Permit CI 1 F TIGARD ELECTRICAL PERMIT
'it ' A PERMIT #: ELC2006 - 00285
xi DEVELOPMENT SERVICES DATE ISSUED: 5/19/2006
°�I II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 1S136DA-00900
SITE ADDRESS: 11552 SW PACIFIC HWY ZONING: C -G
SUBDIVISION: FRUITLAND ACRES LOT : 002 JURISDICTION: TIG
Project Description: (1) branch circuit for A/C unit.
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:
U -HAUL REAL ESTATE CO SQUIRES ELECTRIC
ATTN: PROPERTY TAX DEPT PO BOX 16851
PO BOX 29046 PORTLAND, OR 97292
PHOENIX, AZ 85038
Phone: Contact #: PRI 503 - 252 -1609 -
• FAX 503 - 253 -5831
FEES
Description Date Amount Reg #: ELE 26 -1101C
[ELPRMT] ELC Permit 5/19/2006 $46.85 LIC 135085
[TAX] 8% State Surcharge 5/19/2006 $3.75 SUP 48825
Total $50.60 REQUIRED ITEMS AND REPORTS
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. §pecialty Codes and all other applicable laws. All
work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended
for more than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those rules are set
forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503 - 246 -6699 or
1- 800 - 332 -2344.
Issued By: "....."7"--7,1,t rt. Permittee Signature: ss -e PT,c
OWNER INSTALLATION ONLY
The installation is being made on property I own which is not intended for sale, lease, or rent. .
OWNER'S SIGNATURE: DATE:
CONTRACTOR INSTALLATION ONLY
SIGNATURE OF SUPR. ELEC'N: DATE:
LICENSE NO:
Call 503 - 639 -4175 by 7:00 a.m. for an inspection that business day.
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
05/18/2006 14:20 5032535831 SQUIRES ELECTRIC PAGE 02/02
ECEiV ..
\ Electrical Permit , I 1 laCah II D r<llz t)r•lc USE °Nl..v 'l may,
Cllr of Tigard • Received Permit No.: (�4J W Ild Date/a • LI • ■ I
•
13125 SW Hall Blvd., Tigard, OR 97223 M fil . i , l 101 Plan Review
Phone: 503,639.4171 Fax: 503.598.1960 s, i .. l' ?' Date/By: Other Permit:
inspection Line: 503.639.4175 ,' r ° Dale e Ready/By; El Set Pa e2for
• Internet: www.ci.tigard.or.us Notified /Method: j / L f I Sup Informat
CITY OF on
❑ New construction xi Addition /alteration /replacertlent Please check all that apply:
El Service over 225 amps, corm') ❑ Demolition ❑ Other: • location
. ,. . ' : amps ,
t
: :. : :;• ;� : .. : : �.; :; :•! ..: • ..... ' . ;•.� :;; : : ; : > ; ❑ of� t and2- fami ❑B�o$rOtewrOe�tldengal ft.,
A�taoit Fti1F. :01vs rRUC rtUN,. ::
—
- •. : ... . „ • y dwellings t . ft.
- and 2- family dwelling Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
Li Multi - family Master builder ❑Other: ['Building over three stories ❑Feeders, 400 amps or more
... persons r d structures or
.: .. ;
.: ' •.. ..• 3Oi�.` ;5 >rlC1E..!(i�i�0ilil�yfllUN :.; RYAS.. �f ;A�'��t��• �,. >�.;,��. :; :; : i ❑figressnightng RV parkm •
' •w'
Job no.: Job site address: , ( 6d� 4t) 1 � ❑Health - care facility ❑ �
Submit sets of plans with any of the above.
City /State/Zfl i � _d b The above are not applicable to temporary construction service.
Suite/bldg. /apt. no. : Project name: n a+L . . :. r•: • •.:; • ,. . • :: •....:•.. : Fi t.. cflEE c L : : `
.: I : +• -:' ,, , •. :
`� Description r I Fee. I Total ' "•
Cross street/directions to job site: New residential single- or multi-family dwelling unit
Includes attached garage.
1,000 5q. ft. or less 145.15 4
Subdivision: I Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Tax leap /parcel no.: Limited energy, residential 75 2
..,.. : 7500 2
•':•:'•••••••::: ' : . : ::.:. :
..:... : :..... ...... . '::. •:.•.•: pF5t') I�1fiP :7�llbly :���?'.VVC)1It14C t . , .
