Permit
CITY OF T I GARD ELECTRICAL PERMIT
PERMIT ELC2006-00107
r, DEVELOPMENT SERVICES DATE ISSUED: 2/9/2006
13125 SW Hall Blvd., Tigard, OR 97223 503-639-4171 PARCEL: 1S125CD-JW003
SITE ADDRESS: 07530 SW RED CEDAR WAY ZONING: R-4.5
SUBDIVISION: JACKSON WOODS LOT : 003 JURISDICTION: TIG
Project Description: Temp power pole.
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: 0 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:
JACK LYON P B ELECTRIC INC
1108 SE DOGWOOD LN
OAK GROVE, OR 97267
Phone: Contact FAX 503-786-6005
PRI (503)786-4499
FEES
Description Date Amount Reg LIC 85896
[ELPRMT] ELC Permit 2/9/2006 $66.85 SUP 4541S
[TAX] 8% State Surcharge 2/9/2006 $5.35 ELE 3-428C
Total $72.20 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
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 1-800-2344.
Issued By: 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:
c~RACTOR INST ION ONLY
SIGNATURE OF SUM.- EL C'N: DATE: - U~
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.
Electrical Permit Application
City of Tigard Received
61 Permit No. n V
`J y:.
Date/B
13125 SW Hall Blvd., Tigard, OR 97223 W V Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 ~t Date/By
Inspection Line: 503.639.4175 Date Ready/By: Juns ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: / Supplemental Information
TYPE PLAN REVIEW
❑ New construction ❑ AdditionlaWi'ftfi/replacement Please check all that apply:
❑ Demolition ❑ Other: []Service over 225 amps, comm'I []Hazardous location
[]Service over 320 amps - rating ❑Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of 1- and 2-family dwellings 4 or more new residential
❑ I- and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building []System over 600 volts nominal units in one structure
❑ Multi-family ❑ Master builder ❑ Other: []Building over three stories []Feeders, 400 amps or more
[]Occupant load over 99 persons []Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park
I Z5_ Job site address: 'Z7 []Health-care facility []Other:
Job no.:
Submit 2 sets of plans with any of the above.
City/State/ZIP: f A 1.2-1- The above are not applicable to temporary construction service. c-D Suite/bldgdapt. no.: Project name: FEE* SCHEDULE
Description Qty. Fee. Total
Cross street/directions to job site: K b t Al N~ New residential single- or multi-family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map/parcel no.: Limited energy, residential 75.00 2
Limited energy, non-residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
_ dwelling, service and/or feeder 90.90 2
"C- Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
Phone: ( ) Fax: ( ) relocation
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
❑ APPLICANT ❑ CONTACT PERSON A. Fee for branch circuits with
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 46.85 2
Address: Each add'1 branch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Phone: Fax: Pump or irrigation circle 53.40 2
( ) )
Sign or outline lighting 53.40 2
E-mail: Signal circuit(s) or limited-
CONTRACTOR energy panel, alteration, or
_ _ extension. Describe: Page 2 2
Business name: -~6 rC "Z C R C Aj
Address: Each additional inspection over allowable in any of the above
~Q 5 ° t V~ D Per inspection 62.50
City/State/ZIP: ~-9p n O u ,r X 26 Investigation per hour (1 hr min) 62.50
Phone: (Sp3) -7 - S"Z Z Fax ( ) Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
CCB Lic.: ' Electrical Lic.: - Z8 Suprv. Lic.: s Subtotal
Suprv. Electrician signature, required: Plan review (25%ofpermit fee)
State surcharge (8% of permit fee)
Print name: i~ z c 'f_c a Date: Z _
TOTAL PERMIT FEE 7 -7 Z
r '
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: Date: • Fee methodology set by Tri-County Building Industry Service Board
Number of inspections per permit allowed.
i:\Building\Permits\ELC-PermitApp.doc 12/03 440-4615T(10/02/470M/w EB
Electrical Permit Application
City of Tigard Received
61 Permit No. n V
`J y:.
