Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00205
i�� DEVELOPMENT SERVICES DATE ISSUED: 4/18/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112CB -06200
SITE ADDRESS: 15436 SW 82ND PL ZONING: R -7
SUBDIVISION: ASHFORD OAKS NO. 2 LOT : 076 JURISDICTION: TIG
Project Description: 2 BRANCH CIRCUITS IN LIVING ROOM.
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: WISERVICE 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:
LLOYD, KRISTINE D PARKIN ELECTRIC INC
15436 SW 82ND PL 14001 FIR STREET
TIGARD, OR 97224 OREGON CITY, OR 97045
Phone: 503 - 279 - 5241 Contact #: PRI 503 - 657 - 4958
FAX 503 - 557 -1059
FEES
Description Date Amount Reg #: ELE 34 - 4C
[ELPRMT] ELC Permit 4/18/2006 $53.50 LIC 35151
[TAX] 8% State Surcharge 4/18/2006 $4.28 SUP 4241S
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.
Issued By: ,_5 r L 3Gli1�ilit_, Permiftee Signature: ' G� . CiLIA_,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.
04/17/2006 HON 15:28 FAX 503 557 1059 Parkin Electric -.-.-. City of Tigard ZI001 /002
Electrical Permit Ap.plicat C E I V !: FOR OFFICE USE ONLY
'City of Ti and Received
131SW Hail Blvd., Tigard, OR 97223 , i 6 � DabgBY
Revie / t a D l? DO Pcrrnrit No�i ,L� +QO�.Q
Phone: 503.639.4171 Fax: 503.598.1960 `�, 'r -j a y:
�/ \ . Date/B Other Permit:
Inspection Line: 503.639.4175 " `- ° ' , r l „i Date Ready/By: Jam:' !a See Page 2 for
Internet www c1 d 4 CITY or uS OFT ' I Noufied/Meth c / od: , Supplemental Informat
■
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- ''`'.t%:... _ ,
❑ New construction KAddition/alteration/replacement Please check all that apply:
❑ Demolition ❑Other: ['Service over 225 amps, comm'I 0 Hazardous location
�r 2 �� �r t ! , sr i i y �r �Y� L ��i ti i? ��c N_ _ ['Service over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
.v • 1 ,,,!'., ::i :-! _.._:,---e.',:.=.:>§-',._:::-',..':. c ,: , 5 x , .': o f 1 an 2 -fan dw eilin
1 1- and 2- family dwelling ❑ Conunercial/industrial ❑ Accessory building 4 or more new residential
❑ System over 600 volts nominal units in one structure
['Building over three stories ❑Feeders, 400 amps or more
❑ Multi - family ❑Master builder ❑Other:
�T -, � . ,.-r, � I ' ::I ,. � ['Occupant load over 99 persons
['Manufactured structures or
:- ��'r' i y },. 1� �5�. .1 5 a s` — ..4 f � �! u l7r TG � ii4 6:�yi .�: ❑Egress/lightmgplan RV. park
Job no.: (10D( Job site address: i c 43 b Q) 2 ✓e,� ®)t ❑Health -care facility ['Other _
u Submit 2 sets of plans with any of the above.
City /State/ZIP: The above are not applicable to temporary construction service.
Suite/bldg. /apt. no.: I Project name: _ j t '
'� `c' �` ; ` = ?'": ' ..
Description Qty. Fee. Total
Cross street/directions to job site: New residential single- or multi - family dwelling unit.
• Includes attached garage.
