Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00226
ti �I l ' DEVELOPMENT SERVICES DATE ISSUED: 4/1/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 111 CC -02600
SITE ADDRESS: 10370 SW CENTURY OAK DR ZONING: R -7
SUBDIVISION: SUMMERFIELD LOT : 049 JURISDICTION: TIG
Project Description: Alteration of existing 120 volt service. Job # TG26C2.
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: 1 W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 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:
WILLIAMS, JAMES E + DRYER ELECTRIC INC
DORIS E TRS 9409 NE COLFAX ST
10370 SW CENTURY OAK DR PORTLAND, OR 97220
TIGARD, OR 97223
Phone: Phone: 503 - 771 - 5667
FEES Reg #: ELE 26 -1142C
Description Date Amount LIC 153466
SUP 2876S •
[ELPRMT] ELC Permit 4/1/2005 $80.30
[TAX] 8% State Surcharge 4/1/2005 $6.42 REQUIRED ITEMS AND REPORTS
Total $86
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: 1 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.
03-30-2005 1 3 :45 FROM- T-933 8.020/043 F-594
.) ', / 0 1 / 20 05 15:12 FAX 5035901A.MU ‘441.1 , ../4 .1. J.,1“.•.•••••
1
Electlical Pennit
Apijication irtottl.ii q E USE OM l'
city of T iglrd A • eceived
Date/B 5 --- / " 0003-1/0,426,
3125 SW Nall Blvd., Tiserd,
or 9722 Phu Review
one: 503.619A:171 Pax: $03.598.1950 ill \ Dare/B . Other Petralt:
--..-dispeation Ling O3 417 _..-. I.L!_ Ante Reaciy/By:
Jurir 1.--
0 SCe Pats,e12 tor !
;nternet wwv1 'Ai ttganol,or.us 'Netiiieel/Motherl: --."..."... - Supploranntit% Information ;
;• '7". 7 ' •• • INF 7;.•:;: '.•' r . t l i -7 • 7' tir 1 ''.:•-•• i l l :7•.;•'•'• : 1 7 '7 ) . '2 ,;3 '1 : • .?•f• . . #:r•cf4t9PF:. I PMITIFI. 'Y ' 'I C` C I IC17 ' 1•7 ;:i' ••• 'IN:7, .._
?:• : • ." • • • i •• .. .
if ' :-• .•-,• ••• . .s a...:..... , ....-. I', ‘.•,..,,......: . . - .._. ...... • ..- ..-...,.. . .
,... : ; ..,...., :-. ,.....lat,..1E1,6.1.11:-.1;,,,,,,Ike..., „..,,-...he . •' ,...,-,=_. ,,,.. w . ,,, „ .. .
7. New COnatruction 0 Addition/alteration/replacement Please cheek ell %ha_ rippiy:
OService ove: 22 5 an,p., comni'l alia.zardow locarion
: Dcraolititn r] Other: Service ov• 32 ".; amps - rztng DEuildng oi,er I 0,000 ;:q. ft.
11... . ,
,-.7.
, P'"C:6':,.:.. '.....:. ; ' -' • , 1 k• - -;. • " ', , 1 ".; :ri• 1-;' '. it-o..r.; ;! 11141,22t;acitArArrIstr. e 1- and 2. faut:ly d wellings 4 or rr.ore ;new residential
I- 3 1- and 2,1arrily dwellirig; CI Commercial/industrial 0 Accessory building MSystem over 609 volts nominal UniTS in orte structWe
OBIlildillg Mei thl et; 51.0TiG5 ['Feeders, 400 arnps CJT rnorc
1V1tati-faZtil ' 12 ivlaster builder LI Other: ,,,,,..,,, Doeeengor r c rve r 5+ . Olvlanufacrrireci SErtictures or
1 1 j ;' , . - , , , ., :e:4'',..;)14,,:,7...%::1-,.-07‘'t7.7:::':'1,.1';;;;";:.17.17.:,".7..T.,!:-,77.7,.-):.:..r..irt."1.,,. D e hin , at r RV. park
1:31) no.: : . b 5ite ' '' 0■11,10,1010/ InFleahh-care fazilly LIOnter: _ ,
,1 ' dreg ell 010 021111111 0 ' 1 - -44 m i iii t,_ --- 511bMit 2 set: ap
lhal. wth i any of the above.
:Iv/State/2T ?: Woo „Iiiiriapirft ) ----- The above are r.o I appi [Cable to temporary construction service.
----1. r :',,p7urf ' rl . 'I' ' ' •
- • - - " at '''''.::::: gral • 'Eh' :,:'--'''''• : : - "
. tiiteibidgdaPt• 'am: P ' name:
--- .. _ i Description cry. l F. H Tig.21 I
roes Streetkirf ctiOriS to job site; New residenti'aisltglo. or multi-family dwolliniT unit.
• - . r,,t - - , i A i Includes anett Llusi tut age.
0 ( .4/ ."
. " I, : e; gme,.
