Permit A - 4ITY OF TIGARDv ELECTRICAL PERMIT
PERMIT #: ELC2006 -00467
1 DEVELOPMENT SERVICES DATE ISSUED: 8/22/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112CA -06000
SITE ADDRESS: 15279 SW THURSTON LN ZONING: R -7
SUBDIVISION: ASHFORD OAKS LOT : 014 JURISDICTION: TIG
Project Description: (1) branch circuit for new a /c.
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: 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:
ERIC SIMATEL B & 0 ELECTRIC
15279 SWTHURSTON LN. BRIAN J OSTLING
TIGARD, OR 97224 305 PARK AVE
MOLALLA, OR 97038
Phone: 503 - 535 -0386 • • Contact #: FAX 866- 781 -8957
PRI 503 - 341 -2203
FEES
Description Date Amount Reg #: ELE 26 - 92IC
[ELPRMT] ELC Permit 8/22/2006 $46.85 L[C 114032
[TAX] 8% State Surcharge 8/22/2006 $3.75 SUP 4111S
Total $50.60 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 fo •• . I - n 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those
rules a - -t forth in OA '52 -00 -0010 through OAR 952 - 001 -0100. You may obtain copies of the'rg,ks or direct questions to OUNC �t
503 -2 • 6699 or 1- 800 -33 2 .
Issue; By: Al ' • / Permittee Signatu
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.
•
08/18/2006 04:45 8667818957 BRIAN:OSTLING PAGE 01
• -- J. ..
Electrical Permit Application t i i l( r. 1 ■1; ()MA
� �/ �
City of Tigard 0 e l p4 Al Permit No.: Eava►/4 0 . DD
13125 SW Hall Blvd.. Ti.: ill
Plan Review
Phone: 503,639.4171 F. i . 1 6U ° " "'''''t +J' + Received Dateliy: Other Permit:
Inspection Line: 503.639.4175 ' 1 Date Readv /By: burl ® See Page Z for
• Internet: www.ci.tigard.or.us AUG 21 2 Notifted/Method: --r Supplemental Iaformatiun
CITY evI±e PLAN REVIEW •
❑ New construction BU �Please check all that a 1 - BU ton/rement apply:
❑ Demolition ❑ Other: ❑Service over 225 amps, comm'I ❑Hazardous location
❑Service over 320 amps - rating ❑ Buildng over 10.000 sq. Q.
CATEGORY OF CONSTRICTION of 1 and 2- family dwellings 4 or more new residential
® 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi - family ❑ Master builder ❑Utter: ❑Building over three stories ❑Feeders, 400 amps or more
JOB SITE INFORMATION AN� LOCATION d(kcupant load over 94 persons ❑RV per1 ctured structures or
❑Egress/lighting plan p'
Job no,: Job site address: 15279 SW Thurston Lane ❑ Heaton -cart facility ❑( er __..___—
Submit 2 sets of'plans with any of the above.
City /State/%1P: Tigard, OR 97224 The above are not applicable to temporary construction service.
Suite /bldg. /apt. no.: Project name:
FEE' SCHEDULE
_ Description I Illy. I Pee I TV,.1 I ""
Cross street/directions to job site: New residential single -or multi - family dwelling unit.
- — Includes attached garage.
