Permit - CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00179
mt��
DEVELOPMENT M T SERVICES CES 503 - 639 - 4171 DATE ISSUED: 3/25/2005
PARCEL: 2S11200-12600
SITE ADDRESS: 16068 SW 77TH TERR ZONING: R - 12
SUBDIVISION: HAMBACH GROVE LOT : 024 JURISDICTION: TIG
Project Description: 200amp service to trailer
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/ FOR: 601 +amps - 1000 volts: MINOR LABEL (10):
SERVICE /FEEDER BRANCH CIRCUITS ADD'L INSPECTIONS
0 - 200 amp: 1 W /SERVICE OR FEEDER: 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:
LEGEND HOMES GARNER ELECTRIC
12755 S W 6 9TH 2920 S W 24 7TH AVE #A
SUITE 100 HILLSBORO, OR 97123
PORTLAND, OR 97223
Phone: 503 - 620 -8080 Phone: 503 - 591 -1320
FEES Reg #: LIC 121159
SUP 3707S
Description Date Amount ELE 34 - 305C
[ELPRMT] ELC Permit 3/25/2005 $80.30
[TAX] 8% State Surcharge 3/25/2005 $6.42 REQUIRED ITEMS AND REPORTS
Total $86.72
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 1:>.R 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 :00 -332 -2 .44.
Issued By: A I-4-4 a _ Permittee Signature: 6•y-\ ' C'
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. ELECN: 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 ELEZTLI . '4Cn Ill er
1.... FAX NO. :5036427925 Mar. 23 2005 03:25PM P1
11
ELit.trirhrt ) • FO OFFICE :USE. ONIII,V
.•
• -----
, •
_ •
Cit of Tigard
lte . ,,, ._
5 p emit No
13125 y SW Hall Blvd., Tigard, oR . 97223° ti 2005 fr
plan Revews • - •
Phone: 503.639.4171 Fax:C5pp198‘1,960, . Dirte/ • Other Permit:
Inspection Lino: 503.639.7i Ur I IGARD , ..41:2 II
D ate Ready/D y: .,.......,..,,,
Ittei RI Ste IA:ige 2 for
Internet WWW.Ci.tigarci.ot:ia"LDING DIVISION • Notified/method: . 1 / Supplemental information
..----,- ---
" ' rftgregVairnif IMF dyli Or l' l' 1 . i 'IlEinVelriP,Itilriltril ii.f : 1
, i'• ,,, i ' , 0, • :. 1(;'.';' WI etrepieM.I.., . ----.'
1 liltdifj '■,!,' , , .1 1 4 /i ll i IAS A' L'Ikt, i Iltgt, LS d : ' .■■ ' 0 AL oli , rl 4,, , JP isill0 i i1;,;,,,■s. 'A ig ,fi R.''t' ',.' 1 • 4 ' ■` ■ 1,11 ' A .•• 4 m ^,'''', flair' ;'- ''I''' '
El New construction El Addition/alteration/replacement Please check all that apply:
0 DetnOliii on • P Other: , OServiee over 225 amps, corrurt'l El Hazardous location
, 1:1Service OVCT 32011.MpS - rating pfluildrig over 10,000 sq. ft„
0172118111,2,M.Iffbitingsfsigi ii,F 1 !,1 1111 ili 15 1 1 i linliltisklIAI of 1- and 2-family dwellings .
4 or more now residential
0 1- and 2 dwelling 0 Comrnercialiindustrial 0 Accessory building 1:1System over 600 volts nominal units in one structure
El .family • 0 Master builder P. thor: irdn CIBuilding over three StOries ['Feeders, 400 amps or ma
lvlulti re
0 Occupain load over 99 persons OManufactured structures or
lr fetrEal P ER I V1,17 MM INTEr i Inarignii'7
Pr 1 4 li,' 'I. , 1 tr ' , IP t, i:.... .1 Illi'li.41,Ye ;14,41,fiselitaituis o 1 ' !L J ' r M , rk . , L V II ' 17 _ ' I ■1 ' i %. 4 12 Egress/lighting pltm RV park
Job no.: Job site address: 1 (O( es 1 irie , ElHealth facility 00ther:
•
- - ... -. • - - r - Submit 2, sets of plans with any of the a6ove.
City/State/ZIP: '1 c a. :( .7 .
