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Permit CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2005 -00527 m�yl n DEVELOPMENT SERVICES DATE ISSUED: 7/26/2005 ° �I II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 102 BC - 01807 SITE ADDRESS: 10360 SW WALNUT ST ZONING: R - 4.5 SUBDIVISION: NO. TIGARDVILLE ADDITION LOT : 026 JURISDICTION: TIG Project Description: NC & WP plug. 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: THOMAS, MARC C + CAROL A SOHLER ELECTRICAL CONSTRUCTION 10360 SW WALNUT ST 41131 SW BURGARSKY RD TIGARD, OR 97223 GASTON, OR 97119 Phone: 503 - 639 -9022 Phone: 971 - 832 -0807 FEES Reg #: LIC 158285 ELE 34 -667C Description Date Amount SUP 594S [ELPRMT] ELC Permit 7/26/2005 $53.50 [TAX] 8% State Surcharge 7/26/2005 $4.28 REQUIRED ITEMS AND REPORTS Total $57.78 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: 2 ) 1 Permittee Signature: e.. �n 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. • I 'C E�VE, e -1[ n " ) �� Jw Mali alva., r , OR •'Zs i s . ,, ,, .,......,...,. .10 7 Phony 503.639.4171 Fax: 503.598.1960 Plan Review i_ ::..;c: Inspection Other Permit: • iht Inspection l�nc 503.639.4175 J d 39.4175 J UL ` 005 � . L� ` - _ - Da. detho haic B See Page 2 for Internet: wwtv.Cl.ti .Onus -- Notified/Method: ./ t Supplementall°farmatlaa A,a - . .. PLAN REVIEW . - ❑ New construction t Please cbemk all that apply: Demolition ❑ Other: ❑Servix over 225 amps. cotrurel ❑Haaardous location ❑Service ova- 320 amps — rating OHuildng ova 10.000 sq. • CATEGORY' OF'CQIVS) iUG ' . of 1- and 2- family dwellings 4 or more new residenua 2- family 1- and 2- fauly dwelling ❑ Commercial mdustrial ❑ Accessory buildin ❑smem over 600 volts nominal units in one structure ] Multi - family 0 Master builder ❑ Other. ❑Butld'mg over three stories ❑Feeders. 400 amps or ma _ _ _ ['Occupant load er ov 99 persons ❑M�ufaa shwa: 2 r= stnur= . IN JOB 'SITE' ORMA A ) , - _ 0 Er "'' " -. , ❑g�i�,g plan RV park ob no.: - .. . . . ❑Health-eam facility ❑Other. Job site address I a 36 S 1A/ AL . v T s Submit 2 sets of plans with any of the above. :ity/Statc/ZIP: 7"/ Cr 4 RD Q Q 9 `7 v 7 The above are not applicable to temporary construction service. t� / Ir` / } : y'_ : °,'.:.� FEEA' SCHEDULE LE too.: Project namer • D (v( �S l>eaptlee tan. I Fay I T.ul 'suss street/directions to job site: New residential single- or multi- family dwelling unit. Includes attached garage. 1,000 sq. R or less 145.15 • ubdivision: 1 Lot no.: Ea. addl 500 sq. ft. or portion 33.40 ax map /Passel no.: I Limited ever , residential 75.00 • • Limited energy, non - residential 75.00 • . : DESCRIPTION"+OF`:WOkK'. `' .''' ; . . .: : - -- .7'-'..;' , ...:." . Each manufactured or modular dwelling. service and/or feeder 90.90 t / D / Services or feeders installation, alteration, and/or relocation . 200 amps or less 80.30 PROPERTY -. 