Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00235
DEVELOPMENT SERVICES DATE ISSUED: 5/2/2006
4 11 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S101AB - 02704
SITE ADDRESS: 07410 SW BEVELAND RD ZONING: MUE
SUBDIVISION: HERMOSO PARK LOT : 028 JURISDICTION: TIG
Project Description: (3) branch circuits. Relocate switches.
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:
NEWHAM, DAVID ALLEN + BARBARA AN ELECTRICAL CONTRACTORS & DESIG
7410 SW BEVELAND RD 150 NE VICTORY SUITE A
TIGARD, OR 97223 GRESHAM, OR 97070
Phone: Contact #: FAX 503 - 667 -7965
PRI 503 - 666 -9358
FEES
Description Date Amount Reg #: ELE 26 -466C
[ELPRMT] ELC Permit 5/2/2006 $60.15 LIC 47712 •
[TAX] 8% State Surcharge 5/2/2006 $4.81 SUP 1882S
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 -2 -6699 or
1- 800 - 332 -2344.
Issued By: i -_ Permittee Signature:- //
OWNER INSTALLATION ONLY • a'7-L...------
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.
Mly 01 2006 5:00PM Electric-air & 503- 667 -7965 p.1
Electrical Permit Ap lica n � - . ,-- . , . _
1 �OR QT'I {I(1 (Sl tl''
City of Tigard . � Deceived DeteB . _ � P ermit No.:
13125 5W Hall Blvd., Tigard, OR 97223 r> 2�� m , ' L ,04" ,.. ,,
Phone: 503.639.4171 Fax: 503.598.1960 �� �' L 'r Pin Review
M �� - :, l d Date/By: other Permit:
Inspection Line: 503.639.4175 - -1f' -"`b I Date Ready /By; lush: 0 See Page 2 for
Internet: www.ci.tigard.or.us e 1, 1\34 - - Notified/Method: I f Supplemental
st7f�
. � t ^"" �f 1' , h- ( w � r : ....�ac_' 3. : - sill_ -: � '.j*�. i - �.i.�" = r� t �r
1 ,I= -. } , -e� l rc Ili a P ! i lip Ohl .' �J G t ..F a r i
:,. i.�'' -e3,l�br. .�,�__� .,.: = =- !..11t.:t!! - ... ,:�' t: e+}?i- - .- .t. . ,,, . •, , • .--•� .f.,y, ,� ht�, l i ; : ' :
❑ New construction MA.. ition /alteration/replacement Please check all that apply:
❑ Demolition Other: ❑Service over 225 amps, conun'I ❑Hazardous location
a h i ?T� -- j + p , _ i J ,� f - i l , ilV '
::_.]„ ❑Service over 320 amps - racing ❑ Buildag over 10,000 sq. ii,
-- i,r ..-..n 1, -
'. -r?0,, ,,L :;,.,,, j 4 !' of I - and 2- family dwellings 4 or more new residential
❑ I and 2 family dwelling ® Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
['Building over three stones OFeeders, 400 amps or more
El Multi family ❑ Master builder ❑Other
y , n _� !s 0c0 event load over 99 persons ['Manufactured structures or
; t =.�— , .:. � F s .� I ; t.lri .. s s --7i:.;''!"-..-_77.0n1": RV
_.._. -. ,.:tom .��.:,iL� - � itl » ..•_ s .�. � ._,.,,. i ce : - H:, �" .a�. ..:spa ❑E gress/ l ightingp plan
park
Job no.: Job site address: 7411) SW Bevlaad RD OHealt6 -care facility ['Other:
Submit' sets of plans with any of the above.
City/State/ZIP: Tigard, OR The above are not applicable to temporary construction service.
Suite/bldg./apt. t no.: . - 7 i Gi ? t ah ^ M=' h--
p l Project name: Cornerstone ma - ti err .-..- - . ��.
Descrrptien Qty. Fee. Total
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: I Lot no.: Es. add'I 500 sq. ft. or portion 33.40
Tax map /parcel no
Limited energy, residential 75.00 2
h q ,11 _ _ n Limited energy, non-residential 75.00 2
Ai I c t 1_,jA � " ?� I !1 �„ �iti�l_ n r, ' .
. G
. .. - -n >! ,,.: �;�.Lli4 - �;1 ! .�c.,, Each manufactured or modular
Relocate switches dwelling, service and/or feeder , 90.90 _ 2
• Services or feeders installation, alteration, and/or relocation
{ 200 amps or less 80.30 2
,� ' L � �`� Y '� .1 !1!11.1 � t° e-� .. �: "; Iiii tt -i y g a- : 401 amps t0 400 amps 160.85 2
,,.- „_s„_¢ },,,_ . � � - ,•�1'w 40l amps to 600 amps 160.60 2
Name: 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: ( ) I Fax: ( ) relocation
200 amps or less 66.85 I 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
h i± - <t _.!>f t ----:------ ` a.r } 's `� It ' lf i_i” ' I „- ,, A1 .!t,, -.. = . rot' „- A. Fee for branch circuits' with
service or feeder fee each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee,
Address:
first branch circuit 46.85 t fb 8,s 2
Each add'I branch circuit 2 6.65 I 3,30 2
City /State /ZIP: Miscellaneous (service or feeder not Included)
Phone: ( or irrigation circle 53.40 2
) f Fax:: ( ) Sign or outline lighting • 53.40 2
Email
Signal circuit(s) ts) or Limited-
r 44; ; ,,h� 4 - _ _ . ,: .fir :17..” hl :t-- energy panel, alteration, or
Business name: Electrical Contractors & Design, Inc.
