Loading...
Permit CITY O F T I C.. R D ELECTRICAL PERMIT �" PERMIT #: ELC2007 -00326 ' , COMMUNITY DEVELOPMENT DATE ISSUED: 5/11/2007 TIGARD 13125 SW Hall Blvd., Tigard, OR 97223 503.639.4171 PARCEL: 2S109AC - 03400 SITE ADDRESS: 13426 SW ANGUS CT ZONING: R - SUBDIVISION: WILSON RIDGE LOT: 008 JURISDICTION: TIG PROJECT: NGUYEN Project Description: (1) Branch circuit without service to connect a /c. 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: 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: DUC NGUYEN GRF ELECTRIC 13426 SW ANGUS CT 15460 S PARADISE LN TIGARD, OR 97224 MULINO, OR 97042 Phone: Contact #: PRI 503 - 829 -4146 FAX 503 - 829 -5747 FEES Description Date Amount Reg #: ELE 3 -484C [ELPRMT] ELC Permit 5/11/2007 $46.85 LIC 76751 [TAX] 8% State Surcharge 5/1 1/2007 $3.75 SUP 1655S Total $50.60 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 B • /r/LI 1 i . M . � // Permittee Signature: /+p1 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. May 11 07 08:12a GRF Electric 5038295747 p.1 Electrical Perniit *.pplication FOR OFFIE a-,....;..., C USE ONLY Received I a a i a c . a 0 Electrical __, Date/By: "- 1 1 / 117 - Permit No.: e... I.L.7.0:79 - (1)3 • -i , C' d of Tigard Planning Approval Date/By: Sign Permit No.: 13125 SW Hall Blvd. MW 1 ' 200A Plan Review Other . Tigard, Oregon 97223 Date/By: Permit No.: Hec,x) Phone: 503-639-4171 . . Fax(75;0?11:98-i196011u ‘4,4,001it, Post-Review Land Use Date/By: Case No.: Internet: www.ci.tigard.orAti 7 ..... 1 ., T, .1 0 _, Th.„--44 e • Contact yeisi:, See Page 2 for 24-hour Inspection Reques7:151V,-639417..5. Y• -,. '77 ' ...., /7 Name/Method: 1 Y''' _ Supplemental Information. • . • ;"...,•'• ' ' :.•'''.::-':': ',..-:...";.."'.:::'-';;;Tilk,Et::-OF:W00.K..4-:::tr,:.'''''..'''"'.,i;-...7-1 ..- ..'::%•':::‘•••,PLAN:-12E17.1EW:(Plekis.e'eh'eek ill:that aPPly)';-'' • : :. D New construction ID Demolition 0 Service over 25 amps- 0 Health-care facility commercial Cl Hazardous location 'irAddition/alteration/replacement 0 Other: 0 Service over 320 amps-rating of ID Building over 10,000 square feet, • ' ' --. ' • • ..: ':• CATEGORY OFCCiNSTRUCTR)N • .;,: ...°' ',..••' .• f ' • 1 & 2 family dwellings four or more residential units in En & 2-Family dwelling ID Commercial/Industrial D System over 600 volts nominal one structure D Building over three stories El Feeders, 400 amps or . n Accessory Building 0 Multi-Family • 0 Occupant load over 99 persons 0 Manufactured structures or RV park 0 Master Builder D Other: 0 Egress/lightMg plan 0 Other. JOB SITEANFORNIATION'aif&LOCAT/ON '••'':'•••• :-.' ;::,:-;" Submit sets of plans with any of the above. The above are not applicable to temporary construction service. i Job site address: - -. 4 2--- 6 ' -S 1 -- ) --I'lf-f Lt 1 rx . :..-..,..- ...-:-.:: :-.. . :7: 4 ..,,:... ).:-:',f:FEEI!SCIIEDT.ILE '': -. . • Suite #: Bldg./Apt.#: --1 Number of inspections per permit allowed I Project Naine: • i n) c t A _ i t e...,,,-, r,....iptioi, Qty Fee (to.) Tots! New residential-single or multi-family per Cross street/Directions to jo , b site: dwelling unit. Includes attached garage. Service Included: 10D0 sq. ft. or less 145.15 4 Each additional 500 sq. ft. or portion thereof 33.40 1 Limited energy, residential 75.00 2 Subdivision: I Lot #: Limited energy, non residential 75.00 2 Tax mapkarcel #: Each manufactured home or modular dwelling D.ESCRIPIION:•.0F WORK:i'.. • .:::•.;•il: :':-.-2:-...-;':'. service and/or feeder 90.90 2 Services or feeders - Installation, alteration or relocation: . - 200 amps or less — 80.30 2 / C4/ Cl./1,4- A C---- C>ti lYt iel 201 amps to 400 amps 106.85 2 401 amps to 600 amps 160.60 2 -.. 0 -PRO.PERTV0*.NER jkkA: D. TEN..0.r.r.•:' ' '''.:.;." ::-...,'.;12:'•.' , 601 amps to 1000 amps 240.60 2 Over 1000 amps or volts 454.65 2 , Name: I) /,‘ r ___ (...) 