Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 -00332
io DEVELOPMENT SERVICES DATE ISSUED: 6/10/2004
I �! 13125 SW Hall Blvd.. Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S134AD-08600
SITE ADDRESS: 10553 SW WINDSOR CT
SUBDIVISION: WINDSOR PLACE ZONING: R -7
BLOCK: LOT : 023 JURISDICTION: TIG
Project Description: Electrical service for hot tub connection.
Job No. 30459 -1
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: 1 W /SERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 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 DOEBELE GREENWAY ELECTRIC COMPANY
10553 SW WINDSOR CT 9460 SWTIGARD STE. 104
TIGARD, OR 97223 TIGARD, OR 97223
Phone: 503 - 330 -8873 Phone: 503 - 620 -6020
Reg #: LIC 153421
ELE 34 -6I7C
FEES SUP 5025S
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 6/10/2004 $80.30
[TAX] 8% State Surcharge 6/10/2004 $6.42 Elect'l Service
Elect'l Final
Total $86.72
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 :: • -2344
Issued By ' . 1 ;2 - Permit Signature:
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 639 -4175 by 7:00pm for an inspection the next business day
06/09/2004 08:36 r I 1 W,..) GREENWAY ELECTRIC CO PAGE 01
Gg
Eleetriefi Permit Apt Voatiaat
Is‘00* 1.4)R ()I 1,1( 1.1 tiNI 1 . !
146 UN
City of Tigard 0,UILDI I'ved // cora Perna No.: g
Dste/B : 7 4 ---/,' - 7Pin 3
11125 SW Hall Blvd , Tigard. OR 97223 Finn Review
P lone: 503.639.417) Fax: 503398.1960 ' ' '''‘All ' ' Oat.. ; • Other Pamir.
Inspection Line: 503 639.4175 ,I.J.. •il i '
..,9 „ ___ Dote Rendy/By: El See Page 2 Mr
Intoner. www.ciligs rd.or.us Notified/NlethaM M Sepplemattal toronnation
. , . . • . • .•• • . • • . -, .. . . " • " - ...- • . . • - '. ••
: •-•' .: ••.: .. ;• ' : ::' ; :: :'::•. '.:: l ••••• ', i IlirPE•Dt VoRIC .," :..... ''.* ..• .,'! •:••• , .. •• .: .. ; '. ...,:•.1'...• :•• •'P.1 14 ,.'• ' ,', ..,•• ' . .
0 Ncw eetistrtietit in Ill Addition/alteration/replacement Please check all that apply:
°Service over 225 amps, cornet OHnairdoun location
El Demolition D Other: ['Service over 320 amps - rating ['Bunting over 10,000 ae. R.
'' ••• •• • ' ' • . ' " .: .. . e' . tilf:toNttiatijk .. • ' ... •'' ....:.:).• . . , ,..• 7..• : of 1- and 2-family dwellings 4 or more new it:sideman]
I il 1 and 2 dwelling 0 Commercial/industrial 0 Accesnory building ['System over 600 valet nominal units in one structure
EIBuilding over three stories CIFeeders. 400 amps or mom
[] Multi El Ma.ster builder El Other:
1:Occupant load over 99 persons EIMtmufactured structures or
;:': .::;:• ..: ' . ...:' • • ' ' ' . . 7 0 1 Ctir$ .1 :gotti*1 .';;.if:..' .. '' '' .. ....• • • IZIEgrmaJlighting Pim RV park
ElHealth-care facy ['Other:
Job no.: 30459-1 I Job site address: 10553 SW Windsor Ct.
Submit 2 seta of phma with any of the above.
City/State/ZIP: Pc rtland, OR 97223 The above arc not applicable to temporary construction SaViCC.
) : ' . At SeilletZE.,::..:. :::' ,
Suite/bldg./apt. no. I Project name: Hot Tub - Electrical Install , : 1 -,
Docription I Ow. I Rec. I Total I
Cross street/directions to job site: New residential single- or motif-family dwelling unit-
Includes attached garage.
