Permit C ITY OF. TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00325
Ali DEVELOPMENT SERVICES DATE ISSUED: 6/8/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S104AB -13700
SITE ADDRESS: 12407 SW 133RD AVE ZONING: R -
SUBDIVISION: MORNING HILL NO. 7 LOT : 165 JURISDICTION: TIG
Project Description: Circuit to range, bath floor heat and misc. plugs and lights.
• 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: 3 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:
GRANT YOZAMP FIRST ELECTRIC CO
12407 SW 133RD AVE 19093 S BEAVERCREEK RD #305
TIGARD, OR 97223 OREGON CITY, OR 97045
Phone: 503 - 481 -0240 Contact #: FAX 503 - 632 -7989
PRI 503 - 632 -8373
FEES
Description Date Amount Reg #: ELE 14 -519C
[ELPRMT] ELC Permit 6/8/2006 $60.15 LIC 147966
[TAX] 8% State Surcharge 6/8/2006 $4.81 SUP 1793S
Total $64.96 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: Cl it Permittee Signature: CII/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.
Jun 07 06 01 :53p Mark Lengele 5036327989 p.2
100)7 /, 3Ou5 08.23 F_•..X 5035981960 CITY OF TIGARD wool
, ED
Electrical Penult ADD -,' IV
; ! l : I v! E H 10,1 .,
City of Tigard JUN 7 D /.i=MP _ • - b .•
13125 SW tall )jiver, rgard.OR 9723 2006 0 0 6 t - Omer remit
phone; 503.639.4171 Far 503.598.1960 Li � 8t`
Inspection 0 go Papa far C ITY OF TIGAR r . ,' • 1f 11 Inspection ttc 503639.4175 � •� i- _ �
q wertvai.tiigatd.or^ms BUILDING DIVISION tsoaded aiod 4 _. — Sapplemered lefe.
.a� .— '.'_': r•v, �t ti . . ^ . �.•.•.r-- .. -�...- 't ..
('`�' T . ; �.'r wr:• . 11 `;.. - M�+,� 1 L aY ,�S;iY s`'^ . .. �3 ..:. __-- '�... ... y
�j' „.i`r .v1+,Ga..� _ �.:. �� .',t��!tis7 �•:,L:trr_ _
❑ New etlnstructioa '4 Addiuon/altesalionlreplaccmenc Please chock alltbat apply. I s lomaco l
❑Savice over 225 Imps, Comm 1
Q Demolition ❑ Other: _ CiSrvicr over 320 errs - edits Di3aldog over 10�D00 s9 , 1
• w«. -•, :p�3' 0-54 1Faacr� s..r�.a-_� :”
77: '1 ily dwellings 4 or mote nerrnsidc l
�.�. e a s 4 m .� , . r t.. e. ,• :y. , � •. , "` �i . efE- and.fFam' thin
.ics"�'r�. . _, -,elz :�: „�;�;. .- •. . �..�,.�ar�.�ifl.i�� �s�,� over 600 oohs nominal uoirs in rile saxes
0 ] - and 2 - amy7y dwelling ®Comm erpaUmdusl E Au>rxsorY b�dn€ [Fees, sou or more
QHeildSng eye three Rona
a y Ei Master builder O Other: - ❑t> load over 99 persons ❑Sdrmutfsemted s ro or
y q 4 _ ..,• ..•..., - - .. .,,.- ;�.4. ,• aA!ii t l�v ark
Job tso : A - -- lob sire address � �. ` ; 1 W 13 R S 0 ofphan 6 asy of dieab ve,
City/Stare/ZIP: 1 1 cY cal,` A , c , The aboveare not applicable to sernponey comanebon service.
Suite bldg ept. no.: 1 n: _. _' t......,....1.-...,-.... --
Project or . r... Td
Csoss streeddirections to job site Newreddsatial slaglo- or maltirtatally dwelling oNt.
%dada *melted vane-
1.O00 sq. It or Ices _ 145.15 l j 4
Sllbdivisian:
I Lot no.: P.a. addl 500 s q. A or portion 33.40 1 ,
Limited mart, residential 75.00 2
Tail map/parcel no.: - Limited energy_ em - resl dards, 75.00 2
� ' r �.. . i � _ ! •m-L � •i `���q ' .,•''.� �: . ` . . r....... w,..), t � : i "4s.::,r• . • >. ..1.„,1 Each 1ti4t�u�'eda rn0�918r
a . • dwelling. service and/or feeder 90.90 2
( ( _
l ` C4 vuf\ - v, - h cS/S� �� Ci.SC. Services or feedels Installed" altered" aodror reloeasisra
a y
c co(... , - S - 1� .5 200 amps or teas 3 2
� ; •, , i,., , w •. - .«.0 201 =Ps to 400 =PA 106.85 2
_..�'._; 4 r ,� Fn
�...- _mry �l ��� t� \O .. ... .
evo ..,...:err e•mY•i . ; : ". an to 6 00
..t�kav Napa amps 360 -60 2 -
Warne: ... 601 amps to 1,000 amps _ 240-60 2
Address.. Over 1000 ampser Nobs j 45.4.65 , 2
Rceomneot may 1 66^Z e , 2
City/StatefZ1P: Temporary se:rviree or feeders laeullstioa. allera6Os,.10dlor
relocation
Phone: ( ) I Fax: ( )
200 mops or Iasi 66.313 1
a
Owner iastallelien: This installation is being made on property that I own which is not ' 201 amps wog tarps 100.30 2
intended for salq lease. halt, or exdrarngn, according to ORS 447. 4 49, 670. and 701 401 amps to 600 amps - 133.75 i 2
Owner Si = , -, • . C. Dato: Brawl tireaits -men, 'boredom at bias,. Per pase:I .
