Permit CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2005 -00359
DEVELOPMENT SERVICES DATE ISSUED: 5/27/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S110BC - 06500
SITE ADDRESS: 12345 SW ASPEN RIDGE DR ZONING: R -7
SUBDIVISION: THORNWOOD LOT : 036 JURISDICTION: TIG
Project Description: Installation of NC unit.
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:
FREDYDOON SADIGHI HILLSBORO ELECTRIC
12345 SW ASPEN RIDGE DR 21185 NW EVERGREEN PARKWAY
TIGARD, OR 97224 HILLSBORO, OR 97124
Phone: 503 - 968 - 1234 Phone: 503 - 439 -9666
FEES Reg #: ELE 34 -4399C
Description Date Amount LIC 134481
SUP 4941S
[ELPRMT] ELC Permit 5/27/2005 $46.85
[TAX] 8% State Surcharge 5/27/2005 $3.75 REQUIRED ITEMS AND REPORTS
Total $50.60
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: ..L 4i1)
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.
Fr om : H I LLSBORO ELECTRIC LLC . 5036013680 05/26/2005 08:54 #714 P.002
— - "
,
Electrical Per''* lintian - ) . von 01 Cliit ONLY
City of Tigard
Date/B ; Permit No.: " U a)15"7
13125 SW Hall Blvd., Tigard, cuz ,, er Plan Review
Phone; 503.639.4171 Fa ,3
x: 5bf5913, L960) 2005 4: ,„4 , 4 ,11. Deto/By! Other Permit: .
Inspection Line. 503.639,41(7, I 5 _ • _ AM. 112„, Date Ready/By: ISMI El See Page 7 for
Internet: www.ci,tigard.or.
„il Y OF TIGARD Notified/Method: Supplemental Information
3"4:LL7ANC-; :'vn;qtt-'-7--7—' s ss
. s . TYPE 0 ORK • • • ' • • .. • • . PLAN REVIEW " .1 . • . . " •
• •
1:1 New construction R<ddition/alteration/replaCentent . Please check all that apply: •
DService over 225 amps. comm'I 111Hazardous location •
0 Dentotition 0 Other
• ElService over 320 amps - rating El Buildng over 10,000 sq. ft.,
• CATEGORY OF CONSTRUCTION- .. - • ' '. • -:. • •.:.• of I- and 2-family dwellings 4 Of more new residential
'
/- and 2-family dwelling 0 Commercial/industrial D Accessory building 17ISystem over 600 volts nominal units in onc structure
DBuilding over three stories MFeeders, 400 amps or more
0 Multi-family 0 Master builder D Other:
ElOccupant load over 99 persons DManufactured structures or
.. .. • ... - . . JOB SITE INFORmATION AND LOCATION : • :'... ' - • ' .:.• ' • ;• :..... I:Eganhting plan RV park
01-lealth-care facility 00ther;
Job no.: A Job site address: A. iciel• J. rA 4 6 r ..S4 Submit .1 sets of plans with any of the above.
City/State/ZIP: .4 1 4 61 11/ 'II rarAm The above are not applicable to temporary construction service
--.,------
Suite/bldg./apt. no.: Project narne'S
' gstk ... , •::, • • ••• . • FEE SCHEDULE ...:'-. :'.:••' ,: :" : ''.. •.,. '.
Description J Ctly. j Fee. I Total
Cross street/directions to job site: New residential single- or multl-family dwelling unit.
Includes attached garage.
• 1,000 sq, ft. or less 145.15 4
Subdivision: . Lot no.: Ea. aderl 500 sq, ft, or portion 33.40 I
Limited energy, residential 75.00 2 •
Tax map/parcel no.:
.,.. Limited energy, non-residential 75.00 2
. • • *: ,...,... :••••••' : . r • ■ '. .: , ! ' :. DESCRIPTION OF WORK , ..:::•••'!i 5 ,..'::'...:.:•.;':•:! 1 " .. ., ' Each manufactured cr modular
At ':' 61/1bUP dwelling, service and/or feeder 90.90
Services or feeders Installation, alteration. and/or relocation 2
— - .
