Permit C ITY Y OF TIGARD _ ELECTRICAL PERMIT
_ PERMIT #: ELC2006 00028
, '_� l 1 i DEVELOPMENT SERVICES DATE ISSUED: 1/17/2006
- ,r1 3125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 23111 BC -02700
SITE ADDRESS: 10380 SW CANTERBURY LN ZONING: R -3.5
SUBDIVISION: TIGARDVILLE HEIGHTS LOT : 005 JURISDICTION: TIG
Project Description GFCI for hot tub.
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: 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:
PAUL MILLER BEAR ELECTRIC
10380 SW CANTERBURY LN P.O. BOX 389
TIGARD, OR 97223 DONALD, OR 97020
Phone: Contact #: PRI 503 -678 -1355
FAX 503 - 678 -1108
FEES
Description Date Amount Reg #: LIC 20919
[ELPRMT] ELC Permit 1/12/2006 $46.85 ELF 24 -107C
[TAX] 8% State Surcharge 1/12/2006 $3.75 SUP 49023
Total $50.60 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 -8 - 332 -2344.
Issued By: CvtA.,q cam. Permittee Signature: a-y_. Gtid, QL
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.16. 2006 2:30PM- BEAR ELECTRIC No.0008 P. 2
- r cy . t ►r.. j 21 L / d` m . - -
v •
Electrical Permit A ' � FO B O o v.
City of Tigard EE- /'1 Permit No ;4sioTv `0.4Zg OR 97223 ew _
Phone: 503.639.4171 Fax 503 598 1960 JAN 1 7 2006 ‘4 `' i ' ' w� I r Pate/By. Mar Permit
Inspection Line: 503.639.4175 T Pau Read B f urls:
-41 . �•«�.. Not Ready /By: See Page for
Internet: www.ci_tigard.or,us CITY OF TIGA ,., ed/M 77 S m
cdrod: uppleen[al lnfornrRrion
��a',.r"i ;,�.+ +,Fvl;o' tin .,,F " ;.�y „�rrs:•f " Ia ;W h�l; ^tar ' � ;ci=� �7&'..�.g a "�� y - ,r- �;
;ge, gs .,:+•�.C- ;� fLti 4;H 1; ;. �; I � .✓,If ervcG - * - � ' . 1" I.6 i' ief " - i ;. k w k,�;.;. - _ -- .
'h 't r ". r. . l h �i� „pn U .) - r.. 1. f� r i 5_: t r �3 ..4< ; �.
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..;r,:5',aP wt: l pll,y, .td.. �� lr- � ;v� "Ila , . _n F-� -.: a.� . � ';'.. .. � r": � r•- finF n:v t . y i .,; , '"'- _
❑ New construction ❑ Addition /alteration /replacement Please check all that apply
❑ Demolition ❑ Other: ❑Service over 225 amps. cornrn'1 ❑Hazardous location
!
1jQrl ;��i�� �� I wo. er ln rM x; �,. r rrro •i,:. . :•r "a ru: w, ', ,„ . 5a ..• ;, [Service over 320 amps - rating ❑13uildrlg over 10.000 s ft.
il 'I g' F r,'s, a - ,,,� fit „.�.- � .•;;, t ;.�:r: q
to : .J � . It� �f IRJR.l 1, I ?l. ' p T a q"r ' '" a ';, ,..�
Mil.,,o,.lpre; 1,r..m,.,aN; ..�r..iul ;.,,t� "?!, ,- ,. „;ma� - iI,��q,,i,j, .:, : n ,::`::::: :- of 1 -and 2-family w
e nr:r�a ; ... _�:�., rn,•r. , �111�1 ,,.;r �- ';� ;::. _r.;:;c.,; : ��#,I y d ellings 4 or more ncw residential
❑ 1 and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑S over 600 volts nominal units in one Stricture
El ❑Building over three stories OPeeders, 400 amps or more
Multi-family ❑ Master builder ❑ Other.