5 IA c _ i ef) Recor_2nect 01 yil • • 66.85 2 Address: i . 3 4, ? .< 1...0 4- /.., tA s (AL • Temporary services or feeders - installation, alteration, or relocation: City/State/Zip: ) i qi , 7- Z-• Li-- 200 amps or less 66.85 201 amps to 400 amps . 100.30 1 i 2 Phone: 35 0 - -- 7 Is Fax: . „,,. . ,.. 401 to 600 amps . 133.75 i 2 0 •APPLICANT.::V , CONTACT-PERSON'' 1 . 4 : 1 ' . 7 : , Branch circuits - new, alteration, or Name: , extension per panel: A. Foe for branch circuits with purchase of Address: service or feeder fee, each branch circuit 6.65 2 i City/ta Ste/Zip: . B. Fee for branch circuits without purchase of Ltte ,--- service or feeder fee, first branch circuit 1 46.85 - Phone: I Fax: : ; Each additional branch circuit 6.65 2 E-mail: Misc.(Service or feeder not included): ;V.q....A.C."3,'''.:0Ye''• •-.. '!':','.:..--':;:...:-..71::,::?' Each s h pp or irilgation circk . 53.40 2 lY,AtONT,RTO.g s ign or outline lighting 53.40 2 Job No: Signal circuit(s) or a limited energy panel. alteration, or extension Page 2 2 Business Name: 6 0 f_f e - ir C. Description: Address: Kli-Lp n S . p.,, r -i, ,., , Each additional inspection over the allowable in any of the above: City/State/Zip: /1/1LA I) 6.: ()(L. 67 - 19 Li ----. ,_ Per inspection per hour (min. 1 hour) 1, 1 62.50 1 Phone: 9)3 - W - Li/ , -,..L fi Fax: 51)3 - 8 Lci - Investigation fee: Other: CCB Lic. #: - 7 kr) g Lic. #: 3- L e Li. C .-.,:.:.i,-.'ii::::.",--i*-.',..,,,,...,:..;,-it:E16:tiltalil'erilileFies,-..t.....;-;,':_7 -:;:::■-'; ..".•::- Supervising electricianD - r-k Subtotal I I u signature required: -..e.,-.\ZCN--)a Gli i I 0 -7 T Plan Review (25% of Perntit Fee) I Print Name: ),4/ ,) ); A,„„.., <— 1 Lic. #: ) L s c -$ State Surcharge (8% of Permit Fee) S _,__2-b-T r '41..1 TOTAL PERMIT FEE S C:21'.' '• Authorized Notice: This permit application expires if a permit is not o b in w Signature: Date: 180 days after It.has been accepted as complete. "Fee methodology set. by Tri-County Building Industry Service Board. . ' (Please print name) i:Osts\Pertnit FonnAEloPenniUkpp.doc 01/03 • CITY OF TIGARD - BUILDING DIVISION PERMIT #: ELC2007 -00326 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/11/2007 Phone: (503) 639- 4171 Inspec Requests (24 Hrs.): (503) 639 -4175 ` :_.. INSPECTION WORKSHEET FOR DATE: 5/15/2007 TIME: 7:00AM PAGE: 52 SITE ADDRESS: 13426 SW ANGUS CT CLASS OF WORK: SUBDIVISION: WILSON RIDGE LOT #: 008 TYPE OF USE: PROJECT NAME: NGUYEN DESCRIPTION: (1) Branch circuit without service to connect a/c. OWNER: NGUYEN, DUG PHONE #: CONTRACTOR: GRF ELECTRIC PHONE #: 503 - 829-4146 Inspection Request Scheduled For: Date: 5/16/2007 Pour Time / Code # Inspection Description Confirm # Contact Messag L ID r 199 Electrical final 040295 -01 765722 2fl Y Corrections /Comments /Instructions: PASS PA''TIAL APPRO • n CANCEL I I NO ACCESS ❑ FAIL AL O' CTION ❑ ADDITIONAL FE S ASSESSED Inspector: Dat CJ #: (503) 718. one CITY OF TIGARD BUILDING DIVISION PERMIT #: ELC2007- 00326 13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 5/11/2007 Phone: (503) 639 -4171 kAlk Inspection Requests (24 Hrs.): (503) 639 -4175 INSPECTION WORKSHEET FOR DATE: 5/14/2007 TIME: 7:01AM Mb 1 I PAGE: 45 SITE ADDRESS: 13426 SW ANGUS CT CLASS OF WORK: SUBDIVISION: WILSON RIDGE LOT #: 008 TYPE OF USE: PROJECT NAME: NGUYEN DESCRIPTION: (1) Branch circuit without service to connect a/c. OWNER: NGUYEN, DUC PHONE #: CONTRACTOR: GRF ELECTRIC PHONE #: 503 -829 -4146 Inspection Request Scheduled For: Date: 5/14/2007 Pour Time: Code # Inspection Description Confirm # Contact # Message 199 Electrical final 048213-01 503-829-4 6 Y Corrections /Comments /Instructions: ` S - 1 4/ Q 1360 FEZ- . / " A mi l ; m F2" 4.4- .5 d ,¢ 4— e s C DArA( e -E, 61, ir . ., ©Q / i► e, J ',4� lrti n P� RTIAL APPROV I 1 CANCEL NO ACCESS O FAIL A L O' • I 1 ADDITIONAL FE ASSESSED eq- Inspector ` _, Date: Phone #: (503) 71