Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00707
" : COMMUNITY DEVELOPMENT DATE ISSUED: 12/13/2006
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S114BD -00800
SITE ADDRESS: 09980 SW RIVERWOOD LN ZONING: R -4.5
SUBDIVISION: PICKS LANDING NO.2 LOT : 069 JURISDICTION: TIG
Project Description: (2) branch circuits for landscape lighting.
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:
DOLORES PETRUZELLI MIKE'S ELECTRIC
9980 SW RIVERWOOD LN 11070 SW ALLEN BLVD
TIGARD, OR 97224 BEAVERTON, OR 97005
Phone: 503 - 620 -3447 Contact #: PRI 503 - 649 -6991
FAX 503 - 641 -1902
FEES
Description Date Amount Reg #: ELE 34 -18c
[ELPRMT] ELC Permit 12/13/200( $53.50 LIC 50209
[TAX] 8% State Surcharge 12/13/200( $4.28 SUP 4230S
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:
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; Dec -13 -06 9:00; Page 1/2
To: TICR.QRD At: 5035981960
: 4" t � _ ‘ 1 11 1/K)
Electrical 'Permit " +i � FUR nITIC:'l': I.iSF, Ui\LY
City of Tigard FEMEERSESE111=r1 ^ 10 ■ 20 1r
13125 SW Hall Blvd., Tigard, OR 97223 (�C •� h
Phone: 503.639.4171 Fax: 503.598.19CC 1 J 206 z.a:,.•. Phu, Review
..i , .j Date/B :
Other Permit:
Inspection Line: 503,639,4175 _am. . 1 $ Date!read /B
, . - '• - � ��-e Ready /By: � See Page 2 for
Internet www c! tigard,or,us �j•_ y o B 4
�J � 1 ....fwd.: Suppleme
.•� r I . - -- tion
tot= .. . � rt �>'. e4. '? ,', i ii li t , tS ,i i r
� n l, ..a. r 'x iyr `,! ° 4hr N t,k Ysixq c a 1-' Dpi ,Aih,�'
< , (, �._ ,. - ;. ... ,_�.,t : _ d �.:. t ,t�.i :fL�J ° � t � , ., � i. it. '.!' `r .- 1 � � >.ywyr 4 _ 1. . -!•.rt.. .. •
❑ New construction ❑ Addition/alteration/replacement Please check all that apply;
['Service over 225 amps, comrn't ['Hazardous location
[] Demolition 0 Other:
-.5 g y;r r ::,� ;:, : .''•• _ : ;y,,,: nY ::•re :, c.r ti
, ❑Service ov er 320 amps — rating
ti'.. ;._: .,:, ?: : Ifi x'.,,f,, i { �,i \ :_ t J t,iizt it, t i ts tg
. 4 '1� I
r7>�la /z g'• y P g mg ❑ residential
sq.
f. .n lit;' s 6. _i' _ fr y ,a.L t y,; 1 of 1 -and 2-family dwellings 4 o r mere new residential
g] 1- and 2- family dwelling ❑ Commercial /industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
❑ Mulri family ❑ M a ster builder ❑Building over three stories ID Feeders, 400 amps or more
;z . - ❑ Other:
l r :, :- °,::; :' ,„ ... :,,r, . �, ❑Occupant load over 99 persons ❑.Manufactured structures or
:d', '''s , 'l: ..i \I,.91 :iCi " lo-.. ` l:'' }_ -I
. ,.,,, ............ . , , . - :.. , :' • „ . - .•. ,,, a ,. f ' 't ; `i:; � • E s A' RV
- f- ,�� ..,: .t h, .._..,,. "' '• Q Stti ighting plan park
p
Job no.; 22701 Jab site address 9980 facility ❑ Other:
9930 SW Ri verwood Ln . Submit 2 sets of plans with any of the above.
City /Statc/Z1P: Ti OR. 97224 The above ere not applicable to temporary construction service.
Suite/bldg./apt. no._ P roject ;Ma 1 ` -4 ^lr, i ''4', ' {r ;r1 1' ": }:'t 'rl'
ulrinl `; ' --
P f Project name: , . ._ �.: �� :�li:,:.�,,:��W.,,m,� .... . ..w• . '.
...
Description Qty Fez- Fta Total "
Cross street/directions to job site: New residential single- or multi - family dwelling unit
Includes attached garage.
_ 1,000 s., ft. or less _ En 145,15 4
Subdivision: 1 Lot no.: Ea. add'I 500 sq. R. or portion III 33,40 I
Tax map/parcel no.: •
Limited energy, residential 75.00 2
isl;:° :r >>Y "r •tif :.r zc - _ Limited energy, non- residential 75.
