Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT : ELC2007 - 00435
COMMUNITY DEVELOPMENT
DATE ISSUED: 626/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S111BA -01900
SITE ADDRESS: 09865 SW VIEW CT ZONING: R -3.5
SUBDIVISION: INGEBRAND HEIGHTS LOT : 002 JURISDICTION: TIG
PROJECT: DAY
Project Description: (1) branch circuit for furnace.
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:
STEPHEN & LINDA DAY CROWN VOLTAGE
9865 SW VIEW CT DANIEL TUCKER
TIGARD, OR 97224 12607 NE 199TH ST
BATTLE GROUND, WA 98604
Phone: Contact #: PRI 360- 666 -0995
FAX 360 - 666 -4673
FEES
Description Date Amount Reg #: ELE 37 -984C
[ELPRMT] ELC Permit 6/26/2007 $46.85 LIC 153934
[TAX] 8% State Surcharge 6/26/2007 $3.75 SUP 41165
Total $50.60 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
Issue• r 74 Permittee Signature: //t. GZrl]Qy1
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.
-- 07 08:28a CROWN VOLTAGE, INC. 1 360 666 4673 p.l
Electrical Permit Application FOR OFFICE SF oNl.t
City ., W � /tom �t _/J r+�rmitrt0.:
Ci of'lCe sect I' Received & 2(o E(LZ -oo9- — d 3S
13125 SW Ball Blvd, Tigard, OR 9 ' run Review Other Pbmrir
Phone: 503.6394171 Fax 503.598.1 :. ! D . t .
Inspection line: 503.639.4173 u u N 2 6 2007 ,L. ` «► .....i. (�- a..k -�, f
lama: www.atigard.or.at information
B LO4 t V �I � 1 { _ el �l�ri RE Zink .
J 1 k 1 Pl check all that a
El New oonstntotion 1.7, • cliti al lmoe�r
0 Demolition 0 Other: ❑Service over 225 amps, control ❑Manudous location
[]Service over 320 amps - eating 011oadog ova 10,000 sq. (l..
C:ATEGOItI OF CONSTRUCTION of 1- and 2,-family dwellings 4 or tome new residential
and 2- 1 dwelling 0 Commercialfindtstriel 0 Accessory building ❑System over 600 volts nominal units in one stmcturc
OBwlding ova three wriest OFeedets, 400 amps cc more
❑ Multi - family (] Mastex builder O Other-
ClOocupent load ova pusoos aro R > o f red structures or
IOS KITE INFORMATION ?,ND LOC. ATION ❑Egret iliglmoag pan
❑110dtb facility ElOthcr:
Job no.: I Job site address C��•/ � v`� \) �' La- C- A
Sabmil 1. sets oFtians with any oFtbe stove.
City/State/Z_IP: ( ��o c . - C C k, C - -Z L The above are not applicable In temporary construction service.
Suit /bldg. /apt. no.: Project nmrle °-' FEES SC D['LJE
Suite/bldg./apt.
a..aripriae Loa.1 Fes I Tad. I
Cross street/directions to job site: New rnidcrfia) siegle- or mdtt-faally dwelling unit.
Includes attached garage.
