Permit ■ CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 - 00556
w ,ki DEVELOPMENT SERVICES DATE ISSUED: 10/2/2006
�� °�J I � 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 1S134BC
SITE ADDRESS: 12162 SW SCHOLLS FERRY RD ZONING: C -G
SUBDIVISION: GREENWAY TOWN CENTER LOT : JURISDICTION: TIG
Project Description: (12) branch circuits.
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: SIGNAUPANEL:
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: 11 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:
SAUNDERS, WILLIAM W TRUSTEE GRAND ELECTRIC
2155 KALAKAUA AVE STE 500 PO BOX 12253
HONOLULU, HI 96815 PORTLAND, OR 97212
Phone: Contact #: PRI 503 - 234 -9329
FAX same
FEES
Description Date Amount Reg #: ELE 26 -58C
[ELPRMT] ELC Permit 10/2/2006 $120.00 LIC 64378
[TAX] 8% State Surcharge 10/2/2006 $9.60 SUP 33125
Total $129.60 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: 1 Permittee Signature: c,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.
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d- lissirloi Permit Aunpift EIV E R ,
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• City of Tigard A ‘i...7.. _, ii . _ A ,,,..,,,,
P .., - : ,21 ti ■ " .1/... Pamir No.! L e
13125 SW 148B Blvd, Tigard, OR 97223 ., i , n i • ,
Pbone: 303.639.4171 Fete 503.598.1964) 503.598.1964) Shr 4 '`,- L ! .- " , - OtIor Pacte
Inspectim Line: 503.639.4175
Intemet www.dgard•or. goy CATY OF TI c - teall111111111MallE111
.,.. -
1 13 1 New eellefrueiion Arlditionialtantionfreplacarient Please the all that aPPIY:
1:3 Demolition 0 Otha: 0 Savice over 225 amps, colonel 1:1Hezerdous loanon
OService over 310 amp - rating 011uilring over 10,000 sq. h.
: ! e.". : ' .: : ." ..' .': , ' .,:. . on- and 2-9uoily dweilinge 4 or more new residential
1 - and 2 dwelling Commeroialtindusaial Auunuanry buildi CISystem over 600 volts aoudad unit le oat etraetnre
IDBuiltlitts ova tbree stories 1:1Feeders.400 amps or more
0 Multi 0 Master builder 0 Other:
00ecumnt load ova 99 persons Ohlamufichlred Elniclureg or
011 119WORBTAITON OM liaad'IMON -...; :" , ' . ' ':-. ClEgressilightiag obit RV padc
--.....:...—...i....4...:.
00111a:
Job ri0.: Job site adthess: / 2. i C sip xol1s Fe °Health-cam iitaility
Submit 2. sets of plans with ony Olio above.
City/State/ZW: r-ti.---------T-1-------...—c„...Jr- et above arc not applicabk lo temporary moaned= service,
Suite/bldg./apt. no.: 1 Project name: — Tl
..:' 7- 7 1 ,1 0 8 488110Rier8T7. 1-7 411)4 7 4 ,
onswipioa I CX6 Pm I Taus I ..
Cross street/dIrecdons to job etc New resitileadal eagle- or unetl-faally dwelling omit
Includes attached garage.
1.000 It a lessL_ ' 4
, 3140
Subdivision: 1 Lot no.: Ea addi 500 sq. ft. or pordon I 1
Tax cowja 1 imp/parcel no.: Limited raidestial 75.00 2
Limited energy, now:Wendel 75.00 2
.''....!-V'f 1 ' • . '0; ."- - '' di ' "• ::''''-' ''';.: :-' ' Cileb manufactured or modeler
dwelling, service aadkr feeder _ 90.90 . 2
re.. Pt /1.44_ tArt hnn p, 7 bai- 6,a_v-S Samba* or faders lastanadon, Maranon, audios reoratioa
200 sops or lass - 80.30 1
3710614":101 -: : ;!7:- 1-' : ::.r::.!:: p; .
