Permit r, ^ J CITY OF TIGARD ELECTRICAL PERMIT
q PERMIT #: ELC2007 -00697
/ ° .; COMMUNITY DEVELOPMENT DATE ISSUED: 10/10/2007
TIG 13125 SW Hail Blvd. Tigard, OR 97223 503.639.4171
//GCS PARCEL: 2S103CA - 04400
SITE ADDRESS: SSW TERRACE TRAILS DR ZONING: R - 4.5
SUBDIVISION: TERRACE TRAILS LOT : 008 JURISDICTION: TIG
PROJECT: S6 /4,3
Project Description: Install (3) branch circuits to relocate washer and dryer and add additional lighting in the family room.
RESIDENTIAL UNIT TEMP SRVC /FEEDERS MISCELLANEOUS
1000 SF OR LESS: 0 - 200 amp: PUMP /IRRIGATION:
EACH ADD'L 500SF: 201 - 400 amp: SIGNIOUT LINE LTG:
LIMITED ENERGY: 401 - 600 amp: SIGNAUPANEL:
MANF HM/ SVC/ FDR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: WISERVICE OR FEEDER: PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 1 PER HOUR:
401 - 600 amp: EA ADD'L BRNCH CIRC: 2 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:
ROB DE LA CRUZ RK ELECTRIC INC
11600 SW TERRACE TRAILS DR 24495 NW OAK DR
TIGARD, OR 97223 HILLSBORO, OR 97124
Phone: 503 - 849 -1627 Contact #: PRI 503 - 640 -1344
FAX 503 - 356 -0513
FEES
Description Date Amount Reg #: ELE 34 -375C
1PRMT] C Permit 10/10/200" $60.15 LIC 94275
EL EE
(TAXI 8% State Surcharge 10/10/200' $4.81 SUP 4724S
Total $64.96 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 -0 ■' You may o.tain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued �1 /// ;/ /L l / Permittee Signature: L 1-1
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.
Oct 10 2007 7:33AM HP LASERJET 3330 p,1
El Permit Applicatio>a �i h t fi � fi rtl,' (r 4 �z� t #�� " . ^
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City off Tigard
! 3125 5W Hall Blvd., Tigard, Ol.1 3 n EN Phone: 503.63.4171 Fax: 50 .59 Oy Flan
. 'n 1 D a t e/ B : Other Permit:
Inspection Line: 503.639.4175 �� , - " � I +r I I w 1', Date Ready/By: � ® See Page 1 for
Internet: www.ci.tigard.or.us �i 2007 Notified/Method: �� Supplemental Information
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❑ New construction C:; '• . di i 0 � e Please check all that apply:
❑ Demolition r ; ��s)`1`i ['Service over 225 amps. comml ['Hazardous location
� • ! , tl I �n <, t1 € €,, ,: t iVt uq, c r t tin € ti„ rn,�e r t, !t ❑Service over 320 amps - rating Builds over 10,000 s . ft.,
• b:; a 3$1, (l i t . + .. " � ` p`'a_auSii �� ?1 s; .fG.Adfau ; h z l ' a t f . sak of 1 -and 2-family dwellings g ❑ 4 or more new residenrial
L 1- and 2 - family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑ Multi - family ❑Master builder ❑ Other; ❑Building over three stories ❑Feeders, 400 amps or more
,',4,1*: q,€ i I x rem r,nL �, tt t e: Yt s ['Occupant load over 99 persons ['Manufactured structures or
�t :l i 1 - d t? .91 £ i !{ ` 7i I I'P E , si 2 l Il T,` � i, € 1'4 Bri r }'PPt I ! s � g p RV par
g+ .it�a,,44iirl€- a , .t t°a? -• . i t , rti , .r:et , i ,l ._ii1 ❑Egresshi P�
/! 601 Job site add • 1-14,-00-1 ? rib.; 1 A . ❑Health -care facilit ❑ahg:
1 Submit 2 sets of plans with an of the above.
City / State/ZIP: � f i r Q £ 7 rL4 The above are not applicable to temporary construction service.
