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Permit
C� CITY OF TIGARD "' ,r ELECTRICAL PERMIT PERMIT #: ELC2006 -00487 J A I DEVELOPMENT SERVICES DATE ISSUED: 8/30/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S103DA - 00400 SITE ADDRESS: 13150 SW WATKINS AVE ZONING: R - 4.5 SUBDIVISION: DERRY DELL LOT : 004 JURISDICTION: TIG Project Description: 200amp service replaced with 150amp 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: BARRETT, HARLEY E MIKE'S ELECTRIC 13150 SW WATKINS AVE 11070 SW ALLEN BLVD TIGARD, OR 97223 BEAVERTON, OR 97005 Phone: 503 - 869 - 9568 Contact #: PRI 503 - 649 -6991 FAX 503 - 641 -1902 FEES Description Date Amount Reg #: ELE 34 -18c [TAX] 8% State Surcharge 8/30/2006 $6.42 LIC 50209 [ELPRMT] ELC Permit 8/30/2006 $80.30 SUP 42305 Total $86.72 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: &Alik.A.f.a. e o v Permittee Signature: OM alapit: j4Y‘—' 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. Sen y: MIKE'S ELECTRIC; 591 7847; Aug -30 -06 12:54; Page 1/2 To : .GARD At : 5035981 960 1t -- 'Electrical Permit Application- '`- FOR OFFxUr USE ON1,1' City of Tigard AUG c received 13125 SW Hall Blvd., Tigard, OR 97223 AUG c1 I % rr O6 .../B: o , ] v w • i Pe,itwa :E a.ob(l 00 i Plan Review Phone: 503.639.4171 Fax: 503.5913.1960 Other Perm Inspection Li rie: 503.639.4175 . � i � f t:ea • B Internet www.ci.k .or. dd ' a ""' 1,d ! Se for gard us �.� g V� y e Page 2 ,. -- , •9 TTQii H Supplemental information w �trt -. e� . .. , li r , ''': y '''.'J 7. j jI +l' I •' 1J } -,I� J ( [ ' 1 1V r r } YC 11'�i A , - :_ eY i iFl _ e ilt.I .Y , 4 hi,+pti - .L�'�: ��ui��?�.t '�' .ur..e ❑ New construction 0 Addition/alteration/replacement Please cheek all that apply: 0 Demolition 0 Other: Service over 225 amps, commit °Hazardous location ❑Service over 320 g DBuildng over !0,000 sq ft., ' et . A ' ! E . r ` '1 h ' ! r 1 ' 1 : f f i t 11 ^1 � .4 1 f • • � _ - - , 3 , ,1_� -. , { „ r .F l ,t i1,5'c �• of I • and 2- family dwellings 4 or more new residential LI I- and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building - _. ❑System over 600 volts nominal units in one structure 0 Multi family ❑ Master builder ❑ Other. ❑Building over three stories ❑Feeders, 400 amps or more " I ti ❑Oct ant ]oad ov ;;. , ' . , �, . .. ` 17 •r . � (? - r • , : t •, �iti i uP R 99 pera ❑Manufactured ttruch,res or , ., ❑B :. .. - :: ,, , -,_ � 6hung plan RV park Job no.: 23131 Job site address: ❑Health -care facility ❑Other• 131 SO SW Watkins Submit l_ of plans with any of the above. City/Statelzip: Tigard, OR . 97223 •_ The above are not applicable to temporary construction service. Suite/bld /a t. no.: = M1 ' 1L} t �vyia 1F11y }y Y'Skt t`• B p Pro na _ ' '..' - on Qt Fes. Total aill Cross street/directions to job site: New residential single - or multi- family dwelling unit. Includes attached garage. 1,000 sq. ft. or less 11.111 145.15 4 Subdivision: Lot no.: ea. add'I 500 sq. ft. or portion MI 33.40 Q Tax map/parcel no.: Limited energy. residential 75_.0_0 1 + + + 1 r... , '_,1,:...:....r.., Limited energy, non - residential 75.00 2 ". ,•,,..'''.,..1. .. ._ '',1%,•.' ... .1.. , j - -.: ,, ,' Each manufactured or modular Replace breaker A 0 - .t0 16 0 dwelling, service and/or feeder 90.90 2 —.. Services or feeders installation, alteration, and/or relocation 200 amps or less . Ili 80.30 Sj / 2 �, :� .. : 1 -7:; ,. . 4 .., . 1 t ','%."1-'10.'..!';',`, . : y • r .:1: 201 erupt to 400 amps NM 106.85 2 A . . t , . , . i ': x ,;r., 401 arrtps to 600 amps 160.60 Name: Tim Barrett 601 amps to 1,000 amps 240,60 Address: 13150 SW Watkins over 1,000 amps or volts 454.65 2 City/StatdZIP: Re' only • 66.85 2 Tigard. OR. 97223 Temporary services or feeders installation, alteration, and /or Phone: (503 )869.9568 Fax: ( ) relocation 200 stops 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 Ili 100.30 © intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 arnps to 600 amps gm 133.75 Owner signature: Date: - or extension, per p Branch circuits new, alteration, o eYte n, r nil panel ,' e#. Foe for branch circuits w/!h Business name: service or feeder fee, each 6.65 