Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00422
•
DEVELOPMENT SERVICES DATE ISSUED: 6/17/2005
L "= 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S101 DD -00703
SITE ADDRESS: 13970 SW 72ND AVE ZONING: I -L
SUBDIVISION: SALEM FREEWAY SUBDIVISION LOT : JURISDICTION: TIG
Project Description: New panel, (12) branch circuits, limited energy for security & data.
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: 0 401 - 600 amp: SIGNAL/PANEL: 2
MANF HM/ SVC/ FDR: 601 +amps -1000 volts: MINOR LABEL (10):
SERVICE/FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 • W /SERVICE OR FEEDER: 12 PER INSPECTION:
201 - 400 amp: 1st W/O SRVC OR FDR: 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:
TARKIAINEN, REINO J A AND NEW TECH ELECTRIC
MARILYN J 20811 NW CORNELL RD #400
20895 SW LEBEAU RD HILLSBORO, OR 97124
SHERWOOD, OR 97140
Phone: Phone: 503 - 648 -1900
FEES Reg #: LIC 41868
3849S
Description Date Amount SUP 26-41
ELE 26 -418c
[ELPRMT] ELC Permit 6/17/2005 $310.10
[TAX] 8% State Surcharge 6/17/2005 $24.81 REQUIRED ITEMS AND REPORTS
Total $334.91
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: jam .Z.1.L�;e: Permittee Signature:
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.
06/16/05 THU 15:50 FAX 503 640 0571 NEW TECH ELEC j001
Electrical Perini ,: I, � 64.: '
L , 9,, 129)4 �. I UK UI.PIC1; US1':O1V'I,Y
City 'of Tigard
13125 SW Ball Blvd., Tigard OR 9 - .
' 7 OS "" - .
Phone: 503.639.4171 Fax: 503.5 9 ` l , - , . ' r . � . ;' �ep' y
Inspection Line: 503.639.4175 ' . ' �� Other Permit:
Internet: www•ci•tlgard.or.as gu p ` L ,f ,n, i - 1 { ( -fl) N 6tryp1
_ emental Information
65 See Page 2 re
I
❑ New construction ,r le Addition/alteration/replacement Please check all that apply: :' s ,'
El Demolition El r ['Service over 225 amps, comm'1 OHazardous location
I , f IF 11 u� i ; .. � I � - DSelviceover320amps- rating DBuildng over 10,000 sq. tt.,
of 1- and 2-family dwellings 4 or more new residential
❑ 1- and 2- family dwelling I Commercial/industrial 0 Accessory building ❑system over 600 volts nominal units in one structure
Master builder 0 Other ❑Building over three stories ❑Feeders, 400 amps or more
❑ Multi family ❑ Mast
p :? n l I :� I . . ; ' . ; , , I , .: ICI' . , , ['Occupant load over 99 persons ['Manufactured structures or
['Egress/lighting plan RV park
Job no.: ' 0 32 Job site address : I 3calo .. •- ND A D>:Iealth -care facility Dourer.
t ,e 1. Submit 2 sets of plans with any of the above.
a, ■ r..--0 The above are not applicable to temporary couawction service.
Suite/bldg./apt. no Project name: '. 10 ( .. 1 , , I r,
• Desolation
Cross street/directions to job site: QV. F« Total
New residential single- or multi family dwelling unit.
Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision:
Lot no.: Ea. add'l 500 sq. ft. or portion 33.40 1
Tax map/parcel no �� energy
residential 75.00 2
energy, non - residential ? 75.00 150.- 2
i Each manufactured or modular
' •w ■ _ , ' dwelling, service and/or feeder at. -- Services or feeders n, alteration, a
tmtalletio alteretto and/or relocation
ea'r ' 4. ► . • -. ' f-. is_ f PAT 20o amps or Tess
. • I ( r , : 7.11 ; 1 ' ■ rr i � j, I 201 amps to 400 amps 106.85 80.$v 2
Name: EtA( Eu I E t.�GTR _ -.a 401 amps to 600 amps 160.60 2
601 amps to 1,000 amps 240.60 2
Address: Over 1.00()
amps or volts 454.65 2
City/State/ZIP: Reconnect only 66.85 2
Temporary services or feeders installation, alteration, and/or
relocation
Phone: ( ) Fax: ( )
Owner installation: This installation is being made on property that I own which is not 200 amps or less 66.85 1
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 201 amps to 400 amps 100. 2
Owner signature: 401 amps to 600 amps 133.75
30
Date: Branch circuits - new, 2
� �. w I , - I t1 i . . , -r i - . , alteration, or extension, panel
I,
_= •- .. t ' :;1 16 ,._: 1[.,f, 1. ju Y' �iya r , 1 A. Fee for branch circ with
_ . - � -._,. ,.,� ., n per
Business name: -
branch circuit i2 6.65 4 serv i ce or feeder fee, each
ti 2
Contact name: B. Fee for branch circuits
without service or feeder fee,
Address: each branch circuit 46.85 2
Each add'l branch circuit 6.65 2
City/State/ZIP: Miscellaneous (service or feeder not included)
Phone: ( ) Fax:: ( ) Pump or irrigation circle 53.40
2
E -mail: Sign or outline lighting 53.40 2
, ' il t t I r 1 , i t� '� - 7„ ; , , ,,7.7. - ` :. r - Signal circuit(s) or limited-
_. ,...._. a , �,
s,l ,, < .. _..:.. � . I , � " „ r i energy panel, alteration, or
Business name: NEW TECH ELECTRIC, INC exteasion. Describe Paget 2
Address: 20811 NW CORNELL RD STE 400 Each additional inspection over allowable in
any of the above
Per City /State/ZlP:. HILLSBORO OR 97124 i on 62.50
Investigation per hour a hr coin) 62.50
Phone: ( ) 503.648.1900 Fax: ( ) 503.648.3131 Industrial plant per hour 73 75
CCB Lic.. 41868 Electrical Lic.. 26-418C Suprv. Lic.: 3849S { -a L :. ii:`` 1_1.,ZI.:i1-arc' .;:i: Z,. �r k:J , "1 :',t ,. ` :'<
!u
Subtotal s)- it?
Suprv. Electrician signature, required: 1 -, , Plan review (25'%of -
permitfee)
Print name: PHIL HANSOkT Date: � - 0 - 5 Sta te surcharge (8% of permit fee) 214 -'
Authorized signature: TOTAL PERMIT FEE 3,44 q
This permit application expires it a permit is not obtained within 180
Print name: Date: days after it has been accepted as complete
i:lBeildiag AB�- PuadtApp•dac 1y03 •• N tr owod.nE lnd Service. Board
aao•estmtouvconvwE
CITY OF TIGARD ,
BUILDING DIVISION r . ' PERMIT #: ELC2005.00422
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/17 /2005
Phone: (503) 639-4171 7/4 , ti; lol l
Inspection Requests (24 Hrs.): (503) 639 - 4175:_..
INSPECTION WO' SHEET FOR DATE: 9/7/2005 TIME: 7:08AM PAGE: 104
SITE ADDRESS: 139 ; SW 72ND AVE CLASS OF WORK:
SUBDIVISION: SALE REEWAY SUBDIVISION LOT #: TYPE OF USE:
PROJECT NAME: NEW TES, ELECTRIC
DESCRIPTION: New panel, 2) branch circuits, limited energy for security & data.
OWNER: TARKIAINEN, R NO J A AND, PHONE #:
CONTRACTOR: NEVV TECH ELEC • IC PHONE #: 503.648 -1900
Inspection Request Scheduled For: Date: 9/7/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
A , +r' ° ,• t•� i.i . , - 015049 -01 503. 849.0116 Y
a •''s /Comments /Instructs• • :
G6 6 E.T\M t") )-' / l 1° VI v\
1 1
`-------- J
l
pi PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
1 ' ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G - 1•1 O( L Date: C I -n • O Phone #: (503) 718-