Permit CITY OF TIGARD ELECTRICAL PERMIT
: . 41s Ai • PE RMIT #: ELC2006 -00552
�� n DEVELOPMENT SERVICES DATE ISSUED: 9/29/2006
''�I 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S101 DB - 00901
SITE ADDRESS: 07145 SW VARNS ST ZONING: C -P
SUBDIVISION: VARNS ACRES LOT : 012 JURISDICTION: TIG
Project Description: 5 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: 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: 4 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:
ASCOT CENTER ASSOCIATES NEW TECH ELECTRIC
7145 SW VARNS ST 13970 SW 72ND AVE
TIGARD, OR 97223 PORTLAND, OR 97224
Phone: Contact #: PRI 503- 648 -1900
FAX 503 - 670 -9572
FEES
Description Date Amount Reg #: ELE 26 -418c
[ELPRMT] ELC Permit 9/29/2006 $73.45 LIC 41868
[TAX] 8% State Surcharge 9/29/2006 $5.88 SUP 3849S
Total $79.33 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: 41A414 Permittee Signature: ' 4-
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.
09/28/2006 09:12 5036795
0 r 1\ 4 NEW TECH ELECTRIC PAGE 01/01
T C� (t F •. `I
`4 .0' P
Zlectriica1 Permit Ap --- FOlt orrJCE USE ONLY
I City of Tigax'd OR 97223 SEp 2 B 2006 Received �. '� ��T _,_ 2. /-1•• .77 P
13125 SW Ball Blvd,. Tigard,
Phone: 503.639.4171 Fax 503.598.1960 �' Plan Ravi, •
1a" ;. ( >• � r Other Permit Inspection Line: 503.639.4175 W I jam ' •I , Ante Ready/Br t7� Stro Pa 2 for
`u S ?i Tzf - 1�10tifredlMetftod Ge
- E Snpplcmenta
Internet: www.ci.dxgatd•or.us
�...�: ` . 1 IH,Q,,1 ,11t1 1 r r 1 r . ! , , .d7 ,,, :7 h i 11 I i rr 1 ..ry' ,3 r , l' ;
• -__. I 51. {; ..,, -.. 1 ,., ... tr.,.. u,.....h. , :,- _.. :Lr.r .,••...- ,, ... :.a,. � 1 1 ij4> a f � � i
❑ New construction : • ddition/alteranion/replacement Please check all that apply;
❑Service over 225 amps, comm'1 QRaz rdoes location
[a Demolition Q lamer
['Service over 320 ratio
( • � 'il( [lu 1 1 . ;∎ (1'I,, 'I 1111 7 1 'rit c I n r, Ii cps` rating �I3uildrl re over wmsid s till
of 1- and 2-family dwellings 4 or more new residential
❑ 1- and 2- family dwelling i Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑Building over three stories ❑Feeders, 400 amps or more
❑ Multi - family ❑ Master builder C1 Other:
F Occupant toad over 99 persons ❑Manrrfarltdred slruetures or
= z` _ f:° i w i l,_' fr1' l f' Iiu,6, IC (Ilr l i) 1 , [ ,f � n'� + .:
C]13gressJtightingglan RV park
Job no.; Mal Job site address _ ❑Bealth -care facility ❑Other:
Submit,/ acts of plans with any of the above.
City/State/ZTP: P-- ii ., , • f d The above arc not applicable to temporary construction service.
suite/bl J L '•' -- ..7, - : "; i1'fii;;7c • ':Y r 5 ' ri . ^;ate' '- - -
rig cep no.: Project name: t l.! -. N (1 1 1 J I 1 i 7 rf" i
aacelPdon Oty. Fee. Total "
Cross street/dixections to job site: New residential single- or multi- family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
SubdiVisiom: Lot no.: Ea. add'i 500 sq. ft, or portion 33.40 I
Tax map/parcel no.: Limited energy, residential 75.00 2
; ::r.,. . r: r•: _ .. ' ^A Ua: -_ -- - _ Limited energy, non - residen
.: - gY 75.00
`t - - :; r r ':f _; :rte., � . '. :,;- ; ^ ,,c : :� 2
: -, IC t(I 11 I� r . g ar , I i ,
s ll.,_a.: ,�r �..,. - ,, t_.,. i .. :- •.I_,'. v. r . .4?, ( I r 5.., ',1i I Each manufactured or modular
dwelling, service and/or feeder 90.90 2
4 I A ' x'11 1i a • .`J 0. L �-� Services or feeders installation, alteration. and/or relocation
IIIIIIIIIM 200 amps or less 80.30 2
ri: rt_ :_ n1 � I I ; 1 ,,,;Ii 1 11I � , ,, 7: � 1 .11 " , F J , 1 r jIT ∎1 ; 11 i 1 1 T ar 'tf.r" 'v 201 anmpsto400a $
_,. :S?.. ' ..,., ,. ',..: Lt i ,, 1 ,. ':,,, -, �' 1 mp 106,85 2
T , .. a ` r ,., 401 amps to G00 amps _ 160,60 2
601 amps to 1,000 maps 240.60 2
Address: -� Over 1,000 amps or volts 454.65 2
City/State/ZIP: �• 1•>i
