Permit C ITY OF TIGARD ELECTRICAL PERMIT
w PERMIT #: ELC2006 -00109
' Vi4, D EVELOPMENT SERVICES DATE ISSUED: 2/9/2006
� ► a! ' .. 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 111 A B -05100
SITE ADDRESS: 09100 SW INEZ ST ZONING: R -4.5
SUBDIVISION: PENMAR TERRACE LOT : 003 JURISDICTION: TIG
Project Description: Install of ground rods to replace metal water service as grounding electrode.
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: 0 W /SERVICE OR FEEDER: PER INSPECTION: 0
201 - 400 amp: 1st W/O SRVC OR FDR: PER HOUR: 1
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:
ROBIN CONDER OWNER
9100 SW INEZ ST
TIGARD, OR 97224
Phone: 503 - 816 - 8154 Contact #:
FEES
Description Date Amount Reg #:
[ELPRMT] ELC Permit 2/9/2006 $62.50
[TAX] 8% State Surcharge 2/9/2006 $5.00
Total $67.50 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- 800-3 344.
Issued By: „ 2...,, ,t" Permittee Signature: 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.
Electrical Permit A 1 „CA 4. FOR OFFICE USE ONLY
'City of Tigard r DDate/By,,, e' - J Permit No , 6 " 0
' , ` aP 13125 SW Hall Blvd., Tigard, OR 97J2F p 0 9 2006 Plan Review
Phone: 503.639.4171 Fax: 503.598.1960 � % �� *�1{iil 1. Date/By Other Permit:
CITY OF �,
Inspection Line: 503.639.4175 �+ i __w" t 'l — Date Ready/By: EMI y: See Page 2 for
Internet: www.ci.tigard.or.us gg (� -' Notified/Method: Supplemental Information
BU1L J S O p PLAN REVIEW
❑ New construction Addition/alteration /replacement Please check all that apply:
1:1 Demolition ❑ Other: ❑Service over 225 amps, comm'I ['Hazardous location
❑Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of 1- and 2 -family dwellings 4 or more new residential
p i 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building 0 System over 600 volts nominal units in one structure
❑ Multi - family ❑Master builder 0 Other: ['Building over three stories ['Feeders, 400 amps or more
❑Occupant load over 99 persons ❑Manufactured structures or •
' JOB SITE ,INFORMATION AND LOCATION ❑Egress/lightingpIan RV park
Job no.: Job site address: 9/ Co (/V 7 ❑Health -care facility ❑Other:
N Submit 2 sets of plans with any of the above.
City /State /ZIP: 7;1J � 4 � c 1 OR Y 7 Z Y The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: Project name: FEE* SC
Description I Qty. I Fee. I Total I •"
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 1
Tax map /parcel no.: Limited energy, residential 75.00 2
Limited energy, non - residential 75.00 2
_ DESCRIPTION OF WORK Each manufactured or modular
dwelling, service and/or feeder 90.90 2
E re va".crl v` 1'645 . a ~ cl / (1 0 14 Ker _ e) v, L. Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
' " IS PROPERTY OWNER - I ❑ TENANT 201 amps to 400 amps 106.85 2
�� 401 a to 600 amps mp P 160.60 2
Name: U •1.-- e` 601 amps to 1,000 amps 240.60 2
Address: 00 .ENV Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City /State/ZIP: � G,_ d -� 9 OA 7 2 Temporary services or feeders installation, alteration, and/or
1 r relocation
Phone: (503) 4� 0 0 y Fax: ( ) 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, accordin • to ORS 447, 449, 670, and 701. 401 amps to 600 amps 133.75 2
Owner signature: — ."� t/..--_1 AI, Date: n.4 7 0, Branch circuits - new, alteration, or extension, per panel
❑. APPLICANT ❑ CONTACT PERSON 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, 46.85 2 •
Address: first branch circuit
Each add'! branch circuit 6.65 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, alteration, or
extension. Describe: Page 2 2
Business name:
Address: Each additional inspection over allowable in any of the above
Per inspection 62.50
