Loading...
Permit CITY OF TIC ARD COMMUNITY DEVELOPMENT ELECTRICAL PERMIT 111 a� PERMIT #: ELC2007 -00209 ~ D ATE ISSUED: 4/6/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S101 AD -02900 SITE ADDRESS: 12755 SW 69TH AVE 100 ZONING: MUE SUBDIVISION: WEST PORTLAND HEIGHTS LOT : 031 JURISDICTION: TIG PROJECT: LEGEND HOMES Project Description: (2) branch circuits for copier and can lighting. 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: LEGEND HOMES GARNER ELECTRIC 12755 SW 69TH AVE 2920 SW 247TH AVE #A TIGARD, OR 97223 HILLSBORO, OR 97123 Phone: 503 - 620 -8080 Contact #: PRI 503 - 648 -4552 FAX 503 - 642 -7925 FEES Description Date Amount Reg #: ELE 34 -305C [ELPRMT] ELC Permit 4/6/2007 $53.50 LIC 121 159 [TAX] 8% State Surcharge 4/6/2007 $4.28 SUP 3707S Total $57.78 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 f. - than 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those r es are set f. i h in 0 952 - 001 -0010 through OAR 952 -001 -0100. You may obtain copies o hese rules or direct questions to OUNC at 503.24..6699 or 1.800. %3 344. Issue. =y: t ' 49 ,A 4 Permittee Signatu / ����, j 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: ONTRACTOR 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. FROM : GARNER ELECTRIC J L ` W V t ( NO. : 5036427925 Apr. 05 2007 07: 25AM P1 -. � he 2001 FOR OFFICE l?SF. ONLY ctri6. rmit A 1 i le q Received �� 7 Petmttbro.: EL 7•04 O City of Tigard � / / e Date/B : 13125 SW Hall Blvd., Tigard, OR � + ur 1 1�J Plan Review Other Permit Line: 503.639.4175 ! G ;.,J;a t ..• � i, DaW . Phone: 503.639.417 Fax: 503 � "� iy , r I (?'' .1;1 I 1 EM ® See Page 2 for inspection Date Resdynsy: 67 See Page 2 NimaceuMethodf Internet: www.cf.rigard.or•us ,p � 4 ,, „. , r r . r, ,; :;:" 1 + ; .:, j a) + rj ". 1 y5xfj i 'rF,nr�t" "`7 ,:" ri r . ` 'A t lile'te ,L .,,,;-.-.7„, ' t° r •, r, , ,,{ 1 { '�1�1 r 5.- A , 1 � . 5 r'• + u! 3 '�r I,13", ` � i�ira i t f1 , ti�C • , ti ra,e. 3 .2.•i im' site ..oft L'1.1 M1 . ��d .,:t f.`f:� )7,4 A�ia5 CA J .lR? c r C4 Addition/alteration/re lacement Please check all that apply: [] New construction p ❑ Demolition ❑Other Qscrvice over 225 amps, camel ['Hazardous location ['Service over 320'amps - rating ❑Buildng over 10,000 sq. ft., ,r ,- �, y ,••' new residential i „•: ,, ;a, '. r �'r <, s^:'ts:7,:rA; 4z 5. ? z x:4,1 r- i,.,, ., , ,.. t * of 1- an 2 firml dwellin 4 or more n j' }a.i6'iaY -- ,�t'J u x J iaaci Aii11Utit +,: :2 i,, -, %-: � :S f ,�.;� �+ r; r C ? { ck:r t [: [' System over 600 volts nominal unity in one structure [] 1- and 2 - family dwelling Commercial /industrial Q Accessory building ©Building over three stories ❑Feeders, 400 amps or more Q Multi - family Nester builder Q Other []Occupant load over 99 persons 0Manufacnrred structures or ' � ; ^.��yir� �sr '.rB `:�:� ut.N��. ^,�1,.._�'C�h-.a;�'!€. -! ' ?,`.: 1�vrel' 1-'77. .