Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00618
s�l�l DEVELOPMENT SERVICES DATE ISSUED: 10/31/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S114BA 05800
SITE ADDRESS: 16530 SW GREENLAND DR ZONING: R - 4.5
SUBDIVISION: PICKS LANDING NO.2 LOT : 082 JURISDICTION: TIG
Project Description: 10 branch circuits
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 HMI 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: 9 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:
JACK & JUD DICK COHO ELECTRIC INC
16530 SW GREENLAND DR PO BOX 40
TIGARD, OR 97224 WILSONVILLE, OR 97070
Phone: 503 - 495 - 5193 Contact #: PRI 503 - 582 -9774
FAX 503 - 582 -9840
FEES
Description Date Amount Reg #: ELE 3 -575C
[ELPRMT] ELC Permit 10/31/200( $106.70 LIC 157169
[TAX] 8% State Surcharge 10/31/200( $8.54 SUP 1781 S
Total $115.24 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or
filo /
Issued By: Permittee Signature: C 3C�) , sLLJ � I!!
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent.
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
FROM cCtRIC FAX NO. :5035829840 Oct. 30 2006 O1:42PM P2
•
Electrical Permit App' ' ' 1 OFFICE I ICI!; USE ONLY City of Tigard f 1 * Received t l ,/
13125 SW Hall Blvd„ Tigard, OR 97223 LatcB : h dt' • '" PermitNo.: 110
�(
Plan Review �. ��� " / —
Phorte: 503,639:4171 Pax: 503:598,1960 4 ' ° eft$ +� +p, '� I:Uale / .By : T Other Permit:
Inspection Line: 503.639.4175 ® ��� y, „t' I ' pate Ron B
Lttoruet: wtivw,ci.tigard.or.us ' y' Ms: El Sec Page/ or
�� Notified/Method:
- „ . Supplemental Information
Oa r,
cazi PLAN REVIEW
El New construction X Add ii :ion/alteratiop/replac _ ement Please check all that apply: •
s, colluu'1 ❑Service over 225 amps, ❑.azardous location
❑ Demolition - ❑ Other:
CAT1vCoRy UP CONSTRUCTION ❑Service over 320 amps - rating ❑Bulking over 10,000 sq. ft.,
of 1- and 2- 640111y dwellings 4 or more new residential
1 - and 2 family dwelling ❑ Commercial /industrial n Accessor_ y building ❑5ystotn over 600 volts nominal unite in ono structure
❑ Multi - family ❑ Master builder CI Other ❑Building over three stories [JPeeders, 400 amps or more
JOE SITE ]CIVFOI2NIA'I'lON AND) LOCATION ❑nt load over 99 persons ❑Mono actnred structures or
❑Egrass /gress /lighting plan RV park
Job no 1� � Job site address: b-5 3 1 �]Flcalth•eure facility ❑Other;
City/State/ZIP: '77,1 � Submit 2 a of plans with any of the above,
is ® t_
- �, aai4 ; fhe above are not applicable to temporary eonettuction service.
Suite /bldg, /apt. no.: Projec name: I/EE" SCHEDULE
�. D.
➢lser1px10D _ty, I Tea l Total T
Cross street/directions to job site: New residential single - or multi- family dwelling unit.
'• includes attached garage.
•
• ... • _ • • • • .. .. . sq, ft. or less. . . ..... 145•15 ..4 . • Subdivision; Lot no.: En. add'1500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited rine residential 75.00 2
DESCRIPTION OF WORK — Limited energy, non-residential 75,00 2
' 4 Y>.c Each manufactured or modular
� dwelling, Set Vice and/or feeder 90.90 _ 2 v,k 1 �1?
Services or feeders installation, alteration, and /or rdocatton
— a &■ L- `1 \1:•q,46____.. _ 200 amps or less 80.30 2
OP I 0 TENANT' W ` 201 amps to 400 stops 106.$5 2
i'i,RTY OWNER
Name: 401 amps to 600 amps 160.60 _ 2
Address: 601 amps to 1,000 amps 240.60
\ b_.;___` O 1,000 amps or volts 454.65 2.
