTRIC INC 13835 SW SANDRIDGE DR 9409 NE COLFAX ST TIGARD, OR 97223 PORTLAND, OR 97220 Phone: Phone: 503 - 771 - 5667 FEES Reg #: ELE 26 -1142C Description Date Amount LIC 153466 SUP 2876S [ELPRMT] ELC Permit 4/1/2005 $80.30 [TAX] 8% State Surcharge 4/1/2005 $6.42 REQUIRED ITEMS AND REPORTS Total $86,72 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: 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: 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. 03 - 30 -2005 13:34 FROM- T -933 P.007/043 F -594 ••2/01/2C - 5 15:12 FAX 5035981960 CITY OF 11taARI) Electrical Pe>'mlit An>21ication ik lite I e: ll'1 t.INt..y' :lty Q Ti>� ra eeezvnd / �-G Permit 4 (.. fm2 55j ' ITS SW Noll Htvd., 1'igard l OR 97223 • 1 - - view � - Q one: 503.6:9.''171 Fax �; 503.598.1960 .. rr y . „ ,? Other Permit ili'l DateI . ' -- !ispectionLinz SO3.439.4175 ._._! — pato Read4I9y: - - -- gi secPa ;atfor ::,tercet ww. W• tigard.or.ui bietifedrMotaod: _ _ ) /6 I SbpplemennllInformation - I J New atru titian [] Addition/alteration/replacement Please caeelt ill the apply: ❑Sit: vice ovtr 22S ampe., cont l?azatd t:; location D6121o1ilitll 0 _ _ - _ , i . ... ........ , . : -; _ ❑Ser vice over 32'3 amps ra ©13taldng Other: o''cr t 0.00 ; f�. ' ! , ,i . �?I � ' I v !' '?.,.''e.-. �a o- " n'o /Y �'1'r o • residential ' !, � :, . - � . .� I , �; t ` , � =l�r.wLr�� ± of 4 or more residen r, :�',. , . . -, , , , ... ., ,,_..:._ _ . , _ . .. , • gSystem over 600 volts nominal units in arc structure II 1 -and 2 -i�ay dwelling • [j Catatnarciel/E>adastrial ■Accessory building ©B ildng OV'ar rit=e stories ❑Feeders, 400 amps or more Nlultt faced • ❑ Master builder D Other. ❑occ east loaf crrec 99persoas . 014anufaonired Strucuirce or ` F.,-.-_,,.,1- .'} ,, + ..', ,' Y , : i � i ;, , . , , .: ' , DEgressAigh7lt ;, pal, RV. park ' �� 1 'ib no.: . Job site .. t`tttiY 01 _ / / �� 1 I � / I i • �Fleoltr care fataLty Cloche:: Melt 2 sets• of plans with any the above, -'icy/State/2 Ilk& A .r��•�� 1 . The above arts nor pplica'6le to temporary cons • • don service. -'-' r. ®'ill' .l`, jJ' ;K 7 . , ;'i i : �' r, ;m :• : ulte/bld '.1. t.:_.. __ � '6` :-...,;-:,..., • .. g /el It '40.: 1? J IIBiIIe, ' G A Doseetpavn _ r multi-family Qty. no. : 1 Tsui :toss streetkirs to jab trite: 1) $ ,� J W s �4141 (_ / e, ncittties attached U I 1 gat dwelling. unit 1,000 sq. ft. or leas 145.1 1 4 : : Lib divisian: ��- Let no.: Ea. 343 1500:+q.6 Or Portion 33.4& • 1 Limited energy, it: idrnisi 75.00. 2 Tax map/pare -al rto.: __ Limited edergp,non-residential 75.00- , � .• , ' _ , ' _ Each menufec a:rsd . modular . 1 � ,.yam ',.�.�, �. , ` _ Service s service r feeder 90.9U, 2 _ ■ �, g !� ?i101 (�11_ Services or felt Installation all • lion, andllrr relocation MOP or lest 8 0.301 2 . 0a , 41.• � L_ # P I , _ 200 amps �■ ' 1� `- _ ._ 2 a_ : I I .. i ` . 4 1 antes o 610 amps Mill 160.601 , 2 � .14 4. v � -er-d 601 amps to 1,003 amps - 240.60. 