Permit • CITY OF TIGARD ELECTRICAL PERMIT
PERMIT #: ELC2006 -00217
a ���l DEVELOPMENT SERVICES DATE ISSUED: 4/25/2006
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S109DD -08100
SITE ADDRESS: 12888 SW DA VINCI ST ZONING: R -7
SUBDIVISION: BELLA VISTA LOT : 011 JURISDICTION: TIG
Project Description: Relocating 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:
RIVERSIDE HOMES INC. BEAR ELECTRIC
1925 NW AMBERGLEN PKWY. STE #2 P.O. BOX 389
BEAVERTON, OR 97006 DONALD, OR 97020
Phone: 503 - 645 -0986 Contact #: PRI 503 - 678 -1355
FAX 503 - 678 -1108
FEES
Description Date Amount Reg #: ELE 24 -107C
[ELPRMT] ELC Permit 4/25/2006 $46.85 LIC 20919
[TAX] 8% State Surcharge 4/25/2006 $3.75 SUP 49025
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 y : 'Q £�x Permittee Signature: {L c)11)
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.
Aur 2 s - 2 0 .52 3PP� BEAR ELECTRIC X7 2 j Na'4767 P. 2
. Electrical Per aat Ap,pl'ica"tio:n -
�' 1.OR '. OF FICE USE ONLY
City of Tigard ' ' �l l U Lc. t. $1 ! �- , Rccei„ // , _ ! -
• 13125 SW Hall Blvd Tigard, OR 97223 p DatelBy: 7�.-, __ _ / p �C Prrmil N o,: _ " - 6 a " o
.Phone: 503.639.4171 Fat;: 503 598 1960 A - c 2 00 0 4 +�, I� Datc/B} iew
tnspceti Line: 503.639.417 L�, Date Rea .)ur' : N7 See 1'aee 2 for
Internet www.ci.tigard.or,us Notified/Method: I
, i \liT.X' if IC' ;Ili YL".14R�'l 'a „_..- SupptemeotaliAforroH
III " 1 ,�: i'Ci���5!. oq�,:, tim:4'EIiigiriEII.SV •-cht.rOOL.-+1r xySi:rZ: In.4..'ir IL-1' I .�x , 4'; .er
;EI . I! „ y ..,.4 t:r r�, ( . n ,: " ds. r :�. _ u : d;. , .la.. t: at r1 1 . n rl r
.-i: 11 ligi1pf 1.�41(�,5 it BB 19r'�U,�1, r Ut..r 9, " ola) a a x,:ni' .1 40 ' 4�'' ! i ll, ,: e . "`l- a i,-v IZRZ • ., . ? „`hnll7�;i .��+ 17f�r, ltll: "2; ��•� t4!'ut`:,,.rr:r� �1 . i;��. ; "'�� fg�,. �: �. 1 ,�.,1 " �l�l� 19I Vii • �r :��aa,:'hm,r�.,r+._abkl;� ,1 4;c!' - = Y�n.�a.l,, ?' �...: ..; Sir' h: �� _�,,� is l4fiiM1 " � >!:� Y'''�.'�9. �� { � ,
N ew construction aAd�litio�al'tcration /i•e lace rne.nt Please che al that l
0 ❑� p apply-
❑ Demolition �C�Oth.er. ❑Service over 225 amps comr'1 ❑liazardous location
:; " .,:..w., t 1 .a ;;r. r,�'ry fr_< " ;, , r,;, ;„ l� t Q Service over 3 20 amps - ratio ❑Isuildn over 1 0,0
1� :7' h ",t 7r 1 1 :1,I,�y y,. 1t.- ',y.: :'41 Itc. 1 g g UUsq, ft.
r;
Il ^,�i' q • �' 11 :1''! kk :I a ±.t 6 J'C i:i _ .4 p:;...,.. ia.4 "u
, e i,,. , : ,2 - : .. m.A4 - aw�6.:? 5 „ ; , 1,' ® � 1 pN ,.!. a a ' , ; 1 ir4Q1i'.. 2 ;:.: of 1 -and 2- family dwellings 4 r � ��9 I +pry'!1 n
'I ii . �. ki ,�l .. w. � r_ �� vR .r�- � • iaHn:�.,,sd:; Zile: �tc ^ " - e J9:R!J n �r�t or more new residential
❑ 1- and 2-family dwelling ❑ Commercial/industrial ❑ Accessory building ❑System over 600 volts nominal units In ore structure
❑ Multi family ❑Master builder ❑ Other: ❑Building over three stories 'Feeders, 400 amps or more
t iuq. n :rt: - +': i .:nr 9 514 :r,.. _ Occupant load over 99 persons ❑Manufi'tc1ured structures or
l i.:,(ti, , in � �,f ,I. .' I ir z:.l� h Y �pf ,.i ti , •g `,p 4 I � 4 ;:;W'. I r, "' II' 1
..,ll.l'u ; I. .. SilMl,t' t�, B; ...•. '. "5t1'II47I .h OIT ~ •AY/U 7 , aI�t .. Ii e4 1.1 k �C j 2i';
_°,: .ra,,ris!rrf�J:...tirf % as ,I.,.,1,��.�.,,.�...�...r. :.,. , ux, I., .,�i:Gn.,.�.n,. W.,'�rl��'hc'rl'�a�: � n�tw :;',;.��a::��iI ❑Egress /lighting plan RV park
Job no.: Job site address: r I [] Health - care facility ❑ Other:
` ` � � a a J y Submit 2 sets of plans with any of the. above,
City/State/ZIP: i .7 s an ti T The above are not applicable to temporary construction service.
