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Permit
44, CI 1 Y ®F TIGARD R® ELECTRICAL PERMIT PERMIT #: ELC2006 -00027 DEVELOPMENT SERVICES DATE ISSUED: 1/17/2006 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171 PARCEL: 2S101AD - 00400 SITE ADDRESS: 06655 SW HAMPTON ST 110 ZONING: MUE SUBDIVISION: WEST PORTLAND HEIGHTS LOT : 034 JURISDICTION: TIG Project Description: 2 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 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: HAMPTON OAKS LLC WILLAMETTE ELECTRIC INC 6665 SW HAMPTON PO BOX 230547 2ND FLOOR TIGARD, OR 97281 TIGARD, OR 97223 Phone: Contact #: PRI 503 - 624 - 3631 FAX 503 - 624 -2938 FEES Description Date Amount Reg #: LIC 75059 [ELPRMT] ELC Permit 1/12/2006 $53.50 SUP 1965S [TAX] 8% State Surcharge 1/12/2006 $4.28 ELE 34 -283C 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 00- 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. JAN 13 200G 10:14RM HP LASERJET 3200 i p.2 • Electrical Permit Application ` FOR OFFi E�IISE ONLY City of Tigard I V .t .; Re . Jate/S I / O�j ✓ • Permit Na d � ®0 - ��r - 13125 SW Hall Blvd., Tigard, OR 97223 Plan Revie Phone 503.639.4171 Fax: 503.5981960 1 7, '" " s' { 1+ ('' Date/8 : J otter Pen nit: Inspection Line: 503.639.4175 P y _ l. , ' Date Ready/By: I ' • ® See Page 2 for Internet www.ci.tigard.or.us Notified/Method: , Supplemental Information it aF•` '€ - ;i ill 4siK.4 ,f ''. '" ''''ti'. . Nt.h A N1* - C . w . k ',. r ' ..y " -i[lt;ni^r. ,3 : , ,`,- r • F � t. f ' ,, A 1 1 r< � i.di , i ii il , a, ,. a w 1 .� 7i,p�' m l t a�a. ri , ,. - .. "+i�r ct gi , ' • T� 1 I {i r_. i ' .D. rdaR ; :5il13..1',ti xrf ,ltid! _ L.L:,'_ ❑ New construction 4 Addition/alteration/rep acem - : :.. �. ., . Id.. .- • . i !,.�,.; .. , r -... e nt Please check all that apply: Demolition ❑ Other ❑Service over 225 amps, comm ['Hazardous location m r a ' atl:Ei : ... ❑ Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft., '� �T ,;,,. q rt ` '3 o o , 1170 i sY ,m �` -t tp 1€ i is�'s '? ;i:l' - �ti? of 1- and 2- family dwellings 4 or more new residential ` t+ �u3,.s_!' �,+ ['System over 600 volts nominal units in one structure Ell- and 2- family dwelling A Coiunierciallindustrial ❑ Accessory building ['Building over three stories ❑Feeders, 400 amps or more El Multi family ❑ Master builder ❑ Other Manufactured structures or _ u �� z ['Occupant load over 99 persons ❑ {, & { s i PO " tw t - d: f'3 ' �,�1 i i a RV park i �a. 4 M� fi is n h vt.iiat' •a joB;, -,2. t< : h�' #a ,' Viµ• 41 ., ..,d > 5's It ❑Egress /lighting plan ❑Flealth -care facility ❑Other: Job no.: Job site address: t S% 5 ,'� 7 ( >V -c. - 12 �fi^'� Submit 2 sets of plans with any of the above. City /State/ZIP: The above are not applicable to temporary constriction service. 1 Yl il '> ra WE TA Suite/bldg./apt. no 1 i 6 I Project name: 0440.„1x4 S f Description Qty. Fee. Tam! •• 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: i Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1 Limited energy, residential 75.00 2 Tax map/parcel no.: r ; Limited energy, non - residential 75.00 2 4 F i yNll tel. i '}l' nS�'t, { q r i ; X t s 'R} '�d 5 J�' � lD al5 ; r. llaiI. gy},� 1 .g l aakEa t t i nr. S i SIE1 � . y � Each manufactured or modu ...v.c$l+ iiattitl....3ui;.!�+F 6 1 loll. 2Legfe ,1,4 1 . „, ,Az4: _ gel: '£ -,, dwelling, service and/or feeder 90.90 2 I .- $.i -4 '-. T I„, t rl A n,--se -e-1,- .-4.,.-2 Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 1 4 � 1,t t , , Alma...ppk +t d. ,91fi i'.