Permit �. CITY OF TIGARD ELECTRICAL PERMIT
• PERMIT #: ELC2006 -00344
DEVELOPMENT SERVICES DATE ISSUED: 6/21/2006
° �I I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 25101 DC -03800
SITE ADDRESS: 07190 SW SANDBURG ST 10 ZONING: I -
SUBDIVISION: LOT : JURISDICTION: TIG
Project Description: 3 br. circuits, (1) low voltage for data/voice.
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: 1
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: 2 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:
MCCORMACK, WILLIAM L + DARLENE T NEW TECH ELECTRIC
7415 FAIRWAY LOOP 13970 SW 72ND AVE
WILSONVILLE, OR 97070 PORTLAND, OR 97224
Phone: Contact #: PRI 503 - 648 -1900
FAX 503 - 670 -9572
FEES
Description Date Amount . Reg #: ELE 26 -418c
[ELPRMT] ELC Permit 6/21/2006 $135.15 LIC 41868
[TAX] 8% State Surcharge 6/21/2006 $10.81 SUP 38495
Total $145.96 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: 1 & 4 4 , 1 4 A 4 1"- tiCJ /Al ) Permittee Signature: c,71
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.
06/19/06 MON 10:47 FAX 5036158788 NEW TECH ELEC RI 001
i , ,�lect�ic� r.� U d 1
\ � ; ∎,
�� Pest APU11C_l1 '
r i '' FOIL OFF ICE USE ONLY
City of Tigard - Rae-0iKd&
13125 SW Hall Blvd., Tigard. OR 97223 °" ��' Date/B • 1 Ob ■ ' Permit No
Phew: 503.639.4171 d. �� 0,, Plata Re Reads) .. �� � e , �0� I
Fax: 503.598.1960 • ` • ' ;
inspection Line: 503.639.4175 r _ `r+ 1 yi y Other Aerrni
Internet www • i N
CL ttgard Qr . pS 1 4
1 Page 2
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i:. , 51' i :j� 1 1 i J ii �J. ' Pl
._. _. - - .... .' - I .dl :I',":, 1 1 r I faro t' ry
__.... .._. ',. \ 1 11.1 ��Yt,.1_�,.. , .: .i.h
❑New conconstruction •r
� Addition/alterst ion /replacement Please check all that apply:
❑Service over 225
;
amps camm'1 OHatirdous location
❑ Demolition ❑ Other: :
1 i 1 u : - _ ❑Service over 320 amps - rating ❑Buildng over 10,000 sq. ft..
- I , .
1-r-,. ,. i11,I t ._ c , t 1, �
_._. - of 1 -told 2- family dwelbn - - -.. - - $ a ormtmncw residential
12 1- and 2-family dwelling aCommercial /lndustnal ❑ Accessory building ❑System over 600 volts nominal units in t nc structure
El Multi ❑ Master build ❑Baild]ng over three
- er Other ❑O � stories [Weeders, 4U0 amps or more
( ii)r , ^ } l , ;iiiiiiiti, +; r }: : 1
1 ;, ecopantl over 99 persons ❑Manufa
- - - l a, .- ,Ir Idy I l 1iT 1, c1 1+11, ;11 1 � _ T structures S Of
P c[u ed re
❑Egress/1igbtingpl RV park
Job no.: L (q 14Z lob site address: '7) 1 n lJ� � yJ t �� [Wealth-care facility ❑Other:
City /StarelLlp; • T/-+ Submit a sets of pleas with any of the above.
rrRT L-N E , O lz. The above are not applicable to temporary construwon service
SuiteThldgJapt. no.: I Project name: 1.,,�G/.iFLA -..IAd _: l ) ii 'WI; u l l r!{ ' �l , 6; i � '. l u �
Cross street/directions to job site: �"'" Qv. P� Total
,�f7p 1T 1 of.] New residential single. or multi -family dwelling unit.
Includes attached garage.