City /State/ZIP: Investigation per hour (I hr min) / 62.50
Phone: ( ) Fax: ( ) Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lie.: Electrical Lie.: Suprv. Lie.: Subtotal 6 Z
Suprv. Electrician signature, required: Plan review (25% of permit fee)
•
Print name: Date: State surcharge (8% of permit fee) j _C��
• TOTAL PERMIT FEE K ? 5V
Authorized signature: This permit application expires if a permit is not obtained within 180
days after it has been accepted as complete
Print name: • 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(l0 /02/COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
4. RESIDENTIAL WORiONLY:
Fee for all residential systems combined ... $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
❑ Garage Door Opener*
❑ Heating, Ventilation and Air Conditioning
System*
❑ Vacuum Systems*
❑ Other:
i : COMMERCIAL WORK ONLI':
Fee for each commercial system $75.00
(SEE OAR 918- 260 -260)
Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls •
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
i:\ Building \Permits\EL.C- PennitApp.doc 04/03
• CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELC2O06- 00109
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/912006
Phone: (503) 639 -4171 . ° q �� �difl I � ll�l
Inspection Requests (24 Hrs.): (503) 639 -4175
J
INSPECTION WORKSHEET FOR DATE: 5/19/2006 TIME: 7:01AM PAGE: 2
n.
''`f'rt`XbDRnS: 09100 SW INEZ ST CLASS OF WORK:
SUBDIVISION: PENMAR TERRACE ' • LOT #: 003 TYPE OF USE:
PROJECT NAME: COWER
DESCRIPTION: Install of ground rods to replace metal water service as grounding electrode.
OWNER: CONGER, ROBIN PHONE #'.- 503 - 016 - 1fA
CONTRACTOR: OWNER PHONE #:.
Inspection Request Scheduled For: Date: 5/19/2006 • Pour T :3, •
Code # Inspection Description Confirm # Contact # Mes,• =.. e
199 " Electrical final 030229 -01 503-6200 MB
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Corrections /Comments /Instructions: MOSSA
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tI A PASS I 1 PARTIAL APPROVAL ❑ CANCEL NO ACCESS
❑ FAIL I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: "' Date: L.S 04 Phone #: x (503) 718- Z 9i
•
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #' ,1,CrZ &0.. j09
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7
Phone: (503) 639 -4171 / A811 iii l ll l
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 91, 00 i tyt.% s‘ , CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: S-12,..-6t, Pour Time:
Code # Inspection D- '•tion Confirm # Contact # Message
Corrections /Comments /Instructions:
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Inspector: v 1'i , 'V i CE .---
Date: S I L i . ° 1 0 Phone #: (503) 718- 2J
CITY OF TIGARD
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1/2
Phone: (503) 639-4171 4/4 iii,
Inspection Requests (24 Hrs.): (503) 639-4175 ,-4,
INSPECTION WORKSHEET FOR DATE: 1. TIME: i:0;;AM PAGE: 47
SITE ADDRESS: C.)9100 SW INEZ SF CLASS OF WORK:
SUBDIVISION: PENMAR TERRACE. LOT #: 100*:i TYPE OF USE:
PROJECT NAME: CONDER
DESCRIPTION: Repl itiai.41 s-ervice.
OWN s. CONDER, ROBIN PHONE #: 1 ..3 - :('11:;1 - ; ii:yi
CONTRAC OR: RAYEiORN'S PLUMBING', INC PHONE #: : i3-
Inspection Req. est Scheduled For: Date: - 1,1 -- .)E,01Do€, Pour Time:
Code # Insp.. tion Description Confirr # Contact # Message
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Corrections/Comments/Instructions: -1.-
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Y
WATER SUPPLY AND DISTRIBUTION 604.1 — 605.2
I wrought iron, galvanized steel, PEX, or other has been approved. PEX tubing shall be installed in
approved materials. Asbestos - cement, PE, PVC, compliance with the provisions of this section.