:'''...-'-'•1'..;.•;!:..';';'• �' " ,.:. ..F ..:,IT' :. .., :•; f:'rid, �".; :i al;,� t ;:•'.��.q I}� ,3:,' i� ;�' t.iti ,-r: 2
...... ,.:r .......w. . .':f;,. ,t.... . 4 ' '.ji _j,.A,�'.,,, �ai ?, Each manufactured or modular
dwelling, service and /or feeder 90.90 2
Outdoor landscape lighting - __ _ Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
_.., , •} •, 'd ,. rn:; :. �7. , ti ;:',j, .' .' f`l:: '� `.�i•i " ; =t "" �r!t're'Q {t•" amps amps 1
'^ .T', , /; p
' • :; ft : :
<r`• fi. '( � 'a ::• :t. r
°.; ,,. `�' ,.r,l•titi:', 201 a 400 06.85 2
;, ,i : ' "` 40l amps to 600 amps 160.60 2
Name: Dolores Petruzelli 601 amps to 1,000 amps 240.60 _ 2
Address: 9980 SW Riverwood Ln. Over 1,000 amps or volts 454.65 2
City /State/ZIP :Tigar OR. 97224 Reconnect only 66.65 2
Temporary services or feeders Installation, alteration, and/or
Phone: r ( ) _. relocation
( �n3 ) 620.3447 Fax' 200 amps or less 66.85 1
Owner installation: This installation is being. made ade 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 ORS 447, 449, 670, and 701. 401 amps to 600 atoms 133.75 2 '
Owner signature � Date: Branch circuit w
s new, alteration, or extension, per pant!
.1 . Bi.t _.�,.. ° r , `, .,. \.- '' .,. ? a,..r t ,J,ES;r ; ', r A.Pee for branch circuits with
i ' service ar feeder fee, each
Business name: branch circuit 6.65 2
Contact name: B. Fee for branch circuits
without service or feeder fee, 1 46115 46 85 2
Address: each branch circuit
Each add'! branch circuit 1 6.65 6 .6 5, 2
City/State /ZIP: _m Miscellaneous (service or feeder not included)
Phone: ( ) Fax: : ( ) - � Pump pr irrigation ciralc ill 53.40 _ 2
E-mail: --V- Sign or outline lighting 53.40 2
- - f.:: ;�.,: i'r.:. is e �:',d•i � , ::1:; ;z >,�,, ;•�,,
Signal circuit(s) or limited-
. ; ;�� , :, . .,':r: . ... •�: . .,,.1. . . .). :r'� ;. '. ',� �; i,* enef anal alt ibe: 7tr or • .._• •• ? . ....... :..', •• •.: a:. ��• .....,._._.,.,. . w . , , ,,. i , v t. S extension. c
t ez . A scribe; Page 2 2
Business name:
Mike s Electric — JD Miller Const, Co . _
Address: 11070 S W Allen . Each additional Inspecdon over allowable in any of the above
Y d , per inspection 62.50 __
City /State/21P: I
B e n.v e r , o n OR Investi a per hour (t u mmin) Mil 62.50 Mil (17005 (17005 g firm
r
Phone: ( 5 0'3) 649 , 6991 1 Fax; ( Industrial plant per hour 73.75 -
S03> fi41 .1902 -_+ ' •.
l3 Lao.: _' •,. ,,..° 'I',0 �;: iir*O14' ` 1 rii%edi 147�i' � a . ...
CC
0502 0 9 Ele ctrical Lic. Sul, ', 3 5
�
3 4 -1$S' l '' � - ' 4 2 '�OS Subtotal
53.
Suprv. Electrician signature, required' . ��� y , / / / ' � !o Plan review (25% of permit fee) -.
Print name: Date: 12 ,13.06 State surcharge (B% of permit fee) 4.28
Doss p 1. a s J• M i... e r TOTAL PERMIT FEE
Authorized signature.
57.
This permit application eiplret if a permit it not obtained .ri Oil a 180
days after It has been accepted as complete
Print name: Date: • Fee raetlaidulogy sat by Tti- County Building industry Service Board
'• Number of inspections per permit allowed,
t:U iuil ding\Prrrtdls.ELC- ParmitApp.doc 17'3 440.4615Tlio'71COM, was
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006-00707
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/13/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 3/2/2007 TIME: 7:00AM PAGE: 87
SITE ADDRESS: 09980 SW RI VER WOOD LN CLASS OF WORK:
SUBDIVISION: PICKS LANDING NO.2 LOT #: 069 TYPE OF USE:
PROJECT NAME: PETRUZELLI
DESCRIPTION: (2) branch circuits for landscape lighting.
OWNER: PETRUZELLI, DOLORES PHONE #: 505.620.3447
CONTRACTOR: MIKE'S ELECTRIC PHONE #: 503-G49-6991
•
Inspection Request Scheduled For: Date: 3/2/2007 Pour Time:
Code # Inspection Description 7 CcirfiTM Contact # Message
199 Electrical final ( 044147-01 503-649-6991
Corrections/Comments/Instructions:
6 CA,--,itkR4i aVi 665 C
al PASS El PARTIAL APPROVAL 0 CANCEL El NO ACCESS
• IL [ I CALL FOR INSPECTION I ADDITIONAL FEES ASSESSED
Inspector: • be, LE.- Date: Phone #: (503) 718- 1 -441)
- _