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Permit . w CITY OF TIGARD ELECTRICAL PERMIT ° PERMIT #: ELC2008 -00528 COMMUNITY DEVELOPMENT DATE ISSUED: 9/11/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S135CB -00600 SITE ADDRESS: 11530 SW TIEDEMAN AVE ZONING: I - P SUBDIVISION: LOT : JURISDICTION: TIG PROJECT: LEAFGUARD Project Description: Electrical TI. RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS 1000 SF OR LESS: 1.00 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: 5 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: MCCALL PROPERTIES, INC REESE + SONS ELECTRIC 808 SW 15TH AVE 16310 SE RHONE PORTLAND, OR 97205 PORTLAND, OR 97236 Phone: Contact #: PRI 503 - 969 -2191 FAX 503 - 760 -8903 FEES Description Date Amount Reg #: ELE 49883 [ELPRMT] ELC Permit 9/11/2008 $80.10 LIC 26 -506C [TAX] 12% State Surchar 9/11/2008 $9.61 SUP 1691 S Total $89.71 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 • . • . U ENTIO • • regon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 9. - 001 -0010 throug •A' 952-1% ! ?2%k4 1.# 6/ 100. You may obtain copies of these rules or direct questions to OUN .t 503.246.6699 0 . .332.2344. Is • ued By: \ / � � Permittee Signature7, // e d 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: • • NTRACTOR INS • LLATION ONLY SIGNATURE OF SUPR. / ELEC'N: �%i/ G I _ " A -�i - DATE: J / //� LICENSE NO: '7 ! — C 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. J*1ectr'ical Permit Application FOR OFFICE USE ONLY G �j City of Tigard Received Date/By: 7 /� /�p Permit No.: , -e05)- 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Fe ' III Phone: 503.639.4171 Fax: 503.598.1960 Date/By: Other Permit: T I G A It D Inspection Line: 503.639.4175 Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard or.gov Notified/Method: Supplemental Information TYPE OF WORK PLAN REVIEW ❑ New construction Addition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below): ❑ Service or feeder 400 amps or more ❑ Building over three stories. ❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards. CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings. less to ground, or exceeds 14,000 ❑ Commercial -use agricultural ❑ 1- and 2- family dwelling .Commercial /industrial ❑ Accessory building amps for all other installations. buildings. ❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or ❑ Emergency system. larger separately derived system. JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E ", "1 -2 ", "1 -3 ", Job no.: Job site address: //5 �j �' I Six or or more. occupancy. L r ! (i� ❑ Six or more residential units. ❑ Recreational vehicle parks. City/State /ZIP: ❑ Health-care facilities. ❑ Supply voltage for more than r e ❑ Hazardous locations. 600 volts nominal. Suite/bldg. /apt. no.: Project name: /mod ❑ Service or feeder 600 amps or more. `( FEE SCHEDULE Cross street/directions to job site: Description I Qty. I Fee. 1 Total 1 • New residential single- or multi- family dwelling unit. Includes attached garage. Subdivision: I Lot no.: 1,000 sq. ft. or less 145.15 4 Ea. add'I 500 sq. ft. or portion 33.40 1 Tax map /parcel no.: Limited energy, residential 75.00 2 DESCRIPTION OF WORK (with above sq. ft.) Limited energy, multi - family 75.00 2 7 e o tal 991T (,44'/ residential (with above sq. ft.) Services or feeders installation, alteration, and/or relocation 200 amps or less 80.30 2 ❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2 Name: 401 amps to 600 amps 160.60 2 