The above arc not applicable to temporary construction service,
_____ •
. -7------ '11, IIEEMEMIONIrig.''',.:Sir.7, ',1„.:1;.••7*. ..':.: ..':''''.'. ;
. -
Suite/bldglapt. no Project name:
..... Description Qty, P.
Cross streetklirections to job site: .- New residential single- or multi-family dwelling unit.
-_______.-__ Includes attached garage,
. . 1,000 sq, ft, or less 145.15 4
"7 . ......... ......--.. . - ....--,... ...---
SiVigiOn: lj:ZA ja . \ 0) j_.)Z.......,. Lot no.: Ea. addi 5011 sq. ft. or portion 33,40 _ 1
" Limited energy, residential 75.00 2
Tax map/parcel no.: .. . -
. Limited energy, non-residetitial 75.00 2
far I 141 CiELIZEUITIBEINne : '. girr:ILir,':'; ti Each manufactured or modular •
•
ti1.5 . („) C -OM
‘ v
. 1 " dwelling, servioc and/or feeder 90.90 2
4 t.
'
: , ' Services or feeders lastallatlon, alteration, nod/Or relocation
-
•
200 amps or less I 80.30 gip. 30 2
P lit it. r iii7.41 : FAMVITML 'Ilffi 1; 'i PI ', :i '4.,: . .11.'ETWW494, likq .i;,,... A p125 201 amps to 400 amps . _ 106.85 2
, .,,,,-, , 6 71gt, f 6, rli, , '...: d i ‘:' : ■ ,L. • '.,,, i ! ZanTIIMAZatoriOVIA y!•",,la,L1k11 PIMA 401. amps to 600 amps 160.60 2
Name: L-_ e,v1 d AA • 601 amps to 1/300 amps
240.6C1 2
-_.----
Address: • 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: ( <)' (07A3 _-_-• ( ) . relocation .
Li 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 salc, lease, rent, or exchange,' according to ORS 447, 449, 670, and 701. 401 amps 600 amps 133.75 2
Owner aignature: 771 rrl. ,.._...,_.,_________ sz Date : wil . ,..1 , ....1341chcircuits - new, alteration, or
,
.,;MI Mr' li litairki 64 kb 1 illyspitit .,v, a ftw, ,. ,, . mol : A, ce for branch cii•cults with
,, . 1 ' 1)) ,I , , ,,,,,, ,'ii:n it ,r,■ ; 6' i t 't A,' .' ' r... r.Seir11± , w . 4 . ., ' service or feeder fee, each .
6. ___
65 2
Business name: branch circuit •
B, Fee for branch circuits • • •
Contact name: without servic,c or feeder foe, 46.85 2
each branch circuit
Address: • -
-.- ..--- Each addl branch circuit • 6.65 • 2
......
City/S tate/ZIT : Miscellaneous (service or feeder riot ii eluded)
-- -
_ Pump ar irrigation circle 53.40 2
Phone: ( ) Fax : ( ) ...... _
.. - Sign or outline lighting 53.40 2
-
E-mail: • .
Signal circuit(s) or limited-
. 1. 1. Bigallers I lgatii&V.':A g .1 n 71 1 h• ' en ergY P nnel ' altemtim4 °''
extension. Describ.e: Page 2 • 2
Business name: (... E •o . L, 1_,-e-_, Tr / C.._ _
_
......
Each additional Inspection DVer anovvable in any of the above
Address: z _ - ",7, g 2.... 0 . ,.5 (A ) .:.?_. 9 --/ 4 " A ve:' . -4 A_ .. ..„..
........ __ . per inspection 62,50
---,, ---
City/State/ZIP: Hi ( f 5 l,-,(- OR_ 6 \ - 7 i a' - - ;.. • investigation per hour (l lir min) 62.50 _
Phooc: ( b (A , Lii c Fax 4-- ) (, u .j --)e-`1 24:-S- Industrial plant per hour 73,75
Ir tgeglagtigW"gek-ttE* 1 # 1 6tM. rj:.'e'r•
CC13 Lie.: i - 2 ., 1 1 ,ei jilectrical Lic,:',) . ip„,4 , ie: --- v 7r1 . 7. _ S Subtotal 3 D
i _ i./
i
Suin Electrician sg, equired : _0 . --
Flan review (25% of permit fec) .. c (o• 14 2-
. . .,
_........______ nature r . ,
- State surcharge (171s4 elf permit fee)
Pr
int name: (... ';.1 1"71,.:Li. D
c,„ -
at. 3 • _
___....... ...„ TOTAL PERMIT nE C (T6
Authorizcd signature: .. This permit applicatits7rpepires If a pormiri's not o6tailarid within ISO --
-----. -
' ,-. day ;lifter it has been accepted ali complete
Print name: . • Date: • Fcc methodology set by Tri-Co um Building industry Service Doard
- • • - g'w Number of inspections per permit allowed.
