Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00208 lk
AI DEVELOPMENT SERVICES DATE ISSUED: 4/19/2006
13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171
PARCEL: 1S134BD-02900
SITE ADDRESS: 12005 SW SPRINGWOOD DR ZONING: R - 4.5
SUBDIVISION: ENGLEWOOD NO.2 LOT : 117 JURISDICTION: TIG
Project Description: Reconnect A/C, furnace, work 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: 2 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:
SCOTT ALJETS CANBY ELECTRIC INC
12005 SW SPRINGWOOD DR 790 S IVY
TIGARD, OR 97223 CANBY, OR 97013
Phone: 503 - 590 -5627 Contact #: PRI 503 - 266 - 7878
FAX 503 - 266 -5543
FEES
Description Date Amount Reg #: ELE 3 -1 12C
[ELPRMT] ELC Permit 4/19/2006 $60.15 LIC 26071
[TAX] 8% State Surcharge 4/19/2006 $4.81 SUP 21235
Total $64.96 REQUIRED ITEMS AND REPORTS
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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: �-p Permittee Signature: e \()
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.
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Eiect.ncal rermit caloicd '' ' • • • FOR. QFFICE .
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. City of Tigard
OR 7223 ?.00
4 - N -- 4 i , Permit 1.l
. o.:AgMAITMO
. 13125 570.'Hall alvd., T;gard, 9 - - ( 6 A Plan Review
Phone: 5034539.4171 Fax: 503.59a.1960 • • • • oiref . Dsten3y; I Other' Arrn.ut.
Iaspeerton.Line: 503.639,4175 s .., .. 4..... ..v Date / ,.., ril S nes 2 tor 1
• ., teretnet: www.et. ttgard.or.us ' LC 1 \ L) 12 J-L k 7. Notifisa/kMitoa: 1 1 ,r et 1 u I, Skippternentol Information 1
: ..4 " ,-K .. MikSOIRMIEfeltkiiiik'r.•• "zi;' . . .
El New construction , tAAddition/alteration/replacement Please check ail that apply:
0
IZ)SaMee over 225 amps, comm.' I Hazardous location
bemolitiOrt • Other:
• raService over 320 amps - rating OPluildng over 10.000 sq. n.,
4r. '..i or I. and 2-farnily dwellings 4 or more new residential
and 2-family dwelling Ej Commercial/industrial 0 Accessory bUilding °System over 600 volts nominal units in 01)C structure
• 0 r] Master builder . 1:1 Other: . . CB uilding over three tor 0 Fcde1i, 400 amps or 17101't ,
. ' DOoeupant load over 99 persons °Manufactured ccures or
' ' l,'W;ia . '. ii`i aM RV park
..• .illAkrtl-..A•••$ .,,,, ./ rfak-"' ..- ' .:11,110,:iirio.v - l• .5ol'iwlit' - ••••• ....",,- ' 9'," le ii'. , ..w...,' l' ., .r.• • DEgnear Plan
Joh no.: • . •
lob site addre$31 ) 2 . 6 () 5 50 5n of , s witt aily of th 1
1 2.2:
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. .tity/State/ZCP: • - I t ,. . i
t „, The abOVG int 11.0r. applicable to temporary construction service.
Suitc/bIdgJap. no.: / Project mune! gi.VOIW , :.!g. ' ,1.Algg 3.14 . !/'''• '',': ' ' '•
.__ ........ neeeetpoen• Qtr rvd. row , -• , •
Cross. street/directions to job site: New residential single- or multi-family dwelling unit.
,-- Includes attached garage.
' 1,000 eq. ft. or less 145.15 ' 4
Subdivision: Lot no,: Ea. add') 500 sq..ft, or portion 33,40%
Limited anera, , residential 75.00 2
• T4 ;• • gc..r- rwA: •
• - .,, Limited energy, 110n-re3idential 75.00 11111111131
: ' ' 7 .4 jrr"-- .".h .';" "ti . 761 ,i 7' itaMI : =S -1 1..r - • ' ...d-Mil ,.' i . '4-L''' ''';!;',,,1; 1 1 Each manufactured or modular
dwellin serviot and/or feeder 1 90-90 II • • • ' /.1,..i_ • 4_ .. j A (_.• 41 ., .. LIN ' • - . Services or feeders installation, atteradon, and/or relocation
. • . . • 200 amps or less
: 0`5„,IP:_i ,.;' t M:,..41 201 amps to 400 amps — 1 80.30 I
1 106,85 I i 2 1
•:. p 1 :60.60 ___L 2
. Naine: • •
601 ara... to t,000 as I 240 2
• ,60 T
----- .. _
• • AA ' • ______..
Awd0S32 • Over 1,000 amps or vow; 454.65 • 2 • • Reconnect 0111Y I 66 •85
_L . 2
• City/State/ZIP: . . Temporary services or readers Installation, alteration, and/or
• . __.