601 amps to 1,000 amps 240.60 2 Address: Over 1,000 amps or volts 454.65 2 City/State /ZIP: Temporary services or feeders installation, alteration, and/or relocation Phone: ( ) I Fax: ( ) 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 599 amps _ 133.75 2 Owner signature: Date: Branch circuits — new, alteration, or extension, per panel A. Fee for branch circuits with ❑ APPLICANT I ❑ CONTACT PERSON above service or feeder fee, 6.65 2 each branch circuit Business name: B. Fee for branch circuits i Contact name: without service or feeder fee, / 46.85 � f�� 9. first branch circuit Address: Each add'I branch circuit 3 6.65 `55. 2 Miscellaneous (service or feeder not included) City/State /ZIP: Each manufactured or modular dwelling, service and/or feeder 90.90 2 Phone: ( ) I Fax: : ( ) Reconnect only 66.85 2 E -mail: Pump or irrigation circle 53.40 2 CONTRACTOR Sign or outline lighting 53.40 2 Business name: Signal circuit(s) or limited - M,y0 r - e s e (] aril $e . energy panel, alteration, or Address: Si s /� ip /f , extension. Describe: Page 2 2 City/State / /ZIP: rk6il ` -!- 7 .234 Each additional inspection over allowable in any of the above [' Per inspection 62.50 Phone: 6 9 I'_a, fq/ Fax: ( 710 0940 ? a3 ) Investigation per hour (1 hr min) 62.50 CCB Lie.: `L9B 3 Electrical Lie.: , yde I Suprv. Lie..: ' / S Industrial plant per hour 73.75 8 t I � ` ELECTRICAL PERMIT FEES Suprv. Electrician signature, required: ..1 �i /� ee , A �j eeie , Subtotal: r,C© /t VU //�� r . Plan review (25% of permit fee): Print name �/ �C l � O! / Date: 9 // Oil St ate surcharge (12% of permit fee): '.01 Authorized signature: TOTAL PERMIT FEE: i et .11 Print name: Date: This permit application expires if a permit is not obtained within 180 days after it has been accepted as complete. • Number of inspections allowed per permit. I :\ Building \Permits\ELC- PermitApp.doc 05/23/06 440- 4615T(I1/05 /COM/WEB Electrical Permit Application - City of Tigard. ' Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: RESIDENTIAL WORK ONLY: Fee for all residential systems combined $75.00 Check Type of Work Involved: ❑ Audio and Stereo Systems* ❑ Burglar Alarm ❑ Garage Door Opener* ❑ Heating, Ventilation and Air Conditioning System* ❑ Vacuum Systems* ❑ Other: COMMERCIAL WORK ONLY: Fee for each commercial $75.00 system (SEE OAR 918- 309 -0000) Check Type of Work Involved: ❑ Audio and Stereo Systems ❑ Boiler Controls ❑ Clock Systems ❑ Data Telecommunication Installation ❑ Fire Alarm Installation ❑ HVAC • ❑ Instrumentation ❑. Intercom and Paging Systems ❑ Landscape Irrigation Control* ❑. Medical ❑ Nurse Calls p Outdoor Landscape Lighting* ❑: Protective Signaling ❑. Other Total number of commercial systems: *No licenses are required. Licenses are required for all other installations I:\Building\Permits\ELC- PermitApp.doc 03/23/06 D gpfr& NEI 47 `r __ _SHADY L N . l b iii WINDSO ��T /° .. = -: . WINDSOR P • , L j .. Illal !I / grO r. =. la l , s, nomi s IN j NORTH DAKOTA ST � ¢ ( -- IIIII ■ � % fit= m 7--, IF * s , 8 AN im pe l i S ) TIGARD ST L E 4i I I I ri III li V I Pr � VY .....m : .. %,4,-- Midi SW on PIH ST \ "111 IN Irm A10)/7 , 4* 4 i ,��� 1 MEADOW ST iii _ ..,„. ; ■ . ■ T1iERI ' ST c� 4f i 4 A. L Is S � % sp ,' li W IA Qv ° AA-Mu c e . At 11 0 • O -- JOHNSON S � 4 pr. . �,„ ■ CITY OF TIGARD . ,. BUILDING DIVISION PERMIT #: ELC2008.00528 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2008 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 9/17/2008 TIME: 7:00AM PAGE: 26 SITE ADDRESS: 11530 SW TIEDEMAN AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: LEAFGUARD DESCRIPTION: Electrical TI. OWNER: MCCALL PROPERTIES, INC, PHONE #: CONTRACTOR: REESE + SONS ELECTRIC PHONE #: 503 - 2191 Inspection Request Scheduled For: Date: 9/17/2008 Pour Time: Code # Inspection Description Confirm Contact # Message 125 Wall cover 075552 -0\ 503 -969 -2191 Y Corrections /Comments /Instructions: • a PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: 1100--V 1 Date: . 