Permit C .jY OF TIGARD ELECTRICAL PERMIT
F , PERMIT #: ELC2006 -00204
1
DEVELOPMENT SERVICES DATE ISSUED: 4/17/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S135CB -00200
SITE ADDRESS: 10250 SW NORTH DAKOTA ST ZONING: I -P
SUBDIVISION: LOT : JURISDICTION: TIG
Project Description: (2) branch circuits. 4/18/06: Added (2) branch circuits.
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: 3 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:
PASCUZZI INVESTMENT LLC DARNELL TECHNICAL SERVICES
10250 SW NORTH DAKOTA 2986 B STREET
TIGARD, OR 97223 HUBBARD, OR 97032
Phone: Contact #: PRI 503 - 951 - 0415
FAX 503 - 981 -5245
FEES
Description Date Amount Reg #: ELE 24 -429C
[ ELPRMT] ELC Permit 4/17/2006 $53.50 LIC 141495
[TAX] 8% State Surcharge 4/17/2006 $4.28 SUP 4684S
[ELPRMT] ELC Permit 4/18/2006 $13.30
(additional fees not listed here) REQUIRED ITEMS AND REPORTS
Total $72.14
•
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. Thispermit 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: • t f .P . :2 i T; Permittee Signature: t.t . Cl/
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.
VD (
ectr �a Plit A n r _.1 • '! t F(:)R oil (cL I r tl,Vt
• city of Tigard • APR ` ``l 2► i6 Data ° - r7 / , • P _ _ _.... V
13125 bW HO Blvd.. 7lgerd, Ott 47223 a w Ogler Farago
!?hoar 503.639.6171 Fax: 503398.1960 PI ' taae 3 ter
Lips 503.639.4175 s . V . L 1 -- "! - =r
wwwai.d. 1 1 1 Ur Notiat /Mt • re * "' rift" 8 hmoetallnfvrmauon
T
,, • i J . `� h'fiC2= ` Please c . . .
` "A Yl eok al - . teat apply:
•
• New eomatrucdon e4 Add[tiom/altealRionhrpiaeernent
❑ ase c e OM" 225 tha amps, comet ❑ [iasardous location
■ s_..,.bded Other _ QService ova 320 amps - ruing Caulking ova 10.000 oi. h.,
- -., • t - - ■ ' '' � ' '' ` ):tom a ' gr ' " of 1 • and 2- damity dwellings 4 or m ov nMON new resldencal
^ t ❑ Briteer 600 volts nominal utlits in one etrucatre
� 1 - -tmd 2 dwelling V. Co nno rdaUmdustrial E:1 Accessory building DBuitdina over three stoics Oveedere, 400 arms or more
■ Mulb•ilmail ■ Master balder ❑ Other. DOeeupant load over 99 persons ❑Menlfacnt red structures et
y i c° . -� I t DEarasAfghtinoPl RVpartt
DHealtb�ltre facility ❑Other:
lob no.: lab ;he tsddtCSa jl7a�s� Submit j sets of plans with any of the above.
Stette/Z : \, ( The above art net applicable to temporary construction service.
Sn V �t•110.: Project f!• � - .x.•. :.1�- '.. .'1�_a:x- get* MN. Total .•
I Caws stree to job elta /= k... New reeldear t slash- or neshtdamfy dwelling unit.
t _ r Includes starched garage.
