Permit • CITY OF TIGARD ELECTRICAL PERMIT
PERMIT ISSUED: ELC2
COMMUNITY DEVELOPMENT
DATE ISSUED: 11/12/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1S133CD-06800
SITE ADDRESS: 11828 SW MORNING HILL DR ZONING: R - 25
SUBDIVISION: COTSWALD MEADOWS NO.2 LOT : 066 JURISDICTION: TIG
PROJECT: WONG
Project Description: (2) branch circuits for A/C and 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: SIGNAUPANEL:
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:
STELLA WONG EFFICIENCY ELECTRIC
11828 SW MORNING HILL DR PO BOX 30885
TIGARD, OR 97223 PORTLAND, OR 97294
Phone: 503 - 590 -8080 Contact #: PRI 503 - 805 -5821
FAX 503 - 256 -0842
FEES
Description Date Amount Reg #: ELE 26 -878C
[ELPRMT] ELC Permit 11/12/2001 $53.50 LIC 101543
[TAX] 12% State Surchar 11/12/2001 $6.42 SUP 3003S
Total $59.92 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:
../1° s 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: 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.
•
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k Phone: 503.639.4171 Fam 591.59&1960" AAG tat'
osiernr: Oiler Perreit .
I , ,. ; ‘, R inspection Lim 503.639.4175
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'-''.... --. `'... •-- ---.` --.. • ------- • • _/•• TYPE OF
El Now construction U AdditiOnfolterutionfreplaeanect Plain check all etti 101+1y rsobn0 a sets captain Witteb.hcased below):
D ,� Ej Other: 0 Service or Rata doo amps or wore DBalliliart orer novo stories
where tk available Itralt coma 13 Morino and 00
- ' OF CONSTRIICZIOPI: .:. - • 7.7. :- • i ; .:_-: a.. exceeds 10.000 nape ar1S0 rots or 0 Flowing Wrap.
V J. and 2-family dwelling 0 COmmercialimdustrial 0 Accessory building kis es rocs& cr mums Ic QM 0 Cowmen in-are nivicoltulai
array for A otter ranallefant. buildings.
0 Ot
h-family 0 Mastcr builder her:
I C3 Mul °Fire pimp, 0 iremilsion ef 75 Kuii or
: - .;:: , ; . •.T:i . .. - ti.spli-Anz MIKIRMATRIN AND Locs-nox • - - -- := , -:. E
- •-- f; l En ' Aj ,=" 5 "' ku ., ce 0 / 77-7- 1 ".71 ) .:. da r m i : ' 12724 ' n '
weapwcy.
Job no.: i lab s i t e a d d r e s s : / / g 2 4 Si i t f l r o b v e , Wal Pr2. 0 s .'°°. 7 . 7 - D m : g e h u i r l i L 13 neereattoaai vehicle parks.
City/State/VP: - 17 0 h CI ( oft q ? -.). )- 3 0 . Hatias-ore foralitici. D asnoty Yaw re, awe Om
0 Harseslas leadicas. 600 votta tiongsal.
Su iteibidglept. no.: 1 Project new: 0 &win or forts 600 crops ar mum
--.:. l'i•.'. illtz • •CIUDta.V*-.::'•,..;-•. - :::.':.•_ - .J. '.
Cross strectidirections to job site; ii.iner. I ir 1 sr... ) Med ]•
New reddeatial single-or sanln-flunity dwdllse unit
betides attoehed garage.
Subdivision: I Lot no.: 1.000 sq. n. er hiss 14S.15 4
Ea. adall 500 sq. II or portion 33.40 1
Tat map/parcel no.: Limited energy, residential
75.00 2
• -
1 ' •'. r- :-' 4 pacenviort or SVOICK -• • - -•': ..-.'. ." .. :fts (wia, 21X.0 3q. it.)
