Permit CITY OF TIGARD ELECTRICAL PERMIT
• PERMIT #: ELC2006 -00080
DEVELOPMENT SERVICES DATE ISSUED: 2/1/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2 S 103A D - 01000
SITE ADDRESS: 10665 SW PATHFINDER WAY ZONING: R - 4.5
SUBDIVISION: PATHFINDER LOT : 001 JURISDICTION: TIG
Project Description: (2).branch circuits for furnace & NC.
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: 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:
ALEC KATZ GRF ELECTRIC
10665 PATHFINDER WAY 15460 SE PARADISE LN
TIGARD, OR 97223 MULINO, OR 97042
Phone: 503 - 644 -9420 Contact #: PRI 503 -829 -4146
• FAX 503 -829 -5747
FEES
Description Date Amount Reg #: LIC 76751
[ELPRMT] ELC Permit 2/1/2006 $53.50 SUP 1655S
[TAX] 8% State Surcharge 2/1/2006 $4.28 ELE 3 -484C
Total $57.78 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: �, Permittee Signature: . sP \o N
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.
Feb 01 06 09:32a GRF ELECTRIC 503 -829 -5747— p.1
`. FOR OFFICE ISE ONLY
lication _
• trieal Permit A pe Received / Pen nit EC J - tea
` Date,Br - /./60 or Permit No.:
: ; RECEIVED Planning Approval Si*. ,' �'�+; y: Permit No.:
y ; * - o f ; Q4 Date/By: _ Other
� � 1l1Vd Ern n Plan Review
"x„ r } 1l Er `1 2006 Date/By: Permit No.:
i'+'. " • Post- Review Land Use •
' f 403.639417i • Fax: 503 - 598 -1960 Ls H. %II Contact , r i,; I Date/By: F ` Supplemal Information la See Page 2 for
' ' -, Inspection Reque l NS0 3MOON
. , y. o rl3{7+?f ±;4{{ PIiAN'REVQ'W (pleSlSe ctiCCk all'that YPPiY) "•'=
Jr� ` ., � aME ❑ . , ❑ liie lth-care facility
� ,` .. i. GQR Service over 225 amps -
1,. '� Demolition commercial ❑ Hazardous location
';-.• •
. • . � � `�.► • ■ , • , alteration/ a.18Cg1Ylt�t '� Other: ❑Service over 320 amps - rating of r3 Building over 10,000 square feet,
?ii T ' , i a
:I, � .;... : - \ :: �� � u , I ; :r7�ti� 1 & 2 f dwellings four or more residential units in
dwellin III Commercial/Industrial ❑ System over 600 volts nominal one structure
d L . " : i ❑ Building over three stories ❑ Feeders, 400 amps or more
Li 61 - , , Buildinl 1■ Multi -Famil ❑ Occupant -load over 99 persons ❑ Manufactured structures or RV park
nta .,, Other: ❑ Egress/lightingplan ❑
I♦ ther:
1 Submit _ sets of plate with any of the above.
it ��k Y. :"..):‘..,%; , if`Z; a :,ei!��4f�� • o '� CATION !r r•�'' . construction service.
The above are not applicable to temporar eo .
•'i7i. •:;'-.-,,:
... 4 _ ;,,! ;�': .7FEElf: S CHEI�ZJ1i '
f ; "`� Bid /A t . # : Number of Inspections per permitzUovred
b • , _ Qty Fey (ea.) 1 Total l
'1', ` : ,� New ar . (Vert residential-single or multi - family per
' 4'''' • /Di rections to job site: dwelling unit. Includes attached garage.
i' �t•i,';hh. •aM.r' i. S sq. a1.luded: 1 45.15 4 • ;' � " I ; ,1 • :I E ach additional 500 sq. II or portion thereof 31.40 I
n { L � •1 ' F • Limited energy, residential 75.00 2
t� •LlbdiYllslOf7. Lot #: Limited energy, non residential 75.00 2
; .