7 t;(i �{lf�l�! �aoae8l� 1�:x [I -�n a s g l� r +� � !t i� € j € � u ' � i t
idle, i>..1., liliib.! , !si ° ,t 10. `Ln� . r'f�,S�ir it B i ii l l
Suite/bldg. /apt. no.: Project name: 1I =; :,ll .
- - - --r - - Descdptrez - Qty. Bee. Told "
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: I Lot no.: Ea. add'1 500 sq. 1. or portion - 33.40 1
Tax map /parcel no.: Limited energy, residential 75.00 2
�ll , r, a9€h� i �€ G , q€ 3 P,z €�iFe s r sr g �mn €-, t o a r Limited energy', non - residential 75.00 2
! '�.WRill- �IATiAi f,�i if i I1 d,. €a i t 1 ra. 1 ti y ' F,it1 4
iii l iki t ttE3 6>uvl E3to , , 1f��1Ml
i - <..,. ALt, u0 _,V . ,w 1.31:4 ;. - A .l,atr,r.21 ,,•o* _Af ar,'tc mm ,€:c _ta1FS,r.Gt;tl,,v ,, ,1,10 .! t.,.,tarlli ig... odot. Each manufactured or modular
�
t 1, l L_4.14 ',,I
l! dwelling, service and/or feeder 90.90 2
gt "t t r e,r - e d el fid itr�A'iCG t Services or feeders installation, alteration, and/or relocation
A 1� L N ,i L
1 b 200 amps or less 80.30 2
t1 S :: '- °? 4 F11 f °' rV tNC 51. t + , 4�` d 1p r rfat i i o .fii 'ti' it x. 201 s to 400 amps l i :. 4 ,; . .3 } „vi :.•,it tkiti 3�z,f lia a iklii l y sd 3;, t �'31! ,4, Y - 9 �� i4 i winkle ?1 a .e9fa imilf! . I�t - 401 amp to 600 amps 160.60 2
Name: 5 t
(J 601 amps to 1,000 amps 240.60 2
Address: 1 I � �7r La P treit. ri i I s Or, _ Over 1,000 amps or volts 454.65 2
Reconnect only 66.85 2
City /State /ZIP: �
1 iP! r 7 I �,� 2 j Temporary services or feeders installation, alteration, and/or
Phone: ( ) I Fax: ( ) relocation
200 amps or less 66.85 1 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
y signature: Date: Branch circuits - new, alteration, or extension, per panel
> 1 5441 * t .g, iii t t€ .Il IIi��rr I 110 i IR X 1 3 � si11 i'e€11 74i i0P.1 IV 9 1� Il � i l A. Fee for branch circuits with
'' . �"_!, - ... t : , m d r : ' L ; t ,». . 1. - ii "' ,..,.titiu �,.,.•...... t.,eiii ��FF
11
it t ..,.. s� _.,,aau, . t om. r m 14h 1. serv or feeder fee, each
Business name: branch circuit 6.65 2
No B. Fee for branch circuits
Contact name: R r 6 i �v .Z without service or feeder fee, �/ �`"
Address: each branch circuit ( 46.85 I �or W 2
Each add'l branch circuit 2 6.65 1 3 ' 2
City /State/ZIP: Miiscellaneeus (service or feeder not included)
3 ` Pump or irrigation circle 53.40 2
Phone: o ) "l S yr, 0 2 .7 I Fax:: ( )
Sign or outline lighting 53.40 2
E -mail Signal circuits) or limited-
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I'l i �`rg;= , 1� "€atoyiii, l i�p �,1t 5q ° I^ , Ii e' a 'e i i ei� ' + ! {� k) s , tiili t +yi i;big, i t(-l}I U ener panel' or
' ... frb+.. w.lm.,.'IP.,IR_i "* .- r��r�rLlh- ... 1; ��xl�v.... 1! u.... u. �.. ll' t? ��:!€ i! tl�llil�o.. .,ti?x`a�li,�i�Ja1€iti'i'����'.� By �
alteration,
� ' extension. Describe: Page 2 2
Business name: R11 L1 (/ aVI( To
Address: '2J41 q � 4) .. , . / .. ' � i � � Each additional inspection over allowable In any oldie above
[ s Per inspection 62.50
City/ State/ZIP: ' `�!? �JJ�� UrC) q L )
1 '7 1 12i l Investigation per hour (1 hr rein) 62.50
Phone: 0 ) t 1.10 _ 1314 L) Fa (x 3S . - 051 ' Industrial plant per hour 73.75
/ j11Y<'1 figl + tM,.1 l l ii v €1 ! RPF , I ''et - `� n) %! .