11111.1© • Over 1,000 imps or volts IN 454.65 MN 2 �ddtess: d ✓� j - 66.8 2 :i � � • , y ' Reconnect only /Stste /Zfl - t Q Tempo strvicei or feeders installation, aftel atlon. and/or • tY ' relocadon _ )home ( ) Fax: ( ) 200 amps or lees .. -- 66,85 OwR 1 �lil:dous This installation is being lalade on propetty that I awn which is not 201 , . • s to 400 amts 100.30: Y ateltnckd fox tabs, last:, retnt, or exchange, accords g to ORS 447, 449, 670, and 701. 401 arras to 600 amps 133.751 2 )wee r sigtlatatlt „ _-.,, panel Date: Branch circuits • -tsar•, alteration, or extension per a o J t A. Fce for btat,cll. ci,> is wi/b 1 E i' ! y service or feted et• ?'es, etach I 6.651 l I 2 Business natelet blench cirrtt B. Fcc for brand ail cults ..out let name:: without aervia: o: :ceder fee, 46.85• 2 1 each brand circuit kddress: Each add '1 branch c roust 6.6 ` 2 • ':sty /StateJZI?: Miscellaneous Osw. ice or feeder pot included) Pump or irtigodcn circle 53.40,' I - 'hone: ( ) Fax : ( ) Sign or outline:lialir, : 53.44 4 - 2 h�n Signal citvuit(a) or limited- I -. {{ t 1 , '7 `, 0 energy panel nttrrolioa. or I 1 extension. Des crbl;. L Peg: 2 I 2 I usiessnanes: lo L r 0 ` Ail �, --- Tj� B ach additional in >pcctlon over allowable In an of the above address: �Lll +!ii {i�I/ �_�_ 71 �� P sp et 1 i ' 6 2. 5{ ! I %II r ' )i / i ! # / .. Invests _.: icon per hour (t hr win) 1 i 62.5E L*tdustiial •lsac per nos: t ' 1 ~ -1* .. 4. 1_ - cie +e - , ^v ^ -'. i u - p1i�IF J, :,urn 7, J4-u� ti :1 up : : :CB Lic.: y Electrical Lie.: Sup. Lic. • / � - ^"T Subtotal w� or ':aply. Electrician s' ,i re, requited: /2......,--..-.--- Plan r -view (25% of pc:mit fee) State stitch:rite (8% of prat fee) • �y ^ - /� 4 t -- D are; —e TOTAL PERMIT FEE 4_I M a-utherized a gilaturz Thus permit ai7pllcado:a expires If a permit It aot obtleioe �widuo 1. • 1 — d ays a:leI' ltbar beta accepted as complete D • Foe ntethodn,oiy ::: t by Tci•Colmey 8u+ldir.8 ttduscy Service 3oatd int name; •. Number of iospicilum per permit allowed. ..Itd;aatPernoa,15..CPm tIApp,doc L2/e3 4 ;0- ed1 ST( 7WNS/COtd/Waa CITY C OF TIGARD '1 BUILDING DIVISION PERMIT #: ELG2005 -00216 13125 SW Hall Blvd., Tigard,'OR 97 D ATE ISSUED: 4/1/2005 , Phone: (503) 639 -4171 ,,, � Inspection Requests (24 Hrs.): (503) 639 -4175 J- `__.. INSPECTION WORKSHEET FOR DATE: 5/18/2005 TIME: 7 :34AM PAGE: 94 SITE ADDRESS: 13835 SW SANDRIDGE DR CLASS OF WORK: SUBDIVISION: COSTIUC PARTITION LOT #: 001 TYPE OF USE: PROJECT NAME: COMCAST DESCRIPTION: Alteration of existing 120 volt service. Job # TgO6dS. OWNER: VERDADERO, DAVID, PHONE #: CONTRACTOR: DRYER ELECTRIC INC PHONE #: 503-771-5667 Inspection Request Scheduled For: Date: 5118/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 00714601 503-516 -3125 N Corrections /Comments/ Instructions: (PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: iii-W Date: , _ /CI ` OS Phone #: (503) 718-