Permit l ` ELECTRICAL PERMIT
CITY OF TIGARD
PERMIT #: ELC2007 -00605
RI
COMMUNITY DEVELOPMENT DATE ISSUED: 8/29/2007
TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171
PARCEL: 2S 111 CB -00300
SITE ADDRESS: 14875 SW 103RD AVE ZONING: R -3.5
SUBDIVISION: DEL MONTE SUBDIVISION LOT : 002 JURISDICTION: TIG
PROJECT: ZI NDA
Project Description: Change panel.
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: SIGNAUPANEL:
MANF HM/ SVC/ FDR: 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:
ZINDA, TODD M WINNER ELECTRIC INC
14875 SW 103RD AVE 5950 SW PROSPERITY PK
' TIGARD, OR 97224 TUALATIN, OR 97062
Phone: Contact #: PRI 503 - 638 -5028
FAX 503 - 638 -4242
FEES
• Description Date Amount Reg #: ELF 34 -150C
IELPRMT] ELC Permit 8/29/2007 $80.30 LIC 14794
[TAX] 8% State Surcharge 8/29/2007 $6.42 SUP 2825S
Total $86.72 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. may obtain copies of these rules or direct questions to OUNC at 503.246.6699 or 1.800.332.2344.
Issued By: / /1j ' � � ✓�w Permittee Signature:
OWNER INSTALLATION N
AT 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.
;2%, , . Olt /2004 09 : 38 FAX 5035981 960 CITY OF TIGARD Z 001
„
Electrical Permit AppIR
art9IIVE1) • FOR OFFICE USE ONLY
City of Tigard •
AUG 2 9 ZOO/ •
Received 9 IN d e p No. e_ ZOO 0 0 400
Datc/B : C..) rigrAIOE •
13125 SW Hall Blvd., Tigard, OR 97223 Plan Review
Phone: 503.6394171 Fax: 503.598.1960 crryovr. .., /1 2, 417,1 7 /1(1 , i , Date/B : Other Permit;
Inspection Line: 503.639.4175 0 ' i
_AA* , .. - 41 I ' Date Ready/13y: El See Page 2 for
BUILttiNG ' • -',. '7 ---
Internet: www.ei.tigard.or.us 4 Notified/Method: IlliM Supplemental information
1 .;: : Th j'1■;i11 i i, , 7 .:• ..•;.:.. ,.., ... •
0 New construction Di/Addition/alteration/replacement Please check all that apply:
EISCrvice over 225 amps, comm'l DHazardous location
0 Demolition El Other: DService over 320 amps - rating ODuildng over 10,000 sq, ft.,
,..:01:1;141)1!ili'ig ' of l - and 2 dwellings 4 or more new residential
1 - and 2-family dwelling 0 Commercial/industrial 0 Accessory building
g
Multi 0 Master builder Building over thrcc stories Fccdcrs, 400 amps or more
lder 0 Other: ' OSystem over 600 volts nominal units in one structure
D El
COccupant load over 99 persons I:Manufactured structures or
ii ' s ': DEgressAightil Plan RV park
I:Health-care facility DOther:
Job no.: Job site address: i qy 71 si„...) / D.3 Arc Submit jsets of plans with any of the above.
City/State/ZIP: Tii fP1 ac) Ort• q--Idif The above are not applicable to temporary construction service.
1 Ilii l'ilii ': •iY•' ' ' l • :‘. ' : H ....:1:::',..,
Suite/bldg./apt. no.: Project name: 0 . 8 /,•,
Description I Qry. I Pee. j Totni ..
Cross street/directions to job site: C10__(U 4 11031 1-3 New residential single- or multi-family dwelling unit.
Includes attached garage.
-
1,000 sq. ft. or less 145.15 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33.40 1 .
Limited energy, residential 75.00 2
Tax map/parcel no.: . . Limited energy, nonresidential 75,00 2
.•':l 1 .. • •:' ' . Each -ae.. inanufacturcd or modular --- .
