Permit �` CITY OF TIGARD . ELECTRICAL PERMIT
.PERMIT #: ELC2006 -00456
�r DEVELOPMENT SERVICES DATE ISSUED: 8/16/2006
'�I II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S 109DA -09500
SITE ADDRESS: 15196 SW OAK VALLEY TERR ZONING: R -7
- SUBDIVISION: SUMMIT RIDGE NO. 2 LOT : 084 JURISDICTION: TIG
Project Description: 1 branch circuit.
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: 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:
LYNNSIN YANG GRF ELECTRIC
15196 SW OAK VALLEY TERR 15460 S PARADISE LN
TIGARD, OR 97224 MULINO, OR 97042
Phone: 503 - 684 - 6428 Contact #: PRI 503- 829 -4146
FAX 503 - 829 -5747
FEES
Description Date Amount Reg #: ELE 3 -484C
[ELPRMT] ELC Permit 8/16/2006 $46.85 LIC 76751
[TAX] 8% State Surcharge 8/16/2006 $3.75 SUP 16555
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 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(: 2 As) 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.
•
•
Aug 15 06 11:01a Grf Electric 503-829-5747 p.1
ktectrical Permit Application - .
Received FOR OFCE USE ONLY
Date/By: 15
, , , , , . FI Electrical e
4 ; 1010 ' W Permit No.:1 -
City of Tigard `\1 '
. ;0 ‘ ' Planning A ■•.rov
Date/By: Sign
Permit No.:
\•
-• 13125 SW Hall Blvd. c Plan Review Other
Tigard, Oregon 97223 , .' rmi
,.:15* A Date/By: Pet No.:
*
Phone: 503-639-4171 Fax: kiln-1'9w Post -
Land Me
Internet: www.oltigard.or.us Ix • 4 q A t Date/By: Case No.:
,,._■,1 . - el th Contact Juris.: El See Page 2 for
24-hour Inspection Request: 503 -0173- ,- - Name/Method: Supplemental Information.
. t
A -0 '01\ H e_c,906e0-co3g
......... ... -::.:. .:...,,,.„.,.......,pii......,...,,,,,.:;,.,,,..f.,::: ..",.,;•":::. -,,,,,,,..„., ., FILM REVIEW- (Plensa elliek all that apPly)"•:';'' -- : • • .
New construction Demolition ID Service over 225 amps- 0 Health-care facility
commercial El Hazardous location
kffAddition/alteration/replacement Other: DI Service over 320 amps-rating of 13 Building over 10,000 square feet,
• ••: . ' ' .. - ;.'-'?:": CATEGORY:OF.CONSTRUCTION .'. ' • " - : . 1 & 2 family dwellings four or more residential units in
• 1 & 2-Family dwelling [21 Commercial/Industrial CI System over 600 volts nominal one S tincture
0 Building over three stories p Feeders, 400 amps or more
0 Accessory Building 0 Multi-Family 0 Occupant load over 99 persons El Manufactured structures or RV park
0 Master Builder El Other: 0 Egress/lighting plan 0 Other:
- ! • ' .JOBSITEINFOR1 •TION arid LOCATICOW • '": :s. • : ::: I" Submit sets of plans with any of the above.
The above are not applicable to temporary construction service.
Job site address: / 5 1 ci te SCA, Ott It— V0 1 i GI t ': , ..:: ,' '' , z • . ..• .;:' *FEE*SCREDUILE':' . :1 , : 4 '.. ' :1 .: ..• • .• •
Suite #: I 131dg./Apt.#: -f p f.y. Number of inspections per permit allowed
,.....^L, 1
Project Name: t. A 0 a i 1 .1..„ .t., Description I Qty Fee (ca.) Tote!
New resIdential-sIngle or multi-family per
I Cross street/Direc ons tolob site:
I dwelling uult. Includes attached garage.
Service Included:
1000 sq. II. or less 145.15 4
Each additional 500 sq. ft. or portion thereof 33.40 _ 1
Limited enemy, residential 75.00 2
Subdivision: I Lot #:
Limited energy, non residential 75.00 2
Tax map/parcel #: Each manufactured home or modular dwelling
.: ,g':' ', ' :-:• ;-',.: ::". '::..IDEStRIPTION %; : •••..,.. r!:: ... service and/or feeder 90.90 2
•.