Date/B
13125 SW Hall Blvd., Tigard, OR 97223 W V Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 ~t Date/By
Inspection Line: 503.639.4175 Date Ready/By: Juns ® See Page 2 for
Internet: www.ci.tigard.or.us Notified/Method: / Supplemental Information
TYPE PLAN REVIEW
❑ New construction ❑ AdditionlaWi'ftfi/replacement Please check all that apply:
❑ Demolition ❑ Other: []Service over 225 amps, comm'I []Hazardous location
[]Service over 320 amps - rating ❑Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of 1- and 2-family dwellings 4 or more new residential
❑ I- and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building []System over 600 volts nominal units in one structure
❑ Multi-family ❑ Master builder ❑ Other: []Building over three stories []Feeders, 400 amps or more
[]Occupant load over 99 persons []Manufactured structures or
JOB SITE INFORMATION AND LOCATION ❑Egress/lighting plan RV park
I Z5_ Job site address: 'Z7 []Health-care facility []Other:
Job no.:
Submit 2 sets of plans with any of the above.
City/State/ZIP: f A 1.2-1- The above are not applicable to temporary construction service. c-D Suite/bldgdapt. no.: Project name: FEE* SCHEDULE
Description Qty. Fee. Total
Cross street/directions to job site: K b t Al N~ New residential single- or multi-family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map/parcel no.: Limited energy, residential 75.00 2
Limited energy, non-residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
_ dwelling, service and/or feeder 90.90 2
"C- Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER ❑ TENANT 201 amps to 400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
Phone: ( ) Fax: ( ) relocation
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
❑ APPLICANT ❑ CONTACT PERSON A. Fee for branch circuits with
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 46.85 2
Address: Each add'1 branch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Phone: Fax: Pump or irrigation circle 53.40 2
( ) )
Sign or outline lighting 53.40 2
E-mail: Signal circuit(s) or limited-
CONTRACTOR energy panel, alteration, or
_ _ extension. Describe: Page 2 2
Business name: -~6 rC "Z C R C Aj
Address: Each additional inspection over allowable in any of the above
~Q 5 ° t V~ D Per inspection 62.50
City/State/ZIP: ~-9p n O u ,r X 26 Investigation per hour (1 hr min) 62.50
Phone: (Sp3) -7 - S"Z Z Fax ( ) Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
CCB Lic.: ' Electrical Lic.: - Z8 Suprv. Lic.: s Subtotal
Suprv. Electrician signature, required: Plan review (25%ofpermit fee)
State surcharge (8% of permit fee)
Print name: i~ z c 'f_c a Date: Z _
TOTAL PERMIT FEE 7 -7 Z
r '
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: Date: • Fee methodology set by Tri-County Building Industry Service Board
Number of inspections per permit allowed.
i:\Building\Permits\ELC-PermitApp.doc 12/03 440-4615T(10/02/470M/w EB
,dvtrn
E-CEIVE p
February 22, 2006 ~ 23 100
Reference permit #ELC2006-00107 OF T/GAPD
Gary,
I requested an inspection on Friday 2-10-06 confirmation #026685 for this temporary
electrical pole and you were not able to find the address, does that count as an inspection?
I believe that I'm allowed two inspections before more fees are due. Please call and
advise me before I drive to Tigard in the AM. If it is true that I do not owe any more
money can I request that this inspection be done today please your inspection service
won't allow me to.
Thank you,
Philip Beecher
President P. B, Electric Inc.
503-936-5226
_ S00998LC09 XVa 6Z:TZ 9002/ZZ/ZO
CITY OF TIGARD * 9
BUILDING DIVISION PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: a, ,N r ;i 1 1- CLASS OF WORK:
SUBDIVISION: IA( KSON W_)OLX , LOT TYPE OF USE:
PROJECT NAME:
DESCRIPTION: 1_111p power
OWNER: ON. IA`_'i PHONE
CONTRACTOR: 1,;,, f-:.I PHONE
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Y i "01 'TV Corrections/Comments/Instructions: 3S 1 .1 ~5
I`
C~ a3c'aci~i \1'1 (z,G b .