-
1,000 sq. 0. or less 145.15 0.00 4
Subdivision: I Lot no.: Ea, add'l 500 sq. ft. or portion 33.40 0.00 1
Limited energy, residential 75.00 0.00 2
Tax nutp/pareel no.: I -& 1 3'tA) - O41000 Limited energy, non-residential 75.00 - 0.00 2
• '.' ' ' .] ....• ..:•? ••:.:'•':::•' •• IlitklOP1iON'1iP.;:i :•• .... • n --• .; • :• ''': .•:•::•: .. : ..• : . • • Ea h u f cuffed or mod
Aid Electrical ft r Hot Tub Connection dwelling, service and/or feeder 9030 0.00 2
Scroccs or feeders lftstalladon, alteration, and/or relocation
200 amps or less 'I 80.30 60.30 2
'''.., ..; . •C:-..7111Citqatit.itiVPregri''..'!'!'....';,:i:'1,::?'::•14..;:, i'cq.......: tr :.,,..„,. . ..., ..; 201 amps to 400 amps 106.85 ,0.00 2
401 amps to 600 amps 160.60 0.00 2
Name: & a I C 6, ovatzte 601 amps to 1,000 amps 240.60 0.00 2
Address: ( ti56 S lA).,, 0,......--; Over 1,000 amps or volts ' 45.65 0.00 2
...
Reccmnect only 66.85 0.00 2
City/State/ZIP: p oa ,- 1 - 1.Ag 4, - 1-7 izg Temporary services or feeders installation, alteration, and/or
( relocation
Phone: (03) 3 ggi 3 I Fax: ( )
200 amps or less 66.85 0.00 I
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 0.00 2
intended for sale, It are, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 snips 133.75 0.00 2
Owner signaturc:_ Date: Branch circuits - new, alteration, or extension, per panel
1:1 •'A PPLiICANT . • 1 .. "' '' '', ' 1:/':icrdteriticr 1 . 1 12 Y41).. • • :'!.. A. Fce for branch circuits with
. . ._, I • • •• • •• • • •• I • I
service or feeder fee. each
Business name: branch circuit 6-65 0.00
2
B. Fcc for branch circuits
Contact name: without service or feeder fee,
oath branch circuit 46 0.00 2
Address:
Each ndd'l branch circuit 6.65 0.00 2
City/State/ZIP: Miscellaneous (sertice or feeder not Included)
Phone'' ) Fax Pump or irrigation circle 53.40 0.00 2
: : ( )
Sign or outline lighting 53.40 0.00 2
E•mail:
Signal circuit(s) or limited-
...:*: ..: . . ,-: .. ...,•. . •.: . ','i•i ,.‘ ":90ftteplagribk ', ;;!.,......... :•.:•, - ,.,:: ).; • • .:.._ energy panel, alteration. or
extension. Describe: Page 2 2
Business name: Graenway Electric Company 0.00
Address: 9460 SW Tigard St., Ste. 104 Each additional inspection over allowable In any of the above
Pcr inspection 6 2.50 0.00
City/State/ZIP: Thard, Oregon 97223 Investigation per hour (I hr min) 62.50 0.00
Phone: (503) 620-6020 Fax: 1(503) 620-6124 Industrial plant per hour 73.75 0.00
PitAnr,sgs*..... • :- ..::..y. •,.• ...
CCB Lic.: 15342' --- Electrical Lic.: 34-617C Suprv. Lic.: 50258 Subtotal $80.30
Suprv. Electrician :igmature, required: I c ../ 07 Plan review (25% of permit fcc)
Pint name: James V. Rooney O • Date: 06/09/2004 State surcharge MA of permit foe) $6.42
Authorized nigatu
. irk.-_,I.7ar TOTAL PERMIT PEE $86.72
n C.
• ' W If This permit OPPIktlf1011 expires If a permit is net obtained within ISO
days offer If hat been accepted an complete
Print name: Mark Sho Date: 06/09/2004 . • Fee methodology sea by Tri.C.ounty Building Industry Service Board
- " Number of inspections per permit allowed.
lApillIdicsaPernatant.C tApp.doc 1203 44045l sTon/02/CONOWEB
CITY OF TIGARD 24 -Hour
BUILDING Inspection' Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: (503) 639 -4171
BUP
Received Date Requested G -17 AM PM BUP
Location �� J W� Suite MEC
Contact Person Ph ( ) o2 0 — d Z PLM
Contractor Ph ( ) SWR
BUILDING Tenant/Owner ELC 2 �,,, �/ -19 -3✓��
Footing
Foundation ELC
Access:
Ftg Drain ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear
Int Sheath/Shear 3 2/
Framing
Insulation
Drywall Nailing
Firewall
Fire Sprinkler .ate _ E
Fire Alarm 1 ► V Q,�) ♦I 6 • �';, 1�� PaRP
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -In
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In
UG/Slab
Low Voltage
Fir Alarm
I Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
SS PART FAIL
SITE 0 Please call for reinspection RE: 0 Unable to inspect — no access
Fire Supply Line
ADA D IV (3I E Ext
Approach/Sidewalk Inspector
Other:
Final DO NOT REMOVE this Inspection record from the Job site.
PASS PART FAIL