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Permit f ' CITY OF TIGARD PERMIT #: ELC2005 -00413 ELECTRICAL PERMIT DEVELOPMENT SERVICES DATE ISSUED: 6/15/2005 ° 111 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S 103C D -04800 SITE ADDRESS: 11685 SW TERRACE TRAILS DR ZONING: R -4.5 SUBDIVISION: TERRACE TRAILS LOT : 016 JURISDICTION: TIG Project Description: Replacement of furnace & installation of NC unit. 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: BROWN, DAVID R + SANTINA OWNER 11685 SW TERRACE TRAILS DR TIGARD, OR 97223 Phone: Phone: FEES Reg #: Description Date Amount [ELPRMT] ELC Permit 6/15/2005 $53.50 [TAX] 8% State Surcharge 6/15/2005 $4.28 REQUIRED ITEMS AND REPORTS Total $57.78 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: 2 Permittee Signature: 5 , t a f, 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. 06615/2005 11:34 FAX 503 797 4422 ADIDAS lib 002 '( E Permit Application rc)lt curl :l(l': (St ON L.1 City of Tigard � ( ` E 'V E D n L is 6 - 0� :::<1.- PermltNo.- GQs /4 `�/�7 13125 SW Hall 131vd., Tigard, ` 9722 Plan Review Phone: 503.639.4171 Fax: 503.598.1960 R'.'nw� Vg •_I , I l 'l'` DatDate/11 _ Other ?crude . Inspection Lane: 503.639.4175 JUN 1 200 ! !•rl -, Date Ready/By: B See Paige 2 for Internet: www.ci.tigard.or,us J t� G : Notified/Method: Suppiementni lniormstlon ,r.�- ,...�.. , v.: ..�.., r. _..,_.. I pt _r �,l r. .,• -•,-^ _ -_ _ - _ rrr _ - rr• � . F nrT.,. _ _ _ -r. "I• , I . r ... ,. , 1 1 . . ..I . i . , , .r. .1 , r . .I { :: ,.I i.. . ,. I. ..!.._ . � ,.,�] ...� II 1[ � ,.� n n r . 4. : � .,:1;:. . . ,�. IJ i i i i:i" 1. .l !�1 , {I :[ii � !'I'I {! ' ia I. n ':' I v '; � ..�..^ ��� ., � .. I,:..I.. � ..... L,I „I,....,. ,,3, �� , , ... .I; . I: 'I: '�'.11 ro ,;;:� .1 ,J rlr5` II : � a.l .. I I i � t id � i ,. I �I;:J_: o .� �; ',_. ..a.,.[.I I -�... ', .. 'i i'!' ; III 1 adM 6t.,1..'I � � ,. � ..� � c_ 11 -- .�._._..._.._.. - -' �: . .... �...: L _,! ::L:.. r . r. , . .�!' !J � 4 ,.,,.j 0 New construction BaiAci+iii6h/alla• PT - _i Man cheek all that apply: ['Demolition ❑Other:, m�� . !]/ ❑Service over 225 amps, comm'I ['Hazardous location � ❑Service over 320 amps- rating ['Bulldog over 10,000 sq. ft., :a- ':�!'.11'i!r.- �S'[rr: '�!^i:f ; E• 71^ .: J.""[_�.A; �,�C t ^: ^C'Pl,;r�l�la'r G�I���. d' :IT�':m��.,y�•,atz�R- `fra;:�. ... ,...- .r . f:{ , '.r: ' r ,.I :l'';.: I.�l1,li Lrf � +,t-; Lahr :i;li7 ;ll m'41ys . 111 i3 uk eg4l rrn� �l� i !; ' ill, .;::'I:I,,'. � i r; .. "7, ,:;< c: o- and dwellin 4 !1:f i.__ ., I�I!4 Imo • L. -,. _ �h Lm 1I .[.1 L:L.�.ni:,Lrl,ul� � �.1.