men !Win \PermiszVILC-PermitApp &lc 12.W • . , • 44G-46 i ST( I 0/02/COM/W5B
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2005.00179
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 3/26/2005
Phone: (503) 639 -4171 i �tigii 1 li�IIl t
Inspection Requests (24 Hrs.): (503) 639 -4175 ��!:
INSPECTION WORKSHEET FOR DATE: 4/7/2005 TIME: 7 :14AM PAGE: 102
SITE ADDRESS: 16068 SW 77TH TERR CLASS OF WORK:
SUBDIVISION: HAMBACH GROVE LOT #: 024 TYPE OF USE:
PROJECT NAME: HAMBACK GROVE
DESCRIPTION: 200amp service to trailer
OWNER: LEGEND HOMES, PHONE #: 503 -620 -8080
CONTRACTOR: GARNER ELECTRIC PHONE #: 503 -591 -1320
Inspection Request Scheduled For: Date: 4/7/2005 / Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 003928 -01 503 - 648-4552 Y
i .�r1
Corrections /Comments /Instructions:
7( C— )
•
1K 7
PASS E PARTIAL APPROVAL ❑CANCEL ❑ NO ACCESS
❑ FAIL n ! ' LL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED 1 7 - - 7 " - 0 Inspector:
4 D ate: Phone #: (503) 718-
, • , ,, ,
CITY OF TIGARD . .7 %"- --■
tr......- 4!`■ ' N.
BUILDING DIVISION PERMIT #: EL C2006-00179
13125 SW Hall Blvd., Tigard, OR 97223 _ .
. DATiE ISSUED: 3064'2005
'Phone: (503) 639-4171 411"4411A1#
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 4112005 TIME: 7:10AM PAGE: 87
. - SITE ADDRESS: 160459 SW 77-I TERR CLASS OF WORK:
SUBDIVISION: HAMBAC11 GROVE LOT #: 024 TYPE OF USE:
PROJECT NAME: HAtvlBACK GROVE.
DESCRIPTION: 200arnp selyim to trainer
•
, , ■ OWNER: LEGEND PHONE #: 603- 620-13;0130
„I CONTRACTOR: GARNER ELECTRIC
T PHONE #: 603-591 1320
---...., 6 ca 7 4 1 z I"
. .
Inspection Request Scheduled For: Date: 411/2006 V Pour Time:
Code # Inspection Description Confirm # Contact # Message -
194 Eintricai final • 003477 503 / N
Corrections/Comments/Instructions:
: . .7. -'\, • ._
k'
( (. •.--C___ I
i •
1 •
,
. .„..../
•
Nn 0, fs..0 f,t . A ...L.‘ , A A . 0 I I> r-4-.A. A J...) ■': P* ( i r.. / I do rt "- .
A ...." . -- --
1 : e.-• 4A-ts.—i- `re 0 c - r .1-1 44 n / i1:44)
a ) Ivo 00.40 A di_ 4.., t. : ,C...m...r.. n 4 0 14 .0 4: CI . - ..A j r...10 a I-
I .,
49:1(go - 4,r-A, ; 4 ,■-• (i.' „L.., ,. fr.i. ,,,,,,,..04' )
/ .
N Ili o 4 - I 0 ; 1)( n a (e_r- 1 ,
- - • , c..1 ,
1
0 t) 1 I /2 %41- IA ft• A C! i hi r "1 L- I
\
• Ct.) i t- i
e c 0 ci a, (C).19d ' 41 1,fir:e) a t '' a..„,r ) ' 1 - 1 11
1 -
...
c
. , .
; --
4
1 .
I .
1 PASS 0 PARTIAL APPROVAL II] CANCEL 0 NO ACCESS
FAIL 'CALL FOR INSPECTION 0 ADDITIONAL FEES ASSESSED
.,-- -
Inspector: Ale AA0.1 Date: L-1- -- t. 1 - rl.c - - Phone #: (503) 718-
. . _