vV v
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION Sy'ADDITIONAL FEES ASSESSED
VX L^
Inspector: ,s , \s Q Date: " 0 b Phone (503) 718- 2A4
CITY OF TIGARD -
BUILDING DIVISION PERMIT
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: ;;fat
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE: }
SITE ADDRESS: ()1$, 1 ,4A1 I (_L? c :1 CLASS OF WORK:
SUBDIVISION: tA~.K ,Oh} 1~~U}.;{ ; LOT TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: ,jtt PHONE
CONTRACTOR: ! { PHONE
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
: ~k! I r;p~,~~5in:;tlge c I f'C!`ii 4°
Corrections/Comments/Instructions:
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
VXFA CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Z ~6 Phone (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT Pa. ZOOEi• 8O~O1
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 2,23 a 6 TIME: PAGE:
SITE ADDRESS: ~d R~ GEt~ CLASS OF WORK:
SUBDIVISION: LOT TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE
CONTRACTOR: ~L PHONE
Inspection Request Scheduled For: te: Z-2,3 a.6 Pour Time:
Code # Inspection Description Con ism # Contact # Message
Co ect?ons/C rents/Instructio6o:
I
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
LIE Inspector: Date: Z~_~L Phone (503) 718--`1'Tb
C ITY OF TIGARD ELECTRICAL PERMIT
r . PERMIT #:
:
���"'� DE 5 SW O Ha P II BI EN T d 1 503 -639 -4171 DATE ISSUED:
PARCEL: 1 S125CD -JW003
SITE ADDRESS: 07530 SW RED CEDAR WAY ZONING: R -4.5
SUBDIVISION: JACKSON WOODS LOT : 003 JURISDICTION: TIG
Project Description: Temp power pole.
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: 0 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:
JACK LYON P B ELECTRIC INC
1108 SE DOGWOOD LN
OAK GROVE, OR 97267
Phone: Contact #: FAX 503 - 786 - 6005
PRI (503)786 -4499
FEES
Description Date Amount Reg #: LIC 85896
[ELPRMT] ELC Permit 2/9/2006 $66.85 SUP 45415
[TAX] 8% State Surcharge 2/9/2006 $5.35 ELE 3 -428C
Total $72.20 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 riot 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 -80 2344.
Issued By: � 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:
c� — •i•�►. RACTOR INST ION ONLY
SIGNATURE OF SUPR: EL C'N: --- DATE: — 9
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.
S r r' m
Electrical Permit Application t' ° 4� ` '1 c ) 1( 01 I I %iii ci i 1 4 ,. a
. ' E �� E ,! Date/By.. �' % (/ -�U . ,. it �� d J /
Cit of Ti *� P ermit No.
13125 SW Hall Blvd., Tigard, OR 97223 R Plan Review 1
Phone: 503.639.4171 Fax: 503.598.1960 ,, $ It/ ' *"'l l '', Date/B . Other Permit:
I d� I y
Inspection Line: 503.639.4175 ® � 2'1- ;_� Date Ready/By: tins_ (r- ® See Page 2for
Internet: www.ci.tigard.or.us � Notified/Method �) Supplemental Information
TYPE 1 YiGA�► PLAN REVIEW
❑ New construction ❑ Additi s,; . iltioerbPracement Please check all that apply:
❑ Demolition ❑Other: ❑Service over 225 amps, control ['Hazardous location
['Service over 320 amps - rating ['Bulldog over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
❑ 1 and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building El System over 600 volts nominal units in one structure
❑ Multi - family ❑Master builder ❑ Other: ❑Building over three stories ❑Feeders, 400 amps or more
❑Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND. LOCATION '- • ['Egress/lighting plan RV park
12 Health-care facility ['Other:
Job no.: 1 Job site address: 7 5 C. - _∎ , - �" --, k"
y Submit 2 sets of plans with any of the above.
City / State/ZIP: Az D X J The above are not applicable to temporary construction service. 7 Suite/bldg. /apt. no.: / I Project name: FEE* SCHEDULE
Description I Qty. I Fee. I Total I '•
.. Cross street/directions to job site: --RK D ( - ) rF LA Nt 4 0 New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map/parcel no.: Limited energy, residential 75.00 2
Limited energy, non - residential 75.00 2
' DESCRIPTION OF WORK Each manufactured or modular
—;� dwelling, service and/or feeder 90.90 2
C M� ° `"� if .c- � O � 4:_ Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER l ❑ TENANT- 201 amps to400 amps 106.85 2
401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City / State/ZIP: Temporary services or feeders installation, alteration, and/or
Phone: ( ) I Fax: ( ) relocation
200 amps or less j 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
' ❑ APPLICANT 1 ❑ CONTACT PERSON - A. Fee for branch circuits with
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 46.85 2
Address: Each add', branch circuit 6.65 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-
CONTRACTOR energy panel, alteration, or
_ extension. Describe: Page 2 2
Business name:
�7j Jt Liz C? /N L
Address: Each additional inspection over allowable in any of the above
/p 5 ,T 7 7 woa b .L t c1
1� /, Per inspection 62.50
City / State/ZIP: ( I t) i, C n o u K Q ey 72 G 7 Investigation per hour (I hr min) 62.50
Phone: (5 ) 1'3 (, _ S Z 6, Fax: ( ) 7 Industrial plant per hour 73.75
/ p � ELECTRICAL PERMIT FEES
CCB Lic.: C� i Electrical Lic.: 3 - Jzgtl Suprv. Lic.: �sf / p 3 Subtotal
Suprv. Electrician signature, required: Plan review (25% of permit fee)
_
Print name' / t� "----p• --e,„ �� Date: _ (p State surcharge (8% of permit fee) 3
TOTAL PERMIT FEE - 7 Z. O
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: Date: • Fee methodology set by Tri County Building Industry Service Board
•• Number of inspections per permit allowed.
