Permit ,
� I 1 i O® TI GA D ELECTRICAL PERMIT
�' ' PERMIT #: ELC2006 -00145
A l' DEVELOPMENT SERVICES DATE ISSUED: 2/22/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S102AB - 01200
SITE ADDRESS: 09305 SW COMMERCIAL ST 1 ZONING: R -25
SUBDIVISION: VIKING APARTMENTS LOT : 064 JURISDICTION: - FIG
Project Description: Electrical reconnect.
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: 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: 1 SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
BRIAN COLLING OWNER
13835 SW HALL BLVD
TIGARD, OR 97223
Phone: 503 - 705 -2295 Contact #:
FEES
Description Date Amount Reg #:
[ELPRMT] ELC Permit 2/22/2006 $66.85
[TAX] 8% State Surcharge 2/22/2006 $5.35
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 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: : 1 Permittee Signature: -e, t Q
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.
2006 02/22 09:41 TEL 5036203194 Ijj001
. .. . . . .
is E''l Permit `• } �� ‘ v't' ' � , ,� , �,� ..` ��7 . L, : .r :.
Cr of Tigard ' _K r>o.: � (c /` l 5
City g,R 1 w•
13125 SW Hall Blvd., Tigard. OR 97223 Ran newer. Other P 4
Photon: 503.634.4171 Fax:. 503.598.1g�p 1'C ° 17nrr1By:
Inspection Line: 503.639.4175 C 200 4 LS:- DoteRady/By: ' /W Y : El See Pagelrar
Intcmet www.ei.ligar&of.us Notified/Maim: ,` Supplemental Information
el' t,� 1 PLAN REVIEW
Q xew construction 13 .. , . � s meat Please deck all tl� silly:
°Service over 225 amps, conun•1 UNazardous location
Q Demolition FrOthcr. filServicc over 320 amps - lasing ['Bulldog over 10,000 sq. ft.
CATEGORY pF CONSTRUCTION I of 1- and 2 -family dwellings . 4 or more new residential
L 1- and 2 - family dwelling ❑ ComuerciaU' dustrial ❑ Accessory building ['System over 600 volts manna! ,nits in one soma=
['Bnildine, over three Stories UFO, 400 elePs of more
0 Multi - family 0 Master builder ❑ Other: °occupant load over op persona ['Manufactured struenures or
JOB SITE 1NFOR$AT1C N AND LOCATION ❑Egress/lighting plan RV park
Job no.: Job site addreis: ? ?(1 S SLR (,o ,... Gv_ G h I ❑ �cliry ❑O ar_ . —
Subm sets of plans with any of the above.
City/State/ZIP: / -.. / - 0 _,- . 42 � I _ p 74 The above w not applicable to temporary construction service.
�� �.! - 2 Z ? ?
Suite/bldg./apt. no.: ` ( 1 PraJdCi /lam?: V •\ N( \ l>. y c)2....11' FEIE:' t III sm. Tetra "
�• Daeeeilauoo tley. t
Cross street/directions to job site: i I S�rt` 1 rrj, New residential since or mnttf -unity dwelling unit
1'^ ; , n-
' t Includes attached garage.
/l-.c 4W t r' 11-11.41/v..-5 I _ 1,006 sq. IL a less ; _ 145.15 ' 4
Subdivision: I - - ..ol. no.: Ea. with 500 5 1. $ or portion 33.40 1
Tax snap /parcel no.: I
Limited _ energy, residential , 75.00 2
I L imited enerw, one cesideritial 75.00 2
DESCRD TfoN IOF WORK I Each manufactured or modular
dwell ng, vice and/or feeds , 90.90 2
c o n rt ec- -- f Services or feeders inrarPubton. alteration, mad/or relecatio
1 200 amps or less 8030 2
gr PROPERTY OWNER 1 I Q TENANT I 201 amps to 400 amps . 106.85 2
401 amps to 600 amps 160.60 2
Name: i '
r C v `% n 601 amps to 1,000 amps 240.60 2
Over 1,000 amps or votes ! 454.65 2
Address: /�� S n 3 / c� �V Roxi mecx ] x1.71 KT-.'"r 2
City/State/ZW: 7 611,-,,, . U / / I17v2 3 I Temporary services or feeders #nsmllatYoas, alteration, a=nd/or
reloauon
Phone: ( 3) . ,5"- 2,2_,..5— i lax (4 / 'S I 200 amps or less 66.85 I 1
Owner installation: This installation - - being made on property that I own which is not 201 snips to 400 amps _ 100.30 2
intended for sale, lease. rent. or excha tgc, acc&Ming to ORS 447, 449, 670. and 1- 401 amps to 600 amps 133.75 2 -
Owner signature: Date: Z ?d e G Branch circuits - nm alteration, or extension, per land
PrAPPLICANIT j TX CONTACT PERSON A. Fee for branch circuits with '
service or leaks fee each 6.65 2
breach circuit
Busincss name: R-9,9,,,,14,_5 i B. Pas for branch circuits
Contact name: r, (o 6p without service or feeder fee. 4685 2
a 1 / first branch circuit.
