Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00005
�;l DEVELOPMENT SERVICES DATE ISSUED: 1/5/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S111 BA 05800
SITE ADDRESS: 14145 SW 97TH PL ZONING: R -4.5
SUBDIVISION: SOLARCREST LOT : 010 JURISDICTION: TIG
Project Description: Kiln
ti
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:
WILLIAM SANCHEZ YOUNG ELECTRIC
14145 SW 97TH PL PO BOX 338
PORTLAND, OR 97224 MAPLETON, OR 97453
Phone: 503 - 670 -0352 Contact #: FAX 503 - 646 -0960
PRI 503 - 706 -9867
FEES
Description Date Amount Reg #: LIC 141333
[ELPRMT] ELC Permit 1/5/2006 $60.15 ELE 20 -452C
[TAX] 8% State Surcharge 1/5/2006 $4.81 SUP 37835
Total $64.96 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: /3/Q /A/J Liv_oc /►G Permittee Signature: see ,10'PL / C,9 o /v
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.
Jan G4 06 09:44a Jeremy Young 503 - 646 -0960 p.1
Electrical Permit Application FOR OFf•1('F: t SE OM.)
City of Tigard ��\ any: I - j- 855 Pennit No.:ELLWOt6 - Wan -
13125 SW Hall Blvd., Tigard, OR 9 22, � cc A Plan
503.639.4171 Fax: 503.598.I460 E Lo 4a� ll I Date/By: Other Permit.
Inspection Line: 503.639.4175 `'ri Y ■ � . '1 I Date Ready/By: r° BI See Page 2 for
Internet: www.ci.tigard.or.us Jt � � Notified/Method: I� Supplemental Information
•
TYP \qF V PLAN REVIEW
❑ New construction 4Additioii /,alieiat ion/replacement Please check all that apply:
'C'tv •
, ❑ Demolition ❑ Other: ❑Service over 225 amps, come; Hazardous location
❑Service over 320 amps - rating ❑ Buildng over 10.000 sq. ft.,
CATEGORY OF CONSTRUCTION of I- and 2- family dwellings 4 or more new residential
01- and 2 - family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑Building over three stones [Weeders, 400 amps or more
❑ Multi- family ❑Master builder 0 Other:
❑Occupant load over 99 persons ❑Manufactured structures or
JOB SITE INFORMATION AND LOCATION 0 Egress/lighting plan RV park
Job no.: Job site address: ` / C f 5" ``� C `_., ❑ Health -care facility ❑Other:
d w Submit 2 sets of plans with any of the above.
City /State/ZIP: i - ' ;^ ty .,. i 7 /, ; / (7 7 z 7 / The above arc not applicable to temporary construction service.
Suite/bldg. /apt. no.: / Project name: 5 )9 /J(,y/ _- FEE* SCHEDULE
Destriplion I Qty. I Fen I Total I '"
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. 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
-Y f , / �/ dwelling, service and /or feeder 90.90 2
- ry f 62- E /c/ .?.// ��* - , c� •J C
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
201 amps to 400 amps 106.85 2
El PROPERTY OWNER I El TENANT
Name: i/3 1 L L- 54A)Cfle
401 amps to 1, 0 amps amps 140.60 2
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: (5-6 j ) (.7-0 55 2, 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 1 ❑ CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: branch circuit
Contact name: -
B. Fec branch circuits -- - - -
without service or feeder fee, r , -� -, ^
Address: first branch circuit 46.85 ( ?? 2
Each addi branch circuit 6.65 , art^. 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
t j ,._. j extension. Describe: Page 2 2
Business name: G, i
Address: / ? Each additional inspection over allowable in any of the above
l l 'l G 1 = , , Per inspection 62.50
City/State/ZIP. �' r c
ty i,� %I (.1' �(. ./ / f 1. Investigation per hour (1 hr min) 62.50