1,000 941L or less 145.15 4
Subchvision: Lot no.: la add'd 500 sq. !L or portion 33.40 1 I
Limited mesgy, residential 75.00 2
Tax map/parcel no.:
w es
— Limited csgy, nao- aesiderdial 75.00 2
DFS(I iPTION OF WORK lack manufactured or modular
j dwelli sawice sailor feeder 90.90. 2
V \SC' \. \ C ` C tc % LiV n o . C � Services or feeders mtattaib , alteration. andfor relocation
�, j 200 amps or less 80.30 2
,1�y PROPERT1 OWN ?R I ❑ TEN -►NT 201 amps to 400 amps 106.85 2
+� 401 amps 10 600 amps 160.60 2
Name: L 'ty\ (i ( LL. 4 1 S h t-+'1 601 =pato %.000 amass 240.60 2
Address: Over 1,000 amps or %ells _ 454.65 2
_._ - Reconnect only 66.85 2
City/State/ZIP: Temporary setvica or feeders irlallation, alteratiory asdler
relocatiow
Phone: ( ) I Fax: ( ) 200 amps or lnti 66.85 1
hat
Owner installation: This installation is being made on properly t I own which is not _ _201 amps to400 amps 10030 2
intended for sale, hisse rent, or exchange;, anoording to ORS 447, 449.670, and 701_ 401 a m 600 amps 00 133.75 - 2
Owner si}atum: -
Date: Branch drams - sew, atteraties. or catenabla, per panel
❑ APPLlt'.tNT 0 CONTAC'y PERSON A. Fee for branch circuits with
---- -- service or feeder fee, each 6.65 2
branch circuit r
Business name: --- 13. Fee for Trench circuits
Contact nine_ wit :na sevice or feeder fee. \ 46 -85 i k ' i : 2
each bawl circuit ll
Address: ,_,� Each mdd'l branch drank 6.6S - 2
Cly/State/Y_1P• Miscellaneous (service or feeder sat included)
Pump or litigation circle 53.40 • 2
Phone: ( ) — I Fax:: ( ) Sign or outline lighting 53A0 2
E -mail: - Signal cti wits) or limited-
CONTRACTOR _ energy panel. alteration, or
�.'CO v � T.. �G
=tension. Describe: I z 2
Business name: Q V
Fact addidonal inspection over allowable is any Odle above
Address: `Z ( P a 7 ti ! 4' ? ,& Per inspopion 62.50 _ .
Cit /Sla1efLlP: levoon:alien per boor(1 brmia) ' 62.50
Phu : taro) , , (o 18 Ter Fax: (160 ) C (p(ir 101• Industrial plaretE e= rwr:.vt P1 nll 1 .75
CCB Lie: 1 6 3t1 3 /1 Electrical Lie,: .1$1.1 Suprv. lie: !y l straw C-I 9
i .,E J
uprv. Electrician signature, roquit+od' 0 �[ -�_
Platy tuvtcw (2596 of prnnii roc)
f State surcharge (8% of permit fee) •2; r 7.5
( notnaanc: ti +. e A LAr ,, e, D ate: CO 7 c -J 01
TOTAL PERMIT FEE -56.), !>autho
Authorized signature: Y aa permit applcati eaexpires if permit is sat obUised within 180
[
days alterit bras Lees steeples as templet _
print mater OtCg -4 - v le, S � : 0 / 2 ) r - .7 ' Fee meth odotogy set by Tri y Building bdasay Service tioaed
•• Mixable of issoraiaas Per mark alfowod-
1
CITY OF TIGARD
BUILDING DIVISION - PERMIT #: ELC2007- 00435
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/26/2007
Phone: (503) 639 -4171 A °i .
Inspection Requests (24 Hrs.): (503) 639 -4175 s 1.!..
INSPECTION WORKSHEET FOR DATE: 7/17/2007 : TIME: 7:03AM PAGE: 83 .
SITE ADDRESS: 09865 SW VIEW CT CLASS OF WORK:
SUBDIVISION: INGEBRAND HEIGHTS • LOT #: 002 TYPE OF USE:
PROJECT NAME: DAY
DESCRIPTION: (1) branch circuit for furnace.
