Permit ..s
• CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00491
'7, G DEVELOPMENT SERVICES DATE ISSUED: 8/31/2006
5:1
� °-' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 102 B C -00400
SITE ADDRESS: 12625 SW GRANT AVE ZONING: R -4.5
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND LOT : 005 JURISDICTION: TIG
Project Description: (2) branch circuits for furnace & NC unit.
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: 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:
GARAJADA ADAMS ELECTRIC CO INC
12625 SW GRANT AVE 7980 SE 17TH AVE
TIGARD, OR 97223 PORTLAND, OR 97202
Phone: Contact #: PRI 503 - 234 - 9651
FAX 503 - 234 -2064
•
FEES
Description Date Amount Reg #: ELE 26 -5C
[ELPRMT] ELC Permit 8/31/2006 $53.50 LIC 596
[TAX] 8% State Surcharge 8/31/2006 $4.28 SUP 2056s
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:
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.
Aug 31 06 07:55a ADAMS ELECTRIC 503 234 -2064 p.1
U0 %JU/ GVI)* 10. Ui I AA, J U34ytillf90 t,111 vt. 11t,A w w1 VU1
.I
E1eCt�'ll C Q I'lAlplHC91t1:O GENE i'% a.e.:wa. - - l !'1' 1 1 li: 1.1 , :j r►� 1;1
1111 is las 3W limn Hlvd,'ri ax 47223 tseo . . / / Permit No.: (✓ (, •746 ' A 91
I'lloac 503.639.4171 Fox 503.5911,1*i paw3Q ,ariey
� sp n Other Ptemit:
Lisc 5-G39 .4175 H i a 11 w 1 I J O D
1'�`u;�'? =�N impaction ti 03 _� Rattly/1V MN to 9wPq :S[�
Latin= d.y,.y.•,......,�a ITV a F TI Naeliadatarahod
• - `^•69 WrpeilesEaul NrarlaaRm
'i1-A ) . , t p!I Ay ~ , :a. hf,...'•r 'Ai y . 51 , 1 Pti- ••.f: ,, r n 'Git 7771 .'j".1
0 Now construction 1s.
.� I��1dtA01t1altEf800r ✓repioOaroCnt Plaara ebte &all eha a� (rtlooar soli Ow w tom 6>wc1n0 Maw):
°1:1 oCaaliti� Other: 0 Sears ax fee 400 wept *saw* 0 aaa.e OVEN area rtocitt.
D 4 i'" : "'°� �S , a . ir ,�, r � r i r �i�, r; ,,,� ; . 'Ant Ws scribal* rat Cyanid 0 Maim} aid soar■dt.
r w '-i t -i } R°.i ? °m
�e"'7tt�';7 ,'• �i . •, -: 'rr; ;/ �:., •• eal 1"73.139. al I" .9111 tar n, r1"6 buds
.� I- and 2- fsmflY filing ❑ Co111eutcitlindustrial CJ Accessory building lam to roust or axaald/ 14,000 p bu dio c o, ,.� ,�rarnu d
atDps ad iotherhttraYtamei tauJaii{
0 Multifamily • Master builder 0 Other: Orirapump. p tatsanaeiea of 75 xVA err
s 1r, .4.. A- . ..,.. , '» p , 1�r�Cag lya�a tre►r daivrd
.-w, -4. ' a, ' ; :i«t ' t' � � a.iun r '� •
-, , t a� i a 1%,13 0, .s i� ►! __CI moos of new motor l d u( txr.• Sob site address: O- h'a�-.- ls: -l•3 ".
Sob
7` e r • ' I 2. 9 �+ _.. . k) , 2�i4�- 10DHPorlore- oowpe•ay.
i •'` ..S '••r G 9Y Q ewes rr�Em>H tons, �ps>dmal vaeMde parb-
C1tylStata2>P_ - (C; ,q 4) 04'-. • 7,.7 3 0 kkolttmire Witte*
D 94.911 Kass fa ease than !7►tuaatbulo.mo,N, 6 00 wit.4o sW1&,
606
Suitrlbut�e���i n0.: In Service m raal,r er r
'+��- F`I�tlCt}Ia1Z►Ct et).�af1 A A vice Pa or ewer
Cross encet/direaioat to job site;: sasny, , ., °.' a of '' , "`
Z
rico, residential sisals -or wual r -randy d lt:se amain
lododea attached mace.