fyr " 4 . r ,x'wr =-, ` � ;., 0 , ' = c: •. -. ` :: .., to A betroth Fcefvr betro ekatiess loner 3
:.b_ r.Jrr. . . ^ n rwR€r r�..� S � +IJ "'' service or rt� i i
• � 66.65 � .». 2
Business name: branch circuit
B. Fee for brand, e6omita ff_-
Comer name: wfdroutso+ ice or reeds fee 45.315 /li ?� 2
. cods brands rlrwlt t0
Address; Each 2dd1 branch circa it 6.65 2
Ci1y/Stat /TIP _ Miecefanonas (service or feeder net Iradnded)
Pomp or irri�on circle 1 '53.40 2
Phone: { ) , Pax: ( ) Siva as anthnc lighting , 5140 2
,
E-mail: Signal eirwit(s) w limbed- 1
�r ,.�� , sue.. -„ss : Q�.� ,a - ••• r> i, _.rsa•� '^.r,'z�+v , � �-, ahaaa nn, or
� ' V K`:,e"i.•.r +.l�'1 '.i�'' t� -..;d :'. . A.:.G.`e14Z. ='..� ..'..: r' , , =r' A .. 1': . :x' ;.- C�.., 2
. =� :ana�oa. Dameribe: � Palle2 I
Business nom F.-.1,,-sic E t4C,, Cipm.vo -v '1
q {� 1 A -3 Each adddiossl lespeedoa over oreblc la airy of the army%
Addr iQ J` `� PPu C °Ct?P rZ R A. 1 ' a_ Per inspecdors 6150
GtyfStierdZlP: �C C. ' y '- cti levao�tiae per how (Ibrolio) 62_50 _
CC3) C - 3� . 3 1 (5-;* f � Industrial pima pa lbvr 73_75
t►hOrec FAX: ) + ` �.: ..w..„:,.e ,, r.- 3 ....i.1- . ' ° , __
CCB Lic.: ILFici Electrical I_ie .: (` 5(: s ". Lie.: 1 ` rr S Warm) 60
Sulry. Electrician sigftwarc, minim ��� . � - w Ylm resiaw(2 a
S%otpasit �^'
�'' ► State aadiarre (8% of pa n& fee) 1 4.c C l
prEtltname; e � C—,a ..„4-- -k- - -- -- , : , . TOTA �PER e ✓`
Q. �t
Aittlla laud signature; � Ztir r=enterass• t� � fOe if a permit is s c e mia)da 186
dqs oaten ho tea s a ee.isiprse
{ ' fk 1` ,/ -- .. FinaeINO4 10arAeslrl7d.0aeny d°6 YSordOZBtowd
Print name: 1 1 t1 "_ ` '1\�'j w �'� li er of iossoeiw per peewit allowed.
in®rWmfTecmi 3.0 AmlND9me i2h53 ��••33 sawsu3CSa nrCOMMEI3
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC -00325
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 61812005
Phone: (503) 639-4171 : 8411 19 1 , l�u 8���'�
Inspection Requests (24 Hrs.): (503) 639 -4175 _. -..
INSPECTION WORKSHEET FOR DATE: 7120 TIME: 7 : 04 AM PAGE: 38
SITE ADDRESS: 12407 SW 133RD AVE CLASS OF WORK:
SUBDIVISION: MORNING HILL NO. 7 LOT #: 165 TYPE OF USE:
PROJECT NAME: YOZAMP
DESCRIPTION: Circuit to range, bath floor heat and misc. plugs and lights. 7/19/2008 add (1) branch circuit.
OWNER: YOZAMP, GRANT PHONE #: 503 -461 -0240
CONTRACTOR: FIRST ELECTRIC CO PHONE #: 503-632'8373
Inspection Request Scheduled For: Date: 7 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 033395 -01 503-780-5500 Y
Corrections /Comments /In ruc . ons: 4 1'8J" OZYo
i t
Z e = bu 7 % ' 4% ihfr cn e/Ce
o
K PASS I I PARTIAL APPROVAL ❑ CANCEL n NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: eGr{ / Date: 720 � Phone #: (503) 718-
CITY OF TIGARD
BUILDING DIVISION ,. PERMIT #: E.LC2006•00325
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/8/2006
Phone: (503) 639 -4171 . u ' , i pl i , k
Inspection Requests (24 Hrs.): (503) 639 -4175 �' IL
INSPECTION WORKSHEET FOR DATE: 7/18/2006 TIME: 7 :03AM PAGE: ' 58
SITE ADDRESS: 12407 SW 133RD AVE CLASS OF WORK:
SUBDIVISION: MORNING HILL NO. 7 LOT #: 165 TYPE OF USE:
PROJECT NAME: VOZAMP
DESCRIPTION: Circuit to range, bath floor heat and mist;. plugs and lights.
OWNER: YOZAMP, GRANT PHONE #: 503 - 481 -0240
CONTRACTOR: FIRST ELECTRIC CO h'1. I_ 4 93 7g goo PHONE #: 503- 632 -8373
Inspection Request Scheduled For: Date: 7/18/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 033225.01 503- 481 -0240 Y
6
03 it a 2#4.,
Corrections/Comments/Instructions:
III I — I ' 1; i A .5 ■ I /
,
4,1y �f�/, .1` ..'�. , .. f D 1
•
1 PASS I 1 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FAIL ALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
4 1 ' 0
Inspector: 1 , Date: , / 0 Phone #: (503) 718 -, 97