Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00021
.4-14-/6111 DEVELOPMENT SERVICES DATE ISSUED: 1/12/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S104CD 10200
SITE ADDRESS: 13611 SW TRACY PL ZONING: R -7
SUBDIVISION: HILLSHIRE ESTATES NO. 2 LOT : 101 JURISDICTION: TIG
Project Description: 2 branch circuit furnace and AC.
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:
CERBONE, ROBERT + DEBORAH METRO ELECTRIC INC
13611 SW TRACY PL 2809 SE MYRTLEWOOD WAY
TIGARD, OR 97223 GRESHAM, OR 97080
Phone: NA Contact #: PRI 503- 666 -2159
FAX 503 - 674 -0123
FEES
Description Date Amount Reg #: LIC 78173
[ELPRMT] ELC Permit 1/12/2006 $47.50 SUP 24085
[TAX] 8% State Surcharge 1/12/2006 $3.80 ELE 26 -403c
Total $51.30 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- 0- 332 -2344.
Issued By: Permittee Signature: th-L
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.
FROM :METRO ELect FAX NO. :5036740123 Jan. 12 2006 08:33AM P1
0A�04/Y004 10 :09 FAX 503591 CITY OF TIGARD X001 mi
City of and . 2 _ ` 7 1- -Ole , ; Aem40400. L C. (a -COO
pus SW t hair., lipid, OR an ' maw re
PhDs: 503,6394171 Feat S03. e960 Go . t � pa rat"
mutat www.d.damtd.ocu3 G% ,FS 13x `w I N . ftl/MeQna d wr l motor
e
::, Prase sheds an that apply:
w
Now k�d� r . over 225 amps, ces�'I O location
▪ D®moHt� >�
a 1�a. o dsltettionhepleoelae u u - ,.,•.__ ,.— (�Sorvio sop
e Drat 320 s - sating ❑HnildnE over IO,Obp Bq. it,
`' • .• ` •.';'::,' ' , , QOR,V . � c011ir oN . • ..' " • . , of 1• and 2-family damning 4 maw am l�deadal • r and 2 11y dwollinB I.J al/industrial ❑ Accessory building OISsatom over 400 voile nominal halts to one uructuee:
ElBwirhap over three stela OFewere, 400 amps or hoots
Q Multi —lY Q Master build.. ❑ Oth -- ❑Oceepent toad ever 99 moans L7h� cnuehees or
r
_iFO, 51.1 &. QvFOOMATIoN i + tr.0 LOCATION . • • ; • ,... . • •• Qrasreswiivning plan RV pare
Job no•: Job site adeltes€ 15 fo I I Svc 1tQ t.c. Q 1 1 001 orb with any olaO abeva ji. Ku
-� , The shave are not aPolic'ab3e to temporary construction se vluo. •
o0.: sh J Project name,_ C ' V atI . • • l > ? . :. • :
Cross sateet /dtrectioni to job site: I Maw reataaaaat slag3e. or routeldbai y dwelling unit.
_ [adheda attached • r11 -_, a
t,000 wi lt. or 1033 145.15 4 -
Subdivision.: Lot nn.: Es add'1 a4 ft os paatiaa 0 33.40 1
Lladeed eaerv, tesldendal . r 75.00 2
To eaapiparoel no- Limited coerAy, lesideallal 75.00 2
.:.: _ • e:OW -4 63.. •:.• •': .:' : : . . .. . : . : -• ` mmettreeued dJor lt:edQ
I &Mao Or feeders Infte nadork alteration, and/or Woes&
200 amps or lass . 6090 2
20l . to400in 1068S 2
• • 401 amps m 600 amps 160.60 2
Nang 601 tae • to 1,000. ■ • • . 240.60 2
a►ddtd �" Over 34100 amps or vales 45445 2
wantonly 6685 3
City/State/ P; Temporary 'mica or kerma loStallatiOR alteration, or
Phone: ( ) F ( ) 2 aa o Au 66.85 I
' Owner 1astanntion: • lnatailation is being made an property th$t I own which is zmt 201 amps to 400 atrtys ,
100.30 2
intended no sale, tease, Teat, or exchange, am :ding ding to ORS 447, 449, 670, and 701. --". 2
Owner & &riots: Date: grata okealts •• tree.. R1teratian■ or .... ■ , . • , • . • . : ;la : y a r itiCANT ... , - - p . ACI• PERSON , A• Fee 7 "". 7 !. cut •taw • •
s� rvicea feeder fir s, deb ► 2
Business acme: — - i `I Wench chcntt
� ' y � R. R. Fee tar r E circuits
Cory :. • . .a,� " 1 .XjC9 an, a whkew aviea at reader Ire, • i ^,� , each _ , , Oman V 7 neeh sdd9 btoeeh edteult Q 1//IV,I lll
ir •„ . gi ) nM• Mlmdb uisou (wilco or feeder not included)
WillinkaMignalli Fax:: ( ) - O tZ ' or ir d�lat chyle WO 2
= orotd�s l1'ghiini 53.40 2
EM31111.IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIMIIIIIIIIIIIIIIM nasal eieeail(s)orSuite -
•,; ;_..::.:• :. •• .CON31tAc oR .• :.. .,
m raviaa . Desalt*: or Pete 2 2
Each additional lospediaa over allowable In argtof the above
Per io c Ion 62.50
CItyJ3tere ZIP: lily ilne 1)a boor (1 hi min) 62.50
Phone:( ) Fax:( )
(ndasaial ply par bent 73.75
col Liz.: 2 c6 % Electrical Lie.: �(,-� 435` .... . Lis :Z * O . C71)V > ;F IC'1:1 ::: c ~ snbtood 1.11.4
Suprv. Electrician Migoapue, required: A , Pisa nv;ew (2S% &pi= The)
Prier name: 0 Q- Date: I . 12! O C - . Sum embargo (876 otpnmir tbe) 5% ()
TOTAL PEWIT PEE
Authorized signature: e: Talc puma epoaea au eapli its "warts see dashed *dale 180
dogs dtor a has bear aeeepbd s'
Print name: Date: • a . eem+a �6! Y .
_ F„ •• Number etteepoo 1O.1i ow p• atlowEa. V
c+anwaos.,ease+e-ra•w•pr 1243
aw.i,Sttroxrtie0b4waa
CITY OF TIGARD
BUILDING DIVISION • PERMIT #: ELC2006.00(D1
13125 SW Hall Blvd., Tigard, OR 97223 - DATE ISSUED: 1112;200€
Phone: (503) 639- 4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 4/21/2006 TIME: /:02AM PAGE: 63
N w (=
SITE ADDRESS: 13611 SW TRACY Pi_ CLASS OF WORK:
SUBDIVISION: Hll (SHIRE ESTATES NO. 2 LOT #: 101 TYPE OF USE:
PROJECT NAME: CERBONE
DESCRIPTION: 2 branch circuit furnace o.nr. AC.
OWNER: CERBONE, ROBERT + DEBORAH, PHONE #: NA
CONTRACTOR: METRO ELECTRIC INC.; PHONE #: 503 - 666 - :?1 a9
Inspection Request Scheduled For: Date: 4/2112006 Pour Time:
Code # Inspection Description Confirm # Contact # Mess
199 Electrical final 02462 -01 603- 471.43fiM
Corrections /Comments /Instructions:
Nor rut ' Go M,A) 60 N ,�-
e . 60 r° s�
K PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G l Date: L IZ/ ® Phone #: (503) 718- 7 6 G/ y