is \Building1Pertn ts\ELC- Perm itApp.doc 12/03 440- 4615T(10/02/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:
CONIlVI lICIAL WORK ONLY
•
Fee for each commercial system $75.00
(SEE OAR 918- 260 -260)
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
❑ 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- PennitApp.doc 04/03
CITY OF TIGA►R® .
BUILDING DIVISION PERMIT #: 19 G;}ti0s_i -001 it
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/90006
t,6
Phone: (503) 639 -4171 0�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2 0.1/2006 TIME: - /:0' Ai'd( PAGE:
SITE ADDRESS: 0l'`'r30 II CEDAR WAY CLASS OF WORK:
SUBDIVISION: ,IACK's oN EA/t oDs LOT #: 003 TYPE OF USE:
PROJECT NAME: JACKSON W000
DESCRIPTION: Temp poowef pole.
OWNER: LY JACK PHONE #: !',03 -736-7220
CONTRACTOR: P B ELECTRIC INC PHONE #: t;5031r86- 4499
Inspection Request Scheduled For: Date: 201/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
110 Ternpoiary electrical service it E72.37-01 603 936. 522( N
Corrections /Comments/ Instructions:
501 351
6 L` f iika, t 1 a 2 6
wit iCA 4 6e R..)£1. \)1(1 Fes. SactAit z .
Par 300
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL CALL FOR INSPECTION %ADDITIONAL FEES ASSESSED
Inspector: , v u Date: 2:° 2 .4 0 C Phone #: (503) 718- _4_4"..(:)
CITY OF TIGARD , ..,_ . -
BUILDING DIVISION .
PERMIT #: Et_02006-00107
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/90006
Phone: (503) 639-4171
_
Inspection Requests (24 Hrs.): (503) 639-4175 ,....„--: i'l..,_:.
INSPECTION WORKSHEET FOR DATE: 2/1012006 TIME: ?:O4AM PAGE: 17
SITE ADDRESS: 07530 ',:;VV kFrO CEDAR WAY CLASS OF WORK:
SUBDIVISION: JACKSON WOODS LOT #: (103 TYPE OF USE:
PROJECT NAME: JACKSON WOODS
DESCRIPTION: Temp power pole.
OWNER: t..yoN„IACK PHONE #: 503.236.2202
CONTRACTOR: P E3 ELEGf RIC INC PHONE #: (603)78G-4199
Inspection Request Scheduled For: Date: 2/10/2006 Pour Time:
Code # Inspection Description Confirm # Contact # ' Message
.1•10 Torriporary electrical service 0:26EitYi-01 503-936-':;226 Ki
Corrections/Comments/Instructions:
...
- ----.....„______ ................i
•
1 J PASS n PARTIAL APPROVAL 0 CANCEL ri NO ACCESS
12, FAIL X CALL FOR INSPECTION III ADDITIONAL FEES ASSESSED
Inspector: .\--Kk., iNf% L 4 Date: 7- 16 1041 Phone #: (503) 718- 2*
CITY OF TIGARD
BUILDING DIVISION PERMIT #: >Et4 zo0b- 00
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 igi*
.I L.I
Inspection Requests (24 Hrs.): (503) 639 -4175 1
..°_'_.
INSPECTION WORKSHEET FOR DATE: 2,21._ 6 TIME: PAGE:
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SITE ADDRESS: 15 3d G'E V" • CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: \ate: 2.-2,3 4 0.6 Pour Time:
Code # Inspection Description_ Confikm # Contact # Message
Co ctfons /Comment /Instruction' :
S'2.-64-/O*() ,
. \
PASS • 1 1 PARTIAL APPROVAL ❑ CANCEL Li NO ACCESS
n FAIL I I CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: 68 LE Date: z. - 0.1 Phone #: (503) 718- 2 qb