Permit • , CITY OF TIGARD ,rS� ELECTRICAL PERMIT
COMMUNITY DEVELOPMENT
PERMIT : ELC2008 -00103
DATE ISSUED: 2/26/2008
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 1 S 135DC -01800
SITE ADDRESS: 11895 SW LINCOLN AVE ZONING: R -4.5
SUBDIVISION: TIGARDVILLE PARK LOT : 009 JURISDICTION: TIG
PROJECT: NOYES
Project Description: Installing service and replacing light fixtures.
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: 6 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:
BONNIE NOYES CANBY ELECTRIC INC
21206 HUBBARD CUTOFF NE 790 S IVY
AURORA, OR 97002 CANBY, OR 97013
Phone: Contact #: PRI 503 - 266 -7878 r
FAX 503 - 266 -5543
FEES O
•
Description Date Amount Reg #: ELE 3 -112C
[ELPRMT] ELC Permit 2/26/2008 $120.20 LIC 26071
[TAX] 12% State Surchar 2/26/2008 $14.42 SUP 2123S O
Total $134.62 REQUIRED ITEMS AND REPORTS O
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W
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 ob -in copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: ! ••110 Permittee Signature: -r! G� 75 1
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.
- • s Electrical Permit Application roil OFFICE USE ONI.:
C \IE D
tt arived p
13125 S W Halt Blvd.,
CEP P yG e' „' " � G ry
•
City of Tigar • ,� llat
I ' . r p 4 Inn Review _.... - -- ........
• .. Phone: 501.639.4171 Fax: 503.598,1960 Other lt:n°"
{ .., D aidliy,
In tin Line: 503.639,4175CEB C� [ .t \ -0 D a te Ready /By: I ris ® See 1'uGe 2 for
TlG .1Rp 1r N Supplemental tnfwrnntiva
Internet: www.tigard-or.gov
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a . l - Please chock till that apply (,ubmit 3 tots of plans whten,i checked below)
/
❑ Ncw construction - ■ 14gn ti; ip Re. - - tit
!! ❑ Service ar fcrdcr 400 am or more 0 13nildmy.. over three stories.
❑ Demolition ❑ cr: where the available fault clirra,t ❑ Matins and buotyards.
(i ' ° b§' ry
h . It�) t t , < - ^'w f ! i f FM,! exceeds 10,000 amps at 150 sous w ❑ Floating buildings.
c n et: oK !o c. i?i `, ,,,,r, t, . , . ,, ,, ,I, f �✓, . .l „ t, :, i
_ _ a . lees w y�r Quad, or cx;,Mds 14,UUt1 ❑ C'ommcrc;nl. use agnuultuial
. '►: 1.- and 2-family dwelling ❑ Commercial/industrial ❑ Acc.essory building amps for all other inxtallatrosn.. Master builder buiklini;•:.
❑ ]ily [] Other In Em pump.
c r ❑ larger ` u ' f 15 KVA
ri C y
u*, » rt r: crgcncy sYSlr icly do
F x;,'nlli ° .4,A., a� t ' G a ; �, , I4,r ' �
tr or
�g � ,er t d b birm
.. . Mulu an $ I T . Ni OYtiiki 1 1t Pu pi yi 1 h., , ❑ p ergerI Of new mu,ur load of ❑ "A , L` "1 • "1 -3”
Um
'ROHR or more. occupancy
Job no.: Job Site address : + .(� ^ 1f�tC O Six or more residential units ❑ Recreational vehicle parks:
City /State /Lit' Y ❑Health -care Iacd,ues 0 ynily
Supply voltage f more ere thin
C j Y Su v ( ) � � .. CI I l ayar d ous l ocations. ! 0 vol..: n, an d t rn , ,
Suite/bldg, /apt no Project name: 0 k ❑ Service or feeder h0U amps ui more
— 7; 'r,t`�, " y!� u t , " FEE' SCHED)ULllf `., � '` _ x ' ,`�l': ri •
. v ,r. h a.
'Cross street/directions to Job site: Description _, Ot 1 Fr. Total 1 .
New residential single -or in uiti - family dwelling unit.
Includes attached garage. •
Subdivision: - Lot no.: 1.000 sq. ft. or less 1 15.1 4
- --. .. -- _ Fa. add'I 500 sq, tt. or poruu, l t t .40 '1 .
Tax map /pared no.: mited energy, residential 75
. : .. —. „ , , 1 u y4. iii, , ' } I, .7 )!.1 (with ab°4'sq. it )
,, nE.4CItYl+iCO1V�i1Dj� �.$��r „ � r,,it r .,r.,,. .:, ., t _ -. 0 . ?
L 0
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Limited energy, mulu family 75 00”
0 . " 2
(_� ~ `Fee R�
y � 4 24?-0 ( c --4'. , - • I - tc^- I•-A- `e. �l.Q 1+.Jk {-"' % residential (with about so 11 -
Services or feeders installation alterat and /or relocation
. . 200 amps or tens f k 1 80 30 (0.3Q .2
PCiOPERT :• ', ;' fr `; , „ ,:' 0 �0 ,A!G_',fPw ! ") 201 amps to 400 amps 1((6.
* � 4W am t0 600 amps -. 85 2
60.00 p p, 16011Q 2
Name: -
,� G?1`A oy (� I� t i - � 601 amps to !.000 amps '4U bu 2
lustaf�ti _
. Address: Over 1,000 amps or volts 454.65 . . 2
} ' A. _
Temporary ( services or feeders on, alteration, and /or
. City/State/ZIP: ° 7 relocation
Phone: ( ) lax: ( ) 200 amps or less - i _ 66.85 1
• • ! ni Owner installation: This installation is being de 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 599 amps 133.7 2
_I T !ranch circuits - new, alien' n, or extension, per panel
Owner signature: ,_,• D ate n Fee for branch cirt.uits with _... -- •
, i . " " r f ( ; 1 , ,,.�i above service or feeder fi,q 6.
