Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00308
DEVELOPMENT SERVICES DATE ISSUED: 5/10/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112CA - 13000
SITE ADDRESS: 15566 SW 76TH AVE ZONING: R -
SUBDIVISION: RENAISSANCE WOODS NO. 2 LOT : 054 JURISDICTION: TIG
Project Description: 11 branch circuits.
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: 10 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:
HUTTON, BRIAN D + DEBORAH A RK ELECTRIC INC
15566 SW 76TH AVE 24495 NW OAK DR
TIGARD, OR 97224 HILLSBORO, OR 97124
Phone: 503 - 624 -6761 Phone: 503 - 640 -1344
FEES Reg #: LIC 94275
ELE 34 -375C
Description Date Amount SUP 4724S
[ELPRMT] ELC Permit 5/10/2005 $113.35
[TAX] 8% State Surcharge 5/10 /2005 $9.07 REQUIRED ITEMS AND REPORTS
Total $122.42
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 • '•R 952 - 001 -0010 through 0 952 - 001 -0100. You may obtain copies of these rules or direct questions to OUNC at
503 - 246 -6699 or 1 :10 -33 2344. 4 Issued By: � (,r��( te.A� /7 Permittee Signature: 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.
May 09 05 04:Olp p.3
f A ,
. °, FRiIM : RK Electric•Inc. FAX NO. : 5036401344 May. 09 2005 02:02PM P1
May 09 05 11:26a RECEIVED
Electrical Permit Ap}ylieaiion - • , . a619 MAY 1.0 2005 tl.aed - P e>taitxa: 2
City of Tigard U S
171:5 s W Iidl Blvd., Tigard, Oil. 912 Plan feet • Oran pt lmic
?bona; 503.539.4131 Fax: 503.596.196 ITY OF T I G AP• , 1;�1 I ; n lean : t�^t; J � 81 Sbapagcifor
Int erne : : Earn: 503.639.4175 BUILDING DPW" Y Naufied/Mttbod y ic\ {iupptemtAfallorotmauoe
Interne:: wwW.ci.tigard.o:.ti
TYPE OF WORK { ` PLAN REVIEW _
Those attic all that apply;
I] New construction dibon/shcratioatreylatement pEer ice over 22.1 w po , corses'1 ORmardoi.e location
0 Demolition 0 ()Mar: CSav'ICe over 320 irnrz - :uiag Owl drga 1C,5CC sq. R.,
of 1- and 2dumiy dweIDnat 4 or room no resldential
CATEGORY Or CONSTRUCTION Chaim over 600 trolls nominal �� in one strui7tue
�'f qad 2-family dwelling 0 Cotntaertia!lipdustria? 0 AcccSSOtY building Q Hniiding ov fast stories QRxdeta, 400 amps ar motc
0 Multi•farnily ❑ Master bt1ilder 0 Other: 00eeupan:load over 99 woes ❑b4enufacntrcd suucnitu or
RV park
JOH sus 11SPORMATION AND LOCATION GH u nttp oa [ Other.
kb to.: lob sift address: (il ! Q svt.il ,_ eats of plaza with sly of the above,
7Le above lac am applicable to temporary eanetnaorion aeev to
(:Iryl$18tW7 : 7 t
U SCHEDULE
Suite/bldg./apt. no.: 1 Project name: aomplio. 1 air- 1 t^ not .
Coss atroct/direcu to job sire: 1'rew ruiCentlm Stogie- or mull- ttlndly do/cuing unit.
