Permit C ITY OF TIGARD . ELECTRICAL PERMIT
PERMIT #: ELC2005 -00266
. q DEVELOPMENT SERVICES DATE ISSUED: 4/20/2005
13125 SW Hall Blvd., Tigard, OR 97223 503 - 639 -4171
PARCEL: 2S114BB -19500
SITE ADDRESS: 10289 SW ELISE CT ZONING: R -7
SUBDIVISION: RIVERVIEW ESTATES LOT : 041 JURISDICTION: TIG
Project Description: Reconnect.
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: 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: 1 SVC /FDR >= 225 AMPS: CLASS AREA/SPEC OCC:
Owner: Contractor:
FREDDIE MAC EZ GOIN CONSTRUCTION, INC.
5000 PLANO PARKWAY 7644 SE DEARDORFF RD.
CARROLLTON, OR 75010 • PORTLAND, OR 97236
Phone: Phone: 503 - 793 - 2104
FEES Reg #: LIC 103572
Description Date Amount
[ELPRMT] ELC Permit 4/20/2005 $66.85
[TAX] 8% State Surcharge 4/20/2005 $5.35 REQUIRED ITEMS AND REPORTS
Total $72.20
This Permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Spedalty 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 -b4,0- 332 - 344.
Issued By: AP 1 / Permittee Signature: Ci)c1 0_70.172-1C C
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.
APR -20 -2005 07 :08 AM EZGOIN— CONSTRUCTION 503 761 5136 P.05
' U4l1M /ZUUO UB ;Y.f MA O11:0t0811fD13 t.+/iz ye ltwtAL+ yid v�y,v.,.
•
.. Electrical P e y j n j t At>'pUi t , � r f t n , 7r EVE"! 1 1 r,1{ ,:„ 1 to f ! 4 . , . ' ' , t v ,
of Tigard ttesai.ra
l )12 SW brit plvd , 19 OR 97333 APR 4. PJ ° !emit No,: / U 00A., Mono, 503,6394171 Fax; 503.591.1960 i `df l� -0 „, I Other Petttdt:
Inspection Lttte: 503,63q,4175 , • . U .' .d , -A ;sm •r-r t r w. o
haven't, ' '.cI.tigattlA •
Nedt7edTMethod:
Hrt fr TlG p R n ISup; temental tnfmtnenee
43e41.10): '' S t::' g fVI s I C7 - - r,:�►,�t:: t v>�w ;,. ;
N ew construction
❑ ❑ Addition/attention/replacement titer k ill disrepair
[� Datnolldon
J ther. SECT' ❑S se the over 215 atnpx aamnl'1 ❑iiatmdow location
' .� y -- ❑SMtvia@vvor320a»tpe -sting (�
t. O1�Y ' 0T. G�17PIiliT1WI lODt of 1 - laid 2 fstui1,y dweilinp 4 or mom new t'sldentlal
F - 2 l - and 2- i$mily dwelling 0 Commercial/industrial • Accessory building °System ovet 600 volts nominal unite is oat strum
II Multi - Family 0 Master builder 0 Other: [�guitdtng ova arras alone, 0 Feeders, 400 stt+ltp or more
SITS INPU* t ATION AND L4G► OPt . ClOceopsnt lad over 99 persons El Manuhatured etretctutot or
• :, p8lpowltghtlng piss RV park
Job no.: • - _ �J e Cjeleeltr -aura fealty ❑Oder;
' Submit ,1,. sect of pleats with arty of the above,
City/State/ZIP: ! I - -� i_/. The above are not applicable to lemma* ooAstruction cervioc, .
Svi lc/bldg./apt, no,; i P e rojectna - __14/1' tB tt� °S�ti�vil�lz- .'
i 51j ['1',! Pe. tar NM
Cross tureat/directioes to job site: New residential slave' or mull syrupy dwelling unit.
meioses attachcd r+a e,
1 . 00 0 eq. Iv, OtIces III 145.19 4
Eubdivlalon: Lgt no.; Ea, midi 900 so. it or pardon 33.40 1
Tax tnap/patcel no.: Limited at :, reaidandtd 75,00 —
2
• Limktd mats+, aon.raaidential 75,00 2
.D1t CRWPTIOF1 OF WORK Each mamthcatred or modular
' dvOn& l ndlor ffed 90.90 2 '
----T Swwkw or feeders lnalrgsd on. Mimi*, rasdior Mon lfor
200 em or tees 11130 2
0 PROPERTY OWNER (� TENANT 201 amps to400 s rnps 106,65
/} // 401 to 600
darnel
v !!�C/ IS 160.60 En
!
