Permit CITY OF TIGARD ELECTRICAL PERMIT
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PERMIT #: ELC2008 00217 •
COMMUNITY DEVELOPMENT DATE ISSUED: 4/15/2008
TIGARD' 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 103CA -03900
SITE ADDRESS: 11605 SW TERRACE TRAILS DR ZONING: R -4.5
SUBDIVISION: TERRACE TRAILS LOT : 011 JURISDICTION: TIG
PROJECT: SONJU
Project Description: Installing (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:
JENNIFER SONJU GRF ELECTRIC
11605 SW TERRACE TRAILS DR 15460 S PARADISE LN
TIGARD, OR 97223 MULINO, OR 97042
Phone: 971 - 275 - 4401 Contact #: PRI 503 - 829 - 4146
FAX 503 - 829 -5747
FEES
Description Date Amount Reg #: ELE 3 -484C
[ELPRMT] ELC Permit 4/15/2008 $53.50 LIC 76751
[TAX] 12% State Surchar 4/15/2008 $6.42 SUP 1655S
Total $59.92 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 503.246.6699 or 1.800.332.2344.
Issued By: _ - _ = Permittee Signature: �e /�7 /✓
ma:
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.
F; Apr 15 08 02:08p GRFELECTRIC 5038295747 p,1
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1 4 t rfr� y " .0 r-1,0 .. 4 roi*�49c�JM;' a y rod - oi 1 " x "� '
• L�tectrieal Permit ADI licat i on 2�pg NIr _,1 : L r -. r. •tf *,ltllt I)I I It "1v;-.; t ` s `
`'t City of Tigard f\�' i`"t1'cd PtamitNr,.
i' 13125 SW Hall Blvd., Tigard, Olt 9722k 1 GAR® Man R040* �' '� 0 /L ■ �,
?how 503,639.4171 F *WO IS1 ®1n Dele/Ii : OatnaPenult: /A � ` _ / r i • — 0 ''; eu 1 ® on Line: 547 G . _ a � D a t e Road ,E Vie: See Po e 1 for
KO
, . ,
. i [•... t, � �, Notified/Method: Supplemental lnloneetion
_.: =err. , Intern= www.ItgtvA- ar.l:�l 1 i.
E OF WORi[ . PLAN REVIEW .
0 New construction ddition/alteretioNreplacexnatt Place check all that apply (submit amt. of ylaru mimes checked below):
1 ❑ Service or fucks 400 amps w mare ❑ Bonding over throe stories.
Q DCmolitice ❑ Other: where the available Fiutl c nr.or ❑ Mminsl and bomyatds.
CATEGORY OF CONSI'RIJCTIOK exceed, 10,000 amps at t So volii Or D Flortion toildmp.
a 2-family dwelling less to pains. or exceeds 14,000 ❑ Corer t+eiel•aae spice! wii
f ' • • y ng ❑ Commercial/industrial ❑ Accessory building imps local orb v.installations, buildings.
Q Multi•farnily ❑ Master builder D Other; O Pitt: pueap. ❑ lasrollatiaa of 75 KVA of
JOB WIZ INFORMATION AND LOCATION 0 M al ano f new . lug se
tamer derived valor. .
❑ ANlluem o new. moor load Of Q "A ", "E', "L.1^, "1-3 ",
Job no.: I lob site address: ( ' S� T C , r n Ge- IOONP or. rxi oe p
1 ! Q .� r Q Six ormone residential units. ❑ R,eoretinnat vehicle
City /Stam/ZD': at y . ' - 7 223 s 1 •� r , Oa:with-cam faoilitim. ❑ Supply voltage for morn than
1J CI liagordomlocatioas. 400 mks aooeioal.
Suite/bldg./apt. no Project name: . Ll h w
' , 4 O sig amps or feeder 600 E mete.
llT.E
Cron streel/di1 action to job site; o.,trsrm. 1 t7n. f few i T.ue l •
New raldential siagte- or multi - ramify dwelling unit.
Includes attached garage
Subdivisi Lot no.: 1,000 s0. ft or less J45.15 1 4
Talc maplpatul no.: Ea adds 500 sq. ll. or portion 33.40 1
Limited energy, residential 25.00 2
DESCRIPTION OF WORK ' (with above 14,,,fl.)
