Permit It PERMIT OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2001 -00242
10 DEVELOPMENT SERVICES DATE ISSUED: 5/9/2001
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S125DB-07900
SITE ADDRESS: 07090 SW SHADY CT ZONING: R - 4.5
SUBDIVISION: SHADY DELL NO.2 LOT : 052 JURISDICTION: TIG
Project Description: Installation of 125 amp panel and (6) branch circuits. 6/13/06: PERMIT REINSTATED FOR PURPOSE OF FINAL
INSPECTION FOR THIRTY DAYS.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0.00 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: 1 W /SERVICE OR FEEDER: 6 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 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:
MORRISON, TERRY + BECK ELECTRIC INC
LE, VU HOANG 9318 SE CHURCH ST
7090 SW SHADY CT CLACKAMAS, OR 97015
TIGARD, OR 97223
Phone: Contact #: PRI 656 -7396
FEES
Description Date Amount Reg #: ELE 3 -5C
[ELPRMT] ELC Permit 5/9/2001 $120.20 LIC 00002629
[TAX] 8% State Tax 5/9/2001 $9.61 SUP 5024S
[HRELC] Hourly Electrical 6/13/2006 $57.87
(additional fees not listed here) REQUIRED ITEMS AND REPORTS
Total $192.31
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: p2 Permittee Signature: 5 et., I�\(, p
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.
1 . w CITY OF TIGARD ELECTRICAL PERMIT
BUILDING SERVICES DIVISION
13125 SW Hall Blvd., Tigard, OR 97223
503 - 639 -4171 www.tigard- or.gov PERMIT #: ELC2001 - 00242
DATE ISSUED: 6/13/06
SITE ADDRESS: 7090 SW Shady Ct PARCEL #:
BLDG /STE #: ZONING:
SUBDIVISION: LOT: JURISDICTION: TIG
This is an interim permit issued during computer system maintenance.
Construction work and inspections may proceed under this permit number.
The actual permit will be issued and mailed to the applicant within one week of the date issued above.
PROJECT DESCRIPTION: "THIS PERMIT IS REINSTATED FOR PURPOSE OF FINAL INSPECTION FOR A
PERIOD OF THIRTY DAYS"
RESIDENTIAL TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500 SF: 201 - 400 amp: SIGN /OUTLINE 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: 1
201 - 400 amp: 1 W/O SRVC OR FDR: PER HOUR:
401 - 600 amp: EA ADD'L BRANCH 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 FEES
Name: Terry Morrison Permit Fee $ 57.87
Address: 7090 SW Shady Ct - Plan Review Fee $
City /State /Zip: Tigard, OR 97223_ State Surcharge (8 %) $ 4.63
Phone: 971 - 226 -8792 Other Fee: $
CONTRACTOR Other Fee: $
Name: Beck Electric Total Fees: $ 62.50
Address: 15600 SE Formor Ct
City /State /Zip: Clackamas OR - 97015
Phone:
Fax:
CCB Lic #: 26 _
Elect. Lic. #: _
Supr. Lic. #:
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 -0080. You may obtain copies of these rules or direct ns to OUNC by calling 503 - 246 -1987 or
1- 800 - 332 -2344.
Issued By: Permittee Signature: ‘ /Ze.. 7
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. ELECTRICIAN: DATE:
LICENSE NO.:
Call 503 - 639 -4175 by 7:00 AM for an inspection that business day.
Note: If you cannot schedule an inspection while the system is down, please call 503 - 718 -2433 for assistance.
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.
1:\ Building\ Forms \ManualPermitForms \ManualELCpermit.doc 06/13/06
CITY OF T I G A R D ELECTRICAL PERMIT
PERMIT #: ELC2001 -00242
10 DEVE PMENT r
ii.. 9723 444 639 -4171 DATE ISSUED: 05/09/2001
PARCEL: 1S125DB-07900
SITE ADDRESS: 07090 SW SHADY CT
SUBDIVISION: SHADY DELL NO.2 ZONING: R -4.5
BLOCK: LOT : 052 JURISDICTION: TIG
Project Description: Installation of 125 amp panel and (6) 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: SIGNAL/PANEL:
MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 W /SERVICE OR FEEDER: 6 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 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:
MORRISON, TERRY + BECK ELECTRIC INC
LE, VU HOANG 9318 SE CHURCH ST
7090 SW SHADY CT CLACKAMAS, OR 97015
TIGARD, OR 97223
Phone: Phone: 656 -7396
Reg #: SUP 1326S
LIC 00002629
ELE 3 -5C
FEES Required Inspections
Type By Date Amount Receipt Rough -in
PRMT CTR 05/09/2001 $120.20 2720010000( Elect'I Service
Elect'I Final
5PCT CTR 05/09/2001 $9.61 2720010000(
Total $129.81
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 -0080. You may obtain copies of these rules or direct questions to OUNC at (503)
246 -6699 or 1-800- 332 -2344.
