Permit C ITY OF TIGARD -.• ELECTRICAL PERMIT
PERMIT #: ELC2007 -00429
COMMUNITY DEVELOPMENT DATE ISSUED: 6/22/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S109BA -05700
SITE ADDRESS: 13750 SW MISTLETOE DR ZONING: R -7
SUBDIVISION: HILLSHIRE SUMMIT NO. 2 LOT : 043 JURISDICTION: TIG
PROJECT: GREGORY
Project Description: Pool bonding
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:
CANDICE GREGORY A & J ELECTRIC
13750 SW MISTLETOE DR PO BOX 330
TIGARD, OR 97224 FOREST GROVE, OR 97116
Phone: 503 - 522 -8005 Contact #: PRI 503 - 359 -5891
FAX 503 - 359 -1981
FEES
Description Date Amount Reg #: ELE 34 -IC
[ELPRMT] ELC Permit 6/22/2007 $46.85 LIP 959
[TAX] 8% State Surcharge 6/22/2007 $3.75 SUP 4534S
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 tha e S days. • ENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set forth in
OAR 9. - 001 -0010 through S - • ••2 -101 -0100. You may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Iss ed By: / _ d �
L Permittee Signature:
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: 411ft .� / 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.
•
06/22/2007 08:34 5033591981 A &J ELECTRIC PAGE 01
00/22/2007 07;25 FAX 6036981960 •CITY'0F TIGARD 0001
I'•Ieett al iermlt Application 0.1. P. 1 + ,
',' 7 Pawn 1Qo.: E/4,1007-an a,9
aty of /I ...
1 SW w AI r a, OR 9/223 // D
' Phonic 503.639A171 Fme 503.598.1960 may; Od:erPeteth:
is
at
lntporxloaa ]dam 501619.4175 ' /[l I ■ e.P s for
ww.tipra-0rgov
Weepy -W lieY.m.6.s
❑ New con cn ❑ Addldm:/altera<JooJroptac9ment 1 rows WI the tit pas orb w iloame cliectzt taw*
13 Service et Mr /fro amps of tttar. D 1lasaelag.vmn swiss.
_
• IQ Dettbliti t1 1;1 Otter. whew tie medbilds loth aanymt 17 Mm10es mod bonsmis`
{: :\ ;'• '; 0.' ..'.1" r 5 • r •'t as mecca 10,000 amp. at 150 WV or Cl ��
d1. .. • •: : ' :.' • • " far8 to �.a.d area+a.d.14.000 O Cam>n stir!- o. aerfadttmtl
❑ 1• and 24iottily dwelling ❑ CommeiclalAndtearlal ❑ Accessory big amp for dl ado fistellatirics. tannings.
0 Nato -lily ❑ rater oun D other: arm pm,. 4 trarsibelen of XV/14,
of :; 1 '20211...INTE a! 8140 - .• >>lneATBo�i.. • , ' , a ,,{ s .
: , i •t ' D Addmoot motor load at D A, 'S', °l -2^,U ,
Job no.: lob site address:
10010 Ore. aoC7•
...V r ;A i . psfa.s�n m D ifam egasi v�e gn+ct.
City/Stine/VP; L 1 t4c q / Za. Q gamrdo.alomtiom. D Repply _° for t
' ean disc
600 volts Sniteibldfaapt. no.: Project name: 17 *mica or haw 600 es mate.
. : :' L6:'., ��:
Cross slreaN acs to job site: Lg " � >m
w n or fi b ' aatit.
Wade; stnehad mega _
Subdivision: I at am, 1,000 sq. fl. or less 1411$ 4
Ba, add, S00 eq. IL or potion 33A0 1
Tax map/parcel no.: Limited cony, iraidential -
•: i , t1t'dllg : v ,. • ," ; with Aosta q. 8) 73.00 2
o . ` A - residential (with shove ea 113 75.00 I Z
*endow orb bntetlatittoaodr, roller ado
•
-
200 amps or tun 8030 2
'', a• �. 4*. T..4.': -• ..: 0 1104trl.'.. 201 amps to 400 amps 106.84 2
N 401 amps to 600 amps 160:60 2
► ` 601 amps to 1.000 amps 240.60 _ 2
Ad 1. r 0 w .; . . Oar 1,000 amps or wkt 454.65 , 2 •
city/swam ^ . • 4 Temporary per.iaaa'ar Radon Wa➢I aberodom auditor .
relocation
PhD= ( Ai , , t % . Fax ( ) 200 amps or leas 66.85 1 _
•
Owner lnStallatlont "9 " motion . being made an pl ip:m that I own which is not 201 Punps ro 400 Ian" 10030 2
Intended fbr sale, lear eoccb8np, accordingly ORS 447, 449, 670, and 701_ 403 amp to 599 amps • 13175 2
Meade drains new, allowance. oresieonon, per panel
Owner signature: . a A. P ea f ar Womb obtain WA
y ' ; n, .'',T, ..f.+4.'...1!:,:...., ` n 'C !',1 "ARSON , aboveservice or feeder fee. 6.63 2
• - •.: • ` �:�•�'.. ;..
