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Permit
Ph :„., , CITY OF TIGARD ELECTRICAL PERMIT PERMIT #: ELC2008 -00418 COMMUNITY DEVELOPMENT DATE ISSUED: 7/21/2008 TIc■RD "r» 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1S134BD-07012 SITE ADDRESS: 10730 SW 115TH AVE ZONING: R - 4.5 SUBDIVISION: ENGLEWOOD NO.3 LOT : 201 JURISDICTION: TIG PROJECT: CHAU Project Description: Installing (2) branch circuits for bathroom 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: SIGNAUPANEL: 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 FOR: 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: CHAU, KWING HUNG AND DRYER ELECTRIC INC LO, MO CHING CHAU AND DBA ROSE CITY ELECTRIC CHAU, WING SZE VINNY PO BOX 86369 TIGARD, OR 97223 PORTLAND, OR 97286 Phone: Contact #: PRI 503 771 - 5667 FAX 503 - 774 -1046 FEES Description Date Amount Reg #: ELE 26 -1 142C [ELPRMT] ELC Permit 7/21/2008 $53.50 LIC 153466 [TAX] 12% State Surchar 7/21/2008 $6.42 SUP 5215S Total $59.92 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 inter 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 t.; OUNC . .03 46.6699 or 1.800.332.2344. -- .± Issued By: / a Permittee Signature: ' ' 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. 07 - 15 - 2008 14:24 FROM T - 970 P.002/002 F -135 Electrical rermit Application - IrOR OFFicr. LiSF. oNL Y - " tt ; ; e r � z City of Tigard SS) Date 7 6. , Permit No ''..."Cc' ej . : ' c. , ...c.c.) 1+, V.: � tI y 13125 SW Hall Bivd„ ard, 0 Ti •�y ~• •j g vi ti Plan Review * IA' Phone: 503.639.4171 Fax: ]t ty: " " =0 • D0.teB : Q[Iter Pecmir.- AT G, Inspe L inc: 503,639:4175 *I Date Ready /By: Jura G3 Sec Page 2 fat - ,t Internet: www.tigard or.gov ‘. • , Notified/Method: - _Q Supplemental Information . . .,��r :,::; :;. e: . '�;J � ... . n , ,: :y.�, - :'r: -P:f , - - $ i + ; . - els _: :. a, riff' , t 't " Y;i c 't ,„� `1J ':i "a - a t ., :� it fi . t � �, ,.' s.:•,,.,z , .+r,. Ji' "•�g {(a,, f �. :,f , a . a a t._ �. ,,)',� t. � 1'r..r, 7;.. ( ;i , K.t : .�� ,tr.,. ;:L ri i�Ski?I {� Y .. ,:.:. " ?- e :�i � * .: . ., 9 n , v� �.` '} ,� r ait S : ,i�:.Y :� �. . t . : 17F �FA'.?fi d � 9. ? . h :?$ . �i. �W : •>t'� 1'ia �.�.+,:, ,.. r - ' ?`.t�:r, _ ... : , �'f � ,. '.+ '... � a, •.. ; , ,• •: ,a . i �! 1 N '\ '' ' Please cheek nil that apply (submit 2. sots of plans wJttems checked below): ❑ New construction tie Addition /alte r ,- At t - , V.� - \ El Service or feeder 400 amps or now ❑ Building over three stories. ❑ Demolition U Other: where the available fault current ❑ Marinas and boatyards. i'i�, ii?t�`t>;'l: h'1:+ :' .,.iili: +i �,.., �� „ } , y ti _ � y t �. ; . f: ,y �o �''� �t•' "U!{� �,�� 'i' exceeds ❑ ntin bnildia y t " ".4iftl'Iti lei, N,Q c tier it t'h ?c. � , ,a t r.;ce;,it +;' gds and, amps at I51 4,O votes or Flo r gs. ' f.,�, = ^;t •., h: s>• �,7.,. �iMr�Q•, �-,• o.;; �1 1.,./ 1., �4.:.;-;• 1' r: �- �, �:%', rtL�i'' �r- r4h` v�„> w91�,. �+�hh- ..s�,a�,i.;EG,;:;:.,..�,? Iesstogtound,otexceed : lt1(I ❑Conuuernal- uscagricultw al • K and 2 - family dwelling ❑ Commercial /industrial ❑ Accessory building amps fur all other installations. buildings. Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ installation of 75 KVA or ; t: -c ±a:� t`' ` (lt n5 , .