# Includes 'gumboil prate-
. 1,000 sq. ft. et leas 145.13 ' 4 • En. add'1500 at". ft, or partioa 33.40 ' _ t
Subdivision: Lot no.: Liznie1 cam, residential • 73.00 ■ '
Tax tnap✓por eJ n0.. Limited energy, non-tsaidontial 75.00 2
DF-5CR1TIIOr OF WO» - Eochmanttfscsl1 or :nodular 90.9D 1 I 2
! edr Ca ` dwe�. aorney andlor Ender
K / n (/� 0 (4-- p l j d 9 W Servtms o arrio feeders faatntla cr alteration, and/9r ralooation
t `� t " ' ti � 2AO amps ac lass � ao.3o I_ � 2
IJO✓ Cl «lnLt� 6, QJGSl/v) �ito¢ L � 201 =pa to 106.85 r 2
x lar PROPERTY OWNER ❑ TENANT am tyros ro 60C sates 160.60 'I '-
Gj _ II , _ / t PS ' • 601 toms to 1,000 amps 240.60 : 2
Name ,( f'r'p"'� lb _ - 454.65 2
7 ! over 1,000 amps a volt s
�ddreu: ��j(7 ` j� � !r / ►tee Reeonaect only 66.95 2
City/State/2M �/ 4i' •L/ Temporary cervices or loaders tnuntlatlon..lferation. aadlvr
• 65 1 rotor -860a
. phone: 5o3) 6, ¥ -6 76 i 1 Fax: ( ) 200 amps ct lass 66 ;
' Owaar installation: This icsmliarion is being trade on property that 1 -0w!n which is not 201 soups to 400 =Is 10033 1 1 2
i intended for toic. leas e, runt, or exchange, sccnttlio$ to ORS 447, 349, 00, 4 am a m 400 arms and 701. 1 33.75 1
Clocner eignantre: Ddtt: Drench circuit" - .acv+,atMratoa, or cacuttoa, pct (anus!
CepaviacANT ❑ CONTACT PERSON A. Pm for brlmeh circuits with
service or radar 2a, each 6.65 1 2 WIWI% circuit
Business 11yf11C: 4.0 t>" t, J� f J �'�"' " B. Fee for branch circuits
•
Contact mane: - L O/�r�(' wuAar r awio4 at feeds fen 1 46.65 1;1(2 i 2
,�f�I,�, ' essDhtaacAcncuit
Address; / ?.. 5& ! 17 I Etta ttdd' l och oi : cir=nit , # t7 6.65: / 2
Q2 p L Z_ NLaceilan taus (service or feeder s,ot Included)
City! State /ZTP: G T Z J Q/ �Le] t� / Pump or iti�tion are e ...
53.40 ; 2
Phone: (. 5..a) 709 - 77 .3 Fax :: c f)') Oy/ 7 �t84 51.40 i 2
Sign o: outline lighting
Signal ciuuit(s) of ltrsitad-
E- Trail: energy panel, aneettioa, or 2
CONTRACTOR extension. Dercribc: Pipe 2 i
L:1�c 1 El sines oamc: ' 9\> C- each additional Inspection tune am, sole la any arms above
Addresa: a'r 41 V vv Qe¢i! c, J-e _.. Per iaepeo 62.50
a 4 1� dnnyerbout 6130
tjry /SrawZTp: 1-4116120 tll6bl7 `s7 l / 1-dwtuia per hour 73.T5 t
,Ob Phone: ) ,C(U - 1 Fes: (03) 36'l0 ' c� <3 Etle TIUCAL r> uT 1rE
�
0 CO3 Lt..: 9,-.1 S l Electrical Lie,: " l ;_ Sopr/.Zlc.: to ,)(1 5 Submnl �,�
'J —jam- L4 /0 - r - PUa rcvicw (25°A ofpeartit Ea) er
Suprv. >Electzi ) gin ait�matn -e, required: L GIB � State ct revI we (I % of pcmit fee) q; 01
Print reams l C 0 L, Ki.tt" + 7---- Oat . �= D 1_0.5- TOTAL TE7tvII f FLE (22. ‘-{ Z
Authorized signature: - nit permit appltt►dea esyirs If a pormll 4 net • u■o+d *,ta;o tea
6eya adult hoe bee,' ateepled is mvtplere
} ('Cote: - Fes rr.cdodoleg titby m-C=0 autlAtoe Industry fie-nim8wrd
1 Print t — t •• ranter of Inuncitoos per permit Mooed.
«s.auTUCcos+nvra
i,tBtitti.,flTav�Y�'PoniNaf.dee 110)
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006 -00309
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/10/2005
Phone: (503) 639 -4171 ivitoil �l Inspection Requests (24 Hrs.): (503) 639 -4175 !i
INSPECTION WORKSHEET FOR DATE: 7/13/2005 TIME: 7:10AM PAGE: 9
SITE ADDRESS: 15566 SW 76TH AVE CLASS OF WORK:
SUBDIVISION: RENAISSANCE WOODS NO. 2 LOT #: 054 TYPE OF USE:
PROJECT NAME: HUTTON
DESCRIPTION: 11 branch circuits.