OWNER: DAY, STEPHEN & LINDA PHONE #:
CONTRACTOR: CROWN VOLTAGE PHONE #: 360-666-0995
Inspection Request Scheduled For: Date: 7/17/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message �,q,,,
199 Electrical final 052032 -01 360 - 666.0995 N 31-1 P'� V
Corrections /Comments /Instructions:
I I / ✓ I 1 %1I ! I A , /A :Zs i; / / I ' , , D,/N ' F L
A., ,KA,,
. Lt/ I/ v
•
1 1
i' J., , i) P-0-b ,
. _ r r'
c
Ni
.%4'
A 1
$ PAS PAsril ❑ PARTIAL APPROVAL / CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOIR INSPECTION ❑ ADDITIONAL FEES ASSESSED
. ''ll
Inspector: Date:1 (7 Phone #: (503) 718 - q 7 V
CASE NO. STATUS SITE ADDRESS PROJECT NAME LAST NAME OR BUSINESS NAME
DESCRIPTION
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(1) branch circuit to reconnect new gas pack. 7/10/07 changed project name from Taqueria Restaurante to American
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Service'and;(6) to bring electrical to code. 5/2/07, ADDING TEMP SERVICE. 6/22/07 ADD (14) BRANCH
CIRCUITS &REMOVE TEMP SERVICE. ���
ELC2007 -00308 I 14210 SW 121ST AN/E'.,' HOSMAN /;' TILLEY, BRUCE L + KERI A
Branch circuits (4). 4 -1,,, , ..
r
ELC2007 -00315 I 13010 SW 68TH PKWY �' US BANK � � PACIFIC NORTHWEST PROPERTIE
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,r w✓
ELC2007 -00343 1 13010 SW 68TH PKWY ,:e' US'BANK PACIFIC NORTHWEST PROPERTIE
• ✓ `.�,
ffi
(1 0) branch circuits for new oc ::;7""" nd'break room :e -
ELC2007 -00348 1 11008 SW BRENDEN LN -.r�>?%' STEPHENS _' STEPHENS
(1) Panel and, 4'branch circuits with service for new pool. � � '';w,
ELC2007 -00362 I 13305 .W
SHOWARD DR DORRANCE DORRANCE
4Iristallation of (1) service and (4) branch circuits for pool. Job No 23895
ELC2007 -00388 .I' °l *Q'_ 12242 SW 131ST AVE LAUN LAUN
•
rr�'� " � 7 branch cir. for kitchen remodel. N�
- �.. {�` `fir•
ELC200'7 - 00394 I 09685 SW JOHNSON ST WOODARD PARK APTS WOODARD'P,ARK APARTMENTS, L
w " � Panel and new, branch- circuits.in. office,( n ---,e },, _ \x
ELC2007 -00401 I 12006 SW GARDEN PL BLD6 CUSTOM DECORATORS RREEF
(II) branch circuits. 8/27/07 added four additional inspections (Phases)
EL 00 7 -00408 ` I 07165 SW SHADY CT SWEET SWEET, MINOO S
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CC2007= 00412 1 SW NO ADDRESS OREGON DEPT. OF TRANSPOR OREGON DEPT. OF TRANSPORATI
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Install new meter base.
0 1 10831 SW CASCADE AVE COMCAST AMB PROPERTY L P
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ELC2007 -00433 I 15510 SW OAKTREE LN UPRIGHT ` ? HAP UPRIGHT, COLLEEN M
4 •
�CAnk grounding and bonding, repair as required.
` ELC2007 00442 I 09585 SW WASHINGTON SQUARE RD DICK'S SPORTING GOODS WASHINGTON SQUARE LLC
(2) sign lighting. See attached location.
ELC2007 -00445 I 12568 SW MAIN ST 79, ® MAIN STREET PAINT PAUL SORG TRUST
(3) branch circuits.
ELC2007=00_449 I 09467 SW WASHINGTON SQUARE RD STARBUCKS WASHINGTON SQUARE LLC
Sign lighting.
ELC2007-00458 1 11865 SW WILDWOOD ST DEIGNAN DEIGNAN
Installation of (1) branch circuit for pond. Job No. F5789
ELC2007 U0498 1 12885 SW PACIFIC HWY FERRELL GAS COMET CORPORATION
(1) branch circuit to hook up pump motor.
ELC2007 -00507 I 07920 SW HUNZIKER RD TRUGREEN LANDSCAPE COE MANUFACTURING CO, THE
Refeed 200 amp panel in conference room.
Bldg- ELC -ELR- Status l.rpt Page 2 of 18