Permit 7/26/06, REPRINTED TO CORRECT'
SUTIE ADDRESS FROM 200 TO 202. ARD ELECTRICAL RESTRICTED ENERGY PERMIT
1t I ' DEVELOPMENT SERVICES PERMIT #: ELR2006 -00153
' 13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171 ----- DATE ISSUED: 6/19/2006
PARCEL: 1S126DC-04400
SITE ADDRESS: 09430 SW CORAL ST 202 ZONING: C -P
SUBDIVISION: LEHMANN ACRE TRACT LOT: 007 JURISDICTION: TIG
Project Description: Thermostat wiring.
A. RESIDENTIAL B. COMMERCIAL
AUDIO & STEREO: AUDIO & STEREO: INTERCOM & PAGING:
BURGLAR ALARM: BOILER: LANDSCAPE /IRRIGAT:
GARAGE OPENER: CLOCK: MEDICAL:
HVAC: DATA /TELE COMM: NURSE CALLS:
VACUUM SYSTEM: FIRE ALARM: OUTDOOR LANDSC LITE:
OTHER: : HVAC: X PROTECTIVE SIGNAL:
INSTRUMENTATION: OTHER:
TOTAL # OF SYSTEMS: 1
Owner: Contractor:
MARTIN BUILDING LLC ROTH HEATING & COOLING
16771 SW BOONES FERRY RD PO BOX 1265
LAKE OSWEGO, OR 97035 CANBY, OR 97013
Phone: 503- 496 -0610 Contact #: FAX 503- 266 -3478
PRI 503- 266 -1249
FEES Reg #: ELE 604LHR
LIC 14008
Description Date Amount
[ELPRMT] ELR Permit 6/19/2006 $75.00
[TAX] 8% State Surchart 6/19/2006 $6.00 REQUIRED ITEMS AND REPORTS
Total $81.00
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 follo s adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010
through AR 952 -00 ;11011: You may obtain copies of these rules or direct , stions to OUNC at 503 - 246 -6699.
Issued y: k / y AA„,444 Permittee Signature?-
OWNER INSTALLATION ONLY 'U
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.
,96/16/2006 13:09 15032632513 ROTH MECHANICAL PAGE 02
, . Electrical Permit APPlic`aion ENE i )N „,.,
City of Tigard I . Iteceived — , ,� �,
13125 SW Flail Blvd., Tigard, OR 97223 /, f lbntdB !i PermitNo.: , (` j' .
Phone: 503.639.4171 Fax: 503.598.1960 1' 200 , t \ PlseReview
JUG I 0 <; �'�,a+�hi�Nklf��,l'I poem : Other Permit;
inspection Line: 503.639,4175 t f ,- r y Date Rcady /By: El See Page 1 for
w
Internet: ww.ei.tigatd.or.us fT f ..3 0 X ,1 - U.N.11.” Notified/Mcthod: Supplemental information
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❑ New construction no' ddrtion /alterati /rep vAi1 �, Please check all that apply:
El Demolition ❑Other: ~"?�^-� mow ❑Service over 225 amps, comm'l ❑FIa2anioua location
t " °+ 7 �t tii:1 ";Ip': a F;f; - . ; -. . ❑Service over 320 amps -- rating El over 10,000 ft.
C R1 W j {�S Cya,;pa 6.' i :;'!'� ik�:;Sfi�';:.; eirei.ma .,f l ONSTJ 1 ii ' N i , rl „,...w ,9RRltltt! , s , t • - ...�,.....• -. , .. ?:1,1!!,1,x... „ b� , b� , 1:: ∎s�xliac , t l� �i.o ! „�,,l : ' �'. of 1- and 2- family dwellings 4 or more new residential
❑ 1- and 2- family dwelling Commercial /industrial ❑ Accessory building ❑System over 600 volts nominal units in one structure
❑Building over three stories ❑Feeders, 400 amps or more
❑ Multi - family ❑ Master builder ❑ Other:
,; ;t , ,:a' ❑Occupant load over 99 persona ❑Manufactured structures or
: ',.. r . i ggPAi:e •.1�.': 'F.i Ili i:SI`PI .. ,INF W'� k `-iii )d- �i Ot1� r ;� t;!i' ?IIs I.Ti:I i !::
i ,tit!, ^: „.a.l„ ,.H ,.,.., Fu,.,, . ,I , .. -- . � t,,.I,. . „ . " . ":;. '.,12: °r .1;: x..1,:1 t., DEgressllighting plan RV park
Job no.: l '3O Job site addrets: 110' 0 5W ❑Health -care facility ❑Other:
�� -� • M -- ri Submit 2 sets of plans with any of the above.
