Permit A CAW OF TIGARD ELECTRICAL PERMIT
r � V PERMIT #: ELC2006 -00136
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DEVELOPMENT 'SERVICES DATE ISSUED: 2/17/2006
111511?' ' '= 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S1 10 B D -00400
SITE ADDRESS: 11750 SW WILDWOOD ST ZONING: R -2
SUBDIVISION: SHADOW HILLS LOT : 002 JURISDICTION: TIG
Project Description: (2) branch circuits for hot tub.
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):
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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:
BARRY CARLY WILLAMETTE ELECTRIC INC •
11750 SW WILDWOOD ST PO BOX 230547
TIGARD, OR 97223 'TIGARD, OR 97281
Phone: 503 - 312 -4803 Contact #: PRI 503- 624 -3631
FAX 503- 624 -2938
FEES
Description Date Amount Reg #: LIC 75059
[ELPRMT] ELC Permit 2/17/2006 $53.50 Ste' 19655
[TAX] 8% State Surcharge 2/17/2006 $4.28 ELE 34 -283C
Total $57.78 REQUIRED ITEMS AND REPORTS
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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: SLP
OWNER INSTALLATION ONLY ` 4'
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.
1
FEB 17 2006 8:46RM HP LRSERJET 3200 p.2
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�_'ity of Tigard rtece,v.
Permit No.
`13125 S W Hall Blvd , Tigard, OR 97223 Date/By ° ��� ~ e�! � - gi p DO/Yrr
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Phone 503.639 4171 Fax: 5113 598.1960 ' ^ J
FEB r�} �•^
Inspection Lane: 503.639.4175 B 201 ' ��:' • Date/By: Other Permit
_ _ _
:.! " `'' Date Ready/By: 0 See Page 2 for
Internet: www.ci tigard.or.us Notified/Method Supplemental Information
'si y � i �� ^ V t t' ryt "57 ` # 1u P 'c ITO ^ 5 ∎ tiffs , ip'! .. ; Flt• ' ki}i F4 i � "y , ' ' ��j{ 1
❑ New construction IN i. 'fii r . k , '. 't ' liP epl = e Please check all that apply:
El Demolition l=1 Other OService over 225 amps, comm'l ❑Hazardous location
r ,t , , i x 7 „ r -� is rrar r n y t , a k a r r, � P a4 � ['Service over 320 amps - rating ['Bulldog over 10,000 fl ,
w v u n J d # w 07 S. r, l rli q r li 6 ' :. g ❑ g
�• •� fit }� .� ,� � Y`n. t � r r i � k' a 1 � t u` "�,� - , sq
M �;, iurEt3L5i „ • * eAM, V ,, b „ � :6 , . . . , 1w . l i . � at 'i - i 1 4 r :e 4 r 1 , r.,, iz - 5 at of 1- and 2-family dwellings 4 or more new residential
WI and 2 family dwelling ❑ Commercial/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
['Building over three stories ['Feeders, 400 amps or more
❑ Multi - family 1=I Master builder ❑ Other:
1 r r v �, . G tix y , �, ❑Occupant load over 99 persons OManufactured structures or
.. � , 1 . , a ] •tti 1yJ� - � tt1 ti ll Ii! �� t it ! � i ct -ai, RV park
a.s'� i �i _., � .., i l:6 , i'. . _ _ -1ca� r - � _ - , .14 . �> 0 r a1 ?:� ± ❑ Egressibehting plan P
['Other. lob no.: 7 Z lob site address: , ( ,i. co W, ( c c i--- ❑ Health -care facility
Cl / State/ZIP: Submit 2 sets of plans with any of the above.
tY , G ,. 9, a - q The above are not applicable to temporary construction service
Suite/bldg./apt. no.. Project name: le ,el.c r . W L ` 1 . -1 1, U @ -;, -. ', ` ° ' � . r '
° etN `( 4 It Description Qty. LL — Pee Thai ,•
Cross street/directions to job site: 4, i ' /1 ` fe. r 1 New residential single- or multi - family dwelling unit.
Includes attached garage.
