Permit CITY O I TIGARD GARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00411
DEVELOPMENT SERVICES DATE ISSUED: 7/27/2006
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13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S104DC -00500
SITE ADDRESS: 13398 SW BENCHVIEW TERR ZONING: R -4.5
SUBDIVISION: BENCHVIEW ESTATES LOT : 005 JURISDICTION: TIG
Project Description: Wire a/c and (2) branch circuits in garage. Job No. 067648
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 HMI 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:
CORNELIUS FAMILY TRUST DRYER ELECTRIC INC
13398 SW BENCHVIEW TERR PO BOX 86369
TIGARD, OR 97223 PORTLAND, OR 97286
Phone: Contact #: PRI 503 - 287 -6764
FAX 503 - 282 -1060
FEES
Description Date Amount Reg #: ELE 26-1142C
[ELPRMT] ELC Permit 7/27/2006 $60.15 LIC 153466
[TAX] 8% State Surcharge 7/27/2006 $4.82 SUP 2876S
Total $64.97 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: ' /� _ Permittee Signature: `.,/� ■111re....■
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.
07-37 10:01 FROM- T-098 P.002/002 F-593
. ..,........-...........,..a. A. ....,/. mat. E
Received , , 1
City of Tigard . .4
Dateisy: 6 b - , a ,,,p, o Permit No.: E L . e_ . _.
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 44, 11411A. Date/By: Other Permit:
Inspection Line: 503.639.4175 _41; a■ I I Dare Ready/By; Anis: &I See Page 2 for
Internet: www.ci.tigard.or,us Notified/Method: ` Supplemental 'Information
Vi: ............................................................... 10fkiiii .......... ;,...!:i:!i1i . : ; : :;1,1:i 2 gili:1;7 . :iii-,i=: . ........ , . ... .. ! F : , !! ,,, :: ," : 1 : = .. : , ii , 3 1, 1 101 AN :- . ,.- Itt ,',-- v, -- * -- w. -
0 New construction [RI Addition/alteration/replacement Please check all that apply:
El Service over 225 amps, comin'l ['Hazardous location
0 Demolition 0 Other:
, _ Service over 320 amps - rating ['Bulldog over 10,000 sq. ft.,
'''''' • - • - ' ...... "--""""--,,,,- : -, C./VI'P.GORY - OF , CONSTRUC4_ 11 ,,O,,N: " :5::::::..:,. .. ,..!:,,,,,...,,,,,,,-7 of I- and 2-family dwellings 4 or more new residential
11 1- and 2-family dwelling 0 Commercial/industrial 0 Accessory building ElSystern over 600 volts nominal units in one structure
['Building over three stories ['Feeders, 400 amps or more
0 Multi-family 0 Master builder 0 Other:
, . ..., 00ccupant load over 99 persons ['Manufactured structures or
: :•':-:: , ' :; •'"'. : '' - :•" . : : '' E.- : . " . 1: .:::"i:;.: . ::::;;;: .. :::7. PEgress/lighting plan RV park
- Job no.: 6676Lar Job site address: ) 3 31,9- fil Other:
3 ( geA' 7 i , "nre S f o a ;p il l i a t n Y s with any of the above.
City/State/Z1P: 7 .--1 '
0 fr"- 17Z.23 T to he above are riot applicable temporary construction service.