. , ,.. 1,000 sq, It ol lea 145.151 I 4
.,. ubdivision: Lot no.: Ea. addl 500 portion
-----. 33.46
' I 1
• _ --------- Limited energ.t, lesidearial 75.001 2
lax map/parcel na-:
Limited exlerri, non-iesirlarttial 7.5.0d
''7: .-7:r . ''''' '''.'. ' '''' ..- '... .':':..... ''.. '.'.'.'.... Each manufaclarad ar :nodular
AM A? e I ' 4' ill AO NM i LCIMIIIINIGN dwelling,x_rviee antiar ;Scarier
.; es
• - 1 5 KM WV 514. Services or ft eckirs installation, all ration, ann+r relOc[10n 2
g '
200 Art ps Or itiSS .......... au zo.;Q aim,* 2
106.85i 11111h11131
' 160-601
,---
TIMB1 C ..._ ...._<\ , 601 amps to 1,003 arrirls 240.60 WI
--...-- 'I ;
Over 1,000 saps OY VOltS 44.65 NM 2
\--...-KrIciress!
----- - Reconnect only 66.85; 2
ity/Stateall': Temporary service:: or feeders in4tallatitla, 3itei and/or
_....--,--, ----
, relocation
'horse: ( / Fax ( ) 200 arnps or less _ I 66E1 1 1
. )Wrier InStalg :ion: This installation is being tnade Ott pr0n3' that I own which is not 201 amps to 400 amps 100.101 I • 2
tenplecl for 4 ells, Icasc, rent, or exchange, according to ORS 447, 449, 670, and 701. --.--
401 amps to 600 sim;s 4 133,751 1 2
vcater signature; ,, Date: Brand circuits - lien alteration, or exrensiottiper panel
NI . : -A-Pce for braticil m .$ with i
1
. ' 0 " ' . ' ' '; ' ' ''. - ''''' .' .• " - '''''''-' ...--''''--- '-'"''-'--- service or feeder 1:ee, each 6.65 1 2
t .'usiness cane: branch circ:rit
--------.. B. Fee for oratiet ei: cuits
°I:Reel mum:: wirlsow senior. o facdcr ine, - F6.1:55: 2
- ' each brancl circt Lt.
6.65
Each arld'I bra rIC a 0' .Ts; 2
iry/State./Z1?: Miscellan eau:: (.1:er• 'leo or feeder pot (nein deal) I
-----'-----• Pump or inigaticn t: tick 53.40"7
. b,one: ( ) Fax: : ( ) .. Sign or outline li 1t -r 53.4q I 2
Signal circuit(:) .3r1mitod-
-- "''''''''' - ' , " 7. * :r energy panel. altintilio:1, or 1
A.1111111.' extension. Denr.be. Page 2 . 2 • usineas name: lo 46, 1 ,f/A111 • . - ... L
--- ,, 10 i„
■ddross: ' 0 0 Ir
• .., -4.. III ei. ZaCh additional imp. ctIon over Allowable in any of the above
..... --- Per inspzeti 0r. 1 -1----
.4/StateiZI: .
Investi
1
: anon per la6u( 0 hr trio) 1 1 62.5C
--.......
1 :
G... laduanial .larn per itcur pm 73.75; I Fer • • a7e! ) - • ./' -4es I.::: :. .-..:.r::. ...%. IV6: el :1 ilu '' ..1 :4 1,7".16 Irr / ■:144:-; . • -; . ,,,47,;_l: 1 .:1•_.
_
CB Lie.: Electrical Lic " ' - Suprv. Lic.. . 4 ,...,-. Submtal
I -
r*.tprv. Elect Evian at =Vire& ".„-s - Tian rzvi0 (21% of perrni; fee)
_ i
Ste surcharge (8% of permit fec) • •, it
_L , >1..k _ 1)4 TOTAL PERMIT FEE 41101
.". ..40 • .
, ... ...
'-'-glloriZed S. gt Owe: This permit upilkai 10; s expires it 3 permit is eat obtisine _ • within 1:0
. -1- tiny; aircr lthos boors ancep red as complete
' :int name: i Date: • Fee asetinseleloiy ,w t 1 y Tri-County Fluilslin kr4 Service 304rd
..... 'Number cif imptetim, psi permit allow;.
•.1%ene.Fnrrnies\ux Perrnlapp.cloo i:L/03 445-44 1 ST(10/02/COMAVP-B
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005-00226
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/1/2005
Phone: (503) 639 - 4171 °i�ilhi�pnll����
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/8/2005 TIME: 7 :10AM PAGE: 34
SITE ADDRESS: 10370 SW CENTURY OAK DR CLASS OF WORK:
SUBDIVISION: SUMMERFIELD LOT #: 049 TYPE OF USE:
PROJECT NAME: COMCAST
DESCRIPTION: Alteration of existing 120 volt service. Job #TG26C2.
OWNER: WILLIAMS, JAMES E +, PHONE #:
CONTRACTOR: DRYER ELECTRIC INC PHONE #: 503-771 -5667
Inspection Request Scheduled For: Date: 4/0/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 004118 -15 503- 516.3125 N
Corrections /Comments /Instructions:
ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: . Date: -/ `0 r Phone #: (503) 718 -