Permit CITY 1 OI TIGARI i� ELECTRICAL PERMIT
A PERMIT #: ELC2006 -00427
�
��n DEVELOPMENT SERVICES DATE ISSUED: 8/2/2006
'- I 13125 SW Hall Blvd., Tigard, OR 97223 503- 639 -4171
PARCEL: 2S 1026C -04100
SITE ADDRESS: 12760 SW WATKINS AVE ZONING: R-4.5
SUBDIVISION: NORTH TIGARDVILLE ADDITION LOT : 031 JURISDICTION: TIG
Project Description: (1) branch circuit for 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: 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:
RICK & ERI FURINO FULL HOUSE ELECTRIC
12760 SW WATKINS AVE 12381 S TOLIVER RD
TIGARD, OR 97223 MOLALLA, OR 97038
Phone: 503 - 260 -6082 Contact #: FAX 503 - 829 -2822
PRI 503 - 829 -2984
FEES
Description Date Amount Reg #: ELE 3 -446C
[ELPRMT] ELC Permit 8/2/2006 $46.85 LIC 162830
[TAX] 8% State Surcharge 8/2/2006 $3.75 SUP 44885
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
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: Pt
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, FULL HOUSE CONSTRUCTION PHONE NO. : 503 829 2822 Aug. 02 2006 01:30PM P1
` Electrical Permit A, lication 6
FOR OFFICE USE ONLY
City of Tigard IVEDA Received ex � 2" 66 1:'el -' pe t No. (_eri p ' �
13125 SW Ball Blvd„ Tigard, OR 97223 Plan Review Other Permit:
Phone: 503,639 4171 Fax: 503.598.1960 AUG 2 2006 `"' � ;. , Dare/lay:
'' `` Jam% / _ 0 Sec )?rice 2 for
Inspection Line: 503.639.4175w - ` =� I .. Date Ready/By: � /
C ITY OF TIGAR I N Supplemental information
�� {{
sr , ,y +' r.r r 1�n ,1. ..i�,. p. -,.:.. ., ti - � S, a]' -yr �7��r1 :'• ,5 'j- ` .
a vi4 "u 7 r f s 'rb 'r •, •
I
" . 'r ., 'l+1lx�W a t + .rt li.' dye 0� 71 �`� r 4 �- �4 ' � n 1 e . 26:1'1. .<. 't'idaw�m '.. .''.'•, -
�ai�: �' r t�',,.- Cxr�t" y'? :.!.'�7���y �' z �'.:: ���t` rz .Ili•'fcin`t"�- � �i4> '...
❑ New construction .....,,,Er. Addition /alterationircplacemcnt Please check all that apply:
❑ Service over 225 amps, comm'l ❑Hazardous location
0 Demolition ❑ Other: _ ❑Service over 320 amps - rating ❑ Buildng over 10,000 sq, ft.,
r tr.M:i. � ""i `f �` n4ai3 }G "o,5,r c u `'`� ti§1Wi � �h T i�4 ; ' � '
(] . of 1- and 2- famil dwellings 4 or more new residential
s . t , : .. > -+ r 1d i1i� iti .- 1o.�.,,.2 2,1. MILS m one structure
1 - and 2-family dwelling ❑ commercial/industrial over 600 volts nom
industrial ❑ Accessory building ❑Building over three stories [Weeders, 400 amps or more
❑ Multi-fannly ❑ Master builder ❑ Other: ❑Occupant load over 99 persons ❑Manufactured structures or
v�, vNV, y , 5 r ty re ,,r,t trrfic dam( 1" i RV
r :r. = :•7 xr „ gi fil' t "i , ti „ fi 5r + t f $ 1i htin lav park
ta or •,.. q �t ` t:+ e, I .. G 1L�37 n ti, 3e it ,c ere _, 1 i ,,,a41fr..Jr ❑ Press/ s g P
i' e ' M`+ ar E•°._! rr� 'l. .-r¢�I� n '..A�.1�`.eFJL_� �.b.., „tw c.YW.., ,�
!OWN ❑Health -care facility ❑other:
Job no.: ! , _ • Job site address: e r , t ...0/10/06 Submit 2 sets of plans with any of the above
City /State/ZIP': . , Tho above are not applicable to temporary construction service
Suite/bldg• /apt no.: Project name: Description Qty. Foe- Total '"
Cross street/directions to job site; New residential single- or multi - family dwelling unit.
