Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00320
DEVELOPMENT SERVICES DATE ISSUED: 6/5/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S111BC -02800
SITE ADDRESS: 10445 SW CANTERBURY LN ZONING: R -3.5
SUBDIVISION: LOT : 3_4 JURISDICTION: TIG
Project Description: 2 branch circuits.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0.00 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:
PRESBYTERY OF PORTLAND THE ENDERS ELECTRIC
CALVIN PRESBYTERIAN CHURCH PO BOX 1661
10445 SW CANTERBURY LN BEAVERTON, OR 97075
TIGARD, OR 97224
Phone: Contact #: PRI 503 - 626 - 4813
PRI 503 - 646 -3871
FEES
Description Date Amount Reg #: ELE 34 -265C
[ELPRMT] ELC Permit 6/5/2006 $53.50 LIC 00026728
[TAX] 8% State Surcharge 6/5/2006 $4.28 SUP 20285
Total $57.78 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: ) tie, ,IP/ )-1,
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.
1./9/Z7/U06 1.,:i: ito iii. ioiatto \ , 1 1 1 ur i 1 \-ifIrIU , ej , ./V.L
,---. „........ , . I
Electr 11
,.. ‘L. ,,,,,,,_..,1:,-.'4g..,,,",--,--,..-",•,-;,,,,,,i1F4'-:. :,:•:.1:-.-..n:'o:i.=,---,t--•'--,-,'^..,:.'-::_,--7'''',''...';.ir-,,,,:-M-'' -:1,,..'
ical Permit App : " . .i.
- -. ----
Cit of Tigard Received
,or ill ,,,,. .ift at Pmt N° L l ie6. - 0 0
13125 SW Hall Blvd. Tiprd, OR 97223
Plan Review
Phone: 503.639.4)71 Fax: 503 598.1960 JUN 5 2.. Date/BY Other Perrnii:
Inspection Line: 503 639 4175 4:: . Dine Reody/By: ). .J-&J See Po,102 for
Internet: www.ci.tgard or.us ( Iny Of ' fRiAtui tuonhe"lethod: I L Supplemental smug:motion
eh . :tiin . . • . I [ - .:: . ' ' . ' • PLAN
0 New construction • REVIEW .
Nrndit 'cni *--f - -1 1 Please check all that apply:
E
OService over 225 amps, comrn'l OHazardOuS location
Demolition 0 Otber:
Service over 320 amps - raring DEluildng over 10,000 sq. ft..
' • '• •' .- ',. CATEGORY OF CorySTRUCTION - .,'. - ,,. H • .: - . of I - and 2 dwellings 4 or more new residential
.. .
. ..
0 1- and 2-family dwelling .ig Commercial/industrial 0 Accessory building - OSySlem over 600 volts nominal units in one structure
EIBuilding over three stories I:Feeders. 400 amps or more
(I) Multi.family 0 Master builder 11) Other:
. , . ElOccupaut load over 99 persons 0Manufucturcd structures or
..:' ''' ' . i - .' • 4611 . INFORMATION:4t40 .: LOCATIONI .....: . • .... '...' .. CjEgrcselighting plan RV park
it-ear facility 000)cr:
• Job no.:
Job Site address IOWS.V 40411'0441,7 144 II eo or b
I Submit 2 sets of plans with any thc nove
--u------
City/State/ZIP: 1:1,8,zrd. of? 1 The above are not applicable to temporary construction 5C:viCe.
. : . .FEE* SCHEDULE :.'.
Suite/bldg./apt, no.: Project rialt16:
I I D I Qty. 1 Fr., I Tete! 1 ••
Cross street/directions to job site: j New residential single- or multi-family dwelling unit.
Includes attached garage.
_
1,000 sq. R. or less 1 4
Subdivision; Lot no.: Es_ add'I 500 sq. ft. or portion 33.40 I
Limited energy, residential 75.00 2
• Tax map/parcel no.:
Limited energy, non-residential 75.00 I 2
.. . . .. .. . . .. .. .
' .• . , : • ' : ' :' ,' ' ' . • • 'OF:WORK..',•: :_'.:, ''' '' : • .• ::: .:•: Each manufactured or modular
... _ .
dwelling, service and/or feeder , . 90.90 I 2
8 ase ,'1 fl r re/17046g./
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
.. . . - 106.85
0' PROPgATV OWNER • . '- . ... '• .. ". lir• tESIANT. :••• • . . 201 amps to 400 amps 1 2
-
. . ..
