Permit CITY OF TIGARD ELECTRICAL PERMIT
DEVELOPMENT SERVICES DATE ISSUED: ELC2006
IIII DATE ISSUED: 11/1/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 1S134AD
SITE ADDRESS: 10620 SW WINDSOR CT ZONING: R -7
SUBDIVISION: WINDSOR PLACE LOT: 016 JURISDICTION: TIG
Project Description: 2 branch circuits. EXPIRED
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:
TUAN TON OWNER
10620 SW WINDSOR CT
TIGARD, OR 97223
EXPIRED
Phone: 503 - 684 -6130 Contact #:
1.23.09
FEES )
Description Date Amount Reg #: Iv Q
[ELPRMT] ELC Permit 11/1/2006 $53.50
[TAX] 8% State Surcharge 11/1/2006 $4.28
O
Total $57.78 REQUIRED ITEMS AND REPORTS Q
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 50 ?- 46 -6699 or
1-800-332-2344.
Issued By: . _ � � / ` ` Permittee Signatur dj
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.
1] TSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: ELC2006 -00624 REQUIRED ON GREEN INSPECTION CARD.
✓ Code I Inspection Description I PASS Date I By ✓ Code I Inspection Description I PASS Date I By
BUP - Building Permit ELC - Electrical Permit
405 Excavation 105 Underground/slab cover
410 Fill 110 Temporary electrical service
415 Grading 115 Electrical service
205 Footing X 120 Electrical rough -in
805 MFG - Structure grading/footing 125 Wall cover
210 Foundation walls 130 Ceiling cover
215 Footing drain 135 Low voltage
220 Slab 140 Sign installation
310 Crawl drain 145 A/C or heating unit circuit
225 Post/beam structural 150 Hot tub /spa/pool
230 Underfloor insulation 195 Misc. inspection:
235 - Shear walls /anchors X 199 Electrical final
240 Exterior sheathing
245 Firewall
250 Roof nailing ELR - Restricted Energy Permit
255 Wtr proofing basement walls 135 Low voltage
260 Tilt -up panel 195 Misc. inspection:
265 Masonry 199 Electrical final
270 Reinforcing steel (rebar)
275 Framing
810 MFG - Structure set -up MEC - Mechanical Permit
280 Insulation 605 Post/beam mechanical
285 Drywall nailing 610 Gas line
287 Suspended ceiling 615 Mechanical rough -in
295 Misc. inspection: 620 Hydronic piping
899 MFG - Structure final 625 Duct work
498 Grading final 630 Fire damper
299 Final inspection 635 Smoke detector shutdown
640 Exhaust hood
695 Misc. inspection:
699 Mechanical final
BUP - Fire Protection System Permit
905 Sprinkler underfloor /slab PLM - Plumbing Permit
910 Sprinkler rough -in 305 Plumbing underslab
915 Fire alarm rough -in _ 310 Crawl drain
920 Suppression trip test 315 Post/beam plumbing
995 Misc. inspection: 320 Plumbing rough -in
998 Alarm final 322 Shower pan
999 Sprinkler final 330 Water service
335 Rain drain
340 Storm drain
SIT - Site Work Permit 505 Sanitary sewer
405 Excavation 345 Culvert/catch basin
410 Fill 350 Septic tank
415 Grading 395 Misc. inspection:
205 Footing 399 Plumbing final
210 Foundation walls
215 Footing drain
420 Sprinkler supply lines SWR - Sewer Permit
495 Misc. inspection: 505 Sanitary sewer
498 Grading final 595 Misc. inspection:
499 Final inspection 599 Final inspection
(:\Building \Inspection Cards \Forms\AOP- InspCard- Blank.doc 12/09/2005
- O � ELECTRICAL PERMIT
CITY OF-TIGARD
PERMIT #: ELC2006-00624
I.� 006
DEVELOPMENT SERVICES DATE ISSUED:
LC2
Z
° Ii i 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 1S134AD-07900
SITE ADDRESS: 10620 SW WINDSOR CT ZONING: R -7
SUBDIVISION: WINDSOR PLACE LOT: 016 JURISDICTION: TIG
Project Description: 2 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: 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:
TUAN TON OWNER
10620 SW WINDSOR CT
TIGARD, OR 97223
Phone: 503 - 684 -6130 Contact #:
FEES
Description Date Amount Reg #:
[ELPRMT] ELC Permit 11/1/2006 $53.50
[TAX] 8% State Surcharge 11/1/2006 $4.28
Total $57.78 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 50 - .6-6699 or
1- 800 - 332 -2344.