`y �'. fi es /11 tltl an RV park M ,d 'i f: l?.: /h... .:l,w• F a ,Y.V ri f el:n. ,. ,t c.. .. .1-itl .s:.ts. il., rr_,r °C :,1<l,..t,.+r: {;f.:l;.r.. p,. �;..:,_,. -� , , n � (] !R Bh la p Q., ' Q1•iealth -care facility [ 'U��' Job no.: Job site address: [ Z� �JS 5 7'v P/ Submit 2,, seta of plans with any af. the above. [+ t Q - � The above are not applicable to temporary conatrucnon service. City /State/ZIP: a [ 00 0 0 j� l ` J �� j? 1�,q } di' 'P T7 'T 'Im D 4tr r 1;,,":.' ". Suite/bldg. /apt. no.: Project name: �.G�£ �I t'°C� H II Total Desert Qty Cross street/directions to job site: New residential single- or multi- family dwelling unit. Included attached garage. , 1,000 sq. ft. or less 145.15 4 _Ea. 500 sq. ft, or portion 33.40 1 Subdivision Lot no.: a. a - Limited energy, residential '75.00 2 Tax trap /parcel too.: Limited energy, non - residential 75.00 2 -• r TN 'T.1 '�4. r w i � e•s,TIK I'M Thif, 1a` f47,7i'i ! 9 f gel. v ��' 7 i ' 1� , E' .,f, ' 4 ar� , o ,• Il++ k'' * , 4 ' Each manufactured or modula di:f:I�L�61,(t. y� , r 1 ;c? i. „,iF..:'rei:�'_)'!.r fD:,a�.i }� , m.2' `7in. .. it ,� ' - '' '°- ��,:. t _dwelling, service and /or feeder 90.90 2 G o I QJ ev > C�x.�. 1! gkfil Vl� Services or feeders installation, alteration, and/or relocation 11 \J 200 amps or less 80.30 2 a 201 s to 400 amps .r1,, 1; `c ;'+i' i t ',/, . i,.11k. F 7 i!r , of 3` V Y , 04''''' , a 106.85 2 ' J h `r r i 3ir ll�r1 � A at K � l r '';':. 1 t �ih 401•amps to 600 amps 160.60 2 Name: I Q'y _ ' M 601 amps to 1,00_0_amps Y _ 24060 2 l� Over 1,000 amps or volts A 454.65 2 ddress: Reconnect only 66.85 2 City/State/ZIP; Temporary services or feeders installation, alteration, Radio r relocation • Phone: ( ) CO 2-0 .10 .till Fax: ( ) ti at 200 amps or less 66.85 1 Owner' Installation: This installation i8 being made on property that 1 own whch 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: _ ., . ,,,,,,,, , 57i Date: a' _Branch circuits- new, alteration, or extension, per panel r,•.,•l 3.-5,1;4, tt; h i' prti , f V, 3 ;fr y,3 i ,, , 0: 1 . � ' ...?F , y ' A- Fee for branch circuit& with , :r�l ,S °'� -r `�d�.f t Ja n, 'd� .. d S :JSi; .��15�e'1 ,1�:1 ` / " �Y6t '.e. .? 30. i �,l �f� �i .�w.�f.c''r.:;l peruke or feede fee, each ratt, :.1..1....c,ri: . iur, �. 6.65 2 Business name: branch circuit B. Fee for branch c p Contact Warne: wtehout service ter feeder fee, / 46.85 - 1 p, p L 2 each branch circuit Address: Each add'I branch circuit / . 6.65 (o. City/State/ZIP: Miacellaneoas (service or feeder not included) Pump or irrigation circle 53.40 2 Phone: ( ) Fax:: ( ) Sign or outline lighting 53.40 2 E -mail: Signal circuit(s) or limited- a a: ^ v r L { } "�.. t y ^r. energy panel, alteration, or srr °p ,+ Yri 1" S 4Srr n T °P 5 i ; , i f �' ' ! Y d !�y, 1 1 . Pa e 2 2 ; 111 : :; :...de s,..aS� t. .d,A.: i�`,rdt , s...4 ,. y=` extension, Describe: B Business name: -12.4\i g� [- Each additional Inspection over allowable In any of the above Address' ''....2 . 