�,.u.:. _ r L �_:;�L : f 1d 2 Y &" or more new residential © and 2- family dwelling ❑ Commercial /industrial 0 Accessory building MOi /' ❑System over 600 volts nominal units in one structure ❑ Multi- family ID Master builder Other: ❑Building over three stories ' :Weeders, 400 amps or more I�I� ::i; - Multi-family r �r'- 1 1 , , :; - e:r �:r,.r st e r. ;,r'? ,;� ' -- ; - ^ r -1,� " r 'll i' ,,,r., DOccupant load over 99 persons ❑Marlufaclurcd structures or IPll dl� �l I !....., iy� � LLL I .1F `176 �' i 3l; i';Il I' ; :lll (a ly I � 11i o, ij o 117e 5 ,., r :7;1 i , I I I I i ,-.1 ❑Egressnighting plan RV park ::1a`- aliaL.i:.':::...,,.I. II ._I._..,. :, ,� .. ; i ., ,WILIrL IJ.. �0[hPJ': Job no.: Job site address: /a [ ..5- Sw T .'( i , it at ❑Health -care facility Submit 2 sets of plans with any of the above - City/State/ZIP: cfrieV Qg 1?-12_ 3 The above are not applicable to temporary construction service. -' --- --7 , rrz, l . ; ,., - -- . _:IT:7 - ,: - Suite/bldg. /apt no.: Project name: - I: _u ry,.-• ' ; , �1u{l 1,,:,r.el si,{ ` ... I:n Description Qty Kee_ Total ** (_•_- • i • irections to job site: ' •fS E.Ad.. Y New residential single or multi-family dwelling unit. Includes attached garage. 1,000 sq. ft. or 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 I ::. ;( 'ii l ;li�i ;:';.'.,...... 'rr ,;I ;la �� c'- "_r - , t_r�- -^-^ -r ... , II : . I': ,qrl ;l. _ Limited energy, non-residential 75.00 2 'ii� . .: {. di.,l: I,' .,�,U �L CY U0',�I1 L7, 1 : ?:I• Sli•�:• - .. il�P,i''t!il : l ' II I!I �•.:;:; �' ,I, - � ii ? i" - ,� la r n��l �,.,., - - .d 7 {;;�IJI.�!l:d !� manufactured armed r 4...11,1.,1 I��! L�: "' ' • ,. ; ���, � lil_::a7.al _. ' � ._C7.:_' . _.a_:.:..: :L , iL ' u;c Each rrianufactur modular dwelling, service and /or feeder 90.90 2 wr ` _ . �l1.iL f., _ r Services or feeders installation, alteration, and/or relocation i� JL .. /O ,; a4. 200 amps or less , 80.30 2 1 ?';11 °q'I:�- .�_ ry,i; . 7a _ - _ - _�rrpr:rr.'r*' '.1::.', ,1T- - :r { f i t --:T - '^rlTf' ^r^ 201 amps to 400 amps 106.85 2 1 _„ 11{11 fI 1 I {,i I ?. +,- ,,-.., : ( - a;,it n,l ,,, II L I I /mI . Cl v hr ; I' L I ": _ .,.1 {1.6le,llw.- lu n I, .u:rtLltalJaL.l. - .___...I�.,._ I,I, . ,t uy I_.. . t�.11i : .l�l_ � c1a 401 amps to 600 at»ps 160.60 2 Name: . t �( /� ��i// _ 601 amps to 1,000 amps 240.60 2 Address: � ' /' Over 1,000 amps or volts 454.65 2 //i /� Reconnect only 66.85 I I 2 City/State/ZIP: , p a ' /' Temporary services or feeders Installation, alteration, and/or Phone: (s q 6a - d� 3/ S Fax: ( ) 4 relocation 00 mps - 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, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps - 133.75 2 Owner signature: Date: Branch circuits - new, alteration, or extension, per panel , ,,,,: - : .: ,. ' sraar, r.� I; ' , j r- 7r �., -„V�: _ �'~_ ^�:' ,.,!n �i �i'ill' l j i :',I EI ;, , M r if i t - . '; � l,' ::L. r. ^I,' :' ti ! c u I�♦i -- , ii T,ff i !:1:, ; ;. A. Fee for branch circuits with II�n,.