� C l � i +, ii k f i lilt a 201 amps to 400 amps 106.85 2 ,.. t,,, 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 Phone: ( ) I Fax: ( ) relocation 200 amps or less 66.85 1 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 i s ay t r , It ; t a z 3 r , 3 . t �V s t. "/ r'1 2 'a £" r l a l l ",, t l r . x ( , t; A. Fee for branch circuits with l a ' Li:R I.� -", y ..9 ^ i 1 i „"e : I f .1:4. J F pia, T� .� a .� 1 , service or feeder fee, each 6.65 ' 2 Business name: branch circuit B. Fee for branch circuits Contact name: without service or feeder fee, • � j each branch circuit / 46.85 4! d - 2 Address: Each add'i branch circuit t 6.65 ro �- - 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: Signal circuit(s) or lirnited- MrE . f ; '' '': ©' , r arl i rt 1' 3 =' ; ': '' 1 s ?"E t `g energy panel, alteration, or extension. Describe: Page 2 Business name: (2t) 2 1(4, M ft ( et „- i . it lc I,.-, .— Il Address: Each additional inspection over allowable in any of the above C),.ir � - � 5 } Per inspection 62.50 City / State/ZIP: Tcsvvt.2,0 V J� CI ? zir I Investigation per hour (1 hr min) _ 62.50 Industrial plant per hour MN 73.75 -- Phone: (Sp3) 4,21,.t. .. 36 i Fax: (-03) (off -- 2.- 3 i. "; � ag .� �lyd�'k�a�i�,.?��� �� 1 t ��a�'�y�" gaMa e a��.� CCB Lic.: 7 JJ Electrical Lic.: 3,4. 24 C_ Suprv. Lie.: (4' 6 S" s Subtotal s S i Suprv. Electrician signature, required ! Plan review (25% of permit fee) • State surcharge (8% of permit fee) 1$t Z I.-- Print name: - d I Date: (_ r - s r"- St TOTAL PERMIT FEE % .S" , Authorized signature: Tits permit application expires if a permit is not obtained wittie 180 days after It has been accepted as complete Print name: Date: • Pee methodology set by Tri- County Building Industry Service Board r. Number of inspections per permit allowed. i \BuildiuglPermts`ELC -Per trApp.doc 12/03 44046 13T(l0/02/COM/WEB CITY OFTIGARD BUILDING DIVISION PERMIT #: E'(C2008 -00027 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: in mow Phone: (503) 639 -4171 J • Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET F.K DATE: 21 1 1 20 0 6; TIME: 7 PAGE: 67 SITE ADDRESS: 06655 SW HA' . ZION ST 110 CLASS OF WORK: SUBDIVISION: WES T PORTI_ i.,HEIGHTS LOT #: 03,4 TYPE OF USE: PROJECT NAME: GREENSPAN DESCRIPTION: 2 branch circuits. • OWNER: HAMPTON OAKS LI_.C, \ PHONE #: CONTRACTOR: WILLAMETTE ELECTRIC IN'' " -, PHONE #: 5a6241-3631 Inspection Request Scheduled For: Dte: 211/20 6 Pour Time: Code # pec io . .tion Conk # Contact # Message 108 Electrical final 0260391.1 503- 624 -3631 N Corrections /Comments /In . - s: PAS n PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS n FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: G" t\ q 6B L 1 Date le' ``'0 Phone #: (503) 718- 141-110 ... CITY OF TIGARD : , . BUILDING DIVISION A ... PERMIT #: ELC200600021 I 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1117/2006 Phone: (503) 639-4171 Inspection Requests (24 Hrs.): (503) 639-4175 INSPECTION WORKSHEET FOR DATE: 1/18/2006 TIME: 7:01AM PAGE: 68 SITE ADDRESS: 06666 SW HAMPTON ST 110 CLASS OF WORK: SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 034 TYPE OF USE: PROJECT NAME: GREENSPAN DESCRIPTION: 2 branch circuits. OWNER: HAMPTON OAKS LLC, PHONE #: CONTRACTOR: . WILLAMETTE ELECTRIC INC PHONE #: 603-6243631 Inspection Request Scheduled For: Date: 1/1B/2006 Pour Time: Code # Inspection Description Confir , Contact # Message 125 Wall cover • 026170-01 603-624 N Corrections/Comments/Instructions: l& PASS 1 PARTIAL APPROVAL El CANCEL 0 NO ACCESS FAIL n CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED Inspector: 'N- NO6 1- Date: 1 - I It' Phone #: (503) 718-W$ , . .