Permit ELECTRICAL PERMIT
CITY OF - TIGARD
° PERMIT #: ELC2006 -00687
COMMUNITY DEVELOPMENT DATE ISSUED: 12/5/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S135CC-02000
SITE ADDRESS: 10360 SW MEADOW ST ZONING: R - 4.5
SUBDIVISION: THE MEADOW LOT : 005 JURISDICTION: TIG
Project Description: (2) branch circuits for heat pump.
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:
STEVE VALDEZ SIMPSON ELECTRICAL CONST.
10360 SW MEADOW ST 2145 NE MCDONALD LN # C
TIGARD, OR 97223 MCMINNVILLE, OR 97128
Phone: 503 - 971 -7430 Contact #: PRI 1 - 503 - 472 - 2530
FAX 1- 503 - 435 -0157
FEES
Description Date Amount Reg #: ELE 36 - 82C
[ELPRMT] ELC Permit 12/5/2006 $53.50 LIC 133886
[TAX] 8% State Surcharge 12/5/2006 $4.28 • SUP 410 -S
Total $57.78 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: - 7 2 4)%r>7 Permittee Signature: e _d_x f s._./ (76
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.
A-Ai/4/2006 12:10 FAX 5035981900 CITY OF TIGARD Q001
• 4 . .
Electric:al.Pentut Applications.
INTECEIVED if.,,,„.„1-,,,
City of Tigard 1,17.,,,ogineroNriA Peron No.:
13125 SW Roll Blvd, Tignal. 01 9223ncrs A Pia "Aviv:
Phone: 503.639.4171 Fez 5033911.196128 t J 4 2006
. .._. . . lizipaatoso Lion S03.439.4175 ..„...„....
D.re : -. :
• beers= wynorigard-orgov CITY OF TIGARD - lEEEHR!!!11
7-1;:7 sm:31.11.4tv51-0:f. l'..s-i0141~.
0 New consauction AdditIcealteradon/tesdacenteat Rom oak ell din apply *leek lime of plow %Atom cbecked below):
°Service erfixder400 saps or wore 0 lasildinparer term nodes.
1:3 Demolition 0 Other what me meiotic tali mama 0 Manus aid boserods.
' - -c . :. • ....747.4";;t;i:;`.4. :. ofritopitorticarliti6 7 .:., I., ,...7:47.-::wv:i.....' mews Kam aies sr ISChntlis or OPonins whams.
:as el m
gosi or eagee rk. 14,000 0 Orannerdri•use seriedrand
• I- ood 2-flunilly dwelling Li Commercial/indusoial b Accessory building man for di othertiontionm. handing,.
0 Multi-fan* 0 Master builder 0 Other: a The pump. 0 Inoalladen ern KVA or
. 0 haergeacy sysassi. larger separately derived Minn.
5 :4 1.t . ' ..1 . . . ..... : . : . - - ..-.., -.. . ;;". '-' . . : 41 : r ; : ClAaditim screw maserand ar CI -",-; - E". - 1-2 - . - 1-r.
Job no.: Job 6110 addle= /03 to0 Merr
tyj j .1 letittPor mem
0 o . Six anon addential da ocespanly.
t
0 Itonestivu dc polo.
■-
. OW/State/ZIP: 1 g a r o ( 0 e. ..7 0 levadrene &aeries.
0 theortkalloanase. 0 Seppir "atop. for mac dim
Rd was nominal.
•
Suitabld&iapt. no.: 1 Project name: 0 Unice Woofer 60 ine Ps or meg&
:-:-:;:...,..- .. , l'!'2.1.• -7. V":141,Ve;:...•
Cram stremAlkections to jab sit= etateasor I Ow. 1 roe. - I rim T.
Xteer needle 610 'Mee- or martelandly dwelling oda
helades samba! .. .0.
SehdiriSiont I Lot no.: 1,000 se. it a las
1 1111
Ea addl 500 sq. ft Or porde@ 33.40
• Tax mapfparod no.: Limited mom naidaleiall 75.00
',. ; 'l 's c`• - re.z ) :, 7, - .. -.",...- ".7'.... : cY` • 1 ' ..z. -7.: :s: • - '-- .... via Mow ,.. ; .
