Permit C ITY OF TIGICFcD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00405
DEVELOPMENT SERVICES DATE ISSUED: 7/25/2006
All - 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S111 DD -02100
SITE ADDRESS: 15700 SW 88TH AVE ZONING: R -4.5
SUBDIVISION: STRATFORD LOT : 037 JURISDICTION: TIG
Project Description: (1) branch circuit for hot tub.
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: 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:
GARY & SUS LASS OWNER
15700 SW 88TH
TIGARD, OR 97224
Phone: 503 - 680 -2743 Contact #:
FEES
Description Date Amount Reg #:
[ELPRMT] ELC Permit 7/25/2006 $46.85
[TAX] 8% State Surcharge 7/25/2006 $3.75
Total $50.60 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
f more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
orth in OAR 952 - 001 -00 • t r• .. OAR 952 - 001 -0100. You may obtain copies of these rules or direct questi• s to OUNC at 503 -246 -6699 or
1- 800 - 332 -2344.
i
ssued By: , 4 � i * / /l _ j '' Permittee Signature: th G �_ ��
OWNER INSTALLATION ONLY
The installation is being made on prop y I own which is not in nded for sale, lease, or rent.
OWNER'S SIGNATURE: ' /-G /� ,---- DATE: - 7/,... 4 -5 --- )4 r
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.
• Electrical Permit Application ' 1( )it OI 1.1( I I'I. O\l.l
City of Tigard to B / ! 19 � . /4 ;,/ —e} (9 5 Pemrit No.:
e 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
' II Phone: 503.639.4171 Fax: 503.598.1960 Date/B . Other Permit:
TI G R D Inspection Line: 503.639.4175 Date Ready/By: Ei See Page 2 for
Internet: www.tigard - or.gov Notified/Method: TEM Supplemental Information
TYP OF WORK PLAN REVIEW
12 New construction 1J1 AAddition/alteration/replacement Please check all that apply (submit 2 sets of plans w /items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
-and 2- family dwelling El Commercial /industrial El Accessory building amps for all other installations. buildings.
❑ Multi- family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
❑ Emergency system. larger separately derived system.
JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E ", "I - ", "I - ",
Job no.: Job site address: /$747 W t6 Ave—. 100HP or more. occupancy.
❑ Six or more residential units. ❑ Recreational vehicle parks.
City /State/ZIP: 6 .41,2 q 72 Z (( ❑ Health -care facilities. ❑ Supply voltage for more than
❑ Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
Cross street/directions to job site: •) L ,4,1 <1t r. r2J Description I Qty. I Fee. I Total I •
New residential single- or multi- family dwelling unit.
Includes attached garage.
Subdivision: TkAX -, 2_ b Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 I
Tax map /parcel no.: Limited energy, residential 75.00 2
DESCRIPTION OF WORK (with above sq. ft.) _
' r l Limited energy, multi - family 75.00 2
eG ir(G�C, g)C/Z rtS1 a t't '" 605 -rt-t 6 residential (with above sq. ft.)
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2
Name: 6.442. y/ L, .¢ S 401 amps to 600 amps 160.60 2
t 601 amps to 1,000 amps 240.60 2
Address: .SA-n•L Over 1,000 amps or volts 454.65 2
City/State/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone: (Sp3) b 60 -2-7V3 Fax: ( ) 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 599 amps 133.75 2
Branch circuits - new, alteration, or extension, per panel
Owner signature: Date: A. Fee for branch circuits with
❑ ` APPLICANT I 0 CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit /
Business name: B. Fee for branch circuits
without service or fee fee, 4 6.85 / 2
Contact name: first branch circuit
Address: Each add'l branch circuit 6.65 2
Miscellaneous (service or feeder not included)
City / State/ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
Phone: ( ) Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
Signal circuit(s) or limited -
Business name: 0 WA) R. energy panel, alteration, or
Address: extension. Describe: Page 2 2
City/State/ZIP: Each additional inspection over allowable in any of the above
Per inspection 62.50
Phone: ( ) Fax: ( ) Investigation per hour (1 hr min) 62.50
CCB Lic.: Electrical Lic.: Suprv. Lic.: Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES G /
Suprv. Electrician signature, required: Subtotal: (/( . D 5
Print name: Sys J,. /..4 Date: 5-/c.)6=3' Plan review (25% of permit fee): /�
e vit
/ State surcharge (8% of permit fee): 17
Authorized signatu �� TOTAL PERMIT FEE: ij r 7 �
This permit application expires if a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete.
