Permit A. .+ CITY OF TIGARD PERMIT
PERMIT #: ELC2006 -00434
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4 DEVELOPMENT SERVICES DATE ISSUED: 8/7/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S134AC-05500
SITE ADDRESS: 10985 SW 109TH AVE ZONING: R -4.5
SUBDIVISION: HARTS LANDING LOT : 026 JURISDICTION: TIG
Project Description: (3) branch circuits for kitchen & bath remodel.
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:
PIN, JOHN W HARVEY ROSE ELECTRIC SERVICES
10985 SW 109TH AVE PO BOX 128
TIGARD, OR 97223 NORTH PLAINS, OR 97133
Phone: 503 - 684 -8180 Contact #: FAX 503 - 648 -8254
PRI 503 - 789 -3284
FEES
Description Date Amount Reg #: ELE 34 -130C
[ELPRMT] ELC Permit 8/7/2006 $60.15 LIC 43084
[TAX] 8% State Surcharge 8/7/2006 $4.81 SUP 27675
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.
r
Issued By: _ LA t y,_, Permittee Signature: Jam) N),..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.
ROM ':;BARBAR'S&ROSEELEC" FAX NO. :5036488254 Aug. 04 2006 11:45AM P2
08/04/2006 10:29 FAX 5035f181960 gplo17. T I GARD Z001
...
lectrical Pe ' * - ' 1
..... 13125
City of Tigard Rec&IIIPIIIIMMIPIIIIMMI/7 ^ - f - l ''
Ntotty" - 1Pcd)-. P:1161 No t - dc-wP 4 6 - 7 70 y..r"
N..,„,. SW Hall Blvd., Tigard, Ok 9722 04. 7006 Plan Review .Y V
IEZ` Phone: 503,394i7 ) Parc 503,533,10 1241041 Mar Polemic
Lbw $01639,4175 , , , rii4,1) thra Reedyney Auh - 7:iriao rep 3 for
Int erne * , n - ww-ligerd-orizpv 1 y k_fl -
i a - Tiro -.,,k1?0 Q Suppiewstai eatormetion
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'ffiTi... ,,,,,,frwth., --- al Arldifioritalterationleeplaeoznera rteen eteet ea tha apply . 'tr tea . * • OM W tons a ": - • • •
fJ Service or feeder 400 ono or wow Moog data ever ttaac atoriee.
0 Meson El Other: Not." ii,a m4116140 fa& Oltinft 0 Mtlitilis ap4
A bparce,
i"'"7".•'"I'AcTkia ... ., ..,. womb ro,coo am a t tso ,,,,tz or 1:3 Pleating boil
INT,V :', .. . '. , i . . 7774Fel4=•.'! '-r,e'? :
Ina to gnsund. 07 ClICCC6 1 4,000 Cattrilettild-1128 aencit rasa!
J. I- and 2-fanilly dwell Ll
ing Coommefoiallindustrial 0 A D eceoeory buildne *rot rer al otter iterallabOni, battings
ID Mulii-farn builder Q Other: El FIrc puma Inrnstana6021 el "i 1CV Act
; ri y. =^ ' 1". ' . ' ' 1 titiftfAXiii62/FOS 4 4q4 7, :'35C:! nEnterpog system. lafplr $Cipalligiiy d6I1Ved System.
Job no.: I Jon site address: I vatr
VC, 9 . 5 cli pdr --ir 1001-I* or wore neceproey.
0 Sic IN mote residential mils 0 Rearon
idal ldr pats,
,
City/State/ZIP: 1 , ... a c g g_11-?-> DRaddi-ceic tagilidea, 0 SegielY winos kr Mtn den
- --. -- 0 lhoardour toe:now. 600 Volta mem.
SuttrJblcig./0. no.: v ( Pr0ject name: Li struto• or larder 600 zap ay more.