-Y
SUbd [ a410.; 1,000 sg ft or laic 1 145.15 ' 4
Tits =Marcel
ra; F� add 500 - ft or t a,Vnn 33.40 1
Litaitsd energy. dcntW
,, ',:: *4,' ' � � , r '�.�', �" *. Y.,, • 1.43 .t 7. •••;5 � . , r! • "• ' l 78.40 2
'. : ' 3+ • Littdtal iu (with shove tq ap. multi - unity 73.00 2
S Za A / r d , 'c) P L) . ...idrMtla (with shore sq. R)
St!rv1141 If Emden brstanat too, aliaesti4a, Dottier remotion
Ae 200 inapt of loss 8030 2
, r • r , "s% l ' � T:1' ; c.•a - ,75;. i.ti•. t7 201 NM 10400=pi - 106,85 2
Name: ; T 0 (b 6( ' 401 amps to 600 arm_ 160.60 2
601 Yaps to 1,000 amps 240.60 2
Address: Ore: 1,000 at or volts 454.65 2
City/Slue/ZIP: �� Teorpmrsry strokes or rea pers isstehatios, Ousel'''. and/or
relo cation
Him= ( ) Fag: ( ) 200 amps or loss 66.83 - °tausr trgsllab ere: "This Installation is being malt on property mat 1 own which is not - 20 1 s aner tv 400 smpr, 100.30 IL into ntled far ssk, least, matt, ar Gcxbaoge, aoeordiag to OILS 447, 449, 670, and 701. 401 amp to 399 ompa 133.75
Owner signature: Date- Iamb eiresio - raw eltermioo. or etteos;oa r eei
cireuets 1sI
; µ, + �1 ��.�,{ ,, •T'rr.���� ti Poe for Detect! dY
; � � ..�•
.'. ,•• kiPl• a. l' + ' M1 'lK�fl 4 SI: :�'�!440,0 '' *bmn r•la • a toeder ale,
inc s mac: �,� ttrCh brooch circuit
2
- - 8. Foe for brooch Omits
Contact name: *dam servux or I1:edts See,
- 5nct branch davit / 46 e5 ..4, 2
AddreJS: Inch add'i branch circuit J 6.65 4... arm?
Miu lleins's service or finder sea ieieluded)
Gt /StaurlZW: E c1 mamutaalu or 1a
&miffs service atl/ feeder 90.90 2
N Phm ( ) I Fax:: ( ) koesoant only 6615 2
Email: - Pump or irrigation circle 53.40 2 -
k , • . ' -, $e " :+'' t : r• r . 4 17 sign. wtlieo Valuing - 53.40 2
Rusin's*P tric:ADAMS ELECTRIC CO.. 3ipaaeebwtt(5)
mcgy panel, a3araem, ere
1 AddreSS: 7980 S . E . 17TH AVE . moo. 13caail>r Page 2 2
N esty,Stsuiz ? ORTLAND, OR 97202 Fachad - ,,,,: !tea . a met alow•rhlais or flit the v
t4,...... (503)234.9651 IFax:603)234 -206ti Per impaction 62.50
ravestinitloa pa' hour (t it ibis) 62.50
cos 1.1045 96 ' ., I Electrical Lic.; 26-5C f suprv. Lla:2 0 5 6 S " rntbttaial . � 1 per hour 73.75
�M�#���t':Y t,'L,�i!:�u- �.�a,•�� fit..- �!'°l''"�' �
Sttixv. £loarician s115aatw't: tvquistat ' ' s -.eta c+.0 C X -i
..0 111 r Subrotal: ." Ca
.
� Ple moio, (25% or permit mac):
stint auato: ki LLD � 12..I) n- _ �a 1? ,?..4/ $ I D am lS - 31 -OA - 4+.4 ordearge 01%ofpermit fee): 41, .i
= . TOTAL PERMIT FEE.: .5 7, 77
Uhl paeraflappeiea6vwatakerII ■�arrllMaw•1•••••• WM. tai
Print name: i Date: day. artter it eta b ®.erepsii m s+altltwa.
• Maoist ofimrsaim: allowed par pmm,l.
e, - /swim 440.61311 eatoCO•WIIM
CITY OF TIGARD
BUILDING DIVISION • • PERMIT #: ELC2006 -00491
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8J31/2006
Phone: (503) 639- 4171 i"
Inspection Requests (24 Hrs.): (503) 639 -4175 � ' � ..
INSPECTION WORKSHEET FOR DATE: 9/13/2008 TIME: 7 :02AM PAGE: 55
SITE ADDRESS: 12625 SW GRANT AVE CLASS OF WORK:
SUBDIVISION: NO. TIGARDVILLE ADDITION AMEND LOT #: 005 TYPE OF USE:
PROJECT NAME: GARAJADA
DESCRIPTION: (2) branch circuits for furnace & NC unit.
OWNER: GARAJADA, PHONE #:
CONTRACTOR: ADAMS ELECTRIC CO INC PHONE #: 50- 2349851
Inspection Request Scheduled For: Date: 9/13!2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 036419-01 503 -M3 -7789 N
Corrections /Comments /Instructions.
% .
4 1 , A . 9 n PARTIAL APPROVAL ❑ CANCEL I NO ACCESS
FAIL n CALL FOR INSPECTION ADDITIONAL FEES ASSESSED
Inspector: V_ ' N O43 L' Date: a' 13 W Phone #: (503) 718 lb