Permit A,., CITY O F T I GA R D ELECTRICAL PERMIT
PERMIT #: ELC2006 -10099
�i� DEVELOPMENT SERVICES DATE ISSUED: 5/4/2006
--' -- 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 1 S136DD -00200
SITE ADDRESS: 11560 SW 67TH AVE 100 ZONING: MUE
SUBDIVISION: WEST PORTLAND HEIGHTS LOT : 004 JURISDICTION: TIG
Project Description: TI, (2) branch circuits
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/ FOR: 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: 1 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:
JOSEPH GREEN WEST PORT ELECTRICAL INNOVATIONS
PO BOX 1 PO BOX 6046
DONALD, OR 97020 BEAVERTON, OR 97007
Phone: Contact #: FAX 503 - 268 -1392
PRI 503 - 866 -3273
FEES
Description Date Amount Reg #: ELE C141
[ELPRMT] ELC Permit 5/4/2006 $53.50 LIC 156397
[TAX] 8% State Surcharge 5/4/2006 $4.28 SUP 43605
Total $57.78 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR
R.. 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 f. •-• - . an 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are -t forth in OA - 95 - 01-0 : 0 through OAR 952 - 001 -0100. You may obtain copies oft - e ru es or direct questions to OUNC at
503 -24. 6699 o 1 -800 -3 -2344 r
Issue. By: �X/ha/ Permittee S • b ' .. G� :� - -IL :
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:
RACTOR IN TALLATION ONLY
SIGNATURE OF SUPR. E iC'N: � ' . / DATE: S O�O
i
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.
•
Electrical Permit A) )fl9C�f H11® , /'' ., t a ' '? g 1 ()Itti l 1(11 • i.(,, ` ,, fi -, ,A y/ •
f'..-47,?,;. _ . City of Tigard Received ' Permit No.: �/"
tY Date/By: 5 T
� 13125 SW Hall Blvd., Tigard, Olt 972::3 Pier Review F � - � � llD ��
- ', a Phone: 503.639.4171 Fax: 50.5')8.1960 Date/By. Other Permit:
. ` /r „, :H Inspection Line: 503.639.4175 bete Reedy r
" la See Page 2.for
Internet; www,tigard- or.gov Notified/Method: / , . Supplemental Information
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. l qty ;F t. �, R 1 «a+ i t�;� ., yt;,. �4° ,.� "3i e. �.. i . <� F � q i tnt ( �'Q #,; u
r. i f� �y� '29 �' R '; 'j1 fi T i a 't' i y S 4 qt �ti w }� {y ` F r �(5 i S 1c, l ' 1 f t ?fi t , 'g j e " 4 . k;;
Y;,,,S14?<`�.iP'F,,,f.J0t ,,,- .r),.06 A,! ;ic.d2if,!, zayf x.,'1.. :� -, „,! , ij� . :�A `S,l�„ 4k •c�. • i ^. ,1,I :f�Siz:.. :la.A.4 - •re v.` art:.,,„ - A -.. )r'N..t• .•4
❑ New construction ❑ Addition'alieratiot/replacement Please check all that apply:
❑ Service over 225 amps, comm'I ❑Hazardous location
❑ Demolition r9 Other: ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
�'sr� i'S'1�tirbtt�3 i"'R� {U , 1 '� y 9N� '}r t tw �t r ,,^ � � ; ^'".'7T',.,.,�w.i'."F , y� � , ��� us!Kirk � T .�t }�
.;:l ; . /i xii. , X ,,-00' C,, e—, ! sc? +! ' 2.u.: 4dw Ad.,. ° t4;..;f ' ', „lfkh ..a oft- and 2- family dwellings 4 or more new residential
❑ 1- and 2 family dwelling A C'omnleroial/in Justrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi - family ❑Muster boil Jar ❑Other: ❑Building over three stories ❑Feeders, 400 amps or more
F ll' d er , ❑Occupant load over 99 persons ❑Manufactured structures or
, ; ,,i 4�1 ii W. y1 rl a 4 d+ ii dr ,� t ^ i t " f ' A i } i Q 4' r 1 '- tN. Egress/lighting lan P
,?..��l 5 i� "�)+i' A l'ii�;� � �,. � ����t �Fe+ -� �+�� ❑ P RV park
Job no.: Job site addre:.s: (/' 5 d j b, 7 ❑Health -care facility ❑Other: -
Submit." sets of plans with any of the above.