, relocation
Phone; ( .• ) Fax: ( ) ' 200 amps or leas 66.35 i
Owner Installattoni This installation Is being made on property that r own which is not 201 amps to 400 ants__ 100.30 2
' bileaded far sale, lttse, rent, or exchange, according to ORS 447, 449, 670, and 701, .
aojwpE420smps 2
..1....m...,
C. Date. • Branch eireuits - new, alteration, Or extension, per pace]
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W "") A, Fee for branch circuits ach wtril 1
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sr,:ice or feedor fee, e
Busina name: branch circuit .... 6.65 . 2
• --- 0.
— -- — B. Fee for branch circuits
• • • Contact p.m; without servics or feeder feu. i I
• Addre4s: 0
.. etch branch circuit ,135 VC 2
____ Raub 3,11'1 branch circuit .... 645 13, • 3 - 2
City/State/ZIP: Nfiscellaneous (service or feede r not Included)
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Phone: ( ) I Fax; ; ( • ) ----- Pump or irripion circle 53,40 [ 2
—, ,.- — — _ Sign or outline lighting - 53.40 • I 2
E.intsil: sIgnal circuit(s) or limited. . 1
..4 griziEwzmi,),5.vmmingemoiro ,ner pt.nel, alteration, or 1 I
extension, Describe: 1 Page 2 1 2 j
%tsiness narne: r A, , - P La_ 4 4 ,.. ' •
Address: 1 9 (. ,:_- . I: J , 4 .....)-{.._ . — Eitel nactIrloom inspetrton over allowable ih any of the above • ; Per ti
p
ft_ .._ ion ±Tr . 7 62.50 1
Ciy/State n ..z q i. l 3 Investigation .. et• hour (i 'a- min) ' i 62.50
.$' PhCMC: (703) - 2-1., (.:, - - 1 - 1 C o Fa-x ( "LLD (.7 - '•-k -S Industrial . lent per hour 1 ' 73 75
STakrAt '. f• grlal5. 'IMO I.N111§70
Elceirical I-ic.. 3 ..‘ t-2 c Supiv. Lic.: Z t -2, -3 s
S;:btothl ' 6,6, i
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Suprv. Electrician .sighazure, reqLirtet rs cl.,...... . ..____:_. Plan revicw (25''',, of pc: fee)
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?mit n e.rnc71) • , n ' 1-)ate: SI= Alryhorge (Vic .-.;.: -..,c, . ls i fee; C,, ) I
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Authorized signature. L■ _ . c•z Ti--.---.
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Tato permit 2 pplicittion eX;Ifrel ;I z: not obtalo ■••■••
cloys ■((o, i: hzr bco tr I P ' !ed 74 clrflogre
Print nam --,---, r,, i C 1 D;ite' • Fee Med:0001(4Y Stt ki:, 1. •-Ca '■
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CITY OF TIGARD
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED:
Phone: (503) 639 - 4171 ..''
Inspection Requests (24 Hrs.): (503) 639 -4175 ' t tL-.
INSPECTION WORKSHEET FOR DATE: l ,..7- PAGE:
SITE ADDRESS: / oos 6L) 6p I"i wood DC CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: I,0 1)4-
OWNER: � 14/j .e -Vs PHONE #:563 -7.29 d ` 1 )0/
CONTRACTOR: / /, i ip rI - PHONE #:5- 3 _ 7 y_/ y z /
Inspection Request Scheduled For: Date: 4 _ r) --D( Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments/ Instructions:
VNT-070-r—LLA-1-9
It7! 'ASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
I 1 FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: n(ke Date: 0 6 Phone #: (503) 718 -
CITY OF TIGARD
BUILDING DIVISION PERMIT #: Ia+,2.006 I U:3rOB
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 41
Phone: (503) 639 -4171 •
Inspection Requests (24 Hrs.): (503) 639 -4175 ,
INSPECTION WORKSHEET FOR • DATE: 500006 TIME: 7:00AM PAGE: /2
SITE ADDRESS: 12005 SW SPRINGWOOD DR CLASS OF WORK:
SUBDIVISION: ENGLEWOOD NO.2 LOT #: 117 TYPE OF USE:
PROJECT NAME: ALJE'fS
DESCRIPTION: 1 ..e.1 :01uWE:t A /C, furnace, work plug.
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OWNER: ALJEI`£3, 4 CO 11 PHONE #: :�0 ' .,gfl f62'/
CONTRACTOR: CANFY ELECTRIC INC PHONE #:
Inspection Request Scheduled For: Date: 5/4/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
145 NC or heating wit circuit 02:06601 503-590-5621
Corrections /Comments / Instructions:
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PASS n PARTIAL APPROVAL ❑ CANCEL . • ❑ NO ACCESS
l I FAIL o • ] CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Ins ector: N 46 Date: 4 0 Phone #: (503) 718- 2 / t i e " -
P