Permit QTY C T �'± /� p ELECTRICAL PERMIT
OF TIGARD PERMIT #: ELC2005-00214
. -- •DEVELOPMENT SERVICE DATE ISSUED: 4/1/2005
�� 1 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S104D6 -05200
SITE ADDRESS: 13275 SW GREENFIELD DR ZONING: R -4.5
SUBDIVISION: LOT : JURISDICTION: TIG
Project Description: Alteration of existing 120 volt service. Job TGO6A3.
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:
LEBRUN, TIMOTHY LIN + SUSAN MARI DRYER ELECTRIC INC
13275 SW 132ND AVE 9409 NE COLFAX ST
TIGARD, OR 97223 PORTLAND, OR 97220
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 $86,72
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: / -7/
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 13:31 FROM- T-933 P.004 F-594
, c2/01/2005 154;12 FAX 5035981900 CilA ilk ilunivir
• r :1, .• .
Electrical Pe vrailAn Igisitital 11:M 1 ;E: USE ON l _Y
. . ,
(::ity of T ig;ird • D e ;I:B v6 - 30 -- 0 — PCIIL P 6L-0O
503.6 171
' , 125 SW Hall B lvd., 'riser', OB. S 2 171sa. Review
: 9.4 Fax: 503.598,1950 ht. , s, v ,..'t, A Dsm/B Other Permic J
\ ---cfseection Lin a: SO3.1539.4175 .-e" •
..,„ .....__ pte Beady/Sy: Jura: , fia' Sec Papi2 fru I
:ntertlet. •WVei 4,411.0t.113 -----
WilegliMcallOd: 1- ) ii Suppternentin Inforniztioe
ify; ,..,, , -.-7,7.7, is, - ,.2, -T.1 i ::.,-, ' .7: 7 n l.ir. N
1 .pra,,,,,x4Pip7 .,.....mr,..1. , ,..liii:vg. ,...-
i t..::,..,,....,....,:.......,..0.._,., ,,,,,.■.' • 4I.....! • . .. • ...,...., I I ', A . I ...1..1......'4.:I.-..-I,A .• Af.. r..I .1Sli.I.t..U.ht:AI,IL33:(MII:ii, I , ' ,IC : O....A -A IL . A. r • I...4,A. Ul 'I 1 11.0...../..11,.‘“:" . ... 4 WW1/ • ,I .; , ■•■ • • • ' ;:...;, • . '
71 New construction 0 Addition/alteration/rplaconaent Pie check all ;ha sippir.
DSc:vice OW :225 au,pe., cortirri'l 011; us s24rda locadoa
"="3 DC1110iiti.C11 CD Other:
,:„,.. -7., -,,...,, ..,,,, , ElService ove7 32:".; amps - racing C f[.
ildog C.) 10,000 fx. .
'' '..- .:',.:..: ;'.'''';':...'::.'.:.:;';'1',;,,,;4.'ar.:.2?''rl....:7):6`.401'611..'01.Jk'Y'.340'J I of I 3 2 - - falltlY d vallin2,s 4 or more :new residentis)
f "...] 1- and 2,1rrily dwelling . 171CoranaszcialtindUStrial 0 Acctsaory blinding CISyy.tern over 6();) volt nominal Imi in OrM stunt-ire
Elatading t cwer au::: STORCS op a .
OFeeders, 400 amps or more
MUIti - • 0 Master builder 0 Other;
,..„,,........,..,....,..., .. ..,,, .....,,,,,._, r . 1 ._, .. , :.,.,..,,,;, ,,. jA „, 2; , :, ..... :7:, , iv ,,,.....,..,.. ,.. O__Occupan loa, trvcr 99 ,pers D Manufaortl red structures or
,ig'.11 '::: ,1 :,' ...■,'''-.•:..*:.:.;'''....;:..-.".',.,',"...,..:!:: ',.? • -:.::..• 2 :'.:',:;•■• LiEgresillighhnz p:lat, RV. park
,ii 11 Dana-care faaitty CrOther
ub no.: . Job site , . dress! i v i Z i raMMIMIl i nr. 1 it
---- _ 4 Submit 2 set!. of plaus with any of thc above.
'iry/Statear?: , ' • ' GIMIIIPAIrat - The above are not applicable to temporary constrisetion service.
_ 2 ',.."".7:, 77 irf :.17,
uite/ bldg./apt. - no.: p ljectl:141110; . 't=: - ' ' •" INV •:';,,:-.-..6;711`... !.... Lii.c . '.....
-------- Dateriptica Qty. I Fol, ; Touil l ."
t---
rose streetirections to job 621 .(.i_A. 5+ N.14, re4identiiirig5- or mult141.1mily dwelliaii. uait
..._—____---- 111CIUdeS a.ttiudsedip rage. — .
1,000 eq. ft. or 1;s 145.15 4
'..i.bdiViSioa: 1 Lot no.: Ea. add'I 500 hq. ft. as pottion 33.4011__ _ .
' 1
— Limited energy, tesideatial 75.0C 2
fax maplpart al no.: . .
Limited eneqz.r, non-residential 7.5.0G' • 1
7,-..i...:,r: .117 . r.': " .1r. --,-,-
.';' • . 7.-, I r ' , ' :.;'.:!' I .,c. : . . 1.n ' : . , . i : .. - : ,...,,, , ,';:,,... - - -; . .., . ..:1 , ..,.. -. ..,. ...:..-„ .i........
••• .-- ..''' . ' "..:- • - • . • •• •• , ,,,,• •:‘,:.• --L : ..- ',, -:::.: --:;•-..!=:. • c ....;;,.,....;__..,. 1,:,;.:...... ...-.., Each rnanufac nn:d )1. modular
A II NI dwollin service andior fecdcr 1 90.90, 2
t
Aga " fin i lirimierm
wrdm Ea 7
• IMP
200 amps or
0 L. M.1115Z 1 1 • d Services or readers installation, alt ration, arid/6r relocation
less , IMO,
. *.