• Number of inspections allowed per permit.
1:\ Building \Permits\ELC- PermitApp.doc 05 /23/06 440- 4615T(11 /05 /COM/WEB
Electrical Permit Application - City of Tigard 6.
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*
El Burglar Alarm
El Garage Door Opener*
El Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other
COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
E l Boiler Controls
El Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
El Intercom and Paging Systems
El Landscape Irrigation Control*
El Medical
El Nurse Calls
El Outdoor Landscape Lighting*
El Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
t: Building \Pemits\ELC- PmnitApp.doc 03/23/06
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200&00405
13125 SW Hall Blvd., Tigard, OR 97223 • DATE ISSUED: 7/25/2006
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ■ ?__..
INSPECTION WORKSHEET FOR DATE: 9//12006 TIME: 7:01AM PAGE: 52
I114t
SITE ADDRESS: 16700 SW 88TH AVE CLASS OF WORK:
SUBDIVISION: STRATFORD LOT #: 037 TYPE OF USE:
PROJECT NAME: LASS
DESCRIPTION: (1) branch circuit for hot tub.
OWNER: LASS, GARY & SUSAN PHONE #: 603 - 680 -2 ?43
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 9!112006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 035931 -02 503.68112743 Y
Corrections /Comments/ Instructions:
S n - 1 sQ S . v
f ic7M 7 ``lo rrz' z2S
r» PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C-�c' ' Date: 4/ c,,‘ Phone #: (503) 718 -
Case Activity Listing 10/13/2009
qN.CCEL 3:22:07PM
Case #: BCE2003 -06008
Assigned Done Updated
Activity Description Date 1 Date 2 Date 3 Hold Disp To By By Notes
CEOA007 Complaint received 6/16/2003 None RECD AMS 1/22/2004
AMS
CEOA010 Investigate Complaint 6/18/2003 None DONE A MS 7/6/2006 Confirmed from street, shed
AMS extension to property line and rain
gutter beyond line.
CEOA015 Case created 6/16/2003 None DONE AMS 1/22/2004
AMS
CEOA 1 15 Case update 6/25/2003 None DONE AMS 7/6/2006 Complainant requested no action by
AMS City at this time. Rain drain directed
back onto property of origin.
CEOAl20 Case closed 6/25/2003 None DONE AMS 7/6/2006
AMS
CEOA030 Contact responsible 7/6/2006 None DONE AMS 7/10/2006 Notice of Violation letter to property
party AMS owner.
CEOA030 Contact responsible 7/10/2006 None DONE AMS 7/10/2006 Owner called, in process of removing
party AMS extension per letter instructions, will
apply for deck permit and for
electrical supply for hot tub in not a
minor label.
CEOA115 Case update 7/25/2006 None DONE AMS 7/25/2006 Permits applied for, ELC2006- hot
AMS tub circuit & BUP2006- deck.
CEOA 115 Case update 7/20/2006 None DONE AMS 7/25/2006 Owner reported shed removed ...
AMS verified 7/25 with photograph.
CEOAl20 Case closed 7/25/2006 None DONE AMS 1/2/2008
SLN
Page 1 of 1 CaseActivity_.rpt
CAP List Port let Page 1 of 1
p Menu 1 Search al New OIGIS Help My QuickQueries --Select-- Module Building •
84 4 1 it A
f- cask/ Numfx.er Street Name Suffix Unit .,# Case Status Opened Description $glance Project Name
rJ MEC2008 -00135 15700 88TH AVE Closed 03/17/2008 Installing new flue ye.. 0 SPENCE
J 5UP211Q6 Q9.3.54 15700 88TH AVE Closed 07/25/2006 New 264 sq ft deck. 0 LASS
n EL.020118i01/405. 15700 88TH AVE Closed 07/25/2006 (1) branch circuit for... 0 LASS
8CE2003 -06008 15700 88TH AVE 06/16/2003 CONSTRUCTION WITHOUT P... 0 PERMIT
ri M,E,G,K 15700 88TH AVE Voided 08/13/1998 Installation of gas p1..• 0 LASS, GARY + SUE
ti P11498 00283 15700 88TH AVE Closed 08/13/1998 Installation of water ... 0 LASS, GARY + SUE
i1 et.CO8-004/6 15700 88TH AVE Closed 08/11/1998 Installation of 2 bran... 0 LASS, GARY + SUE
1 MEC98- 00318 15700 88TH AVE Closed 08/04/1998 Installation of new ga... 0 LASS, GARY + SUE
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