1,000 sq. ft. or less 145.15 4
Subdivision: I L no.: Ea. add'l 500 sq. R or portion 33.40 • 1
• Limited energy, residential 75.00 2
Tax trap /parcel no
i s .,.. f y , i r Limited energy, non - residential 75.00 2
l
.-i . gal: ...�,..._ _ . , _ _ .:.t E.` �..._ :_. " J _ �_ - ,r _ ' 7 ', Each Manufactured or modular
- dwelling, service and/or feeder 90.90 , 2
� `- � ' r `"CC^ �� ( Services or feeders installation, alteration, and/or relocation
t i
' )ex., ry 14 200 amps or less 80.30 2
} � .4 y =g .t ? e - A ^ .5 T ,� i5 , 201 amps to 400 amps 106.85 2
y - dreiit d.rs, __ I 1:. s_f _ -t_ II, 401 a mps to 600 amps 160.60 2
Name: N( PLO .. r a 601 amps to 1,000 amps 240.60 2
Address: �..40 6 Over 1,000 amps or volts 454.65 2 /
City /State/ZIP: Reconnect only 66.85 2�
Temporary services or feeders installation, alteration, and/or
Phone: (7 ) .D.-79 - 6 ..4/ 1 i Fax: ( ) relocation
200 amps or less 66.85 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 snips 133.75 2
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
• 4 e d .r 5, r' .!:
Y i 6 T y ' a [ " / • 'fl i `(. =1 a :: ' ' l'-'I-4.:'. f , t `` ) A. Fee for branch circuits with
a. .. L S ,,_., ;: c, =. _ '. .� . +. ;...; service or feeder fee, each
Business name:
branch circuit 6.65 2
Contact Wattle: B. Fee for branch circuits
without service or feeder fee, 1 46.85 (46.85 2
Address: each branch circuit
Each add'! branch circuit i 6.65 ( .(p( -• 2
City/State /ZIP: Miscellaneous (service or feeder not Included)
Phone: ( ) F ( ) Pump or irrigation circle 53.40 2
I Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) or limited-
energy panel, alteration, or
Parkin bleclric;Ztic. 14uuI til Stleet extension. Describe: Page 2 2
Oregon City, OR 97045 503 657 - 4958 fax: 557 - 1059 _
Contractors License #: 34 . exp. 07 - - Each additional inspection over allowable in any of the above
I Supervisor: 4241 - exp. 07 - - Per inspection 62.50
Contractors Board Reg #: 35151 exp. 10 -12 -08 Investigation per hour (1 hr min) 62.50
Metro # 2416 exp 11 -01 -05 Industrial plant per hour 73.75
Owner: F ..� w ;l;x a nkM... 0.,4;;a ,� _ "" ; °
Subtotal 5 5 - 0
Suprv. Electrician signature, required: Plan review (25% of permit fee)
Print name: Date: State surcharge (8% of permit fee) + i • Z y y �
TOTAL PERMIT FEE s I , -
Authorized signature: This permit application expires if a permit is not obtained within 180
l�
days after tt has been accepted as complete
Print name: P4 a A p4i /4 Date: • Fee methodology set by Tri- County Building Industry Service Board
•• Number of inspections per permit allowed_
is Buitding\Pmnis\ELC "PerneApp.doe 12103 440- 4615T(10 /02/CAMrWEB
•
CITY OF TIGARD
BUILDING DIVISION' " PERMIT #: ELC2(X)6 -00205
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/18/2006
Phone: (503) 639- 4171r9� r.; ?��+�
Inspection Requests (24 Hrs.): (503) 639 -4175 `:_..
INSPECTION WORKSHEET FOR DATE: 515/2006 TIME: 7:10AM PAGE: 61
SITE ADDRESS: 15436 SW 02ND PL CLASS OF WORK:
SUBDIVISION: ASHFORD OAKS NO. 2 LOT #: 076 TYPE OF USE:
PROJECT NAME: LLOYD
DESCRIPTION: 2 BRANCH CIRCUITS IN LIVING ROOM.
OWNER: LLOYD, KRISTINE D, PHONE #: 503.279.541
CONTRACTOR: PARKIN ELECTRIC INC PHONE #: 503-657-4958
Inspection Request Scheduled For: Date: 5/5/2006 Pour Time:
Inspection Description Confirm # Contact # Message
199 Electrical final 029251 -01 503. 966.6151 Y
Corrections /Comments/ Instructions:
4 - 5A ,Ls I AN\
C_.
--
PASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: �� ` ` N LE Date: 6-6-0 b Phone #: (503) 718- .1,43'