Permit i .
t. :. ELECTRICAL PERMIT
CITY OF TIGARD .. DEVELOPMENT SERVICES P ERMIT
#: ELC2006-00562
� .) i' 1 DATE ISSUED: 10/3/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 -63 -4171 PARCEL: 2S111CB
SITE ADDRESS: 10200 SW HOODVIEW DR ZONING: R - 3.5
SUBDIVISION: HOOD VIEW LOT: 008 JURISDICTION: TIG
Project Description: Upgrade service & install circuit for hot tub.
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: 1 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:
PETER GUDEKUNST MILESTONE ELECTRIC
10200 SW HOODVIEW DR 1800 NW 169TH PL. SUITE B700
TIGARD, OR 97223 BEAVERTON, OR 97006
Phone: Contact #: PRI 503 - 645 -5323
FAX 503- 690 -4843
FEES
Description Date Amount Reg #: ELE 34 -618C
[ELPRMT] ELC Permit 10/3/2006 $86.95 LIC 153480
[TAX] 8% State Surcharge 10/3/2006 $6.96 SUP 2113S
Total $93.91 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: ,0 .„. Permittee Signature: 5.e e— Q
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. 3. 2006 12:38PM Milestone Electric No. 3743 P. 2
', I vvil -ivx1 re l!> - II I application FOR 01� 1 ICE (. ONLY
I City of Tigard • p � I a ! < R — I 1 L J / Pet No. Phone: 503.639.4171 Fax: 503.598 1960 ', <.'-, .' r a w
�1,,V ! � ' Da Review Other Permit;
Inspection Line: 503.639.4175 3 nternet: www.ci.tigard.or.us OCT �,, �� 2UU6 :,,.,0.4. , - Notified/Method tun) Suppleme S C t Page tgt 2 ln fa
" c' •+ »dry Nr. 'z t6 Y r< .,,c:� ...;10$9, . �L ,t . r ' > , ,„. '
' 'r r ..r,. .:. , #V , mow. y W' , 7 t �,. ie . g ', tat s7 lit . eijat `a AC,�t rr.
••.� .. M �4�a ' ::•mi :aalo i`: Etk,�,,.. f.. "wt�:y'a tyi, l
s�" ds.:v5ri',4,yyN a l ° �,h. :u
R•
� -.: � r n . as �u . i wr'�:.w�tiNt�r ` c a�irax,. ;z/ �, 'S T '
❑ New construction ,_• 1►:. tion/replCcenllent Please check all that apply
❑Service over 225 amps, comm ❑Flazardous location
❑ Demolition ID Oth
il.,,- `i :; i ' x, ,4 ' �r, i )n ' r ;, ti*,- ti . LalahtiO '� � q , ❑ o ervi and 2 dwe 0Buildng over
or more new residential sq.
►! - and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi family ❑Master budder ❑ Other: ['Building over three stories In Feeders, 400 amps or more
~. �., a +Kkr =rrw , P , ❑Occupat: load persons ❑ RV park
Job no.: 6•3p ( Job site address: i 0 WO S.e /� ' aticalth -care facility ❑Other;
J ' "- l r"t Submit 2 sets of plans with any of the above.
City/ State/ZIP: • t 1 • 2 .� The above are not applicable to temporary construction service.
Suite/bldg./apt. no.: Project name: Ste. 0c Up k ci'+ «,''E � 'y, i` 3`�y s " +,a " t 1>tFr „y� 'tK �+- • ,Fi « "n ” Y ..
