Permit - CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00602
DEVELOPMENT SERVICES DATE ISSUED: 10/23/2006
em 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S111 CC - 06500
SITE ADDRESS: 15955 SW GREENS WAY ZONING: R -12
SUBDIVISION: SUMMERFIELD NO.2 LOT : 092 JURISDICTION: TIG
Project Description: (4) branch circuits for remodel. Job #12437.
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: 3 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:
RENEAU, CHARLOTTE J BECK ELECTRIC INC
15955 SW GREENS WAY 15600 SE FOR MOR CT #B
TIGARD, OR 97224 CLACKAMAS, OR 97015
•
Phone: Contact #: PRI 503 - 656 - 7396
FAX 503 - 656 -4397
FEES
Description Date Amount Reg #: ELE 3 -5C
[ELPRMT] ELC Permit 10/23/200( $66.80 L[C 2629
[TAX] 8% State Surcharge 10/23/200( $5.34 SUP 5024S
Total $72.14 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: 5( 1�d ._e_,- Permittee Signature: t.e t'
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.
Oct 23 06 09:14a p.2
t,
_'lectrical Permit Application„ . ■'i � ' 6 — ,n'' • FOR OFFICE USE ONLY
a �u -
9 tJ . Rec e ived +j _ / _ , n
City of Tigard Date/By: / / v ✓ / \ r - - ��, a 0�
131 25 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 f ` I f `T C j 3 200/ ; ( f i s j Date /B' Other Permit:
Inspection Line: 503.639.4175 lllJll�i 1! F� +l ` � Date Ready/By: 0 See Page 2 for
Internet: www.CI.t Notified/Method: Supplemental Information
, .,. '1/4-7' N REVIEW
OF. WORK z - 1*i r� ' :. PLA W
❑ New construction ® tAdld 'ittionialieiationirepfacernent Please check all that apply:
❑Service over 225 amps, comm'l ❑ Hazardous location
❑ Demolition ❑ Other: ['Service over 320 amps - rating ❑ Buildn over 10,000 sq. ft..
. . . CATEGORY OF CONSTRUCTION - . _ of 1- and 2- family dwellings 4 or more new residential
cg I- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
Building over three stories ['Feeders, 400 amps or more
El Multi-family ❑ Master builder ❑Other:
❑Occupant load over 99 persons ❑Manu factured structures or
❑Egressiliehting plan RV park •
JOB SITE INFQRN1:4TiON AND LOCATION ' []Other:
/- t DHealth-care facility
Job no.: i-2 31 Job site address: �j� S t-lp eC✓1� �1p i Submit 2 sets of plans with any of the above.
City /State /ZIP: —` ' � c,rd 0 12. i 2,-2—,-4 The above are not applicable to temporary construction service.
i • FEE* SCI EDULE
Suite /bldg. /apt. no.: Project name:
Description 1 Qty. Fee. I Total 1 -
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: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 I
Limited energy, residential 75.00 2
Tax map/parcel no.:
Limited energy, non - residential 75.00 2
DESCRIPTION`' OF .WORK ' : ' . nufactured or modular
Each ma
j� �
dwelling, service and /or feeder 90.90 2
I I ✓ 0 c 1-- Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
amps amps OWNER" !:TENANT ...... -
201 mps to 400 mps
401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City/State /ZIP: Temporary services or feeders installation, alteration, and /or
relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 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 701. 401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
❑` APPLICANT . :....: :: .. : ❑ : C ON A C T :: :PO ..
T' ERS A. Fee for branch circuits with
. service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits
Contact name: without service or feeder fee, / - �
each branch circuit 46.85 c ft 2
Address: Each add'I branch circuit 3 6.65 iii C. 2
City /State /ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax: : ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited-
CONTRaCTOR .,• • :
.. ....'';;,,.:,•.: . :: .. energy panel, , a teraUOn, o r
• extension. Describe: Page 2 2
Business name: — B,e j , K ec - L., J.--v1. C -
Address: I Sb D G ro t2. A ( Each additional inspection over allowable in any of the above
Per inspection 62.50
City /StateiZIP: C - 1 CLC. Kc;.vv\ cA. S D Q c. riO I S Investigation per hour (I hr min) 62.50
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Phone: ( 9)3 ) ( p ( "] 3 ` : - . A o Fax: C ) L 9 (n I ' 7 L Industrial plant per hour 73.75
• ELECTRICAL: PEILMIT' FEES*
CCB Lic.: �� I Electrical Li .: 3 —5 G Suprv. Lic.: . S Subtotal )
Suprv. Electrician signature, required 5' g � . i Plan review (25% of permit fee)
- State surcharge (8% of permit fee) S . '3 ` -
__,,t\L Print name: G k c „,,,,- f e 1 - -�tv 5 ,� Date: � '�3 p kj TOTAL PERMIT FEE 7 2_. t Li
Authorized signature: O CL(....91/4.9_,, 61-4 This permit application expires if a permit is not obtained within 180
)3,. days after it has been accepted as complete
Print name: \cur 3 i � y l t 5 Date: ‘ j) / do • Fee methodology set by Tri -County Building Industry Service Board
"��" '• Number of inspections per permit allowed.
i.\ 13uriding\Permit5 \ELC- PerntiUpp.doc 12/03 440 -a6 ST( 4O /02.1COM /WE.B
CITY OF TIGARD
BUILDING DIVISION • PERMIT #: ELC2006-00602
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/23/2006
Phone: (503) 639 -4171 4A'�4h��iill
Inspection Requests (24 Hrs.): (503) 639 -4175 L2 `:_..
INSPECTION WORKSHEET FOR DATE: 10/27/2006 TIME: 7 :01AM PAGE: 40
SITE ADDRESS: 15955 SW GREENS WAY CLASS OF WORK:
SUBDIVISION: SUMIViERFIELD NO.2 LOT #: 092 TYPE OF USE:
PROJECT NAME: MIGON
DESCRIPTION: (4) branch circuits for remodel. Job #12437.
OWNER: RENEAU, CHARLOTTE J, PHONE #:
CONTRACTOR: BECK ELECTRIC INC PHONE #: 503 - 666 -7396
Inspection Request Scheduled For: Date: 10127/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
125 Wall cover 038922 -01 503.-6567396 N
Corrections /Comments / Instructions:
RcemotiSt- WIT CA4ft / A, Ftsa_
\ lam, ( Qor '&104> i h`PA wa.L. Fa qu&.i,
PAS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Nbe LT Date: 10 21 l� Phone #: (503) 718- 1.110
CITY OF TIGARP .
BUILDING DIVISION PERMIT #: F_LC200& 00002
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/23/2006
Phone: (503) 639- 41714/p i ill
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 12/13/2006 TIME: 7:04AM PAGE: 59
SITE ADDRESS: 15955 SW GREENS WAY CLASS OF WORK:
SUBDIVISION: SUMMERFIELD NO.2 LOT #: 092 TYPE OF USE:
PROJECT NAME: MIGON
DESCRIPTION: (4) branch circuits for remodel. Job #12437.
OWNER: RENEAU, CHARLOTTE J, PHONE #:
CONTRACTOR: BECK ELECTRIC INC PHONE #: 503 - 656.7396
Inspection Request Scheduled For: Date: 12/13/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 040997 -01 971-235-5532 N
Corrections /Comments /Instructions:
•
PASS n Py' TIAL Ate;;- AL ❑ CANCEL I I NO ACCESS
FAIL , . ,r • , { ■ : 'ECTION I I ADD 1710 FE ASSESSED / -R
Inspector: Date: Phone #: (503) 71