:h(i” :�'9, +':'e ;,�y :r i p: ,�'�a•,i -n „:; •,x,;,x,; ,: ❑occupant load over 99 aersrms ❑ Manufactured structures or
s ";:1$T -� I�h �'G: "�, °ryryY..f i �t �4 ^' .,�,.o >e ;. y a�sci p,a', :ca:ev,•M Iliy le e ` ` "f.�.�:!;!P: •, ,. >,.�• "'%
a a' 7 .,I�; s!Sa - zri .5 1 "•'''kA °.,o' 'u,,•pp { ', '. Ri, c 7• t ag <1 . g il5 yip ��li..�., 4 4 ; ;�1iw' r,��,.K'�'1''f n RV park
��;dr`r f_sk�.,~ 5„...e � � ,ylri7tv�t.: r.': �•: F: E' 3{ 11�`.',, �, r,,,� S: ':'+.,a,...,,.� �} `+I•'� ❑BgresS/li P'
Mr...,M
Job no.: Job site address:`e)�j QO �+ .� C . 7.-tr. L ❑Eiralth- carcfscitiry ❑Other -_
D Submit 2 sets of plans with any of the above.
Cily /State /ZIP: T a- 4 9 222 4 LN4 The above are not applicable to temporary construction service.
. • ----- - - - -' — _ _ _ _ _
Suite/hldgJapt. no_: Project n ame: `f -r ! . _ , ,T`C;sa '�_ -.:. ... •
1)uecipiien t tj, I Fes. Teel I
Cross street/directions to job Site: 9,96 , 4.-.1 New residential single - or multi family dwelling unit.
Includes attached garage.
C ' e'h •t L ca.A..e. 1,000 sq. ft. or Icss i43.15 I j 4
Subdivision: l Lot no.: Ea, add'15O0 sq. fi. of portion 33.40 33.40' t
Limited energy, residential 75.00 2
Tax map /patce, no.: Limited energy, -
']a ; ; ;.'sw „s[r'4"'!�p (I,rtu p... . „� ,.a,. _ a y y . i ,� w . y .,)� rgy, non - residential 75 2
.' ' . �,n'- ''�'yly� ;; � rAf��pIIH wry• �(,n (,: �: 'Rr��l4il�,M'.i; .ui %' "`�h`ii +�4- -,c� , �:+� %n� tl�
J a:�ii i 811' i6 `� ».,69 +FS� L4;a +,1a Ikl 'i , ,. `., � 4 f a • i� ,M , a 5
1 i ��+ � 1 d �- ���i1 ;''•>�, .'�:. Srr>! ''�Itvt,•:`'sL•��Irl.l��fe�:.:, �'r..ti'�a.�tv.,,w�,t Each manufactured or modular
J(c Q i dwelling, service and/or feeder 90.90 2 _
t n 5 ` a / y c /. • - v, 9- Services or feeders installation, alteration, and /or relocation
v d V • Q r mr 7' jp w �y- �,0� 200 amps or less 80.30 2
y t " gEi'r I . ap..5a . �P 1 , .n c.o,:48 ,p : tl i u : I;Ilrl h a yl, _ � v "J , Ly ,, .: y ,.L 2O1 am S to 4OO amps
, I I. i t , r . d„I ' I' „ , .4 106.85 3
I ;ii , I I-1 . f sa zwr ^ Y.,, . ilia VA j " ,,,,Iy 1 . it Ilit e : J1...,._
. I� I >' ' � th �k '
IAR P P i
�, ,. t:,5: r�lu.{. ! L!I i d �., ��7. _q!h_r•,. li �R till �:ses• ” . a„ Es t. d��i�t-
`� 401 amps to 600 amps 160.60 I 2
Name: - 601 amps to 1,000 amps 240.60 2
Address: F2.a„.._ Over 1,000 amps or volts _ 454.65 2
-- - Reconnect only 66.85 12
City/State/ZIP: Temporary services or feeders installation, alteration, and /or
- " — relocation
Phone: (SOS) • Pax: ( ) 200 amps or less I 66.85 I 1
• wner 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„ least, rent, or exchange, according to OR 447, 449, 670, and 701 401 amps to 600 amps - J 133.75 2
Owner signature: Date: Branch nc11 circuits - new, alteration, or extension, per panel
'AWAIT, 9 f �913'y' �; 5.. :,( ��I ;�,,�°.• x XI i(i {� a � ;i�`IC i� IOFT JF i; i F� :r1 "I D i'; a ..t ::r 1� ` y - :,,I A. Pee f or b an circuits — - . .
mew h!n;.v_ ,..,,..,,,.: `N9...; x':',S�,t,4. i t as k 7, : I:? i r� I ,. �i , , n i iJ bi 1] Wt!}I
�. J.. ,s,Gl('fiu_..... • 1 ti.,.,a,n,,v "'i�'ii1:,.:wJ�I_ service or feeder fee, each
Business name: 6.65 2
_ branch circuit _ •
Contact name: a- i y- r G , ' --- B. Fee for branch circuits
Y `r(*rG /" without service or feeder fee,
each branch circuit 46.85 (/6 es 2
Elddress: -.
