Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00311
"'� DEVELOPMENT SERVICES DATE ISSUED: 5/11/2005
� ' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 109AD - AS025
SITE ADDRESS: 14810 SW GREENFIELD DR ZONING: R -
SUBDIVISION: ARBOR SUMMIT LOT : 025 JURISDICTION: TIG
Project Description: Install temporary electrical service for sales trailer.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: 1 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: 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:
WEST HILLS DEVELOPMENT GARNER ELECTRIC
15500 SW JAY ST 2920 SW 247TH AVE #A
BEAVERTON, OR 97006 HILLSBORO, OR 97123
Phone: 503 - 641 -7342 Phone: 503 - 591 -1320
FEES Reg #: LIC 121159
SUP 3707S
Date Amount
ELE 34 -3-3 5
05C
[ELPRMT] ELC Permit 5/11/2005 $66.85
[TAX] 8% State Surcharge 5/11/2005 $5.35 REQUIRED ITEMS AND REPORTS
Total $72.20
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
suspende r more -n 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules are set forth in OA", 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503 -24 6699 or 1- 800 -33. 34 ». / ..
Issued y: / ��, y Permittee Signature: - / �� /M ��
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: .'>._ -_A:'��:� /`Lvii DATE:
LICENSE NO:
~- - / 7075
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.
Elc'etrifial Permit ece li' 1 I' / E ® FOR. OFFICE USE ONLY
C � Received .- �2
City of Tigard DateB : p Permit No.: �G-7/
13125 SW Hall Blvd., Tigard, OR 9722 Plan Review
Phone: 503.639.4171 Fax: 503.598.1B6EAi 1. 1 2005 /4�'tlit ' ' f Date/By: Other Permit.
1 , 1
Inspection Line: 503.639.4175 CITY OF TIGARD - -- � Date Ree
ady /By: � '' 121 See Page 2 for
Internet: www.ci.tigard.or.us ^rA UV 1/1,/►1 Notified/Method: // e. Supplemental Information
`«'a'":'= � ;<. z 2`: x %ASS e' A:1 ". ...,.. '��„ ; � :; � PLA
® New construction ❑ Addition /alteration /replacement Please check all that apply:
❑Service over 225 amps, comm'I ❑Hazardous location
❑ Demolition ❑ Other: OService over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
- 'av, tee;:.° ;e ° a;4'. :'�..::� -,r- ,�' _ _ .:�. „ �r+Y • .�.� .; ° -?:... - ,*?ig -•
`: "1 ; v 'is- `^” i tin >. � ;
y .. .• '`:, »<Z.• N ' . y .� - O Rir <O , { � w• R ; � •,? s', ; a of 1 - and 2-family dwellings 4 or more new residential
'' fie e< k„'' k1i�u; ���iv'• xa. �' r°' �`":.' s: �c�xw,,,-.- m= �° aAx' a„ ��� bXer�w� : «: *,z;:f,.:4 k =, .�P� ia' ° a. -sh < t Y g
® I - and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑Buildin over three stories ❑Feeders, 400 amps or more
❑ Multi - family ❑ Master builder ❑ Other: ❑occupant load over 99 persons OManufactured structures or
„ ,. " . ,�, ;,�'.. „ ' : .;. �,: , <z«s� �,...<�.•w.�a 'fir °� .m¢. g; ,..x<: a.<,�a-',�,, � * �:i< " „ „,x:,i�•sn�r.�:. � ""..,`�'�`:�; "%�'' °�k
„ „ ' '''',<� $. �,- .i .' ., G .
v `�:- 1' Jf:)BK'S I Fv_;'' I IF.C 1Rl1I,1T .IQ1 ,, A_ i — V :u<tG b ; ❑Egress /lighting RV park
plan
„ sd?i;'-= ae: ;trsa .,_.. , ; < .. .b, ;..- .aL�::x air::;:. �m.,_ a, �. a_ zk.,.r< = >'..:c'.m>.w -': aa.:::'��^_..;:�,m�:. -,_ , .,:...e. +: x�< ,.,,:�: >... .- ,�..._.
❑Health -care facility ❑Other:
Job no.: Job site address: (:t �l o Su.) 6 {,Q.V1 I (y
Submit 2 sets of plans with any of the above.
City /State /ZiP: TiGAkt), OR q7223 The above are not applicable to temporary construction service
uit 161 /a t. no.: Project name:
Description ,.., ”. t '; :; _ >7 '' FEE* SCHEDULE..; ” ' a,i'' ,, 4 ,__ , e dg P J k
- I Qty. I Fee. ��� Total -
Suite/bldg./apt.
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: ARBOR SUMMIT Lot no.: 2.5— Ea. add'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.:
Limited energy, non - residential 75.00 2
:.�� "::'r:, "G,',as3�:, x�"s rte.*:,_ `'::�'"^ •a.,��„ a;�'ii:`'< "�.�'s?� „ <1^;;
x?,i: '',���. �:a^t,=.' R at -,a,'- ,�''`.', "'_'." ',; =°",'
;, �" *:k== •) °` 3 `'rb_E ' 01 :"l�j: Iz 1 RK,,:,r `,: °,,' ..�. > x ,. ;i,.