Phone: ( q ,•) _ f' //-- 1 ' ' Industrial plant per hour
y� t � . (:(y� ` 1 �(� � Fax ( %l: r j) (.--' � (i�' - (- 1. (._.' 73.75
ELECTRICAL PERMIT FEES'
CCB Lie.: i q . 4 5 .7 Electrical Lie.: jQ - /./526 Suprv. Lie.: j 7 `I J J Subtotal �' /, 4 j
C
Suprv. Electrician signature, required: Plan review (25% of permit fee)
State surcharge (S% of permit fee) 47
�.t
Print name: Date: /75-..el /
TOTAL PERMIT FEE h n
Authorized signature:
This permit application expires if a permit is not obtained within 180
/ � / _ days after it has been accepted as complete
Print name: '�
� �/ t �� � Dat e: �. }� Fee methodology set by Tri- County Building Industry Service Board
tut ///
J6�uI t•- - youu c__ C (t.74
Jan 0.4 06 09:44a Jeremy Young 503 - 646 -0960 p.2
• Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
R ESIDENTIAL WORK ONLY:
Fee for all residential systems combined ... $75.00
C heck Type of Work Involved:
El A udio and Stereo Systems*
❑ Burglar Alarm
❑ G arage Door Opener*
❑ Heating, Ventilation and Air Conditioning
System*
n Vacuum Systems*
❑ Other:
COMMERCIAL 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
n Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
— - n-HVAC - - - - - - - - - - - - — --
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
n Medical
n Nurse Calls
❑ Outdoor Landscape Lighting*
n Protective Signaling
n Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC20O&-0000b
13125 SW Hall Blvd., TigardtOR 97223 DATE ISSUED: 1/6} 3t)0S
Phone: (503) 639 -4171 ! 48 ii�b� 1111y
Inspection Requests (24 Hrs.): (503) 639 -4175
'INSPECTION WORKSHEET FOR DATE: 1/23/2006 TIME: PAGE:
SITE ADDRESS: 14145 SW 97TH P . CLASS OF WORK:
SUBDIVISION: SOLARCREST LOT #: 010 TYPE OF USE:
PROJECT NAME: SANCHEZ
DESCRIPTION: ` Kiln
OWNER: SANCHEZ, WILLIAM PHONE #: 503..670.0352
CONTRACTOR: YOUNG ELECTRIC PHONE #: 503. 706.9867
Inspection Request Scheduled For: D ate: 1/23/2006 Pour Time:
Code # ns• - limi -! -scription Co�'.rm # Contact .# . Message
199 Electrical final _ 02546\01 503 - 706.9067 y
Corrections /Comments - - - : \
\ '
•
-----'❑ PASS I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/
Inspector: 7L... / ■.Gorir Date 3 Phone #: (503) 718- Z
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELC2006.0)Q06
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/1/2006
Phone: (503) 639 -4171 lli u� 1
Inspection Requests (24 Hrs.): (503) 639 -4175 f L .
INSPECTION WORKSHEET FOR DATE: 1/19/2006 TIME: 7 :03AM PAGE: 33
SITE ADDRESS: 14146 SW 97fl -1 PL CLASS OF WORK:
SUBDIVISION: SOLARCREST LOT #: 010 TYPE OF USE:
PROJECT NAME: SANCHF7
DESCRIPTION: Kiln
•
OWNER: SANCHEZ, WiLLIAM PHONE #: 603- 670.0352
CONTRACTOR: YOUNG ELECTRIC PHONE #: 503 - 76.9867
Inspection Request Scheduled For: Date: 1/19/20 Pour Time:
Code # Inspection Description Confir # Contact # Message
199 Electrical final 026281 -01 503 -706 -9867 N
Corrections /Comments /Instructions: .
140 II Z 0 04
[-o gc . , . G:u,cvr Buzik ` at , ,
1\ CJ v L '
FU c pa. 42_2_ . 0 (A)
Ki Li.) w5 E2 O . ® 240 v (byS
µ" p
The electrical installation defects noted
on this report shah be corrected and
an inspection request made within 20
valendar days per OAR y1 - - 0030
I I PASS ❑ PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL `VI CA L FOR INSPECTI n ADDITIONAL FEES ASSESSED
Inspector: / / , � Date: I Phone #: (503) 718- — .