, Each manufactured home or modular dwelling 90.90 '17'2 '17'2 ! t . ' D .,, t+ ti service andlor feeder
':!�' "' • • • �: ` r �• • - installation, '�; - • ,,; . � ' Services or feeders
•d r. , • alteration or relocation: 8D 30 2
' • amps or less
� 200 am 106.85 ,- 2
'. ' . 201 =now 400 amps
:�,� 160.60 2
. . 401 amps to 600 amps 260.60 2
4 i -�y 601 amp% to 1000 amps 240.60 2
r , :; - i' `r :a ;7' ; :Et au :. ; ►Y ! ,ti`s : ;Pj Over 10 amps or volts
'e � • ,
` t, . • Reconnect only 66.85 2
;7 :
4 - Temporary services or feeders - installation,
�.. , � t �.. . / i � � - alteration, or relocation: 66.85 1
1 1 r 1:741 . ._ • 2 00 amps or less 100.30 2
201 amps to 400 amps 133.75 0 2
`'.a Y � 2-19 ": 401 to 600 amps
tea , , Y•r; ° '' y alteration. or
- • T' _ • d I Cl ;'I . . N . s . „ t . L . 1"� -. .. - �L �s ' ,'fii'' Bran :h circuits - new,
:'')!y 9
extension per panel:
�, A. Fee for branch circuits with purchase of 6.65 -
f service or feeds fee, each branch circuit
'..i • • B. Foe for branch circuits without purchase of i 1 46.85 t . �� •
^. 6 ' . • service or feeder fee lust branch circuit �.'
L` g ,S State 6.65 I.. /,
• � Fax: Each additional branch circuit 1
' , • ' :, Mise.(Stxvice or feeder not included): 53.40 • •
u i` t•ttu t'.' '" a:�.s, :, .. , . ..: Eachyumporirrigationcircle 5360
' r ,1`+aliY :� Each signor outline lighting -,•1; ' '. Signal eitwit(s) or a limited energy panel,
,� !.�. �, Q:'''� "'' •
• • alteration extension Paget
• • q igesi `•.. • `'S / • • Ea th additional inspection over the allowable in an of the above:
w ' I , _ Per inspection per hour (min. I hour) • I<�gi.� Investigation fee:
• riw: 'i ♦ j , ie!..4 . 6 1.; EleetrIca111. PeKIA1t :Ii.'Lestt?.• ^ i :. ..r r lr , , ' ', :•, •
• •
r� . "" � Subtotal Z s'3 .� �
� �� � L r c lP Plan Review (25% of Permit Fee) S .
> State Surcharge (8% of Permit Fee)
q� ,. „ � y _ - TOTAL PERMIT FEE S 7 ..-11i 4 Notice: This permit application expires If • permit Is not obtained within
•4: ' � . 1, .. Date: 180 days after kW been a �� p [ndrutry Servlee Bond.
Fee methodology y
,...... .. : . r .r.. t : .. • i.`
. iFernrAlilcPentiitApp•doc
CITY OF TIGARD
BUILDING DIVISION PERMIT #: FLC2006.00030
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2J1/20(16
Phone: (503) 639 -4171 mac- , .�i�li,
l
Inspection Requests (24 Hrs.): (503) 639 -4175 4L R__..
INSPECTION WORKSHEET FOR DATE: 213/2006 TIME: 7 :02AM PAGE: 54
SITE ADDRESS: 10665 SW PATHFINDER WAY CLASS OF WORK:
SUBDIVISION: PATHFINDER LOT #: 001 TYPE OF USE:
PROJECT NAME: KATZ
DESCRIPTION: (2) branch circuits for furnace & A/C.
OWNER: KATZ, ALEC PHONE #: 503. 644 -94X
CONTRACTOR: GRF ELECTRIC PHONE #: 503-828-4145
Inspection Request Scheduled For: Date: 2/3/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Mes -,e
199 Electrical final 026212 -01 503.644-W20
Correctio s /Comments /Instructions:
A- - e___- PA i , -tf== `1.i .
it L /U it M ,4L/ •S i4-0-1 t
//
K PASS II ' ' • IAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL / C ‘ LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: 2 ' 0-4.
Phone #: (503) 718- 26z/zy