dwelling, service and/or feeder 90.90 2
N AN43-4- PV -$ . '" Al6-14 " &-elA /414fr Services or feeders installation. alteration, and/or relocation
gtill IA 4 44 . 4 - A N d 6-4-C .7 Ateo giiiZ,'L- 200 amps or less 1 80.30 f , fo 2
,.:
..:
... ' ci::• ..: .. : . i iniffiH,,i1,1 201 amps to 400 amps 106.85 2
;;; i:ii.;• :i:'.?i , .„..;„: ,.....;...:..A, ,.„1.•! . . • • !I .;:!.:••;.■!::•;, •:".1:.;:!: • i , i ii ::!■••'..• , , " •• , :. . im/., • • • , : i! hsod ! 1
-7" • "_" -
Name: . • 601 amps to 1,000 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 •
• - -. relocation
Phone: ( ) Fax: ( )
200 amps or less 66.85 . I
Owner installation: This installation is being made on property that I own which is not 20] amps 10 400 amps 100.30 2 '
intended for sale, lease, rent, or exchange, according to ORS 447, 449, 670, and 701. 401 amps 10 600 amps 133.75 2 _
Owner signature: Date: Branch circuits - new, alteration, or extension, per panel
:, ,...... k':.:1!fifi!ii':Ii!Ili I '' ..'. .''' :: A. lee fir obTrTiccehriercirefeuel.tseawchitA 6.65 2
Business name: L( 4g branch circuit -
B. Fee for branch circuits
Contact name: without service or feeder fee, 46.85 2
each branch circuit
Address:
Each addl branch circuit _ 6.65_1
City/State/ZIP: Miscellaneous (service or feeder not Included)
Pump or irrigation circle 53,40 2
Phone: ( ) Fax: : ( ) .. -. -
Sign or outline lighting 53,40 2
- .
E Signal circuit(s) or limited-
'IR;p:.:.•':'.1: ■ .Illi.i ' .1ji•il'il . '•. : ''.. 1 . .:. 1 .::::: - .."i..: '.'::J ': ' 6ner AY. panel' alteration' or
extension. Describe: Page 2 2
Business name: 101 fu
Address: 5 .5 fiZoc Peg-; thl P42.4 ec) c
Eah additional inspection over allowable in any of the above
Per inspection 62.50
City/State/ZIP: Matti -/ 1 a c 7067- Investigation per hour (1 hr Min) - 62,50
w
Phone: (5 ) 63 8 60 Z Fax: (6 ) 63g Li d,4.44 Industrial plant per hour 73.75
';''!,'•:','ELOTRIICIALl.'PER.141T:FEES'`..' ..
COB Lie.: f 7 ,•. Electrical Lic.:3,./..,/0 Suprv. Lie.: a g,a 6 s . Subtotal 5‘0, So
.
Suprv. Electrician signature, required: ,
. , f k I. I I Plan review (25% of permit fee)
_
1
Print name: Q le
,. „A Date: •
Q ..., gi _ 0 7 State surcharge (8% of permit fee) 6 , _11'2_ -
TOTAL PERMIT FEE it 6 .
Authorized sign rc: t (.) 01 j Thiel permit application expires if a permit is not obtained within 180
days after it hill been accepted as complete
Print name! Nktiii, t,Jr4 `A Date: T- a - .67 • Fee methodology set by Tri-County Building Industry Service Beard
"Number of inspections per permit allowed.
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007- 00505
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/29/2007
Phone: (503) 639 -4171 !q @Ip; IC
Inspection Requests (24 Hrs.): (503) 639 -4175 ,,,,,13-
..' 1
INSPECTION WORKSHEET FOR DATE: 9/712007 TIME: 7 :00AM PAGE: 24
SITE ADDRESS: 14875 SW 103RD AVE CLASS OF WORK:
SUBDIVISION: DEL MONTE-SUBDIVISION LOT #: 002 TYPE OF USE:
PROJECT NAME: ZINDA
DESCRIPTION: Change panel.
OWNER: .LINDA, TODD M, PHONE #:
CONTRACTOR: WINNER ELECTRIC INC PHONE #: 503 -5028 ,
. Inspection Request Scheduled For: Date: 9/7/2007 Pour Time:
Code # Inspection Description Con I Contact # Message
115 Electrical service 055331 -01 503 -638 -5028 N
Corrections /Comments /Instructions:
N t""ir kv.b) . .
n PASS ❑ PARTIAL APPROVAL XCANCEL ❑ NO ACCESS
•
FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: G be Date: Phone #: (503) 718- 2i LI L
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2007- 00606
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 8/2912007
Phone: (503) 639 -4171
Inspection Requests (24 Hrs.): (503) 639 -4175 ' ..
INSPECTION WORKSHEET FOR DATE: 9/13/2007 TIME: 7 :01AM PAGE: 64
SITE ADDRESS: 14875 SW 103RD AVE CLASS OF WORK:
SUBDIVISION: DEL MONTE SUBDIVISION LOT #: 002 TYPE OF USE:
PROJECT NAME: ZINDA
DESCRIPTION: Change panel.
OWNER: ZINDA, TODD M, PHONE #:
CONTRACTOR: WINNER ELECTRIC INC PHONE #: 603- 638 -5028
Inspection Request Scheduled For: Date: 9/13/2007 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 055614 -01 . 503- 638 -5028 V
/rTF
Corrections /Comments /Instructions:
t / w' ran - HPAD i/Jw-
PASS PARTIAL APPROVAL n CANCEL I I NO ACCESS
FAIL ❑ CALL FOR INSPECTION I I ADDITIONAL FEES ASSESSED
Inspector: c' "Hk Date: / Phone #: (503) 718-