f _ 1,000 RI, ft or Less 143.15 4
I Lot no.: Ea. W' 1500 so. R of 33.40 1 l
Limited away. residents] 73.00 2
Tax trap/parcel no Limited energy, r»•reaideatial 75.00 i 2
I ' ' ' , c) ', : , , •- Each manI cae ed or modular
i i i 1- t ' � x �'S . dwelling, service and/or feeder . , 90.90 2
r. C-e Let 4145 l N , Sondem or feeders laeWlatice, alteration, relocation
200 amps et less 80.30 r 2
r sa +, 201 aims to 400 mpg 106.85 2
,,, c'. °.y t ` a: 1ti? ` a 160,60 2
_ - , . .. , ... ...C . 441 � to 600 amp ,
N om: 601 amps to 1,000 arms 200.60 2 1
Over 1,000 =gm err volts 454.65 �� 2 -
Address: Reconnectedly 66.85 2
c4*31Steoe/Z1P: temporary services or feeder tdatalladon, alteration. sod/or
rdenden
Phallic ( ) ( Fox: ( ) 200 arils or tens . 66.83 1 1
Owner lnatalldioa: This installation is being Made on property that I owe which is not 201 to p 1 400 urge 100.30 I 2
intended for gale, lease, rent, or exchange, scootding to ORS 447, 449, 670, and 701. . 401 amps to 600 >m • 153.75' 2
Owner eigas ; Data: Bruueb clraults - new, elteretien, er es echelon, per panel
F serei o feeder f ea ch
ce or feeder 2
Bunten : branch circuit ,
B. to for branch cireuits Ir_ /
way Conway without service or feeder fee, 1 46.85 "i�d ) 1 i
oaeb Minch circuit
Adslreea: Bach add1 branch divan j 1 •r 6.65 (j0 2
tate/ZYP: Mediums nevi's or Feeder dot laelnded
Rona ( ) Fax:: ( ? Pump or imigaem.cemte 53A0 2
Sign or outline lightat 53.40 2
B : Signal cireuit(s) or Hinted-
,: ; ^r ,r .. energy panel tslrsadon, or
. ..... ,1 _ . :! , ! . , . . , . . -. --- .1 . - . 1 _.." - - 1 - ' �-- . extrtteioa. Desc Page 2 2
Balinese name: Zatrt3Q� � nl
g . t�ir., 5.01-'{ f k�P • I -
Addtesz ,4 I. `R < T . Each addidonal letpaedoa over allowable to an of the above
i Fa titration 62.50
I Cfey/SesdatZlP: V A. �
• Z ) O.3 , investi per hour 0 br roil) 62.50 ` 1
Indaraial • last hOur 73.76
1 "CCP Lb.: t 4 , 445 Ele:ottioal Lie - L4 • - ' . L.ia: • Eubtoul s s-kp
Snprv. Elecflidan signature, required Plan review (2594 ofpermit lee)
State surcharge (8% of permit he) � .
R1me sane: `. i, ► ► o f ,► !o�# AA Dace: b , TOTAL rTiSIMtT F8� °-)
Authorized signature: a permit spill Tadao earlreo its permit lino oemmad within tO
dips after it be bean eeceorad as compote
?riot thine. ` Date: • Pee ttetttedeleey sus by Trl•Cotmty Bastin industry &Mon Board
• • Nuaber of hooch= per seerait allowed.
1'11ketibieam1Yt1.C•PwntAp04os teal . uer!!rt(twaveoMIna
ee0 L - . - . , ( 6,
) (1 L e a. 434'-03-
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2O06.0tt204
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/17/2tlfki
Phone: (503) 639 -4171 ,.
Inspection Requests (24 Hrs.): (503) 639 -4175 ,.:..� -_
INSPECTION WORKSHEET FOR DATE: 4/20/2006 TIME: 7:02AM PAGE: 96
SITE ADDRESS: 10250 SW NORTH DAKOTA ST CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ENCORE MLTALS
DESCRIPTION: (2) branch circuits. 4/18/06: Added (2) brunch circuit:.
OWNER: PA.SCUZZI INVESTMENT LLC, PHONE #:
CONTRACTOR: DARNELL TECHNICAL SC:RVICES PHONE #: 503-951-0.115
Inspection Request Scheduled For: Date: 4/28/2006 Pour Time:
Inspection Description Confirm # Contact # Message
199 Electrical final 028899-01 503-951 -0415 N
Corrections /Comments /Instructions:
R. 3 CA. L i o F U.KE
1la 7,5
',/,\ :
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
IU
Inspector: GIS■6°W N Q l" 1 { Date: y 2310 Phone #: (503) 718- 1 •