Permit C ITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00549
�i�; DEVELOPMENT SERVICES DATE ISSUED: 8/3/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S102BA -00600
SITE ADDRESS: 09710 SW TIGARD ST ZONING: I -P
SUBDIVISION: NO.TIGARDVILLE ADDITION AMEND. LOT : 059 JURISDICTION: TIG
Project Description: (2) branch circuits for HVAC unit change.
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:
MULL, GREGORY S AND WILLAMETTE ELECTRIC INC
MULL, GEORGE E PO BOX 230547 •
19350 SW POMONA DR TIGARD, OR 97281
BEAVERTON, OR 97007 •
Phone: 503 - 624 -3631 Phone: 503 - 624 -3631
FEES Reg #: LIC 75059
SUP 1965S
ELE 3
Description Date Amount 34 --2828
3C
[ELPRMT] ELC Permit 8/3/2005 $53.50
[TAX] 8% State Surcharge 8/3/2005 $4.28 REQUIRED ITEMS AND REPORTS
Total $57.78
•
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 foil • • OAR 952 - 001 -0010 through OAR 952 - 001 -0100. You may obtain copies of these rules or direct question to OUNC at
503 - 246- •:•9or1 -801
I
/
ssued :y: �� � !!� 1 Permittee Signat t
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 IN TALLATION ONLY
4 47 /
SIGNATURE OF SUPR. ELEC'N: % � � /4
41 �'��� DATE:
•
LICENSE NO: l S $
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.
•
AUG 02 2005 8:01RM HP LASERJET 3200 p. 2
Electrical Permit; AppliCati'S>n � � --
�' FOR OFFICE USE ONLY
IS , j I ,..t . .
City of Tigard No.: ��/1 /1
13125 SW Hall Blvd., Tigard, OR 97223 i ii,,. PlenBcview
Phone: 503.639.4171 Fax: 503.598.1960 ' E. "'" # " '` "t�dly i�i ` Date/B : Received • Other Permit
Inspection Line: 503.639.4175 Date Ready/By: �� ® See Page 2 for
w
Internet: ww.ci.tigard.Or.uS , ,� ,
;.-. - Notiied/Method: (/ {I� Supplemental Information
'{ j -r .^'.�'r. Fl" y ;r- .��"TU t y rN .'Sk'F 6r 7 "? �. 1 , h • 'fit z, 4 t Tr c . ;�7.1�',k'ty.,Y t + • = x r
't1 I'F ° i ;e a -F,i1 5., t,, J t I :a � ai� }� I . 1 i , , 1 . t ,Ala, i,- , 0~. �,.: _ .
ik�• l y e, L 'r..i •, tr o f i � _{�1.1, nR �y r t.! ._ ., �
'`� �` "." ��_"�".U �. `r'1"+.�> �:e.. f • � . 1 �„ . • :�, y Pl e ase check all that a
❑ New construction ► ■ / Addition/alteration/replacement apply:
['Service over 225 amps, comm'1 ['Hazardous location
❑ Demolition ❑ Other ❑Service over 320 amps - rating ❑Bulling over 10,000 sq. ft.,
IJ .c r � 'tl N� � ,Mi. v U1J r-t r � l � ' 'IC t� .i -.. of 1- and 2- family dwellings 4 or more new residential
tdiar,+r 1; +, ,t 1 F,O • y�,, i,� js n �a ui , ,E` ir4TR lie�l tbl`'t +'h4V11 t
_k- 11. 3r ! ,�+ ' 1 _ :ia... U nF,._�.,ILuanoo:.E. , - dow' ! /t,i,„9 w,,, kl...?]:tt„ r_:.i3 . t . ir , _ .,. L., r ;#„..
❑ 1 - and 2 family dwelling 0 Commercial/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
['Building over three stories ['Feeders, 400 amps or more
El Multi 0 Master builder ❑ Other:
�,� ❑Occupant load over 99 persons ['Manufactured structures or
1.y ny t��� ro 1111+1rrr11 1tl p i ro ii�d Oe1��� +i 3" ii(-'�b1 T l`�ii� Pr {K QA, .' par
FF1,.146'1r•i'. . i1 t o to a:�a Aki I,ta{ zzVa o . a 5y bef 6.a ��l,; s rl i q,, .1 ❑Egre park
ss/lighting plan RV
❑Health - care facility ❑Other:
Job no.: Job site address: 5 i pc 0..• 7 i r ti•/t A 5.r Submit 2 sets of plans with any of the above.
City /State/ZIP: / • q . T 2 The above are not applicable to temporary construction service.
i 01 O ti•
Suite/bldg. /apt. no.: I Project name: e,), ii y� [ + / _' � ' ,_,_..J , .. ..
4 ' 'e- r r <•_. CAE! i -�rtie / K- C Dcaa'lpaan Qty. V. ' Total -
Cross street/directions to job site: New residential single- or multi- family dwelling unit.
Includes attached garage. .