extension. Describe_ Page 2 2
Address: 150 NE Victory, Suite A Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State/ZIP: Gresham, OR 97030 Investigation per hour (I to min) 62.50
Phone: (503) 666 -9358 Fax: (503) 667 -7965 Industrial plant per hour 73.75
CCB Lic.: 47712 Electrical Lie.: 26 - 466C Suprv. Lie.: 1882S Subtotal 61),
Suprv. Electrician signature, required: f� T W Plan review (25% of permit fee)
Print name: E r nes - 1 V1/n lain
Date: S /06 State surcharge(8 %of p ermit fee) L� . 9 I
`J TOTAL PERMIT FEE .eL f Q
Authorized signature:
This permit epp8gtba expires if a permit M t obtsreed within 155
days alter it het bea accepted omplete
Print name: I Date: • Fee methodology set by Tri County Building Industry Service Beard
" Number of inspections per permit allowed
i \Build;asiwmnitsu t aPenmtApp.dec 12/03 440.4615T110/07./CO vWHE
CITY OF TIGARD
, .---- -
BUILDING DIVISION PERMIT #: ELC2006-00235
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2/2006
Phone: (503) 639-4171 :Wilt
Inspection Requests (24 Hrs.): (503) 639-4175 ,..
-------- L.
INSPECTION WORKSHEET FOR DATE: 647/2006 TIME: 7:06AM PAGE: 45
SITE ADDRESS: 07410 SW BEVELAND RD CLASS OF WORK:
SUBDIVISION: HERMOSO PARK LOT #: 028 TYPE OF USE:
PROJECT NAME: JIM SHOOK C.P.A.
DESCRIPTION: (3) branch circuits. Relocate switches.
OWNER: NEWHAM, DAVID ALLEN + BARBARA AN, PHONE #:
CONTRACTOR: ELECTRICAL CONTRACTORS & DESIG PHONE #: 503-666-9368
Inspection Request Scheduled For: Date: 617/2006 Pour Time:
e # Inspection Description
Confirm # Contact # Message
199
C
Electrical final
031267-01
503-504-1294
N
Corrections/Comments/Inst . ctions:
X PASS fl PARTIAL APPROVAL D CANCEL ri NO ACCESS
FAIL ri CALL FOR INSPECTION El ADDITIONAL FEES ASSESSED
Inspector: 6.- 11\66 4 Date: C - 1- - C.5 Phone #: (503) 718- ?At
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: ELC2006-00235
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2/2006
Phone: (503) 639-4171 :4,411111\
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 6/512006 TIME: 7:02AM PAGE: 77
SITE ADDRESS: 07410 SW [3EVELAND RD CLASS OF WORK:
SUBDIVISION: HERMOSO PARK LOT #: 028 TYPE OF USE:
PROJECT NAME: JIM SHOOK C.P.A.
DESCRIPTION: (3) branch circuits. Relocate switches.
OWNER: NEWHAM, DAVID ALLEN + BARBARA AN, PHONE #: •
CONTRACTOR: ELECTRICAL CONTRACTORS & DESIG PHONE #: 503 -666-9358
Inspection Request Scheduled For: Date: 6/512006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 031033.01 503-504-1294
Corrections/Comments/Instructions:
‘‹E 4 cALs o N od) ( cog) WALLS
6\k r.,61 o 0 egox Ng 0.3
. Tu Kt 0 3
< c ov . 9%1-
PASS EI PARTIAL APPROVAL n CANCEL
NO ACCESS
IA FAIL gl CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: N (*) LE Date: {) Oki Phone #: (503) 718- - 2-ALtic) •
CITY OF � ��un n n~�n TIGARD
BUILDING ��U��U��U��N� ' ^
DIVISION ~� � PERMIT #: ELC300&00235
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/2/2DO6
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175 ^
INSPECTION WORKSHEET FOR DATE: 6/3/2006 TIME: 7:O13AK* PAGE: 7
SITE ADDRESS: 07410 5WBEYELANDRQ CLASS OF WORK:
SUBDIVISION: HERMOSO PARK LOT #: 076 TYPE OF USE:
PROJECT NAME: JIM SHOOK C.P.A.
DESCRIPTION: (3) branch circuits. Rm|ocatmmwitch*a.
OWNER: NtW1AM. DAVID ALLEN +BARBARA AN, PHONE #:
CONTRACTOR: ELECTRICAL CONTRACTORS & DESIG PHONE #: 503
Inspection Request Scheduled For: Date: 5/3/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough-in 029I06-01 503-504-1294 �4
Corrections/Comments/Instructions:
ti ~^SS 0 PARTIAL APPROVAL 0 CANCEL I NO ACCESS
111 FAIL CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
G --, �` � �J( Inspector: «�� Date: �� Phone #: (503) 718' ��y���,4