Loading...
Permit r CITY OF TIGARD ELECTRICAL RESTRICTED ENERGY PERMIT COMMUNITY DEVELOPMENT PERMIT #: ELR2006 -00302 TI GARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 DATE ISSUED: 12/8/2006 PARCEL: 2S 1128 D -05600 SITE ADDRESS: 15083 SW 79TH AVE ZONING: R -4.5 SUBDIVISION: MEUSCH PARTITION LOT: 001 JURISDICTION: TIG Project Description: All encompassing low voltage. A. RESIDENTIAL B. COMMERCIAL AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING: BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT: GARAGE OPENER: CLOCK: MEDICAL: HVAC: DATA/TELE COMM: NURSE CALLS: VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE: OTHER: ALL ENCOMP : X HVAC: PROTECTIVE SIGNAL: INSTRUMENTATION: OTHER: : TOTAL # OF SYSTEMS: Owner: Contractor: TERRY & NORMA POTTER NORTHSIDE ELECTRIC 12292 SW 79TH AVE PO BOX 12323 TIGARD, OR 97224 SALEM, OR 97309 Phone: Contact #: PRI 503 -585 -4879 FAX 503- 364 -0248 FEES Reg #: ELE 24 - 14C LIC 80593 Description Date Amount SUP 1877S [ELPRMT] ELR Permit 12/8/2006 $75.00 [TAX] 8% State Surchart 12/8/2006 $6.00 REQUIRED ITEMS AND REPORTS Total $81.00 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 wo 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 issuspnded for moreth ,n 180 days. ATTENTION: Oregon law requires you to follow rules adopted by the Oregon Utility Notification Center. Those/rules are set forth im0 2- 001 -0010 through OAR 952 -001 -0100. You may obtain copies of these rules or direct questions to OUNC at 503. / 6.6699 or 1.800.3 .2344. Issu d By: /�A /) j $ Permittee Signature. ' - .1' i �iC''. � /.i= _ — 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. • 12/08/2006 14:27 FAX 503 3640248 NORTHSIDE ELECTRIC 1 j002 }E [ectl ical Permit ApOcEtion. FOR OFFICE US1L ONLY �/�, / , C ` f --- Received / t n,_�� Permit No.: yy`GC /f!> ' 6 f 5 W u J 3iv d _ DatetB /` 3 25 SW I3till B1vd., Tigard, OR 97223 Plan Review' r \ 1't Inc: 503.639.4171 Fax: 503.598•1960 Ay{u10 (Abe Permit; '. 1 n oection Line: 503.639.4175 _ca. ' E l f +h" !•ir ' /1' Date Ready /toy: Iuri,- ® See Page 2 for . , rum: www.ci.ilgaril.or.us Notiferl/M'edwh i - Supplemental Information ,- n.. .., ,a..•.. a.: . �:..: '. �.:,, r E ,, ...:,Lr F ,,.,hl: lrl ' +h I;! fi�!g: t "7jr,}: =(f +`'�b . ... . , . •, .,, m ..... i.-;..o,. ....,.i. . �. i .. ,,,� Fn..iJ ,,, .,. � 41. ai.,; ..,,e. ,., ,,._l ..1 .I... ..h. •d, r • n. ,,. n, ,�,� 1 "r�l q.. .a. .,L, , ,. 1�.. ,�.e.,�.,.. - .I.': 1.,, 'til2V .. "��; 4,,.1,1.. ..b. ..L. 'd'91 .�. I •al� i ,��,��.�. , 1 4• ,. .. t• X 11 tl ; i,+ :,i I „ .. „ +, , ". . ^.. ..,, : Yi n �. . 4,C,. - J , :: � ..., ' 1.,n - , L, ,1, a •N ,� , I. ,.... ,I .� • ,�,. ` ` ..w .q.l.:�ar:.r.�.. � ..:.L,.4.ra�lt.l�, h,.i...l•II, U, !h•un.0 d., y „,,. � )1 a .I �l 1 , la• ,- Q lil.n � wl,a� �:Y:•h�; lljL �J..�. � ti. rl: Ii.k :c�i���I•.. ,a:. �: , i , #.r � . I , , rr . ..$t It ,...�_1 ry ,t " 1 ,Yl;. � �'.��,,. �, �,�(. _.. - ,.I•hy�9.�1 •.,,.16,, ��i..•.r4,,, ;:::, ' .i' ::,. ok RY6ii n11 �.:�:.�1� „ .: ii;.d J. d ., � : �G,: -:,• ...0 e :. � ! ' • New construction C] Addition /alteration /replacement Please cheek all that apply: ❑Service over 225 amps, cunYm'1 ❑13azurdous location c - B uildn ove 1U 000 5 , ft, , ' Otl1r.: amps rating (._ Demolition ['Service tap g 4 ..