200 amps or less 80.30 ' 2 201 amps to 400 amps 106.85 . 7
.PROPERTV OWNER :• .....::.....,.. ..,:...t. • •••;•.4.: •, • •TENANT.::...•• ;.• . '',•,•••';••.••
401 amps to 600 amps 160,60 2
Name: 6 dr - ..,. • %NA ,./ / 1 ..4 601 amps to 1,000 amps 240,60
III 4 Ag °4
Address: 4 ./ 4 11 & 4idlli . Over 1.000 amps or volts 454.65 2
40 ,. . - Reconnect only 66.85 2
City/State/ZIP:
Temporary services or feeders Installation, alteration, and/or
Phone: (110(1)1D _ I Fax: ( ) retocation
200 amps or less 66,85 ,
Owner insta bition: 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 amps ' 133.75 2
Owner signature: S Date: Branch circuits- new, alteration, or extension, per panel
..::::i'-:: 171•.A0PLICANT"''.. .7 • n I: . !: „.... . 'CONTACT PERSON !:: :•'::::i;,'::.'::'..:'. A. Fee for branch circuits with
13usiness name: 1,400i 'service or feederfee, each
branch circuit
B, Fee for branch circuits 6,65 2
Contact name: without service or feeder fee, t 4/1%-
2
46,85
each branch circuit _
Address: — _
Each add') branch circuit 6.65 2
- '
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-mail: • Signal circuit(s) or limited-
. l': • .. ' ..•;•-:...t••1 • : '.'. :. • . .:.. ;"''.'... .• • CONTRACTOR . ..::•.....I . T..111.:..;.,i . "'••„ :L I- .•.:.• ; ...:, ..,.. ::,•• energy panct, alteration, or
extension. Describe; Page 2 2
Business name: Hi 1 1 sbOr0 Electric L.L.C. _
-
Each additional inspection over allowable in any of the above
Address: 21185 NW Evergreen PKWY_ Ste 4110
Per inn"-------- )-50
City/State/Z1P: Hillsboro, OR . 97124 investigation per hour ( i 1-,,- min) 62.50
industrial plant per hour 73.75
Phone: ( 5 03) 439-9666 FaK: (503 )601-3680 __,...._,...--••' •••• •:' ELECTRICAL PERMIT FEES* • •": • -- • .
C.CB Lic.:134481 Electrical Lic.:34-499C Suprv. Lie.: 4941S Subtotal it-ter
Suprv. Electrician signature, required: IV
li .
tit —
Plan review (25 of permit fee)
—
State surcharge (8% of pennit fee) 3
—
Print name: Joey vitacco • Date: ,EAT c 1
. TOTAL PERMIT FEE '
Authorized signature: • This permit application expires KB permit is not nbtuined within 180
thee after it Ilea becn accepted as complete
Print name: Date; * Fee methodology BM by Tri-County Building Industry Service Board
. *a plumber of inspections per permit allowed.
imtuiloingworinineELC-PcnniiAno doe 12/0 44a-in I f/fi 1(1/021C.0M/WEB
•
CITY OF TIGARD,.
BUILDING DIVISION PERMIT #: ELC2005 -00359
13125 SW Hall Blvd., Tigard, OR 97223 } DATE ISSUED: 5/27/2005
Phone: (503) 639 -4171 a oo , �l�r�u�
Inspection Requests (24 Hrs.): (503) 639 -4175 =__..
INSPECTION WORKSHEET FOR DATE: 6/20/20' • TIME: 7:11AM PAGE: 65
SITE ADDRESS: 12345 SW ASPEN RIDGE DR CLASS OF WORK:
SUBDIVISION: THORNWOOD LOT #: 036 TYPE OF USE:
PROJECT NAME: SADIGHI
DESCRIPTION: Installation of A/C unit.
OWNER: SADIGHI, FREDYDOON & ERIKA PHONE : 503 -968 -1234
CONTRACTOR: HILLSBORO ELECTRIC PHONE #:
Inspection Request Scheduled For: Date: 6/20/2005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 009608 -02 503- 538 -2953 Y »M
Corrections/Comments/Instructions: ' ¶C 1 �"�
A /- e I7/4- iv -6-z -so
-so S
7r- utivIL m1,4 30 .P M4-
•
•
AG ASS 2 PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL r4 C . FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: _ Date: 2 0 oS Phone #: (503) 718 -
•