Address: /J f s' 2I ' /• 4 W I /5/ v � I ' lu Each add'l baaa& circuit ; 6.65 2
City /State/Z[P: /(�7c� ->-�/ 012 5 ' 7‘—'22...7 Matta (service as!eeWer amt Included) J 2 Pump or irrigation circle : 53.40 2
Phone: (S 24.) S - )-� -1 I II Fax - (l / ) c 2Z r/7.5 T Sign or outline 11g}ating , _ 53.40 _ 2
E - mail: b e..//,...; ft- Signal circuit(s) or limited;
CONTRACTOR energy panel, alteration, or
amnion. Describe Page 2 2
I3usiness moat: •
Address: I Each additional OVCr allowable in any of the above
- Per inspection 6250
.
Ciry /Sttute/ZIP:
Investigation per hour (1 h,r min) i 62.50
Industrial plaaltpahwu 73.75
Phone: ( ) Fax: ( ) ELECTRICAL PERM3fY' FEW
CCB Lic.: 1 Electrical Lic.: 1 Suprv. Lic.: Subtotal
Suprv. Electrician signature, required: I Plan fowler/ (25 %ofpermit fee)
State surcharge (8% of permit fee) 47 3 S" .
Print name: Date:
-
TOTAL PERMIT FEE 72 ,, -,.0
A u t h o r i z e d s i g n a t u r e : 7'ia p e r i s h eppliwtior = p i e r ! ' ifs permits not obtained within too
daps after bre ban accepted as complete
Print name: Date: . Fee methodology net by Tri-County Building industry Service Board
CITY OF TIGARD
BUILDING DIVISION • PERMIT #: i. -( " 'afta; (j0i46
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 221: $ ,
^,
Phone: (503) 639 -4171 II
Inspection Requests (24 Hrs.): (503) 639 -4175 „
INSPECTION WORKSHEET FOR DATE: 2 /21/2()t16 TIME: 7 :01Am PAGE: 10'
SITE ADDRESS: 09306 S W x_, OIVi(ME DI r • 1 CLASS OF WORK:
SUBDIVISION: VIKING APARTMENTS LOT #: 0E4 TYPE OF USE:
PROJECT NAME: VIKING APARTMENTS
DESCRIPTION: ((E,cteical reconnect..
OWNER: COL.( ;.(AN PHONE #: 503- 7i ;=f 7 ':,
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 2i27t2O06 Pour Time:
Code # Inspection Description Confirm # Contact # Message
'r' a i w• ,� 5: .4y f303-705-2295
t t.? I�.I ¢..4�'tf t4.:r;�l �Ct rlf�:t:. 4a...75.� @. (II \ I'Y
Corrections /Comments /Instructions:
._ • 6 u2 car'`' $)
IA PASS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: G \ NO 8 L Date: 2'4(ot Phone #: (503) 718 - 2,1441
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: hI_G:' ti <:i7
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
2/2, 1 1)(10?..
Phone: (503) 639 -4171 ;
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 2/27/20 06 TIME: . €31"i PAGE: Isk
SITE ADDRESS: ; , , A 7 „ ST CLASS OF WORK:
(�:. 306 S 4 I'�il+ a'�I'+ CI AL S 4
SUBDIVISION: MlNt ^p APA TMENIS LOT #: °EA TYPE OF USE:
PROJECT NAME: VIKING APAR MEW'S
DESCRIPTION: Electrical recorirt„ . •t.
OWNER: COI ;, :3irIAN PHONE #: ?ai) lt;► :'
CONTRACTOR: ) w,II_.R PHONE #:
Inspection Request Scheduled For: Date: 2121/2006 Pour Time:
Code # Inspection Description - , • ' # Contact # Message
y 1 6 4 fi * I• P=.E r` 503-706-229C)
.I r.2 I»..�(:' {:lr r /:. ".-.iI service I
Corrections /Comments /Instructions:
•
a�
a
PASS n PARTIAL APPROVAL n CANCEL NO ACCESS
n FAIL 1 1 CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: ' L Date: 141 Z� 1
• Gig
06 Phone #: (503) 718- v