Permit
CITY OF TIGARD ELECTRICAL PERMIT
0 00230
PERMIT DEVELOPMENT SERVICES DATEIS UED: 4/28/2006
Ail 13125 SW Hall Blvd., Tigard, OR 97223 503-639-4171 PARCEL: 1S133CA-GW010
SITE ADDRESS: 13785 SW ANNA COURT ZONING: R-25
SUBDIVISION: GABRIEL WOODS LOT : 010 JURISDICTION: TIG
Project Description: Temp power pole for job shack.
RESIDENTIAL UNIT TEMP SRVC/FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: 1 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: 1 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:
INTEX CONSTRUCTION INC ROSS ELECTRIC INC
7235 SW BON ITA RD 2870 SW 221ST AVE #203
TIGARD, OR 97224 HILLSBORO, OR 97123
Phone: 503-452-3780 Contact PRI 503-642-2800
FAX 503-642-5815
FEES
Description Date Amount Reg ELE 34-436C
[ELPRMT] ELC Permit 4/28/2006 $73.50 LIC 157891
[TAX] 8% State Surcharge 4/28/2006 $5.88 SUP 42325
Total $79.38 REQUIRED ITEMS AND REPORTS
IF
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
suspende Jer-more-than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
ruleset forth in OAR19 1-0010 through OAR 952-001-0100. You may obtain copies of these r s or direct questions to OUNC at
503!2T6.--6699 or 1-800 2-2 4.
IssueBy: Permittee Signature:
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
S
SIGNATURE OF SUPR. ELEC'N DATE:
LICENSE NO:
Call 503-6394175 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.
04/26/2006 08:32 5036425815 ROSS ELECTRIC INC PAGE 01/02
, Ity '
lec yieay Permit`
Ci o Tigard Reived
Date/By: Permit No.: ~G W DO.~
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503,639.4171 Pax: 503.598.+PI0 2 6 7006 Datc/B : OtherPartnit;
Inspection Line: 503.639.4175 Data Ready/By; 3t,ri • H See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: Supplemental Information
aIN P, s 3' 1 fi' s' 3 c ip ;rso "'Y t;i i{~ r3 It dIy ` tl"1~' ? K¢ In;Si .i i i~ .si i i tip.. k
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" y
Please check all that apply: .
1 Service over 225 amps, comet'1 Hazardous location
Demolition E3 Other:T M? S tvice over 320 amps - rating ❑Buildlrg over 10,000 S4
`EPA ax' •t 1• I ~'1~ aofl-and2-famit dwellings 4 ~ Y ~ or more new restdentiz
❑ 1- and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi-family Q Master builder ❑ Other: OBuilding over three stories ❑Peeders, 400 amps or m(
Occu ant load over 99 persons ❑Manufactured structures
i
OWN. - 5, ? . ''t DI gress/iighting plan RV park
❑Health care facility ❑Other:
Job no.: Job site address: Submit 2 sets of plans with any of the above.
City/Stat&ZIP: The above are not applicable to temporary construction service,
Suite/bldg./apt- z '4~ . ' a ur- a„•,_: .
no.. Project name:
Awcliption'e_ Qty. pas. 'total
Cross street/directions to job site: New residential single- or multi-family dwelling unit.
Inciudes attached garage.