Limited amp. multi-rarnily
/ ti--• A ( Li j?. C..0 d I crsidentialkis, Above sq. Yi.) 75.00 2
Berrien* or (ceders lestollotimkaltgratIon, and/or adoration
1- I- ?-4 200 arms or less 80.30 2
- :0 rsonarri OWN saft :. - 1 1 ..---::' ..-- -,-* 0 TENNE'• - .--.. *.•'; - ;• 2 01 SUPS to 400 BMW 106.85 2
,
Name: S j_i, 4 (,, z,..,, (.., 401 Ems to 600 amps 160.60 2
601 num tu 1.000 amps 7A0.60 2
Address. // ?;)._ g 51,„ A d st.... 6 /J'4 1),,.; air" Over 1.000 snips or unto 454.65 2
Tcrisportry services or feeders installation, alteration, andfor
CiryiStne/ZIP: • rdontion
Phone: (5o3) s 0 - Pi: 5 ',,.- o I Fox: ( ) 200 amps or less 66.85 f 1
- Owner installution: This installation is being made on property that I own which is not 101 411,5 10 4" amps 1 I 100.30 2
intended for ask, least, rent, or =change, according to ORS 447, 449. 670, and 701. 401 amps to 599 amps 133.75 2
Rana aired's- mesa, alterstion, or esteusion. per pond
owner sigstature: Date A. Fos fir brands Ciro:tab WO
:..._•:;:'::; la Appup(sr : -;•.•.---'..-:'•: :..• I 7 0 'coprrACr PERSON - ''. .! : . *me gerrice of ferder fee. 6_65 2
each branch circuit
Business name: 8. Fes for branch circuits
wirhour Service or heft? flee,
Contact name: fora branch circuit / 46.85 y( 9- 2
Addicra: Each WW1 branch circuit / 6.65 6 , 6 i 2
albedlaawnes fderviee tir feeder not herd}
City/StaterVP: Eacb auma&ctssed or modular 90.90 2
clothing. service sradfar feeder
•
Phone: ( ) 1 ( ) Rearms= only 66.85 2
E-mail: Pump or irrigation circle 53.40 2
•••••:*--• ••;=•t..'..:4" .: "k •:•+' =;:•' •''. ' ',' .-- CoNTRACTOWF " - : : • I • *. .• - .: • '. : - .,,,..•••• • Sign or oudine lighting 53.40 2
Signal cirreit(s) or limited-
susintss name: Z:. --- 2 -1- r -1 1 ci / i:- c-, ti- 15 crlo C. energy med. intrados, or
-, ....- extrusion. Deserific Page 2 2
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attyistatcrzip: ,-r , A ,,,, e , o,-t... .7 '7 . D q y EMI addidosai ItalDetline over akar We in 6 of lbe sbove
Per impection • 6230
Phone: 01%7 ) go 3 - 5 i I Fra: CPI ) „,,f .‘ - 0 ,? r D
6 vcatigatioe Per hear (I Iv min) 6230
GCB tic.: 0 / --.-./ 3 Electrical lic.: J-. 7 Supror. Lic.: T ...
! fcclull• - 3553 s Industrial Own per hour 73.75
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Subtotal: --- 74 -- 37% -
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Print name: j _ . ,) c u 6 , ti , .
, c Date: g -//- pg Plan roam (2.1.54 of penult fee):
Siam Surchlrge ( Of 0 6 4 6. V 'Z
Authorized signature: i , TOTAL PERMIT FEE 3-1 9 R
Print name: Db i., c il .4 (.: c ;,-- I Date: // - // - 6 g 170 posit mewls aphis es sseredrIngsrldwo4.Obls 108
elms aft/Pala, bees asceplhea Kg omphts.
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City of Tigard, Oregon Page 1 of 2
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I Search I Property I I Planning I Crimes I Transportation I I Utilities I Aerials I I EOC I
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11828 SW MORNING HILL DR
Property Summary
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Property Owner Info /
Tax ID Number: qL N 0 /// 1S133CD06800
Tax Account Number: R1418399
Site Address: 11828 SW MORNING HILL
Site City:
Site ZIP: 97223
Owner: WONG, ANTHONY K S & STELLA
Owner 2: 11828 SW MORNING HILL DR
Owner 3:
Owner Address:
Owner City: TIGARD
Owner State: OR
Owner ZIP: 97223
Acres: 0.00
Sq Ft: 5,265.6
Bldg SF: 1,270.00
Bldg Value: $ 112,520
Land Value: $ 178,000
Total Value: $ 290,520
http: / /tiggi siw/ mox52 _multimap /index.cfm ?fuseaction= property. summary&CFID =63 63 0 &CFTOKEN =5 ... 12/3/2008
CITY OF TIGARD a • -
BUILDING DIVISION "S i PERMIT #: ELC200B -00631
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 1//1711008
Phone: (503) 639 -4171 JB*1114W
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 12/3/2008 TIME: 7:00AM PAGE: 25
SITE ADDRESS: 11828 SW MORNING HILL DR CLASS OF WORK:
SUBDIVISION: COTSWALD MEADOWS NO.2 LOT #: 066 TYPE OF USE:
PROJECT NAME: WONG
DESCRIPTION: (2) branch circuits for A/C and furnace.
OWNER: WONG, STELLA PHONE #: 503- 530.8060
CONTRACTOR: EFFICIENCY ELECTRIC PHONE #: 603- 805 -6821
Inspection Request Scheduled For: Date: 17J3/2008 Pour Time:
Code # Inspection Description Gonf' mir # Contact # Message
199 Electrical final ( 078662 -01 503-332 -1808 Y
Corrections /Comments /Instructions:
I ". i % FINS -,-
\
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: NN).) Lac Date:17; 3 .1 Phone #: (503) 718- I-40