401 amps to 600 amps 160.60 2
Name:
601 amps to 1,0015 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 6625 2
CiolStearalP:
'respray services 6Y feeders iimealkiloa, alteration, amber
PllOne: ( ) I Fes: ( ) relocation
200 esits or Issa 66.85 I
Owner Installation: This installedon is being mode on property that I own which is not am nope t 400 amp 100.30 I 2
intended for sale. lease, rent, or exchange, actording to ORS 447, 449, 670, and 701. 401 sops to 600 amps 133.75 2
Owner signature: Dam: lima eines - new, shanties, or smeasloa, for panel
' 1 ;.: , a cogativiekg ig•. A. Pat fbr branch cdralits wah
service or fiseda fen mob 6.65 2
Business name: lunch eiradt
B. Fee for branch exults
Contact name:
trtiknir service or *Altar fee, / 46.85 46.85 2
first branch circuit
Address:
Eat WO bread) circuit / 6.65 13, /5 2
City/StsterZT: Afescellaneons (anise or feeder net beaded)
Pump or irrigation dr* 53.40 2
Phone: ( )
Fax : ( )
Sign �' lib 33.40 2
E•mail:
armit(s) or 'hated-
. :.A V e' .' . .•,;''' . .k . .'.:I:).:, ...-',4• 2,!:- '.; •!. ..i.:. . , .:'i s ! •_ , . _ y4: . . -....: :i ew mod. eitentk" or
extension. Describe: Page 2 1 2
Business name: G7- . C.L. JA,c E Ve c: f tr i t C_ I
Address: po f30,c_ (22_5 Tab additional lupeedoo over allowable to aliz tie above
Per impaction 62.50 ---
City/State/ZIP: P� 0 Q C(12.12- Invastigmdan per heat (I a mln,) ' 62.50
Pbotte (6)3 ) -9 - 32_9 Fax: ( ) S /4A/I E: , Industrie plant NM!! 73.75 I
;',': r .:` : ' '4421MiiligiA'15
CCB Lie.: C(43? 8 1 Elecnical Lie.: (e-5 Ci Suprv. Lic.: s317-5 Subtotal /g oc.,
Suerv. Electrician siren" required: c I Pan review (25% of malt SW)
sato avolarge (8% of pared fits)
Print name: 0 lec,L <2 e- r / Dew 9 - - 0 G
1 TOTAL PEWIT(' FEE /2 9
Authorized signature:
ibis permit sppliestias expires ifs posit base °Missal within 180
days chit ea beels steepled as templet&
Print CO me: Da= • Pea osstliodalOpy MA bl TA-OmillY BAWDS IndMITY Service Board
. •• Inaba of iormations pa pamit allowed
t's/MOIdiss■PensisAtt.C.PlonitApp doe CMOs 4e0d6l401002/COMISA03
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: ELC2006.00556
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/2/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 .. ' W "' L .
INSPECTION WORKSHEET FOR DATE: 10112/2006 TIME: 7:01AM PAGE: 51
SITE ADDRESS: 12162 SW SCHOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: GREF_NWAY TOWN CENTER LOT #: TYPE OF USE:
PROJECT NAME: THE BARBERS
DESCRIPTION: (12) branch circuits.
OWNER: SAUNDERS, WILLIAM W TRUSTEE, PHONE #:
CONTRACTOR: GRAND ELECTRIC PHONE #: 5Q3- 234 -9329
Inspection Request Scheduled For: Date: 10/12/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
1 Ele trir:al rsugk.4n 038075.01 503-481 -3653 N
11.5 .. WAU... Co \1=L,
Corrections /Comments/ Instructions:
6.. 1PRAA
6 (-6 f, op-AA) i 0 d E zo —c/0 4 , - t 1 .,A .. ■3
k or TaaiviNT si'■ Of-el( C - if\to
WAIL, °Wee, Ny V4-
,,Is- (-,,,,,,,,,, 31(A - V Q\,) ("2..
NO N yst. Pacuv)43 0•11 10
--6 (14. 6L)S p0i3L1 1,5_,
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FA ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: • N QiS.. Date: 10 `1 06 Phone #: (503) 718- 211%
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200600 556
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/2/2006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 11/8/2006 TIME: 7:03AM PAGE: 32
SITE ADDRESS: 12162 SW SCHOLLS FERRY RD CLASS OF WORK:
SUBDIVISION: GREENWAY TOWN CENTER LOT #: TYPE OF USE:
PROJECT NAME: THE BARBERS
DESCRIPTION: (12) branch circuits.
OWNER: SAUNDERS, WILLIAM W TRUSTEE, PHONE #:
CONTRACTOR: GRAND ELECTRIC PHONE #: 503-234-9329
Inspection Request Scheduled For: Date: 11/8/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 039430 -01 503 - 396-4891 N
Corrections /Comments /Instructions:
&'ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: /42-1 Date: I I — e.--0 6 Phone #: (503) 718-
•
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