201 amps to 400 amps 106. PROPERTY OWNER' : . - ❑. - T-. - 401 an to 600 amps 160.60 [ -^' : ...: ' •: 240.60 I 3 ante �� A (. � / �O i . S' 601 amps to 1,000 amps 454.65 2 l Over 1,000 amps or volts 2 ddress: I - O 'S ��L V T ' / Reconnect only 66.85 2 ity /Statc/ZIP: -r j & A- en 6 e 9 7443 Temporary services or feeders installation, alteration, and/or relocation :tone (52 3) 6 39 9 as a - I Fax: ( ) 200 araps or less 66.85 wrier installation: This installation is being made on property that I own which is not 201 maps to 400 amps 1 10030 2 • 4 49 670 an 701. m 60Q s 133.7 2 acceded for salt, lease, rent, or exchange, according in ORS 4 47, 4oi amps amps Branch circuits — new, alteratio or extens per panel �,t r signature: » A - Fee for branch circuits wirh APPLICANT ©NTACT PI RS : service or feeder fee, each 6.65 1 2 f / 7 branch circuit :usinesS name: 5 ( r r 1 e .C_T'r I u7 1 N S T' B- Fee for branch circuits without service or realer fee, ) 46.85 6 2 .ontact name: r each branch circuit 1=1:11(1111 r �/ n 6.65iyrl� lddre55 ! ( l S aJ"� r � t ` es or feeder • , t included) 0 a2 4 - 7 ! Miscellaneous (service � 53.40 � 2 :ity /State/ZIP: P °ntp err irrigation eis>rie z r Sign or outline Lighting 53.40 — 'honer (9 7�) • ., — O 0 Fax:: (Sts3 9 r S' — d 7 U Signal circuit(s) or limiud- en ergy parul• alteranon, or Page 2 2 -mail: ': ta gtsasina . 13estztbe: - 'j- C... N S Ea adeii tioIIai inspection over allowable in any o( the above per Business name: c 62.50 6250 — Address: 2:: .. n eStigStiOn Per ht )trr (I Er tear °) = 73.75 ENO City /Stamt1IP: - C TItI CAL ''ERMIT FEES' Fax: ( ) Phone: ( ) L if ` 7 g,� Lic.: - . CCB Lic.: ' 9 S El is ire+ lIlli aIIIIIIIIII gmimz i z= . a[11f� reQ ed� j� F EE • S E j t �G triclan Sly ' , ♦ 4,... Date: Q • r TO PE> T ,arehio tso Sur,- er[oit is nol obtain 4 p tien rtPir� if a p le This phut d aYs noes It hit bee° a txtP ud n[r9ffY gerace Bond Print name: • ' 1 d m set by Tri Buel , Li ' - 7 F ee f Pit Pc reuia a c Authorized signature: t .- bate: f m •• Number dam c... "-^..... - ---. Print name: �BuSddBLCpnnill�00�a tyul — —_ __ _ _ _ ___,..--- _ a' d BLOT- S86 -EOS Jaiyog ear. e8S :9D SO 92 Tnt" CITY OF TIGARD nt BUILDING DIVISION , PERMIT #: ELC2005 -00527 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/26/2005 Phone: (503) 639 -4171 A ( 1 Inspection Requests (24 Hrs.): (503) 639 -4175 .-' J- °`'I .. INSPECTION WORKSHEET FOR DATE: 8/9/2005 TIME: 7:07AM PAGE: 57 SITE ADDRESS: 10360 SW WALNUT ST CLASS OF WORK: SUBDIVISION: NO. TIGARDVILLE ADDITION LOT #: 026 TYPE OF USE: PROJECT NAME: THOMAS DESCRIPTION: NC & WP plug. OWNER: THOMAS, MARC C + CAROL A, PHONE #: 603.639 -9022 CONTRACTOR: SOHLER ELECTRICAL CONSTRUCTION PHONE #: 971 -932 -0807 Inspection Request Scheduled For: Date: 8/8/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 013051 -01 971 -832 -0807 N Corrections/Comments/Instructions: • PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ C ' LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED , 4 ?4"-D-5- Inspector: Date: Phone #: (503) 718- ,