[] APPLICANT �1..�' X18 , S 6 • .10 2
each branch ntcutt
Business name: li. Fee for branch circuits
- ...:..... - - -..._ .....- - wilhoui Service or feeder Ice,
46.85 2
Contact na1]]C: first branch circu
— j I±tu:h -- ....._ add'1 branch circuit ,
Address: ... ...._.
6, 6� J 2
...._ _- ..... - - Mi scellaneous (service or fee& ^not included)
' City /State /ZIP• Each manufactured or modular 90 40
• - -- - dwelling, service and /or feeder
Phone: ( • ) Fax: : ( ) Reconnect only .. 66.85 . 2 •
-_.. ... Pump or irrigation circle 3.40 2
E marl Cs,1 P' 1h Sign or outline It Unp,e 4 4( 2
.
. . w d • 1 .Fro ', .. .. .�
5
Business name: CONTRA i „ "r:,.,, , ,:sfht, f 7 .vA., „i,.t w
� ' Signal circuit(s) or Inn ilcd-
arrle: (`° , enemy panel, alter aNOn. or i 2
extension. Describ Pace 2
F.ach additional in ertI w uticr allu.�ihlr in any of the above
City /State/ "11 � t � � t ( F�� ' 2 � �d l Per inspection 7 u
Phone: (�D �) .7 �` / :. a V t o {� �3 { investigation per hoot t 1 iv- n,n, ) 67 511
7;
S u tv.l_it. ___
-,.. Fax: ( i nvest s ga on p r r bout 5
- IndUStr i
CCt3 Lic. Z( p` s I (lutr,t,11 I tc.: �� P -� L Z 3 F:1 Fcit .At I • F:K M1T l t FS
Suprv. Electrician ian >,Lnal,tru. toquircti. - ' ., ( .. .A. , It) —._. —'l t c ... ;t z
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print name (1� €, L, \ . ) .. (* N f oi-'t ___ —_
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AuthuriZCdi s neu t t 4 - -
; ��, • _, q , \1` ✓- - ,..._ — ._., _ r •rntil enia al,gn , \ i.n r ...:, t ,u u nt ,. „ul obtained within 180
_.._ This t t , u, t to
prim name - DIUIe: j L—eiu 0 t� N t t ,, „ ,
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Td WdTT:TO 800E SE 'G"ad 2VSS99E20S : •0N 8NOHd ONI OIJ19818 kENIO : WOeld
:INSPECTOR'S SIGNATURES ARE NOT
Inspections Required for: Ei ov 1 v 3 REQUIRED ON GREEN INSPECTION CARD.
✓ Code Inspection Description I PASS Date I By ✓ Code I Inspection Description 1 •PASS Dace 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 x120 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 ,^ 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
910 Sprinkler rough -in PLM - Plumbing Permit
915 Fire alarm rough -in • 305 Plumbing underslab
• 920 Suppression trip test 310 Crawl drain
995 Misc. inspection: 315 Post /beam plumbing
998 Alarm final. 320 Plumbing rough -in
999 Sprinkler final 322 Shower pan
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 •
1: \Building \ Forms \InspCard- AOP- Blank.doc 02 /02/07
CITY OF TIGARD ,
BUILDING DIVISION PERMIT #: EL.C2008 -00103
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/2&200:3
Phone: (503) 639 -4171 A 1
Inspection Requests (24 Hrs.): (503) 639 -4175
Alit
I ..
INSPECTION WORKSHEET FOR DATE: 3/18/2008 TIME: 7:00AM PAGE: 16
SITE ADDRESS: 11895 SW LINCOLN AVE CLASS OF WORK:
SUBDIVISION: TIGARDVIaE PARK LOT #: 008 TYPE OF USE:
PROJECT NAME: NOYES
DESCRIPTION: Installing service and replacing light fixtures.
OWNER: NOYES, BONNIE (ii 00 ■■ , PHONE #:
CONTRACTOR: CANBY I1.ECTRIC INC PHONE #: 503
Inspection Request Scheduled For: Date: 3/18/2008 Pour Time:
Code # Inspection Description /nfirm-# Contact # Message
I
199 L:Iectlical final 066881 -01 503- 620 -2067 Y
Corrections /Comments /Instructions:
, (,\.
4 i
C --- MASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Cam—, I - Date: 3' rift % Phone #: (503) 718- 2140
CITY OF TIGARD
BUILDING DIVISION , PERMIT #: ELC2008- 00103
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 2/26
Phone: (503) 639 -4171 a i ea
Inspection Requests (24 Hrs.): (503) 639 -4175 "' �
INSPECTION WORKSHEET FOR DATE: 3/5/2008 TIME: 7:00Atr1 PAGE: 10
SITE ADDRESS: 111335 SW LINCOLN AVE CLASS OF WORK:
SUBDIVISION: TIGARDVILLE PARK LOT #: 009 TYPE OF USE:
PROJECT NAME: NOYES
DESCRIPTION: In service and replacing light fixtures.
OWNER: NOYES, BONNIE PHONE #:
CONTRACTOR: CANBY ELECTRIC INC PHONE #: 503. 266.7676
Inspection Request Scheduled For: Date: 3/5/2000 Pour Time:
Code # Inspection Description Confirm Contact # Message
115 Electrical service 066137 -01 \503 - 266713713 Y
\620.2
Corrections /Comments/ Instructions:
Ra d NcaL, PEft.V VI
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: N6e, La Date: 3. Phone #: (503) 718- SILK)
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