- Each add'] branch circuit 6.65 2
City /State /ZIP: Miscellaneous (service or feeder not Included) -
Phone: ( ) : ( - ) • Pump or irrigation circle I 53.40 [ — . 2
FaX. Sign or outline lighting • I 53.40 � 2
w'r' }•v^I E-mail; ai I, utr, T,I �t` i��'1'rz'; t!I ;f:9'�� � a: :,.. ,�•, s, ic' ;�: s s:� : ... a . n, Signal circuit(s) err limited -
I F ' a ::qq'' rl• i, F i m i . d� e p t��� �1 y rylgi '�:=..1"f2 i i t ) ' y(�} el cnU a c1,
1C; Bpi ,r �W�ta� S•I, i�1w�b &r 1M. ;�:a, ;:��•A �'" 2 a, n�,` �,iT�'�!� ^itilS:)n..9!I�t�,7, 1411 ),��i!�l� ?y.r- .: ;,,�,.t�ti.... �9, 1f.1� ,ll6ifrlh.�++•'�=�'+1:f7 ' 1) n �11CratrOn 47
/ ' extension. Lbescrihc: Page 2 2
3usineSS name: _ v I, 1
AOL T _ ..
kcIdress: R. O . G Qv ._ '3 8-1 Each additional inspection over allowable in any of the above _
= try /Siate/7_1P:� � Pcr inspection 62.50
or , 1 ck 0 rye'' 6,.., 0 -? p Z 47 Investigation per hour (1 hr nun) _62,50
'hone: (s 3) C 5- 3s 1 Pax: (5 7)3) 6,-7 E--- lice Industrial plant per hour - ^~ 73.75
a
_Cl3 Lic.:'ZG t 47 . Electrical Lic.:Zrf ,.j Z Suprv. Lie.: 3 t c„ 2 _ 5 _
Subtotal] -6
uprv. Electrician s requ _ / c �r _ _ . Plan review (25% of permit fee)
I ll ate: T mot' \ State surcharge (8% of permit fee I 3 , ? 5
r int name: `� a'lt ,_ A G. , -- I r j -'LQ1- 0 s • - — .
— TOTAL PERMIT PEE 56, 60
.uthoi - 1Zed signature: • This permit appttcaiion expires if a perniit is net ebLained within ISO
-- days after tr has been accepted 55 complete
clot name•: I ]lair— ..... .
,
CITY OFTIGARD
BUILDING DIVISION PERMIT #: FLC200&.00028
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/17/2006
Phone: (503)`• 39 -4171 / mdia� i �1� " I,\
Inspection Req sts (24 Hrs.): (503) 639- 4175�`'..
INSPECTION WORKS \ T FOR DATE: 2/3/2006 TIME: 7:02AM PAGE: 38
SITE ADDRESS: 10380 • CANTERBURY I_ ( CLASS OF WORK:
SUBDIVISION: TIGARD 'e4.LE HEIGHTS LOT #: 006 TYPE OF USE:
PROJECT NAME: MILLER
DESCRIPTION: GFCI for hot.. b.
OWNER: MILLER, PAUL PHONE #: 603- 6848613
CONTRACTOR: BEAR ELECTRIC PHONE #: 503.•870 -1355
Inspection Request Scheduled For: Date: 213/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
150 I-Iot illb/R,t , o0I 026246.01 603 - 678.1356 N
•`i4 ° \ f'iNAL.
-: ., - - = - - - . ions:
.PASS n PARTIAL APPROVAL n CANCEL n NO ACCESS
FAIL PI : LL FOR INSP ON n ADDITIONAL FEES ASSESSED
j 1
•
Inspector: Date: 2 66 Phone #: (503) 718- 21