Services or feeders - Installation,
alteration or relocation:
200 amps or less 80.30 2
1 f -'1;)°-. 201 am- to 400 amps 106.85 2
. _ _
401 amps to 600 amps 160.60 2
" te‘ROPERTY . ;•••?li I:: Ell TENOTT':::;e:: ., '.; :;4•'.: ;'..:::, :.•"' 601 amPs to IMO wore 240.60 2
Over 1000 amps or volts 454.65 2
.. .
Name: L L yl in 5,,.., ■ 6 a „., 4 Reconnect only 66.85 2
Address: J I 5 4 /4 c. c., • 1 f, 4 Ltlif .iA.,..f Temporary services or feeders - installation,
f alteration, or relocation:
City/State/Zip: - r: ./ ,.. e . s t qr.) 2 _ 2 _,. f _. 7 -,,,„.., , 200 amps or less 66.85
Phone: Fax 201 amps to 400 amps 100.30 2
133.75 2
CIAPPLICATON: ...:'..! X"'. :: -::'.. : CONTACT.. CONTACFERSOW' ', : f.:, 4°1 to 600 amps
Branch circuits - new, alteration, or
Name: extension per panel:
A. Fee for branch circuits with purchase of
Address: . - 6.65 2
• service or feeder fee, each branch circuit
City /State/Zip: a Fee for branch circuits without purchase of f
service or feeder fee, first branch circuit I 46.85 1 -n i _ r.N, 2
Phone: I Fax: Each additional branch circuit 6.65 2
E-mail: Misc(Service or feeder not included):
:;: '..:': I': .' .' :.1?. :'"...:.':',r;',' -..' . :..:'*: : 7 t : %: ' Each P " iffi c.irde 53.40 2
- - .:: ' Each sign or outline lighting 53.40 2
Job No: • . Signal circuit(s) or a limited energy panel,
alteration, or extension Page 2 2
Business Name: e fe-- 0 ee...-i-y--.17 . Description:
Address: 1 5 (-) S, Pe. ya 1 -r) • Each additional inspection over the allowable in any of the above:
City/State/Zip: M 1, ,...-. (.)C-• '- 0 t-/ 7 -- Per inspection per hour (min. 1 hour) 62.50
Phone: SZ 3 - (ii - y / ti-Ifi Fax: )3- 8 Zi - Investigation fee:
Other:
CCB Lic. #: - 7 t 6 Lic. #: 3 - 4f_ k- 9. C.... : .
:... ::.-.. .;.-,':::- :.''.!: :. :' .i.. ..... .:i.1 ...,...:_,
Supervising electrician -- - nt Subtotal $ 1 - rte , e _
signature required: ‘..., --'ke WI 4i.e Plan Review (25% of Permit Fee) S
Print Name: v," n) Lie. 11: 1 40 s q -$ State Surcharge (8% of Permit Fee) S
TOTAL PERMIT FF,E S / e7,`
-• Authorized Tiotice: This permit application expires if a permit Is not taiiiell wid115
Signature: Date: 180 days after It.has been accepted as complete.
*Fee methodology set.by TA-County Building Industry Service Board.
- (Please print name) . •
iatstsTemtit Forms1.131cPcortitApp.doc 01/03
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006 -00456
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/1612006
Phone: (503) 639 -4171 /freilt ' I i,,
Inspection Requests (24 Hrs.): (503) 639 -4175 `'..
INSPECTION WORKSHEET FOR DATE: 8/18/2006 TIME: 7:03AM PAGE: 49
SITE ADDRESS: 15196 SW OAK VALLEY TERR CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT #: 084 TYPE OF USE:
PROJECT NAME: YANG
DESCRIPTION: 1 branch circuit.
OWNER: YANG, LYNNSIN PHONE #: 503 -6t34 -6428
CONTRACTOR: GRF ELECTRIC PHONE #: 503 - 823.4146
Inspection Request Scheduled For: Date: 8/18/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 035226-02 503-557 -2220 Y
Corrections /Comments / Instructions:
e._
Lra Y,v /rte 1 10 -PS
.
L SS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: -,9iF Date: Et5 1 e - 06 Phone #: (503) 718- vb1-/y