CCB Lic.: C� ( fa - ) S Electrical Lie.: ,35/- 375 ,7 e Suprv. Lic.: ` 7a Li Subtotal 4 ) c
Suprv. Electrician signature, requirecc .71 rDate: Plan review (25% of permit fee)
rn Print Wae: / 1� 10 / (D State surcharge (8 %of permit fee) 6L $ Z
1 TOTAL PERMIT FEE ( , ell
Authorized sigllatUrel j� This permit application �l liy� /C L� pe pp expires If a permit is not obtained within 780
• ` days after It bas been accepted as complete
Print name: i � Lel L , Ku' t2. Date: f 0 /1 0 • Fee methodology set by Tri County Building Industry Service Board
/ •' Number of inspections per per it allowed.
i: t Building \Pemtits\ELC•PermitApp.doe 12/03 40- 4615r(l0 /02/COM /WnB
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007 COE:97
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10!10/70!)7
Phone: (503) 639 -4171 hi
Inspection Requests (24 Hrs.): (503) 639 -4175 s L W ..
INSPECTION WORKSHEET FOR DATE: •i0130/2007 TIME: 7 :02AM PAGE: 43
SITE ADDRESS: 11605 SW TERRACE TRAILS DR ' CLASS OF WORK:
SUBDIVISION: TERRACE TRAILS LOT #: 011 TYPE OF USE:
PROJECT NAME: SONJU •
DESCRIPTION: Install (3) branch circuits to relocate washer and dryer and add additional lighting in the family loom.
OWNER: SONJU, JENNIFER • PHONE #: 971- 275-4401
CONTRACTOR: RK ELECTRIC INC PHONE #: 503 -640 -1344
Inspection Request Scheduled For: Date: 10/30/20p7 Pour Time:
Code # Inspection Description Confirm # Contact # Message
120 Elocliical rough-in 059005.0i\ \ 503-639-2411 Y
rec ions /Comm 11 ents /Instructions: / Z
�_ AF c 9 A A
P ASS ❑ PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
A , � �i Phone #: (503) �
Inspector: G.. ," �g 1 w 1 Date: ( ) 718 -
•
CITY OF TIGARD
BUILDING DIVISION _ _ .. ,
PERMIT #: Et-C2007- 00897
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 10/10/2007
Phone: (503) 639 -4171 l�L
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 10/29/2007 TIME: 7 :01AM PAGE: 42
SITE ADDRESS: 11605 SWTERRACE TRAILS DR CLASS OF WORK:
SUBDIVISION: TERRACE TRAILS LOT #: 011 TYPE OF USE:
PROJECT NAME: SONJU
DESCRIPTION: Inslall (3) branch circuits to relocate washer and dryer and add additional lighting in the family room.
OWNER: SONJU, JENNIFER PHONE #: 971 276
CONTRACTOR: RK Il_ECTRIC INC PHONE #: 503-640-1344
Inspection Request Scheduled For: Date: 10/29/2007 Pour Time:
Code # Inspection Description nfirm #_ Contact # Message
120 Electrical rough-in 058478 -01) 503 - 893-241' N
' Mil co A Kit eflia)
Corrections /Comments/ Instructions:
N 0 AO 6 tA) Mk, P4) iettit_ _
2:30 piA
❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL IKNO ACCESS
FAIL e CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: CT N 66 L Date: 101 14 Phone #: (503) 718- 6-T F"o
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