- t , : ,c. , : ... y4 ,C,& *. t „ ';}4. :n ?¢ ,,t ❑ Emergency system. larger se parately derived system : ; _.4: ;I,�,G, i ''JJ + $t 0- , - T ;n `�" 1; . , tt " :4 n p � , . ...... ... ...,t ' . X:S �,:. '�?- { n ...:, ,, zr , r ...p rn.::,,1 -:.�.: - .,;:S,y.rs. `� d � c:r!'. �.� ❑ Addition of new motor load of ❑ .. .. ,. { _` .. -3 ,. Sob no.: lob site address: 11 100HP or more. occupancy o`ti - i 3 ��f 1a"? 3a St,) l 5 � ' D Six or more residential emits. ❑ Recreational vehicle packs City/State/ZIP: - / � (� Q St`3 ❑ Health-care facilities. El Supply voltage fur moro than .J L �.,_� 1 7 2 �Z ❑ t-tazarduus locations. !d volts nominal. Si ite / bldg. /apt. no,: Project name: l.(ao ❑ Service or feeder 600 amps or more. Cross street /directions to job site 35 Qty. r'rc_ [ Thiel i New residential single- or,multi- family dwelling unit. Includes attached garage. Subdivision: Lot no:: 1,000 sq. ft. or less 145.15 4 Ea. add'l 500 sq. ft. or portion 33.40 1 , I ax map/parcel no.: .:: , , . y r „ n cr r t ri, ;:,1;,-` ,, f b� til, icy 7y "',,: loft -x nj2 d �v -- r)_ + o t l Limited energy, residential 75.00 2 - r "r,.1` -:t -1u s,',, c,# s v .4.pi. , ..'•`..1,, , :ii 7, • • .., t}' .g-•.., i P • t 1 :c s p . � its. o �4 ,. F ( with above sq ft) * _ ,:,: ^ �'.'. �_:;, %� �, r 7t . �{. ra. 41 �t."t'fl�.�;, i, a V rr ,, tt n Limited energy, multi-family 75.00 2 ►/�L�.t N i3' Coq- a Z , 0 t -1 ec•o residential (with above sit . R.) _ Services or feeders installation, alteration, and /or relocation _ _ 200 amps or less 80.30 2 a4' to , ,, • + 1) v s`.1 Jam' ,,V�{'f - ,��s��? ;' 1 y� lb 1} t 4;:. £'i J t yrn f 4.7) n 1.1- i }:.; I'I�Ok(It' � t .,. +,a4 ?+ ,7,;' -. Y: T 4 �sY #:..,.. t� 201 amps IO 111 amps to 400 a106.85 2 _ � t.,. t �� s ue• . t' ; , l ,.;�,� ? @ :� ".r 1�.. wV, +i�i',. p p Name' . SltJ A 401 amps to 600 amps 160.60 2 _ f,� j � '\f l Over 1,000 601 amps to 1,000 amps 210 60 2 Wdiess: U �. 4 l r 454.65 5 L t S amps or volts 2 City /Slate/Z1P :Cri. . r t., -- 42.56 Temporary services or feeders installation, alteration, and /or - --.-- relocation __ Phone. ( ) 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 0 intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701: 401 amps to 599 amps 133.75 ^ ___L . 2 Owner signature: 'CO or extension, per . , :; �`,.: ( , y .) ; � � %, . 'r.r r4 ,Y i r ,.-, :; il� i1:t:gt;lkL 4it�t^ r °t . �. .z,... Y- , ^i:: " ,.,i:,, .,.., Branch r bo for service • B circuits- new, alteration n, cr panel A branch circuits with ' ,,,;.. :14 1: n a t r R { ' ` j� 1040 t n v ervice or feeder fee, ;. ,, . ' ,.�a' 4. ,1j'' RJ..k - , - r , i -, r "i?F hi ;• ••.i at u,, .; .,. loo ••∎•, • ` 'ae,U errs 1, .,.. / l+' each branch circuit I �- 6.65 Ys�� -t-2 -' Business name: B. Fee for branch circuits Contact name: without service or feeder fee, i 46.85 415.1< 2 ' -- -____ first branch circuit Address: + Eacll add'I branch circuit ( 6.65 . 6 . c 2_ - - Miscellaneous (service or feeder not included) i City/State/ZIP: Each manufactured or modular 9090 2 dwelling, service and /or feeder Phone: ( ) F'ax:: ( ) Reconnect only 66 85 2 i E -mail: Pump or irrigation circle 53.40 2 ' S; :?( "i -7;' t>' .� ; ,rr ,� 1 ' y , ) , n i ,... ; .:,�, a r.. r: , � i ,s,e ��. , , - Sign or outline lighting 53.40 2 . ° • ..: J, "3jt; tt+ ° i0 'Q.