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Permit
} CITY OF TIG kRD ELECTRICAL PERMIT PERMIT #: ELC2006 -00202 � 6, DEVELOPMENT SERVICES DATE ISSUED: 4/14/2006 I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S114BA -04500 SITE ADDRESS: 09925 SW KENT CT ZONING: R -4.5 SUBDIVISION: PICKS LANDING NO.2 LOT : 095 JURISDICTION: TIG Project Description: (7) branch circuits. Fire repair. 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: 6 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: • JERRY PUGH VAST ELECTRIC 1525 SEATTLE SLEW DR. SE SALEM, OR 97301 Phone: N/A Contact #: PRI 503 - 780 - 8597 FEES Description Date Amount Reg #: ELE 24 -521C [TAX] 8% State Surcharge 4/14/2006 $6.94 LIC 160065 [ELPRMT] ELC Permit 4/14/2006 $86.75 SUP 43605 Total $93.69 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 - - '3- 246 -6699 or 1- 800 - 332 -2344. Issued By: - /to j 2 6 Permittee Signature: : 2 J. w � 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. � y i t ETP - E, e ct r i ca l P A .: . ` FOR OFFICE US O NLY • d City of Tigard APR 4 200 Re e ive Permit e-/ r' K �� 13125 SW Hall Blvd., Tigard, OR 97223 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 Date/B : Other Permit: 'T, I GA R D Inspection Line: 503.639.4175 City ut J iki ' Date Ready/By: See Page 2 for • Internet: www.tigard or.gov ,A, tified/Method: Supplemental Information ctuTT Dirm.f* TyvTTCI T PE "OF RK PLAN REVIEW , . , ' ❑ New construction Addition/alteration/replacement Please check all that apply: DI Demolition ❑Other: ❑Service over 225 amps, comm'l ❑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 Ell- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure ❑ Multi- family ❑Master builder ❑Other: ['Building over three stories ['Feeders, 400 amps or more DOccupant load over 99 persons ❑Manufactured structures or ' ' ' ° JOB SITE`. INFORMATION AND LOCATION ❑Egress/lighting plan RV park Job no.: Job site address: a 90?5 Sc k,,,..1- DHealth-care facility DOther: Submit 2 sets of plans with any of the above. City / State/ZIP: 1,- a roi n ( 9 7 ?,99 The above are not applicable to temporary construction service. Suite/bldg. /apt. no.: Project name: FEE* SCHEDUI:E z Description I Qty. J 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'I 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 Each manufactured or modular dwelling, service and/or feeder 90.90 2 Services or feeders installation, alteration, and /or relocation 200 amps or less 80.30 2 ❑ PROPERTY OWNER, - ` ❑ TENANT . . " 201 amps to 400 amps 106.85 2 401 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 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 ❑ APPLICANT , ' . 1:1 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'I branch circuit 6 6.65 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 limited- CONTRACTOR. ' energy panel, alteration, or extension. Describe: Page 2 2 Business name. (i E` f if ti Address: ( y 5/ Each additional inspection over allowable in any of the above i' sE Per inspection 62.50 City /State /ZIP: 5/4 i O l , 730 / Investigation per hour (1 hr min) 62.50 Phone: (gO5 ) '781 -- g j �-2 7 Fax: (f() 5 ) 6 ?� Industrial plan per hour 73.75 EL ECTRICAL PERMIT' .FEES* - CCB Lic.: j b 006 S Electrical Lic. �(- j )i c Suprv. Lic.:,� 1 n 5 Subtotal: �/b .. 