Permit C ITY OF :TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -10071
DEVELOPMENT SERVICES DATE ISSUED: 3/24/2006
---� 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S114BB - 03000
SITE ADDRESS: 10065 SW KENT PL ZONING: R - 4.5
SUBDIVISION: PICKS LANDING NO.1 LOT : 044 JURISDICTION: TIG
Project Description: 220 receptacle for stove. 3/24/06, REVISED TO ADD (1) ADD'L BR. CIRCUIT.
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:
MARGARET MCMAHON GARNER ELECTRIC
10065 SW KENT PL 2920 SW 247TH AVE #A
TIGARD, OR 97224 HILLSBORO, OR 97123
Phone: 503 - 624 - 2944 Contact #: PRI 503 - 648 - 4552
FAX 503 - 642 -7925
FEES
Description Date Amount Reg #: ELE 34 - 305C
[ELPRMT] ELC Permit 4/5/2006 $46.85 LIC 121159
[TAX] 8% State Surcharge 4/5/2006 $3.75 SUP 37075
[ELPRMT] ELC Permit 4/5/2006 $6.65
(additional fees not listed here) REQUIRED ITEMS AND REPORTS
Total $57.79
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 f• - • s • R 9 -- 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503 - 246 -66" 9 or 1 -800 -'
Issued B Permittee Signatur =: .■/s, �ry„ „�_
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.
FRO, R ELECTRIC FAX NO. :5036427925 Mar. , 23 2006 03:50PM P1
, ,,• t.
1.1
' A 1
Electrical Permit Applt fr.i
- to -- GE,N ED .
. FOR OF I CE USE: MIN . . . ' ' . .. . '. •
' Received ,2 81 ,, • City of Tigard
2 ) 200t Ali D.,ta : ,....4 u v 1 Permit No.. E , _. 60
13125 SW Hall Pilvd., Tigard, OR 9'7223 141\R .-' ' Plan Review
Phone: 503,639.4171 Fax: 503.598.1960 Date/; 13
.1;11111, __.7_,L.---, Other Frr
eule
Inspection Line: 503,639.4175 TIGIV4ssfr c
r si - cy 05 . ,... .._,,,,, na c /r hd y o , , • s. 5 Pege 2 for
t www,ci.tigard.OT.U13 G DIMS N
• ... 1 Supplethesiml Information
VIRTRIPEMBEATRYTIMAi 1 Affih t ■ 4Nt'' ' Oh ' 6 i; I, ' t V r■ IN' Wm' 94P . , l' r 440 i!' ■r.1' 1
0 New construction Addition/alteration/replacement please check all that apply:
' • in Service ov mnf 1-1
er 225 amps, col 0e.zardous location
El Demoli '
tion • ill Other: • SO ervice over 320araps - rating ['Bulking over l0,000 sq. ft.,
Egli,'0,44111,paRill ',.. 73 "61Eragett :;'',. Is
l '' q le 1 c.A, of 1- and 2-family dwellings 4 or more new residential
iseiLP,Itisolyllaimi l'i.f.' 1 ■.■1: P ' 4,. -4ttiti ot. tttizi li=Lf.aIlar.11,,S■i.tt,,L)N.)7 . ), . tt i ' wathymitamt.. i. . , . # '
6 j - and 2-family dwelling 0 Commercial/industrial 0 Accessory building
1.1 Multi-family builder 0 Other: . 0 Master bui . .
1,.... ElSystern over 600 volts nominal units in one atructure
CjEluilcling over three stories ['Feeders, 400 =VS or more
1:30CCITNIntsiOttd ;Wet 99 persons tilvlanufacturcd structures or
Prtri.', a s grosa mo t i 43 p . , KY park
4 %), (al!;',i, A. iS dt:..A'ts ,1;:i dn,,',;1 ,Lik f.11. c , ..a. , .I.11. i', ! , r4 ■10 , PO ..1■'.0 .' .3 .A!:: i i' .q.' ; t.. ' iht .
, '' Joh na. Job site address: .1 DOW; 51/V 1<(...i'vt P 1 . . 011ealttr- facility rjOther:
--- Submit 2 sets of plans with any of the above,- •
City/State/ZIP; oird , . 0 2 • The above are not applicable to temporary construction service, .
% • ?.:236.120TRE2123Mag.UP.... ,. P .0 -i''3 1 '.''' . . 7 - .-- - .
Suite/bldg./apt. no • Project name:
' is.ezipt,, i. Totoi "*.
Cross street/directions to jOb Sire! • • • New residential single- or multi-family dwelling unit.
. , Includes attached garage.
1,000 sq, It or less . 145.15 4
— .
Subdivision: Lot no.; Ba. addil 500 sq. ft. or portion 33.40 1
-- Limited energy, residential 75.00 • 2
Tax map/parcel no .