branch circuit • Contact name; S. Fee for branch circuits I without service or feeder fee, ' 46.85 ' ' 2 Address: each branch circui Each add'] branch circuit 6.65 1 City /State/ZIP: Misedlaneone (service or feeder not Included) Phone: ( ) J Fax:: ( ) Pump or irrigation l circle 53.40 - � Sign or outline ne lig ghting 53.40 E-mail: Signal irw (a) or limited- r .61,‘ i..: .. ,: :.. G:S i .. :' i .. ... ,. :, l H l„ energy panel alteration, or extension Describe: Page 2 ]3usinessname4 Mike's Electric JD Miller Const. Co Address: Each additional Inspection over allowable in any of the above 11070 S W Allen _ Blvd . Per inspection = 62.50 City/State/ZIP: Investigation per hour (1 hr min) 62 50 Beaverton " - ° ( 5 O 3 ) 3) 649 . 6 9 91 Fax' (5 0 3) 641 .1 9 0 2 Industrial plant per hour 73.75 CCB Lic.: Electrical Li c.: ' r 050209 _ Sttprv. Lic.: (ra 3f)� Subtotal Ye - &V Suprv. Electrician signature, required. 6 o of permit fee) Yian review (25 /a Print name: State 08.30 0f i State surcharge (8% of permit fee) '. ya� Douglas J Miller TOTAL PERMIT FEE g %o. 7,2_ Authorized signature: ]ills rmit a Ikation expires i a Pa pp N permit not obtainer within tae • Print name: days after 11 has been accepted as complete Date: • Fee methodology Oct by Tri- County Building Industry Service Beard " Number of totpections per permit apowe, . 3 u , ldiftePtankeELGPenretApp.doc 12,03 44104 5 l57110ro7/COM/WFtt CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2006- 00487 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/30/2006 Phone: (503) 639 - 4171 . 111Flt Inspection Requests (24 Hrs.): (503) 639 -4175 '!+� "__.. INSPECTION WORKSHEET FOR DATE: 11/2 TIME: 7 :00AM PAGE: 29 SITE ADDRESS: 13150 13W WATKINS AVE CLASS OF WORK: SUBDIVISION: DERRY DELL LOT #: Q()4 TYPE OF USE: PROJECT NAME: BARRETT DESCRIPTION: 200amp service replaced with 150amp OWNER: BARRETT, HARLEY E, `' Es ivy A 14113 % I PHONE #: 503 - 869.9568 CONTRACTOR: MIKE'S ELECTRIC 1 PHONE #: 503 Inspection Request Scheduled For: Date: 11/21/2.006 Pour Time: - n • - - • • Description onfirm Contact # Message 199 Electrical final 040085-01 503-649-6991 Y Corrections /Commen s ns ructions: - • • 41.0 ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: � N C . - Date: IA ' 14'06 Phone #: (503) 718- /.-441: CITY OF TIGARD •• BUILDING DIVISION PERMIT #: ELC200€ 00487 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/30/2006 Phone: (503) 639 -4171 Inspection Requests (24 Hrs.): (503) 639 -4175 . - e INSPECTION WORKSHEET FOR DATE: 11/16/2006 TIME: 7 :00AM PAGE: 66 SITE ADDRESS: 13150 SW WATKINS AVE CLASS OF WORK: SUBDIVISION: DERRY DELL LOT #: 004 TYPE OF USE: PROJECT NAME: BARRETT DESCRIPTION: 200amp service replaced with •I50amp OWNER: BARRETT, HARLEY E, •1 14.1 -9 -r p - PHONE #: 503 - 869.9568 ' CONTRACTOR: MIKES ELECTRIC PHONE #: 503 - 649••6991 Inspection Request Scheduled For: Date: 11/16/2006 • Pour Time: s 0 Code # Inspection Description Confirm # Contact # Message � o 'Y 199 Electrical final 039836 -01 503 - 649-6991 Y V Corrections /Comments /Instructions: 4 YVl> DIiv1A @ � * 1914 • ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL V NO ACCESS jgt FAIL X CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: Date: Vt 69 O(/) Phone #: (503) 718 - CITY OF TIGAR ®, ,. BUILDING DIVISION \ PERMIT #: ELC2006-00487 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/30/2006 Phone: (503) 639 -4171 ;;i Inspection Requests (24 Hrs.): (503) 639 -4175 , ' '`I I INSPECTION WORKSHEET FOR DATE: 9/12/2006 TIME: 7 :01AM PAGE: 25 SITE ADDRESS: 13150 SW WATKINS AVE CLASS OF WORK: 'SUBDIVISION: DERRY DELL LOT #: 004 TYPE OF USE: PROJECT NAME: BARRETT DESCRIPTION: 200amp :service replaced with 150amp ■ OWNER: BARRETT, HARLEY E, PHONE #: 503- 869-9568 CONTRACTOR: MIKE'S ELECTRIC PHONE #: 503.649 -6991 Inspection Request Scheduled For: Date: 9/12/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 03637001 503-6-7%991 Y 6`'IC becl) Corrections /Comments /Instructions: )4E � gK S � ' y ►W (� , A, Ali - vooa ‘k%R°1-ts cam' en e t c.+ 6 PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: ��,�, Q� Date: 9(12{ t% Phone #: (503) 718- 1-4 1