1) /'� Suprv. Electrician signature, required j / Plan review (25% of permit fee): m Print nae VatilAt i Date: State surcharge_(8 %.ofpermit fee):. _ � (/. TOTAL PERMIT FEE 95, 69 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 03/23/06 440- 4615T(I1/05 /COM/WEB Electrical Permit Application - City of Tigard " ' t1., Page 2 - Supplemental Information LIMITED ENERGY PERMIT FEES: ti RESIDENTIAL: ) R:K.ONLY: 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: COMMERCIAL WORK ONLY: Fee for each commercial $75.00 system (SEE OAR 918 -260 -260) Check Type of Work Involved: ❑ Audio and Stereo Systems LI 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 1:\ Building \Permits\ELC- PermitApp.doc 03/23/06 CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC200f. -00202 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/14/2006 Phone: (503) 639 -4171 !a 1 1p i i l r Inspection Requests (24 Hrs.): (503) 639 -4175 iii- --__ INSPECTION WORKSHEET FOR DATE: 8/21/2006 TIME: 6 :58AM PAGE: '13 SITE ADDRESS: 09925 SW KENT CT CLASS OF WORK: SUBDIVISION: PICKS LANDING NO.2 LOT #: 096 TYPE OF USE: PROJECT NAME: PUGH DESCRIPTION: (7) branch circuits. Fire repair. OWNER: PUGH, JERRY PHONE #: N/A C ONTRACTOR: VAST ELECTRIC PHONE #: 603- Inspection Request Scheduled For: Date: 8/21/2006 Pour Time: Inspection Description Confirm # Contact # Message 199 Electrical final 035317 -01 5503- 780-8597 V Corrections /Comments /Instructio - : us v-1 IA . . 0 . ,, A I N... \iv V4 ASS _ ❑ PARTIAL APPROVAL 1 I CANCEL ❑ NO ACCESS FAIL CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED Inspector: ' ` 1 ` 10 6 L Date: 1 11 ' eft Phone #: (503) 718- 90 CITY OF TIGARD 1 A BUILDING DIVISION PERMIT #: ELC2006-00202 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4114/2006 Phone: (503) 639-4171 aka 1i ( i I Inspection Requests (24 Hrs.): (503) 639-4175 ,...„.. -__.. INSPECTION WORKSHEET FOR DATE: 7/31/2006 TIME: 7:06AM PAGE: 15 SITE ADDRESS: 09925 SW KENT CT CLASS OF WORK: SUBDIVISION: PICKS LANDING NO.2 LOT #: 095 TYPE OF USE: PROJECT NAME: PUGH DESCRIPTION: (7) branch circuits. Fire repair. OWNER: PUGH, JERRY PHONE #: NIA CONTRACTOR: VAST ELECTRIC 5 PHONE #: 503.700.0597 - '0vR.NtkokAN ttN) WI Inspection Request Scheduled For: Date: 7/31/2006 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 034079-01 503-700.8597 V Corrections/Comments/Instructions: 6 cp PRsil.rv`o \Qvc1k* eitoi T aiaci. (Z--w-Q.pii Wit-t_t_ t- ' 2 4.to , '2— ■ ..E CZ) \ CJA co.)... Oil * G-Rw:vaL f 12,r1 iNt(:)-. z ii)kzoNikss-. wG(241 oc: kk_a-p.y.gia, <-) pc:4.)a, P w3• 24, n PASS I I_PARTIAL APPROVAL I] CANCEL _ . 111 NO ACCESS __ _FAIL N CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED G---, 140e.ti 0 Inspector: Date: If 31(0t Phone #: (503) 718- A - . ... . CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC?[ ?!) rti0202 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4114/20W Phone: (503) 639 -4171 Np „gi #Vile Inspection Requests (24 Hrs.): (503) 639 -4175 __.. • INSPECTION WORKSHEET FOR DATE: 4/18/2006 TIME: •7:02AM PAGE: 11 SITE ADDRESS: 09925 SW KENT CT CLASS OF WORK: SUBDIVISION: PICKS LANDING NO.2 LOT #: 095 TYPE OF USE: PROJECT NAME: PUGH DESCRIPTION: (7) branch circuits. Fire repair. OWNER: PUGH, JERRY PHONE #: N/A CONTRACTOR: VAST ELECTRIC PHONE #: 503-780-859i Inspection Request Scheduled For: Date: 4/19/20()6 Pour Time: • C Inspection Description Confirm # Contact # Message 120 Electrical rough -in 028318 -01 503- /8Q4597 Y Corrections /Comments /Instructions: • A pAss ❑_PABTIAL_AP_P_ROVAL _ _❑ CANCEL 7I_ NO_ ACCESS _ _ I I FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED Inspector: q N Date: ©C) Phone #: (503) 718-