Permit CITY OF TIGARD ELECTRICAL PERMIT
° PERMIT #: ELC2006 - 00683
COMMUNITY DEVELOPMENT DATE ISSUED: 12/1/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 111 AD - 17600
SITE ADDRESS: 08735 SW REILING ST ZONING: R - 4.5
SUBDIVISION: MLP2000 -00009 (WINTER'S) LOT: 003 JURISDICTION: TIG
Project Description: CAPSOUTO. (1) branch circuit for patio lights.
Job # 23409
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:
LEON & INGA CAPSOUTO MIKE'S ELECTRIC
8735 SW REILING ST 11070 SW ALLEN BLVD
TIGARD, OR 97224 BEAVERTON, OR 97005
Phone: 503 - 310 - 7706 Contact #: PRI 503 - 649 -6991
FAX 503 - 641 -1902
FEES
Description Date Amount Reg #: ELE 34 -18c
[ELPRMT] ELC Permit 12/1/2006 $46.85 LIC 50209
[TAX] 8% State Surcharge 12/1/2006 • $3.75 SUP 42305
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: Permittee Signature: S.„P
i e
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.
Sent By MIKE'S ELECTRIC; 591 7847; Nov -30 -06 17:22; Page 1/2
Tor: TIGARD At: 5035981960
Electrical p A 1VE® FOR Ol I'IcE USE (1N1.1
City of Tigard Received _
Datd9 . — a Permi No. � ` 4 L d a J
13125 SW Hall Blvd., Tigard, OR 97223
Plan Review
s ,.
Phone: 503.639.4171 Fax: 503.598.1960 Y O �oo Other Permit:
Insp xtiott Lino: 503.639.4173 I : , ' Date S5 See Page 2 far
Internet w•vwei. b onus C - .>L . -� ot ttl e !
aa�- CITY OF TIG may: a��
a • •
, ..;-p',1• N ad/Drt timd supplemental tins on
: ' ! -•,..;;,. ` 1 G. - ' a , i t;x , 9 i . • .j � p 1 1,1 . ‘ , ro T. },+c,
111 �f Vi � I' is( / �t' if Ci ull *� L °. .
Jerome
f ❑ New construction ❑ Addition/alteration/replacement Please check all that apply:
Demolition 0 Other []Service over 225 amps, corrun'l ❑Hazardous locatiun
['Service over 320 a s -rating
4 r ' ; 1 � r R, r ' . i r e ' ? , ,; t , 1 t �(, , t rf `` 1 ` 2 4,1 ;- f,`,4,i,J� . of dwellings g ❑400r more new residential
ldngovcr 10A00 so.
l
.z. y l
0 1 - and 2-Emily dwelling 0 Commercial/industrial C] Accessory building ❑System over 600 volts nominal unite in one structure
0 Multi- family ❑ Master builder 0 Other ❑Building over three stories ❑Feeders, 400 amps or more
,. ' .,` ;:1 si I� ' �f a ❑Occupant load over 99 persons ❑Manufactured structures or
. ,. . - ,. f_ ,_ ClEgresa/iighling Plan RV park
Job no.: 23409 Job site address: 8735 SW Rei ling St. ❑Health -can facility ❑other: _
Submit 2 sets of plans with any of the above.
City/State/ZIP: Tigard, OR. 97224 The above are not applicable to temporary construction service.
SuitebldgJapt no.: Project name: 9 ` f ' 41 1 , ' r" .Z j i r 0 • %.,."../3 •+ .. , .
• D scriptton .. Qty. r... I Tout i '•
Cross street/directions to job site: New residential single- or multi- family dwelling unit
Includes attached garage.
1,000 sq. ft. or less 145.15 1 - 4
Subdivision; i Lot no.: Es. add'I 500 sq. ft, or portion 33.40 1
Tax map/parcel no.: Iced entry, residential 75.00 2
Limited energy, non - residential 75.00 2
- . ., r.l. r . ✓,�_•.. Each manufactured or modular
Recessed can lights in rear covered patio dwelling, service and/or feede 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
, ,1 ,'..i , '' z 201 s to 400 s 106.85 2 •
i.. ..' ., .. '' 'i •: . ! :. - ', ..... - : r . + ;,,,
� :; , i �, `,.. i < � ..{ti: +, 4 } Il , ;1, , .