Permit Signature: Issued By:
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: 4 )11 Cl l ",N',(.t /61 { 7Gle.�.� DATE:
LICENSE NO: / _kr (,' S ///
Call 639 -4175 by 7:00pm for an inspection the next business day
1 Ccv v
•
' Electrical Permit Application
R'EUEI u I -D Date received % f i O / Permit no.:Q(,ZpO / —00 2
u- ' j 1 City of Tigard Project/appl. no.: Expire date:
V, City of igard Address: 13125 SW Hall Blvd r , t Date issued: By: Receipt no.:
Gi c ' Phone: (503) 639 -4171
c - Fax: (503) 598 -1960 � MMUN1 Tj pEVEIuY�t�r' Case file no.: Payment type:
Land use approval:
TYPE OF PERMIT
X I 1 & 2 family dwelling or accessory ❑ Commercial/industrial ❑ Multi- family ❑ Tenant improvement
❑ New construction ❑ Addition/alteration/replacement ❑ Other: ❑ Partial
JOB SITE INFORMATION
Job address: 7010 .3W 5 /LRGt!t,. / Bldg. no.: Suite no.: Tax map /tax lot/account no.:
Lot: I Block: 'Subdivision: r
Project name: I Description and location of work on premises: fie -model- je- -i i £
E s .:.na ^ omr re t i on /• i / � �� .. 4 ,r
ed dais of •- ,- ..,.._,� t..- : ��Y•4.lit, 1- S �l'n1
CONTRACTOR APPLICATION FEE SCIIEDL1 E
Job no: 3 /,Z, Fee Max
Business name: 2C �¢c 4y, _ Description Qty. (ea.) Total no. insp
New residential - single or multi- family per
Address: 9312 5E t^_ /t.1 t ✓GA- dwellingtmit Includes attached garage.
City: C / a e . . , K r i w1 a S I State: QX I ZIP: -/`70/ J _ Serviceincluded:
Phone: /054_ 7 3 1(, I Fax: (C669-q35-71E-mail: 1000 sq. ft. or less 4
Each additional 500 sq. ft. or portion thereof
CCB no.: �(p ,7 I Elec. bus. lic. no: 3 --5 G Limited energy, residential 2
City /metro lic n0.' SR 5S Limited energy, non- residential 2
Ii d . ! 8 -0 I Each manufactured home or modular dwelling
Signature of : pervising electrician (required) Date Service and/or feeder 2
Sup. elect name(printat) Ifc'v- 7 5 a r, License no: 1,3 zis Services or feeders-installation,
alteration or relocation:
PROPERTY OWNER 200 amps or less / 0.30 2
�— 201 amps to 400 amps 2
Name (print): IVICY1 ISOR,
401 amps to 600 amps 2
Mailing address: - - )0 , 70 SkadA C1 _ 601ampsto1000amps 2
City:fl 5 A ,r d.. I State:0 , I ZIP: q Over 1000 amps or volts 2
Phone: a iil- '3J, 3 I Fax: I E -mail: Reconnect only 1
Owner installation: The installation is being made on property I own Temporary services or feeders - .
which is not intended for sale, lease, rent, or exchange according to installation, alteration, orrelocation:
200 amps or less 2
ORS 447, 455, 479, 670, 701.
201 amps to 400 amps 2
Owner's signature: Date: 401 to 600 amps 2
ENGINEER, Branch circuits - new, alteration,
r Fw
Name: A. Fee for branch circuits with purchase of
Address: service or feeder fee, each branch circuit +p 31'.9i; 2
City: I State: • I ZIP: B. Fee for branch circuits without purchase
of service or feeder fee, first branch circuit: 2
Phone: Fax: E -mail: Each additional branch circuit:
PLAN REVIEW (Please check all that apply) Misc .(Service orfeedernotincluded):
❑ Service over 225 amps- commercial ❑ Health -care facility Each pump or irrigation circle 2
O Service over 320 amps- rating of 1 &2 ❑ Hazardous location Each sign or outline lighting 2
family dwellings O Building over 10,000 square feet four or Signal circuit(s) or a limited energy panel,
O System over 600 volts nominal more residential units in one structure alteration, or extension* 2
O Building over three stories 0 Feeders, 400 amps or more *Description:
❑ Occupant load over 99 persons ❑ Manufactured structures or RV park Each additional inspection over the allowable in any of the above:
0 Egress/lightingplan . ❑ Other. Per inspection
Submit sets of plans with any of the above. Investigation fee
The above are not applicable to temporary construction service. Other
Not all jurisdictions accept credit cards, please call jurisdiction for more information. Notice: This permit application
Permit fee $ /aO . ?O
❑ Visa ❑ MasterCard expires if a permit is not obtained Plan review (at _ %) $
Credit card number: / / within 180 days after it has been State surcharge (8 %) .... $ to
Expires accepted as complete. TOTAL $ is'? rI 1
Name of cardholder as shown on credit card •
$
Cardholder signature Amount 440 -4615 (6I00ICOM)
r
Electrical Permit Fees: Limited Energy Fees:
Complete Fee Schedule Below: TYPE OF WORK INVOLVED - RESIDENTIAL ONLY
p Restricted Energy Fee $75.00
Number of Inspections per permit allowed (FOR ALL SYSTEMS)
Service included: Items Cost Total `I' Check Type of Work Involved:
Residential - per unit
1000 sq. fL or less $145.15 4 n Audio and Stereo Systems
Each additional 500 sq. ft. or
portion thereof $33.40 1 0 Burglar Alarm
Limited Energy $75.00
Each Manufd Home or Modular Garage Door Opener
Dwelling Service or Feeder $90.90 2
Services or Feeders 0 Heating, Ventilation and Air Conditioning System*
Installation, alteration, or relocation
200 amps or less / $80.30 SC• 3 C 2 ❑
201 amps to 400 amps $106.85 2 Vacuum Systems
401 amps to 600 amps $160.60 2 ❑
601 amps to 1000 amps $240.60 2 Other
Over 1000 amps or volts $454.65 2
Reconnect only $66.85 2
Temporary Services or Feeders TYPE OF WORK INVOLVED - COMMERCIAL ONLY
Installation, alteration, or relocation Fee for each system $75.00
200 amps or less $66.85 2 (SEE OAR 918 - 260 -260)
201 amps to 400 amps $100.30 2
401 amps to 600 amps $133.75 2 Check Type of Work Involved:
Over 600 amps to 1000 volts,
see "b" above. n Audio and Stereo Systems
Branch Circuits Controls
New, alteration or extension per panel
a) The fee for branch circuits
with purchase of service or n Clock Systems
feeder fee.
