Permit -, .. =CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2004 00488
DEVELOPMENT SERVICES DATE I SSUED: 8/5/2004
Ill..
13125 SW Hall Blvd., Tigard, OR 97223 (503) 639 -4171
PARCEL: 1S136AA-08300
SITE ADDRESS: 10013 SW 70TH PL
SUBDIVISION: VENTURA ESTATES ZONING: R -4.5
BLOCK: LOT : 005 JURISDICTION: TIG
Project Description: Circuit for hot tub & one other circuit.
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:
CAPSUTO,SAM OLIVERS PRECISION ELECTRIC CO
10013 SW 7OTH PL 17035 SW HIGH HILL LN
TIGARD, OR 97223 BEAVERTON, OR 97007
Phone: 503 - 246 -1542 Phone: 503 - 579 -7747
Reg #: LIC 41435
SUP 2539s
FEES ELE 34 -521C
Description Date Amount
Required Inspections
[ELPRMT] ELC Permit 8/5/2004 $53.50
[TAX] 8% State Surcharge 8/5/2004 $4.28 Rough -
Elect'I Final
Total $57.78
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: / , „:O Permit Signature: � cj , 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 639 -4175 by 7:OOpm for an inspection the next business day
08/04/2004 15 :12 5035795907 REVILO SAINTS PAGE 02
10 !
E lerical •Perm it Aupiica , ,
'Electrical ! ,.‘p.,,,. . !, !. 1 l
City of Tigard Qt9 CO ' b / Permit No.: ei W— lbvgf�
13125 SW Hall Blvd., Tigard, OR 9 `• •
Phone: 503.639.4171 Fax: 503.4 I 0 s : :' „ •:!t I B > Ry Other Permit:
Inspection Line: 503.639.4175 �* , /;,:S s � ' L � . Dat,Ready/By: r RI seePage2for
1.,\% (( . — - / , ( Supplemental latermatioa
Internet www.ci.tigard.or.us K` !
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0 New construction ® Addtti. ( ion/replacemcat Please check all that apply:
❑ Demolition ❑Other ` , ��''� DService over225 amps, comm'I ❑Hazardous location
.. �" "�i- R , u.. s *r: <4 u ',. -aid u . n..,.L.•s ' r � �.:. r , ❑Service over 320 amps — rating ['Mandril; ['Mandril; over 10,000 sq. It,
s " +, Y . "+...t.. , �.n..o . ° , k ;r ! t,. a,e.,,,;. ' ` r l � f. i�+ �� of 1 - and 2 - family dwellings 4 or more ttcw residential
.. . ., .. ... .
® 1- and 2- family dwelling ❑ Cotlitmerciai/industrial ❑ Accessory building ['System over 600 volts nominal units in one structure
❑ Multi faanily ❑ Master builder Q Other ❑Building over three stories OPeeders, 400 amps or more
.. t,Y 4 r.,� � � .# h Mr r , {s ', , c yC,. .,c ,, tcxL) ' . , . '' 7 t , ♦ . persons structures or
�yq 1 �, (�y�, °Occupant load over 99 Manufacwmd Struct
�,'iq�.; r t . ' � S Mt :, , :. l : , ' ' r '' A ,,i ?f �i «t r ; 11:: v, .«.., .tv�. ",kk 1 ' 'C, DEg(es&1igt m$ plan RV part(
Job no lob site address: 10013 SW 70 Place °klcaltb care facility In Other
Submit 2 sets of plans with any of the above.
City / State/ZIP: Tigard, OR • The above are not applicable to temporary construction service.
Suite/bldg./apt. no.: Project name: Sam Captatt0 N:'!:fF7't$ M',75 •d ' k,.,. t.:,.'11' .`%;f::
^1 '; de ^A i
OwertriOse Qty. Few. TOW! ••
Cross street/directions to job site: New residential single- or multi - family dwelling volt.
Includes attached garage.
1,000 sq. R. or less 145.15 4
Subdivision: Lot no.: Ea- add'l 5 00 sq. ft. or portion 33.40 I
Limited energy, residential 75.00 2
Tax nom/parcel no
7 r y ._ ,. f I , .. > '' ";rp' { Limited energy, non- residential 75.00 2
4 n i 1 1:.�?l. €. +, q!�; 'K, ".bi++F.. , ' .... ,� n ..w . ; #<,/{ r 4 � tk Each manufacture or modular — .
