Permit CITY 07 TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00414
DEVELOPMENT SERVICES DATE ISSUED: 7/28/2006
I II 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: Change panel.
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: 4 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:
CADONAU GOLD STAR ELECTRIC
7090 SW SHADY CT PO BOX 310
TIGARD, OR 97223 SCAPPOOSE, OR 97056
Phone: Contact #: PRI 503 - 274 -4653
FAX 503 - 543 -4025
FEES
Description Date Amount Reg #: ELE 5 -55C
[TAX] 8% State Surcharge 7/28/2006 $8.55 LIC 151939
[ELPRMT] ELC Permit 7/28/2006 $106.90 SUP 5095S
Total $115.45 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: _ A
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.
Jul 27, 06 01:21p p.2
Electrical Permit ' 'icatiOn__ FOR OFFICE 1 ON IA
City of T R ercivea .. eI PerttritNa:
PlateiBV ►- '� 04
13125 SW Hall Blvd., Tigard, OR 972
Phone: 503.539.4171 Fax: 503.598.1960 ; Plan Review Other Permit:
inspection Line: 503.639.4175 r� r_ r �l� �'�
Date Reedy/BT: l e Sec Page 2 for
Internet: www.ci.tigard.or.us JUL 2 21 . „; ... NaGfied/Method. U I Supplemental Information
gg 9 l41 PLAN REVIEW
El New construction Ad >l�/ c>Di/ - N Please check all that apply:
❑Service over 225 amps, comml ❑Hazardous location
0 � � t
❑ Demolition ❑Service over 320 amps—rating ❑Iiuitdng over 10,000 sq. ft.,
CATEGORY OF CONSTRUCTION of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwellinE ❑ Commercial/industrial 0 Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi-family ❑ Ma der ❑Other: ❑Building over three stories ❑Feeders, 400 amps or more
JOB SITE INFORMATION AND LOCATION ❑gyp load over 99 persons ❑R amuftectrrred structures or
❑Egress/lighting plan park
❑Health -care facility ❑Other:
Job no.: 26: 3 r / Job site address: qz:, 949 3 id .9yer.�i:y, 6"--ti,
Submit 2 sets of plans with any of the above.
City /State/ZIP: • f Ocr-6 9722:3) J The above are not applicable to temporary construction service.
Suite/bldg./apt no.: ' ' I Project name: Cad ra U, FEE* SCHEDULE
Cross street/directions to job site: 7 c / rs �� �,. New e Total f ..
r'% eV /Ct residential single- or multi-Iaruily dwelling ing unit. I �” l T'r' 1 , i
1 a L / Includes attached garage.
/. fi r- €- i S 77 n Ale e °'-, S � he :7 /\ 1,000 sq. ft. of less 145.15 4
Subdivision: - Lot no.: Ea- add•1500 sq. ft. or portion 33.40 1
Tax map/parcel no.:
Limited energy, residential 75.00 2
Limited energy, non-residential 75.00. 2
DESCRIPTION OF WORK Each manufactured or modular
!^ / /- e p - ( /� ' Y E • ) _ dwelling, service and/or feeder 90.90 2
r t'� CCC JJJ / / //� r C (�i Services or feeders installation, alteration, and/or relocation
200 amps or less 1 8030 (t' 3) 2
❑ PROPERTY OWNER l ❑ TENANT 201 amps to 400 amps 106.85 2
Name: ' 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City /State/LIP:
Temporary services or feeders installation, a teration, and/or
Phone: ( ) 9/( Fax: ( ) relocation
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, tent, or exchange, according to ORS 447, 449, 670, and 701. 40I amps to 600 amps 133.75 2
Owner signature: Date: Batch circuits — new, alteration, or extension, per panel
0 APPLICANT I 0 CONTACT PERSON A. Fee for branch circuits with
service or feeder fee, each i 2 �
Business name: branch circuit _ 6.65 t �/ 2
B. Fee for branch circuits
Contact name:
without service or feeder fee,
Address:
first branch circuit 46.85 2
Each add'l branch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder mot included)
Phone: ( ) Fax: ( ) Pump or irrigation circle 53.40 2
Sign or outline lighting • 53.40 2
E -mail: Signal circuit(s) or limited -
CONTRACTOR energy panel, alteration, or
Business name: ( / / / l . c E / �� extension Describe: Page 2 2
. Address: / �9r3.X j) Each additional inspection over allowable in any of the above
/' Per inspection 62.50
City /State/ZIP: c ' i � `� C / '� � Q Investigation per hour (1 la min) 62.50
Phone: ( . -,` ') 07.p./... '5 . Fax: (:53) g,y 3 -. L - Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES*
CCB Lic.: , Electrical Suprv. Lic.: �G '�
/.5��i al Lic.: ^ �55 � p �C -� X7. Subtotal % /;
Suprv. Electrician signature, required: y �� .+ , � r , _ , 1 Platt review (25% of permit fee)
Print name: � V � State surcharge (Soh of permit fee) : . 5
�- f'l'ci l y l e: 7 � 1 c /� TOTAL PERMIT FEE / / 5 9 1 5
at,�J � ,
Authorized 51 permit application expires if o
Thin pens pP xP permit is not obtained within ISO
days after it has been accepted as complete
Print name: ate: • Fee methodology set by TA-County Building Industry Service Board
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELC200G -00414
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/28/2006
Phone: (503) 639 -4171 y il�lr
Inspection Requests (24 Hrs.): (503) 639 -4175 All ":..
INSPECTION WORKSHEET FOR DATE: 8/3/2007 TIME: 7:03AM PAGE: 42
SITE ADDRESS: 07090 SW SHADY CT CLASS OF WORK:
SUBDIVISION: SHADY DELL NO. 2 LOT #: 052 TYPE OF USE:
PROJECT NAME: CADONAU
DESCRIPTION: Change panel.
OWNER: CADONAU, PHONE #:
CONTRACTOR: GOLD STAR ELECTRIC PHONE #: 503. 274.4653
Inspection Request Scheduled For: Date: 8/3/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 053364 -01 503- 314 -3087 N
Corrections /Comments /Instructions:
IN k\
-.
p PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
NI F' L ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G N (U), L-E" Date: D 3. 01 Phone #: (503) 718- lip o.
CITY OF TIGARD - A l , , .
BUILDING DIVISION PERMIT #: ELC200G -00414
ilk 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 7/28/2000,
Phone: (503) 639 -4171 4 ;III
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 8/9/2008 TIME: 7:04AM PAGE: 60
SITE ADDRESS: 07090 SW SHADY CT CLASS OF WORK:
SUBDIVISION: SHADY DELL NO.2 LOT #: 062 TYPE OF USE:
PROJECT NAME: CADONAU
DESCRIPTION: Change panel.
OWNER: CADONAU, PHONE #:
CONTRACTOR: GOLD STAR ELECTRIC PHONE #: 503,274.4653
Inspection Request Scheduled For: Date: 8/9/2006 Pour Time:
# Inspection Description Confirm # Contact # Message
115. Electrical service 034628 -01 503 -314 -3087 N
Corrections /Comments /Instructions:
0 K. VdcL. t. Vfi ti . % ALL cz fritAA,
E ;15 j i e Ioo F-i 0 ICL. .
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
1 1III1°1
Rra.Q i ia5 s ,N AL tparY A\-- .
- -----ggit izs.
A PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL A CALL FOR INSPECTION i ❑ ADDITIONAL FEES ASSESSED
Inspector: 3 1`C "v Le Date: O '1 a Phone #: (503) 718 - lifit