_
1,000 sq. ft, or less _ 145.15 4
Subdivision: 1 Lot no.: Ba add'I 500 sq. fi or pomoa 33.40
r Tax map/parcel no.: Limited energy. residential 1
2
' � u 1; r I ui ! ,t5K2F l 1 I p {�', , _ . Limited energy. neat 75.00 -
- nesideAUal 2
t ,. ; . ... Each manufactured or modular
Per- 4 0p a __ `'tZ.. T. I - dwelling, service and/or feeder 90,90 2
Services or feeders installation, alteration, and/or relocation
_ 200 amps or leas 80.30 2
�l I� 1 I i �.- ' -',, 11 i - - i _ 2
S 'itlI_ ,: :- -1 .l "' „,:,-..f,7, , 201 amps to 400 amps 106.85
%� 401 !'s
_ 160,60 2
Name; T r.-1. -D M L-.1..41 L _ { z„1 PI (-- 601 amps to 1,000 amps 240,60 2
Address: ' . jp � � _ Over 1,000 amps or volts 454.05 2 Njt
City/StatelLlp: - Reconnect only 66.85 2
Phone: ( 0202>) ,t Temporary services or feeders installation, alteration, and/or
(,, - 4 Fax: 0 027) L24 Zo 9 U _ relorauoa
i Owner installation: This installation is bein made on property 200 am ps or less
66.85 l
g A PAY tbaz I own which is not 201 amps to 400 amps 160
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670. and 701. 2
401 amps to 600 amps
Owner sign, 13( .75 2
... . .. . sig n - , Date: Branch circuits
,.:. _ , ::f ! - + - j,. new, alteration, or extension, per panel
{� t 11Ae tCTdlio
,: ` ]� l Iii 4 �1' ti . 4-w a ' 1 IC i ':k.';t,∎ju:1Ft} . ,,, ,,,., A. Pee for branchcir Pa
_ - _, �1> —� _.. .. ■ _ ;: _ 1 �.... � , - ,,. _ _: _ �..; its with
Business name: service or feeder fee, each
branch circuit 6.65 2
Contact name: B. Fee for branch circuits
_ without service or feeder fee, $5 2
Address: each branch circuit ( 46.85
_ Each add'] branch circuit Z 6.65 I 7j”' 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) `Fax:: ( ) Pump or irrigation circle 53,40 ' 2
E 1 _ Sign or outline lighting 53.40 2
- .. �Air! ,- - �.).: ,1 7, ��jil! tuJ�I1� � i n, f i; 1y< �� 1 � , Signalcircuit(s)orlimited-
.
i L ._.' �,+1 t , , c I 1
,.L 7t�,x ' ' L ` r j : energy panel alteration. or —
Businessnemc: NeW Tech Electric 9' Q , ex tension. De I Pao 2 - J 2
Address: 13 9 7 0 SW 72nd Ave �� I Each additional inspection over allowable in any of the above
City/Staidzip: PO r t land , OR 9 72 4 Per inspection 62.50
_ investigation per hour it hr tam 62.50
Phone: (5 0 3) 648-1900 I Fax: 5 0 3 )648-3131 Industrial plant per hour 73.75
41868 I : ;' Icri l , , =: ;-.�r�Y � , 1 e
26 -4182 I Suprv :.� + , t c 1 ,: 1 i 91 ,.1 1: 4( t1_;
cal Lac.. Electrical Lic.: � '` - �� --�L -- ,,la•: �„�,.
Lic.: � j B,Q� S 1r7 Subtotal
Suprv. Electrician signature required: Plan review (25% of permit fee) I 27C, Print name: P� IL +��ltJ� t�J Date: 1 / o � State surcharge (8% of permit fee) ( 8I
Authorized signature: r'- ,,� PEE
u v� w- This permit applintinn expires if a permit is not obtained within fu
Print name: V •` 4h Sm (el Date: days after It has been accepted as enmpk
1 • Fee methodology set by Tri- County Bonding 1adu;Vy Service Hoard
i Mkt' tdmOPccm,aw.LC- Permit A �� " Number of inspections per permit 011owed.
pa°p` n al 4 ED
CITY OF TIGARD ELC200 &00344
BUILDING DIVISION PERMIT #: 6/21/2006
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 etItF, _.• •
7/21/2006 7:01AM 46
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
07190 SW SANDBURG ST 10
SITE ADDRESS: CLASS OF WORK:
SUBDIVISION: MCCORMACK BUILDING LOT #: TYPE OF USE:
PROJECT NAME: 3 br. circuits, (1) low voltage for data/voice.
DESCRIPTION:
MCCORMACK, WILLIAM L + DARLENE T,
OWNER: NEW TECH ELECTRIC PHONE #: 503-648-1900
CONTRACTOR: PHONE #:
7/21/2006
Inspection Request Scheduled For: Date: Pour Time:
Co# IrmrgfEJcription %5141 § -441 Message
Corrections /Comments /Instructions:
E;try P i0 s; 147Q si 4 ,j(\)
Pkt.Tg
�
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cr tel Date: ° 7 2� b Phone #: (503) 718 - 2111ity
CITY OF TIGARD CL-C,
BUILDING DIVISION .41 PERMIT #:a o06 - bo 3 y L i
1 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639-4171 _•113,114P111
Inspection Requests (24 Hrs.): (503) 639 -4175 ..
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
SITE ADDRESS: 7i g0 j.e. /l CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION: L
OWNER: C — PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: 6 - o / " t Pour Time:
Code # Inspection Description Confirm # Contact # Message
19 q EteSy e__,,i2. -\---; „,,$) ma '193- 0,31, Li
Corrections /Comments /Instructions:
4) P RO 101 woaV'r N 9 P cE i) f Z 61-- PANS _
� .
‘'st. 110.
P(L v iCc sic Nc-rvuj 1,A 3 L IA) po,,�
The electrical installation defects noted
on this report shall be corrected and
an Inspection request made within 20
calendar days per OAR 918-271-0030
❑ PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
X FAIL CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: v N06 LE'
Date: 6 Phone #: (503) 718- 2`i41