`t 0�NR,�'�;1 s3«fw' , ,ei- tt. �1+ 4•lt`,, t:rd 1N> +:: :. „. � � � �ti;'�, li5 ?'�''tn:4f<� A"k.. ure,r.St: Signal circuit(s) or limited- Business name: ©e e i - �-��.�, x energy panel, alteration, or [ - Address: extension. Describe: Page 2 j 2 ��ddress: g, L� . IJ� X �jo 3 (o q 6 i City /State /"LIP: ..k),q..-;L,_ ZSGb (z -7 Each additional inspection over allowable In any of the above ` Plume: ( Per inspection 62.50 _. _ ___ S ` 03) - '� ! _S (� ` - F ax: ( jS) '7'j y ` IoY� • Investigation per hour (t hr min) 62 -50 CCI3 Lie.: Is :_Ub, Electrical r . : - I 4 Suprv. Lie.: S ..s-,,S Industrial plant per hour 3. 7 in h ur 73 Suprv. Electrician signature, required: ( ti I /( �d /��w i`caA) ` .3 ;r:',it i 'TOA�fil!FRA[iT F>~T5 v' :: ;; a' - 1 l subtotal: _ 5 3.5 Print name: pp Date: y Plan review (25% of permit fee): - �1?f - ���" ` l- is � ' State surcharge (12% of permit lee): 6.47_ ` authorized signature: TOTAL PERMIT FEE: ( 5ti,1 -- Print name: Date: This permit application expires if a permit is not obtained within 180 (, � days after it has been accepted as complete. " Number of inspections allowed pct permit. i , avii , tlnit'Penmits:h[.0 -Pere, , App dee 05/21/06 440- 4635T(11/05,COsanverl I CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC200B 0041f3 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: miaow Phone: (503) 639 -4171 .' leb4M �r � I /- Inspection Requests (24 Hrs.): (503) 639 -4175 ` .. INSPECTION WORKSHEET FOR DATE: BJ1 J200B TIME: 7:00AM i PAGE: 24 SITE ADDRESS: 10730 SW 115TH AVE CLASS OF WORK: SUBDIVISION: ENGLEWOOD NO .3 LOT #: 201 TYPE OF USE: PROJECT NAME: c.:HAU DESCRIPTION: Installing (2) branch circuits for bathroom remodel. OWNER: GHAU, KWING HUNG AND, PHONE #: CONTRACTOR: DRYER ELECTRIC INC PHONE #: 503 771 - 5667 Inspection Request Scheduled For: Date: 811/2000 Pour Time: Code # Inspection Description Confirm # ' ontact # Message 199 Electrical final 073590 -01 503 - 799 -B694 N Corrections /Comments/ Instructions: oy\ PASS ❑ PART • L APPROVAL n CANCEL , I NO ACCESS ❑ FAIL ❑ j'� iir j 0-.,„.0_,, TION ADDITION L FEES ASSESSED Inspector: y Date: / ° Phone #: (503) 718 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2008 -80418 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/21/2008 Phone: (503) 639 -4171 � Ned fji �li�l Inspection Requests (24 Hrs.): (503) 639 -4175 : ' INSPECTION WORKSHEET FOR DATE: 7/22/2008 TIME: 7:01AM PAGE: 14 SITE ADDRESS: 10730 SW 115TH AVE CLASS OF WORK: SUBDIVISION: ENGLEWOOD NO.3 LOT #: 201 TYPE OF USE: PROJECT NAME: CHAU DESCRIPTION: Installing (2) branch circuits for bathroom remodel. OWNER: CHAU, Kt11NG HUNG AND, PHONE #: CONTRACTOR: DRYER ELECTRIC INC PHONE #: 503. 771 - 5667 Inspection Request Scheduled For: Date: 7/2:212008 Pour Time: Code # Inspection Description Confirm # Contact # Message 120 Electrical rough -in 073006 -03 503-799-8694 Corrections /Comments /Instructions: I to VS, 'r) a -cO C,eV PASS n PARTIAL APPROVAL ❑ CANCEL I I NO ACCESS AIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: G 4 ®v (3 1 Date: 4-1; O Phone #: (503) 718- 1-1114) INSPECTOR'S SIGNATURES ARE NOT Inspections Required for: r REQUIRED ON GREEN INSPECTION CARD. .