6 j `" >� V �' ' • ... Per inspection 62.50 City/State/ZIP: ' ' • [ ( to min) 62.50 ' i) ("�✓ O CI -L �1 7 ( 2 � Investigation per hour (1 Fax' /�y ` industrial plant per h our 73.75 e .'1 �� Fax 1 ) S� `�t .] ,' �1.'�.r iii d 11 i f, ;.i ,�:;. .,:,:i f .-., Phone: `'� kt�,...���.�1�,� �' ` - CCB Lic.: 1 1 t +� c/ Electrical Lic.: AFTr+ • , ic,: �• 1 '-7 ., Subtotal � ' " �. / J� Plan review (25 of permit fee) Suprv. Electrician signature, required: Are - - u " � State surcharge (8% of permit fee) Print name: ` -? _......L ?� 1 <A Date: q - 0 TOTAL PERMIT Authorized signature: • This persait application expires If a permit is not obtain within 180 _ days niter it has been accepted as complete Print name: I Date: • Pee methodology Set by Tri-County liulldiag Indmtry Sernre 0 ns s •• Number of per permit allowed. 5 ny:1lin8\Pentiulffi.GPamicApp.doa 12103 440- 46IS7(I0/02/COtMVEH • CITY OF TIGARD ' BUILDING DIVISION PERMIT #: ELC2007 -00209 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/6/2007 Phone: (503) 639 -4171 A Inspection Requests (24 Hrs.): (503) 639 -4175 _._,,me INSPECTION WORKSHEET FOR DATE: 4/11/2007 TIME: 7:00AM PAGE: 28 SITE ADDRESS: 12755 SW 69TH AVE 100 CLASS OF WORK: SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 031 TYPE OF USE: PROJECT NAME: LEGEND HOMES DESCRIPTION: (2) branch circuits for copier and can lighting. OWNER: LEGEND HOMES, PHONE #: 503 - 620-8080 CONTRACTOR: GARNER ELECTRIC PHONE #: 503. 648-4552 Inspection Request Scheduled For: Date: 4/11/2007 Pour Time: Code # Inspection Description o m # Contact # Message 199 Electrical final 046312-1 503 -648 -4552 N Corrections /Comments /Instructions: / PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS ❑ CALL FOR INSPECT ❑ ADDITIONAL FEES ASSESSED I nspec tor: ,`t �� `�� Date: 1 li 0' Phone #: (503) 718- 2 "1 VD CITY OF TIGARD . . BUILDING DIVISION PERMIT #: ELC2007 -002U9 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/6/2007 Phone: (503) 639 -4171 ..0 Inspection Requests (24 Hrs.): (503) 639 -4175 .�'J" ` INSPECTION WORKSHEET FOR DATE: 4/9/2007 TIME: 7:01AM PAGE: 58 SITE ADDRESS: 12755 SW 69TH AVE 100 CLASS OF WORK: SUBDIVISION: WEST PORTLAND HEIGHTS LOT #: 031 TYPE OF USE: PROJECT NAME: LEGEND HOMES DESCRIPTION: (2) branch circuits for copier and can lighting. OWNER: LEGEND HOMES, PHONE #: 503-620.8030 CONTRACTOR: GARNER ELECTRIC PHONE #: 503-648-4552 Inspection Request Scheduled For: Date: 4/9/2007 Pour Time: Code # Inspection Description onfirm.# Contact # Message 199 Electrical final 046156 -01 503.6 -4552 N Corrections /Comments /Instructions: e N L ‘"r - / v"\I\ N n M QM LE. tq Lowii 0 o N) tRo`jE4A) ta04 bcz 6(1, s V5 ft* bctO c,t- i..■ to AC. 33't It r ❑ PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS FAIL IACALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED q_ f_i__ Inspector: 'S me(--E V Date: 0 Phone #: (503) 718 - i'41-14, , ,