1,000 sq. ft. or less 145.15
Subdivision: Lot no.: Fa. add') 500 sq. ft. or portion 33,40
Tax map/parcel no.: Limited energy, residential 75.00
: , rrs+y 1 s . .,i4tx~41 , l-invited energy, non-residential 75.00
' 7: • - - . }d i : Each manufactured or modular
/ dwelling, service and/or feeder 90,90
1 JV AN Services or feeders Installation, alteration, and/or relocation
200 amps or less 80.30
P," 1t ,9 _l : t= s r•_a „d 201 amps to 400 amps 106.85
401 amps to 600 amps 160,60
Name: i9t~i~4~i (O ry 601 amps to 1,000 amps 240.60
Address: -7,2,3 tj 6&0 ~~,t 71 7 X i~ Over 1,000 amps or volts 454.65
12eeonnect only 66.85
City/State/Z1P: 2t 012 7 7~~ 97~ 7 3 Temporary services or feeders installation, alteration, and/or
Phone: (~17~) ~J7SC~ Fax: relocation
200 amps or less a 66.85 ~p(e
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30
intended for sale, lease, rest, or exchange, according to ORS 447, 449, 670, and 70). 401 amps to 600 amps 4- 133.75
Owner signature: Date: Branch circuits- new, alteretton, or extension, per pastel
sr l Si I,A eu u., _
410411 SIR K r[f5 .11SW` O 91 ~ a= _ e ~ ii =6 •i r ~ A. Pee for branch circuits with
rl iz service or feeder fee, each
Business name: branch circuit 6.65 , Ep
Contact name: B. Fee for branch circuits
wilhout service or feeder fee, 46.85
Address: each branch circuit
Bach add'i branch circuit 6.65
City/State/ZIP. Miscellaneous (service or feeder not Included)
Phone: ( } Pax:: ( ) Pump or irrigation circle 53.40
Sign or outline lighting 53.40
E-t7Mai1: Signal circuit(s) or limited-
energy panel, alteration, or
extension. ;Describe: Page 2
Business name:
Address: j Each additional Inspection over allowable in any of the above
Pcr.inspectian 62.50
City/State/ZIP: j 1 j CpOro O r q -7 I -R 7- Investigation per hour (I ht min) 62.50
Phone: (S-D3 ) Ll ~Z Z.3'00
CCB Lic. Pax: (803) ~c y Z ~1(C.$" industrial lantpertrour 73.75
?fl! "i r
1 5-76 q ( Electrical Lic.: 3 , 9349 c Suprv. Lic.: z3,1 S Subtotal '
Suprv. laectrician signature, required: Plan review (25%ofpermit fee)
S'-$. P hZY\ TZ0 s 5 Date: State surcharge (8% of permit fee)
Print name:
TOTAL PERMIT FEE -79,_$3
Authorized signature: This permit appllcatiotb expires if R permit is not obtained within 180
days after it has been accepted as complete
Print name: 1 pate: * Fee methodology set by Tri-CountyB uilding Industry 5ervica Board
Number of inspections per permit allowed,
iskguiidingTermit$TLC-PartnitApp,doC 12103 440-46t Sr(1WO2/C0M/wEB
CITY OF TIGARD = L
BUILDING DIVISION PERMIT ELC2006-00230
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 412812006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 6113/2006 TIME: 7:22AM PAGE: 85.
SITE ADDRESS: 13785 SW ANIMA CT CLASS OF WORK:
SUBDIVISION: GABRIEL WOODS LOT 010 TYPE OF USE:
PROJECT NAME: CABRIEL WOODS
DESCRIPTION: Temp power pole for job shack.
OWNER: INTER CONSTRUCTION INC, PHONE 503-452-3760
CONTRACTOR: ROSS ELECTRIC' INC PHONE 503-6-12-2800
Inspection Request Scheduled For: Date: 6113/2006 Pour Time:
Code # Inspection Description Contact # Message
10 remporary electrical service 031605 0'l 503,E 12-2800 N
Corrections/Comments/ Inst tions:
F
L
t
XPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: I V ~ Pi uEE Date: Phone (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT ELG2006-00: 30
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/2f.V2006
Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 61812000 TIME: 7:02AM PAGE: 21
SITE ADDRESS: 13786 S ANNA CT CLASS OF WORK:
SUBDIVISION: CABRIEL WOODS LOT 010 TYPE OF USE:
PROJECT NAME: GABRIEL, WOODS
DESCRIPTION: 'i enp poorer pole for job shack.
OWNER: INTER CONSTRUCTION INC, PHONE 503.457-3788
CONTRACTOR: DOSS ELECTRIC INC PHONE 583-642-2000
Inspection Request Scheduled For: Date: 6/913006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
110 Temporary electrical service 031480-01 503-642-2800 N
Corrections/Comments/ Instructions:
s-ENL.v c.G.,. • P(Z`~1 2SO . S (o
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: y (Z N Date: 6' 9 ' Phone (503) 718- 2q 4