Permit r t
` r CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00458
i n DEVELOPMENT SERVICES DATE ISSUED: 8/16/2006
i 11 13125 SW Hall Blvd., Tigard, OR 97223 503-639-4171
PARCEL: 2S112CC
SITE ADDRESS: 15662 SW 82ND AVE ZONING: R -12
SUBDIVISION: LANGTREE ESTATES LOT : 051 JURISDICTION: TIG
Project Description: (2) branch circuits for NC & outlet. Job # 51162.
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:
JUDY DAVISON REDS ELECTRIC CO INC
15662 SW 82ND AVE 2002 SE CLINTON ST
TIGARD, OR 97224 PORTLAND, OR 97202 -2245
Phone: 503 - 670 -0851 Contact #: PRI 503 - 233 -6467
FAX 503 - 233 -1281
FEES
Description Date Amount Reg #: ELE 26 -152C
[ELPRMT] ELC Permit 8/16/2006 $53.50 LIC 4443
[TAX] 8% State Surcharge 8/16/2006 $4.28 SUP 5010S
Total $57,78 REQUIRED ITEMS AND REPORTS
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. Q
Issued By: - 277:4)
j Permittee Signature: c e,
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.
,Aug. 16. 2006 9:13AM No. 9343 P. 1
e lectrical Permit Apulicatio tp toR mulct,: I si.: c,.1.,
City of Tigard i & lteoety _ n /7 Pmmit /�' /
13125 SW Hall Blvd., Tigard, OR 9T►a/ d �S D '-' `A " "` ��`�" 7
Phone: 503.639.4171 Pax: 503.598. 960 . 6 "' Plan Review
Other Permit:
Inspection Line: 503.639.4175 P\ ,r 1 IL C R curd:
P -\ \G _ Ready/13y: � See Pa Qe2for
Internet www.ci.tigard.or.us 14 OF O \ Notified/Method: ' (r Supplematal Information
d ''::J •7 c :.ti' `� i e'. �i:^ �"jv' `P'•. i43 CJ0 w ?.•' ' :''''..?‘/WO: •er
r' • .ca tS '4�7 " �+ � e r . ,.. `� g�� :�r. �,�'•��' � •§s;. � }k� �j,,,
'� •J a .s•iJiSi�:r 1 " ; in � ' �5�.! ` L... -� fb'I° ...�1'Y •
� •. � Please chec all that apply:
•�� .�. •. ; .. , .
❑ New construction • d di tion/alteration /re p laeement
❑ Demolition ❑Other ❑ Service over 225 amps, comm'I ❑Hazardous location
t ❑Service over 320 amps - rating OBuildn over 10,000 ft.,
�af�4 <';t :> � � .;r. ` J6N q ��Y � ; i ?'.; of 1 -and 2-family dwellings 8 residential
. h••: _ !•.. ri.. 1 s. Y c gs 4 or more new residential
and 2 - family dwelling ❑ Commercial/industrial ❑ Accessory building • . ❑System over 600 volts nominal units in one structure
❑ Multi - family 13 Master builder CI Other: ❑Building over three stories ❑Feeders, 400 amps or more
DOectpant load over 99 ono ❑ Manufactured structures or
f,'+;:.. y.vgTrw�ti'g�vS`•i S . � sr•![r,+Y•�• � r Y. as! .�� .+ ,�.�� ,,.� � I?�
.., ,'1rTilili, a ;lr��zFS'. I; • ' °. c ' 0 !)' !MMI r �.Q ll . 'Tt •;;�`;i.'Uc ,: ❑Bgress/Iighting plan RV park
Job no.: 57)(da lob site address: 1 5/� SO 0 �v.c 4re ❑ Heal. -care facility ❑Other:
Submit a sets of plans with any of the above.
City /State/ZIP: . The above are not applicable to temporary construction scrvia. \ b :01 Suite/bldg /apt. no.: I Project name: A Or • ig r �t n,Y r i y : i 4 c fi "'°' i s '• :
Description I Qtr. I 11 ". I Torel
Cross street/directions to job site: New residential ehigk- or multi- family dwelling unit.