Business name: • . . ewt, 1 eerc r
10,Tio ferbr c merit ! s •
— without amvin;orfeederfoe, 1 4685 f' •
Cement name: Blast branch circuit t
Addle= Each add'l bremb circuit 6,65, , - 2
1Edamikannma (sm eke or neetkr net
City/S1atdZJP! Ewen eimwtaoeund or modular 9090 2
dwelling, earwig° amd/or feed.;
Phone: ( ) l F52 : ( ) . Reconnect real 66,85 2
.-mail: • Pwnp ar ntg:#oocicnie 53.40 2
. ' ' :.:_ ,: - ..t,.. • ), • • coramexim •a: 7T' Ta Sign .r outline lighting 52A0 3 .
Bammeea nat:4e: A , £er'f t le • Soul pa e,(a) or limited-
energy panel, altme;iort, or
Address: liti[� ?, 1J a Depadbc: Prue 2 2
My/State/ZIP: 0 eg t r 01 Q h ?7t4 Bach additional bepectioa otrerlloatwBb In a irthe above ,
g p Per onion 830
P h o n y ( q 3 ) g51-4- f( Era` (p9 ` 1-I4// ravoQiadivat v et taout n bud.) 6z o
CCB Lic,: 73 1 El ctrical Lic.: j I Soho lac.: 40305 • mdt>eila1 plant Per hour _ , 73.75
Sup.v. Electrician signature, required: 4/-C / °rrs S2113/2031
te: � !� . i
! � • Plsn arview (759b of pt�it f o: _ /
Amt name --- ,P/ Gt/� �SG�/ 1 " °"" Sate s�h�.( erpaeait 1Ee): . 7(
A.aa.Qized Rtsco turw _ - '1OTAr.. PEltMrr Fls'1s: (Oa'
Print name: I Dam 716 tl entree ire mkt it not 20
dip Ow at ass been easavecd as.aasvlela
I warn 06023r96
u..aar5Tpuos/000Srw� • Nmm6Q.[ie�w.d
•
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 -00429
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/22)2007
Phone: (503) 639 -4171 I
Inspection Requests (24 Hrs.): (503) 639 -4175 � ..
INSPECTION WORKSHEET FOR DATE: 7/10/2007 TIME: 7:00AM PAGE: 45
SITE ADDRESS: 13750 SW MISTLETOE DR CLASS OF WORK:
SUBDIVISION: HILLSHIRE SUMMIT NO. 2 LOT #: 043 TYPE OF USE:
PROJECT NAME: GREGORY
DESCRIPTION: Pool bonding
OWNER: GREGORY, CANDICE PHONE #:
CONTRACTOR: 61$EC1EC,7IDICE PHONE #: 3.9132-6085
Inspection Request Scheduled For: Date: 7/10/2007 Pour Time:
Code # Inspection Description Confirm # Contac Message
199 Electrical final 051706-01 503• 9-5891 N
Corrections /Comments/ Instructions:
••■•.- Afir,44,
X PASS ❑ PARTI , APPROVA El CANCEL ❑ NO ACCESS
❑ FAIL ❑ C L F•RI e ❑ ADDITIONAL FEES ASSESSED
Inspector: ' Date: Phone #: (503) 718-
CITY OF TIGARD L�-
BUILDING DIVISION PERMIT #a0 "'
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 pr i i l
Inspection Requests (24 Hrs.): (503) 639 -4175 . p _
INSPECTION WORKSHEET FOR DATE: CQ / Z-7--/0 7 TIME: PAGE:
SITE ADDRESS: f t 7 Z /4'1 i CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: , /
OWNER: ✓ PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Insp ction Description Confirm # Contact # Message
Its 4
Corrections /Comments /Instructions:
tr
i b .:,, ;/ if
•
tit/ cik,,,/,(Ad ok 40 Ill.22 0 0." 4 a 4e-r,-
M PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
, (0
Inspector: Date. I Phone #: (503) 718-