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Permit CITY OF TIGARD ELECTRICAL PERMIT ° PERMIT #: ELC2008 -00383 COMMUNITY DEVELOPMENT DATE ISSUED: 7/7/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2 S 105 D D -00600 SITE ADDRESS: 15169 SW SUNRISE LN ZONING: R -7 SUBDIVISION: LOT : JURISDICTION: TIG PROJECT: WALSH Project Description: Reconnect only. 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: SIGNAUPANEL: MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10): SERVICEJFEEDER BRANCH CIRCUITS ADD'L INSPECTIONS 0 - 200 amp: 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: 1 SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC: Owner: Contractor: LEIGHTON WALSH OWNER 15169 SW SUNRISE LANE TIGARD, OR 97224 Phone: 503 - 277 -2186 Contact #: FEES Description Date Amount Reg #: [ELPRMT] ELC Permit 7/7/2008 $66.85 [TAX] 12% State Surchar 7/7/2008 $8.02 Total $74.87 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 - Permittee Signature: 5 -4.77 j 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. ul 04 08 12:37p OUTDOOR MARKSMAN 503 744 0490 p.1 . Fileetrical Permit Application tO F n k ()Hi( l-: t l: O.1.1 City of Tigard `I Received " Ti . : 13125 SW H all Blvd., , [ i tap. • s O® / _ Plan Review Phone: 503.639.4171 Fax ",- ••. 960 '� DateB : Ot>erPerm& f i L A K U Inspection Line: 503.639 ` ` \\, % ao Date Ready/By: IB See Page 2 for Internet: www.tigardor.gov ``� VV Notified/ Method: IM Ill Supplemental Information TYPE OF WO s ` ©�V ��' PLAN REVIEW ❑New construction ❑ Addition/al rent Please cheek all that apply (submit a sees of plans w liners checked below): ND ❑ Service or feeder 400 amps or more 0 Building ova thou stones. ❑ Demolition . fzi Othe where the available fault current 0 Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10.000 amps at 150 volts or ❑ Floating buildings. ❑ 1 - and 2 dwelling less to ground, or exceeds 14,000 13 Commenial�e agricultural y g ❑ Commercial/industrial ❑ Accessory building amps fee an our installations. buildings. ❑ Multi- family ❑ Master builder ® Other. ()Fire pump. 0 Installation of 75 KVA or o Emergency system. �swa -2 JOB SITE INFORMATION AND LOCATION 1-r. ❑ Addition of mew motor bad o! ❑ °A °. `E °, "1.2 ". "1-3 ". Job site address: ` ' ,, 100HP or more. occupancy. no.: 15 ►1d� S1i.1• SL I L�f Y/ o Six or mono residential units ❑ Recreational vehicle pa as. o Health-care facilities. ❑ Supply voltage for more than City /SttuelZlP' C� r C 1"10+-6 ()Hazardous locations 600 volts nominal. Suite/bldg. /apt_ no.: a I Project name: Lb /j41 O Service or feeder 600 amps or mare. FEE SCHEDULE Cross street/directions to job site:SW I +h X R.Sl 1 hik nerr.r I ern. 1 Fa f TWA 1 • Naas,resident l single- or multi- family dwelling unit: Includes attached garage. Subdivision: I Lot no.: 1.000 sq. ft. or less 145.15 4 Tax map/parcel no.: Ea add'1 500 sq. ft_ or portion 33.40 '- 1 Limited energy, residential � 75.00 2 1Z'CC - � mix DESCRIPTION OF WORK (with above sq. f1J ' ‘X. /' , / \ Limited energy, multi - family 75.00 2 e�#r`IC�'1 � r e Fe - k.�t s ` 01; o r (7 r1144.144-6) residential (with above sq. R) 1� ��° „ f l''6 200 or feeders installation, alteration, and/or relocation l ` ed:4 E cal �-7 ,,,,„, ,,,,„, if an 1 r 200 amps or less - 80.30 2 PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 , 2 Name: `'- ‘.6. fi to L8 i1 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: L SicpR .S � t ttrl - iSe: 1-.." °_ Over 1,000 amps or volts 454.65 2 City/ State/ZIP: '-� , t o� T' o Temporary services or feeders installation, alteration, and/or relocation Phone: (5- ) Z'7 - 7_1y1.0 Fax: (5_2.3 ) 42 -87 200 amps or less 66.85 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, I e, re nt, exchange, according to ORS 447, 449, 667 and 701. 401 amps to 599 amps 133.75 2 Owner sign a lllne � / 1 Date:U / 0 1- O' Branch circuits - new, alteration, or extension, e er panel A_ Fee for branch circuits with 0 APPLICANT J CONTACT PERSON above service or feeder fee:, 6.65 2 each branch circuit Business name: B. Fee for branch circuits without service or feeder fee, Contact name: e�i � � (korn.rners vv r' branch bran circuit 46.85 2 �� Address: eQ__ J %9 Each add'I blanch circuit 6.65 2 Miscellaneous (service or feeder not included) _ , City/ State/ZIP: D - t ° G-k Q 9 1 0 4 S Each manufactured or modular 90.90 �. 2 7 1 dwelling, service and/or feeder ...$01°' ...$01°' Phone: (l - p ) / _ 001 6, I . Fax: (Sb3 ) 34'2 - fn7 � l . Z Reconnect only @ 66.85 ;. 2 E -mail: it" kS Lb/1i pc ) LCXv-G-� , 1rc- - Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Business name: Signal circuits) or limited - energy panel, alteration, or Address: extension. Describe: Page 2 2 City/State/ZIP: Each additional inspection over allowable in an of the above Per inspection 62.50 Phone: ( ) I Fax: ( ) Investigation per hour (t br min) 62.50 CCB Lie.: Electrical Lic.: Suprv. Lic.: Industrial plant per hour , 73.75 ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: Subtotal: Plan review (25% of permit fee): .f • r. Print name: State surcharge (12% of permit fee): a'a & =�-�`6 4 Authorized signature: TOTAL PERMIT FEE: ,,-714,=" jj ` { Tbis permit application expires if a permit is not o aM a t Print name: I CITY OF TIGARD BUILDING DIVISION PERMIT #: EI 0038 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/7/2008 Phone: (503) 639 -4171 ,, 11�� " �� I.. rl Inspection Requests (24 Hrs.): (503) 639 -4175 - "!+�I 'I INSPECTION WORKSHEET FOR DATE: 7/0//2008 TIME: 7:00AM PAGE: 68 SITE ADDRESS: 15169 SW SUNRISE LN CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: WALSH DESCRIPTION: Reconnect only. OWNER: WALSH, LEIGHTON PHONE #: 503-277-2186 CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7/8/2008 Pour Time: , Code # Inspection Description Confirm # Contact # Message '0 , 199 Electiical final 072277 -01 6 , , r - 503 -7Q1 -2912 Y r i0- / " Corrections /Comments /Instructions: 1 � (jAief tA--t> ierr / 3 1 — g� - 4T %'C —e— i oy-- 'l`/ � nOiV W *I_ a 6 6 ) II R e 620 / it.q> - A,9011 , 1 fr 0 re— Ae5 S ; - - - # , 4 e 1 1 c \ /le 3 r 0 JD A.9. i - ,- /&,,W '-7Ar T l- rinta4 FE.> ve i . ✓,1cisi I &N • ❑ PASS ❑ PAR L APPROV C ANCEL ❑ NO ACCESS ❑ FAIL ❑ L F•'+' IS CTION ADDITION L FEES ASSESSED Inspector: 4IF Date. r 0 Phone #: (503) 7