Permit 1 1 O F TIGARD ELECTRICAL PERMIT
OF
DE VELOPMENT SERVICES
PERMIT : ELC2006-00389
D ATE ISSUED: 7/14/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S112BC-05600
SITE ADDRESS: 08380 SW LA MANCHA CT ZONING: R -4.5
SUBDIVISION: LA MANCHA ESTATES LOT : 009 JURISDICTION: TIG
Project Description: (1) branch circuit for furnace.
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: 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:
NORA EDER BEN'S HEATING & NC
13194 SW YAARROW WAY PO BOX 80607
TIGARD, OR 97223 PORTLAND, OR 97280
Phone: 503 - 521 -0950 Contact #: FAX 503 -651 -3345
PRI 503 - 233 -1779
FEES
Description Date Amount Reg #: ELE 49LHR
[TAX] 8% State Surcharge 7/14/2006 $3.75 LIC 64597
[ELPRMT] ELC Permit 7/14/2006 $46.85
Total $50.60 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 a s'et forth in OAR 9 1- 010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503 -2 6 -6699 or 1 -800 -3 -2344.
Issu d By: 9 ( .Gk.,4_, Permittee Signaturgg.�
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.
.•
EIe trical Permit Application i 4 roit FILE x141'; ONLY
City of Tigard �i40 Received n /y 010 'SA Permit 49.: ee cl
13125 SW HaI1 Blvd., Tigard, OR 97223 / n
tr Plan Revidw
Phone: 503.639.4171 Fax: 503.598.1960 +0 •D O ° * '''tt� 'g 11tr ' I t i \ Det&B : Other Permit:
Ins{� action Line: 503.639,4175 .4. _k I,. j. `+ Date lloadyBy: Luray' y� r gee Page 2 for
net: wv/w,oi,tigard,Or,ua Notitlod/Method; ' t� Supplemental information
t Y5�t' :i �'�, t''i, li 7.r v+ll +r> •� '1 } dia4,!L '.1 "; 1' �' , '�� .�` ll• 7 i� , kt r y ynin, t G 4� ire�a r,7!^-.,-..-+^. •
i ;: ;I „f F: m .a: y '�' , •bats l 0 s !l e, t ly ' u , , ri,ti'�I 1 ,u v :Y ' r i0i1,- rZ' >l`i , + ,61,{'k :t# b' :i;i •'�'ii�M r 'r''''.% '. ' ,1b:C .11t !i l. ' t, . {l'
.7, , + -Er° t1�4 I _ .: _ •:,1 1 h3 S + t l f 1:. HL....: fit; t . �. :1: c .,,l.l� +l0 kylf sr>' a:�..l1... ! 3 .111t >k 3'J "S,YE'P(' ...N 7 "..: G ° al .' &:.:r. .� r L ^a.r' Ct6 ' n,c.m uw'_ ,..,_, — •
❑ New construction 17.4 Addition/alteration/replaeement Please check all that apply;
❑ Demolition . Other; ['Service over 225 amps, come' ❑Hazardous location
ril '�' `:i {{Git+A " "3nie., /;1131 I 'r r,�'r��+�.'a M z ;:: I rt ai''rri.'::':�,;t%;y4, ,, � Y'� ti .�,: , n . 1 ,. . 1 ,, , . ❑Service over 320 amps — rating ❑ Buildng over 10,000 sq. ft.,
t:1 yd,l,rl st�,Il 4 l'ii I ' d9 3 t{{ .FI �1 '¢'0ra�, t1• : Lein 1 earl, 141 t0ulri;'l'il rk i 1 n `' l r,{1 ,1 l .' of 1- and 2-family dwellings 4 or more new residential
a s , , ..,. .. `! 11::sC.: r..._; 1.,.,.. 4:`.,. , .., r I: , .... , t a, , , ,.: , D I 42l l1 !I % tlr lf.., y g
1 - and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building []System over 600 volts nominal units in one structure
Multi-family 0 Master builder ❑ Other: ['System
over three stories [Weeders, 400 amps or mart:
:• '' 1 +� r �( VUr I 1 ur 4t . i , ae ❑Occupant load over 99 ersonS RV structures or
' {'t' �ilt '11'1 ^911f..i..l,lll�.. '.I. Y76' tltll,l ; Ih 4, �iy 1s 7' ; ' 11 1 # ■11. t ',,, I �' ! 1 e 4 It ( r(1, 4 � r ,l l lh 1,11' .A■I'•1 . i,� ' I• ' 1t B ss /ll hnn plan p RV. park
. (�) ifs [ ` . - ❑F of ❑above.