r Reconnect Only 66.85 2
.•. , _ Temporary services or feeders installation, slteantlon, and/or
Phonic: ( '
Lt - relocation
L� 200 amps or less 1 66.85 i
Owner installations 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 amp• sto600a mPs 133.15 2
Owner signature:, Date .75
_ Branch circuits - new, alteration n, per P
` l a 77" I�a I'1 1 • i 11 ' � 1 ;17, ._ 1 �t, Yt p t, "I tt 7-, r"T J - r -,,. ./..,',T,71 , ,orCxlcnglo Cr nel
8 •:'l:r_ . ,,.,,.,. I. 1 , Y i. L F) 111 . 1 1, r .r'''. . ��7 �. 1 .i,- .,- ,7:- �� r.1 71 1hI I - j T � � , ( � t'.,I service IAA.e orfee I1 rfee, te
bran of feeder fee, each
Business name: circuit 6 2
Contact name: B. Fee for branch circuits
without service or feeder fee, 1 4 2
IF Address: p • each branch circuit 46
Each add' 1 branch circuit ['III 6.65 P I A 2
City/State/ZIP: Miscellaneous (service or feeder n , t included)
Phone: ( ) Fax: : ( ) Pump or irrigation circle _ 53.40 2
E-mail: Sign or outline lighting 53.40 2
-ti -� b Signal al circui
•_.�T ', ;Fri r 7'r.Irl d 'Crr�.si fh l: O,T Ir'c -J 1 -F iu 7 I - I R r 'litcrilmrted•
LL .r.,_..._ . l I f r { r,, t f 1` 1> �' r I I� I , ',�.' -,, d I " r r i energy panel, alteration, or
..J.L.. �U�.A,_I :t �?.`T ,..- f!„ i _.� _ _ .'. Jd ,.l�,iv: lnl.l
extension. Describe: Paget 2
`-A •� r
__ AA
Address: ` C • / Each additional inspection over allowable In any of the above
City /State/ZIP: � - i . 1 J f d '' '?' Per inspection C+2.50
I nvest i g ation per hour (1 hr min) 62.50
Phone: ' kg ♦ a� ' L�� Industrial lath per hour 73.75
p ��
CCB Lie.: / �� - Suprv. Lic.: I, I!y�t .'1 .7i. +17,.1k 1,01., .. 1 �� �1 1,'Tic i .t: .,i•,ht
1 Subtotal `I .45
Suprv. Electrician signature, required: Flan review (2546 of permit fee)
Print name: Date: State surcharge (8% of permit fee) '5. V l
Authorized signature: TOTAL PERMIT FEE 9.`).33
This permit application expires it a permit Is not obtained within 180
Print name: Date: • days after it has been accepted as complete
Fee methodology act by 7'ri -County Building industry service Board
�
� �*" mbcr of inspections per permit allowed.
ttBnlldMR \Pem*MU1.C- PMnitApp.doc 17A3 1 C 7\ .I. 1
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006 -00662
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/4/2006 TIME: 7:02AM PAGE: 46
•
SITE ADDRESS: 07145 SW VARNS ST CLASS OF WORK:
SUBDIVISION: VARNS ACRES LOT #: 012 TYPE OF USE:
PROJECT NAME: VIAL & PHAIvi CODE CORRECTIONS
DESCRIPTION: 5 branch circuits.
OWNER: ASCOT CENTER ASSOCIATES, PHONE #:
CONTRACTOR: NEW TECH ELECTRIC PHONE #: 503.548 -1900
Inspection Request Scheduled For: Date: 10/4/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message •
199 Electrical final 037635 -01 503-648-1900 N
Corrections /Comments /Instructions:
___ ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL . ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: !� �, Dat l0 ' 7 — 0 C� Phone #: (503) 718-
1
CITY OF TIGARD ,'-
BUILDING DIVISION PERMIT #: ELC200&.00552
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/29/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 '''I L
INSPECTION WORKSHEET FOR DATE: 10/2/2006 TIME: 7 PAGE: 53
SITE ADDRESS: 07145 SW VARNS ST CLASS OF WORK:
SUBDIVISION: VARNS ACRES LOT #: 012 TYPE OF USE:
PROJECT NAME: VIAL & PHAM CODE CORRECTIONS
DESCRIPTION: 5 branch circuits.
OWNER: ASCOT CENTER ASSOCIATES, PHONE #:
CONTRACTOR: NEW TECH ELECTRIC PHONE #: 503 - 648 -1900
Inspection Request Scheduled For: Date: 1002006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
195 Misc. inspection 037469 -01 503. 969 -9441 V
.4„N ®
Corrections /Comments /Instructions:
❑ PASS APARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G" • N 06 Le Date: 1 b. 2-40b Phone #: (503) 718- 1-11410