OWNER: HUTTON, BRIAN D + DEBORAH A, PHONE #: 503-624 -6761
CONTRACTOR: RK ELECTRIC INC PHONE #: 503 - 640 -1344
Inspection Request Scheduled For: . Date: 7/13/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 011324 -01 503 - 709 -9323 N
Corrections /Comments /Instructions:
9 C r /
t h2 /C* ? WA / 8 'J W14+ Q � 1 / /� — '
4 6d 4 90- 7 /3 nq / t e h,/ & __
. f(1 /
/�
n PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
K FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: Phone #: (503) 718-
CITY -OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005.00308
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/10/2005
Phone: (503) 639 -4171 4„iarlluy�l1����1
Inspection Requests (24 Hrs.): (503) 639 -4175 t_..
INSPECTION WORKSHEET FOR DATE: 7/22/2005 TIME: 7 :O9AM PAGE: 12
SITE ADDRESS: 15566 SW 76TH AVE CLASS OF WORK:
SUBDIVISION: RENAISSANCE WOODS NO. 2 LOT #: 054 TYPE OF USE:
PROJECT NAME: HUTTON
DESCRIPTION: 11 branch circuits.
OWNER: HUTTON, BRIAN D + DEBORAH A, PHONE #: 503.624 -6761
CONTRAC • RK ELECTRIC INC PHONE #: 503 - 640 -1344
Inspection Request Sche• . led For: Date: 7/22f2005 Pour Time:
Code # Inspection Descr ,tion Confirm # Contact # Message
199 OMMIPI I 14)11z 503 - 708-9323 N
Corrections /Comments /Instructions:
ts■ALMAM, I 1 c l 0 P1514C El it."( usT on) 'Ei4hZi.
rho ' -2--- \
PASS n PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: cZ_ NCSe L Date:? 1 22- O Phone #: (503) 718-124 4 L-
CITY :OF TIGARD ,. . - :, . •
BUILDING DIVISION PERMIT #: ELC211Vp.003:8
13125 SW Hall, Blvd., Tigard, OR 97223 DATE ISSUED: 8f1O/2
Phone: (503) 639 -4171 /" u �n 4p���i il11 1
Inspection Requests (24 Hrs.): (503) 639 -4175
INSPECTION WORKSHEET FOR DATE: 7/22/20Qf TIME: 7;O9AM PAGE: I,'r
SITE ADDR - - : f - t 56 ujN 76:H AVE CLASS OF WORK:
SUBDI . ION: RE:NAi,a3 WOODS N0,1 LOT #: (WA TYPE OF USE:
PROJEC , E: HUTTON
DESCRIP 11 ' 11 Ntr..th r-irrditc,
aWNER: HWTON, BRIAN D + DEBORAH A, PHONE #: 503- 624 -671
CONTACTOR: R( ELECTRIC INC PHONE #: 503. -640-1
P „
Inspecti n Request Scheduled For: Date: 7022 006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
1 .49 3 Ier.t�i~ 1 oiel 011981 -01 ,,- / t�}3- 709.9323 N
i
Correcti ns /Comments /Instructions:
'N) CCU a M I 1 cl I\) AO t� ,V E / CZ. L to ti 'ire _
1 /
vU\ - __.\"\ L1 '2- \
WO KA VLAA 0 Faa— .
________
N, ,c PASS 1 1 PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
�❑ FAIL 1 1 CALL FOR INSPECTION 1 ADDITIONAL FEES ASSESSED
__. Inspector: --, ..,C? ti C'l N L-� Dater 1 7 'L Ii CS -- Phone #: (503) 718 -21414 6 •
1