4k
Cross street/clirections toil* ix'. M., 7- 4,,, p 47 k /0 Tel' n .1 ILK7MMOXIMI11111717.71111•3111
New residantial ale- or innitS4f2mlly thaeRiag wait.
- --5-. iscItIdei Snit beil garage.
Subdivision: 7 Lot no.: 1.000 eg, II, or Inas - IRIZE11111.1131
Ely, hail 500 arkit. orporrion _ 111 13.40 .
Tax mapipareei no.: Limited clergy onidential - .--
75.00
Limited energy, nutra-tantily III 754° 11119
mai th dtetial wi above .. 11.
_
Services or feeders Installation 1: r !.
- 200 omas VW kW .11 8030 El
,,,:„,..e.. ,,,,,.,.rr . .... : pigtvzo ..4,-,,...„ .:.! 201 r ip, ,,,,-90...p. 101.
Natt1e: ' \ ,N,. (i o` \r-,, 401 mos to 600 antos 160
. .60
601. ... to 1,000n .. 240... 2
k
Mims: Over 1,000 . or *eche 454.65 mi
Wa.parary services or feeders insiniliolienaTiatcraSioTi, ano/or
City/State/ZIP:
- -
14.4°11°: ) 0 C 7,_ j_2_,Y___,O______Ltl ) 200 stops or less 1111 66_8S
- ... III
Owner installation: This installation is being made or) property that I own whith is not 1°1 41411:13 t°4°° mg's' 100.30
Intended for salc, lam, mit, or achanV, according to ORS 441, 4-49, 610, and 101. 2 1Elt" r arnl.. 133.75
granch titertas new, alterat; r s .. tts" , . . r , -, eel
Owner signarare: _ Date: A Fee kr beach circuits wah
+7-;;;■;;: '?":4!'■Ve3;44* : 40,,.: ;:Z.:10.4i, ,,,, 67.' }s !,4 7 i i■ , ' ll'''1: ; aboVe ateridee ar theist fee
, 0 6.65 Ella
=0 ranch efrenie
Business none: S. Foe kr Wan& eirouite
_----
withoete swim ce feeder fee, I
Contact name: flott hanets eireait 46.85 y/ • 2
.tt -
Each addi branch circuit 6.65 2
Address;
- - refiseelbinalla iterriee or feeder Rot 'Delo , .
Ciry/StatalZIP: Eel nienufectured or =cider 90.90 INN
.._, doeeRies_service and/or fccdce
Phone: ( ) .1 Fax:. ( Reconnect enry - 66.35
E-mail: Pump Ofiliihatti011 61'd0 Ili 53_40 IMI
.
: ,7,„t',;4 ,7 Fv,i„; . :.v . , , ;,;N::,.:'.:, 7 *=:, e!'ts i> , • . raii .?,, ?;Aq, :4' .??Itlfre",7•Vco,FROTN:;cfP. sign ga outline Itff)ltil% : 11111 53.40
tgaii eircuit(s) or • -
31,1471E1= MUM: • • ' 411P
la Ih . --- ?")
er• Ir t C 51/e- tnergy Rad, alteration. 0
-.......,,, ,
Address: i62 0,. 11PL . ,.........____ :sear/ion Describe: Page 2 2
City/State/ZIP: Al /17 /hi 4 f ( 9 7 13 3___ Zieli additional itil ■ .., ■ ever allowabk la an of the .;.„;,4 v:
/.. , 1 Per in - - - :on IIII 62_60 0.1111
Phone: (S ) 7e 9_ I Fax: ( ____.) __ Invottigation per hour (1 ter Mill) al 62.0
5
111111M1
coa Lio,y3oect Electrical Lie.: y--/ ?Jac.] Suprv. Lic.: 6 4 ‘ . 5' intiastrini plant tea how
..e.... riparitiffia.2.1 ..'••••••53r) , 1.. , ,14 Li o r ,..7 . ..:::=311,
Suprv- Electrician signature, required: c‘ ,...)1 - t-- Subtotal:
_--
Plan review (25% of permit fee):
P rint m 4 / a ane; it p.S.L___ Date: 1 VP--e,---‘ .
c.! , Mote alltellarSe (8% 61 WW1 MO: igiwzira
Authorized signatory*. TOTAL PEWIT FE/3 - . 441t e
---- rasa permit apputetien raptras it a permit hoot i .0
Print netno: ipate: days Merit km Waft accepted as complete.