' Limitod enerrgy, non-residennal 75.00 2
1 ,13,6N i rdiiiEFIN,77 ' ,7,51PERSK I NI I INeVARNA ' lik.41041 M 0*:f 1 Each Manufactured or modular
:000 E-e,,c.e.r:4 -- - C - .S4--ove___ dwelling, service,and/or feeder 90,90
. .— Services or feeders Installation, altera ion, and/o r relocation . 2
........—
200 amps br less 80.30 2
UPRITArticl'iM —
201 amps to 400 amps 106.85 2
..., ,,i Z.,ka kl , ,;11! , 11,1t.!iLi 4ailr ;',•:, In AWAultdil'iLkattoki. f.:i r 1 6 i r ' ii 4 01 amps to 6 amps --
160.60 2
Name; ro ar , aret 0 G M a (10 r)
601 amps to 1,000 amps _ 240,60 2 ,
Address: / . Over 1,000 strips or volts 454.65 — 2
-- •---- Reconnect only 66,85 2
City/State/ZIP: . ' • Temporary services or feeders instalisttion, alteration, and/ r
- relocation • .
Phone: (5)3 ) Zic: ( )-
200 amps or less 665 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, rant, or exchange, according to ORS 447, 449, 670, (aid 701. -
401 amps to 600 amps 133.75 2
Owner signature: . Date: . Branch circuits ..- new, alteration, or extonsioucr panel
it A. Fee for branch circuits with ,
via14.f I.P1,;if,MtRA:th.,,O,1 +.s;+1. 'tikki, e 00 , , , A ° )1, ii,A,IA,I't,:e.11all!L,:fisil,LIMii service or feeder fee, each
Business name: * branch circuit 6.65 2
B. Fee for branch circuits ,
Contact name: . . wahout service or feeder fee, 1
— i 6
. each branch circuit 46.85 L ,3s 7 2
Address:
Each add'l branch circuit . 6.65 1
—
City/Stato/ZIP: Miscellaneous (service or feeder not inclu dad)
Pump ar irrigation circle 1 53,40 2
Phone: ( ) Fax: : ( ) — • —
Sign or outline lighting . 53,40 2
• .._
E-mail: Signal circuit() or limited-
Etrigff energy Panci aittratiQu or
extension, Describe: Page 2 2
Business name: ( V 1\} E - ..2„. Eil ..e. .--_,:z . . . / (_,., ,
_
Address: 7 a.
Each additional Inspection over allowable In any of the above
, „ - ,.."2 (_ ,-cc:. ,s A
\„,, .J., -.7 . 4%1 Av e . 4 i yA t
, Per inspection 62.50 ---,—
City/State/ZIP: 1..1- ‘ ( s ,..1 C,„' C R_ ei — 7 I a. - .3 investigation per hour (1 lir rain) 62,50
—„- _
'. Industrial plant . er hour 73.75
. Phone: ("1,,S) ( (-.1 `. L--t c" Fax: )) (., . ...„,L
cct c:
t ti. 1 2 1 1 ti-e.i Ele ca c...7.! 11 , 3r, . , ic. -; • , r: ..., --,,2-
' I. i
- f • Affiril . - — — z RREERITILITHWANNINERIPTASEINE5' fl'q
. Subtotal
SupgAl signature, required: illr./.27A4r7 - (a// ltri Plan review_(25% cfparmit fee)
-- —.------;
•
Print State surcharge (8% of pen nit fee) 3. ' 7 '
bate: )•z /v.
int name: f24..,.. ,-,-:. f? ...,_ el_ c __ _ ate: 4- ,......„...
TOTAL rativar FEE 56 6 (2._
Authorized signature; .. This permit application expires if a permit is not obtaiaed 1;itctin 180
days after it bas been accepted as complete
Print name: . Date: . Fee methodology set by 'Tri-County Building !tummy Service Board
-.------- .
'Number of inspections per pertitil allowed.
.
:.,4,.;■.44....sv...-4,Ato
.5,.,.i, ,,n AMA 17/fY1 440-0 1 5T(10/02/COM/WEB
CITY OF TIGARD „ _ . ZC__
BUILDING DIVISION PERMIT #:.=-2-0 O 6 - 11)07/
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639- 4171u'd� giiq 111
Inspection Requests (24 Hrs.): (503) 639 -4175 ..!W
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: /0 0 6 ks_e_ii..--
C LASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 3- Z g'- O ce Pour Time:
Code # Inspection escription Confirm # Contact # Message
l q L/S S
Corrections /Comments /Instructions:
44
6 40/. /
(&—. .
SS I PARTIAL APPROVAL _ ❑CANCEL ❑ NO ACCESS - - --
n FAIL ❑ L FOR '- PECTION I I ADDITIONAL FEES ' SSESSED
Arr.-
Inspector: AY / Date: 3 ev - Phone #: (503) 7143 ” )-•