/Te3 !:7:gi;1,4tE:iSef)-EIA4,:
Suite/bldg./apt. no.: Project name: .1 ;:,
ie V Description Qty. Fee. Toral
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
— Limited energy, residential 75.00 2
['ax map/parcel no.:
I hinted energy, non-residential 75.00 2
! . 1 .?:P=$:Cf.ilti:10.:'''..0- , t 7 W 0 Wi: i . 7 . :: . 2.- ,::‘,-, ,:. 1:::::::::;:i:::;:;:.:::;: Each manufactured or modular
k dwelling, service and/or feeder 90.90 2
L,...)1 v 6 C 2- c s ".. . 4744 - r" Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
,,- , •:,:- -: . ! . it: ...... it- , i ,.,,,,,,,::;:::-::::, , ---.::::: 201 amps to 400 amps 106.85 2
'"' .' ............. ::'.:':::::::::'i: i - :,',::!;; ; :::::: :=;*;;;t;h4 ;.1;;;PILIATANT:;,,.1:::::::.,T;:i,;:f ,
401 amps to 600 amps 160.60 2
Name: 00 ditLi ..- 1 ex.f2 4/ c- ) 72:4(51 601 amps to 1,000 amps 240.60 2
Address: 5 /(4-7 f 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
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 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
: :: jiiii ........ ............... ....... ............ A. Fee for branch circuits with
service or feeder fee, each
Business name: branch circuit 6.65 2
/ — B. Fee for branch circuits
Contact name:
without service or feeder fee,
each branch circuit 46.85 C e‘, 95 2
Add ress:
Each add'l branch circuit 7- 6.65 1 3, 3 _ 0 2
City/State/ZIP: - - Miscellaneous (service or feeder not included)
• i
Pump or irrigation circle 53.40 2
Phone: . Fax: : (
Sign or outline lighting 53.40 2
E-mail: Signal circuit(s) or limited-
OiciNc.iria"dOtiq:': !-::::::::.:;::;-;::: ...... . :,:li': energy panel, alteration, or • extension. Describe: Page 2 2
Business name: N
,.... ry t e- c, 1 eCtel C
Address: p, 0 Box s'63G`i Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State/ZIP: p 0 e" q 72 ire Investigation per hour (1 hr min) 62.50
industrial plant per hour 73.75
Phone: (SD 3)a ) z.-' 2. _ /e 6b ..... ,,„„„ , , ....- - - - - --- ---- -- ' • -- --------- , - -- - - - ,,-, ..... :
,
CCB Lie.: 1S z,i6 4, Electrical Lic.: 2 -tp - /N2 C Suprv. Lie.: 2i5 74 ,g
Subtotal ( 0, /5
- ------- .
Suprv. Electrician signature, required: L - -9--- , -___LL - - ---. Plan review (25% of permit fee)
Print name: Z Ci 6 soi I Date: 2,3,76s State surcharge (8% of permit fee) q. PZ-
TOTAL PERMIT FEE 6 y q7
Authorized signature:
This permit application expires if a permit is not obtained within ISO
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.
i: \I3uild ingTenn its \ELC-PernmApp.doc 12/03 440
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELt 200&.00411
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7127/2006
Phone: (503) 639 -4171 1 4141
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 0/16/2006 TIME: 7:05AM PAGE: t30
SITE ADDRESS: 13398 SW BENCHVIEW TERR CLASS OF WORK:
SUBDIVISION: BENCHVIEW ESTATES LOT #: 005 TYPE OF USE:
PROJECT NAME: CORNELIUS
DESCRIPTION: Wire a/c and (2) branch circuits in garage. Job No. 067648
OWNER: CORNELIUS FAMILY TRUST, PHONE #:
CONTRACTOR: DRYER ELECTRIC INC PHONE #: 503
Inspection Request Scheduled For: Date: 8/16/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
1455 NC or heating unit circuit 036027 -01 661 -400 -4001 Y
A 1 4 4 ( c2.toc e
Corrections /Comments/ Instructions:
NO le,' Co &r #1 P r_ il of ÷0 1 CVC-- i ✓ ; / f
e 9 V d C u e LI v4-f e /c° c- d5r- p QA0 1 1. , ; 1---
P
P,4 SS ❑ PARTIAL APPROVAL _ CANCEL PI NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: i (/ Date: Phone #: (503) 718-
,
CITY OF TIGARD
BUI LDING DIVISION PERMIT #: ELC2006 -00413
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/2712006
Phone: (503) 639 -4171 . � pu�ij� l + ■
Inspection Requests (24 Hrs.): (503) 639 -4175 �� =__..
INSPECTION WORKSHEET FOR DATE: 8/3/2006 TIME: 7:05AM PAGE: 62
SITE ADDRESS: 13398 SW BENCHVIEW TERR CLASS OF WORK:
SUBDIVISION: BENCHVIEW ESTATES LOT #: 006 TYPE OF USE:
PROJECT NAME: CORNELIUS
DESCRIPTION: Wire a/c and (2) branch circuits in garage. Jab No. 067648
OWNER: CORNELIUS FAMILY TRUST, PHONE #:
CONTRACTOR: DRYER ELECTRIC INC PHONE #: 503-287-6764
Inspection Request Scheduled For: Date: 8/3/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
145 NC or heating unit circuit 034281 -01 503.579.3082 N
Corrections /Comments /Instructions:
IN NI tkpl IV e Rail-- .
hit 6 , i4y1b 17 a (MFG / y < ���� At
W 0- D 1k cif -
❑ PASS PARTIAL APPROVAL CANCEL n NO ACCESS
FAIL ❑ CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: 1A-ruf Date: 1 k 6 C' Phone #: (503) 718 - t ill)