-------
-- , - * Menadrof (ins Cowed per tannit,
lAlluilainaSINnekekraLC•PVINC 135/23)06 440-ati FM VoI/COMMEll
CITY OF TIGARD . A ...
..
BUILDING DIVISION PERMIT #: ELC2006.004 4
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 0/7/2006
Phone: (503) 639 -4171 Auhoi
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/8/2006 TIME: 7:03AM PAGE: 16
'Kato- G /Pco
SITE ADDRESS: 10985 SW 109TH AVE CLASS OF WORK:
SUBDIVISION: HART'S LANDING LOT #: 026 TYPE OF USE:
PROJECT NAME: PIN
DESCRIPTION: (3) branch circuits for Iatchen & bath remodel.
OWNER: PIN, JOHN W, PHONE #: 5Q3•684 -8180 .
CONTRACTOR: HARVEY ROSE ELECTRIC SERVICES PHONE #: 503- 789.3284
Inspection Request Scheduled For: Date: `I1/8/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Me e
199 Electrical final 039454 -01 503 -789 -3284 Y AA
Corrections /Comments/ Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL 1 I NO ACCESS
)10
NI F' IL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Ce Date: ii g 4 Phone #: (503) 718 - L-Ny
CITY OF TIGARD -•
BUILDING DIVISION PERMIT #: ELC200G.00434
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/712006
Phone: (503) 639 -4171 P i .
Inspection Requests (24 Hrs.): (503) 639 -4175 . '
INSPECTION WORKSHEET FOR DATE: 811112006 TIME: 7 :06Ahoi PAGE: 9
SITE ADDRESS: 10985 SW 109TH AVE CLASS OF WORK:
SUBDIVISION: HART'S LANDING LOT #: 026 TYPE OF USE:
PROJECT NAME: RN
DESCRIPTION: (3) branch circuits for kitchen & bath remodel.
OWNER: PIN, JOHN W, PHONE #: 503.684 -8180
CONTRACTOR: HARVEY ROSE ELECTRIC SERVICES PHONE #: 693.789.3284
Inspection Request Scheduled For: Date: 811112006 Pour Time:
° • - - : • I -scription Confirm # Contact # Message
130 Ceiling cover 03483802 503.789.3284 N
•
Cor - - • • •• •• s ructions:
A PASS ❑ PARTIAL APPROVAL n CANCEL . ❑ NO ACCESS
FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: '- Date: Phone #: (503) 718-
CITY OF TIGARD 7.
BUILDING DIVISION PERMIT #: ELC2O00 -004 34
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/7/2006
Phone: (503) 639 -4171 j zl
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/11/2006 TIME: 7 PAGE:
SITE ADDRESS: 10085 SW 109TH AVE CLASS OF WORK:
SUBDIVISION: HART'S LANDING LOT #: 026 TYPE OF USE:
PROJECT NAME: PIN
DESCRIPTION: (3) branch circuits for Idtchen & bath remodel.
OWNER: PIN, JOHN W, PHONE #: 503-684-8180
CONTRACTOR: HARVEY ROSE ELECTRIC SERVICES PHONE #: 503469 -3284
Inspection Request Scheduled For: Date: 8/11/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 034838.01 503 - 788 -3284 N
Corrections /Comments/ Instructions:
)PASS ❑ PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS
FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Cr-1 11 1 bQ Date: if 1 06 Phone #: (503) 718 -1