Issued By: •t-t AdAe-- Permittee 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 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.
' electrical Permit Applicati a t, , FOIt OFFICE tist: ONLY
• City of Ti r+t; E�EIVED Received
`.1 g DateiB . i 1 / ,I ri _ _ 4A.,... - 6. --
• ° 13125 SW Hall Blvd., Tigard, OR 9722,3T..\ B 1 2so Plan Review
1
Phone: 503.639.4171 Fax: 503.598.1 g9 Date . Other Permit:
T I C A R D Ins Line: 503.639 Date Rea lyBy. III See Page 2 for
Internet: www.tigard or.gov Notified/Method Supplemental Information BIRILIMIBEINEIGIS
TYPE OF WORK PLAN REVIEW
• ❑ New construction ❑ Addition / alteration /replacement Please check all that apply (submit 2 sets of plans w/items checked below):
❑ Service or feeder 400 amps or more ❑ Building over three stories.
❑ Demolition ❑ Other: where the available fault current ❑ Marinas and boatyards.
CATEGORY OF CONSTRUCTION exceeds 10,000 amps at 150 volts or ❑ Floating buildings.
less to ground, or exceeds 14,000 ❑ Commercial -use agricultural
❑ 1- and 2- family dwelling ❑ Commercial/industrial ❑ Accessory building amps for all other installations. buildings.
❑ Multi - family ❑ Master builder ❑ Other: ❑ Fire pump. ❑ Installation of 75 KVA or
❑ Emergency system. larger separately derived system.
JOB SITE INFORMATION AND LOCATION ❑ Addition of new motor load of ❑ "A ", "E ", "I -2 ", "I -3 ",
• Job no.: Job site address: ,� / C r:
100HP or more. occupancy.
6�� Sj� / vv /!(�� c ❑ Six or more residential units. ❑ Recreational vehide parks.
City/StatelZ1P' -- 17 R (� t1 �� CA �Z ❑ H ealt h - ca r e l fcal on ❑ Supply voltage for more than
I"r J I ❑Hazardous locations. 600 volts nominal.
Suite/bldg. /apt. no.: Project name: ❑ Service or feeder 600 amps or more.
FEE SCHEDULE
. Cross street/directions to job site: Description I Qty. I Fee. I Total I •
. New residential single- or multi - family dwelling unit.
Includes attached garage.