Suile/bldg- %apt no.. . - • P ojeet narnc: e`U -¢rS �� d - - - • " 'i , I� I I ;': I a =.':F '. 1 , . :. `!c +;A., . , ,
, _ x).'...,„„0,‘ pty- Pea ''ro9: t
Cross street /directions Io job site: New residential single- or multi-family dwelling unit.
__ " •• . Includes attached garage_
_ 1,000 sq. ft, o less 145.1 4
_ I
• Subciivision: �� - 51-4 Lot 110.: Ha. aad'I 500 sq. ft ur portion 33.46 I 1 "
III energy, residential idential I 75.00 _ 2
Tax map /parcel no.: V - I
:� s {Ir 1"I�.. yagarjt;,:% ec�( -},; r,�+; vF.11' 4 : H�: -. ,-"•:: r :.•r ^,trl, :.. „� (� �/; ,...r„ p 5 Limited energy, non residential j 75.00 • 2
. f, I�f'Pti'a' Jl fl l"I rr.4ri. "71SI��p�I(1�� '�f .1h`4 �� {:•YY'+ 'f"I, •a�t .: >�j.A tnl.i l`' p 'til
i �. �t. f� � rE.r" �y�< ��' �:H �atriti..: 4;. � h�lr�: � 1' f��. �...,.,, �t ��lii?�! �?I: �."" l�, r�r?l�n; �l�,: �; o, li" f' �;°, I; t '�::_ Iiu2i manufactured or modular --
2 _
�, J ,j dweIling, service and /or feeder 90.90
/
4 ! 1 -~ 1 - - -- L'- , - { J P r � - - Services or feeders installat.iou, and/or relocation
V I -2 w ` e "• ,,, L- V . P � � /.. / amps or 1 -
_ � � U ¢ � F.u �/ J�, 200 less 80.30 .. 2
i °'Gnn�dlt' .•s.g>>; ;,FaS .G;n'yl, a'4o!', _ ..a:,,�f4 ur .t,r: °9 ?' Inl'":= 'i5'd:9.'•n::. . T. 9ac:i al > - "i�s.„ ^ :: : 7
; Ill„ i : i.; _ i [ g ?t �11v'iS'r" )'' u ' :�: , i , �,: . • l * , ii' " v,if i nn: -u k : lull ; ,� � �p � .h.i -�.Ali,a:; ., 201 amps to 400 amps 106.85 _
dII ;;;% ..;; "; ;:',7: , „'a l: , nom . .. , w , ...yr.. , ....Eg:;.f;i .....I':...,n1,414:1 .'10 ,, illq- , :4:6iS 5.1:s d 1.4 ,i`, e;'�(1P;� lirml ; ;ttl .am: -
. 1 7.._ e_,.... - -- e ,,tx , " ll�._ _slim .,l,. 401 amps 10 600 amps 160.60 I. 2
Name: -
_ _ _ 601 amps to 1.000 amps 240.60 12
Address: Over 1,000 amps or volts 454.65 I 2
- .. -- Reconnect only • 66.85 2
City /State /ZIP: r ^ ^ Temporary services or feeders installation, alteration, and/or
Phone: ( ) Fax: ( ) relocation
200 amps or Icss __ 66.8,5 1
Owner installation: This installation is being made an. property that I own which is not 201 amps to 400 amps 100.30 _ { 2
intended for stale, lease, rent, or exchange according to ORS 447, 449, 670 and 701 401 amps to 600 amps 133.75 _, 2
Owner signature: Date: Branch circuits -new, alteration, or extension, per panel
. ��,! l :FlI +�,_: , : f:�: �, 'lit i` :alJ ��KC, i ltiS� 1- "�r " ra ,: :..,�- ,'.rn , .,. - -
`„r.,t�'.,-1:",.J, ;:.it. ,: ,:_.. ,�I:CI'-s.�'94•, � I' 7 " Sr ' ;,; "e; 1� � � 0 � y a;. �-�9t.'dlt;,�,, A. Fcc for branch circuits with
..Ii.. ��.;::,rl:i'l?5 "t'.4i, .. u and u.,em't,f.:;:,H , w ' ,,,,,' l.,,. . a _-. .l .r. l�" i1 or,.,,,",� 1'j % . kf ,.9 1'
` ' J L9 i. :' v 6 : m.l. ° ,ll■i!: l4 1,1.e
SeI VjCe UI' feeder fee, each