Ca _.
Job no.: Job Site address: i3" City/State/ZIP: p submit � sets of plans with any of the above,
t2/ .'Cr ! - 7 a a The above are not applicable to temporary oonatructiOn service.
1Ir,Cgl''f''.11jrsrii c ' t t';} 1' I' ih�l "il.{'I:IF,::;li`4•ta���11111, 1lii',t�'. ', „'I
Suite/bldg. /apt. no 1 Project name l a4... , l „,x, t 1 : ...
Deacdptlen Qty. Fee. Total ”'
Cross street/directions to job site; New residential single- or multi - family dwelling unit,
Includes attached garage.
1,000 so, ft. or less 145,15 4
Subdivision: I Lot no.: Ea. addtl 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: '
• Limited energy, residential 75.00 2
I J I ' I Y + ; , a 2/ P. hp�(!� k "� u h p t 'N. . t lY,t i4., 3 +'I r •,, . L imited energy, non- residential 75.00 �
E{ T � Iblt�`( t I IAl I t , e t ,..1,' li� , . ' " V . ` I II ,r' 1 p , 1,t' 1 r "
... ...> :.4 I hl l , : rt , a ^ '' '1 - Eac manufactured or modular
dwelling, service and /vr feeder 90.90 Z
`fi u Services or feeders installation, alteration, and/or reiocatio
200 amps or l 80.30 2
.:.....,:_, I, . • t . p F V. ;17+ , :'Ch _:,, n.y,r, „ "k vt:'a "ter, 9I :ll: ','r'.: ;n
I• °.'•;,a I �, Bo�•91' q9E.. ' ? � ,' „'; - d, r. >, ' 1;. 201 am s to400a s
.,,!t al 4 r I I 11�14' 1 rl 'S�'rI I �i � ti' I i �nllltti f � t 1 +• IICl °4 t ls k•l;r;n p � 106.85 2
'l J.,_.I,I '....,.a. .r, :,l.. L :p1.l :.tlh>E ,_nt,yL:',t 1 . ..:_ .., J4.iI �Ilf ,I:R.P7 '1 _ ',....r.>.. r.r..l ii�lls�..,!1,!±,u!�,st.
401 stops to z 00 amps . t , 2 -
Name: 0e 4 9� , er 601 amps to 1,000 amps 240,60 2
press: i 31% 4,,-) At 14. �f Over 1,000 amps or volts 454.65 2
1'F Reconnect only 66.85 2
City /Sta[e/ZIP: rp; y t( , g �, dr - 7 2.-a Temporary services or feeders Installation, alteration, and/o
Phone: (Z' ) 1I ex y y) Fax: ( ) relocation
200 amps or loss 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:
- :: >,.,,,,:.,.:,...,.,., > ,: circuits—
. .. . .. .. . .. ; c,,,;,:- ,,,,:: ;;, ;a ,. I new, alteration, Or extension, per panel
. , �.;: -.,5 , .,, ;> `4%;•' 'i� ) is :! ',. §a 9h:C ". .':m;:.
raRCli C1TCUl ne
rd;' r le, t ; ,I,h I. r P.., ` . 7 ;.:'I : •.,.' : ,); : ' :iii;: i'. :�fl V ,,::' ,: . ": .i '
f;�'. E; l :'; a ' ..1... : ' > , ill;:'vii S. f ,. r: i A Fee for branch circuits with
tit , : , > x'l:i ":. ...,..> .,,, r x t .. .......... . +: �.< f .. t 's "I
s•V :I' I '� , ..x,.... ,. .r ., h •I��tii. , 1 ' y ; !'''�.;I .