�. ... �..._._,.. ..,. ,.... ,,�,.ri:. „v�vu,,, •.a,.. R.,I " • "}, �,Li,:,;,;t. 17 W _'N {'J�: lip�, t �5 h�:,�� :) s , u , ,,71'FM;. "S 1. i ] Vk }} � of 1- and 3 1''i� '`!i tl..gi,.l.lil�•iiz,e�y {rl iI' „ � . � ,.,.: uJ�k�Sf" 'duJ:l',I ,�;' &�1t�:k�..'sll'���;$kl�� i:am.il ydwellitt @S 4 or more new residential �IC �� j;S;11�I11:��!il,�s! �,1�1•lu;.,, ,;I� {�� ;L'�i47- , �� 7 �� � ,,,�'.W,o „F.51:, C�� �r',� � f- „�1�,1'�.�, .} i. , � I>� a., c•: 1- and 2 dwelling Accessory ['System over 600 volts nominal units la one structure � y g ❑ Commercial /industrial ❑ Accesso buildin g ❑Building over Three stones OFeedet's, 400 amps or more i- - Multi- ftimily ❑ Master builder ❑ Other: ['Occupant load over 99 persons ©lvlurrufaetured structures ur n ,,,e o-., ,'� . ; �, • ...i :: ^g;:�': "il'; 'I ' , �t ! `iiy;"11 i i.'ka;�''t�'pl'.�'du' RV park • ❑ ;i'' 41 'im ",,... ; , J.w:'1Li1,1?F? .. Ai ... ., mil ddr �8 .; ,,, 1Si,i.,�.,,.t+_ I F]Ic : 1 wit ❑Lgress /li plan +1 � � I,. ,1� � I , ,�- >s u., i o;�? .,�,,I... �r •�,_.r�l,�l.,..,.,��� „>;,�.,a iit:,ltl p;. rr , p ' a: ;�.i.u;a,•��,� @ i H - • s „ t .,. ...., :..•.,, r.�_,......,., ['Other: � C,, calflt•c iuci'lity no „ 21 - -. Job site address: SoZ S(� 1 Submit 2 sets of plans with any of the above. (. y /Statc/ZIP —r Q C5--< The above are not applicable 10 temporary construction service. t � Q�t, .� .. n I ;.. A:3 + 1' � r F SIi�. -''I i ai I' V:. :I- i , �:�.1�• „�.�, I 111��1,. ;tir'�51•. rl 'I ,l,li' °�: — - ,. I i.,. � r��' ��u .� '� ti._f3"il.`, i;�y,��.�,.. , y �u:r,,:x.0 �n.-.I �i "a. Jr....r -f •' ,W.,'1;c.t ..... .........c..,..._ . i•i !te/bldg. /ape. no.: Project: name: C �, I ACA Deeeripdan Qev ` fret I 'Total ._ l )s slreeddirections to job site: New residential single- or multi - family dwelling unit. _ Includes attached garage. _ 1 sq ft, or less _ .• 145.15 Lv. ` 4 i1 odivision: Lot no.: Ea. add'1 500 sq. ft. or portion 3.40 1 - — Limited energy, residential _ ( 75.00 -- 2 C. K map/parcel. no.: Limited energy, non - residential 75.00 2 ::� f- `1 ^.I .., ,: '" U 1Y c:l , lr , 4 , :''O''i'flij:� Ay.,,cu�lfi�,l .`•�S h' I, nrJ; ..— t r ? tis. •'{ � ,. ”' ",? -.,.'' iii' {��y „i , 't J ..,.:I .,i , i d iiz as h m a nuf a c turednrmodula f dwelling, sCrvicc and/or feed I 4 , : a "` 1 .1 . . '1•;a `. ,1 . , + r f , • ,P , , T.)4" .. r„ �t„.., . ,, :' gr,h 1$ ; i.cb:: i. ,, I,E ll „, ,,., ): ;:; ,,1 „1 • : 1 . ,. f ,,. .: �.,,,I,;,a.f,, i'ihr•.,•a.,,,,,.,iii (�u„ k . 2 � feeder 90.90 Ng area tea -- t.,._,L.-.• .v _ Ser'vices or ['ceders installation_ alteration, and/or relocation - - 0-L4_ E,3 x//9.55 d& 200 amps or. less 60.30 2 ,m1 - l c tl/ m; q 4 l 201 amps to 400 anips i.06.85 2 ,r - - � ,,.,r�„r,., - ': : ,. I !'( , ,r � .,r r , •? g � i q , r 1 1 i,' ' °'I "`h 'i � 11' �Iryt '�' �' � -�- :.1 '; 44 :1 . : ; ,� i,!. .,.r� �an y il�f gi rr.,, �r ? r i,A'i5� '� � ,4,. 1 > n :1:;F�:, "'s _ :,' „ „��] it3h” C;? ,N1d,p.I'r,..6:lltl�•IS.. ; rtl 1�1 .:.4.I,l.tz,ll�i:lu.ln,n..11,h 401 am to - 600 amps 160.60 2 '1 me; r- ■.....A.-Cs-r-__S. CO] amps to 1,000 amps 240,60 2 Over 1,000 amps or volts 454.65 2 dress: 2 - Reconnect only 66,85 I2 y /State /ZIP: Temporary services or feeders installation, alteration, and/or - - relocation 1 one: ( ) Fax: { ) 200 amps or less 66.85 1 7 vner installation_ This' installation is being made on property that 1 own which is not 201 amps CO 400 amps - 100.30 2 n ended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps to 600 amps _ 2 2 vncr signature: Date: Brandi circuits - new, alteration, or extension, per panel nn '. 