circuit for hot tub and one other dwelling, service and/or feeder 90.90 2
Servicea or feeders tastallattoo, alteration, and/or relocation
200 amps or less 80.30 ' 2
,0„ ,� s 201 amps to 00 anops 106.85 2
; :,T '; . r r � r . ,. •: , • t` t M t bp • , 7 ,i; ?' tp M r ,:h
v :. n.. , i . tr'.i,, : Y p yM c. n 401 amps t0 600 amps 169.60 2
Name: Sam Caputo 601 amps to 1,000 maps 240.60 2
Address: same as above Over 1,000 amps or volts 454.65 • 2
Reconnect only 66.85 2
City /State/ZIP: 'Temporary services or feeders Installation, alteration, and/or
Phone: (503)246 -1542 Fax: ( ) 2000 0 amps 2
or less 66.85 1 l
Owner installation: This installation is being made on property that I own which is not 201 amps to 400 amps 100.30 I 2
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670; and 701. 401 to 600
MOPS 2
Owner signature: Date: Branch dreuits.-. new, alteration, or extension, per panel
't iu,eii. t` 1 > a Y s. i i Y '`' � e� cW r p, r i,, ,r
l ro yr .... `g '€ A. Fee for with
service lT. , r i. u ... <. .._., .. ... ., ..., a ..: ..., ..� .' .S .'1... 4 .:.� , i7 a .., Y � 4 : (. ..
ranch circuits wit
ce or fader fee. each 6.65 2
Business name: Oliver's Precision Electric branch circuit
13. Fee for branch circuits
Contact name: Diana Oliver without service or feeder fee, //
each brancb circuit 46.85 �(�. , 2
Address; 17035 SW High MI Lane -
Each add'i branch circuit / 6.65 ( .65, 2
City / State/ZIP: Beaverton, OR 97001 y Miscellaneous (vendee or feeder not included)
Phone: (503) 579 - 7747 Fax: : (503) 579 - 5907 Pump or imgatiot► 53.40 2
Signor outline lighting 53.40 z
E -mail: OPE2340aoJ.com Signal circuits) or limited -
�di.Sw,� i '^
,. 13' ' [
r a #i'„ # i 2 y 'ti vtr' ,14 -I «,• 4..E N en erRYpanel, alteration, or 2 2
�3�PS�: ..•..,.. ,.. h. , :r.
extension. Describe: Page
Business nanne: Oliver's Precision Electric Company
Address: 17035 SW High Hill !Lane Each additional ins over allowable in any of the above
Per inspection 62.50
City / State/ZIP: Beaverton, OR 97007 Investigation per hour (1 hr min) 62.50
Phone: (503) 579 - 7747 Fax: (503) 579 - 5907 Industrial plant per has 73.75
q F:.7. f(Vrr' - , , ! ♦: 17411 r1 }. 'r x.
CCB Lic.: 41435 Electrical Lic.: 34 -521C Suprv. Lic.: 2539 -05 Subtotal 5 ,
Suprv. Electrician signature, required: id, �� . ` Plan review (25% of permit fee)
Date: 8/4/04 State surcharge (8% of permit fee)
TOTAL PERMIT FEE 5- � �
Authorized signature: Thy permit application empires tf a permit Is not obtained *Mal
days after it bas been sex-weed a>< complete
Print name: Date: • Fee medwdology sat by Tri-County Building Industry Service Board
•• Nwmtbux of inspections per permit allowed.
is pertsguC- Fmmitnpp.dcc 12/03 440H615T(10/02/COM/WEB
CITY OF TIGARD 24 -Hour
BUILDING_ -. Inspection Line: (503) 639 -4175 MST
INSPECTION DIVISION Business Line: ( 1 3) 639 -4171
i BUP
Received Date Requested ' ,p' AM PM BUP
Location 1� i U 0 i O r Suite MEC
Contact Person ra" Ph 9 20 " -3� g PLM
Contractor P ) SWR p�
BUILDING • _d�✓vL� a 00 2�
Footing
Foundation ELC
Ftg Drain Access: Lo �� 57
ELR
Crawl Drain
Slab Inspection Notes: SIT
Post & Beam
Shear Anchors
Ext Sheath/Shear _
Int Sheath/Shear f + eT .
Framing �T
Insulation
Drywall Nailing
Firewall
Fire Sprinkler e...__ b i S G° N c'� �a A-1‘,1 P , p
Fire Alarm
Susp'd Ceiling
Roof
Other:
Final
PASS PART FAIL
PLUMBING
Post & Beam
Under Slab
Rough -ln
Water Service
Sanitary Sewer
Rain Drains
Catch Basin / Manhole
Storm Drain
Shower Pan r:4
Other:
Final
PASS PART FAIL
MECHANICAL
Post & Beam
Rough -In
Gas Line
Smoke Dampers
Final
PASS PART FAIL
ELECTRICAL
Service
Rough -In 4C: ,
UG/Slab ti-
Low Voltage
Fir- . larm (` .6 L
F F, ` E] Reinspection fee of $ required before next inspection. Pay at City Hall, 13125 SW Hall Blvd.
PART FAIL
0 Please call for reinspection RE: n Unable to inspect - no access
Fire Supply Line
ADA / T
Approach/Sidewalk Date -2 .--- CD Insp ector Ext
Other: job site.
Final DO NOT REMOVE this inspection record . , , e j
PASS PART FAIL