service or feeder fee, each
Business name: branch circuit 6.65 2
Contact name; ���/ B. Pao for branch circuits
t •., L44- l C14 without service Or feeder fee,
46.85 2
Address: each branch circuit
Each add 'I branch circuit 6.65 2
City /Stator /ZIP: Miscellaneous (service or feeder not Included)
Phone : -3,1 ) 3i 3 ,. 3' .$ I Fax: : ( ) Pump or irrigation circle 53,40 2
E-mail: Sign or outline lighting 53.40 z
0 d , . .. .. l ' . ' ' ' Yt ' , {ta i sl i i , a! ,, ��I f , t I ' s .. s , I, Signal circuit(s) r limited-
0:.....,d.tfn> lr .!.:..... ,1 ( iLI' b 1 ,y.' "' a; )
• x .•• 59 . .•....... I. }( . ,... . , . P l y. ii:( i ' .JY t ,,.. i ly V i k ?. , Qn t lg energy panel, alteration, or
Business name; / 0 .- extension, Describe: Page 2 2
�i*' ,r 1�/�,tf iq' G
Address: P o 4t .' gab e • 7 I Each additional Inspection over allowable In any of tho above
City /State/ZIP: '-� � i 70 � -4 �, �J Per in 62.50
—0 Investigation per hour (t hr min) 62.50
Phone: (6V3 ) a3T. 1 - 7 7/ Fax: W 6s� '3; 73,75 MI .
CCB L atrial p lant per h our
1 Indu
Lic.: ; ?'I,i: , .., YFfh?j: . ",' �Ia��t�'i;i)Tii 1 +', ..., .�. V r.., y x4'rf, r>, '1
ic.: 6 II / I Electrical Lic. - 7 . 4 ' Suprv. 'it I a r , d�,., { t. s., I;l; 'i 1 19',ti11� �7 j r :l �, /J
Lic.: 6 . C
c Subto T rv, Electrician sigria te, required: r ]
/ I plan review (25% of permit fee)
Print name: 111 , I , Date: State surcharge (8% of permit fee) .7
Authorized signature: m� , ' �� TOTAL PERMIT FEE 50. GO e'. Thla permit applicat axpirea 1t *permit is not obtained within 180 tett
Print name: o r� days after it has been accepted as Complete
a • i► , Date: f.. —i , • Fee mathodoloQy set by Tri- Cowtty SuiidtAg industry Service Board
t gluildlna\PemdtaLC- PerraRAppg 12/03 '" Number of Inspections per permit allowed.
440.4613•r1I O/0Z/COM/WEB
TO - d St'22 TS9 20S DNII&1RH SN3g Wd 20 :20 9002— 'bT —'1f f
_ .. .
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006-00389
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/14/2006
Phone: (503) 639-4171 , .Ayopliit
Inspection Requests (24 Hrs.): (503) 639-4175 ,_311- -.1.
INSPECTION WORKSHEET FOR DATE: 8 /2 8 /2 006 TIME: 7:00AM PAGE: 63
SITE ADDRESS: 08380 SW LA MANCHA CT CLASS OF WORK:
SUBDIVISION: LA MANCHA ESTATES LOT If: 009 TYPE OF USE:
PROJECT NAME: EDER
DESCRIPTION: (1) branch circuit for furnace.
OWNER: EDER. NORA PHONE #: 503-521•0950
CONTRACTOR: BEN'S HEATING & A/C PHONE #: 503-233-1779
Inspection Request Scheduled For: Date: 8/28/2006 Pour Time:
Code # Inseection Description Confirm # Contact # Message
1 - ' al 036647-01 503-233-1779 N
Corrections/Commen s/Instructions:
...------.-
..
6-1A.L.,----ci, , ,1/4 IA/ 6 . 1-466L.,
I
(Z.
......._________,......
%..............*****
1:,,,pAss n PARTIAL APPROVAL I . CANCEL NO ACCESS
0 FAIL I I CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: CI- . t“..Esi_g Date: 4 1)-24'01 0 Phone #: (503) 718- 1,446