,}- J-imited energy, multi - fam 75.00 2
�•
2- (...(4," .«n t. 4c / 0 L.0 e- residmtialljwitlt above sq,k) .„
Services or faders Installation alteration, iad/or relocation
200 amps or less ' t 80.30 2
❑ PROPERTY malt [] TENANT 201 amps w 400 amp 106.85 f 2
Name: 401 amps to 600 amps Jhn.60 2
e 1,,,‘„, �� Q h J LA-- 601 amps m 1,000 amps 240 2
Address: J / 690 s s 64.) T oL ,r G r_.4._ 1 1), pots 1 a mps or voice 45x,65 2
City/Statc/ZIP: ( e ., _ t Temporary services or feedent 111E21160on, alcerodon. and/or
V
relocat _ _
Pb°": ( 6 1 )1 )- 1 14-Lt 0 i ] Fax: ( ) 200 anspi or Tess 6615 _ 1
Owner iostallitiion: This installation is being med& on property that J own which is not 201 amp to 400 amps 100.30 _ 2
intended for sale, (case. rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps re, 599 amps 133.75 , • 2
Woo
eh circuits- new, alteration, or esoenston. per panel
OlvrKr signawre:
Date: A. Fee for branch. circuits wail I 1
[3 APPLICANT 1 ❑ CONTACT PERSON above service or feeder Ice, 6.65 12
cach branch circuit
3usiaCSS name: B. Fee for branch circuits ..-
without service or feeder fee, 46.85 SCS 2
Contact name: first branch circuit
Address Each add'', branch circuit ( 6.65 ( L> 2
Miscellaneous (service or feeder not i ncludcd�
City/State/ZIP: Each mwrfactured or modul ill
dwelling. service and /or [ceder 90 2
Phone: ( ) I Fax:: ( ) • Reconnect only 66.85 2
E -mail: Pump or irrigation circle 53.40 2
CONTRACTOR Sign or outline ligtting 53.40 2
Business name: G R- F ET e. l• rn te r at a reuit(s) or limb
r-� C�� i Describe: o or Page 2 2
Address: 7 !P per+ l� t�E (-J-- • ex1cns
City/State/ZIP: 4 . at 0 -. / . 2— Each additional Inspection over allowable in any of the above
Per iispeaion 62.50
Phone: (t,3 >) Z9 a Investigation per hour (t hrtein} 62,50
CCB Lie.: `7 6 --7.5 Electrical Lie.: -1 �F- Suprv. Liar t &, 5 -C, _ Industrie) plant per hour _ 73.75
EI.IiC'K'IU.CAL P'BRMTY ITU
Suprv. Ekegician signature, required: 'eN Subrocal: 1 3 y
J Plan review (Z5 % of permit fee):
1 t1Wne: l/`f 1 f 1 1 Gt r>n -C h'1.1 1 ) Datc; f 1J t 1 i/ 7 _
/ / sta. surcharge (12A of permit fee): l.P
Authorized signature: TOTAL P£
• T his penult appGatoo.n empires If a permit it ■ee •hea■ned within Ile
Print name: Date:
drys e Rer it has keen accepted. as C+ratret• SI I
" Minsky' tarinesctioaallnwod per permit.
F:tau,kth lrtroiloa➢iC•PoniMSpAOe noretti • • 4ea.oe:57(1 C0bVVas
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2000•00217
13125 SW Hall Blvd., Tigard, OR 97223 ' DATE ISSUED: 41/5/2009
Phone: (503) 639 -4171 t�
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 6/13/2008 TIME: 7:01AM PAGE: 69
SITE ADDRESS: 11605 SW TERRACE TRAILS DR CLASS OF WORK:
SUBDIVISION: TERRACE TRAILS LOT #: 011 TYPE OF USE:
PROJECT NAME: SONJU
DESCRIPTION: Inr:.talling (2) branch circuits.
OWNER: SON,IU, JENNIFER PHONE #: 971 - 275.4401
CONTRACTOR: GRF ELECTRIC PHONE #: 50:3829.4146
Inspection Request Scheduled For: Date: 6/131 2008 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 071297 -02 971- 275 -4401 N
Corrections /C�om�ments /Instr ctions:
*I 11 PARTIAL APPROVAL n CANCEL 1 1 NO ACCESS
FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: 6/48 Phone #: (503) 718 - 7
•
•
•
CITY OF TIGARD •
ti.
BUILDING DIVISION PERMIT #: ELC2008 00217
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 411&200tt
Phone: (503) 639 - 4171 q ,
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: (319/2008 TIME: 7:01AM PAGE: 45
�b
J SITE DRESS: 11605 SW TERRACE [RAILS DR CLASS OF WORK:
SUBDIVISION: TERRACE TRAILS LOT #: 011 TYPE OF USE:
PROJECT NAME: SOMA)
DESCRIPTION: Insia!iing (2) blanch circuits.
OWNER: SONJU, JENNIFER PHONE #: 971 - 275 - 4101
CONTRACTOR: ORF ELECTRIC PHONE #: 5M29-4146
Inspection Request Scheduled For: Date: 6/9/2008 Pour Time:
Code # Inspection Description Confirm # Contact # Mes
199 Electrical final 0709930/ • 503-829-4146
Corrections /Comments /Instructions:
a-l pill
A / - f _ u f 4t4 ; J . 2-v :r-► 4 20
• - 2-
f=o R_
The electrical installation defects noted
on this report shall be corrected and
an inspection request made within 20
calendar days per OAR 918- 271 -0030
• •: ' PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
;1 a M CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
/ ,)
Inspector: // Date: e Phone #: (503) 718-