1 t I;k :Ga !,: ' . ,, , ,� a�:,�, „ r1 ,� ..:.. ,Pii� l ".11 =;��!'�,I:!' i A. Fee far branch 61°14" with u' :"t1 „> k., =..i;:I:;' J rJF. .�' U... ' vii, f 1 y 1:; A i, Il{: yhi�. a- ,',tiwl „r �. ;, d'u l�l'!i Y� „• Qfl+.,.` ,,:•, ,,,, :.:. tl'. � 1 cc � ... ., . ,. service ur f ed I`i �! ...�. -'n �� ,���:f •,� � ,.?�?���>�>l:I•..h: ,,, { ,t .. • } •1 .... _1 - �• ,� r. feeder fee, each 6.65 2 3 sines name: , wit— IS • �� e G r, 1)ranch circuit - - B. Foe' for branch circuits • _ intact name without service or feeder fire, 46.85 2 - c b s d'l br ch q 'dress: ;P' Each ad[l'1 branch circuit 6.65 2 2 ty /State /ZIP: ' Th r - . ��F�(N. Q`r -A -c 9 Mlscellnnenus (service ur feeder not included) r Pump or ll'rigatinn circle ^ 53,40 2 P one: 66 ) t5 - 4210 Ft ( _3 3( °� -�� Sigtr or outline fighting 53,40 2 F rttail: Sign circuit (s) mitod- a] ci ( ) orli ;,•. ;,; o ',o ;t . i :,. ,u'r;n: 'F¢ J "a av' i °i`.! *i;�ipl� i!y1,c, (y P anel ' 'Dr ,.qp:: fi pv - i . fV' •:;��µi�' I � 1'i'Wi^.Flni i *Or ; r.• �4 'L.: ^E: rlr!r.IIS.,:: ".�. cncr ,a-: •. +..>ia! F Iti IW�� {h -f!i. IAA,: I>r,��r;, �! n� ,A�r..h �:�.1.' � i >✓{ =Q J .. ' 9 t _I� extens De b . Page 2 2 ltnl - ' Describe: a c � _ (sincss name: –�� ��� r ` '� - "2772._ - Each additional inspection over allowable in any of the above A idress y P er i nspecti.otl _ 62.50 C ty /State/7ZP: r : LE A F C -? L nvcstig Irian per hour (l hr mint 62.50 I _ j � f industrial plant per hour P one: (50 —L -5 Fax: (g3) `"1' �'�'T U Cl�J1Ei;f:i?I , 'a itP . g,j114� :"-''1rliLC;I1Rie:N�'1;�i,., R m,`ll .i n, ,:1': R ;, ' r , .. l�>1! T 'l ri��irl: x'in��i °� C 213 Lic, : (a(�. 1J Electrical Lie.: 24 L C, Suprv. Lic.: 16 -11 Subtotal -- — a 'pry. Electrician signature, required: Flan review (1:5% of permit fee) f State. surcharge ( 8% of permit fee) ? � - znt name: ;�I l� ba te: +Z��o TOTAL PERMIT :FEE g' «"---. P .lthotized signatu : - This permit application explria If a permit is hot obtained within 1811 �� — days after It has been accepted ex complete — 1' int name: Date: • pee methudology set by Tri•County Building Industry Service Board _ •• Nvtnber of inspections per permit allowed. i:13 Odin ,;OPerrmiic\ELc- PemitApp.dt,o 12/03 440 - 46351(10 /02 /CONUNE13 1 -- CITY OF TIGARD BUILDING DIVISION PERMIT #: ELR2006-00302 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 12/812006 Phone: (503) 639-4171 ii i*miqiii, Inspection Requests (24 Hrs.): (503) 639-4175 .4- AL INSPECTION WORKSHEET FOR DATE: 1/1612007 TIME: 7:09AM PAGE: 47 SITE ADDRESS: 15063 SW 79TH AVE CLASS OF WORK: SUBDIVISION: MEUSCH PARTITION LOT #: 001 TYPE OF USE: PROJECT NAME: IVIEUSCH PARTITION DESCRIPTION: All encompassing low voltage. OWNER: POTTER, TERRY & NORIV1A PHONE #: CONTRACTOR: NORTHSIDE ELECTRIC PHONE #: 503-685-4879 I Inspection Request Scheduled For: Date: 1/16/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 135 Low voltage 042134-01 503-585-4879 N Corrections /Comments/ Instructions: A ikl. / c i `..../ i A 1: . Ar.4_ A . v— r 1 — 10 I c P4 PASS 0 PARTIAL APPROVAL n CANCEL 1 1 NO ACCESS I FAIL CALL F R INSPECTION 1 ADDITIONAL FEES ASSESSED Inspector: k. AP Date: I / /6 Phone #: (503) 7184. v v. /