- •- tnetudes attached garage. ,-
1,000 sq. ft. or less 145,15 4
Subdivision: Lot no,: Ira. add9 500 sq. ft. or portion 33.40 1
Limited energy, residential -
75 2^
Tax map /parcel no Limited energy, non - residential 75.00 2
f f RiR r , �� - . r ' �i+ 1 �r J k�i ff. .1 '5: r' J u^' n.T: i fi`�i`:, fl vi • + n r ,-Ntc, . d 9 , e•
l zi , i` ." 2,Y. �5 Ija ' , r .� x FoL-g a . : l l r; ;� �P 4e + 74 ii , ,, ,, y Each manufactured or modular
dwelling, service and /or feeder 90.90 2
Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
� � oT;.�•>�� i�a- 1 < , ' ,•• � 5 " �� ,.; �- 1 -;t ti q ua 201 amps t0 400 amps 106.85 2
r " ,,i } ] , S tit g9 pr �iil lrrdi [in ffa �It7fei
'.� + �a; YS1�' ia��Ji'* t�; i�r!;r�s'9LT�l•�h�'tr::�t��b, "� �a1 � �� ;3Ar.��4����C>'�Y� � t -1 401 amps to 600 amps 160.60 Z
Name: \1/4--\`r,.. 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: ( ) Fax: ( ) 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 snips 100.30 2
intended for sale, Iease, 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
..*iT r , a 34 ;7f 9Y`7,1P *`, ' �`�{ I2�tif ^: a ° � x 1;7, .: r -0 s 1 �,,.,�.!'.73 C, j �� ,•. Fee for branch circuits with
�"s`a to +. k:";- ,?-2 A4 `11 �i� IP.11 .A1,,1�1�.E J I'n +l ,'iEia�l 7iaiZ�1"t'i4R .rr ^_ .. °t.i.C1t:�
service or feeder fe each 6 - b 5 2
Business name: RN ` r / 2- branch circuit
- B. Fee for branch circuits
• Contact name: , . 1 , without service or feeder fee, i ■ each branch circuit x6.85 1,� �, 2
Address: F . I Each add') branch circuit 6.65 2
• City /State/Z3P: t ` • 4, Miscellaneous (service or feeder not included) „MOM Pump or irrigation circle 53.40 2
Phone: (5b3 • • - - Fax:: (551 -2.q. e 8,2 Z Sign or outline lighting 53.40 z
E Signal cireuit(s) or limited -
!. �f ;5 5' SiL'+rwri; at i �a ra ,yi�rir 1 L rN �:7t{ S' i'9C i) � (� �,,� :' C„01.S.U, ' ,,,e, o f „FR- .0 4 1 energy panel, alteration, or
�A_ ,.,�+_Et1�rn�t�iit:r4,�VM "..u., .�,3cc....r'rr'L �sr . �s:z.iwi 1�.� ti- " �i r , " ., x _ Y.1._ct. extension- Descnbe Page 2 2
Business name: AN - • •, i
Amite• t Each additional inspection over allowable in any of the above
�. i 4 0 I" Per inspection 62.50
City1State/Z1'P . Ai f , ! 71,-3 7 Investigation per hour (t hr min) 62.50
Phone: ( //�� ) ZSZ 2 Industrial plant per hour 73.75 ,I
) / Fax'. Ste' 2 a ' -, �c r ;iii ;” it r • re'u' y ��° - 'Flu . enr;cy„;
503 2 , N�itr�.�,� �;s=:� �1�� -�� " aye ,� �;;_>�.; =,: - _,..