5, p +tun to l t t t 4,,,,50 lEll
Address; 5 _ . " � .,r�rs
� / .W" arsr�eti
.71 City/Sum/ZIP; 8241,0 i l� l 11- , .. W,1 5S S fi M
....,. .:.,- • ry eery - or . era g5ta .....
200 am - or Iasi _ 66,65 _
Owner Itwttollariont This installation is berms made on property diet own which.ia not 201 stops to 400 btt>sa 100,30 1111 2
I intended for sale, lease, tee; or exchange, according to ORS 447, 449, 670, arid 701. 001 am • to 600 snips 13375 2
Owner signature: _.._... Date: -- — erandi circuits - new attend!. or emneloo, . r ' anal •
❑' APPLICANT . ' CC CONT PERSON A. Fee for howl circuits with
branch of feeder fen, each
Business name; L��( ,a �I -, G 7)3s,. branch circuit 2
Q B. fi ce or bomb r,reu its •
•
Contact norm �2 MST' • wf a aarv or feeler roc
Address: 76,2/At / i /, . I ' .. / rr�/ U sash trtnnoh o*rcwt 48.63
�' / �� !
ry /3wte/ZTP: il �. IIIIIIIIII
Gi 97 aa5
h one ) ( ! ! )6 Fax:. 3) 1/ Pump or trrlganon circle 33.40 2
S or outline li i Ming III
2
•
Fr��a�el: i�
Ipfal - ram/ 1 or unit ..
CONTRACTOR energy panel, airerat om. er
Hvsincss name, orltensiOn. Describe: Page 2 2
Address: - [ace ndtlltlettoi 141:" . +' i e aver rlinwnbte In any of the tame
city /S tatm /ZU : 63,50 �r
— EEEMIIIIIIII 6150
Phone: t .w 1 - — 8k: ( }
GC8 Lie.: Electrical Ec_ ` �urm. Lic.:
Subtotal
MI
Suprv. Electrician signature, required: a 1 eian.re ihw (2544 of oemth lac)
Pnrn name; OW;
eurohama 1694 of permit fee) MFR.
TOTAL PS1eMtT FEE , • err
rAnthoi'ined eignt►ruee l'Ws Wilk allidisErs mobile tra /milt Is oat abratara whets tea
Sri ttl rttuMi I Darer days aft
w best aerated sa cempleta
• Res numodology on by Tt!•Ceuny Bultaing trellary SsM= Board
' ' rnper"weltdlo
insoidinaW „mka,aLC.hhtn;„1roanic 15,02 ' de'•e1f111 snlNNO.vwCs
CITY OF TIGARD
BUILDING DIVISION PERMIT #: ELC200S -00266
13125 SW Hall Blvd., Tigard, OR 97223 DATE ISSUED: 4/20/2005
Phone: (503) 639 -4171 .m�n '1I1\
Inspection Requests (24 Hrs.): (503) 639 -4175 „.,:a„
���� ._..
INSPECTION WORKSHEET FOR DATE: 4/22/2005 TIME: 7:12AM PAGE: 82
SITE ADDRESS: 10289 SW ELISE CT CLASS OF WORK:
SUBDIVISION: RIVERVIE'W ESTATES LOT #: 041 TYPE OF USE:
PROJECT NAME: FREDDIE MAC
DESCRIPTION: Reconnect.
OWNER: FREDDIE MAC, PHONE #:
CONTRACTOR: EZ COIN CONSTRUCTION, INC. PHONE #: 503 - 793 -2104
Inspewtion Request Scheduled For: Date: 4/2212005 Pour Time:
Code # Inspection Description Confirm # Contact # Message
115 Electrical selvice/reconnect 005117 -01 503 - 793 -2104 Y
Corrections/Comments/Instructions:
14 S
•
-ASS ❑ PARTIAL APPROVAL ❑ CANCEL ❑ NO ACCESS
❑ FAIL ❑ CALL FOR INSPECTION ❑ ADDITIONAL FEES ASSESSED
Inspector: Date: P 2-2._-01 Phone #: (503) 718-