1,000 sq. ft or less 145.15 4
Subdivision: I Lot no.: Ea. add'l 500 sq. ft or portion 33.40 1
Tax map /parcel no.: • Limited energy, residential 75 CO 2
Limited energy, non - residential 75.00 2
-r /s ,� iij,T - M1Y �,i -J - n s -r'r 1xY F , x �,. ,f Vf yy a. � , �
rq , i Y it! t f t i , t o- �`� ` td'1a r]�t; !' �4 ? ui I� Ip 1t "1 1f 31 r *11 'lam' ' Each manufactured or modular
.dc.uS xP,:r cif.. • 7 X37 i�wr.� u m,1� F: s, i {Irr�, �... ,.r LA ait,1 .`,P;i.111.t�
/ dwelling, service and/or feeder 90.90 2
lx k : ei .s fi I d il Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
. f"•' i , ; li lt, t ter i' r " t $ 'r V 4 r t , ! { r 1 i" ""g I A r x l 1[ / 10, 201 amps to 400 amps 106.85 2
1 tRil..G1 .LU4i 1 ,�,`. ci iv, Y!ah '...+} ,7J�i ll^ ill hi„ir } li 11 lYAMI. 2P..
401 amps to 600 amps 160.60 2
Name. d fir-
el, < - 601 amps to 1,000 amps 240.60 2
Address: 1 Over 1,000 amps or volts 454.65 2
City/State/ZIP: Reconnect only _ 66.85 2
Temporary services or feeders Installation, alteration, and/or
� �•(� 3 2.2 — vp6 3 ( ) relocation
Phone: Eby / L Fax: 200 amps or less 66.85 1
Owner installation: This installation is being made on property that 1 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
o , TF, i,r T - - -Fi fi i a , 1l i : L.c r �1� ' -. ! i "Y l LS,..rt ( d - -
4l irE.t li zfeU 45F4f
i ;Is " ,. . -it 1 a J,.ts:. . J; r .•.4,_ .4 I. V ._ z - z y_ +' E 1;;;11, rt , "4 A. F ee for branchcircttits
serv or feeder fee, each
Business name: branch circuit 6 65 2
Contact name: B. Fee for branch circuits
without service or feeder fee, ( 46.85 I [ IS> 2
each branch circuit
Address: Each add'l branch circuit / 6.65 ( S 2
City/ State/ZIP: Miscellaneous (service or feeder not included)
Phone ( ) I Fax :: ( ) Pump or irrigation circl _ 53.40 2
Sign or outline lighting 53.40 2
E—mail: Signal circu:t(s) or limited -
T.f i* fxg l 1y i ', ... t r,, 11 � 5 ' ra t' a , r` r�FE 1!, } d r y& ti 4 ?;i�...Lfa�',«4f,Y.�La;° try u�., x, S��., vtia., dC" �ftnL ;:'.�` ?1y6:,�..�!�z1,7s.?'!;� energy panel, alteration, or
extension Describe Page 2 2
Business name Cal t iI p�tw.,e N- �.( r /t it. 1 ::--
Address: 2 _ 1 0 Each additional inspection over allowable in any of the above
Per inspec ion 62 50
City /State/ZIP: rt S orfx.1 cJ,. 9 7 Ztr- I Investigation per hour (1 hr min) 62.50
Phone: ( :NZ y ) 4 -2,,, _ l� ( Fax: (ice ) (t( - Z y 3 Industrial plant per hour ■ 73 75
II i ., M g'i I t:a1�f�' �' M1!'Frt'A I 'd i .',
CCB Lic.: 7-S,',1 c Cii Electrical Lic.: `( - 74-3 t Suprv. Lie.. Cj '11 '.x , "rte " rl .`` .� u b Subtotal S
� S Subtotal
Suprv. Electrician signature, required: Plan review (25% of permit fee)
2 State surcharge (8% of permit fee) y, L6
Print name. n F , - Date � /� ��
t J M 4 TOTAL PERMIT FEE 9124" r •
Authorized signature: e
This permit application expires If a permit is not obtained within 180
days after It has been accepted as complete
Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board
— ,•• Number J inspections per pertrit allowed
1 \Bu,ldingWermits\ELGPemutppp due 12/07 44046 lsrti0/V2/COAt/WEB
CITY OF TIGARD
BUILDING DIVISION PERMIT #:['Z GZ006- .36
13125 SW Hall Blvd., Tigard, OR 97223 'DATE ISSUED:
Phone: (503) 639 -4171 - 4 1' ,
Inspection Requests (24 Hrs.): (503) 639 -4175 I
INSPECTION WORKSHEET FOR. DATE: TIME: V PAGE:
SITE ADDRESS: ii'7S0 S/ I / 1 L� 1../�oo CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: V V
DESCRIPTION: • V
OWNER: PHONE #:
CONTRACTOR: V PHONE #:
Inspection Request Scheduled For: Date: Pour Time:
Code # Inspection Description Confirm # Contact # Message
Corrections /Comments/ Instructions:
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ASS ' • ❑ PARTIAL APPROVAL . ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: "/ !'
p � '�� f Dat / Phone #: (503) 718