EtUSiness name: branch circuit 6-65 -
-, -
Contact name: 5 4a. -�� S �.r� B Fee for branch circuits
_ �i�7� wi thout se rvice or feeder fee, 46.ti5 2
Address: each branch circuit �b. ��
- -- - - -.- - -- -- 1?.3ch add'I branch circuit _ 6.65 2
City /State /ZIP: Miscellaneous (service. or fettle r not included)
• Pump or irrigation circle I 53.40 2
Phone: ( ) Pax :: ( ) _._.._ � _..,_
- - _ - Sign or outline lighting 53.40 2
E -mail: Signal circuit(s) i
I:rPF,, a:: � hY. ",,r•. +':� i 1 . w ,. , I' dh =` � "}�� �P "il` -4 P , , or
,;,:% ' " l6 f '° ,, ; v +- :,;,`l "d y'f.d '! . M Y ~ ..1 �':`._i�� `l^" I ''!' l w *!�N�;' enero
WGr.:^ S: i.;:. c. r. � :ltl�6ll_AN��,�.I�)Jt.��ul�l?t, rilil`= l���r<.,. �ELI�, ...�i�.'�•�•,...,�.r.,,.���l�il ri�i _ MUI._ I�.,; 7:: i, Si: F,' L_ �. 4��9, ���?�i�IN�I�I��rG� '�ni�:''v ^��rP.r� YP ane1, alteration, or
extension. Describe: Page 2 2
3usiness name: evert r 0 I f crk''
kddiess: Each additional inspection over allowable in any of the above.
-- T Per inspection 62.50
i ity /State /ZI•P: - D ort _ 4 , 0 r�s
C,.
•� Z.. C7 Investigation per hour (t hr nun} 62.50
/ J~
Industrial plant crhour 73.75
'hone: (7.1.?, ) (57 � -) 3S Fax; ( 5 7j L, - 2. � - / I d d x p p _ ,�, �4
1.�1hisL5 ill:r. �kSaY'e, \.. - - -. � Gf.;'...+;'�°�,�''i � . i ?,''..,a ... n...-
_CL Lic.:'_,r t r1 1 Electrical ' � Lic.: • .) Strprv. Lic.: 3 %c, 2_ 5' Subtotal L' S •
_ uprv. Electrician signature, require c � "� - ;�� y � Plan review (25% of permit fee)
State surcharg 7
.
e (8% of permit fee) I , 2 5
'lint name. pate:
TOTAL PERMIT FEE , 6 0 I
.urhorized signature: • JJJ
This permit application expires If a permit is nni obtained within MO
days alter it has bees accepted as complete
. Tint 9lm - nc - I Finrp• • ,- .._ - ' _ ' _ _ . . . . , .•. • •• ., • • • . ■• • •• •
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC2006 -00217
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 412Fa 2006
Phone: (503) 639 -4171 qi��l
Inspection Requests (24 Hrs.): (503) 639 -4175 �_'__..
INSPECTION WORKSHEET FOR DATE: 5/1/2006 TIME: 7 :00AM PAGE: 32
SITE ADDRESS: 1288 SW DA VINCI ST CLASS OF WORK:
SUBDIVISION: BELLA VISTA LOT #: 011 TYPE OF USE:
PROJECT NAME: BELLA VISTA
DESCRIPTION: Relocating All. unit.
OWNER: RIVERSIDE HOMES INC., PHONE #: 503-M5-0986
CONTRACTOR: EAR ELECTRIC PHONE #: 503-670.1355
Inspection Request Schee led For: Date: 5/1/2006 Pour Time:
Code # Inspection Des 'ption Confirm # Contact # Message
�., '' ° ".0�4, _ ::�u� 029033 503 - 678.1355 N
�tio omments /Instructions:
X PASS PARTIAL APPROVAL ❑ CANCEL NO ACCESS
❑ FAIL I I CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: G N VQ Date: g 6 I* Phone #: (503) 718- 2.111g)