401 amps to 600 am ' 1 160.60 ' 2
iv
^ Name, Czar! n. 1 GAru.ai 661 amps to 1,000 a 240.60 i 2
Over 1,000 amps or volts 454.65 2
1 2
Address: 104045 sig a nier i vdcory 1 .41,03...e,
Recortnect only 66.85
Ciry/State/ZIP; rea.r6t, / OR • Temporary services or feeders instailation, alteatiOn, andJot
relocation
Phone; (03) OGif . 32,73 I Fax' C123) 6(93r 200 amps or less I I 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 sivaturc: Date: Branch circuits - new, 'iteration, or extension, per panel
A. Fce for branch circuits with
." . ': Er APh:t.CAIIT ' : . :. ••.. ,. .1. , ::." : . E:CONTACT PERSON -:., ... . . ,
service or feeder fee, each
6.65 , 2
Business name. tiag."-s I.e.e.t - . ,n4, brunch circuit 4
R. rec for branch circuiu I I .
Contact name: a 11 Roizei..50eL 1 without service or feeder fee, I 1
46.85 46 $41 2
I 1
1 each branch circuit
Con -1 i '7 Each add'i branch circuit I 1 6.65 6. 441 2 1
City/State/ZIP: i r ,, ,,, 0 : ., 00 Miscellaneous (service or feeder not included)
Pump or irrigation circle 1 - 53,40 1 2
Phone: L403) ( _ el I Fax: : (‘(*) , 6 ; Sign or outline lighting 53.40 2
E riet.tess . 614t&friz. 6 '31(..no . 6,orrt. Signal circuit(s) or limited- 1 .
•
': .. , •:'i CONTRACTOR .,....• '4. . : '' ''':.' '' • •‘ *: ' 1 ' ' : . energy panel, alteration, or
. .
l 1
Business name: g 1E i, ..„., .,. 2
..-- e.,/ extension. Describe: Page 2
Each additional inspection over allowable in any of the above
Address; ,5 gfri/ p a „,,..,
Per inspection 1 1 62.50 I : 1
City/State/ZIP: a e. , (44 ,. er r o rt. , DR 47006 .
InueStigalion per hour (1 hr min) 62.50 _
Phone: ( 03 6 -..14$ / •1 Fax (0 , % -337/ Industrial plant per hour 73.75
PERMIT:;FEES!
OCR Lic,;2L 7 •___ Electrical Lie.: .Suprv. ic.: ,56 6
Subtotal .. 3 ,. 67
ri-....er .
Suprv. Electrician signature, required: ‘ 1 / Plan review (25% of permit fcc)
State surcharge (8% of pcnnit fcc) 4 s as
Print name:a g Date. ‘,30_.0
- TOTAL PERMIT FEE 5 7 7' .
Authorized signarure:
This permit application expires It a permit it not obtained viithin 180
days alter it has been accepted am empiric
Print name: I Date; • Fee methodology let by Tn Building Lorimy ,% Board
.• tdvmber of inspections per permit allowed.
I:n uildinglPerainio;GC-Perailiairo.aoc 12/03 440..46ISTi in/vvCONIN/E13
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2(t05 OU10
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 6/5/2006
Phone: (503) 639 -4171 % "gill 10
Inspection Requests (24 Hrs.): (503) 639 -4175 ...! iI' I f L
INSPECTION WORKSHEET FOR DATE: 7 /6/2006 TIME: 7:03AM PAGE: 91
SITE ADDRESS: 10445 SW CANTERBURY LN CLASS OF WORK:
SUBDIVISION: LOT #: 3 " 4 TYPE OF USE:
PROJECT NAME: CALVIN PRESBYTERIAN CHURCH
DESCRIPTION: 2 branch circuits.
OWNER: PRESBYTERY OF PORTLAND THE, PHONE #:
CONTRACTOR: ENDERS ELECTRIC PHONE #: 503 - 626.4013
Inspection Request Scheduled For: Date: 7162006 Pour Time:
Co • - # Inspection Description Confirm # Contact # Message
39 Electrical final 0326139-01 503-793-2037 Y
Corrections /Comments /Instructions:
leis
R o 0 I vs -D tOf\) > 4 k 00 6/J SOF
be C,� I.ii - t\p
g
c i s u fr 0 11
dc- 0
V o1 Lr ‘
XPASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: 3-- '' `V ve L._ Date: 1 6 , 06 Phone #: (503) 1--4--4-(a--'
CITY OF TIGARD
BUILDING DIVISION ` PERMIT #: ELC2006•00320
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/6/2006 •
Phone: (503) '639- 4171u °a4W�ii�@°
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 617/2006 TIME: 7:06AM PAGE: 105
SITE ADDRESS: 10445 SW CANTERBURY LN CLASS OF WORK:
SUBDIVISION: LOT #: 3 - 4 TYPE OF USE:
PROJECT NAME: CALVIN PRESBYTERIAN CHURCH
DESCRIPTION: 2 branch circuits.
OWNER: PRESBYTERY OF PORTLAND THE, PHONE #:
CONTRACTOR: ENDERS ELECTRIC PHONE #: 503- 62649'13
Inspection Request Scheduled For: Date: 6/7/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 031227 -01 503-793-2037 N
Corrections /Comments/ Instructions:
4 1 93 -zo3
PASS I PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • •`U Date: 6 ' 1 ' 0 b Phone #: (503) 718- 7-li4b