•!••%''".,..-.,.'' . ::,-: : 7..:,-; -s- .11 ...:' ;.,:•':.•41',--717:7,•.1,-•.,,:1::::•-,i'•::1;.?FiA.- ./.;,:,,.,. - 2 ----- 01 amps to 40 117 ;;; r 106.8 80.30 2
5; 2
ilii:::.' . 4, ,:...,:;..; . :; • ■:, ::- • 4: , . , • , •...•...* 4., , : , j., .'I' .' 4 4:.. -,,: . l '...:.').L . ' '
• ' 401 amo to 600 sr.rips — 17e576ai 1 2
1
Inle: 04 ilaCC., 1 .___ e CA/N .. .--. \'■ 0 )N,--'- 601 amps to 1 00D amps 240.601 2
Over 1,000 arrps or vett
--__ 454.651 2
— Reconnect only 66.85 2
itylState/Z Teporary
I]': -
m w - vice; or feeders installation, altOation, and/or
, • ...... relocation _
?.qari.e.: ( ,) Fax: ( ) 200 atIps or less 66.as!! I I i
__. __
Twiner iltStalgtiou; This installation is being made On property that I own which is ROT ' 201 amps to 400 arr2p1 100.30I t 2
•ten al
tied for t l 4 lease, rent, or exchange, accord - 133.7 ing to ORS 447, 449, 670, and 701. •
401 amps tO 600 amps _ 51 2
/yam signet an n Date:
Branch eircuini - now, alteration, or exrensioni a
_ --.- Per Pah_
1 2
: ; ,,;:::' 777 A. Fee for branch. ci veal ts with
.1‘ ..,... -..:. !..:W.: ::.....:•;.: ::i":„: :._.'...._:,.......:..... ..:. ...!:-...... ..:. ,i . .. '-`• ' 1
service Of tteder E.
fe, each I 6A5 2
I:5 usiness nano: • branch circuit _
-... ••••••••••••■■■••••••••••••••■ ' B. Fee for brat Ed. circuits
°taut Won:: withour serviar. a :ceder fee,
------- 46 2
--
ea& brand. eirct,L
, adress;
— — ... _ Each add'l branch %Trutt II/ 6.6.5i 2
--.--. I
-ii-y/Statern?: Miscellaneour. (1*race or feeder vox included) .
___—....• I 53.40 . 1 2
tone: ( ) . Fax: : ( ) Pump or inigaticn c'aele
--- -- .
Sign or colint: light:1
Signal eirou i t,(:;573r lirni ted-
. •• • • - •:i.l . : .- ' ,...,77.7 7 7 r::11
'; ''-'77.i.,,.-_1,•;:.:i;7....olg-Fr.,..,;7-..2.-...64, allergy pane , ilta „ 1 i
MONIII.7:• n
' -. -..'...... 1' : ...
I ' ''.'..,-". :'' •'' • • " ..'''' .''' •`.!'".'''''-_ •. ''s. ' I
. extension. Descr Pa
e ge 2. i )
-iusweas nail= Ilit lir l
.sddress: / Sip --. ... womor lti.litiiii .4110MM -
A II d•'• actk additionIm
al pvctiors Cofer allow ble in aniy of the above
. - Per inspection 62.5( I
• 1
ItY/ST . . 9. . I I rhyrarKma #, i ilk . _ .. ... _ 1 Investigation per I.z hr . 62.5d, 1
--- AI. 411,..
• 401Na% , FtIX! 'gr ‘.2 .4 A 0 r le e''' i 0 0
Industrial ;lug vet how: 73.7.
[.::.:1-El.-:■'-i'f;:"):;•!"-;NI);.i.jE7!'"F!gg.gr5...,"?-10,T:P.Y,4".,z.:.q*.i,i.:42,1.7f.ii‘ey.,:!. I
- -
CB Lie.: }3 lectricai tic.: • --- 44 A Suprv. Lic A • : Ar .... •
_ , AGeN Subtotal
iff *
._, -.
, :iprv, Elect Wan sigi re, required: /2,..___ tan rz.xievo (25% of pet fee)
---•------ -- - ,.- .
. • 0
Sthie .ilirch2rge (83/4 ape:swat fee) ,, ......_ ;
- TOTAL PERNITT FEE . 40 ' • d,....
I. ,
•.urlioriZed . 6: gI LOUT. This permit appliec,i expires If a permit is dot °Whine:within 1:o
__ I flays iiitr Kites heel, aeseprocl as complete
' - int narno: Date: . Flu =ei.13elleicy ,td.t1:1 Tri-C000Ly iiiiilding inch4o So;rd
.. - Number of insiNecium. per Pamir Pal/owd•
ParnitA pp.doc IiV03 440. •,5 i5•T(1we2/ta2AVE.o
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005 -00214
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/1/2005
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/8/2005 TIME: 7:10AM PAGE: 61
SITE ADDRESS: 13275 SW GREENFIELD DR CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: COMCAST
DESCRIPTION: Alteration of existing 120 volt service. Job TGO6A3.
OWNER: LEBRUN, TIMOTHY LIN + SUSAN MARI, PHONE #:
CONTRACTOR: DRYER ELECTRIC INC PHONE #: 503-771-5667
Inspection Request Scheduled For: Date: 4/8/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 004118.03 503- 516 -3125 N
Corrections/Comments/Instructions:
ASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: k? -,T Date: 1 -f — / ( -- O S Phone #: (503) 718-