City/State /ZIP; , e ■ 9 Z 2 The shove arc not applicable to temporary construction service.
Suite/bldg. /apt. no.: Project name: ■ J ``� �� ,,, . am , meF ? +a:i i GHI 3; i 't;, i':! i;;�� :j ;"I i i:;;: • >)ctcrlpdon Qt Fe% Total "'
Cross street/directions to job site: a New residential single -or multi- family dwelling unit.
Includes attached garage.
1,000 sq. fl. or Ims J 145.15 ' 4
Subdivision: Lot no.: Ea. add'I 500 sq. ft. or portion 33,40 1
Tax map /parcel no.:
Limited energy, residential 75.00 2
Limited energy, 75.00
l l' i i I `� { �&,,•y G�,k fF�l�+{ ?tl'I" ; "r q1 y il'I iN I :hiMiMi� ,,, ,.�,,.�,.�� .., -� rRY 2
n 114' I y , �' •�n 1 I ,.. * .r 11 -a,i!'i, I, iN;i') a
I ' i ' Mf .0 �t$I, 0 fig I7 h C!l t �:4 .� I ii J"i;a,,;i,. i I 1, red or m
,. ;i`W. . 'C�I� � '��r 1 �,!;,M,Y. ;ICI" ';i Ench mn
dwelling, service and /or feeder 90.90 _ 2
Services or feeders Installation, alteration, and /or relocation
\lb I I' l 200 amps or less $0,30 2
! / "'"''i'" 'j I'R01R,IiIL f.11j i ,,,,,: ;Ir,i' '••!:'-:1 "iE;h' . .,,. , ; %•. 201 amps to 400 amps 106.85 2
L,it,:, .,,i,�.. r. , , ? i,or,lall; "ii '1; :., >�I 1 � „ La�t��?�' . ;; 1;, -
40l amps to 600 amps 160 -60 2
Name: M s i ` ' �1� ��i_ 601 amps to 1,000 amps 240.60 2
Address: tit �' t Over 1,000 amps or volts 454.65 2
City/State/ZIP: a'w Ip Reconnect only 66.85 2
Temporary services or feeders installation, alteration, and /or
Phone: ( ) Fax: ( ) relocation
200 amps or leas 66.85 1
Owner Installation; 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: Date: Branch circuits -. new, alteration, or extension, per panel
i �'d i7 m •.'ck g , aide 1fi ..;1'. i . 1 6.1. �II'II' � r at,'y t i:, A. Fee for branch ci • �:;M1 rcuits with
i. L I �.,M I.I nu ., ,nu Y" "fit r GIC. �x ,� , .��• �{1Y5 , !. ",, . • I ' ,,,,' & +. .'�lrli ` h'vi o :,,,. ,? ; , 1 ' a. ..,., N " '' service or feeder fee, caclt
Business nam -: branch circuit 6.65 2
B. Fee for branch cimuita
Contact name: without service or feeder fee,
Address: MIMIIIMIIIMIIIIIIMII each branch circuit
Each 46.85 2
- add'! branch circuit 6.65 2
City / State/ZIP: V Miscellaneous (service or feeder not Included) .
