Permit r'
•
C ITY OF TIGARD • ELECTRICAL PERMIT
PERMIT #: ELC2005 -00683
DEVELOPMENT SERVICES DATE ISSUED: 9/15/2005
`�J II 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 - 4171
PARCEL: 2 S 115 B D -00100
SITE ADDRESS: 11576 SW ROYAL VILLA DR ZONING: R -12
SUBDIVISION: LOT : JURISDICTION: URB
Project Description: MH.
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:
CAL AM PROPERTIES PARKIN ELECTRIC INC
12450 SW FISCHER RD #300 14001 FIR STREET
TIGARD, OR 97224 OREGON CITY, OR 97045
Phone: 503- 968 -1280 Phone: 503 - 657 -4958
FEES Reg #: SUP 4241S
LIC 35151
Description Date Amount ELE 34 - 4C
[UELPMT] ELC Permit 9/15/2005 $90.90
[UTAX] 8% State 9/15/2005 $7.27 REQUIRED ITEMS AND REPORTS
Total $98.17
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 1-88.: 2- .''4.
Issued By: Permittee Signature: eff Q
OWNER INSTALLATION ONLY
The installation is being made on property I own which is riot 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.
09/14/2005 10:27 FAX 5036574958 PARKIN ELECTRIC al005
ElectricAl- Permit Application . FOR OFFICE USE ONLY ��y� //d
City of T�' " EC , I Dnte/B� / /7" D `J B � ?Mint No /Zt �— a 0 !G`?�3
13125 SW Hal'iBlvd., Tigard, OR 97223 _ pion Review Other Petmit T-2.fj '5"--1
Phone: 503.639.4171 Fax; 503.598.1960 ' • • ! ,a l i r o-tte/8 :
Inspection Line: 503.639.4175 SE D 14 ' s.., Date Ready/By: 65 See Page z for
loternet: www.ci,tigard.or.us V Notified/Method: Supplemental information
1 r= ; x�,s - , 5 x ., i- y: Tc y , �8t ,t -. t, cr,
1 -,- s1 I ,- r 1 ,• 1� 77'1 . 2 +. ;,...,,c.:,, , i 1 -.�l +. � , r'''7 ..
„ 1 1 H,.ti ,l, ,.EW! ui�_. 5_,�: =�' .r •�._ `�.. ti * _r. � _ .�3 •1 lI� - �'1i -i�• • - _. " . ` •
❑ New construction :4 Addition/alt _ ` - arele t • Please check all that apply:
❑ Demolition ❑Other: ❑Service over 225 amps, commi ❑Hazardous location
�_ � l � A T F ❑Servicc over 320 amps — rating ° Buildng over 10,000 sq. ft.,
r 4;e71 :'z r< ` „ r c? ; it Ufa ; 1 1 ��ni r i 73 z e : IIo :K.
41, - F 1't , n, , ,A, of 1 -and 2- family dwellings 4 or more new residential
ti lr and 2 family dwelling 0 Commercial/industrial ❑ Accessory building °System over 600 volts nominal twits in one structure
❑Building over three stories (Feeders, 400 amps or more
❑ Multi family 0 Master builder ❑ Other
❑Occupant load over 99 persons ❑ Manufactured structures or
s J F y G + RV al-k
_ , �� I �q y, 3r + a'2 . ? } � t�� t , .,, n� ,, ',1:' . t = ❑ Egress/lightingplan p
4... •' � ....__ -.ate
Job no.; () Job site address: l [ 516. S j
T ❑ Health - are facility ❑Other.
�� y S Submit,_ sets of plans with any of the above.
City /State/ZIP: The above are not applicable to temporary construction service,
itc/bldg• /apt no.: Project "
name: t ( -
� 1lmatiptloa tr � QQty. . F oe. . " 1
Su Total
Cross street/directions to job site: — /SU -.Pil gr.( New residential single- or multi - family dwelling unit.
Includes attached garage.
