Permit CITY OF TIGARD ELECTRICAL PERMIT
• 4 4
PERMIT #: ELC2006 -10106
DE✓ELOPMENT SERVICES DATE ISSUED: 6/15/2006
.44. 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
• PARCEL: 2S109DA -13000
SITE ADDRESS: 12996 SW BIRCH HILL LN ZONING: R -7
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT : 119 JURISDICTION: TIG
Project Description: (1) branch circuit for A/C 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:
REGENCY PROPERTY MANAGEMENT GARNER ELECTRIC
11575 SW PACIFIC HWY 2920 SE BROOKWOOD AVE #A
TIGARD, OR 97224 HILLSBORO, OR 97123
Phone: 503 - 670 - 7739 Contact #: PRI 503 - 648 -4552
FAX 503 - 642 -7925
•
FEES
Description Date Amount Reg #: ELE 34 -305C
[ELPRMT] ELC Permit 6/15/2006 $53.50 LIC 121159
[TAX] 8% State Surcharge 6/15/2006 $4.28 SUP 37075
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: ,� � % �! j Permittee Signature: . e... sQ3
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.
FROM :I,3ARNER ELECTRIC FAX N0. :5036427925 Jun. 15 2006 10:39AM P1
Electric Per�fll A�9�) E IVED ralr;! ( 'Frei 'SL : 'r
City Of 'lCllgat(� Reaeirrad : . • ' • ., ' Pert :'dt No. �C :,... •.. � • ..... :.. • f ,..,
13125 SW Hall Blvd., Tigard, OR 97223 JUN 1 5 2006 Phan v ie � ~/ w l� 4 �l � / CJ� ( -1 .
Phone: 503.639.4171 Fax: 503,598.1960 �yl ? ^ t'i� ( �lt\ _ D81e/By; Other Permit; CITY OF TIGAR - rr ,,
Inspection Line; 503.639.4175 r:; ' ; . ._ , . , Data ReadyBy; Purls: See rage 1 for
BUILDING DIVISI '-
Interact: www.ci.tigard,or.us Notifietj/hlethod: J , (�f 3uppiementnl Information M^
'.l n o S�� { Ci I jll �'jkifljTll�i., , � {�'� �� vi ',�, '{ r � Itrr 'r�l�' • �I ��N t ! S
I . tj lC" -y 7 'R', �t'�'�iA�� ', I S + I � ��,,a �I p u�� r -p� ; nr� i ^r:
'._.,...1 ,.ti±�wl �'1�.mS, i t ti � : � .�V� }t� f� " .'�t i J�t Y'Jti. AU, L. FAt ill Yl , !,' „� INlif9, iil'!4fry >i 1tJK"+l r��°•u3'r'�idS3l L:l''. 1l
New construction • O. Addition /altcra'tion /replacernent Please check all that apply:
[] )7emolinon • 12 Other: •
EServiee over 225 amps, comm'I ❑I•fazardous location
"; f']ity{ ` {i vt {' W 7 ?�:a,, S' . , yv} + :r 41'�;F •iii y t „ T3 ny: c ,i�� + ^ .t rv �7 TF I L t I {� +1 �''S i : Y ' t''�� 1 is J; 'ry + { J hIn' ElService over 320 amps - rating ❑ Buildng over 10,000 sq. ft.,
w "d" {5%1 i r �. �'1Y4� �d 't r l f;a i' �. , u iir fi tit it �th iL r � i t ti � n i i 4' 41£ I. aG u�� of 1 -'and 2- family dwellings 4 or mart new residential
Pi 1 - and 2 - family dwelling ❑ Cornrnercial/industrial ❑ Accessory building • ❑Systam over 600 volts nominal units in one structure
❑ Nlultl�fatntly Q Master builder ❑ p��
. • ❑Building over three stories °Feeders, 400 amps or more
:titL °'.);; VV! ',+�ii• ' °t'(', : 9 r:'f;Yeaa ai el iT3' rt'd 5, � c' � 1f., >fe. ", °. ":N ;+:'hL 'it`1.'L'TQS ! ",�.t+ Y u . ..f.' C",(+ f rc /T; w ra []Opcupailt'load' over 99 persons DManufactured structures or
l � tdi• PGllli?,,AT ��! j i�lp�; Iyi t +: t�r7ry4U! :�1!�' k.�li@ i ll' ( 71 il : 1 l� f1p U ",'l9f I; A r'yllrgf( \',i�� � r f�p. TF I:l 1 : i�G.i P p p .P I .. ' -Rv ark
ili�i' ;Ul..�ePC4,eti�.,',it l:•'- ",t 436 ltr,r •, .11I I IIry " NG e,litt ,1-rM ,4,4 !A4,,;1• ;,.0,1, r1I �Y,'r �i:A,, l.,. `„ , tl.� ltl .�l..f' ;�;.w. : .QEg ['P . , . plan ..