��� 2
City/State/ZIP: —7)._' "`ELI 0 p � Reconnect only 66,85 2
Temporary services or feeders installation, alteration, and /or
Phone: (q-11 ) �a , 3 � b Fax: ( ) relocation
Owner installation; This installation is being made on property that I own which is not 20 amts or less 06.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 201 amps to 400 amps 100.30 2
Owner signature: 401 amps to 600 amps 133,75 2
Date; Branch circuits - new, alteration, or extension, per panel
❑ APPLICANT ❑CONTACT PERSON • A. F'ce for branch circuits with
Business name: service or feeder fee, each
,. _ brooch circuit 6,65 2
Contact name: B. Fco for branch circuits "
_ without service or feeder fee,
—
Address: each branch circuit 46,85 2
Bach edd'l branch circuit 4 6.GS -'' . .., 2 -,
City/State/ZIP: ---- Miscellaneous (service or feeder not included)
Phone: ( ) Fax; ...c ( ) Pump or irrigation circle I 53.40 _ _ 2
E Sign or outline lighting 53.40 2
-' Signal oircuit(s) Or limited -
CONTRACTOR energy panel, alteration, or
Bus(IIeSS name: — ` extension, .Describe: Page 2 2
eta. l „
Address: P __ t�_ Each additional inspection over allowable in any of the above
1 - .-.- _ Per inspection 62.50
City/State/7IP
v', \ L- _ ( !R cA__) � - 1 �
Investigation per Lour (I hr tole) 62,50
Phone: ( ) - _ t:. "-�- il F ax: ) ( .�� t� , Industrial plant per hour • 73.75
CC}3 Lie.: ‘..5 t tC Electrical Lie.: 7 7/5 sup \-19i ELECTRICAL PERMIT FEE rv, Lic„
_ Subtotal
SttPrv. Electrician aiLangh,ro, rrt{uirc.: - "' ° Zizt44 '' , , %f .:',:,, -!; ,i40'
112 Iiv. '' .' ` '4,4/i43:''' 4 �:' ; "ma +' Plan review (25% of permit fee)
Print name: ` State surcharge (8% of permit fee) 1,
t - c.� , a; �b-: ate: I O 3 s _o c5.. " ;7"l
Authorized signature: -, ! � TOTAL, PERAI,(T FEE \ `5 t�
w ' ��A This permit 5ppnc txpires if q pernrlt is riot obtained within 180
Print name: . ♦ ' (WPC ~_
days after It has been Accepted as complete
tt Date: \ O _'3 e),_ i 1 • Pee methodology set by Tri -County Building Industry Service Nitre
iaAutWinglpetm ;taViLC Petmitnpp,00e 12/03 , W * Number of inspections per permit allowed.
440.461 5 T(t a /off /COM/ W R R
CITY OF TIGARD - ,
BUILDING DIVISION PERMIT #: ELC2006- 00618
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/3/12006
Phone: (503) 639 -4171 " '41"
Inspection Requests (24 Hrs.): (503) 639 -4175 _:� �'L.
INSPECTION WORKSHEET FOR DATE: 11/212006 TIME: ' 7:02AM PAGE: 27
:ue -- Sa''''
SITE ADDRESS: 16530 SW GREENLAND DR CLASS OF WORK:
SUBDIVISION: PICKS LANDING NO.2 LOT #: 082 TYPE OF USE:
PROJECT NAME: DICK
DESCRIPTION: 10 branch circuits
OWNER: DICK, JACK & JUDY PHONE #: 503.595 -6193
CONTRACTOR: COHO ELECTRIC INC PHONE #: 503-582-9774
Inspection Request Scheduled For: Date: .11/2/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Electrical rough -in 039206 -01 50; 6 682.9774 N
Corrections /Comments /Instructions: G•CJ°^ / z ZZ3
r r a0 - 12 -P - WC (� � I / i�4/ z at=
..-• 5 0 _/ a .rv_ / / — 4 --c z/ c,
The electrical installation defects noted
on this report shall be corrected and
an inspection request made within 20
calendar days per OAR 918- 271 -0030
n(0 N O r t X c6S
I I PASS I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: CHIP Date: / /7l 6 Phone #: (503) 718- 0'6 yy
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: ELD 16.00610
13125 SW Hall Blvd., Tigard, OR 97223 , DATE ISSUED: 101314.6
Phone: (503) 639 -4171 � Inspection Requests (24 Hrs.): (503) 639 -4175 irti
`'II..
INSPECTION WORKSHEET FOR DATE: 11/13/2006 TIME: 7 :04AM PAGE: 99
P SITE ADDRESS: 16530 SW GREENLAND DR CLASS OF WORK: % c '
SUBDIVISION: PICKS LANDING NO.2 LOT #: 082 TYPE OF USE: ` .
PROJECT NAME: DICK
-, DESCRIPTION: 10 branch circuits • 6
1 J
,r e OWNER: DICK, JACK & JUDY PHONE #: 503-495 -5193
. CONTRACTOR: COHO ELECTRIC INC PHONE #: 503 '
Inspection Request Scheduled For: ° Date: 11/13/2006 . Pour Time:
Code # o 'Inspection Description Confirm # Contact #1t.1(4, ,u Message
1 ' 4.
120 Electrical rough-in' 039590 -01 503-58 -9774 .: h!
a
Y:
Corrections /Comments /Instructions: 0 a ° . ,
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PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
n FAIL , n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
. /1//7/0k,
6
Inspector: � / Date: Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION
PERMIT #: ELC200&.00618
I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/3112006
Phone: (503) 639-4171 avgyik
Inspection Requests (24 Hrs.): (503) 639-4175 _44 I
INSPECTION WORKSHEET FOR DATE: 1/25/2007 TIME: 7:03AM PAGE: 29
Pt S-1.44/
SITE ADDRESS: 16530 SW GREENLAND DR CLASS OF WORK:
SUBDIVISION: PICKS LANDING NO.2 LOT #: 082 TYPE OF USE:
PROJECT NAME: DICK
DESCRIPTION: 10 branch circuits
OWNER: DICK, JACK & JUDY PHONE #: 503
CONTRACTOR: COHO ELECTRIC INC PHONE #: 503-582-9774
Inspection Request Scheduled For: Date: 10.5/2007 Pour Time:
Code # Inspection Description Confirm # Contact # M torf . 7 ...6\ , c
199 Electrical final 042502-01 503-582-9774
T-
Corrections/Comments/Instructions:
JI 01114111allb
PASS El PARTIAL APPROVAL I I CANCEL n NO ACCESS
LI n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
Inspector: P Date: b Phone #: (503) 718- 4