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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2006 -00474 DEVELOPMENT SERVICES DATE ISSUED: 8/23/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S133CD-17100 SITE ADDRESS: 11914 SW TALLWOOD DR ZONING: R -25 SUBDIVISION: PEBBLECREEK NO. 3 LOT : 061 JURISDICTION: TIG Project Description: (2) branch circuits for A/C & GFI. 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: 1 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: LINDA HARRIS SUNSET HEATING & COOLING 11914 SW TALLWOOD DR 0607 SE IDAHO TIGARD, OR 97223 PORTLAND, OR 97239 Phone: 503 - 318 -2026 Contact #: FAX 503- 234 -0439 PRI 503 - 234 -0611 FEES Description Date Amount Reg #: ELE Cl 17 [ELPRMT] ELC Permit 8/23/2006 $53.50 LIC 161085 [TAX] 8% State Surcharge 8/23/2006 $4.28 SUP 46385 Total $57.78 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: s_e_i 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. Aug 23 06 01:22p p.2 ,.,% - . n Electrical Permit Applicatio; `I Y' \[ , 1)1 1`I(I I t,l is • City of Tigard L " a :,� t� Pe rm itNo.: _ / ©t , l� .: 13125 SW Hall Blvd., Tigard, OR 97223 ' • Plan Review Phone: 503.639.4171 Fax: 503.598.1960 r ^n r y • h? • Date/8 : Other Pertn`t` Inspection Line: 503.639.4175 PUG 2, c . 11, - , ) Date Ready /By: 65 See Page 2 for Internet: www.ci.tigard.or.us t'' 1 , i Notified/Method: Supplemental Information l MIN, "'�:i l .i=,?: - Nt«.aw ±w , »v t b y "` '. ,`.,L 7' `, r w er n t �tt�, ,.,.x.. irr7.5 £ l I' ?d- t - -, .,�. F . ;�,. Y .� t ;�� � Y � �i'�, �� Y �^�, "g tr^�'.."�`� is .�`�it' v'�s >� i z •R i Y sy � � F e� . t� ,a •h � 4 z kC..: '.","p > u5� ,x_ ^' - 'M�".Yr,�Sv �":ag:t< .:. *tp a:: 4.- .- t. .,.:f t..a. .:�7.r, ,' ,�_•_• iw+'. ❑ New construction ®Additto alt atiQn/replacem apply: Pl check all that l Y: ''•1l t t t s ` ❑Service over 225 amps, comm'l ❑Ha7nrdous location ❑ Demolition ❑ Other, 1 lla x n � �� ❑Service over 320 amps - rating DBuildn over 10,000 sq ft., 3 A ili t t r3 1 s N t n ^., ' ; s � , i -s, �, P 4 of I- and 2 -famit dwellings 4 or more new residential 0 I- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure OBuilding over three stories ❑Feeders, 400 amps or more ❑ Multi- family ❑Master builder ❑ Other: _. Ai Master r 1 t o t t a f. r `rP'd " t 1 i o C:• r s .gi * =^s£ ❑Occupant load over 99 persons ❑Manufactured structures or &h . g p lan ate' "I t scr a lM4= ., - t grAi". ❑E ess/li nn RV park Job no.: r ;C Job site address: 11 e • ,• i + t \ y ❑Health -care facility ❑Other: . i '3 r� .- i t:`t t� / 0 ' l:?..Sl Submit 2 sets of.plans with any of the above. City /State /ZIP: • 7 =c , C' 6 1 1 21-'7? The above are not applicable to temporary construction service. Suite/bldg. /apt. no I Project name: i -t?'L, ).•.. t M4` �� ;'`^' . ; . �' ' ' `' " „`:' Description Qty , � f Fee. '• iM1 Total 1 Cross street/directions to job site: New residential single- or multi- family l dwelling unit. Includes attached garage. 1,000 sq. ft. or less 145.15 4 Subdivision: I Lot no.: Ea- add'l 500 sq. _ft. or poction 33.40 I Limited energy, residential 75.00 2 Tax map /parcel no.: 'a�; v; �.: �'c;�rg�i• ".v'xvv;?'"• te: - - .,r,„ - �,A: � �. rv," t+ r'• .y>+`,,���`"�',v°�•°,<'�nv`,^ Limited energy, non - residential 75.00 2 '�;�. ew"��s.�, t, , ' „( >�. R�” =s�:;`?;' ,.- F*x:r:',,,,. Each manufactured or '�• ;�.� ::., �} �,, r• �=, � `�`:�i�i`��.��L.:�,��'-��`�„ 1 .. _,� ..... , .. , � <, .:�.,•.. ...,,. >. > E c modular m dwelling, service and/or feeder 90.90 2 •.. t.. -'l 01.