CC:B Lie.: , g$3D Electrical Lie.: 0t ._ 1 a 0 Subtotal ktk. 8 J
Suprv. Electrician signature, required: _ Plan review (25% of permit fee)
l ` `" 4L..... , State surcharge (8% of permit fee) 3 • - '
Print name: Date:
TOTAL PERMIT FEE , c(5 , t
Authorized Signature: 12 This permit application expires if a permit is not obtained within 180
- „_ - - � days after it has been accepted as complete
Print name: , • Date: _ 3 - D , • Fee methodology set by Tri - County Sodding Industry Service Boatel
A _ **Number of inspections tier permit allowed.
. _ _.. ._ . _ - _ _ .... -- een -sal sr( 1comMnwaraa
• CITY OF TIGARD
BUILDING DIVISION <, 4 PERMIT #: ELC200G-00427
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/2/2006
Phone: (503) 639 - 4171 s t � 1
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' ^'IL
INSPECTION WORKSHEET FOR DATE: 8/24/2006 TIME: 6 :59AM PAGE: 63
SITE ADDRESS: 12760 SW WATKINS AVE CLASS OF WORK:
SUBDIVISION: NORTH TIGARDVILLE ADDITION LOT #: 031 TYPE OF USE:
PROJECT NAME: FURINO
DESCRIPTION: (1) branch circuit for NC unit.
OWNER: FURINO, RICK & ERIN PHONE #: 503 - 260.60(32
CONTRACTOR: FULL HOUSE ELECTRIC PHONE #: 503 - 82.9-2984
Inspection Request Scheduled For: Date: 6/24/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
145 NC or heating unit circuit 035406 -01 503 -698 -2665 N
The electrical installation defects noted
Corrections /Comments /Instructions: on this report shall be corrected and
an inspection request made within 20
'lo calendar days per OAR 918-271-0030
11A- t JAL / 44 4^R Aa`tP M L 'So ti-/1 P
i V 1 . 4l 4. alD CA/77 F t' Z. r Al
it covet G/R2laCr ?Rosy' 1
Z) ?o ✓/)e / £Z1 u, 6/(660%1 o wti��TlNb,
H
c-714JS - P*s / — 1® - r, fSg 'S TO c am,
PPL, o N -,- � / _ v, , I - - pez ov c ' 3o TO
C 1 7 1 ZZ
�) PlrEo ✓' h v i 7y d r T? G /a -2. s kce"1 !° P/ve2— t.1, T
Sv 12 vi So IC S SII 9 7 ru er beSC K I P t1 o.0 of --
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
i FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C Date: g Z-o C' Phone #: (503) 718- ZC L/'
CITY OF TIGARD .
BUILDING DIVISION PERMIT #: ELC200500427
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/2/2006
Phone: (503) 639-4171
Requests (24 Hrs.): (503) 639 -4175 'II—
INSPECTION WORKSHEET FOR DATE: 9/7/2005 TIME: 7:02AM PAGE: 21
SITE ADDRESS: 12760 SW WATKINS AVE CLASS OF WORK:
SUBDIVISION: NORTH TIGARDVILLE ADDITION LOT #: 431 TYPE OF USE:
PROJECT NAME: FURINO
DESCRIPTION: (1) branch circuit for NC unit. •
OWNER: FURINO, RICK & ERIN PHONE #: 603-260-6082
CONTRACTOR: FULL HOUSE ELECTRIC PHONE #: 503 -829 -2984
Inspection Request Scheduled For: Date: 9/7/2Q06 Pour Time:
Code # Inspection Description Confirm # Contact # Message
145 A/C or heating unit circuit 036155-01 503 - 320.7543 Y
Corrections /Comments /Instructions: 2(.0.5' SS I
•
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C■t• Date: ' *(S‘ Phone #: (503) 718- 244