r .�. � 5 E ic � l, ∎
, ;'a at ,
401 amps to 600 amps 160.60 2
Name: Leon Capsuoto 601 amps to 1,000 amps 1 240.60 2
Address: Over 1,000 snipe or volts 454.65 2
R7'i5 SW Roi 7 i n Ct
13 Reconnect only 66,85 2
City /State/ZIP: _ • a , • Temporary services or feeders Installation, alteration, and/or
Phone: ( 503) 310.7 706 Fax: ( ) 200 am
2 on
200 amps or less 66.85 1
Owner Installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 2 _
intended for sale, lease, rent, or exchange, according to OILS 447, 449, 670, and 701. 401 amps m 600 amps 133.75 _ 2
Owner signature: . Date: Brsuch circults- new, alteration, or extension, per panel
c n - .. ' ' t r. i , A. Fee for branch circuits with
.' . _. ....' .,. -.
service Cr fCedQ fee, each
Business name: branch circuit 6,65 2
Contact name: B. Fee for branch circuit$
without service or feeder fee, 1 46.85 46.85 2
Address: each branch circuit
Each add'1 breath circuit 6.65 2
City /State /ZIP: Miscellaneous (service or feeder not Included)
Phone: ( ) Fax: : ( ) Pump or inigation circle 53.40 2
E-mail: Signal or outline h ling 53.40 2
Signal cirextit(s) or limited-
. i _.r 1 - 1 ' 1 a 1., •" • i ( i ` . , i . energy pallet, alteration. or
Page 2 2
Business name: M i k e' s Electric — JD Miller C o n s t. C o oxtension. Descnbe:
Address: 11070 S W Allen )3 �y d . Each additional Inspection over allowable in any of the above
Per inspection 62.50
City /State/ZIP: B e a.v e r ton OR 97 Q(15 Invesbgation per hour (I hr mitt) 62.50
Industrial plant pa hour 73.75
Phone: (503) 649.6991 Fax: (503) 641 .1 902 ! 11 :: '4 ;;: � , f ' -,,.t7,; -? i : :.:::ei
CCB Lie.: 05 0 20 9 I j Electrical Lie.: 34-1.8C. I suprv. Lis.: 4 9 3 0 5 Subtotal 46.85
Suprv. Electrician signature, required' 1 4 t�� Plan review (25% of permit fee)
Ar
State surcharge (8% of permit fee) 3.75
Print name: Douglas J Miller . Date: 11.30.06
TOTAL, PER e1y
Authorized signature: 50.60
This perralt application expires ire permit is not obtained within ISO
days after It has been accepted as complete
Print name: Date: • Fes methodology set by Trifiounty Building lodusey Service Board
—' •• Number of inspections per permit allowed.
: 4Banamaw4etioABGC- PmrnitApp.dso 17/03 44e 451ST( /COM'wBa
CITY OF TIGARD .
4
BUILDING DIVISION PERMIT #: ELC200G -00683
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/1/2006
Phone: (503) 639-4171 ,•� I
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' _. .
INSPECTION WORKSHEET FOR DATE: /214/2006 TIME: 7 :03AM PAGE: 31
SITE ADDRESS: 08735 SW REILING ST CLASS OF WORK:
SUBDIVISION: MLP2000 - 00009 (WINTER'S) LOT #: q03 TYPE OF USE:
PROJECT NAME: CAPSOUTO
DESCRIPTION: CAPSOUTO. (1) branch circuit for patio light,..
Job # 23409
OWNER: CAPSOUTO, LEON & INCA PHONE #: 503 3/017706
CONTRACTOR: MIKE'S ELECTRIC y 0N.) i.-.) _i PHONE #: 503 - 649 -5991
Inspection Request Scheduled For: Date: 12/4/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
190 Electric - 040577 -01 503f49.6991 V
12 s' Rt• 'J qq -1 N ---"
Corrections /CommentslInstructions: 1 No
2 P,(
a\4___ '10 03C..
6, PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G-11 1\568 Lt' Date: u- _-QV Phone #: (503) 718- 4qL_____
CITY OF TIGARD . •
BUILDING DIVISION PERMIT #: ELC200&00683
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/1/2006
Phone: (503) 639 -4171 J '�
Inspection Requests (24 Hrs.): (503) 639 -4175 4° �—
INSPECTION WORKSHEET FOR DATE: 171 ?8/2006 TIME: 7 :01AM PAGE: 47
SITE ADDRESS: 0$735 SW REILING ST CLASS OF WORK:
SUBDIVISION: MLP2000 - 00009 (WINTER'S) LOT #: 003 TYPE OF USE:
PROJECT NAME: CAPSOUTO
DESCRIPTION: CAPSOUTO. (1) branch circuit for patio lights.
Job # 23409
OWNER: CAPSOUTO, LEON & INGA PHONE #: 503-310-7706
CONTRACTOR: MIKE'S ELECTRIC PHONE #: 503. 649.6991
Inspection Request Scheduled For: Date: i2/28/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 041554 -01 503. 649 -6991 N
Corrections/Comments/Instructions:
i
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C N2i Date: IL ie 06 Phone #: (503) 718-