•
1,000 sq, ft. or less 1 4
Subdivision: Lot no.: Ea. add'l 500 sq. ft or portion 33.40 1
- Limited energy, residential 75.00 2
j Tax map /parcel no r ` Limited energy, non - residential 75.00 2 •� 5 1 1.E - .., U. •_ _ .u.f r� ?P i ,: - -, im: 1 • :v. , ._ � _�_ - 2, . .,.� - I. 'I1.!. { '. _, � Each manufactured ortnoduler �i,�
�A,, L ,, - dwelling, service and/or feeder 1- 90.90 0 104 2
y P1. � I,) ► � C. C.,-- _ Services or feeders installation, alteration, and/or relocation
200 amps or less • L 80.30 2
,
7',E 3' ^' z � ,� -i �3 1 er x ` tip.` J t ?^' , ll . ' _j _� , 1 II., � i,! T'i 1 r J'A' ,, 'N: F; 201 amps to 400 amps 106.85 2
lay., . 1 M. ,c._.2.,...L,,:, - - ,„_� 'i . . _.. _- s.,r.: —, r,_'4, 1• 401 stri to 600 5 w 160.60 2
Name: 601 amps to 1,000 apps 240.60 2
Address: Over 1,000 amps or volts 454.65 2
Reconnect only f 66.85 2 T
City/State/ZIP; Temporary services or feeders installation, alteration, and/or
. relocation
Phone: ( ) Fax: ( ) 200 amps or less 66.85 1 1 1
Owner installation: This installation is being made on property that l own which is not Y01 am ps to 400 amps 100.30 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 arms to 600 amps 1 33.75 2
Owner signature: Pate: Branch circuits— new, alteration, or extension, per panel
. r r r_ a t r 1 . l: : F' A. Fee for branch circuits with
�ti`- ui u.C: � s!,ad>_, i _ -. r; ,_ , __ • • _ , :,:1-'' _ , } i:: - 7. r !;: S .1,. . ',L, -%' service OT feeder fee, each
6.65 2
Business name: mac, circuit _
B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
each brunch circuit .
Address: Each add'l branch cir cuit 6,65 2
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City /State/Z1P: Miscellaneous (service or feeder net included)
Pump or irrigation circle 53.40 2
Phone: ( ) Fax: ( ) Sign or outline Fig 53.40 2 _
E - mail: Signal circuits) or limited -
; i h r o energy penal, alteration, or
rarlan hlectric, inc. - 14601 I it itreet extension. Describe: Page 2 2
Oregon City, OR 97045 503- 657 -4958 fax: 557 -1059
Contractors License #: 34-4C exp. 07 -01-06 Each additional Inspection over allowable In any of the above
Supervisor: 4241 -S exp. 07-01-06 Per inspection 62.50
Contractors Board Reg #: 35151 exp. 10 -12 -08 Investigation perhour(1 hr min) , 62,50
Metro it 2416 exp 11 - - Industrial plant per hour 73.75
Owt?er: _s,'i7,7LN daiei_;7.i ±'g r; w s''i: d , _; E rr - te',.. .
Subtotal ° 7o, 't
Suprv, Electrician signature, required_ Plan review (25% of permit fee)
Print name: Date: State surcharge (8% of permit fee) - 7.a -
TOTAL PERMIT FIE 03 I i - 7
Authorized signature: This permit application expires if a permit Is not obtained within 150
days after It has been accepted as complete
Pruit came: j79V A PegiceA./ Date; • Fee te logy set by Tn Building Industry Service Hoard
- -- Number of inspections per permit allowed
isl nuileiegtPer>AO\ELC.PcmihApp,d4C 12/03 440 -46I 5T(10/02FCOWW2B -
CITY OF TIGARD ..
BUILDING DIVISION PERMIT #: ELC2005-006$3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 9/15/2005
Phone: (503) 639 -4171 I
Inspection Requests (24 Hrs.): (503) 639 -4175 `'IL
INSPECTION WORKSHEET FOR DATE: 9/29/2005 TIME: 7:08AM PAGE: 67
SITE ADDRESS: 11576 SW ROYAL VILLA DR CLASS OF WORK:
SUBDIVISION: LOT #: TYPE OF USE:
PROJECT NAME: ROYAL VILLA
DESCRIPTION: MFI. , G
OWNER: CAL AM PROPERTIES, PHONE #: 503-968-1280
CONTRACTOR: PARKIN ELECTRIC INC PHONE # : 5503 -657 -4958
Inspection Request Scheduled For: Date: 9/29/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115' Electrical service 016987 -01 503657 -4958 N
Corrections /Comments/ Instructions:
r
■
V PASS ❑ PARTIAL APPROVAL ❑ CANCEL LI NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED .
Inspector: / Date: oZ - Phone #: (503) 718 -