� Code Inspection Description I PASS Date By ✓ Code Inspection Description PASS Date By BUP - Building Permit ELC - Electrical Permit 405 Excavation 105 Underground /slab cover 410 Fill 110 Temporary electrical service 415 trading 115 Electrical service 205 Footing 120 Electrical rough -in 805 MFG - Structure grading /footing 125 Wall cover 210 Foundation walls 130 Ceiling cover 215 Footing drain 135 Low voltage 220 Slab 140 Sign installation 310 Crawl drain • 145 A/C or heating unit circuit 225 Post /beam structural 150 Hot tub /spa /pool 230 Underfloor insulation 195 Misc. inspection: 235 Shear walls /anchors 199 Electrical final 240 Exterior sheathing 245 Firewall • 250 Roof nailing ELR - Restricted Energy Permit 255 Wtr proofing basement walls 135 Low voltage 260 Tilt -up panel 195 Misc. inspection: 265 Masonry 199 Electrical final 270 Reinforcing steel (rebar) 275 Framing • 810 MFG- Structure set -up MEC - Mechanical Permit 280 Insulation 605 Post /beam mechanical 285 Drywall nailing 610 Gas line 287 Suspended ceiling 615 Mechanical rough -in 295 Misc. inspection: 620 Hydronic piping 899 MFG - Structure final 625 Duct work 498 Grading final 630 Fire damper 299 Final inspection 635 Smoke detector shutdown 640 Exhaust hood 695 Misc. inspection: 699 Mechanical final BUP - Fire Protection System Permit 905 r Sprinkler underfloor /slab PLM - Plumbing Permit 910 Sprinkler rough -in 915 Fire alarm rough in 305 Plumbing underslab 920 Suppression trip test 310 Crawl drain 995 Misc. inspection: 315 Post /beam plumbing 998 Alarm final 320 Plumbing rough -in 999 Sprinkler final 322 Shower pan 330 Water service 335 Rain drain • 340 Storm drain SIT - Site Work Permit 505 Sanitary sewer 405 Excavation 345 Culvert /catch basin 410 Fill . .. 350 Septic tank 415 Grading 395 Misc. inspection: 205 Footing _ 399 Plumbing final 210 Foundation walls 215 Footing drain 420 Sprinkler supply lines SWR - Sewer Permit 495 Misc. inspection: 505 Sanitary sewer 498 Grading final 595 Misc. inspection: 499 Final inspection 599 Final inspection I:\ Building \Forms \InspCard- AOP- Blank.doc 02 /02/07 CITY OF T I GA R D ; _ ELECTRICAL PERMIT r V y' PERMIT #: ELC2008 -00418 COMMUNITY DEVELOPMENT DATE ISSUED: 7/21/2008 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 1 S 134BD -07012 SITE ADDRESS: 10730 SW 115TH AVE ZONING: R -4.5 SUBDIVISION: ENGLEWOOD NO.3 LOT : 201 JURISDICTION: TIG PROJECT: CHAU Project Description: Installing (2) branch circuits for bathroom 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: 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: m CHAU, KWING HUNG AND DRYER ELECTRIC INC LO, MO CHING CHAU AND DBA ROSE CITY ELECTRIC Tr CHAU, WING SZE VINNY PO BOX 86369 TIGARD, OR 97223 • PORTLAND, OR 97286 Phone: Contact #: PRI 503 - 771 - 5667 FAX 503 - 774 -1046 O FEES O M Description Date Amount Reg #: ELI 26-1142C t [ELPRMT] ELC Permit 7/21/2008 $53.50 LIC 153466 0 [TAX] 12% State Surchar 7/21/2008 $6.42 SUP 5215S O Total $59.92 REQUIRED ITEMS AND REPORTS ".. OD • 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 : nter 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 t. OUNC - j .03 46.6699 or 1.800.332.2344. ---+. Issued By: �!'i. �_ ..., `/� Permittee Signature: ' ! ,I ' 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.