Subdivision: Lot no.: 1,000 sq. ft. or less 145.15 4
Ea. add'I 500 sq. ft. or portion 33.40 1
Tax map /parcel no.: Limited energy, residential
DESCRIPTION OF WORK (with above sq. ft.) 75.00 2
��) t Limited energy, multi - family 75.00 2
residential (with above sq. ft.) _ _
Services or feeders installation, alteration, and /or relocation
200 amps or less 80.30 2
❑ PROPERTY OWNER I ❑ TENANT 201 amps to 400 amps 106.85 2
Name: --- , A 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
• J � t
Address: lo 6' A) (A./ !n)OgOi — Cr Over 1,000 amps or volts 454.65 2
City/ State/ZIP: G1p).2fl I 6 1 - 7 2_2-3 Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( )2) .6 T„.4-~ 6 (3 0 Fax: ( ) 200 amps or less 66.85 I
Owner installation: 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, ran xchan e according to ORS 447, 449, 670, and 701. 401 amps to 599 amps 133.75 2
Branch circuits — new, alteration, or extension, per panel
. Owner signature: Date: / / /1
A. Fee for branch circuits with
❑ APPL ANT I ❑ CONTACT PERSON above service or feeder fee, 6.65 2
each branch circuit
Business name: B. Fee for branch circuits
without service or feeder fee, ) 46.85 2
Contact name: first branch circuit
. Address: Each add'I branch circuit / 6.65 2
. Miscellaneous (service or feeder not included)
City/State/ZIP: Each manufactured or modular
dwelling, service and/or feeder 90.90 2
s
Phone: ( ) I Fax: : ( ) Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline lighting 53.40 2
(. .f k Signal panel, or limited -
. . Business name:
energy panel, alteration, or
Address: extension. Describe: Page 2 2
City / State/ZIP: Each additional inspection over allowable in any of the above
Phone: ( ) I Fax: ( ) Per inspection 62.50
Investigation per hour (I hr min) 62.50
• CCB Lic.: I Electrical Lic.: I Suprv. Lic.: Industrial plant per hour 73.75
ELECTRICAL PERMIT FEES
Suprv. Electrician signature, required: Subtotal: 5 3, 50
Print name: I Date: Plan review (25% of permit fee):
State surcharge (8% of permit fee): U.
Authorized signature: j_ TOTAL PERMIT FEE: S -2 - 7
"" �� This permit application expires if a permit is not obtained within 180
• . Print name: U . r ".�N n Date: // / tJ
• Number of inspections allowed per permit.
I:\ Building\Permiu\ELC- PnmitApp.doc 05/23/06 440- 4615T(I I /05/COM/WEB
Electrical Permit Application - City of Tigard
Page 2 - Supplemental Information
LIMITED ENERGY PERMIT FEES:
•
RESIDENTIAL WORK ONLY:
Fee for all residential systems combined $75.00
Check Type of Work Involved:
❑ Audio and Stereo Systems*
❑ Burglar Alarm
•
❑ Garage Door Opener*
• ❑ Heating, Ventilation and Air Conditioning System*
❑ Vacuum Systems*
❑ Other
'COMMERCIAL WORK ONLY:
Fee for each commercial $75.00
system
(SEE OAR 918 - 260 -260)
• Check Type of Work Involved:
❑ Audio and Stereo Systems
❑ Boiler Controls
. • ❑ Clock Systems
❑ Data Telecommunication Installation
El Fire Alarm Installation
❑ HVAC
❑ Instrumentation
El Intercom and Paging Systems
. ❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
El Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
I:\ Building \Pamits\ELC- PamitApp.doc 03/23/06
CITY OF TIGARD -
BUILDING DIVISION PERMIT #: ELC2006 -00624
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/1/2006
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 .. "'IL
EXPIR
INSPECTION WORKSHEET FOR DATE: 12/15/2006 TIME: 7:04AM PA 55
SITE ADDRESS: 10620 SW WINDSOR CT CLASS OF WORK:
SUBDIVISION: WINDSOR PLACE LOT #: 016 TYPE OF USE:
PROJECT NAME: TON
DESCRIPTION: 2 branch circuits.
OWNER: TON, TUAN PHONE #: 6 684 -6130
CONTRACTOR: OWNER PHONE #:
Inspection Request Scheduled For: Date: 12/15/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical service 041082 -01 503684 -6130 N
Corrections /Comments /Instructions:
D ACij • 36 " 1, E-1.l() Ni di 6teR -o∎
R M i 0 e� V31)1/4 620 E1'ft-r (AL
csz, A RAcAisti 1 (i.o w lic._
C ______,____________ ,___,_______)
-------- Look. Q=ocL. Pa■IJrn 6N A1- Ps0 vw1?
C
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL XCALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: - u 6R)1�`- Date: I ci 06 Phone #: (503) 718- _ 1 1 '14.L4i)!__
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