�4iIIli.:'{ _li,!:IIs :1 „n. L:.,....!r:,I: >.... ,1[• IL:hc:. I li. l.;'. , lL. -,- ._ -.., 1.1l.1luu ... ed fee, each service or feeder ee, sac 6.65 Business name: branch circuit / 2 Contact name: B. Fee for branch circuits without service or feeder fee, 1 46.85 q‘ 8S 2 Address: each branch circuit _ • Each add'l branch circuit / 6.65 . (.6r- 2 City / State/ZIP: Miscellaneous (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) Fax: : ( ) Sign or outline lighting 53.40 717 2 E -mail: . I Signal circuit(e) or limited- 7T, i•9177- . :. i ,T I, .;I . a.!,. '' ::I:'r;- a : i2 , 1 TIi'l;a ' I': .1 ane alteration 1111 _ t .,, .r� ,L IL 1 11;11w;�:k Iii: Liu; '' ! ,1[r,;/ t / jt �,� ll :�11 e lily 7 1 J �II L�L_._ � �1 '^ I' ^s ' cncrgyp l l r or Business name: I extension. Describe: Page 2 2 • Each additional inspection over allowable in any of the above Address: Per inspection 62.50 City/State/ZIP: I Investigation per hour (1 br min) 62.50 Phone: ( ) g am; ( ) I industrial plant per hour 73.75 " ,, i 1, F:: 1�[~ .' I 71: I '17 3}_ ' CCB Lic.: Electrical Lic.: Suprv. Lic.: � "1Vil �: ''', : .i'�:s �'' '4��:� - ' I ... Subtotal 53, $ Q • Suprv. Electrician signature, required: i Plan review (25% of permit fee) • _ _ , State surcharge (8% of permit fee) Lf, 2 g Print 1 nt name: �/,- 171�/r Date: - , TOTAL PERMIT FEE .3" 7.-g Authorized signature: es--...., ., - j 1 This permit eppUcattoo expires If a permit is not obtained within 180 days atter it has been accepted as eamptete Print name: Q • p' a i , ' • / idg/ Date: -, Q • Fee methodology set by TA- County Bwiding Industry Service Board •• Number of Inspections per permit allowed. iNDuilding \eerrmhV3LG.pemll•ppdoe 17/03 440-46t5T(10ro37COM/WEB �� rJ ez caw l/6 . 5141 rouktc rill is . 7 /6 '' al ?- 3 FiiE Nfic ? /4V51' z C , 0,9P ti X �� S f riii/ 6 csi I II' s � 58 ' P � 6 w ' . o • CITY OF TIGARD ..._1154-1.-__ z '�` - BUILDING DIVISION . PERMIT #:• ELC2005 00413 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/15/2001:, Phone: (503) 639 -4171 0 2 , i 4 t p)i Inspection Requests (24 Hrs.): (503) 639 -4175 ,,' `.__ INSPECTION WORKSHEET FOR DATE: 7/11/2005 TIME: 7:07Alvi PAGE: 96 SITE ADDRESS: 11605 SW TERRACE TRAILS DR CLASS OF WORK: SUBDIVISION: TERRACE TRAILS LOT #: 016 TYPE OF USE: PROJECT NAME: BROWN DESCRIPTION: Replacement of furnace & installation of A/C unit. OWNER: BROWN, DAVID R + SANTINA, PHONE #: CONTRACTOR: OWNER PHONE #: Inspection Request Scheduled For: Date: 7/11/2005 Pour Time: Code # Inspection Description Confirm # Contact # Message ci-lt 199 Electrical final 01097402 503. 968 -6318 Y q i ,, 4 — Corrections /Comments /Instructions: ac,ye. cohlyN ci.,,,,, 0 iv/ r pe 6,4 'C� it..Aeo ..,_„ frkorks V PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ FAIL ❑ CA i FOR INSPECTION ❑ ADDITIONAL FEE ASSESSED I I I Inspector: Date: Phone #: (503) 718-