Each branch circuit 6 $6.65 2 0 Data Telecommunication Installation
b) The fee for branch circuits
without purchase of service ❑ Fire Alarm Installation
or feeder fee.
First branch circuit $46.85
Each additional branch circuit $6.65 n HVAC
Miscellaneous ❑ Instrumentation
(Service or feeder not included)
Each pump or irrigation circle $53.40 n Intercom and Paging Systems
Each sign or outline lighting $53.40 '
Signal circuit(s) or a limited energy
panel, alteration or extension $75.00 ❑ Landscape Irrigation Control
Minor Labels (10) $125.00
Each additional inspection over
❑ Medical
the allowable in any of the above n Nurse Calls
Per inspection 4
Per hour $62.50 ❑
In Plant $73.75 Outdoor Landscape Lighting
Fees: ❑ Protective Signaling
Enter total of above fees $ n Other
8% State Surcharge $ Number of Systems
25% Plan Review Fee
See "Plan Review" section on $ * No licenses are required. Licenses are required for all other installations
front of application.
Fees:
Total Balance Due $
Enter total of above fees $
❑ Trust Account # • 8% State Surcharge $
Total Balance Due $
i:Vdsts\forms\elc- fees.doc 10/09/00 .
CITY OF TIGARD A
BUILDING DIVISION PERMIT #:
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: Zoo /DO 2 - 4 t2—
Phone: (503) 639 -4171 Ablootii .1 �� Inspection Requests (24 Hrs.): (503) 639 -41751 f ..
INSPECTION WORKSHEET FOR DATE: /l 1 1/D6 TIME: PAGE:
SITE ADDRESS: - OG�i 0 S'i) s' t (-T CLASS OF WORK:
SUBDIVISION: V l d LOT #: TYPE OF USE:
PROJECT NAME: 1624,/aD C3724.7-7
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #: ' f ZZ�
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
1 0 q r /AM-C-
Corrections /Comments /Instructions:
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N (S® l.0 Date: C ttil 06 Phone #: (503) 718 - 2J14
CITY OF TIGARD BUILDING INSPECTION DIVISION ` op
MST
24 -Hour Inspection Line: 639 -4175 Business Line: 639 -4171
BUP
Date Requested AM PM BLD
Location 7b 90 5 w 51)4 .41 C Suite MEC
Contact Person Ph �i ?3 l t PLM
Contractor ,d ec-1G ,T /e LDS r' C Ph SWR
BUILDING Tenant/Owner ELC Zo a— 0U -y Z—
Retaining Wall ELR
Footing Access:
Foundation FPS
Ftg Drain
Crawl Drain Inspection Notes: SGN
Slab V /cr l'Ie. /- 6 �3", �'/ r. SIT
Post & Beam
Ext Sheath /Shear
Int Sheath /Shear
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler
Fire Alarm
Susp'd Ceiling .
Roof
Misc:
Final
PASS PART FAIL ,
PLUMBING
Post & Beam
Under Slab
Top Out
Water Service
Sanitary Sewer [ E : r
Rain Drains
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough In
Gas Line
Smoke Dampers
Final •
PASS PART FAIL
�EC
Service w CGvr.,,
Rough In
UG /Slab
Low Voltage
Fire Alarm
• RT FAIL
Backfill /Grading
Sanitary Sewer •
Storm Drain [ ] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd
Catch Basin
Fire Supply Line [ ] Please call for reinspection RE: [ ] Unable to inspect - no access
ADA
• Otheoach /Sidewalk Date 6/? / Insp �i!.� "�� Ext .
Final
PASS PART FAIL DO NOT REMOVE this inspection record from the job site.