Phone: Pump or litigation circle _ 53.40 2
( ) Fpx; : ( ) Sign or outline lighting 53.40 2
E- mail' Signal circuit(s) or limited -
;G7. II11 I,,'' "ligl „LIG1::Li I t f f,,,� '• ! 1 ,�,,.. i l :, ,,•,,�:,:,.�. i ;. ;. ,1 W ener p anel, �,c, aN i. a, . "E ,”" � ;C'r,Q, ; ..e� 'jl :� 1��'tii,'���v } '!!� ;..I` ':sti " 18YP � . o
Business name: a 1 extension. Describe: I Page 2 7 2 •
.4� I
Address: .b - • ( ^ Z Each additional inspection over allowable in any of the above
Per inspection 62.50
City / State/ZIP: C.0_ t iiil L. C) /3 Investigation per hour (I hr min) 62.50
Phone: ( 6,9 2( \ 2. � Fax: ( '2..6(0 - 3 L[-7 ' Industrial plant per hour 73.75
COB lU t ` 1 rot a � 1111 P4: -rc 10113'L;`
Lic. 440 08 Electrical Lic,:6,OLLN� Suprv. Lie.. PD/ LC , btotalt ^'y "lil'�I:i ',
Sub �' ,
Suprv. Electrician signature, required: • Aiwa . Plan review (25 %of permit fee)
• Print name: i /61' ,CL„ se , Date: 1 /O State surcharge (2%ofpennit fe ,
l /u TOTAL PERMIT FEE { �l
Authorized signature: , ' 6 , . This permit application expires If a permit is not obtain within 150
1L� ( , days after It has been accepted as complete
�� The- Date: • t ( , Pee tneth
. oloay set by Tri -County Building industry Service i3osrd
r " Number of tnapectiome per permit allowed.
i:\aull ding \Pertntya \81.GP6mtitApp.dbc 12/03 44046 t stp n/o2/COMwee
CITY OF TIGARD : ELR2006 -00163
BUILDING DIVISION PERMIT #: 6/19/2006
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 4171 µy�llgi °�
Inspection Requests (24 Hrs.): (503) 639 -4175 . ' A IL.
7/21/2006 7:01AM 69
INSPECTION WORKSHEET FOR DATE: TIME: PAGE:
09430 SW CORAL ST 2oa 2.0 2
SITE ADDRESS: LEHMANN ACRE TRACT 007 CLASS OF WORK:
SUBDIVISION: WESTRIDGE LOT #: TYPE OF USE:
PROJECT NAME: Thermostat wiring.
DESCRIPTION:
MARTIN BUILDING LLC, 503.496.0611
OWNER: ROTH HEATING & COOLING PHONE #: 503 - 266 -1249
CONTRACTOR: PHONE #:
7/21/2006
Inspection Request Scheduled For: Date: Pour Time:
Co i# Ir a ioo t(aecription q9916716 ' 716 r0§6/106 Message
Corrections /Comments /Instructions:
•
•
al PASS I I PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL ❑ CALL FOR INSPECTION n ADDITIONAL FEES ASSESSED
Inspector: r St Date: 1 6k Phone #: (503) 718- 2.•
CITY OF TIGARD cz,e, �g �^
1 BUILDING DIVISION PERMIT -VQ'J 3
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED:
Phone: (503) 639 -4171 f'' O i 6" �
Inspection Requests (24 Hrs.): (503) 639- 4175i�='' L.
INSPECTION WORKSHEET FOR DATE: 6,/).1"/O‘ TIME: PAGE:
SITE ADDRESS: 6Q v S LASS OF WORK:
SUBDIVISION: LOT #:- TYPE OF USE:
PROJECT NAME: _ _ L- .0 D_____ DESCRIPTION: V .
OWNER: &P-4.4 PHONE #:' CONTRACTOR: PHONE #: 2/ S 63 6
Inspection Request Scheduled For: Date: Pour Time:
Inspection Description Confirm # Contact # Message
41
Correc • /Comments /Instructions:
PASS PARTIAL APPROVAL n CANCEL ❑ NO ACCESS
FAIL n CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
--------
Inspector: NJ b6 /- Date: 6 1 -1 ^ W Phone #: (503) 718- 2q -Y ,,'