1,000 sq. ft. or less 145.15 4
Subdivision: 1 Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no.: rr L imited energy, non - residential 75.00 2
� ' -7' '{{ PI 31918 -f' 11. tf l { u t n T. � .,-�+a Jr�;,ct i� by ll l 3r A 4�ita4i { ' 'Ir3 r 1'/ " ,
t1 999 1, , r 1 �1 qP ' [t ,s 1,3, ry `( Ra,I ..l l 3 L. �„ �, ice Each manufactured or modular
ll:;�a.Y'^r. 1 d �._---, nF+ l�! u�fCsr, in, ll�St�• Sr1�r4! �'. Tt+ .li/ �.l { � � Ye� '1 �+ :� 1��!i1:Lua.. � Y�rl �(te« �. ._.
� // dwelling, service and/or feeder 90.90 2
C � H r/ if (4.4.....1 Services or feeders installation, alteration, and/or relocation
200 amps or less 80.30 2
n i I Vir t n ` '�• FAM /° b y 4 i , ' a i . ilA1, 201 autos to 400 amps 106.85 2
£s t p fi a ) F1r t +' it.0`' ar{ HPA - -21d s 3„
t ^6 'yf :,r� F �� IC�i � b•T . sue td i 1 ' lis ?1 a1�., ti's n u� • :1 n tt 3:: � �. ., ." 401 arms to 600 amps 160.60 2
Name: 601 am ?s 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: ( ) I Fax: ( 200
amps or less 1 66.85 1
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, 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
..§ R!!' r5 1 :1 1 S:= { + y , 5 �... w !c ICT' r ^ 11 1 �+'•` +
1' t 1y er, f H n i} �i`n rti i .1 ` s' y . F 1 ^
_?..ii i, 5.1. i,h i nr rJ,14..t»4 i1 114 ?4 u51iit:�� JtttF1,dvaiV ,f �. Dta :saitlated: :'y: A. Fee for branch circuits with
It t service or feeder fee, each
Business name: branch circuit 6.65 2
B. Fee for branch circuits
Contact name: without service or feeder fee,
. 46.35 4 C-1 2
each branch circuit
Address: Each add'1 branch circuit / 6.65 4 2
City /State /ZIP: Miscellaneous (service or feeder not induded)
Pump or irrigation circle 53.40 2 •
Phone: ( ) Fax: : ( ) Sign or outline lighting 53.40 2
E -mail: m Signal circuit(s) or limited -
wI, ` ql .1C1 �'j�t' ti ;iib;1' f .'�,, ii."7h 1 °P - :/! �x t 2 + � t � , } i l ti l� agf4f tW ` , f 1 t r�, energy panel, alteration, or 2
k t ! tai iatt M extension. Describe: Page 2
Business name: '
GJ . 11 a r e / a /••.. 4 -
Address: l32,240 ) t{ Each additional Inspection over allowable In any of the above
�� A 5`' � Per inspection 62.50
City /State/ZIP: l'i ton 0 v" Investigation per hour (1 In nun) 62.50
Phone: (VA ) i, j_ it - 3 4 •3' I Fax: ( sit 3) to 2 17 ` 2 i ' U industrial plant per hour 73.75
' + (GI ..: ,� .'�� s r F c a
.145^ r a� a : d ' r'
? ice �. :� l :d- ,. , .,a:. <L
CCB Lic.: 2 Electrical Lic.: 7 y t L Suprv. Lic.: / l�4 $ Subtotal �"
Suprv. Electrician signature, required: .
i / ' • Plan review (25% of permit fee)
l am ,s State surcharge (8% ofpemrit fee) L�
Print name: `i t 0 A. 1 1` - Date: t ' G )- TOTAL PERMIT FEE
Authorized signature: - This permit application expires If a permit is not obtained wi hin 180
days after It has been accepted as complete
Print name: Date: • Fee methodology set by Tri- County Building Industry Service Board
•• Number of inspections per permit allowed_
iikouildinglpeamtalSLC- Pemitwpp.doc 12/03 440 -461 S7(to /02-coh/WEB
CITY OF TIGARD
BUILDING DIVISION ., ` ^ PERMIT #: 1=1.1;200'', 00f/E91
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 11/30.0; 6
Phone: (503) 639 -4171 - I i l � l
Inspection Requests (24 Hrs.): (503) 639 -4175 `__—
INSPECTION WORKSHEET FOR DATE: 4124/2006 TIME: 7:02AM1 PAGE: I1
SITE ADDRESS: 09710 SW TIGARD CT CLASS OF WORK:
SUBDIVISION: NO . 1IGARDVILLE ADDITION AMEND. LOT #: 059 TYPE OF USE:
PROJECT NAME: Will AMk_7 III EE EcTRIC
DESCRIPTION: (2) broach :raritE: fr,r I iVAtr unit change.
OWNER: Mt ILL, Cl2L GOI S AND, PHONE #: atI-6,14 -31,:i 1
CONTRACTOR: WII.I_Afv11 : t`I E. Elf :TRIO INC PHONE #: ?IE `,i2 -: 'i
Inspection Request Scheduled For: Date: 4/2412006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
--.. NO or heating unit circuit I X6546 01 t303-624.3631 N
1 9 9 s—I N A6. .
ections /C • mments/ Instructions:
C-1
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
� c�. NO38 718- 2
Inspector: G -- Dat e: � (I � Phone #: (503) 718 L Rb .