-1. `'t ( 1 4 1' .. Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 4191 ^<••• •t4.:? :--< - �,::;r , tan— ; 4 201 amps to 400 amps 106.85 2 r•<,?13;71� ' ;• :. t.� ;•a . y,'btx�i w.. y. ' .,. 'e k ,� , , t,.:s t; fv'••to:r.; �-�° .,.:�,. � ° - � 401 amps to 600 amps 160.50 2 Name: y (zl .,._„ = a t,0 t ° s 601 amps to 1,000 amps 240.60 2 Address. ! " 1 4 � • i r Lt. 9: t . • 'yam' Over 1,000 amps or volts 454.65 2 Reconnect only 66.85 2 City/State /ZIP: -' ; 44 rr•-'? k -2 `'? Temporary services or feeders installation, alteration, and /or ; .= Fax: relocation Phone: t� 3) 3 € ` (, 1^ f ( ) 200 amps or less 66.85 1 Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel rsis ;ig ";� ' g: '-�:' .4 - %: �t i- 51'a+s, .,,,; 1; "r2 U—. A. Fee for branch circuits with •'"rK. r.: `mfiYR'_% ....`db,`o.. .. >..�.. �'�- ..t�,.:.. ....r_.v.~;i.'"�r'Y \Z'y!4 :.K T.�.,e?` <3 ,t£'�. "m,. _ . '` service or feeder fee, each 6.65 2 Business name: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, first branch circuit I 46.35; 5`� 2 Address: Each add'l branch circuit 6.65 8 =l, t F 2 City /State /ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) Fax: : ( ) Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited - 4f ✓yt Y` ' f�: •hf � . y , •.� Z n .- .15��..^'�a Jy i'^i..a w-. SY' w " :., 1 t .1 ` a, . v, :.ffi �w �-f s . ,:. 4.. ' `. , K i 1v., energy panel, alteration, or extension. Describe: Page 2 2 Business name: Sunset Heating and Cooling _ Address: 0607 SE Idaho Each additional inspection over allowable in any of the above Per inspection 62.50 City/State /ZIP: Portland, OR 97239 Investigation per hour (1 hr min) 62.50 Phone: (503) 234 -0611 Fax: (503) 234 -0439 Industrial plant per hour 73.75 I 1 4 7' 'g g tt', -t ' +<',,.,'a,,ts,; 1r;,: ';Vic'•..,' -`' , CCB Lie.: 161085 Electrical Lie.: CI 17 Suprv. Lie.: 4638S Subtotal '' C4 ,. M Suprv. Electrician signature, required: './4-----,---z-) Plan review (25% of permit fee) n Print name: ( �, ess J Date: `< }'7 1 t,U ;,•; - State surcharge (8% of permit fee) 4 ? ti J r TOTAL PERMIT FEE r } 1 f • Authorized signature: Thi permi application expires if a permit is not obtained within 180 ,,, �.. 1 days after it has been accepted as complete Print name: ' �!!1777 V �� LL t 1 b Opf j'r/\. Date: �? h „ - (�� 5 Fee methodology set by Tn County Building Industry Service Board •• Number of inspections per permit allowed. i1 Building \ Permits \ELC- PermitApp.doc I2J03 440- 4615T(10 /02JCOM/WEB CITY ���� ��mn w OF TIG BUILDING DIVISION ~ ~ -^'^ PERMIT #: ELC2006-00474 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8123/2006 Phone: (503) 639-4171 \napeohonRoquo��a(24Hmj:(503)63Q'4175 iittit ` INSPECTION WORKSHEET FOR DATE: 8/30/2006 TIME: 7:04AM PAGE: 69 SITE ADDRESS: 11914EWTALLWO{)C>OR CLASS OF WORK: SUBDIVISION: PEBBLECREEN NO. 3 LOT #: 061 TYPE OF USE: PROJECT NAME: HARRIS DESCRIPTION: (2) branch circuits for NC & GFI, OWNER: HARRIS, LINDA PHONE #: 5W'318`2026 CONTRACTOR: SUNSET HEATING &COOLING PHONE #: 503'234'O611 Inspection Request Scheduled For: Date: EV30/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 189 Electrical final 036I61'O1 SU3'318'2026 V Corre d /C enta/|notructiona: �� �� k 0 (� L�_~ ~ */ � �~-- � �� �� ux� �� �&�- �� 4 '��. � �f�~��' ^ ')( Z r� ~~� • . IN ` ~ASS || PARTIAL APPROVAL 7 CANCEL NO ACCESS ' I/ FAIL CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED Inspector: Date: 3' S C7` ~4 Phone #: (503) 718- 7‘/17/r