J ur�S,, f�,:1S.t �s� >.Ren� 7.mureN,w6�� ;�dctisv��:t�i,AS °c•l�"�F,�
DeecripLen Qty- tree Total
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. 0. or less 145.15 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
' >,
Tax map/parcel no.: y' Limited energy, residential 75.00 2
i{ l�.a+y i I r iwtl ae'a~ i�O ;m� � "�ia� , "s "i ... Limited energy, non - residential 75.00 2
r :� , ,.,'° ,� , _ .. ' '` ft744 }* Each manufactured or modular
t ll dwelling, service and/or feeder • 90.90 2
) ti
e' 4- I �'1 r �1 / J 4 ^/- I' ('1' ^rr�i�. Servi or feeders installation, alteration, and/or relocation
200 amps or less I / I 80.30 le 2
'i r S'',% . I'e l 5 Ci Tit \f "•i kry. �,� ,, a� .+, NT w A, , , � , ,bye 201 s to 400 amps . �.w�3,`, ..�. � ," ,,.,.: , �. ���7 c� �.. + � �� *_�.+�� i e �} � ,Y �P P 106.85 2
Name: G 401 amps to 600 amps 160.60 2
fic_ 4"Aea ,c,„ G l.t d KJ,�' 601 amps to 1,000 amps 240 -60 _ 2
Address• ` Over 1,000 amps or volts 454,65 2
City /State/2W: w - -' ReconnectIndy I I 66.85 2
�' q 4'r� 7 7 .-, 2, e Temporary services or feeders installation, alteration, and/or -
Phone: (.5-0 ) 4 ._ 67 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:
ra$ � � ,,��!!�� ,�,�^^�r;� ;, •. , , 4 .�. Branch circuits - new, alteration, or extension, per panel
`.�' �ff/4, ik 4 i 14 :+ ni W �' 'FT «yj^ — .r S, �'^; v ' �"n�T.` •MYd� ,t it` iCSgn�T•?' - �t 4 , l Zt+q T: " A Fee for branch circuits wjth 1>
;,•� r k � ; ' s service or feeder f8e, each 6.65 1 5 2
Business name:
branch circuit l
Contact name B. Fee for branch circuits
without service or feeder fee, 46.85 2
Address: each branch circu
Each add'! branch circuit t 1 6.65 2
City /State/ZIP: _ Miscellaneous (service or feeder not included)
Phone: ( ) p er:: ( ) Pump or irrigation circle 53,40 2
Sign or outline lighting 53.40
2
E -mail:
Signal eircuit(s) or limited-
*.,1,: !T Ow, fi . 4,1°' 1E � at 1 .,,a3iia` , ";:h. r:.,y %,.,,' DY{'1, s ergy panel alteration, or
Nosiness name: ,[1 /, 1. 6/ (
extension. Describe: Page 2 2
Address: . ' j 0 t� 1 A, / 2 / - 1 - Each additional inspection over allowable in any of the above
'6-200 Per inspection 62.50
City / State/ZIP: 1 p a Ve . f - 9 Qh/ Irnveti iron.
� / " � c T / tc� ga � u hour (1 hr min) 62.50
Phone:
' (Sr � �) t 'r��.� —,�3 �.� Fax: �G7�') �o pQ'� (7‘e-4":3 Industrial plan per boor —� �
I ic_. Electrical Lis wok{ MI3:r " �, 'r, LMAM Ei
CCU
3 t�J S' J p 4' -- was to
��[� Suprv. Lie.: Subtotal
Suprv. Electrician signature, required: ( .
/. Plan review (25% of permit fee)
Print name: /1 --,/! ` 1 l _ Da /a O � ,
State surcharge (8% of permit fee) e�
l � C � 4 ' / 7 r TOTAL PERMIT
i FEE • ,—�
Authorized signature: C
s "t'his permit application expires if a permit s not obtained within 180
days after it has been accepted as complete
Print name: / 4• 0 - % 4 G _ / te: iQ? -0 6 ' Fee method set by Tri- CgW1tY Tuilding Industry Service Board
` - � / •• Ntattberof inape ceiops per perm allowed
iAl lui1d043 \Permits\ELC- PemiitApp.dx 12/03 44P 0/02 /C014JWEB
CITY OF TIGARD 4
BUILDING DIVISION / � 'u`�� ° - PERMIT #: ELC2006 -00562
13125 SW Hall Blvd., Tigard, OR 97223 R J DATE ISSUED: 10/3/; 006
Phone: (503) 639 -4171 (L eiu Npu�i, jel
Inspection Requests (24 Hrs.): (503) 639 -4175 _..x
INSPECTION WORKSHEET FOR DATE: 10/4/2006 TIME: 7:02AM PAGE: 38
SITE ADDRESS: 10200 SW HOODVIEW DR CLASS OF WORK:
SUBDIVISION: HOOD VIEW LOT #: 008 TYPE OF USE:
PROJECT NAME: GUDEKUNST
DESCRIPTION: UOgrade service & install circuit for hot tub. 1 �r`
OWNER: GUDEKUNST, PETER V PHONE #:
CONTRACTOR: MILESTONE ELECTRIC PHONE #: 503-15.5323
Inspection Request Scheduled For: Date: 10/4/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
105 Underground/slab cover 037644 -01 503-8%3268 N
Corrections /Comments / Instructions:
1/c 6 .6'e,a / , )- c41 e
-. 01,1-- ! / . Gj /LL ew-t`f
...,.