• �� • � - - Each manufactured or modular
dwelling, service and /or feeder _ 90.90 _ 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
❑: P[tO RTY : :O IYER E • • TE1`1A1 ;: i . . 201 amps to 400 amps 106.85 2 • "' 401 amps to 600 amps 160.60 2
Name: 601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2 •
City/State /ZiP: Temporary services or feeders installation, alteration, and /or
Phone: relocation
( ) I Fax: ( ) 200 amps or less 66.85 1
Owner installation: This installation is being made on property that 1 own which is not 201 amps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 am.s to 600 amps 133.75 2
Owner signature: : Date: Branch circuits — new, alteration, or extension, per panel
; : :; ;.. .
. ,. : ` I toR or t+. € •i..' • , , :
:.. ,..:..•..:. Fee for branch
circuits
service or feeder fee, each 6.65 2
Business name: branch circuit
B. Fee for branch circuits .
Contact name:
�vlthotu service or feeder fee,
each branch circuit 46.85 2
Address: Each add'l branch circuit 6.65 2
City /State/ZIP: Miscellaneous (service or feeder not included)
•
Phone: ( ) I p ax; ; ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited- •
.
. •..:.:• • . •••••
,.. .crJ!NTm : 7 :. 7'; : ::: ° ', . : : :.., energy pane, era Io 0 r
Business ntttrt c al rem ee r i ext Describe Page 2 2
, e ; v-e--
Address: X S Each additional inspection over allowable in any of the above
Per inspection 62.50
City/State/ZI.P7P (A\ / b 974.9.)- : investigation per hour (1 hr min) 62.50
Industrial plant per hour 73
Phone: (611 ....-1 lP o9 fax: b.3)� 5�. . .
:.: • .:. ' .•• . •i :i :.£,GE 1_EIti1'I)CI`= )FI�gS". :'
CCB Lic.: i 56 .9t7", I Electrical Lic :9� 'ND I d Suprv. Lic.: g)- 4 • Subtotal , Q4
Suprv. Electrician signature, requirrik, Plan review (25% of permit fee)
Print name: .k c k ` L[.l re p ate: 5 /g 3 , State surcharge (8% of permit fee) ( 0,75
TOTAL PERMIT FEE 5t). 4 h
Authorized signature: This permit application expires ira permit Is not obtained within 180
Print name: Date: days after it has been accepted as complete
Fe e methodology set by Tri- County Building Industry Service Board
"""'- . - . " Number of Inspections per permit allowed.
ism .,iidiNppmmipA6LGVermitA00.ltoe 12/03 • 440- 4o1srtin/o2/COM/WP2
.:
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200S -002B5
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5119/2006
Phone: (503) 639 -4171 4 ' 410 101 4 \
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/24/2006 TIME: 7:12AM PAGE: 61
SITE ADDRESS: 11562 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: FRUITLAND ACRES LOT #: 002 TYPE OF USE:
PROJECT NAME: U -HAUL
DESCRIPTION: (1) branch circuit for NC unit.
OWNER: 11 -HAUL REAL ESTATE CO, PHONE #:
CONTRACTOR: SQUIRES ELECTRIC PHONE #: 603- 252 -16(19
Inspection Request Scheduled For: Date: 5/24/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 030470-01 503- 804 -0109 N
Corrections /Comments /Instructions:
CO ‘ C-E IR-WAN S itiXL— 7 ( Te - C ' I--.t I. (E`biTt it i
E , r , )
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ,CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: cr . N661-k:' Date: sizq a Phone #: (503) 718- L,l I
'
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006•00235
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/19/2006
Phone: (503) 639 -4171 io
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 5/25/2006 TIME: 7:03AM PAGE: 39
SITE ADDRESS: 11652 SW PACIFIC HWY CLASS OF WORK:
SUBDIVISION: FRUITLAND ACRES LOT #: 002 TYPE OF USE:
PROJECT NAME: 1.J -HAUL
DESCRIPTION: (1) branch circuit for A/C unit.
OWNER: U -HAUL REAL ESTATE CO, PHONE #:
CONTRACTOR: SQUIRES ELECTRIC PHONE #: 503 - 252 - 1609
Inspection Request Scheduled For: Date: 5/25/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 030594 -01 503 - 8040109 N
Corrections/Comments/ Instruct ons:
m
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Nog L' Date: Phone #: (503) 718- -13\4410