s:'J66 7eb site a ddress: _ c, :•£ fzea7 -taro facility O •
1 � o . .,;rc•`n i.LL •
Submit 2 sets of plane with any of the above, - •••
City /5tate/ZII ' .. i ;. 2 The above are not ap plicabl et service, .
Suite/bldg. /apt. n0.. Project name: �if ti�. ?d 1. t l�tL��f r l>X> I ' : Ti 1 �1v��!l'�: . - gi' T +' ' . f ,, '
Dcya 1ptiee ....._ . -Qty,- gee.
Cross street/directions td 501'Sith: New residential single- or multi - family dwelling unit
°"- Includes attached garage. .
1,000 sq. tt or less 145.15 -
Subdivision:. 1 Lot•no•: Ba. add'I 500 sq. ft. or portion • 33 - 40
Bach manufactured or modular
Tax map/parcel no : Limited energy, residential 75.00 111111111111111 t.d {� 1�• ;ar, =;;c „y. ;:a i..T'' !T• C ' rrn a _t;;n; +ua: ul : -. , , r.v -.. , r, wky .tkr Nio ;1x:1'.71: *. ; , r, r ' ;' ; r Limited energy, non esid¢ntial 75,04
�11�.I i lli.dll, I � {a ii�l"r�{•t! I �irf,:�il'{ ,''!',.'ii�� ��.' ,, ` ii4 iG * ` ?��t t3 r;,rih1!�' �/$ ,l1,�4 �144P V ' � ; '3
.` f ,f ('.a ✓a �' rl4 t 1 � ` ii,� Yl ∎,.
• 1 L, dwettin: service and /or feeder 90.90
t '',Y' C �V' [ -1- �,f,- - r� v _I t t s Services or feeders'instnilaelon, alteration, and /or relocation
200 amps •r less . 80.30 2
. l
7ii�c {r,'.3« „ , ,, ;}.int,v'. nleur .l:arlr}r; ^ "c Qn� ,,,.,.tit `g ,a,...l , )17 "rrr, „lr..pu ^rinctaat +r � 1 ��st ^�j i' ts� } 201
i;Sul �n,. il l: :ei 1 it,, ,+ i
,, a11 :i ( t 1., , t ' 1 t i U l ib �'si,t r ? ,, i,,Ll �i a: k]`11 � '? ', + -1 � liq � � ili l y� i l iv,i amFs' 400 arnpa 106.85 • 2
407 -amps to 600 amps 160.60 Z
Name: - 11'_.>tix — tC) 601 amps to 1,000 amps 2x10,60
Address: Over 1,000 amps or volts 454.65
- - Reconnect only 66.85
C2ty /Sttlte /Zip: Temporary services ___
or feeders installation, alteration, rtnd/or
relocation
Phone: ( c - , cy 7. I Fax: ( ) 200 scrips or less ......_ .66.85
Owner installation s installaati o is beiti,q.roade on property that I own which is not 201 amps to 400 amps -- 100.30'
intended for sale, lease, rent; or exchange, according to ORS 447, 444, 670, and 701. 401 am. & to 600 a • s Es 133.75
Owner signature: ',!
i - ` Date: Arena Arena circuits new, alteration, or extension, per panel .