--10.- PEX -AL -PEX, or PE -AL -PE water pipe manufactured 604.11.1 PEX Fittings. Metal insert fittings,
to recognized standards may be used for cold water metal compression fittings, and cold expansion
building supply distribution systems outside a fittings used with PEX tubing shall be
I building. PEX -AL -PEX water pipe, tubing, and manufactured to and marked in accordance with
fittings manufactured to recognized standards may the standards for the fittings in Table 14-1.
be used for hot and cold water distribution systems 604.11.2 Water Heater Connections. PEX
I within a building. PE -AL -PE water pipe and fittings tubing shall not be installed within the first
may be used for cold water distribution systems eighteen (18) inches (457 mm) of in
i
within a building. All materials used in the water p p g
connected to a water heater.
supply system, except valves and similar devices,
shall be of a like material, except where otherwise 604.12 Flexible Corrugated Connectors. Flexible
I approved by the Authority Having Jurisdiction. corrugated connectors of copper or stainless steel
shall be limited to the following connector lengths:
604.2 Copper tube for water piping shall have a
weight of not less than Type L. Water Heater Connectors — twenty -four (24)
Exception: Type M copper tubing may be used inches (609 mm).
for water piping when piping is above ground Fixture Connectors — thirty (30) inches (762 mm).
in, or on, a building or underground outside of Washing Machine Connectors — seventy-two
structures. (72) inches (1827 mm).
604.3 All hard -drawn copper tubing, in addition to Dishwasher and Icemaker Connectors — one
the required incised marking, shall be marked in hundred twenty (120) inches (3048 mm).
accordance with sections 19.3.1 and 19.3.2 of ASTM B 604.13 PEX -AL -PEX and PE- AL -PE. Crosslinked
polyethylene- aluminum- crosslinked polyethylene
(PEX-AL-PEX) and polyethylene aluminum
88-99 Seamless Copper Water Tube. The colors shall be:
Type K, green; Type L, blue; Type M, red; Type
DWV, yellow. polyethylene (PE- AL -PE) composite pipe shall be
604.4 Listed flexible copper water connectors shall be marked with the appropriate standard designations
installed in readily accessible locations, unless listed in Table 14 -1 for which the piping has been
otherwise listed. listed or approved. PEX -AL -PEX and PE -AL -PE
604.5 Cast iron fittings up to and including two (2) piping shall be installed in compliance with the
inches (51 mm) in size, when used in connection provisions of this section.
with potable water piping, shall be galvanized. 604.13.1 PEX -AL -PEX and PE- AL -PE. Fittings
604.6 All malleable iron water fittings shall be used with PEX -AL -PEX and PE -AL -PE piping
galvanized. p p g
shall be manufactured to and marked in
604.7 Piping and tubing which has previously been accordance with the standard for the fittings in
used for any purpose other than for potable water Table 14 -1.
systems shall not be used. 604.13.2 Water Heater Connections. PEX -AL-
604.8 Approved plastic materials may be used in PEX or PE-AL-PE tubing shall not be installed
water service piping, provided that where metal within the first eighteen inches (18) (457 mm) of
water service piping is used for electrical grounding pip g connected to a water heater.
purposes, replacement piping therefor shall be of
like materials.
Exception: Where a grounding system 605.0 Valves.
acceptable to the Authority Having Jurisdiction 605.1 Valves up to and including two (2) inches (51
is installed, inspected, and approved, metallic mm) in size shall be brass or other approved
pipe may be replaced with non - metallic pipe. material. Sizes over two (2) inches (51 mm) may have
604.9 Solder shall conform to the requirements of cast iron or brass bodies. Each gate or ball valve shall
Section 316.1.3. be a fullway type with working parts of
604.10 Water pipe and fittings with a lead content noncorrosive material.
which exceeds eight (8) percent shall be prohibited in 605.2 A fullway valve controlling all outlets shall be
piping systems used to convey potable water. installed on the discharge side of each water meter
604.11 PEX. Cross - linked polyethylene (PEX) tubing and on each unmetered water supply. Water piping
shall be marked with the appropriate standard supplying more than one building on any one premises
—� designation(s) listed in Table 14 -1 for which the tubing shall be equipped with a separate fullway valve to each
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