City / State/ZIP: The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: /00 Project Iaxle• r.0,.,' i.ick ;, ''i , t; nW 1•. ;t °•'tF •4h:s t'; 44AtP
_ __ - --- Descriptloa Qty. Fee. Total '
Cross street/directions to job site: 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'l 500 sq. it or portion 33.40 1
Tax map /parcel no - Limited energy, residential 75.00 2
,. Limited energy, non- residential 75.00 2
v � <> 1 � P 11<'�dt"^ R *r'rr"4 � SS!'f 4X _ , �' `; , .
it �+�tl aft �1 6 y f1$rt� Ltr Q o tr W t t
w�{c,.Sa. ,r�h �K. =• s ; a ;�,6asa <_. : :i��kT`�St, , . - . l� � �r,i...., .1 , y r rp�, w . , EI f, Each Manufactured or modular
dwelling, service and/or feeder 90,90 2
—�— -- __ Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
ls1 S sv rTg r 77. r a " 201 amps to 400 amps 106.85 2
&,,,z4. i"l i ` 4 , '* ..;i,... • 1., �r 2 c r WA 05 y 't � j L � PAINt p p
P . .. •dam irIlt 1 A kr t ;∎ 0 r< , ng 4, 6 4 ..d 1,16'1' :•. :.C.4 401 amps to 600 amps 160.60 2
Name: - , p6 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: ( ) Flex: ( ) relocation
200 amps or less 66.85. I
Owner installation: This installation is being me de on property that I own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, t; t:cord in 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
l ____
. 7 � 9 y�y 1 h + *, n 1I S�f rri7,� 7 t , !' • @ . y 9 } A . Fee for branch circuits with
i a?.�K `. ift`��i -- 4 t aJ : 1 ^ i' j 14y,`t i ii .. 0. 4• E. diiLwic . 01,t,;§„4. 1 f h
serv or feeder fee, each
6.65 2
Business name: r{ N 5 i ' p� b ranch circuit
B. Fee for branch circuits 41I
Contact name: n 0 L.' 9 without service or feeder fee, 46 j
4115--C) N fast branch circuit / 3
Address: J I< ) (/. Each add'I branch circuit j 6.65 (p •(p; 2
City / State/ZIP: Miscellaneous (service or feeder not included) :
C! • � — °- Pump or irrigation circle
or ou J 53.40 2
Phone: ( , C?5 b - � — F; x : ( ) Sitline lighting 53.40. 2
E -mail: Signal circuit(s) or limited -
lit tt�/S Y 6 y , ,j I "'"^ "
� ♦,T rnr. ' 'ff4 p a tltiy' Tai e ateratio
� ,'� v ,, "4 dclu i it .1 , �? :•i 1 a�4 l A i a ,. + . X + C .: v +^.tint £. " energy Panel, n, Or
. ' PI� ; extension. Describe: Paget 2
Business name: / ,i,
Addre G G` 6 _ -__ - -_- Each addltional Inspection over allowable in any of the above
Per inspection 62.50
City /State/ZIP: ,.Ca vy' -_ Q7' 9 7 6.6. Investigation per hour (I hr min) 62.50
.
l\ Phone: tj(7j) /�'�//� 7 � `� ��` � / Industrial plant � ; hour f � `R" y- ' 73 75
C/�L .�73 F. lx: y� L✓) .s 7 ."'/L35.7/-2- . dm i' Y. ,c;' tea" girls. ,J°tw� MM.i , ,r, f` :.`- ,'! YY4 a= n;,;
\\
� CCB Lic.: /S 5' 7 I Electrical Lit � .. /II ) Suprv. Lic.: (i!3 fj Subtotal:
1 11 D b/ Plan review (25% of permit fee):
I Suprv. Electrician signature, required: del I
{ L Date: 3 _ cc. State surcharge (8% of permit fee): a
Print name:
A �t". N - -- — - TOTAL PERMIT FEE /
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
t:\ Budding \Permits \ELC- PamitApp.doc 03/23/06 440- 46157(11i05/COM/WP.B
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200&10099
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 5/4 /2006
Phone: (503) 639 -4171 / '• i ,rl�
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' - R _,.
INSPECTION WORKSHEET FOR DATE: 5/18/2006 TIME: 7 :01AM PAGE: 1
SITE ADDRESS: 11560 SW 67TH AVE 100 CLASS OF WORK:
SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 004 TYPE OF USE:
PROJECT NAME: RINASCEWE STUDIOS
DESCRIPTION: TI, (2) branch circuits
OWNER: PREEN, JOSEPl PHONE #:
CONTRACTOR: WEST PORT EI..ECil <ICAL. INNOVATIONS PHONE #: 503-066-3273
Inspection Request Scheduled For: Date: 5/19 /2006 Pour Time:
- _ : - , Inspection Description Confirm # Contact # Message
Electrical final 030230 01 60-866.3273 Y
Corrections /Comments/ Instructions:
i '
4
•
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v ^ ,`" O8 Date: 5 J - 6 t, Phone #: (503) 718- 2.44b