i ,' l l l 1�1' 'ri L104`il :' % %'t I
�lf `'iJPIi�•' ' { 4 vy1 1�� i� ii tYi 'I
' .� p iii {1 P���Vtiitl'1 {rlt ii .i ,` a i fi+,tt ndb circuits with
��`i 12 i ,� k✓ � ... iii'
1 .�'�,. .. '!,• � •,,, ` xhi ,1�ii�1(�l l� „'l� k�Y it %j t
l;. , IU�a i .�cl �' �I
,,� •,11�� "•r + ..f., �r IA in I Li •�is� �� � A. Pee for bra
� •
service Business name: branch eircuadar fee, each 6,65 2
• • B. Fee for branch circuits • U
Contact name: - Mellow service or' feeder fee,
4fi.85 �I y r D 2
each branch circuit • _
Address: '
Each add'1 branch circuit t I 6.65 i ( (aS 2
City/Statc/ZI?: Miscellaneous service feeder not included)
Pump or irrigation circl 53.40
• Phone: ( ) Fax:: ( ) _.,,� Sign or outline lighting 53.40
E-meil: • Signal circuit(s) or limited-
{ 4� p•I ,�, II CI I 1'I! Ih l 1 S, r , • 1 �+ iY•`4 5 ^ ^p 1 ,�} r,t�u�, T����� ,�7�n a,y� -
u? ''�� ;ligr� 'F}i14 .��N i4i<<jEE ,i, t��l��fr t '�I h�UJ � elll ',L,(Di`J ;iY'iFr Y, �r,S�{ PJrIS '`lnil''i]Y> ,�I.I�i.!6�tY' hl�t�`rl ,' energy panel, alteration, or •
Business name: extension, Describe: Page 2 2
Address: '.� C ' - . 0 L.: i. ' ` i Bach additional Inspection over allowable in any of the above
2 tic' + l
. Per inspection 62.50
.1 = C >( 'y
City /State /ZIP: �, ( l I mo
/ ' \ t ” �l L e I • Investigation par hour (1 is min) 62.50
..
. �
Phone: ("TU �) (, Lt `'' l `, Fa .,, 1, j) (• • J_7 �_._ ? `� • Industrial plant per hour 73.75
• � � I s;','t r 1 pil )v'' g le t,4a "af iw'Ei c'ntavtk N` l']: ,1 t h•nRr, r. ^ !
CCB Lic.. � .-2, < <.r� L I � �ht6.'.�" �.��».,,.��,�„E, � �,.tl,�;.,s., y.,,�•rrw.�,..,a6'
Electrical Lic.:? ' ic.' °. '
1 M �? �' 7 ) Subtotal 'G - -;-'? : C; C)
Suprv. Electrician signature, required: " / ' � 4 / Plan review (25% of permit ter)
Print name: Date- i State surcharge (8% of permit fee) -�_ 1 , .s
TO'T'AL PM:00I' rEn !--� � -
Authorized signed .ire: This permit appticnLion expiree if a permit is not obtelned within 1817
—.-.... - - dace titter it hns•heen accepted tie complete
Print name: Date: ° Fee methodology se; by Tri-Connty Building inducny Service Beard
— • •• Number of inxpectieue per permit allowed.
i' lBtildinaVermiu \HLC- Pd'miLApp,1sc 1 11x3 ne0-4FI OT!I um>./rC)U inn
CITY OF TIGARD
. -
BUILDING DIVISION PERMIT #: ELC2006-10106
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 6/1512006
Phone: (503) 639-4171
Inspection Requests (24 Hrs.): (503) 639-4175
INSPECTION WORKSHEET FOR DATE: 6/2312006 TIME: 7:16AM PAGE: 50
SITE ADDRESS: 12996 SW BIRCH HILL LN CLASS OF WORK:
SUBDIVISION: SUMMIT RIDGE NO. 2 LOT #: 119 TYPE OF USE:
PROJECT NAME: REGENCY PROPERTY MANG
DESCRIPTION: (1) branch circuit for NC unit.
OWNER: REGENCY PROPERTY MANAGEMENT, PHONE #: 503-670-7739
CONTRACTOR: GARNER ELECTRIC PHONE #: 503-648-4552
Inspection Request Scheduled For: Date: 6/23/2006 Pour Time:
Code # Inspection Description Confirm # Contact # Message
199 Electrical final 032238-01 50s-648-4552
Corrections /Comments/ Instructions:
.
Pio9A/67___ 4- 10 eehLif
e /C e (e 4
uNiti 3
dligp
P El PARTIAL APPROVAL n CANCEL • n NO ACCESS
FAIL n CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: Date: e4-7 0 Phone #: (503) 718-