Includes attached garagc. _ _
1,000 sq. ft. or less 145.15 4
Subdivision: I Lot no 1?a. add'I 500 sq. R. or portion 33.40 1
Limited energy, residential 75.00 2
Tax map /parcel no -
�: ' - � t c- y r3'�a( 1�`S l il' 1 f ! o" r, , i , F "?' �tY Llmlted energy, non-residential 75.00 2
w ;a .o,.,,:. . ,, t,,,te.. �,, t m,� "sir c' �+ ?' � 0,311i - Each manufactured or modular
r 6 U &Veiling, service aizd/oii feedia' _ 90.90 • _ 2
- Services or feeders lnsrallidon, alteration, and/or relocation
200 amps or leas 80.30 2
,i . f P¢ 4 3A , , e ! . rf a IM 7 : •M t i *rte n, ?,� 3 ...^s?�r 7' �Q K . •X y . ' :.g i..ew 47:0 tr.r.. ,,. , :.A?, a'' MA � � r, te 4-' " ": rE v. 1 *565 ' `�ss • 201 amps to 400 amps 106.85 2
:t. " . 401 amps to 600 amps 160.60 2
Name: • 601 s to 1,000 amp ,amps 240.60 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: ( ) I Fax: ( ) relocation • 200 amps or less , 66.85 I 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 sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701.
401 amps to 600 amps 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
4 y .. A ,w
� r•b •i r} 5 4: , , - : 0 ... j ;:f:��k � �tP�V�i !.IF"l t+ r�.'� e, C'- .1 4l A. Fee for branch circuits with
$usiness name:
service or fader fee. each 6.65 2
branchcircuit
B. Fee for branch circuits
Contact name: _ without service or feeder fee, $ 2
Address:
cach branch circuit 1 46.85 yl,•
_Each add'i branch circuit I i 1 6.65 4 . 2
City /State/ZIP: Miscellaneous (service or feeder not included)
Pump or irrigation circle 53.40 2
Phone: ( ) I Fax: ( ) Sign or outline lighting - 53.40 2
E - mail: P f' Signal circuit(s) or limited-
qq + ��,, ,- �. Ta 7 ' ; µ `:r' • r i i •�,, °��,� Y' . h�17. o.. el, aiterati0
S�?r,. z,r
� .�: .O; �' � 0 }���"+d4�n"t "' �tT3'1� n, or
extasion, Describe: Page 2 2
Business Red's Electric Company
Add 2002 SE Clinton Each additional inspection over allowable in any of the above
- Portland, OR 97202 - Pa inspection 62.50
City /Sta (503)233 -6487 Fax (503)233 -1281 Investigation per hour (I hr min) 62.50 •
Phone: ( CCB# 4443 Elec. Lic# 28 -1520 Supry Lic.# 5010 -S Industrial plant per hour 73.75
CCB Lit . %.*;14:2. x r,.' " itUf.#, , iE ` . ,x ' ":0'.!
a Subtotal ` S''3 -
Suprv. Electrician signature, required: 'N Plan review (25% of permit fee) .
4 State surcharge (8% of permit fee) '7 • o ? ?
Prim name: . I Date: • s i -
TOTAY. PERMIT FEE 5 '
Authorized signature: � This permit application erplrrt8 it a permit is not obtained within 180
days after It bat been accepted as complete
Print name: I Date: • Pee methodology set by Tri- Cormty Building Industry Service board
•" Number of in,pptb one per Vomit allowed.
i :\Buildiag‘petmininC- 7ermiiApp.d c rvm 410.46l5rl10/0vcOM/w®
CITY OFTIGARD
BUILDING DIVISION PERMIT #: ELC2006 -00458
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/
Phone: (503) 639 -4171 A cVii
� l l
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' W p:_..
INSPECTION WORKSHEET FOR DATE: 8122/2006 TIME: 7:03AM PAGE: 5&f
4141.4— / L.4.4G,TIZeZ
SITE ADDRESS: 15662 SW 82ND AVE CLASS OF WORK:
SUBDIVISION: LANGTREE ESTATES LOT #: 051 TYPE OF USE:
PROJECT NAME: DAVISON
DESCRIPTION: ( branch circuits for NC & outlet. Job # 51162.
OWNER: DAVISON, JUDY PHONE #: 503-670-0851
CONTRACTOR: REDS ELECTRIC CO INC PHONE #: 503 - 2:33 -rAG7
Inspection Request Scheduled For: Date: 8/22/2006 Pour ' e:
Code # Inspection Description Confirm # Contact # essage fee'' `
199 Electrical final 035343.01 503-774 -0161 Y
Corrections /Comments /Instructions:
Ze AMC' e p.ch44.... it<ic.
I. A/ /7- Z d /-i,, 2 o tir
e- br 7 41-1P FuSC
di"
vv PASS ❑ PARTIAL APPROVAL ❑ CANCEL El NO ACCESS
❑ ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: C.I1' Date: g2z c4 Phone #: (503) 718- .e64
1