91011 Phone #: (503) 718- 2_11 CITY OF TIGARD . v BUILDING DIVISION PERMIT #: ELC2008 -00528 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2000 Phone: (503) 639 -4171 A � Inspection Requests (24 Hrs.): (503) 639 -4175 �I INSPECTION WORKSHEET FOR DATE: 9/25/2008 TIME: 7:00AM PAGE 2 SITE ADDRESS: 11530 SW TIEDEMAN AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: LEAFGUARD DESCRIPTION: Electrical I . OWNER MCCALL PROPERTIES, INC, PHONE #: CONTRACTOR: REESE + SONS ELECTRIC PHONE #: 503-969 -2191 Inspection Request Scheduled For: Date: 9/75/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 130 Ceiling cover 075944 -01 503. 969 -2191 Y Corrections /Comments /Instructions: n-0 —. 0 3 0 c i I In 71-i (e co M S'a D_ri f i-o- e _ 14 s a A .■ ,4 . ,. 4 _ ' , f -.7 k 0 4-- V _C <., CV ii V1 1/4. �l - ,{� .�--N C IT ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: [ 140-A Date: ?-- 2._c 4 Phone #: (503) 718- CITY OF TIGARD • BUILDING DIVISION PERMIT #: El 02008 -00528 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2008 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 F:_.. INSPECTION WORKSHEET FOR DATE: 9/29/2008 TIME: 7 :02AM PAGE: SITE ADDRESS: 11530 SW TIEDEMAN AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: LEAFGUARD DESCRIPTION: Electrical TI. OWNER: MCCALL PROPERTIES, INC, PHONE #: CONTRACTOR: REESE •F SONS ELECTRIC PHONE #: 503-969 -2191 Inspection Request Scheduled For: Date: 9/29/2008 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 076056 -01 503 - 969-2191 N Corrections /Comments /Instructions: f y i k , S 1 . C fl(ZcZIECXt O {t ►1Tf k1 eti •25' Q$ . 'I-> Z c.okInL & t o F& LEb. 22 Theo N o c)V cE-1LaN, wi`n'o CE1 • IL 4 ' S 4t_ t • 1 J I CALL VI3L. c i U ov z)Vri(L. "r-►�4 i L cz.111■lr i Nspr_ c 6� . The electrical installatinn detects noted on this report shall be corrected and an inspection request made within PO calendar days per OAR 918 - 271 -0030 ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS Xt F AIL II CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G • 106 L Date: D1 D Phone #: (503) 718- CITY OF TIGARD �:.. BUILDING DIVISION PERMIT #: ELC200 8-00526 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/11/2009 Phone: (503) 639 -4171 l' '� 'A fA Inspection Requests (24 Hrs.): (503) 639 -4175 �'I � INSPECTION WORKSHEET FOR DATE: 10/1/2008 TIME: 7:02AM PAGE 6 SITE ADDRESS: 11530 SW TIEDEMAN AVE CLASS OF WORK: SUBDIVISION: LOT #: TYPE OF USE: PROJECT NAME: LEAFGUARD DESCRIPTION: Electrical TI. OWNER: MCCALL PROPERTIES, INC, PHONE #: CONTRACTOR: REESE •F SONS ELECTRIC PHONE # : 503 -969 -2191 Inspection Request Scheduled For: Date: 10/1/2008 Pour Time: Code # Inspection Description Conti .m'# Contact # Message 199 Electrical final 76163 -01 503.969 -2191 N Corrections /Comments/ Instructions: N (-'' , i1A. it V PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS L_ ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: --- M 6C5 Lk Date: 10 • I '1 Phone #: (503) 718- 14