"�?�� .> 3,c�;_ yx�s%�:sr�`:'?�_:_�..,, ,.,•SC � , .Q..:- ,;�_�,., �, - ��r.,. �.�....�. � .,�. >:�,a�:;;��y`.;'::?';;,e�„ ._ Each manufactured or modula r
NEW CONSTRUCTION _ T c A a s,1 LL s TRA t-�7 dwelling, service and /or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
Y .; ,,3 ,. ' r ., Y ,•: :, " '° Xi t ` a 201 amps to 400 amps 106.85 2
`'R'" ” U ; E It; W ,, .,., T ElVA1iT . • <,'" "., , , I ,,, -.;
PRO i x
A ri® �, - �<- «. °',:�._ - ��.:w�, . ,<_ ,..,_ . �:�:�' ., hr,,'�� �r..� 401 amps to 600 amps 160,60 2
Name: WEST HiLLS DEVELOPMENT 601 amps to 1,000 amps 240.60 2
Address: 15500 SW JAY ST. Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City /State /ZIP: BEAVERTON, OR 97006 Temporary services or feeders installation, alteration, and /or
Phone: (503)641 - 7342 Fax: (503)641 - 7661 relocation �/
200 amps or less J 6 6.85 6,p '7 I
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 70L 401 amps to 600 amps 133,75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
: �` r : "" °'3= 4 °'a' ;- I
�� .. >, ;�:® �APPI:ICAIVT�z ' �.N �. i�l��'� ® PERSON "'�'± A. Fee for branch circuits with
service or feeder fee, each 6.65 2
Business name: WEST HILLS DEVELOPMENT branch circuit
B. Fee for branch circuits
Contact name: RICK LANIER without service or feeder fee, 46.85 2
each branch circuit
Address: SAME AS ABOVE
Each add'I branch circuit 6.65 2
City /State /ZiP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax: : ( )
Sign or outline lighting 53.40 2
E -mail: RLANIER @WESTHILLSDEVELOPMENT.COM Signal circuit(s) or limited-
-°'" ''�=^ <> _ me- - energy panel, alteration or
3; "'���`^.eS�:^g :.�a��<:?a;: M ^ ;��;, ;r�w; r��. ; ('�,�,'.` ,,- K,,�`9:j�cl gY P
�_ ...��- .. N�:;a.�;'`;'. ,,.. ._..,� _._ _2� ° =, ,_.,� - �r:'w- `;':•_.. �-
extension. Describe: Page 2 2
Business name: GARNER ELECTRIC
Address: 2920 SW 247 AVE #A Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State /ZiP: HILLSBORO, OR 97123 Investigation per hour (t hr min) 62.50
Phone: (503) 648 -4552 Fax: ( ) Industrial plant per hour 73.75
l'4. 4, k- `_ ELECPRi: CAL; ',PERMIT ;FEESa.: ";;'=., -.>' ,,
CCB Lic.: 121159 Electrical Lic�.:�34 - -305C �/�,[ S Su uprv. Lic.: Subtotal � ¢J
6.$
Suprv. Electrician signature, re q uired: �J'Ivt(-l� GJ�Ip4"u` Plan review (25% of permit fee)
/ I State surcharge (8% of permit fee) 5.35
Print name: 0 Garner Date: TOTAL PERMIT FEE 7 a -a
Authorized signature: • l_ Thi permit application expires if a permit is not obtained within 180
!� days after it has been accepted as complete
Print name: g c k LA ,, ,,_ Date: / / * Fee methodology set by Tri- County Building Industry Service Board
•* Number of inspections per permit allowed.
i:\ Building \Permits \ELC PermitApp doc 12/03 440- 4615T( I 0/02/COM/ WEB
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELC2005 -00311
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/11/2005
Phone: (503) 639 -4171 a�� p ;i
Inspection Requests (24 Hrs.): (503) 639 -4175 1 '''! �
INSPECTION WORKSHEET FOR DATE: 5/17/2005 TIME: 7 :11AM PAGE: 56
SITE ADDRESS: 14810 SW GREENFIELD DR CLASS OF WORK:
SUBDIVISION: ARBOR SUMMIT LOT #: 025 TYPE OF USE:
PROJECT NAME: ARBOR SUMMIT
DESCRIPTION: Install temporary electrical service for sales trailer.
OWNER: WEST HILLS DEVELOPMENT, PHONE #: 503 - 641 -7342
CONTRACTOR: GARNER ELECTRIC PHONE #: 503 - 591 -1320
Inspection Request Scheduled For: Date: 5/17/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
110 Temporary electrical service 007039-01 503 - 310-7654 N
Corrections /Comments /Instructions: t
N �\ .
.k. 0 . J.-)
X PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
n FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �� rte. -.e- - l- C— Date: - j '1 b Phone #: (503) 718 -