Permit CITY OF TIGARD ELECTRICAL PERMIT
''1 PERMIT #: ELC2006 - 00380
DEVELOPMENT SERVICES DATE ISSUED: 7/11/2006
Alf 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 PARCEL: 2S112CA - 07200
SITE ADDRESS: 07947 SW ASHFORD ST ZONING: R -
SUBDIVISION: ASHFORD OAKS LOT : 026 JURISDICTION: TIG
Project Description: (2) branch circuits for NC & outlet.
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:
GREG BOWEN GRF ELECTRIC
7947 SW ASHFORD ST 15460 SE 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
[TAX] 8% State Surcharge 7/11/2006 $4.28 LIC 76751
[ELPRMT] ELC Permit 7/11/2006 $53.50 SUP 1655S
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: Permittee Signature: P�
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.
Jul 11 06 Grf Electric
.` 503 - 829 -5747 p.1
FOR OFFICE USE ONLY Electrical Permit A a �` ,, f . ,,. Fr Received- )— Electrical .°a
DateB : / 0 Permit No.: • L/ LC-� 6 G) a •
Planning Approval Sign
City Of Tigard Date/By: i'errnitNo.:
13125 SW Hall Blvd. Plan Review Other
11 1 1 ` U Date/By: Permit No.:
Tigard, Oregon 97223 J V Post- Review � Land Use
Phone: 503- 639 -4171 Fax: 503 - 598 -1960 ,�, , i p � Date/By: Land No.:
rafivi ; ®See Page pplemental 2 for
Internet: www.ci.tigard.or.us ��� ' e.i l ��
24 -hour Inspection Request: 503-634140 Contact f./
p t : - .. Name /Method: (/ _ Su Information.
• TYPE-OF WORK..' - . - :• `' . PLAN REVIEW (Please check ill* that. apply) 1 % '
❑ New construction ❑ Demolition ❑ Service over 225 amps- ❑ Health -care facility
commercial ❑ Hazardous location
Addition/alteration/replacement ❑ Other: ❑ Service over 320 amps - rating of ❑ Building over 10,000 square feet,
CATEGORY. OF CONSTRUCTION ' , .. ' 1 & 2 family dwellings four or more residential units in
CI System over 600 volts nominal one structure
1 & 2- Family dwelling CI Commercial/ industrial ❑ Building over three stories ❑ Feeders, 400 amps or more
❑ Accessory Building ❑ Multi-Family ❑ Occupant load over 99 persons ❑ Manufactured structures or RV park
❑ Master Builder 1=I Other:
❑ Egress/lighting plan ❑ Other-
Submit sets of plans with any of the above.
JOB SITE INFORMATION and LOCATION The above are not applicable to temporary construction service.
Job site address: q -� S t.•� Ask .re E 'sGIIEDVLE
Suite #: J Bldg. /Apt. #: Number of Inspections per permit allowed
acriptioa Qty Fee (ca.) Total 1
Project Name: E. New residential- single or multi - family per
Cross street/Directions to job site: dwelling unit. Includes attached garage.
Service Included: 145.15 4
1000 sq. ft. or less
Each additional 500 sq. ft. or portion thereof 33.40 1
Limited energy, residential 75.00 2
Subdivision:
Lot #: Limited energy, non residential 75.00 2
' Tax map /parcel #: Each manufactured home or modular dwelling 90.90 2
service andlor feeder
DIESCRiPTJOI\'..OF WORK: Services or feeders - installation,
y ( .;Y rte, ,f Ac--/ € H-el- alteration or relocation: 80.30 2
f 200 amps or less 2
201 amps to 400 amps - 106.85 85 2
401 amps to 600 amps 260.60 2
601 amps to 1000 amps 454.65 2
PROPERTI' O WNER ' .' , '� TENANT `' . ; :. Over 1000 amps or volts _ .
I Reconnect only 66.85
Name: (j re--4 R Du) i. r .
2
1 q Temporary services or feeders - installation,
Address: "1 C� I W �S i alteration, or relocation:
66.85 1
City /State /Zip: 1. 1 �i 4 4 it T 2-1-3 200 amps or less 2
201 amps to 400 amps 100.30
Phone: to 7 F ax' 401 to 600 amps 133.75 2
' '
[];APPLICAN ❑ CONTACT'PE -
Branch circuits- new, alteration, or
extension per panel:
Name: A. Fee for branch circuits with purchase of 2
Address:
service or feeder fee, each branch circuit 6.65 •
B. Fee for branch circuits without purchase of € 46.85 ch 2
City /State /Zip: - service or feeder fee, first branch circuit
Phone: [Fax:
Each additionai branch circuit ,_ 6.65 1 i w r.--* 2
E -mail: Each pu OT i gait cycle 53
feeder included): : 2
cle 53 40
.., - • " . 40 . 2
-.7 . !' "• r ^ ".': ..'.!CONTRACTOR::: ; Each sign or outline i c c
. • Signal circuit(s) or a limited energy panel, 2
Jab No: alteration, or extension Page 2
Business Name: e iLE 0 e. e..-1-r-1- C - Description:
Address: ' ckf-1 , n S , Pk ro d.,(4/ Le) 1 ' Each additional inspection over the allowable In any of the above:
City /State/Zip: /1/� �3 ' u �W � �} / 1r 1 Othe A ' t � - O q 0 Li - Z Per inspection per hour (min. 1 hour) I 62.50 1 I
E
Phone: Fax: 553 ut s ?`t' / Other: Investigation fee:
.,
CCB Lie. #: - 7 i S Lic. #: 3 - `f e tf C- ;. `:- Eleetiical;Peririlt Fees?' , ' ' ' .
Supervising electrician l Subtotal S 3 : SC
signature required: w ' �� 7 / ) J iOG Plan Review (25% of Permit Fee) $
State Surcharge (8% of Permit Fee) S -�
Print Name: W , � 1; t i. -% ) 5 \ 1 l Lie #: i t 5 TOTAL PERMIT FEE , s LSD
Authorized Notice: This permit application expires if a permit is not obtained
Date: 180 days after it.bas been accepted as complete.
Signature: *Fee methodology set by Tri- County Building Industry Service Board.
(Please print name)
i :\Dsts\Permit Forms\ElcPermitApp•doc 01/03
CITY OF TIGARD
BUILDING DIVISION " PERMIT #: ELC2006-003
13125 SW Hall Blvd., Tigard, OR 97223 D ATE ISSUED: 7/11/2006
Phone: (503) 639 -4171
A 1p __
INSPECTION WORKSHEET FOR DATE: A0/19/2006 TIME: 7 :02AM PAGE: 82'
SITE ADDRESS: 07947 SW ASHFORD ST CLASS OF WORK:
SUBDIVISION: ASHFORD OAKS LOT #: 026 TYPE OF USE: I
PROJECT NAME:
BOWEN
DESCRIPTION: (2) branch circuits for A/C &outlet.
OWNER: BOWEN, GREG PHONE #: '
CONTRACTOR: GRF ELECTRIC PHONE #: 503 -829 -4146 '
Inspection Request Scheduled For: Date: 10/19 /2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 038421 -01 503-647-5808 Y
Corrections /Comments /Instructions:
4/6 . Nie-- 0 _ Pil 1 /, 4-IA e ,
--------
•
AID
PASS PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
FA L I I CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: ---/-'LP Date: io ///,‘ Phone #: (503) 718-
_ .,.. .