Limited energy. routti-family 75.00 3
' 1/4-r-Nc residential! (nith rbovu sq, ft)
Semites ar balm lootalledon thermic e, sad/or relocation
200 amps or Is 80.30 2
'':; .. : : 7.; --. 43
vri7*.Aimogrfeiigi*::: . .: 201 naps CO 400 amps 106.85 2
'N
am= sA J v it
..
ii \ e„ 401 amps '0 600 maps 160.60 2
, 601 amps to 1,000 moms 240.60 2
Address: Ova I,000 amps or volts 454.65 2
City/State/ZIP: Temporary services or feeders lesteliatios, akeradoe, aad/or
reloadian
Phonm ( ) q 1 1 - 7 y_ra I Faso ( ) 200 amps or less . 6435 1
Owner lastailatioen This installtdion is being made on propaly that I own which is not 201 amps to 400 amp I 100.30 1 2
intended far sale. lane, tent, or mcebange. according to ORS 447. 449. 670. l 75 ed 701. 401 amps to 599 amps 133.75 2.
Bruck ample -.e* "ratios, or extends% per panel
Owner signaturm Dot= A. Fee for branch cinema with
... 57. 1 '.'.......1 . 743.14101* ai Fri: : ... - e,tx::;"' • .1.4 ye!7.• above service or feast toe. 6.65 2
each brooch circuit
. Business name: a. Pee far brunch ekadia .
without service or feeder fee. / 46.15
Contact nantm Rest branch circuit
Address: Each midi branch circuit 1 / 6.65 r, Gr..5 2
RI anti...vim titmice or feeder not :eluded)
City/Statel23P: Each astaulketured a modeler 00.90 2
dwelling. srvive !ardor feeder
P11000: ( ) I ROC : t ) Reeenacet only 66.115 2
. ' E-mail: Pump a inigasion tire' e 53.40 2
r-ki Plk"; -.•;-;"-...P......-&.7.V Sign el* eallio lighting 5340 2
Signal dinnit(s) or limited-
N BUSInen nane:S .-y,psoi, Fle ci4- r; ej eofIcl mew panel„ elevation, or
■0 cameos. Dace Page 2 3
Ad r k ess: 4Q ili S .-- /12 Yrk r\t" 4 L In 5 1; C-
\ at 3 I SIP: TV), ifY)r /1 i ) 0 d/ c Qe■ 7i.:)- Er Loeb addltkosal Wonted= over allowalik la an olds. above
Per inspection 62-50
Pim= Gbta W7a Q53C0 I F (sela ) V35-01 5 lvstion pa our ft re rend 62.50
CCB LiC.: r-*.5f( I Electrical Lic.: i, . c.. 1 Sum, Lk. cq' liz6
,, postrief t per hour 73.75 .
Supyr. Electricims sigrodurc, roquircd: --. -
.- 1 . Sebtoal:
4) Pins mime MS of - - fo.):
. • Print nun= K._>0; n Si ,-- -) Con 1 D a t c:/ - id/ - 0 6 4' 77:74. 2 - Stric tatchetil CIS organ* few)
Aho : • rilirm
utr-lad dwelt= :5" (7 TOTAL FERMI' FEE: .. is.- , .•:. ,
Print 13803M I Date: 111nperodlapprario. arms Ifa ramie lams Manned *min jog
4.7s macro l‘er been amount as complete.
• Irtanbarot inspection divined pee wait
Thlhilihniakraimitl.C.Proanamio. 05a:1196 Mn
Z' d L9 L 0 C17 NOSdlAll NIA3>i dLZ:Z L. 90 t70 oar
CITY OF TIGARD
BUILDING DIVISION r PERMIT #: ELC200G00687
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: . 12/5/2006
Phone: (503) 639 -4171 /"9�q�u ,i
Inspection Requests (24 Hrs.): (503) 639 -4175 ~ __..
INSPECTION WORKSHEET FOR DATE: /2/12/2006 TIME: 7:01AM PAGE: 53
SITE ADDRESS: 10360 SW MEADOW ST CLASS OF WORK:
SUBDIVISION: THE MEADOW LOT #: 005 TYPE OF USE:
PROJECT NAME: VALDEZ
DESCRIPTION: (2) branch circuits for heat pump.
OWNER: VALDEZ, STEVE PHONE #: 503 - 971 -7430
CONTRACTOR: SIMPSON ELECTRICAL CONST. PHONE #: 1- 503 - 472 -2530
Inspection Request Scheduled For: Date: 12/12/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 040879-01 503.819.2329 '°
Nit
Correc i ons omments /Instructions: 9 ° ° fl-
.4/ row 4i ? L // /fel c
_..0 ,o 4i-tf"
S ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: ?/° Date: OA 0.4 Phone #: (503) 718- Z L