4 1/‘n f 0 k ‘
Ce/041 , i ,, 14 ,ke) j ok
____a, 7 W ; =---_ 0 '
PASS I I PARTIAL APPROVAL I CANCEL NO ACCESS
FAIL n ALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: w V o Phone #: (503) 718- A V O
1,-
CITY OF TIGARD
BUILDING DIVISION .
PERMIT #: ELC2006-00562
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/3/2006
Phone: (503) 639-4171 4 7 0 44till
Inspection Requests (24 Hrs.): (503) 639-4175 Ail■ IL
INSPECTION WORKSHEET FOR DATE: 10t9/2006 TIME: 7:01AM PAGE: 30 .
SITE ADDRESS: 10200 SW HOODVIEW DR CLASS OF WORK:
SUBDIVISION: HOOD VIEW LOT #: 006 TYPE OF USE:
PROJECT NAME: GUDEKUNST
DESCRIPTION: Upgrade service & instalI circuit for hot tub.
OWNER: GUDEKUNST, PETER ki PHONE #:
CONTRACTOR: MILESTONE ELECTRIC PHONE #: 503-6/45-5323 .
Inspection Request Scheduled For: Date: 1(1/9/2006 Pour Time:
. ,
Code # Inspection Description Confirm # Contact # Message
115 Electrical service. 037860-01 503-645-5323 N
Corrections/Comments/Instructions:
i . ..
f e-r -----
, A AtilA4q, /lA/' t/Ni2) S f 614 4,4 L
F
PASS 0 PARTIAL APPROVAL . I CANCEL fl NO ACCESS
FAIL 0 CALL FOR INSPECTION fl ADDITIONAL FEES ASSESSED
Inspector: N Date: 0/ 9(0 (%)
Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006 -Q0562
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 0/3/2006
Phone: (503) 639-4171 +fin d�
Inspection Requests (24 Hrs.): (503) 639 -4175 J fL.
INSPECTION WORKSHEET FOR DATE: 10/23/2006 TIME: 7 : 04AM PAGE: 64
SITE ADDRESS: 10200 SW HOODVIE.W DR CLASS OF WORK:
SUBDIVISION: HOOD VIEW LOT #: 006 TYPE OF USE:
PROJECT NAME: CUDEKUNST
DESCRIPTION: Upgrade service & install circuit for hot tub,
OWNER: GUDEKUNST, PETER PHONE #:
CONTRACTOR: MILESTONE ELECTRIC PHONE #: 503-645 -5323
Inspection Request Scheduled For: Date: 10/23/2006 Pour Time:
Code # Inspection Description Confirm # #
Electrical 16 Fov4 E f 038527 -01 5•3-860 -2117
-Z�hrnl.
Corrections /Comments /Instructions:
17.r g L> U I `mil
�..
• .u. G ! Gv I t r .� _ &
T8
1 Cie
PASS 4N PARTIAL APPROVAL ❑ CANCEL NO ACCESS
FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: c-N-t? Date: l / /b 6 Phone #: (503) 718 - z49
. . . . . -
CITY OF TIGARD •._ •
BUILDING DIVISION r PERMIT #: ELC2006- 00562
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/3/2006
Phone: (503) 639 -4171 �dpuyu �+
Inspection Requests (24 Hrs.): (503) 639 -4175 '__..
INSPECTION WORKSHEET FOR DATE: 1/10/2007 TIME: 7 :03AM PAGE: 10
SITE ADDRESS: 10200 SW HOODVIEW DR CLASS OF WORK:
SUBDIVISION: HOOD VIEW LOT #: 008 TYPE OF USE:
PROJECT NAME: GUDEKUNST
DESCRIPTION: Upgrade service & i st I circuit for hot tub.
OWNER: GUDEKUNY, PETER PHONE #:
CONTRACTOR: IMM,ILESTO',,- ELECT" 1 PHONE #: 503-645 -5323
•
Inspection Request Scheduled For: Date: 1/10/2007 Pour Time:
. Code # Inspection Description Confirm # Contact # Me - • -
199 Electrical final 041981 -01 503- 860.21.7
Corrections /Comments /Instructions:
•
•
rfJP
PASS PARTIAL APPROVAL n CANCEL I NO ACCESS
❑ FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CHAP Date: l /v G 9 Phone #: (503) 718- 2471/V