1,000 sq. R. or less 145,15 4
Subdivision: 1.01 no.: Ea. add'I 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
I Ua map /parcel no.: Limited energy, non - residential 75.00 2
DESCRIPTION OF WORK Each manufactured or modular
Connect New AC • dwelling, service and/or feeder _ _ 90.90 _ 2
Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER I i ❑ TENANT 201 amps to 400 amps 106.85 2
—
401 amps to 600 amps 160.60 2
Name: 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/ZIP: Temporary services or feeders installation, alteration, and/or
relocation
Phone. ( ) lax. ( ) - .w rW 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: Breach circuits - new, alteration, or extension, per panel
® APPLIC:AN't' I ® CONTACT PERSON A. R.% for branch circuits with
- - service or Limier fee. each 6.65 2
Business name: B & 0 Electric branch circuit
Contact name: Brian J Ostling — �— 9. Fee for branch circuits
�-
6 T without service or feeder fee, 46.85 YG, 02
' first branch circuit
Address: 305 Park Ave Each add'l branch circuit _ 6.65 _ 2
City/State/ZIP: Molalla, OR 97038 _ Miscellaneous (service or feeder not included)
Phone: (503) 341 2203 Fax:: (866) 781 8957 Pump or irrigation circle 53.40 2
Sign or outline lighting 53.40 2
L -mai I: Signal circuits) or limited-
CONTRACTOR I energy panel. alteration, or
Business name: same extension. Describe: Page 2 2
f
Address: Each additional inspection over allowable In any of the above
- — Per inspection 62.50
City/State/ZIP: Investigation per hour (t lir mini 62.50
Phone: ( I 11 1AR o 1
_ Fax: ( ) Industrial plant per hour 73.75 -
' ELECTRICAL PERMIT FEES*
C'C13 Lie,: 114032 Electrical Lie.: 26 -9210 Suprv. Lie:: 411 1 subtotal
Suprv. Electrician signature, required: 6 7(1 l 3 r r Plan review (25% of permit fee)
l'rint name: 6. gf.4A/ .'.. V S ri.. . )tile: 08/15/2006 State surcharge (8% of permit fee) 5., 7
TOTAL PERMIT FEE 5'1, 1 V
Authorized signature: This permit application expires if a permit is not obt ned within 180
days after it has been accepted as complete
Print name: Date: r • Tee mletbodi,t net by TA-County Building Induarry Service ttonrd
•• Number of inspections per permit allowed.
i BU11d1U5 'i'rmiiovit.r..- eermitADp and 1/(1.1 de0Jd1171 wovrOM/WFa
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006 -00467
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/22/2006
Phone: (503) 639-4171 ar' �
Inspection Requests (24 Hrs.): (503) 639 -4175 I �..
INSPECTION WORKSHEET FOR DATE: 10/19/2006 TIME: 7 :02A1y1 PAGE: 77
koru 4 *i" -7
SITE ADDRESS: 15279 SW THURSTON LN CLASS OF WORK:
SUBDIVISION: ASHFORD OAKS LOT #: 014 TYPE OF USE:
PROJECT NAME: SIMATEL
DESCRIPTION: (1) branch circuit for new a/c.
OWNER: SIMATEL, ERIC PHONE #: 503. 535 -0386
CONTRACTOR: B & 0 ELECTRIC PHONE #: 503 - 341 -2203
Inspection Request Scheduled For: Date: 10/19/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 038459 -01 503 - 793-4995 N
Corrections /Comments /Ins ruction :
r N
•
•
`jam PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: a-1? Date: `O 14 OF, Phone #: (503) 718-
CITY OF TIGARD L_=7.G
BUILDING DIVISION PERMIT #: �D
13125 SW Hall Blvd., Tigard, OR 97223 y DATE ISSUED: PD
Phone: (503) 639 -4171 iWt III I
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: q I / 6 1 TIME: PAGE:
SITE ADDRESS: J L '7 CLASS OF WORK:
SUBDIVISION: / LOT #: TYPE OF USE:
PROJECT NAME:
DESCRIPTION:
OWNER: PHONE #:
CONTRACTOR: PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
14i ( Rtt&O OM
Corrections /Comments /Instructions:
1
❑ PASS ❑ PARTIAL APPROVAL El CANCEL ❑ NO ACCESS
A FAIL [CALL OR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: "i' 4v6/0 Phone #: (503) 718 -°3 Y"/0
CITY OF TIGARD , ,
BUILDING DIVISION PERMIT #: ELC2006 -00467
13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 8/2212006
Phone: (503) 639 -4171 m 11llli
Inspection Requests (24 Hrs.): (503) 639 -4175 AA 6 '_....
INSPECTION WORKSHEET FOR DATE: 9/22/2006 TIME: 7 :02AM PAGE: 6
SITE ADDRESS: 15279 SW THURSTON LN CLASS OF WORK:
SUBDIVISION: ASHFORD OAKS LOT #: 014 TYPE OF USE:
PROJECT NAME: SIMATEL
DESCRIPTION: (1) branch circuit for new afc.
OWNER: SIMATEL, ERIC PHONE #: 603 -6 -0386
CONTRACTOR: B & 0 ELECTRIC PHONE #: 503 -34 -2203
Inspection Request Scheduled For: Date: 9/22/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 036919-02 503. 7934798 Y
Corrections /Comments /Instructions:
Lttk VtiA / - q)
NI 0 tio- f � 6
❑ PASS ❑ P RTIAL APPROVAL CANCEL ❑ NO ACCESS
❑ FAIL 1 CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
e
y fy Inspector: ' Date: 6 \, 7/Z 1 t&P Phone #: (503) 718-